The Assessment, Diagnosis, and Management of Sport-Related Concussion in Childhood and Adolescence

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 31 October 2024 | Viewed by 983

Special Issue Editors


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Guest Editor
The International Concussion and Head Injury Research Foundation (ICHIRF), Institute of Sport, Exercise and Health (ISEH), University College London, London, UK
Interests: head injury; sport-related concussion

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Guest Editor
Department of Pediatrics, McMaster University, Hamilton, ON, Canada
Interests: sports medicine; paediatric sport and exercise medicine; musculoskeletal injury

Special Issue Information

Dear Colleagues,

As identified by the Amsterdam 2022 Concussion Consensus Statement, there exists very little published literature on concussions in childhood, although there are greater numbers of peer-reviewed articles on teenagers (as their age rises closer to adulthood).

This Special Edition of Diagnostics will focus on research undertaken on all age groups with immature brains. However, special consideration will be given to research articles on volunteers aged 12 and under, and to projects involving collaboration with international groups outside North America. The importance of having a global perspective on this serious injury cannot be over-emphasized.

Research that compares the clinical approach to volunteers under the age of 18 with those in the 18–25 age group will also be of special interest because 'adulthood' is commonly associated with those aged 18 and over, despite it being universally acknowledged that brain maturity is not reached until the mid-20s.

By publishing research articles, reviews and case studies, this Special Issue aims to provide valuable insights into the assessment, diagnosis, and management of sport-related concussions in the immature brain, childhood and adolescence. This publication will facilitate knowledge exchange, collaboration, and the development of evidence-based approaches to improve concussion identification, treatment, and prevention strategies. This Special Issue is expected to contribute to the advancement of pediatric concussion care and promote the well-being and safety of young athletes.

We look forward to receiving your submission.

Dr. Michael Turner
Dr. Laura Purcell
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • sport-related concussion
  • childhood
  • adolescence
  • immature brain
  • international research
  • diagnostics

Published Papers (1 paper)

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Research

11 pages, 551 KiB  
Article
Anxiety and Mood Disruption in Collegiate Athletes Acutely Following Mild Traumatic Brain Injury
by Rachel Zhang, Michael Martyna, Jordan Cornwell, Masaru Teramoto, Mollie Selfridge, Amanda Brown, Jamshid Ghajar and Angela Lumba-Brown
Diagnostics 2024, 14(12), 1276; https://doi.org/10.3390/diagnostics14121276 - 17 Jun 2024
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Abstract
Objective: To report the symptom burden of anxiety and mood-related indicators following mTBI in collegiate student-athletes. Study Design: Retrospective cohort study of varsity collegiate athletes. Setting: University sports medicine at a tertiary care center. Patients: Division I college varsity athletes diagnosed with mTBI [...] Read more.
Objective: To report the symptom burden of anxiety and mood-related indicators following mTBI in collegiate student-athletes. Study Design: Retrospective cohort study of varsity collegiate athletes. Setting: University sports medicine at a tertiary care center. Patients: Division I college varsity athletes diagnosed with mTBI at a single institution between 2016 and 2019. Independent Variables: Pre- and post-injury. Main Outcome Measures: Comparisons between baseline testing and post-mTBI symptom scale assessments were made to determine changes in scores at the individual and group levels. The primary outcome was the prevalence of post-mTBI symptoms from within 72 h of injury through return to play. Associations with sport, sex, age, and return-to-play time were included. Results: Compared to baseline, mood and anxiety symptom scores were significantly higher acutely following mTBI (2.1 ± 3.3 vs. 14.3 ± 12.2; p < 0.001). A family history of migraine was significantly associated with higher mood and anxiety symptom scores (20.0 ± 14.9 with history vs. 13.3 ± 11.3 without history; p = 0.042). Mood and anxiety symptom scores were highly correlated with non-mood and anxiety symptom scores for all athletes, including the subgroup with prolonged symptoms (r = 0.769; p < 0.001). Conclusions: Symptoms of anxiety or mood disruption are common during the acute period post-injury in varsity college athletes. Risk factors for higher symptom reports immediately following mTBI and for prolonged symptoms (>10 days) included female sex, those with a family history of migraine, and those with an overall higher symptom burden post-injury. Full article
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