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2013 ; 12
(4
): 260-8
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A narrative review of sports-related concussion and return-to-play testing with
asymptomatic athletes
#MMPMID24396328
Porcher NJ
; Solecki TJ
J Chiropr Med
2013[Dec]; 12
(4
): 260-8
PMID24396328
show ga
OBJECTIVE: The purpose of this literature review was to demonstrate, through
examples in the current literature, the cumulative and long-term effects of
multiple concussions, postinjury protocols, and the efficacy of current and past
return-to-play guidelines. METHODS: A PUBMED SEARCH WAS PERFORMED USING THE
KEYWORDS AND KEY PHRASES: concussions and long-term effects, concussions and
return to play, and multiple concussions. We limited the search to articles that
had been published from August 2007 to August 2012 and were specific to human
participants. Of the 450 total articles that the search returned, we selected
studies specifically demonstrating athletes who were symptom-free, passed
neuropsychological testing, returned to play, and were tested in measures of
postural control, transcranial magnetic stimulation, electroencephalographic
studies, and magnetic resonance imaging spectroscopy. RESULTS: Selected studies
show evidence that, although a previously concussed athlete may be symptom-free
and returned to a neuropsychological baseline, the athlete may continue to have
prolonged neurological abnormalities that could disqualify them from being ready
to return to play. CONCLUSION: It appears that some neurological deficits persist
beyond the current return-to-play standards and that discrepancy exists between
common practices of returning athletes to competition and new standards of
published research.