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2015 ; 45
(6
): 893-903
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English Wikipedia
Concussion recovery time among high school and collegiate athletes: a systematic
review and meta-analysis
#MMPMID25820456
Williams RM
; Puetz TW
; Giza CC
; Broglio SP
Sports Med
2015[Jun]; 45
(6
): 893-903
PMID25820456
show ga
BACKGROUND: Concussion diagnosis and management is made through the clinical exam
using assessment tools that include self-report symptomatology, postural control,
and cognitive evaluations. The specific timing of concussion resolution varies
between individuals. However, despite a lack of research in concussion recovery,
it is widely accepted that the majority of young adults will recover in
7-10 days, with youth athletes taking longer. OBJECTIVES: The purpose of this
review is to directly compare the recovery duration among high school and
collegiate athletes on symptom reports and cognitive assessments following
concussion. DATA SOURCES: Data were collected from a literature search comprising
high school or college athletes only. This included studies (n = 6) that reported
symptom or cognitive performance recovery to the exact day. RESULTS: High school
athletes self-reported symptom recovery at 15 days compared with 6 days in
collegiate athletes. Both college and high school athletes showed cognitive
recovery at similar rates of 5 and 7 days. LIMITATIONS: This review only included
articles that were directly related to concussed high school or college athletes.
Additionally, athletes in the high school and college setting typically receive a
battery of neurocognitive tests that may not be as sensitive or as comprehensive
as a full neuropsychological exam. CONCLUSION: The review finds that
neurocognitive recovery rates are similar among high school and college athletes,
while symptom reporting shows longer recovery time points in high school than in
college. IMPLICATIONS OF KEY FINDINGS: An individualized and stepwise concussion
management plan is important for proper concussion recovery regardless of age.
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