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2015 ; 29
(2
): 195-206
Nephropedia Template TP
gab.com Text
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English Wikipedia
Multimodal evaluation and management of children with concussion: using our heads
and available evidence
#MMPMID25356518
Gioia GA
Brain Inj
2015[]; 29
(2
): 195-206
PMID25356518
show ga
BACKGROUND: Significant attention has been focused on concussions in children,
but a dearth of research evidence exists supporting clinical evaluation and
management. AIM: The primary objective of this review paper is to describe a
multimodal, developmentally adapted, standardized concussion assessment and
active rehabilitation approach for children as young as 5 years old. METHODS:
This study reviews the CDC-funded research programme, including the development
of tools for post-concussion symptom assessment involving the child and parent,
measurement of specific neurocognitive functions and assessment of dynamic
cognitive exertional effects. RESULTS: A clinical approach to active,
individualized, moderated concussion rehabilitation management is presented,
including a 10-step guide to symptom management, with a specific focus on the
school challenges faced by the recovering student. CONCLUSION: To better inform
concussion practice across the developmental age spectrum, a significant need
exists for further research evidence to refine clinical assessment methods and
develop effective treatment approaches.