A cutting-edge synthesis of science and practice, this book covers everything from sports-related concussions to less common types of mild traumatic brain injury (mTBI) and related complications. Preeminent authorities review what is known about mTBI in childhood and adolescence—including its biomechanics, pathophysiology, and neurological and neurobehavioral outcomes—and showcase evidence-based clinical evaluation tools and management strategies. Challenging areas such as evaluating complicated mTBI and treating persistent problems after injury are discussed in detail. Also addressed are forensic issues, injury in very early childhood, and other special-interest topics.
In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.
Sports concussions make headlines, but you don't have to be an NFL star to suffer traumatic brain injury. In Shaken Brain, Elizabeth Sandel, MD, shares stories and research from her decades treating and studying brain injuries. She explains what concussions do to our bodies, how to avoid them, and how to recover.
Despite the increased public awareness of traumatic brain injury (TBI), the complexities of the neuropsychiatric, neuropsychological, neurological, and other physical consequences of TBI of all severities across the lifespan remain incompletely understood by patients, their families, healthcare providers, and the media. Keeping pace with advances in the diagnosis, treatment, and science of TBI, the Textbook of Traumatic Brain Injury, Third Edition, comprehensively fills this gap in knowledge. Nearly all 50 chapters feature new authors, all of them experts in their field. Chapters new to this edition include biomechanical forces, biomarkers, neurodegenerative dementias, suicide, endocrine disorders, chronic disease management, and social cognition. An entirely new section is devoted to the evaluation and treatment of mild TBI, including injuries in athletes, military service members and veterans, and children and adolescents. These chapters join newly updated sections on the assessment and treatment of the cognitive, emotional, behavioral, and other physical sequelae of TBI. The Textbook of Traumatic Brain Injury is a must-read for all of those working in any of the multitude of disciplines that contribute to the care and rehabilitation of persons with brain injury. This new volume is also a potentially useful reference for policymakers in both the public and private sectors.
Traumatic Brain Injury Rehabilitation: Children and Adolescents provides rehabilitation professionals in all areas of rehabilitation with a comprehensive, interdisciplinary framework for treatment of brain-injured children and adolescents. The book begins with an explanation of the pathophysiology of closed head injury and its typical consequences, leads the reader through various clinical intervention and therapeutic techniques, and concludes with guidelines for re-integrating the child into school, family, and work communities. Drawing upon the authors' backgrounds in speech-language therapy, occupational therapy, physical therapy, physical medicine and rehabilitation, and neurology, the book presents a thorough discussion of all areas of head injury rehabilitation.
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
This is a comprehensive, must-have reference that provides parents with the support and information they need to help their child recover from a closed-head injury and prevent further incidents. Coping with traumatic brain injury (TBI) involves a complex process of readjustment to the changes in a once healthy child and affects everyone in the family. Traumatic brain injury occurs when the brain abruptly and violently moves within the skull as a result of extreme force to the head during an automobile, biking, or playground accident, for example. The effects of TBI can range from mild to severe and recovery can take from weeks to years. Although each child's condition is unique, all TBI patients experience impairment in one or more of the following areas: cognition; emotion/behaviour; and motor skills. While TBI can happen to anyone, children, particularly teens, are susceptible. And, children who have already had one TBI are at greatest risk. Written by a team of medical specialists, therapists, educators, and an attorney, the book covers: what is traumatic brain injury?; medical concerns; rehabilitation and treatments; coping and adjustment; effects on learning and thinking, speech and language, and behaviour; educational needs; and legal issues. Throughout the book, a case study of a boy who was injured at age eight, illustrates the effects of TBI on education, socialisation and independence. Parent statements at the end of each chapter attest to the variety of response families have, and offer insight about the experience of raising a child with TBI. A resource guide of support and advocacy organisations, a reading list, and glossary round out this authoritative guide. This book is useful to professionals who provide services to children with TBI and their families. General and special educators will find it essential reading to help their students with TBI. But most of all, the book gives parents the hope and facts they need to improve the outcome of their child's recovery.
With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.
Now in a fully revised and expanded second edition, this comprehensive text remains a timely and major contribution to the literature that addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Concussion, also known as mild traumatic brain injury, continues to be a significant public health concern with increased attention focusing on treatment and management of this puzzling epidemic as well as controversies within the field. The book is comprised of five thematic sections: current developments in evaluation; biomechanical mechanisms; neural substrates, biomarkers, genetics and brain imaging; pediatric considerations; and clinical management and rehabilitation. Since the publication of the original edition in 2014, much has changed regarding the current understanding of mild traumatic brain injury including development of more precise imaging modalities, development and classification of new biomarkers, and updates to clinical treatment and management of athletic concussion. This new edition will include new chapters targeting the influence of genetics on concussive injury, as well as an expansion on the knowledge of pediatric response to concussion and the influence of repetitive subconcussive impacts on athlete health. An invaluable contribution to the literature, Concussions in Athletics: From Brain to Behavior reestablishes itself as a state-of-the-art reference that will be of significant interest to a wide range of clinicians, researchers, administrators, and policy makers, and this updated version aims to narrow the gap between research findings and clinical management of sports-related concussion and other mild traumatic brain injury. The second edition also attempts to broaden the scope of the knowledge to apply to more professionals and pre-professionals in the fields of neuroscience, neuropsychology, and other allied health professionals that closely work with athletes and sports medicine professionals.
