Concussion Management Practice Patterns Among Sports Medicine Physicians. Issue 5 (September 2016)
- Record Type:
- Journal Article
- Title:
- Concussion Management Practice Patterns Among Sports Medicine Physicians. Issue 5 (September 2016)
- Main Title:
- Concussion Management Practice Patterns Among Sports Medicine Physicians
- Authors:
- Stache, Stephen
Howell, David
Meehan, William P. - Abstract:
- Abstract : Objective: The primary purpose of this study was to examine concussion management practice patterns among sports medicine physicians in the United States. Design: Cross-sectional study using a web-based survey. Participants: Members of the American Medical Society for Sports Medicine (AMSSM). Main Outcome Measures: We distributed a questionnaire to physician members of the AMSSM assessing the current practices for evaluating and managing concussions sustained during sports. Specifically, we asked respondents about their use of management guidelines, medications, balance assessments, neuropsychological tests, and return-to-play strategies. Results: Of the 3591 members emailed, 425 (11.8%) respondents responded. Ninety-seven percent of respondents reported basing current management of sport-related concussion on a published set of criteria, with a majority (91.9%) following the guidelines provided by the Fourth International Conference on Concussion in Sport. Seventy-six percent of respondents reported using medication beyond 48 hours postinjury. Acetaminophen was reported as the most commonly administered medication, although tricyclic antidepressants and amantadine were also commonly administered. Vitamins, minerals, and dietary supplements were also reported as commonly administered. Most respondents reported using a form of neuropsychological testing (87.1%). A majority of respondents (88.6%) reported allowing athletes to return to competition after concussionAbstract : Objective: The primary purpose of this study was to examine concussion management practice patterns among sports medicine physicians in the United States. Design: Cross-sectional study using a web-based survey. Participants: Members of the American Medical Society for Sports Medicine (AMSSM). Main Outcome Measures: We distributed a questionnaire to physician members of the AMSSM assessing the current practices for evaluating and managing concussions sustained during sports. Specifically, we asked respondents about their use of management guidelines, medications, balance assessments, neuropsychological tests, and return-to-play strategies. Results: Of the 3591 members emailed, 425 (11.8%) respondents responded. Ninety-seven percent of respondents reported basing current management of sport-related concussion on a published set of criteria, with a majority (91.9%) following the guidelines provided by the Fourth International Conference on Concussion in Sport. Seventy-six percent of respondents reported using medication beyond 48 hours postinjury. Acetaminophen was reported as the most commonly administered medication, although tricyclic antidepressants and amantadine were also commonly administered. Vitamins, minerals, and dietary supplements were also reported as commonly administered. Most respondents reported using a form of neuropsychological testing (87.1%). A majority of respondents (88.6%) reported allowing athletes to return to competition after concussion only once the athlete becomes symptom free and completes a return-to-play protocol. Conclusions: Most sports medicine physicians seem to use recently developed guidelines for concussion management, regularly use medications and neuropsychological testing in management strategies, and follow established return-to-play guidelines. Clinical Relevance: Sports medicine physicians seem to have clinical expertise in the management of sport-related concussion. Abstract : Supplemental Digital Content Is Available in the Text. … (more)
- Is Part Of:
- Clinical journal of sport medicine. Volume 26:Issue 5(2016)
- Journal:
- Clinical journal of sport medicine
- Issue:
- Volume 26:Issue 5(2016)
- Issue Display:
- Volume 26, Issue 5 (2016)
- Year:
- 2016
- Volume:
- 26
- Issue:
- 5
- Issue Sort Value:
- 2016-0026-0005-0000
- Page Start:
- Page End:
- Publication Date:
- 2016-09
- Subjects:
- sport-related concussion -- management -- medications -- neuropsychological testing -- return to play
Sports medicine -- Periodicals
617.1027 - Journal URLs:
- http://www.cjsportmed.com/ ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00042752-000000000-00000 ↗
http://journals.lww.com/cjsportsmed/pages/default.aspx ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/JSM.0000000000000270 ↗
- Languages:
- English
- ISSNs:
- 1050-642X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 3286.294300
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 1148.xml