Citation

Kirkwood MW, Yeates KO, Wilson PE. Pediatrics 2006; 117(4): 1359-1371.

Affiliation

Department of Physical Medicine and Rehabilitation, Children's Hospital, Denver, Colorado, USA. kirkwood.michael@tchden.org

Copyright

(Copyright © 2006, American Academy of Pediatrics)

DOI

10.1542/peds.2005-0994

PMID

16585334

Abstract

Athletic concussion is a growing focus of attention for pediatricians. Although numerous literature reviews and clinical guidelines are now available pertaining to athletic concussion, few have focused on the pediatric athlete in particular. Sport-related concussions occur relatively frequently in children and adolescents, and primary health care providers are often responsible for coordinating clinical management. Here we summarize the scientific literature pertinent to the care of young athletes. We examine how concussion affects younger and older athletes differently at biomechanical, pathophysiological, neurobehavioral, and contextual levels. We also discuss important issues in clinical management, including preparticipation assessment, concussion evaluation and recovery tracking, and when and how to return pediatric athletes to play sports. We also briefly cover non-sport-related interventions (eg, school support). With proper management, most children and adolescents sustaining a sport-related concussion can be expected to recover fully.

Language: en