Volume 44 Number 7 2007
Pages 963 — 974

Abstract - Review of sports-related concussion: Potential for application in military settings

Henry L. Lew, MD, PhD;1-3* Darryl Thomander, PhD;3 Kelvin T. L. Chew, MD;4 Joseph Bleiberg, PhD5

1Physical Medicine and Rehabilitation Service, Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; 2Division of Physical Medicine and Rehabilitation, Stanford University School of Medicine, Stanford, CA; 3Defense and Veterans Brain Injury Center, Palo Alto, CA; 4Sports Medicine Service, Alexandra Hospital, Singapore; 5National Rehabilitation Hospital, Washington, DC

Abstract — This article reviews current issues and practices in the assessment and clinical management of sports-related concussion. An estimated 300,000 sports-related concussions occur annually in the United States. Much of what has been learned about concussion in the sports arena can be applied to the diagnosis and management of concussion in military settings. Current military guidelines for assessing and managing concussion in war zones incorporate information and methods developed through sports-concussion research. We discuss the incidence, definition, and diagnosis of concussion; concussion grading scales; sideline evaluation tools; neuropsychological assessment; return-to-action criteria; and complications of concussion.

Key words: cognitive impairment, concussion, concussion assessment, concussion grading scales, concussion management, loss of consciousness, neurological impairment, rehabilitation, sports, traumatic brain injury.

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