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Complete Concussions

@ccmconcussions

Evidence-based and data-driven healthcare solutions to improve concussion management and patient outcomes. Find a clinic near you.

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linkhttp://www.completeconcussions.com calendar_today14-08-2013 21:01:58

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"Concussions are common in children and adolescents. (59–62) By the age of 10 years, one in five children will experience a concussion but only 25% of those concussions result from sport participation.(61)" - concussioninsport.gov.au

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"Beyond prevention, the best way to protect athletes against acute and long-term effects of concussion is to ensure that every concussion is treated seriously and that concussed athletes are removed from the field of play and are not returning to sport prematurely.(82)" -

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Another study finds that earlier assessment & care lead to faster recovery from concussion. "Days to first clinic visit and positive findings on the VOMS-C were the most robust predictors of protracted recovery following concussion in young pediatric patients."

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This study found that ~70% of athletes were asymptomatic on pre-season concussion baseline testing. Which means 30% of athletes WERE symptomatic. With baseline testing, we know who these athletes are so that we can best manage their RTP. pubmed.ncbi.nlm.nih.gov/36735634/

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DTI studies can confuse the public concerning mTBI diagnosis and complications. This study adds to the evidence that we cannot put much weight on DTI (yet?). Compared to orthopedic injury and PTSD, the associations of DTI changes & mTBI became weak. pubmed.ncbi.nlm.nih.gov/38156076/

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Great news for female athletes! The first all-female-athlete study finds 12% with pituitary dysfunction after a concussion. More research on female athletes is finally happening! pubmed.ncbi.nlm.nih.gov/38078923/

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"This study demonstrates potential associations between the intensity of the inflammatory response in the acute phase post-mTBI and neurometabolic perturbations in the subacute phase." This is why early nutritional interventions may improve recovery. pubmed.ncbi.nlm.nih.gov/38157029/

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Microstructural changes were found in athletes with a history of concussion (mTBI). However, the control group was "healthy." Other data shows that better comparisons would come from orthopedic injury (vs. healthy). We'd be cautious with the results. pubmed.ncbi.nlm.nih.gov/38158641/

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More good data on females in concussion/PCS! Despite higher initial symptom severity and VOMS scores compared to males, female NCAA athletes do not take longer to recover from mTBI. Proper rehab is proper rehab. pubmed.ncbi.nlm.nih.gov/38133787/

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"Conclusion: Adding head shake & foam cushion conditions to postural stability tests improves sensitivity in detecting balance deficits in individuals with a concussion." We're following this data to see how we can improve care in our network of clinics. pubmed.ncbi.nlm.nih.gov/38179588/

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Neck pain plays the biggest role in headaches, even without mTBI. For those with mTBI, disrupted sleep worsens headaches & neck pain. Cervical spine function + sleep quality = key in headache care. Study: pubmed.ncbi.nlm.nih.gov/39565930/

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Post-concussion exercise motivation in youth hinges on social support, structure, & goals. Weekly check-ins, tailored plans, and clear goals help overcome fears & symptoms. Parents & youth need guidance for success. Study: pubmed.ncbi.nlm.nih.gov/39562313/

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Historical epilepsy cases reveal a link between epilepsy & increased risk of CTE. 15.7% showed CTE changes, often tied to TBI. No link found with seizure type/duration, but early epilepsy onset may raise risk. Study: pubmed.ncbi.nlm.nih.gov/39528258/

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No strong evidence for long-term cognitive dysfunction after concussion! Review of 21 studies found methodological flaws (poor mTBI diagnosis, no controls, etc.). Methodologically sound studies showed no lasting effects. Study: pubmed.ncbi.nlm.nih.gov/39564962/

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Aerobic exercise improves visual & spatial memory deficits post-mTBI in mice—regardless of when exercise starts. Running alleviated cognitive issues but didn't affect anxiety or motor skills. Exercise = key tool for recovery! Study: pubmed.ncbi.nlm.nih.gov/39577609/

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Subconcussive impacts delay brain processing in high-contact sports (N400 & N100 changes), affecting male & female athletes alike. Female athletes showed larger brain responses overall. Key findings for managing head impact risks! Study: pubmed.ncbi.nlm.nih.gov/39572747/

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Early physical therapy (<1 month post-concussion) leads to faster symptom resolution. Common deficits: cervical, vestibular, oculomotor. Key therapies: exertional, vestibular, cervical spine. Timing matters for recovery! Study: pubmed.ncbi.nlm.nih.gov/39561761/