Blog Post 12/28/2023: Posted on Dec 28, 2023

Initial Approach to Concussions in Youth

image of brain on our chiropractic blog page

CCEDseminars | Your Prime Destination For Online Chiropractic Continuing Education!

Some concussions present dramatically with loss of consciousness or convulsions, necessitating immediate medical attention. In these scenarios, immobilizing the cervical spine and adhering to Advanced Trauma Life Support principles are critical. This approach is essential when a firm diagnosis of concussion is made, and severe injuries are ruled out.

Observational Studies and Guidelines in Concussion Management

The management of concussions in young athletes is largely based on observational studies in high school and college sports, supplemented by clinical experience and consensus guidelines. These principles apply equally to concussions resulting from non-sport-related blunt head trauma.

Physical and Cognitive Rest as Initial Interventions

The cornerstone of initial concussion management is ensuring both physical and cognitive rest. This involves removing the affected individual from potentially harmful activities and allowing the brain adequate time to recover. The timeline for resuming school and physical activities is tailored to each individual's clinical progression.

The Role of Anticipatory Guidance

Educating patients and their guardians about the nature of concussions, its symptoms, and recovery process is vital. This knowledge helps in dealing with external pressures and improves adherence to recovery protocols. Providing detailed discharge instructions, as evidenced in clinical studies, has shown to significantly improve patient outcomes.

Developing a Concussion Protocol for Sports Teams

Sports teams must have a clear, written concussion protocol, outlining the steps for responding to a suspected concussion. This includes sideline evaluations, decision-making processes, and instructions for athletes not requiring emergency care.

Preventing Additional Injury

Immediate removal from competition and avoiding activities that risk further head injury are crucial steps. This is particularly important in light of studies showing increased vulnerability to secondary injuries during the recovery phase.

Physical Rest and Gradual Return to Activity

A brief period of complete physical rest, followed by a gradual reintroduction to non-contact aerobic activities, is recommended. Avoiding complete physical inactivity beyond 48 hours is crucial, as it can worsen symptoms.

Cognitive Rest and Gradual Resumption of Activities

Minimizing cognitive activities that exacerbate symptoms, followed by a gradual resumption, is advised for the best outcomes. Careful management and reassessment by a qualified clinician are essential in this process.

Conclusion

Understanding and implementing these strategies can significantly impact the recovery and overall well-being of children and adolescents suffering from concussions. Following these evidence-based guidelines ensures a safer and more efficient recovery process.

Online Chiropractic Continuing Education Courses

Neurology 212: Concussion and Kids | Chiropractic CE Courses

Neurology 217: The Concussed Teen and Return to Learn



Resources:

https://www.uptodate.com/contents/concussion-in-children-and-adolescents-management

<< Back