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Concussion Symptom Checklist

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1. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

None 1 Guskiewicz KM, Register-Mihalik J, McCrory P, McCrea M, Johnston K, Makdissi M, et al. Evidence-based approach to revising the SCAT2: introducing the SCAT3. Br J Sports Med 2013;47:5 289-293. doi:10.1136/bjsports-2013-092225. 2 Alla S, Sullivan SJ, Hale L, McCrory P. Self-report scales/checklists for the measurement of concussion symptoms: a systematic review. Br J Sports Med 2009;43(Suppl I):i3–i12. doi:10.1136/bjsm.2009.058339. Appendix 3.2 Read Evaluation Concussion Recognition Tool 5 (...) (By Administrator) Very Difficult 1 2 3 4 5 Very Easy Other Comments None 1 Guskiewicz KM, Register-Mihalik J, McCrory P, McCrea M, Johnston K, Makdissi M, et al. Evidence-based approach to revising the SCAT2: introducing the SCAT3. Br J Sports Med 2013;47:5 289-293. doi:10.1136/bjsports-2013-092225. 2 Alla S, Sullivan SJ, Hale L, McCrory P. Self-report scales/checklists for the measurement of concussion symptoms: a systematic review. Br J Sports Med 2009;43(Suppl I):i3–i12. doi:10.1136/bjsm.2009.058339

2018 Ontario Neurotrauma Foundation

2. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI Diagnosis/Assessment of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Diagnosis/Assessment of Concussion/mTBI Diagnosis of mTBI/concussion (Table B) is the first critical step in successful management (...) an object, including sport and recreational injury. 2 Patients may present in a post-traumatic amnestic (PTA) state, where they may have a Glasgow Coma Scale (GCS) score of 15/15; however, they may be variably oriented and not able to form continuous memories. The purpose of the initial medical assessment is to establish the diagnosis of concussion/mTBI by ruling out more severe forms of TBI, cervical spine injuries and medical and neurological conditions that can present with concussion-like symptoms

2018 Ontario Neurotrauma Foundation

3. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Diagnosis/Assessment (...) of Persistent Symptoms While full recovery is expected within 3 months after concussion/mTBI, 1,2, not all patients experience such rapid recovery, with minimally 15% or more experiencing persistent symptoms. 3,4 A more recent study showed 20 – 48% of veterans had persistent symptoms up to 60 months post-concussion. 5 A number of factors influence the rate of recovery, including the mechanism and setting for the initial injury; for example, concussion/mTBI due to non-sport-related causes can be unexpected

2018 Ontario Neurotrauma Foundation

4. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms General Recommendations Regarding Management of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Management of Persistent Symptoms (...) Consistent with general expectations of both patients and healthcare professionals, symptoms following mTBI are anticipated to resolve in a timely fashion in the majority of cases; evidence is emerging that some people (15% or greater) continue to have persistent symptoms. 1-3 There is wide variation in how people recover after concussion/mTBI 4 even when experiencing similar injuries. 2 This guideline has been developed to assist in managing those individuals who continue to have persistent symptoms

2018 Ontario Neurotrauma Foundation

5. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/ Dizziness) & Vision Dysfunction // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/Dizziness) Dysfunction (...) Persistent vertigo, dizziness, imbalance and visual disturbance are common symptoms of patients with concussion/mTBI and are often associated with objective impairments of the vestibular system. 1,2 Vestibular impairments can occur peripherally in the inner ear, or centrally in nuclei that integrate vestibular signals in order to maintain balance and posture. The vestibular system also affects eye movement through a variety of mechanisms including the vestibulo-occular reflex (VOR). The most common cause

2018 Ontario Neurotrauma Foundation

6. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue Fatigue // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Fatigue Fatigue has been conceptualized as an experience of weariness or tiredness following mental or physical exertion, often resulting in a reduced capacity for work and limited efficiency (...) to respond to stimuli. Fatigue can be caused by psychological or physiological forces 1 and can be central or peripheral, which in lay terms is experienced as cognitive fatigue and physical fatigue or weariness. 2-4 Fatigue is one of the most pervasive symptoms following concussion/mTBI, with 27.8% of individuals experiencing persistent fatigue at 3 months post-injury. 5 The perception of fatigue can be out of proportion to exertion or may even occur without any exertion. 6 One study reported a level

2018 Ontario Neurotrauma Foundation

7. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders Mental Health Disorders // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Mental Health Disorders General considerations Mental health disorders are common following mTBI, and appear to be major determinants of post-mTBI wellness (...) and functional recovery. This includes disorders of mood which consist of symptoms related to depression and anxiety. The etiology of mTBI/concussive mood disorders may be related to reactive or environmental factors such as the experience of the trauma resulting in the injury (e.g., manifesting in post-traumatic stress symptoms, phobias and related anxieties) or to the negative outcomes following the injury (i.e., depression related to not participating in important roles such as work or school, sports, etc

2018 Ontario Neurotrauma Foundation

8. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations Return-to-Activity / Work / School Considerations // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Return-to-Activity / Work / School Considerations Returning to usual activities after a concussion/mTBI can (...) -aged children physical activity within 7 days of acute injury compared with no physical activity was associated with reduced risk of persistent post-concussive symptoms. 3 For workers, the literature demonstrates brain injury patients who are employed report better health status, improved sense of well-being, greater social integration within the community, less usage of health services and a better quality of life than do those who are not employed. 4 In order to facilitate early and safe

2018 Ontario Neurotrauma Foundation

9. Concussion Symptom Checklist

Concussion Symptom Checklist Concussion Symptom Checklist Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Concussion Symptom Checklist (...) Concussion Symptom Checklist Aka: Concussion Symptom Checklist II. Indications Sideline evaluation in age over 10 years III. Criteria: Symptoms (22 questions; score each as 0=none, 1-2=mild, 3-4=moderate, 5-6=severe) Pressure in head or Blurred vision Balance problems Light sensitivity Noise Sensitivity Feeling slowed down Feeling "in a fog" "Don't feel right" Difficulty concentrating Difficulty remembering or low energy Confusion Drowsiness Trouble falling asleep More emotional Irritability Sadness

2018 FP Notebook

10. Effects of Media Sensationalization on Cognitive Performance and Post Concussive Symptoms. (PubMed)

in this study. Participants were assessed with a measure of health literacy, the Short Test of Functional Health Literacy in Adults (S-TOFHLA), and randomized to watch either a sensationalized or non-sensationalized news clip focused on mTBI. They were then assessed with the Paced Auditory Serial Addition Test (PASAT), Rivermead Post Concussion Symptoms Questionnaire (RPQ), Patient Reported Outcome Measures Information System (PROMIS) Depression scale, and the Posttraumatic Stress Disorder Checklist (...) Effects of Media Sensationalization on Cognitive Performance and Post Concussive Symptoms. The current study aimed to examine if televised media about mild traumatic brain injury (mTBI) framed in a sensationalized manner had a negative impact on cognitive functioning and persistent mTBI symptoms.One hundred two participants (M Age=37.16; SD=22.61) with a history of post-acute mTBI, recruited through a community research registry and an undergraduate recruitment system, were included

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2019 Journal of the International Neuropsychological Society : JINS Controlled trial quality: uncertain

11. Outcomes after Concussion Recovery Education: Effects of Litigation and Disability Status on Maintenance of Symptoms. (PubMed)

-five persons with a diagnosis of concussion were assigned randomly to a brief education group (one-page double-sided document), a longer education group (10-page document), and usual care (standard ED discharge instructions), and were these documents in the ED. A (non-concussion) trauma comparison group was enrolled to determine the symptom rate unrelated to brain injury. The Concussion Symptom Checklist (CSC) and litigation and disability status questions were completed by telephone at one week (...) Outcomes after Concussion Recovery Education: Effects of Litigation and Disability Status on Maintenance of Symptoms. This study examined the hypothesis that people who receive concussion recovery education would have better outcomes than those who received usual discharge paperwork from the emergency department (ED) and tested whether participants who were in litigation or seeking disability compensation had more symptoms than individuals not engaged in these activities. Two hundred and fifty

2019 Journal of neurotrauma Controlled trial quality: uncertain

12. Self-efficacy predicts response to cognitive rehabilitation in military service members with post-concussive symptoms. (PubMed)

Self-efficacy predicts response to cognitive rehabilitation in military service members with post-concussive symptoms. This study examined whether self-efficacy differentiated treatment responders from non-responders in a trial of cognitive rehabilitation (CR) for postconcussive symptoms. 126 service members with mild TBI seen on average 9.5 months since injury completed one of four cognitive rehabilitation treatments for 6 weeks. The four treatment arms were: (1) Psychoeducation control, (2 (...) ) Self-administered computerized CR, (3) Interdisciplinary CR, and (4) Interdisciplinary CR integrated with CBT. Outcome was assessed across time (baseline, and 6, 12, and 18 weeks post-treatment) for three domains: psychological (Symptom Checklist-90-Revised; SCL-90-R), cognitive (Paced Auditory Serial Addition Test; PASAT), and functional/behavioural (Key Behaviors Change Inventory; KBCI). Mixed model ANOVAs tested for self-efficacy differences across time in treatment responders versus non

2019 Neuropsychological rehabilitation Controlled trial quality: uncertain

13. Behavioral Therapies and Mind-Body Interventions for Posttraumatic Headache and Post-Concussive Symptoms: A Systematic Review. (PubMed)

focused, (3) the majority of the participants (>50%) had to have had a mild TBI (not a moderate or severe TBI), (4) published in a peer-reviewed publication, and (5) meeting pre-specified primary and/or secondary outcomes. Primary outcome(s): whether there was a significant change in concussion symptom severity (yes/no) based on the symptom severity checklist/scale used, whether there was a 50% reduction in headache days and/or disability; secondary outcome(s): sleep variables, cognitive complaints (...) Behavioral Therapies and Mind-Body Interventions for Posttraumatic Headache and Post-Concussive Symptoms: A Systematic Review. There are no clear guidelines on how to treat posttraumatic headache (PTH) or post-concussive symptoms (PCS). However, behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation are Level-A evidence-based treatments for headache prevention. To understand how to develop and study further mind-body interventions (MBIs) and behavioral

2018 Headache

14. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head

rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head (TOPiCS-rTMS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03691272 Recruitment Status : Active

2018 Clinical Trials

15. Symptom-Guided Emergency Department Discharge Instructions for Children With Concussion. (PubMed)

Symptom-Guided Emergency Department Discharge Instructions for Children With Concussion. The objective was to evaluate the use and utility of a novel set of emergency department discharge instructions (DIs) for concussion based on a child's ongoing symptoms: symptom-guided DIs (symptom DIs). Differences in clinical outcomes were also assessed.A convenience sample of 114 children aged 7 to 17 years presenting to an urban pediatric emergency department with a complaint of concussion was assembled (...) . Children were randomized to standard DIs or symptom DIs. Children completed a graded symptom checklist (GSC) and completed daily the GSC for 1 week. Telephone follow-up was performed at 7 days after enrollment using a standardized survey.Fifty-eight children received the symptom DIs, and 56 received the standard DIs. Rates of use were similar with reported rates of 92% for symptom DIs and 84% for standard DIs. Caregivers with symptom DIs reported that the DIs were more helpful in determining when

2017 Pediatric Emergency Care

16. fMRI-neuronavigated rTMS Treatment for Symptoms of Depression Associated With Concussive TBI in the Military Population

fMRI-neuronavigated rTMS Treatment for Symptoms of Depression Associated With Concussive TBI in the Military Population fMRI-neuronavigated rTMS Treatment for Symptoms of Depression Associated With Concussive TBI in the Military Population - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. fMRI-neuronavigated rTMS Treatment for Symptoms of Depression Associated With Concussive TBI in the Military Population The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

17. Clinical Trial to Evaluate the Safety and Efficacy of MeRT Treatment in Persistent Post-Concussive Symptoms (PPCS)

Clinical Trial to Evaluate the Safety and Efficacy of MeRT Treatment in Persistent Post-Concussive Symptoms (PPCS) Clinical Trial to Evaluate the Safety and Efficacy of MeRT Treatment in Persistent Post-Concussive Symptoms (PPCS) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Clinical Trial to Evaluate the Safety and Efficacy of MeRT Treatment in Persistent Post-Concussive Symptoms (PPCS) (MeRT-TBI-005) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2016 Clinical Trials

18. Management of Concussion-mild Traumatic Brain Injury (mTBI)

and Assessment 43 B. Treatment 43 C. Care Delivery 43 Appendix A: Guideline Development Methodology 44 A. Developing the Scope and Key Questions 44 B. Conducting the Systematic Review 45 C. Convening the Face-to-face Meeting 72 D. Grading Recommendations 72 VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury February 2016 Page 4 of 133 E. Recommendation Categorization 75 F. Drafting and Submitting the Final CPG 77 Appendix B: Clinical Symptom Management 79 (...) that are supported by evidence. The expected outcomes of successful implementation of this guideline are to: • Assess the patient’s condition and determine the best treatment method • Optimize the clinical management to improve symptoms and functioning, adherence to treatment, recovery, well-being, and quality of life outcomes • Minimize preventable complications and morbidity • Emphasize the use of patient-centered careVA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain

2016 VA/DoD Clinical Practice Guidelines

19. Common data elements collected among universities for sport-related concussion studies (PubMed)

collected at least one of the ten recommended acute symptoms checklists, and 18 universities collected one of the four recommended core neuropsychological function cognitive measures. However, CDEs in the sub-acute and chronic timeframes were limited, with only 9 (47%) universities collecting post-concussion short to long term outcome data. While over 60% of universities collected and stored concussion data electronically, only 17% to 42% of data collected were readily available for research.Significant (...) Common data elements collected among universities for sport-related concussion studies Universities are increasingly implementing programs to effectively respond to and manage sport-related concussions (SRCs). One such effort is to develop common data elements (CDEs) and standardize data collection methods. The objectives of this study were to describe CDEs currently collected by Big Ten and Ivy League universities for SRC studies, and to compare the data collected with the core CDEs

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2018 Injury epidemiology

20. Concussion Symptom Checklist

Concussion Symptom Checklist Concussion Symptom Checklist Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Concussion Symptom Checklist (...) Concussion Symptom Checklist Aka: Concussion Symptom Checklist II. Indications Sideline evaluation in age over 10 years III. Criteria: Symptoms (22 questions; score each as 0=none, 1-2=mild, 3-4=moderate, 5-6=severe) Pressure in head or Blurred vision Balance problems Light sensitivity Noise Sensitivity Feeling slowed down Feeling "in a fog" "Don't feel right" Difficulty concentrating Difficulty remembering or low energy Confusion Drowsiness Trouble falling asleep More emotional Irritability Sadness

2015 FP Notebook

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