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9241. Sex differences in self-reported symptoms after aerobic exercise in non-injured athletes: implications for concussion management programmes. Full Text available with Trip Pro

Sex differences in self-reported symptoms after aerobic exercise in non-injured athletes: implications for concussion management programmes. After a concussion, when symptoms have decreased substantially at rest, it is recommended that athletes begin light aerobic exercise before progressing to sport specific exercise. The British Columbia Concussion Rehabilitation Programme (BC-CRP) uses a standardized cognitive and exercise test protocol designed to indicate when an athlete should progress (...) minutes at 50 W, 5-8 minutes at 100 W, 8-11 minutes at 150 W and 11-14 minutes at 200 W tension followed by a 1-minute cooling-down period. After exercise, participants completed symptom ratings, balance testing and perceived exertion ratings. Self-reported symptoms were assessed using an abbreviated version of the Post-Concussion Scale.Significant increases in self-reported balance problems, numbness and tingling were seen for both genders after aerobic exercise. For women, emotional symptoms

2009 British Journal of Sports Medicine

9242. Which symptom assessments and approaches are uniquely appropriate for paediatric concussion? Full Text available with Trip Pro

Which symptom assessments and approaches are uniquely appropriate for paediatric concussion? To (a) identify post-concussion symptom scales appropriate for children and adolescents in sports; (b) review evidence for reliability and validity; and (c) recommend future directions for scale development.Quantitative and qualitative literature review of symptom rating scales appropriate for children and adolescents aged 5 to 22 years.Literature identified via search of Medline, Ovid-Medline (...) and PsycInfo databases; review of reference lists in identified articles; querying sports concussion specialists. 29 articles met study inclusion criteria.5 symptom scales examined in 11 studies for ages 5-12 years and in 25 studies for ages 13-22. 10 of 11 studies for 5-12-year-olds presented validity evidence for three scales; 7 studies provided reliability evidence for two scales; 7 studies used serial administrations but no reliable change metrics. Two scales included parent-reports and one included

2009 British Journal of Sports Medicine

9243. Return to play after sports concussion in elite and non-elite athletes? Full Text available with Trip Pro

Return to play after sports concussion in elite and non-elite athletes? To examine the published literature relating to the difference in concussion management strategies between elite and non-elite athletes.Systematic literature review of concussion management.Pubmed, Medline, Psych Info, Cochrane Library and Sport Discus databases were reviewed using the MeSH keywords brain concussion and mild traumatic brain injury, combined with athletic injuries. Each were then refined by adding (...) the keyword "return to play" (RTP). English language and human studies only were assessed.For the Medline search, using "brain concussion" as a keyword, 4319 articles were found; this was decreased to 111 when RTP was used to refine the search. When "mild traumatic brain injury" was used, 2509 articles were found; this decreased to 39 when RTP was used to refine the search. Following initial review, these articles form the basis of the discussion below.The non-elite athlete may not have the same resources

2009 British Journal of Sports Medicine

9244. Is the simple versus complex classification of concussion a valid and useful differentiation? (Abstract)

Is the simple versus complex classification of concussion a valid and useful differentiation? At the Second International Conference on Concussion in Sport, concussion was classified as "simple" or "complex" based largely on duration of clinical features. The purpose of the classification system was to assist clinicians in identifying higher grades of injury severity and guide injury management. The aim of the current paper is to review the validity and clinical usefulness of the simple versus (...) complex classification system.Qualitative review of the literature on concussion in sport, with a focus on time course of clinical recovery and prognostic factors.Pubmed, Medline and Sport Discus databases were reviewed. Fifty journal articles were included in the review.Prospective studies support the recovery of symptoms, balance deficits and cognitive impairment in the majority of concussed athletes within 10 days of injury. However, clinical factors that predict higher grades of injury severity

2009 British Journal of Sports Medicine

9245. Who should conduct and interpret the neuropsychological assessment in sports-related concussion? Full Text available with Trip Pro

Who should conduct and interpret the neuropsychological assessment in sports-related concussion? This paper seeks to (i) describe the education and training of clinical neuropsychologists, (ii) discuss the significant differences between test administration and clinical assessment, (iii) outline the complex factors involved in psychometric test theory and test interpretation, and (iv) provide a framework for the role of clinical neuropsychologists in the interpretation and administration (...) concussion surveillance and management, including baseline and post-injury neuropsychological assessment. Neuropsychologists possess the training and skill sets necessary to provide unique expertise in the assessment of cognitive functioning and post-injury neurocognitive and psychological assessment.Baseline neuropsychological testing is a technical procedure that can be conducted by technicians under the supervision/guidance of a neuropsychologist. Post-injury assessment requires advanced

2009 British Journal of Sports Medicine

9246. Contributions of neuroimaging, balance testing, electrophysiology and blood markers to the assessment of sport-related concussion. Full Text available with Trip Pro

Contributions of neuroimaging, balance testing, electrophysiology and blood markers to the assessment of sport-related concussion. To review the diagnostic tests and investigations used in the management of sports concussion, in the adult and paediatric populations, to (a) monitor the severity of symptoms and deficits, (b) track recovery and (c) advance knowledge relating to the natural history and neurobiology of the injury.Qualitative literature review of the neuroimaging, balance testing (...) , electrophysiology, blood marker and concussion literature.PubMed and Medline databases were reviewed for investigations used in the management of adult and paediatric concussion, including structural imaging (computerised tomography, magnetic resonance imaging, diffusion tensor imaging), functional imaging (single photon emission computerised tomography, positron emission tomography, functional magnetic resonance imaging), spectroscopy (magnetic resonance spectroscopy, near infrared spectroscopy), balance

2009 British Journal of Sports Medicine

9247. Is there a gender difference in concussion incidence and outcomes? Full Text available with Trip Pro

Is there a gender difference in concussion incidence and outcomes? To determine if there is a gender difference in the incidence and outcomes of sport concussion.Critical literature review of sport concussion by gender.PubMed and major sports medicine journals were reviewed using the keywords concussion and gender. Articles included in this paper were English prospective surveillance that included concussion as an injury option conducted over the past 10 years, involved data collected (...) by qualified medical personnel (athletic trainers/therapists or medical doctors) and used injury rates as opposed to raw counts. Only data from sports (soccer, basketball and ice hockey) where actions, equipment and most rules were similar between genders were reviewed.For the PubMed search, using "concussion" and "gender" as keywords, there were 51 articles. Ten studies (four in football (soccer), four in basketball and two in ice hockey, including high school, college and professional athletes) were

2009 British Journal of Sports Medicine

9248. What are the most appropriate return-to-play guidelines for concussed child athletes? Full Text available with Trip Pro

What are the most appropriate return-to-play guidelines for concussed child athletes? To examine concussion literature for specific guidelines regarding return to play (RTP) following sport-related concussion in child athletes. To make recommendations regarding the most appropriate RTP guidelines for child athletes following sport-related concussion.A literature review of concussion literature.A literature search was conducted using Medline and Embase databases from 1998 to 2008. More than 60 (...) articles and two websites were reviewed.There is a paucity of research on sport-related concussion in child athletes, particularly younger children (age 5-12 years). In particular, there is no research on RTP guidelines for child athletes following sport-related concussion. Child athletes take longer to recover from concussions than adults. Concussion symptoms may resolve before cognitive function has completely recovered. Concussion assessment and management in children can be confounded

2009 British Journal of Sports Medicine

9249. Knowledge transfer principles as applied to sport concussion education. Full Text available with Trip Pro

Knowledge transfer principles as applied to sport concussion education. To (a) examine knowledge transfer literature and optimal learning needs as applied to healthcare professionals, coaches and student athletes; (b) apply the practice of knowledge transfer to sport concussion education resources; and (c) identify needs and make recommendations for optimising concussion education.Qualitative literature review of knowledge transfer and concussion education literature.Pubmed, Medline, Psych Info (...) and Sport Discus databases were reviewed. 52 journal articles, 20 websites and 2 books were reviewed.The methods in which individuals experience optimal learning varies and should be considered when developing effective concussion education strategies. Physician knowledge and performance are impacted by education outreach, interaction and reminder messages. Educational strategies associated with optimal learning for physio and athletic therapists include problem and evidence-based practice

2009 British Journal of Sports Medicine

9250. Sport concussion assessment tool: baseline values for varsity collision sport athletes. (Abstract)

Sport concussion assessment tool: baseline values for varsity collision sport athletes. To determine baseline symptom and neurocognitive norms for non-concussed and previously concussed varsity athletes using the sport concussion assessment tool (SCAT).Descriptive cohort study.University of Calgary.260 male and female university football, ice hockey and wrestling athletes over three seasons (2005-7).A baseline SCAT was completed during preseason medical evaluation. Subjects were grouped (...) as follows: all participants, men, women, never concussed (NC) and previously concussed (PC).The mean age of participants was 20.5 years (range 17-32). In total, 41.2% of all athletes had a total post-concussion symptom scale (PCSS) score of 0. The mean baseline PCSS scores were as follows: all participants 4.29; men 3.52; women 6.39; NC 3.75 and PC 5.25. The five most frequently reported symptoms for all athletes were fatigue/low energy (37% of subjects), drowsiness (23%), neck pain (20%), difficulty

2009 British Journal of Sports Medicine

9251. The role of concussion history and gender in recovery from soccer-related concussion. Full Text available with Trip Pro

The role of concussion history and gender in recovery from soccer-related concussion. This study was designed to investigate differences in recovery in male and female soccer athletes.Soccer players with a history of concussion will perform worse on neurocognitive testing than players without a history of concussion. Furthermore, female athletes will demonstrate poorer performance on neurocognitive testing than male athletes.Cohort study (prognosis): Level of evidence, 2.Computer-based (...) neuropsychological testing using reaction time, memory, and visual motor-speed composite scores of the ImPACT test battery was performed postconcussion in soccer players ranging in age from 8 to 24 years (N = 234; 141 females, 93 males). A multivariate analysis of variance was conducted to examine group differences in neurocognitive performance between male and female athletes with and without a history of concussion.Soccer players with a history of at least 1 previous concussion performed significantly worse

2009 American Journal of Sports Medicine

9252. Can you age bruises accurately in children: a systematic review

Can you age bruises accurately in children: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2005 DARE.

9253. [Concussion]

[Concussion] Hjernerystelse Observation eller Ct-scanning [Concussion] Hjernerystelse Observation eller Ct-scanning [Concussion] Danish Centre for Evaluation and Health Technology Assessment (DACEHTA) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Hjernerystelse (...) Observation eller Ct-scanning. [Concussion] Copenhagen: Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). 1(4). 2008 Authors' conclusions For about 75% of all patients with concussions in emergency-rooms a CT-scan of the head and a return to home just as safe as to hospitalized for observation. This is the conclusion in a report from the Danish National Board of Health based on a Swedish HTA-report from 2006. Final publication URL Additional data URL Indexing Status Subject indexing

2008 Health Technology Assessment (HTA) Database.

9254. Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma

Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma BestBets: Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma Report By: Lorna Jackson - SpR in Emergency Medicine Search checked by Alison Stewart - SHO III in Emergency Medicine Institution: Frenchay Hospital, Bristol Current web editor: shweta gidwani - clincal effectiveness fellow Date Submitted (...) : 24th August 2004 Date Completed: 3rd March 2005 Last Modified: 30th November 2004 Status: Green (complete) Three Part Question Is [troponin] level a good indicator of underlying [cardiac damage] after [blunt chest trauma]? Clinical Scenario A 45 year old man attends the emergency department after being involved in a road traffic accident. He has sustained a blunt chest injury during the impact and has bruising across his chest wall. His ECG shows non specific ST segment changes and the chest

2005 BestBETS

9255. A meta-analysis of blunt cardiac trauma: ending myocardial contusion

A meta-analysis of blunt cardiac trauma: ending myocardial contusion Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

1996 DARE.

9256. How much do ice packs applied to a bruised forehead drop core temperature?

How much do ice packs applied to a bruised forehead drop core temperature? How much do ice packs applied to a bruised forehead drop core temperature? - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers (...) , patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com How much do ice packs applied to a bruised forehead drop core temperature? Unfortunately, we have been unable to locate any evidence or guidance on this topic. Answered 6 November 2007 Follow us: © 2019 Trip Database Ltd. company number 04316414. Trip

2007 TRIP Answers

9257. Rash on glans of penis: 69yr gent with 9-12mth history of red blotch over approx 1/3rd of glans. No pain. No change in size in 9mths. Looks as though freshly bruised - bright red. Any ideas?

Rash on glans of penis: 69yr gent with 9-12mth history of red blotch over approx 1/3rd of glans. No pain. No change in size in 9mths. Looks as though freshly bruised - bright red. Any ideas? Rash on glans of penis: 69yr gent with 9-12mth history of red blotch over approx 1/3rd of glans. No pain. No change in size in 9mths. Looks as though freshly bruised - bright red. Any ideas? - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere (...) of penis: 69yr gent with 9-12mth history of red blotch over approx 1/3rd of glans. No pain. No change in size in 9mths. Looks as though freshly bruised - bright red. Any ideas? It is difficult to give an exhaustive list of conditions that give the rash as you describe however our medical advisor has suggested fungal infection, psoriasis, ammoniacal dermatitis, Bowen's disease or even a Squamous Cell carcinoma. We have provided links below to pictures that may help you with diagnosis. Answered 28

2006 TRIP Answers

9258. A patient, presenting with raised ESR, spontaneous bruising and temporal arteritis - any ideas, please?

A patient, presenting with raised ESR, spontaneous bruising and temporal arteritis - any ideas, please? A patient, presenting with raised ESR, spontaneous bruising and temporal arteritis - any ideas, please? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere (...) clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com A patient, presenting with raised ESR, spontaneous bruising and temporal arteritis - any ideas, please? It should be noted that the NLH Q&A Service is not in a position to discuss

2006 TRIP Answers

9259. Female, aged 65, has developed multiple venous malformations only in the small veins of her palms and palmar surface of her fingers which swell at times. She gets alot of bruising in the area. Is this

Female, aged 65, has developed multiple venous malformations only in the small veins of her palms and palmar surface of her fingers which swell at times. She gets alot of bruising in the area. Is this Female, aged 65, has developed multiple venous malformations only in the small veins of her palms and palmar surface of her fingers which swell at times. She gets alot of bruising in the area. Is this part of a recognised syndrome? - Trip Database or use your Google+ account Liberating (...) jon.brassey@tripdatabase.com Female, aged 65, has developed multiple venous malformations only in the small veins of her palms and palmar surface of her fingers which swell at times. She gets alot of bruising in the area. Is this part of a recognised syndrome? Unfortunately, we cannot answer this question. We searched the NLH Specialist Library for Skin Conditions and the online encyclopedias, GPNotebook and e-Medicine, but found no useful information to aid in the diagnosis or management

2007 TRIP Answers

9260. Should one stop an SSRI in patients who get bruising despite normal platelet count and PT and APTT results?

Should one stop an SSRI in patients who get bruising despite normal platelet count and PT and APTT results? Should one stop an SSRI in patients who get bruising despite normal platelet count and PT and APTT results? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere (...) clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com Should one stop an SSRI in patients who get bruising despite normal platelet count and PT and APTT results? The CKS guideline on depression notes: • “Observational studies have shown

2007 TRIP Answers

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