Review of sports-related concussion: Potential for application in military settings.
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.
Lew
Henry L
HL
Physical Medicine and Rehabilitation Service, Department of Veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave, B117, Palo Alto, CA 94304, USA. henrylew@stanford.edu
Thomander
Darryl
D
Chew
Kelvin T L
KT
Bleiberg
Joseph
J
D001265:Athletic Injuries / Q000453:epidemiology*; D001924:Brain Concussion / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D015984:Causality; D015897:Comorbidity; D006801:Humans; D008887:Military Medicine / Q000592:standards; D008889:Military Personnel; D009460:Neurologic Examination; D017410:Practice Guidelines as Topic; D011581:Psychological Tests; D020127:Recovery of Function; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology; D014857:Warfare