title: Concussion recovery time among high school and collegiate athletes: a systematic review and meta-analysis.
abstract: BACKGROUND
  Concussion diagnosis and management is made through the clinical exam using assessment tools that include self-report symptomatology, postural control, and cognitive evaluations. The specific timing of concussion resolution varies between individuals. However, despite a lack of research in concussion recovery, it is widely accepted that the majority of young adults will recover in 7-10 days, with youth athletes taking longer.
  
  
  OBJECTIVE
  The purpose of this review is to directly compare the recovery duration among high school and collegiate athletes on symptom reports and cognitive assessments following concussion.
  
  
  METHODS
  Data were collected from a literature search comprising high school or college athletes only. This included studies (n = 6) that reported symptom or cognitive performance recovery to the exact day.
  
  
  RESULTS
  High school athletes self-reported symptom recovery at 15 days compared with 6 days in collegiate athletes. Both college and high school athletes showed cognitive recovery at similar rates of 5 and 7 days.
  
  
  CONCLUSIONS
  This review only included articles that were directly related to concussed high school or college athletes. Additionally, athletes in the high school and college setting typically receive a battery of neurocognitive tests that may not be as sensitive or as comprehensive as a full neuropsychological exam.
  
  
  CONCLUSIONS
  The review finds that neurocognitive recovery rates are similar among high school and college athletes, while symptom reporting shows longer recovery time points in high school than in college.
  
  
  CONCLUSIONS
  An individualized and stepwise concussion management plan is important for proper concussion recovery regardless of age.
authors.affiliation: School of Kinesiology, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Richelle M
authors.initials: RM
authors.lastname: Williams
authors.forename: Tim W
authors.initials: TW
authors.lastname: Puetz
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Giza
authors.forename: Steven P
authors.initials: SP
authors.lastname: Broglio
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001265:Athletic Injuries / Q000175:diagnosis / Q000503:physiopathology*; D001924:Brain Concussion / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D015233:Models, Statistical; D009483:Neuropsychological Tests; D020127:Recovery of Function / Q000502:physiology*; D012574:Schools; D057566:Self Report; D013334:Students; D055815:Young Adult
references.citation: Med Sci Sports Exerc. 1997 Jul;29(7 Suppl):S213-21
references.pmid: 9247918
references.citation: J Head Trauma Rehabil. 2006 Sep-Oct;21(5):375-8
references.pmid: 16983222
references.citation: Clin J Sport Med. 2012 Mar;22(2):98-104
references.pmid: 22246342
references.citation: J Athl Train. 2007 Apr-Jun;42(2):311-9
references.pmid: 17710181
references.citation: J Neurotrauma. 2002 May;19(5):573-85
references.pmid: 12042093
references.citation: Clin J Sport Med. 2007 Sep;17(5):369-74
references.pmid: 17873549
references.citation: Am J Sports Med. 2000 Sep-Oct;28(5):643-50
references.pmid: 11032218
references.citation: Neurosurgery. 2004 Dec;55(6):1290-303; discussion 1303-5
references.pmid: 15574211
references.citation: Clin J Sport Med. 2009 May;19(3):228-30
references.pmid: 19423976
references.citation: Biometrics. 1994 Dec;50(4):1088-101
references.pmid: 7786990
references.citation: Clin J Sport Med. 2002 Nov;12(6):331-8
references.pmid: 12466687
references.citation: Clin J Sport Med. 2007 Mar;17(2):140-2
references.pmid: 17414483
references.citation: NeuroRehabilitation. 2007;22(3):207-16
references.pmid: 17917171
references.citation: J Athl Train. 2013 Sep-Oct;48(5):645-53
references.pmid: 23848520
references.citation: Brain Inj. 1996 Feb;10(2):99-103
references.pmid: 8696320
references.citation: PM R. 2009 May;1(5):406-20
references.pmid: 19627927
references.citation: J Neurosurg Pediatr. 2013 Dec;12(6):537-44
references.pmid: 24063601
references.citation: JAMA. 1999 Sep 8;282(10):964-70
references.pmid: 10485682
references.citation: JAMA. 1999 Sep 15;282(11):1054-60
references.pmid: 10493204
references.citation: JAMA. 2003 Nov 19;290(19):2556-63
references.pmid: 14625332
references.citation: J Sch Health. 2010 Mar;80(3):112-8
references.pmid: 20236412
references.citation: J Pediatr. 2003 May;142(5):546-53
references.pmid: 12756388
references.citation: J Athl Train. 2001 Sep;36(3):263-273
references.pmid: 12937495
references.citation: Neurosurgery. 1996 Sep;39(3):510-4
references.pmid: 8875480
references.citation: BMJ. 2003 Sep 6;327(7414):557-60
references.pmid: 12958120
references.citation: J Neurosurg. 2003 Feb;98(2):296-301
references.pmid: 12593614
references.citation: Curr Opin Pediatr. 2006 Aug;18(4):376-82
references.pmid: 16914990
references.citation: Br J Sports Med. 2013 Apr;47(5):250-8
references.pmid: 23479479
references.citation: Pediatrics. 2014 Feb;133(2):e299-304
references.pmid: 24394679
references.citation: J Neurotrauma. 2000 Sep;17(9):739-49
references.pmid: 11011814
references.citation: Clin J Sport Med. 2001 Jan;11(1):23-31
references.pmid: 11176142
references.citation: JAMA. 2003 Nov 19;290(19):2549-55
references.pmid: 14625331
references.citation: Exp Neurol. 2005 Nov;196(1):126-37
references.pmid: 16109409
references.citation: Ann Intern Med. 2009 Aug 18;151(4):264-9, W64
references.pmid: 19622511
references.citation: Am J Sports Med. 2013 Dec;41(12):2890-5
references.pmid: 24197616
references.citation: Clin J Sport Med. 2003 Jul;13(4):230-7
references.pmid: 12855925
references.citation: J Athl Train. 2014 Mar-Apr;49(2):245-65
references.pmid: 24601910
references.citation: PM R. 2011 Mar;3(3):212-8
references.pmid: 21402367
references.citation: Neurosurg Focus. 2012 Dec;33(6):E6: 1-12
references.pmid: 23199429
references.citation: Clin J Sport Med. 2001 Oct;11(4):234-40
references.pmid: 11753060
references.citation: J Athl Train. 2007 Oct-Dec;42(4):495-503
references.pmid: 18174937
references.citation: Brain Inj. 2013;27(7-8):878-86
references.pmid: 23789865
references.citation: Neurology. 2013 Jun 11;80(24):2250-7
references.pmid: 23508730
references.citation: J Clin Epidemiol. 1992 Mar;45(3):255-65
references.pmid: 1569422
references.citation: JAMA. 1999 Sep 8;282(10):958-63
references.pmid: 10485681
references.citation: Neurosurgery. 2012 Feb;70(2):371-9; discussion 379
references.pmid: 21841522
references.citation: J Athl Train. 2007 Oct-Dec;42(4):504-8
references.pmid: 18174938
references.citation: Sports Med. 2008;38(1):53-67
references.pmid: 18081367
references.citation: Clin Sports Med. 2011 Jan;30(1):xvii-iii
references.pmid: 21074077
references.citation: Clin J Sport Med. 2003 Jul;13(4):213-21
references.pmid: 12855923
references.citation: J Int Neuropsychol Soc. 2005 Jan;11(1):58-69
references.pmid: 15686609
references.citation: Neurosurgery. 2007 Jun;60(6):1050-7; discussion 1057-8
references.pmid: 17538379
references.citation: Med Sci Sports Exerc. 2011 Dec;43(12):2412-22
references.pmid: 22089299
references.citation: J Neurosurg. 2003 Mar;98(3):477-84
references.pmid: 12650417
references.citation: J Athl Train. 2005 Oct-Dec;40(4):320-5
references.pmid: 16404454
references.citation: Br J Sports Med. 2014 Jan;48(2):112-8
references.pmid: 23314889
references.citation: Brain Inj. 2006 Mar;20(3):245-52
references.pmid: 16537266