title: [School re-integration after child brain dislocation : The trauma surgeon's role].
abstract: Concussion injury of the brain is still a frequently underestimated injury, which can be associated with long-lasting consequences. Compared to adults, the recovery phase is often prolonged in childhood. Primary treatment consists of symptom-dependent physical and mental activities. Re-integration into daily life is crucial. In childhood, the primary focus is therefore on returning to school. New symptoms, or an increased presence of symptoms must be detected, to avoid prolonged recovery courses. School restrictions have to be minimized. Corresponding concepts are already implemented in North America. Comparable concepts are not established in Germany. In addition to well-known standard return-to-play protocols for sport re-integration, it is urgently recommended to integrate gradual return-to-learn protocols.Thus, academic adaptations and support must be established as well as symptom-oriented organizational and teaching modules.
authors.affiliation: Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum Wolfsburg, Sauerbruchstr. 7, 38440, Wolfsburg, Deutschland. dr.gaensslen@gmx.de.
authors.forename: A
authors.initials: A
authors.lastname: Gänsslen
authors.affiliation: Unfallchirurgie, Landesklinikum Horn, Spitalgasse 10, 3580, Horn, Österreich.
authors.forename: T
authors.initials: T
authors.lastname: Neubauer
authors.affiliation: Unfallchirurgie, Landeskrankenhaus Steyr, Sierninger Str. 170, 4400, Steyr, Österreich.
authors.forename: C
authors.initials: C
authors.lastname: Hartl
authors.affiliation: Verwaltungs-Berufsgenossenschaft, Bezirksverwaltung München, Postfach 20 20 42, 80020, München, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Moser
authors.affiliation: Klink für Unfallchirurgie, Orthopädie und Neurotraumatologie, Allgemeines Krankenhaus Celle, Siemensplatz 4, 29223, Celle, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Rickels
authors.affiliation: ZNS - Hannelore Kohl Stiftung, Rochusstr. 24, 53123, Bonn, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Lüngen
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Nerlich
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Krutsch
mesh_terms: D001924:Brain Concussion / Q000628:therapy*; D005858:Germany; D033161:Government Regulation; D009656:North America; D010819:Physician's Role; D012574:Schools / Q000331:legislation & jurisprudence*; D013334:Students / Q000331:legislation & jurisprudence*; D066231:Surgeons / Q000331:legislation & jurisprudence*; D014194:Traumatology / Q000331:legislation & jurisprudence*
keywords: Concussion; Mental rest; Necessary adjustments; Political measures; School consequences