Sports-Related Concussions and the Pediatric Patient - 11/11/20

Doi : 10.1016/j.csm.2020.08.010

Stessie Dort Zimmerman, MD ^a, Brian T. Vernau, MD, CAQSM ^b, William P. Meehan, MD ^c, Christina L. Master, MD, CAQSM ^d,^⁎
^a Urgent Care, Seattle Children’s Hospital, 4800 Sand Point Way Northeast, M/S MB.7.520, Seattle, WA 98105, USA
^b Pediatric and Adolescent Sports Medicine, Division of Pediatric Orthopedics, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
^c Division of Sports Medicine, The Micheli Center for Sports Injury Prevention, Boston Children’s Hospital, Harvard Medical School, 9 Hope Avenue–Suite 100, Waltham, MA 02453, USA
^d Minds Matter Concussion Program, Pediatric and Adolescent Sports Medicine, Division of Pediatric Orthopedics, Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA

^∗Corresponding author.

Résumé

Pediatric patients with concussions have different needs than adults throughout the recovery process. Adolescents, in particular, may take longer to recover from concussion than adults. Initially, relative rest from academic and physical activities is recommended for 24 to 48 hours to allow symptoms to abate. After this time period, physicians should guide the return to activity and return to school process in a staged fashion using published guidelines. Further concussion research in pediatric patients, particularly those younger than high-school age, is needed to advance the management of this special population.

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Keywords : Pediatric concussions, Adolescent concussions, Head injury, Return to learn, Return to sport