Barr, William B
"Assessing Mild Traumatic Brain Injury on the Sideline"
IN: Sports neuropsychology: Assessment and management of traumatic brain injury / Echemendia, Ruben J
New York, NY, US: Guilford Press, 2006
- (from the chapter) The consensus opinion is that the sideline evaluation provides critical information for making the initial diagnosis of mild traumatic brain injury (MTBI) in athletes and for making decisions regarding readiness for an immediate return to play. It appears that the sideline evaluation is performed most appropriately by team physicians and certified athletic trainers who possess the knowledge and requisite training to evaluate the effects of other types of injuries that might accompany an MTBI. There is no consensus on the relative importance of loss of consciousness (LOC), posttraumatic amnesia (PTA), and other symptoms in assessing the severity of the injury. The existence of multiple grading scales and guidelines for returning to play will likely continue until more definitive empirical data are obtained. Most agree that a sideline evaluation of mental status should include information regarding orientation, concentration, and memory. However, there continues to be much disagreement whether these evaluations should be performed informally or with the use of standardized and empirically validated instruments. There is agreement that all athletes who are considered to have sustained an MTBI should receive a medical evaluation to determine the need for any more detailed neurological consultation or follow-up with neuroimaging (e.g., computed tomography scan, magnetic resonance imaging), electrophysiological testing (e.g., electroencephalogram), and neuropsychological testing. No athlete should return to play until all symptoms have resolved completely.
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# 4071 (PSYCH:2006-04112-006)
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