New research presented in an upcoming article in the Archives of Clinical Neuropsychology supports the use of multiple variables to assist emergency departments’ ability to predict pediatric patients at risk for persistent postconcussive symptoms (PPCS).
The study, which cites the PostConcussion Symptom Inventory™–2 (PCSI-2), followed a cohort of 5- to 18-year-olds diagnosed with an acute concussion. Each participant’s risk factors were determined at diagnosis and they were followed for 30 days postinjury. The study found that headache and total clinical risk score were associated with greater odds of PPCS. Furthermore, teenagers, individuals with a history of prolonged recovery from a previous concussion, and those in the high-risk group (based on the Zemek et al.  risk score) tended to have an increased risk of PPCS.
PAR Project Director Maegan Sady, PhD, ABPP-CN, was a coauthor of this study, which was conducted by emergency room physician Dr. Jeremy Root at Children’s National Hospital.
Learn more about the PCSI-2!
While jumping on a trampoline after school, 12-year-old Keira collided with her sister and hit her head on the back of her sister’s kneecap. She didn’t lose consciousness, but Keira developed a headache, had trouble with her balance, and her speech was slowed – all symptoms consistent with concussion.
Though commonly thought of a sports injury, concussion can result from everyday play (on trampolines, playgrounds, and even in the home), too. In 2014, individuals ages 15-24 had the highest number of TBI-related emergency department visits. From 2006 to 2014, there was an 80% increase in emergency department visits due to falls and a 58% increase due to being struck by or against an object.
According to the Centers for Disease Control, concussion “is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or hit to the body that causes the head and brain to move rapidly back and forth.” Symptoms include appearing dazed or stunned, not being able to recall events prior to or after a fall, moving clumsily, headache, nausea, confusion, being bothered by light or noise, and just not “feeling right.”
Though generally not life-threatening, recovery from concussion can take from a few weeks to a month or longer. For students who have experienced a concussion, returning to school or sports may take time, and some kids may need support services at school to help them while they heal.
The new PostConcussion Symptom Inventory-2 (PCSI-2) is an essential part of a multimodal concussion evaluation. Part of PAR’s ConcussTrack family of concussion products, it measures physical, emotional, cognitive, and sleep/fatigue symptoms to assist clinicians with diagnosis of concussion, monitor recovery, and manage student activities. Use alongside the PostConcussion Executive Inventory, which measures working memory, emotional control, and initiate/task completion for a thorough concussion evaluation.
Though commonly thought of as a sports injury, concussion can occur as the result of everyday play, too. Each year, more than 1 million children and adolescents are diagnosed with a concussion, or mild traumatic brain injury (mTBI). About 30% of these injuries are non-sports related.
When children and adolescents return to school following a diagnosis of concussion, they may have functional difficulties (like trouble concentrating, memory problems, and irritability) that can affect their ability to perform and learn in school.
The new PostConcussion Executive Inventory™ is an evidence-based instrument for children ages 5 to 18 years used to assess functioning and monitor recovery following concussion. It measures change in cognitive and emotional regulation to determine if postconcussion-related behaviors are due to concussion or were present prior to injury. This information helps schools develop appropriate return-to-learn plans that address the student’s specific postinjury needs, which may include temporary accommodations and interventions.
Items for the PostConcussion Executive Inventory, the first in a new ConcussTrack™ suite of products, were selected from the Behavior Rating Inventory of Executive Function®, Second Edition, the gold-standard rating form for executive function testing.
Learn more about students returning to school following concussion on the Centers for Disease Control and Prevention’s HEADS UP to Schools webpage.
Items for the PostConcussion Executive Inventory, the first in a new ConcussTrack suite of products, were selected from the Behavior Rating Inventory of Executive Function, Second Edition, the gold-standard rating form for executive function testing.
With spring sports season just around the corner, PAR has two apps that can help your athlete have a safe and successful season! The Concussion Assessment & Response™: Sport Version (CARE) is ideal for athletic trainers, team physicians, and other qualified health professionals. The Concussion Recognition & Response™ (CRR) app is geared toward coaches and parents.
Both products have numerous advantages that make assessment easy to perform, ultimately aiding in positive concussion outcomes. Accessed through a mobile application and administered in less than 5 minutes, these concussion assessments help recognize signs and symptoms of a concussion so that you can respond quickly and appropriately reducing the likelihood of serious injury. Whether performed by coach and parent (CRR) or athletic trainer (CARE), results can be saved in the apps and sent to a health care provider for further evaluation.
Even after a diagnosis of a concussion, these applications aid in the successful rehabilitation of the athlete. Both applications provide guidance in monitoring the postconcussion symptoms during recovery as well as information for care after successful rehabilitation. In addition, a return-to-play guide helps to protect the athlete from further injury by guiding them through a daily exercise routine. The CARE assessment also comes with a balance error scoring system and sideline assessment that evaluates memory, recall, and concentration.
The CARE is available in the App Store and through Google Play for $4.99.
The CRR is available in the App Store and through Google Play for free!
PAR is proud to announce that our Concussion Assessment & Response™: Sport Version (CARE) app was named the top concussion screening app by iMedicalApps.com. iMedicalApps reviewed all the concussion apps available in the iTunes App Store and compared each app to the criteria for evaluating, diagnosing, and assessing concussions developed by the American Medical Society for Sports Medicine, the American Academy of Neurology, and the Zurich Consensus Working Group.
Learn more about the criteria used to judge the app, download it from iTunes, or get it on Google Play today!
The CARE app is for use by qualified health care professionals only. If you are a parent or coach, our Concussion Recognition & Response™: Coach & Parent Version app may be suitable for you.