Strict rest after sports-related concussion slows recovery and can prolong symptoms

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Strict rest after a sports-related concussion slows recovery and can prolong symptoms, according to a consensus statement by a group of U.S. experts on how best to treat and control the disease, and published in British Journal of Sports Medicine.

Most of these concussions improve in a month and can be treated effectively, he says.

Persistent symptoms are thought to be a complex interaction between the physical and psychological effects of the new injury and the underlying conditions.

He was developed by the Team Physicians Consensus Conference (TPCC), an annual project-based alliance of six major professional associations, with the goal of helping team physicians provide the best medical care for athletes. .

Upgrade an earlier version of , published in 2011.

Data collected from visits to U.S. emergency services, physician appointments, and a high school injury monitoring system (RIO) estimate that the number of sports-related concussions is between 1 and 1.8 million each year in the U.S. alone among under-18s. , with about 400,000 in high school athletes.

But the symptoms of concussion are not specific and there are currently no diagnostic tests of clinical utility, such as blood tests, genetic tests or standard imaging techniques. So the true incidence and prevalence of sports-related concussions is unknown, according to the statement.

Signs and symptoms that indicate a more severe injury to the brain or neck (cervical spine) and that warrant immediate emergency care include:

  • Immediate seizure (minutes or after impact)
  • More than a brief loss of consciousness
  • Severe or worsening headache
  • Persistent or recurrent vomiting
  • Growing lethargy, confusion
  • Tingling or numbness in the hands and / or feet; double vision
  • Sore throat; bone tenderness; limited range of motion and / or deformity

And there are a number of symptoms that may appear immediately or some time later, which may also be indicative of concussion, the statement says.

These include: amnesia; disorientation; brain fog; inability to focus; dirty talk; excessive drowsiness; headache; light headed; balance issues; visual alterations; hypersensitivity to noise; irritability; and sleep disorders.

Most sports-related concussions are treatable, the statement says. And most of the affected athletes will fully recover within 2 (adults) to 4 weeks (children).

The number and severity of the initial set of symptoms predict how long it will take to recover.

Factors that may prolong or complicate recovery include: previous concussions; loss of consciousness for more than a minute; younger age; pre-existing conditions, including migraines, ADHD, learning disabilities, depression, anxiety / panic attacks, and .

Current evidence suggests that strict rest after a concussion slows recovery and increases the likelihood of prolonged symptoms. Recent research shows that moderate and progressive aerobic exercise during the first week helps recovery.

Most athletes do not need over-the-counter medications and / or prescription medications for acute symptoms. And there is no current evidence to suggest that “nutraceuticals” help prevent or treat concussion, the statement says.

Persistent symptoms, such as fatigue, headache, and anxiety, are not usually caused by a single factor, but are believed to be a complex interaction between the physical and psychological effects of the new injury and the underlying conditions, according to the statement.

In these circumstances, treatment should focus on the particular : and / or lifestyle changes in sleep, nutrition, and hydration, for example.

More quality research is needed to fully understand the risks young people face from participating in sports after concussion and the effects on their long-term health and well-being, according to the statement.

“Most athletes who have been shocked will improve and be able to play again,” says Dr. Margot Putukian, a member of the TPCC executive committee.

“Each injury is unique and will have its own timeline. But athletes should feel comfortable knowing that there are treatments and that there are steps they can take to help them recover,” he adds.


The risk of concussion is higher in athletes


More information:
Selected issues in sport-related concussion (SRC | mild traumatic brain injury) for team doctor: a consensus statement, British Journal of Sports Medicine (2021). DOI: 10.1136 / bjsports-2021-104235

Citation: Strict rest after a sports-related concussion delays recovery and may prolong symptoms (2021, June 15) recovered on June 15, 2021 at https://medicalxpress.com/news/2021- 06-strict-rest-sports-related-concussion-recovery .html

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