Standard of Care Protocols

Returning to Learning Following a Concussion. This report serves to provide a better understanding of possible factors that may contribute to difficulties in a school environment after a concussion and serves as a framework for the medical home, the educational home, and the family home to guide the student to a successful and safe return to learning.

Importance of ‘Return-to-Learn’ in Pediatric and Adolescent Concussion. Pediatric and adolescent concussions have many unique features requiring special attention from the pediatrician in terms of diagnosis and management. This article addresses the importance of properly timing school re-entry.

Sports-Related Concussions in Youth: Improving the Science, Changing the Culture. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Office-Based Management of Pediatric and Adolescent Concussion.  This paper addresses concussion recovery with regards to appropriate and prompt diagnosis, management of symptoms, and the possible prevention of prolonged recovery due to delayed diagnosis and treatment.

Rehabilitation Strategies for Prolonged Recovery in Pediatric and Adolescent Concussion. This paper addresses positive response to “active rehabilitation” via specific targeted strategies in prolonged concussion recovery determined by repeated medical evaluation rather than strict rest.

Buffalo Concussion Treadmill Test (BCTT). The BCTT has been shown to diagnose physiologic dysfunction in concussion safely and reliably, differentiate it from other diagnoses (e.g., cervical injury), and quantify the clinical severity and exercise capacity of concussed patients. It is used in Post Concussion Syndrome to establish a safe aerobic exercise treatment program to help speed recovery and return to activity.

Vestibular/Ocular Motor Screening (VOMS). The VOMS demonstrates internal consistency as well as sensitivity in identifying patients with concussions. Current findings provide support for the utility of the VOMS as a brief vestibular/ocular motor screen after sport-related concussions. The VOMS can augment current assessment tools and can serve as a single component of a comprehensive approach to the assessment of concussions.