Strict Rest Slows Recovery after Sports-Related Concussions
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Strict Rest Slows Recovery after Sports-Related Concussions

Jun 18, 2021

ACSM, Five Sports Medicine Organizations Publish New Guidance on SRCs for Team Physicians

 

(Indianapolis, IN) – Nearly 1.8 million sports-related concussions (SRCs) happen annually in youth under age 18 in the U.S. Accurate diagnosis and treatment are key for recovery and long-term athlete health. The Team Physician Consensus Conference (TPCC), a project-based alliance of the American College of Sports Medicine (ACSM) and five other professional sports medicine organizations, published new guidance to help team physicians effectively manage sports-related concussions in youth and athletes of all ages.

“If you’ve seen one concussion, you’ve only seen one concussion,” said Margot Putukian, M.D., FACSM, one of the lead authors and an executive committee member of the TPCC alliance. “Each concussion is unique and needs a thorough history and physical examination.”

The three primary takeaways for team physicians include:

  1. Sports-related concussions are treatable, and most athletes recover fully within two to four weeks. Symptom-directed management includes appropriate rest, introducing aerobic exercise, sleep hygiene, as well as proper nutrition and hydration.

     

  2. Prolonged, strict rest after sports-related concussions slows recovery. While an initial period of physical and relative cognitive rest is recommended, in most cases introducing medically supervised graded activity after two to three days aids recovery.

     

  3. Persisting symptoms need to be thoroughly evaluated and may require more comprehensive treatment. It is important to first make sure the brain injury has been diagnosed and treated correctly and then to assess for pre-existing, co-existing and/or resulting biopsychosocial factors that may be present and contribute to ongoing symptoms. A symptom-targeted treatment, which may involve a multi-disciplinary team, is often beneficial.

“Concussions are treatable and most resolve within a month,” adds W. Ben Kibler, M.D., FACSM, who is an orthopedic surgeon, team physician and another lead author of the paper. “If your athlete has persisting symptoms, seek treatment. Don’t give up!”

ACSM collaborated with the American Academy of Family Physicians, the American Academy of Orthopaedic Surgeons, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine to develop this statement. It is the newest of 22 papers published by the six professional associations since 2000.

The alliance meets annually to review evidence-based research on a select medical issue related to athlete care. The resulting paper provides practical information for team physicians and other medical professionals to use when caring for athletes of all ages. Other topics addressed include return to play, sideline preparedness, injury and illness prevention, pain management and the team physician.

“For two decades, these papers have raised the call to keep athletes, especially our kids, safe,” added Dr. Putukian. “The papers serve as a trusted resource for coaches, administrators, athletes and parents.”

Selected Issues in Sport-Related Concussion (SRC | Mild Traumatic Brain Injury) for the Team Physician: A Consensus Statement” published online in the British Journal of Sports Medicine. It will also publish in the August 2021 issue of ACSM’s Current Sports Medicine Reports.

All team physician consensus statement documents can be found online at acsm.org.  

# # #

 

About the American College of Sports Medicine

ACSM serves as the largest sports medicine and exercise science organization in the world with more than 50,000 international, national and regional members and certified fitness professionals. All are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine. Find more details at www.acsm.org.

Strict Rest Slows Recovery after Sports-Related Concussions

Jun 18, 2021

ACSM, Five Sports Medicine Organizations Publish New Guidance on SRCs for Team Physicians

 

(Indianapolis, IN) – Nearly 1.8 million sports-related concussions (SRCs) happen annually in youth under age 18 in the U.S. Accurate diagnosis and treatment are key for recovery and long-term athlete health. The Team Physician Consensus Conference (TPCC), a project-based alliance of the American College of Sports Medicine (ACSM) and five other professional sports medicine organizations, published new guidance to help team physicians effectively manage sports-related concussions in youth and athletes of all ages.

“If you’ve seen one concussion, you’ve only seen one concussion,” said Margot Putukian, M.D., FACSM, one of the lead authors and an executive committee member of the TPCC alliance. “Each concussion is unique and needs a thorough history and physical examination.”

The three primary takeaways for team physicians include:

  1. Sports-related concussions are treatable, and most athletes recover fully within two to four weeks. Symptom-directed management includes appropriate rest, introducing aerobic exercise, sleep hygiene, as well as proper nutrition and hydration.

     

  2. Prolonged, strict rest after sports-related concussions slows recovery. While an initial period of physical and relative cognitive rest is recommended, in most cases introducing medically supervised graded activity after two to three days aids recovery.

     

  3. Persisting symptoms need to be thoroughly evaluated and may require more comprehensive treatment. It is important to first make sure the brain injury has been diagnosed and treated correctly and then to assess for pre-existing, co-existing and/or resulting biopsychosocial factors that may be present and contribute to ongoing symptoms. A symptom-targeted treatment, which may involve a multi-disciplinary team, is often beneficial.

“Concussions are treatable and most resolve within a month,” adds W. Ben Kibler, M.D., FACSM, who is an orthopedic surgeon, team physician and another lead author of the paper. “If your athlete has persisting symptoms, seek treatment. Don’t give up!”

ACSM collaborated with the American Academy of Family Physicians, the American Academy of Orthopaedic Surgeons, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine to develop this statement. It is the newest of 22 papers published by the six professional associations since 2000.

The alliance meets annually to review evidence-based research on a select medical issue related to athlete care. The resulting paper provides practical information for team physicians and other medical professionals to use when caring for athletes of all ages. Other topics addressed include return to play, sideline preparedness, injury and illness prevention, pain management and the team physician.

“For two decades, these papers have raised the call to keep athletes, especially our kids, safe,” added Dr. Putukian. “The papers serve as a trusted resource for coaches, administrators, athletes and parents.”

Selected Issues in Sport-Related Concussion (SRC | Mild Traumatic Brain Injury) for the Team Physician: A Consensus Statement” published online in the British Journal of Sports Medicine. It will also publish in the August 2021 issue of ACSM’s Current Sports Medicine Reports.

All team physician consensus statement documents can be found online at acsm.org.  

# # #

 

About the American College of Sports Medicine

ACSM serves as the largest sports medicine and exercise science organization in the world with more than 50,000 international, national and regional members and certified fitness professionals. All are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine. Find more details at www.acsm.org.
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Congratulations to Dr. Carol Garber for her Citation Award at the National Meeting in Orlando!

About Us

gnyrcacsm

Our Mission

The Greater New York Regional Chapter of the American College of Sports Medicine has set goals to

1)  Promote and advance professions related to the science of exercise as medicine;

2)  Build relationships that foster growth and collaboration with other organizations, physicians, scientists, and educators concerned with the science of exercise and related fields;

3)  Arrange mutual meetings of physicians, educators, clinicians and scientists;

4)  Make available post-graduate education in fields related to these sciences;

5)  Initiate, promote and correlate research in these fields;

Membership

 Benefits
- Discounts to Chapter meetings and events
- News highlighting chapter events and news
- Opportunities to present at meetings, forums and events
- Access to student scholarship and award programs
- Opportunities to network with exercise science, sports medicine, clinical exercise, and allied health professionals
- Information regarding regional graduate programs, internships, and job opportunities
- Access to GNYRC-ACSM Podcasts featuring cutting edge presenters and topics

Chapter Leadership

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Galila Werber, PhD

President
Amerigo Rossi

Amerigo Rossi, EdD, FACSM

President-elect
maryWilliams

Mary Allison Murphy, PhD, EP-C, CSCS

Immediate Past President
Christine Persaud

Christine Persaud, MD

Secretary
Norberto Quiles

Norberto Quiles, EdD

Treasurer
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Neal Pire MA, CEP, CSCS, FACSM

Executive Director