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Author Notes:

Correspondence: Michael W. Collins, PhD, UPMC Rooney Sports Complex, 3200 South Water Street, Pittsburgh, PA 15203, collinsmw@upmc.edu.

The authors would like to acknowledge the following individuals who were participating investigators who attended the meeting, assisted in the development of the statements of agreement, and provided feedback on the manuscript:

Debra Babcock, MD, PhD (NIH, Washington, DC), Jeneita Bell, MD (DCD, Atlanta, GA), George Chiampas, DO (US Soccer, Chicago, IL), Peter Chiarelli, Gen (Ret.) (One Mind, Seattle, WA), Joan Demetriades (One Mind, Seattle, WA), Dallas Hack, MD, Col (Ret.) (Brain Health Consultant; NCAA, Indianapolis, IN), Brian Hainline, MD (NCAA, Indianapolis, IN)), Col. Sidney R. Hinds II, MD (Defense and Veterans Brain Injury Center, Silver Spring, MD), Hamish Kerr, MD (USA Rugby, Albany, NY), Patrick Kersey, MD (USA Football, Indianapolis, IN), Jennifer Langton (NFL, New York, NY), Mark Lovell, PhD (ImPACT Applications, Inc., Pittsburgh, PA), Jeff Miller, JD (NFL, New York, NY), Kelly Ryder, DC (The Ryder Clinic, Dallas, TX), Richard Shoge, PhD (US Army Medical Research and Material Command at Ft. Detrick, MD), Capt Jeffrey Timby, MD (US Marine Corps Health Services Headquarters, Arlington, VA).

The authors would like to thank the following individuals from Department of Orthopaedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, Pennsylvania for their contributions to the meeting and the paper: Jamie McAllister-Deitrick, PhD, Alicia Sufrinko, PhD, Melissa N. Womble, PhD, Valerie Reeves, PhD, Cyndi Holland, MPH.

See publication for full list of disclosures.

Subjects:

Research Funding:

The TEAM Approaches to Treating Concussion Meeting was supported by grants from the National Football League and UPMC

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Clinical Neurology
  • Surgery
  • Neurosciences & Neurology
  • Concussion
  • mTBI
  • Rehabilitation
  • Treatment
  • SPORT-RELATED CONCUSSION
  • TRAUMATIC BRAIN-INJURY
  • HIGH-SCHOOL FOOTBALL
  • RANDOMIZED CONTROLLED-TRIAL
  • POSTTRAUMATIC MIGRAINE CHARACTERISTICS
  • PREDICT PROTRACTED RECOVERY
  • FEMALE HIGH-SCHOOL
  • LOW-BACK-PAIN
  • NEUROCOGNITIVE PERFORMANCE
  • EMERGENCY-DEPARTMENT

Statements of Agreement From the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015

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Journal Title:

Neurosurgery

Volume:

Volume 79, Number 6

Publisher:

, Pages 912-929

Type of Work:

Article | Post-print: After Peer Review

Abstract:

BACKGROUND: Conventional management for concussion involves prescribed rest and progressive return to activity. Recent evidence challenges this notion and suggests that active approaches may be effective for some patients. Previous concussion consensus statements provide limited guidance regarding active treatment. OBJECTIVE: To describe the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion. METHODS: On October 14 to 16, 2015, the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion meeting was convened in Pittsburgh, Pennsylvania. Thirty-seven concussion experts from neuropsychology, neurology, neurosurgery, sports medicine, physical medicine and rehabilitation, physical therapy, athletic training, and research and 12 individuals representing sport, military, and public health organizations attended the meeting. The 37 experts indicated their agreement on a series of statements using an audience response system clicker device. RESULTS: A total of 16 statements of agreement were supported covering (1) Summary of the Current Approach to Treating Concussion, (2) Heterogeneity and Evolving Clinical Profiles of Concussion, (3) TEAM Approach to Concussion Treatment: Specific Strategies, and (4) Future Directions: A Call to Research. Support (ie, response of agree or somewhat agree) for the statements ranged from to 97% to 100%. CONCLUSION: Concussions are characterized by diverse symptoms and impairments and evolving clinical profiles; recovery varies on the basis of modifying factors, injury severity, and treatments. Active and targeted treatments may enhance recovery after concussion. Research is needed on concussion clinical profiles, biomarkers, and the effectiveness and timing of treatments.

Copyright information:

© 2016 by the Congress of Neurological Surgeons.

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