If you’ve been asked about using EEG as part of concussion diagnosis…

If you’ve been asked about using EEG as part of concussion diagnosis or management, Neuropsychology Review published a review article you should read: The Use of Electroencephalography as an Informative Tool in Assisting Early Clinical Management after Sport-Related Concussion: a Systematic Review The publication is linked below: https://pubmed.ncbi.nlm.nih.gov/32577950/

Testing the hybrid battery approach to evaluating sports-related concussion in the NHL

Separate factor structures for pencil-and-paper assessment vs. computerized assessment of concussion support a hybrid assessment model. Echemendia, R.J., Thelen,J., Meeuwisse, W., Comper,P., Hutchison, M.G.,  & Bruce, J.M.  (2019). Testing the hybrid battery approach to evaluating sports-related concussion in the National Hockey League: A factor analytic study. The Clinical Neuropsychologist. Click for full article – doi.org/10.1080/13854046.2019.1690051

Preliminary evidence of a dose-response for continuing to play on recovery time after concussion.

This article discusses recovery from sports-related concussion in adolescents and provides support for immediate removal from play following a concussion. Charek, D. B., Elbin, R. J., Sufrinko, A., Schatz, P., D’Amico, N. R., Collins, M. W., & Kontos, A. P. (2020). Preliminary evidence of a dose-response for continuing to play on recovery time after concussion. The…

Return to play and risk of repeat concussion in collegiate football players

Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–2017). British Journal of Sports Medicine, 54, 102-109. McCrea, M., Broglio, S., McAllister, T., … et al. (2020).  Description: This article examines how sports concussion management and recovery have evolved over a period of 15+ years, reducing athlete risk…

Mental Health Issues and Psychological Factors in Athletes Detection, Management, Effect on Performance, and Prevention

The American Medical Society for Sports Medicine published a position statement on mental health issues and psychological factors in athletes. The statement addresses a range of factors impacting athletes and emphasizes a need for the multi-disciplinary sports medicine team to work together to best provide comprehensive care to athletes. https://journals.lww.com/cjsportsmed/Abstract/publishahead/American_Medical_Society_for_Sports_Medicine.98999.aspx

The Importance Of The Role Of Neuropsychologists In The Healing Process Of Concussion Recovery

This study by Lichtenstein and Merz highlighted the importance of the role of neuropsychologists in the healing process of concussion recovery,  Their data supported a team approach to treating sports related concussions, as well as the value of neuropsychological testing in measuring recovery. Lichtenstein, J.D., Merz, Z.C. Post-Exertion Neuropsychological Testing in the Management of Sport-Related…

A Cross-Cultural Examination Of Baseline Data Across Language Groups In The NHL

Echemendia and colleagues (2020) recently published comprehensive traditional and computerized (i.e. ImPACT) baseline normative data for approximately 8,000 NHL players (3,145 traditional tests; 4,780 ImPACT; 604 both) across 7 language groups (English, French, Swedish, German, Russian, Czech, Finnish). Analyses of those data revealed that symptom reporting, concussion history and cognitive functioning varied significantly across language…

Concussion Legislation Should Be Based On Scientific Evidence

Concussion legislation should be based on scientific evidence: Dr. Mark Herceg speaks out on proposed youth football legislation. Brain injuries and concussions: Legislation must draw from science | Opinion [lohud.com]

Suicidality As A Manifestation Of CTE

Iverson (2019) provides a well-written summary and critique of suicidality as a manifestation of CTE:  https://academic.oup.com/acn/advance-article/doi/10.1093/arclin/acz023/5607499

Evidence for Concussion Subtype Classification

Supporting evidence for 5 concussion subtypes – a reminder to conduct comprehensive acute concussion evaluations:  https://academic.oup.com/neurosurgery/advance-article/doi/10.1093/neuros/nyz332/5552009

NHL New Concussion Video

The National Hockey League and NHLPA released a new video to educate athletes, families, coaches, and medical staff about sports concussion.  Narrated by Pat LaFontaine and featuring SNS members Dr. Paul Comper and Dr. Ruben Echemendia, the video discusses concussion signs and symptoms, diagnosis, and management.   https://www.nhl.com/video/2019-concussion-education-video/t-277350912/c-68701003

Is Football Bad For The Brain?

SNS President-Elect, Dr. Munro Cullum, talks about the importance of sports participation and clarifies misconceptions about the long term effects of playing football in this article for the popular press: https://www.statnews.com/2019/09/27/concussions-football-uncertain-long-term-effects/

Understanding What Tests Measure

Using confirmatory factor analysis in a sample of college athletes Dr. Art Maerlander and colleagues revealed the lack of a pure memory factor in C3 Logix, which may limit its utility in measuring the effects of SRC. Find more information at DOI: https://digitalcommons.unl.edu/cbbbpapers/47/

Predictors of Concussion Recovery

What are some predictors of longer recovery in adolescent athletes? To find out read this article by Summer Ott and colleagues. https://www.tandfonline.com/doi/full/10.1080/21622965.2017.1381099#.XMsOraYUChs.twitter

Symptom Reporting by Gender and Age

Study shows that females show greater emotional endorsement across the age span but seems greater during adolescence. Read this new article examining gender differences in symptom reporting at baseline across the lifespan by Rosemarie Moser, Lauren Olek, and Phil Schatz. https://academic.oup.com/acn/article/34/1/50/4840582

NFL players are Not all impaired

New finding on retired professional NFL players shows no linear association between concussion and cognitive impairment. Read this recent article by Lindy Fields, Nyaz Didehbani, John Hart, and Munro Cullum. https://www.researchgate.net/profile/Nyaz_Didehbani/publication/331607981_No_Linear_Association_Between_Number_of_Concussions_or_Years_Played_and_Cognitive_Outcomes_in_Retired_NFL_Players/links/5c895f60a6fdcc3817526125/No-Linear-Association-Between-Number-of-Concussions-or-Years-Played-and-Cognitive-Outcomes-in-Retired-NFL-Players.pdf

CTE reporting: Do no harm

In the spirit of do no harm, The Lancet publishes a call for balance when reporting on CTE.  The correspondence by a lengthy list of respected clinicians and researchers emphasizes the importance of balanced reporting and notes that misinformation about CTE can cause real harm to patients.  Read the statement here.

Supervised test administration in sports

Consistent with the Standards for Educational and Psychological Testing, SNS issues a Position Statement on Supervised Administration of Neuropsychological Tests in Sports.  Supervised test administration by qualified individuals greatly increases the likelihood of accurate and reliable test results, which is essential to support clinical decisions to return an athlete to play. http://www.sportsneuropsychologysociety.com/wp-content/uploads/2019/02/SNS-Statement-on-Supervised-Test-Administration-2019-FINAL.pdf

Biomarkers are not – and cannot – be the Holy Grail for concussion

Much work is being done in the search for blood-based markers that can be used to diagnose concussion.  Is this even a realistic aim?  To learn more about important caveats to consider read the recent series of articles by Asken, et al. Asken B, et al “Concussion Biomarkers Assessed in Collegiate Student-Athletes (BASICS) I” Neurology…

K-D use in professional football

Is the K-D a useful diagnostic tool in adult professional sports?  How are test findings best used in clinical situations?  Read the recent publication from Martin Mrazik, Ph.D. and his colleagues: https://www.liebertpub.com/doi/pdf/10.1089/neu.2017.5490 Dhiren Naidu et al. Sideline Concussion Assessment: The King-Devick Test in Canadian Professional Football, Journal of Neurotrauma (2018). DOI: 10.1089/neu.2017.5490

Impact of ATC’s on high school sports injuries

What is the importance of having athletic trainers on the sideline? Can their presence reduce overall injuries and improve identification of concussions? Read this article by Lauren Pierpoint, Cynthia LaBella, Christy Collins, Sarah Fields, & Dawn Comstock. https://injepijournal.springeropen.com/articles/10.1186/s40621-018-0159-6 Pierpoint, L .A., LaBella, C.R., Collins, C. L., Fields, S.K., & Comstock, D. (2018).  Injuries in girls’ soccer…

Media Headlines of concussion and CTE versus Good Science

Can science compete with media headlines to inform concussion policies? How can we can more accurately inform public policy that impacts sports participation? Take a look at this JAMA Pediatrics article from Chris Giza, William Stewart, & Mayumi Prins.   https://jamanetwork.com/journals/jamapediatrics/fullarticle/2686729 Giza, C. C., Stewart, W., & Prins, M. L. (2018). Building good policy from good science-The case for concussion…

Gender differences in symptom reporting across the youth age span

Do males and females report symptoms differently across the youth age span? Does gender or age matter more? Review this article by our very own Rosemarie Moser and Phil Schatz and Lauren Olek.   https://academic.oup.com/acn/advance-article-abstract/doi/10.1093/arclin/acy007/4840582?redirectedFrom=fulltext Moser, R.S., Olen, L., & Schatz, P. (2018). Gender differences in symptom reporting on baseline sports concussion testing across the youth…

Hockey players’ secrets to resilience

Do professional hockey players respond differently to concussions than non-athletes? Can our thinking change how we recover from a concussion? Check out this recent Forbes article from our own Dr. Sonia Mosch for a professional hockey perspective. Read the full article here – https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm596531.htm

Not a “Concussion Test”

An FDA press release issued on 2/14 announced, “FDA authorizes marketing of first blood test to aid in the evaluation of concussion in adults.”  Unfortunately, this headline does not accurately represent the approval, which is best captured by the release’s subtitle, “New quick testing option to help reduce need for CT scans, radiation exposure for patients.”  According…

Why do some athletes recover more quickly than others?

Why do some athletes recover more quickly than others? Are there any predictors to clinical recovery from concussion? Take a look at this review paper by SNS members Grant Iverson, Gary Solomon, and SNS president Donna Broshek. https://www.ncbi.nlm.nih.gov/pubmed/28566342

Should neuropsychologists use performance validity tests when evaluating student athletes?

Should neuropsychologists use performance validity tests when evaluating student athletes? If a student athlete produces optimal effort at one time of testing, does s/he produce optimal effort at all times of testing? What may be unique to measuring performance validity in student athletes? Take a look at this article by SNS members, Danielle Chase, Phil…

What role do sports neuropsychologists have in the evaluation and management of sports concussions?

What role do sports neuropsychologists have in the evaluation and management of sports concussions?  How do they work with other disciplines in caring for athletes?  What are unique challenges faced by sports neuropsychologists? Take a look at this article by SNS Board members, Summer Ott and Chris Bailey, and SNS President, Donna Broshek for a review of integrated care…

With computerized testing on the rise in youth sports, close examination of normative data becomes more important.

With computerized testing on the rise in youth sports, close examination of normative data becomes more important. Check out this paper by SNS members Erin Reynolds, Phil Schatz and Luke Henry presenting normative data from the ImPACT in 10-12 year old athletes. http://dx.doi.org/10.1080/21622965.2015.1057637