This important conference was recently held and although I wish I had attended, I cannot wait for the consensus to be published.

In the meantime, here are some highlights taken from the IIHF website.

  • No return to play on same day
  • Discussions about SCAT3 (refinement of SCAT2) to exclude neck injury
  • Discussions about a revision of the pocket SCAT for non- health care personnel to recognise concussion
  • Discussions about a possible Child SCAT
  • Treatment of Concussion
    • Relative rest (not bed rest)
    • Proactive approach in treatment that could involve low level activity and therapy before symptoms have completely disappeared
  • Multimodal management of patients after one month
    • Low level activity
    • Psychology
    • Physiotherapy (neck, brain, vestibular)
    • Neuropsychological consult
  • Baseline Testing not necessary to evaluate patients’ post-concussion but SCAT could serve as an educational tool.
  • Computerised Neuropsychological testing is not necessary in most athletes who have a concussion but can be used in those whose concussion persists.
  • Pediatric Athlete
    • Concussions can last longer
    • Return to learn before return to sport
    • Return to learn a progressive stepwise process
  • Risk Reduction strategies
    • No evidence that helmets protect against concussion
    • No evidence that mouth guards prevent concussion
    • Evidence that full facemasks may decrease the time of recovery from concussion
    • Neck strengthening may help reduce concussions
    • Rule enforcement and no tolerance on head checking
    • Strict penalties for head checking
    • Body checking in pee wee hockey has led to increased concussions
  • Chronic Traumatic Encephalopathy (CTE) is a neurodegenerative disease that has been found in five hockey players and some NFL football players from brain biopsies taken after their death. No proof that there is a causal effect from concussion. More research is needed on the subject.
  • Translation of knowledge with new tools (App) and media
  • Legislation in 40 states in the U.S. and One province (Ontario) in Canada on concussions.

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One Response to 4th International Consensus Conference on Concussion in Sport

  1. melissa says:

    Do you know when the 4th Consensus will be published?

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