Sports Concussion: Diagnosis, Management, And Long-Term Risk



Thursday, August 26, 2021 (US) | 
5:00 PM – 8:30 PM ET (US)

Friday, August, 27, 2021 (AUS)   | 7:00 AM – 10:30 AM (AUS)  

This one-day virtual workshop is designed to provide foundational information about sports-related concussion to practitioners. While the focus will be on sports-related concussion, the information is of value to all practitioners who work with concussed individuals. Both typical and complicated recovery will be discussed as well as long-term risks.

As a result of attending this workshop, participants will be able to:
1. Explain concussion diagnosis and typical recovery. 
2. List the individual factors that can influence recovery after sports-related concussion.
3. Explain how terminology about persisting symptoms after concussion can influence clinical care.
4. Describe the importance of individualized assessment and management of athletes with persisting symptoms after concussion.
5. Differentiate 20th century descriptions of neurological disorders in boxers from modern descriptions of chronic traumatic encephalopathy (CTE) and traumatic encephalopathy syndrome.
6. Describe the later life health issues of retired professional rugby league players.

Target Audience

Health care providers are the primary audience, including clinical psychologists, school psychologists, neuropsychologists, athletic trainers, pediatricians, school nurses, and others with an interest in treating concussion.

Instructional Level (introductory, intermediate, or advanced)
Introductory to intermediate

CE Credits 3.5 CE



 
When
8/26/2021 5:00 PM - 8:30 PM

Program


Thursday, 26 August 2021

 
This talk will provide an overview of concussion diagnosis, assessment methods, research gaps, and common misconceptions.
Time
5:00 PM - 5:45 PM
8/26/2021 5:00 PM

This presentation will focus on evidence-based predictors of prolonged recovery after sports-related concussion and the importance of identifying and treating specific persisting symptoms, including psychological factors. Changes in terminology and how this affects clinical care will also be discussed. Recommendations for treating psychological factors associated with prolonged recovery after concussion will be offered.
Time
5:45 PM - 6:30 PM
8/26/2021 5:45 PM

Hundreds of millions of children, adults, and older adults play or have played contact sports. In the past decade, concern has been raised that those exposed to repetitive mild neurotrauma during sports participation are at risk for problems with later life brain health. The Retired Professional Rugby League Players Brain Health Research Program is a large, multi-disciplinary, multi-national, and multi-year program of research examining later life brain health in former rugby league players from Australia. We will discuss the aims of the research program including: (i) determining if greater exposure to repetitive neurotrauma is associated with later life depression or cognitive impairment; (ii) reviewing the proportion of retired rugby players who meet the clinical criteria for Traumatic Encephalopathy Syndrome (TES); and (iii) improving the methodology for the post-mortem diagnosis of CTE.
Time
6:30 PM - 7:15 PM
8/26/2021 6:30 PM

In the 20th century, chronic traumatic encephalopathy (CTE) was conceptualized as a neurological disorder affecting some active and retired boxers who had tremendous exposure to neurotrauma. In recent years, the two research groups in the United States who have led the field have asserted definitively that CTE is a delayed-onset and progressive neurodegenerative disease, with symptoms appearing in midlife or decades after exposure. In the modern descriptions of post-mortem autopsy cases of former boxers and football players, between 2005 and 2012, the neuropathology attributed to CTE was broad and diverse. This diverse pathology, arising from multiple causes, was aggregated and referred to, in toto, as the pathology “characteristic” of CTE. Preliminary consensus criteria for defining the neuropathology of CTE were published in 2016. Most of the neuropathology described as characteristic of CTE in studies published before 2016 was not included in the 2016 research criteria for defining the pathology of CTE. In 2021, revised consensus criteria for defining the neuropathology of CTE were published. There are no validated criteria for diagnosing CTE, or traumatic encephalopathy syndrome, in a living person, and using the leading research criteria for clinical diagnosis, published in 2014, can result in very high false positive diagnostic rates. Consensus criteria for diagnosing traumatic encephalopathy syndrome, the clinical syndrome hypothesized to be associated with CTE neuropathology, were published in 2021 and will be discussed.
Time
7:15 PM - 8:00 PM
8/26/2021 7:15 PM

Time
8:00 PM - 8:30 PM
8/26/2021 8:00 PM

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