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SPORTS MEDICINE :
MEDICAL: CONDITIONS: CONCUSSIONS :
CHILDREN :
ADOLESCENTS :
EDUCATION: K-12:
Concussed Kids Need Break From School
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Concussed Kids Need Break From School
Published: Oct 27, 2013
Updated: Oct 27, 2013
By Cole Petrochko,
MedPage Today
http://www.medpagetoday.com/MeetingCoverage/AAP/42502
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ORLANDO -- Concussed kids should take time off from schoolwork, easing
back into academics with the help of a recovery team, according to new
pediatric guidelines presented here.
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Children and adolescents who've suffered a concussion should receive help
returning to academia in order to avoid making symptoms worse, and their
recovery should be a team effort among healthcare professionals, school
officials, and family members, according to Mark Halstead, MD, of
Washington University School of Medicine in St. Louis, and colleagues.
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"Unfortunately, because most children and adolescents look physically
normal after a concussion, school officials often fail to recognize the
need for academic or environmental adjustments," the authors wrote in a
clinical report in Pediatrics. "Cognitive difficulties, such as learning
new tasks or remembering previously learned material may pose challenges
in the classroom."
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In addition, before returning to sports or other full physical activities,
concussed kids should be able to perform at their "academic 'baseline,' "
they said. The report was also presented at the American Academy of
Pediatrics meeting.
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Concussions in children have been a topic of ongoing research in sports
medicine. An August 2010 study showed that the rate of children and teens
visiting emergency departments for brain injury rose sharply from the late
1990s to 2007.
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Studies have shown that concussions can have a lifelong impact on those
who suffer them, and that it's hard to predict how and how long a child's
symptoms will persist.
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snip
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One of the key features of the current guidelines is communication through
the recovery team, noted Michael de Riesthal, PhD, of the Pi Beta Phi
Rehabilitation Institute at the Vanderbilt Bill Wilkerson Center in
Nashville, Tenn.
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"Each team member needs to know what [his] role is and how to interact
with other members of the team," de Riesthal told MedPage Today.
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These teams should consist of a pediatrician or other healthcare provider
to evaluate the concussion and prescribe appropriate treatment; the family
to enforce rest and reduce stimulation during recovery; and two school
teams -- one for physical activity and one for academics.
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Early in injury, the school team should safeguard students from further
injury and adjust academic stress to an appropriate level for the injured
student. The injured student should be observed for which subjects
exacerbate symptoms. Return to regular levels of mental, social, and
physical activity should be gradual.
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The complete article may be read at the URL above.
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