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

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