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Concussion grading systems are sets of criteria used in sports medicine to determine the severity, or grade, of a concussion, the mildest form of traumatic brain injury. At least 16 such systems exist, [ 1 ] and there is little agreement among professionals about which is the best to use. [ 2 ]
Concussion, a type of mild traumatic brain injury that is caused by a direct or indirect hit to the head, body, or face is a common injury associated with sports and can affect people of all ages. A concussion is defined as a "complex pathophysiological process affecting the brain, induced by biomechanical forces". [1]
The Concussion Index algorithm is FDA cleared for use on patients 13–25 years of age with a GSC score of 15 and can be used with 72 hours of acute injury, for baseline and throughout recovery. BrainScope was originally cleared by the FDA as the Ahead 300 under 510(k) K161068 in September 2016. [ 7 ]
The questionnaire has displayed several flaws in implementation and its ability to accurately reflect test-taker experience. While the questionnaire includes symptoms non-specific to PCS, which allows for a broader range of diagnosis (i.e. of other conditions such as chronic pain), this is at the expense of precision. [9]
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
All cases of a concussion result in mandatory restricted duty for 24 hours followed by immediate reevaluation via the MACE. Similarly, the MACE is most effective if given within 24 hours of the injury event to fully gauge the level of possible brain injury. [2] The MACE has been distributed to all branches of the US military.
Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people.
Neuroimaging is the use of quantitative (computational) techniques to study the structure and function of the central nervous system, developed as an objective way of scientifically studying the healthy human brain in a non-invasive manner. Increasingly it is also being used for quantitative research studies of brain disease and psychiatric ...