St Vincent Hospital, St Vincent Neuroscience Institute, Indianapolis, Indiana (Dr Janson); St Vincent Sports Performance, St Vincent Health, Indianapolis, Indiana (Messrs Nittoli and White); and Riley Hospital for Children, Indiana University Health, Indianapolis (Dr Tekulve).
J Head Trauma Rehabil. 2019 Jan/Feb;34(1):E10-E17. doi: 10.1097/HTR.0000000000000396.
Care after concussion is important for all patients, although especially critical in children and adolescents because of continued rapid brain growth and maturation. Postconcussion symptoms often lead to impaired school performance. Conflicting data regarding best return-to-learn practices make it difficult for school administrators to develop policies to best accommodate concussed students. We sought to assess high school principals' knowledge of concussion, the personnel responsible for implementing accommodations, and the overall willingness to enact recommended academic accommodations.
In our cross-sectional study, we surveyed 410 Indiana high school principals (157 responded). Assistant principals were excluded.
One-third of the respondents received academic accommodations training for concussed students and more than 80% were somewhat or very comfortable with academic management. Greater than 90% were willing to provide accommodations as long as necessary. However, nearly 40% of responding principals were unlikely or unwilling to implement accommodations for standardized testing. National and state data suggest the median Indiana high school should expect 30 and more concussions per year; more than 90% of principals estimated that fewer than 30 concussions occurred each year at their school.
The underestimation of concussion frequency highlights an opportunity for further education of high school principals to ensure all concussed students receive appropriate return-to-learn accommodations.
脑震荡后的护理对所有患者都很重要，儿童和青少年尤其重要，因为他们的大脑仍在快速生长和成熟。脑震荡后的症状常常导致学业成绩受损。关于最佳返校实践的相互矛盾的数据使得学校管理人员难以制定政策，以最好地适应脑震荡学生。我们旨在评估高中校长对脑震荡的认识、负责实施适应措施的人员以及全面实施建议的学术适应措施的意愿。
在我们的横断面研究中，我们调查了 410 名印第安纳州高中校长（157 名回应）。不包括副校长。
三分之一的受访者接受了脑震荡学生的学业适应训练，超过 80%的人对学业管理感到有些或非常舒适。超过 90%的人愿意提供必要的适应措施。然而，近 40%的回应校长不太可能或不愿意为标准化考试实施适应措施。国家和州的数据表明，印第安纳州的中学每年平均应有 30 次或更多的脑震荡；超过 90%的校长估计，他们学校每年发生的脑震荡少于 30 次。
对脑震荡频率的低估突显了进一步对高中校长进行教育的机会，以确保所有脑震荡学生都能获得适当的返校适应措施。
