Tucker Pamela Maree, Strizak Jennifer, Rieger Brian, Lounsbury Steven, Leddy John
University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA.
Upstate Medical University Hospital, Syracuse, NY 13210, USA.
Children (Basel). 2024 Sep 30;11(10):1206. doi: 10.3390/children11101206.
"Return-to-play" and "return-to-learn" after a concussion are familiar concepts due to guidelines proposed by the Concussion in Sport Group and Heads-Up Initiative. The purpose of this commentary is to expand upon the current consensus guidelines for treatment of concussed children and adolescents, as well as provide guidelines for returning to physical education (RT-PE) classes. : The authors propose one general and four subtype-specific guidelines post-concussion injury. This framework highlights the role of physical therapists in the management of children with prolonged recovery. The final RT-PE determination should occur with documented medical clearance from a licensed healthcare provider trained in the evaluation and management of a concussion. : Despite significant gains regarding the management of concussed children and adolescents, confusion remains regarding RT-PE post-concussion. To eliminate ambiguity and promote adherence to a gradual return to activity protocols, the authors developed guidelines based on current evidence and recommendations.
由于运动性脑震荡小组和“抬头行动”倡议提出的指导方针，脑震荡后的“重返比赛”和“重返学习”是人们熟悉的概念。本评论的目的是扩展当前关于脑震荡儿童和青少年治疗的共识指南，并提供重返体育课（RT-PE）的指导方针。作者提出了一项一般性和四项特定亚型的脑震荡损伤后指导方针。该框架突出了物理治疗师在长期康复儿童管理中的作用。最终的重返体育课决定应该在有执照的医疗保健提供者提供的书面医疗许可下做出，该提供者应接受过脑震荡评估和管理方面的培训。尽管在脑震荡儿童和青少年的管理方面取得了显著进展，但脑震荡后重返体育课仍存在困惑。为了消除歧义并促进对逐步恢复活动方案的遵守，作者根据现有证据和建议制定了指导方针。
