• Neurosurgery · Oct 2014

    Review

    Establishing a clinical service for the management of sports-related concussions.

    • Erin Reynolds, Michael W Collins, Anne Mucha, and Cara Troutman-Ensecki.
    • *Sports Medicine Concussion Program and §Centers for Rehab Services, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and ‡University of Pittsburgh School of Medicine, Department of Orthopaedic Surgery, Pittsburgh, Pennsylvania.
    • Neurosurgery. 2014 Oct 1; 75 Suppl 4: S71-81.

    AbstractThe clinical management of sports-related concussions is a specialized area of interest with a lack of empirical findings regarding best practice approaches. The University of Pittsburgh Medical Center Sports Concussion Program was the first of its kind; 13 years after its inception, it remains a leader in the clinical management and research of sports-related concussions. This article outlines the essential components of a successful clinical service for the management of sports-related concussions, using the University of Pittsburgh Medical Center Sports Concussion Program as a case example. Drawing on both empirical evidence and anecdotal conclusions from this high-volume clinical practice, this article provides a detailed account of the inner workings of a multidisciplinary concussion clinic with a comprehensive approach to the management of sports-related concussions. A detailed description of the evaluation process and an in-depth analysis of targeted clinical pathways and subtypes of sports-related concussions effectively set the stage for a comprehensive understanding of the assessment, treatment, and rehabilitation model used in Pittsburgh today.

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