2013 Bulletin

NAN Fall Bulletin

Issue link: https://www.e-digitaleditions.com/i/215073

Contents of this Issue

Navigation

Page 29 of 31

Summary Neuropsychologists can play a pivotal role in the evaluation and management of a concussion in a child or adolescent. Essential components of the evaluation include a thorough definition of the injury's characteristics, followed by a full assessment of postconcussion symptoms, neuropsychological evaluation, and a definition of the child's risk history that may modify the course of recovery. Treatment of a concussion involves assisting the child and family to carefully guide physical and cognitive activity as the child gradually returns to their normal activity schedule. Dr. Gioia is a pediatric neuropsychologist and the Chief of the Division of Pediatric Neuropsychology at Children's National Medical Center, where he directs the Safe Concussion Outcome, Recovery & Education (SCORE) Program and two research core laboratories. He is Professor of Pediatrics and Psychiatry at the George Washington University School of Medicine. Dr. Gioia is a clinician, researcher, teacher/ trainer, and public health advocate for persons and families with brain injuries. He is an active researcher in the areas of the executive functions and youth concussions with a focus on the development of methods/ tools for the evaluation of post-concussion neuropsychological functioning. He works closely with the CDC on their "Heads Up" concussion educational programs, as a contributing author to their toolkits. Dr. Gioia has been an active participant in the International Concussion in Sport Group Consensus meetings, and was on the American Academy of Neurology Sports Concussion Guideline Author panel. He is the team neuropsychologist for the NHL's Washington Capitals and the NFL's Baltimore Ravens, multiple school systems, and numerous youth sports organizations in the BaltimoreWashington region. He consults with the local and National Governing Organizations of ice hockey, lacrosse, football, rugby, and soccer related to concussion management and is on the Medical Advisory Committee for USA Football. References 8. Fritz, G. K., Yeung, A., Wamboldt, M. Z., Spirito, A., McQuaid, E. L., Klein, R., et al. (1996). Conceptual and methodologic issues in quantifying perceptual accuracy in childhood asthma. Journal of Pediatric Psychology, 21, 153-173. 2. Echemendia, RJ, Iverson, GL, McCrea, M, Broshek, DK, Gioia, GA, Sautter, SW, Macciocchi, SN, & Barr, WB. (2012) Role of Neuropsychologists in the Evaluation and Management of Sport-related Concussion: An InterOrganization Position Statement. The Clinical Neuropsychologist, 27 (1), 119-122. 9. Sady, M.D., Vaughan, C.G., & Gioia, G.A. (2013) Psychometric Characteristics of the Post-Concussion Symptom Inventory (PCSI) in Children/Adolescents and their Parents. Submitted to Archives of Clinical Neuropsychology. 1. Halstead, ME, Walters, KD and The Council on Sports Medicine and Fitness. Sport-Related Concussion in Children and Adolescents. Pediatrics. 2010;126: 597 -615. 3. De Los Reyes, A. & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework and recommendations for further study. Psychological Bulletin, 131, 483-509. 4. Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007a). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL 4.0 generic core scales. Health and Quality of Life Outcomes, 5. 10. Catroppa, C., Anderson, V., Morse, S., Haritou, F., & Rosenfeld, J. (2007). Children's attentional skills 5 years post-TBI. Journal of Pediatric Psychology, 32, 354–369. 11. Babikian, T., & Asarnow, R. (2009). Neurocognitive outcomes and recovery after pediatric TBI: Meta-analytic review of the literature. Neuropsychology, 23, 283–296. 12. Schatz, P., Pardini, J. E., Lovell, M. R., Collins, M. W., & Podell, K. (2006). Sensitivity and specificity of the ImPACT Test Battery for concussion in athletes. Archives of Clinical Neuropsychology, 21, 91–99. 5. Gioia, GA & Collins, MW. Acute Concussion Evaluation. In "Heads Up: Brain Injury in Your Practice" tool kit developed by the Centers for Disease Control and Prevention (CDC). 2006. http://www.cdc.gov/concussion/ headsup/pdf/ACE-a.pdf 13. Kirkwood, M. W., Yeates, K. O., Taylor, H. G., Randolph, C. R., McCrea, M., & Anderson, V.A. (2008). Management of pediatric mild traumatic brain injury: A neuropsychological review from injury through recovery. The Clinical Neuropsychologist, 22, 769-800. 6. Centers for Disease Control and Prevention (CDC). National Center for Injury Prevention and Control. Heads Up: Brain Injury in your Practice. Atlanta (GA): Center for Disease Control and Prevention; 2007. http://www. cdc.gov/ncipc/tbi/Physicians_Tool_Kit.htm. 14. Echemendia, R.J., Iverson, G.L., McCrea, M., Macciocchi, S.A., Gioia, GA., Putukian, M., & Comper, P. (2013). Advances in neuropsychological assessment of sport-related concussion. British Journal of Sports Medicine, 47, 294-298. 7. Gioia, G. A., Schneider, J. C., Vaughan, C. G. & Isquith, P. K. (2009). Which symptom assessments and approaches are uniquely appropriate for paediatric concussion? British Journal of Sports Medicine, 43(Suppl I), i13– i22. 15. Sady, M.D., Vaughan, C.G. & Gioia, G.A. School and the Concussed Youth: Recommendations for Concussion Education and Management. Physical Medicine and Rehabilitation Clinics of North America. 2011;22: 701-719. 30 | Bulletin vol. 27 no. 2

Articles in this issue

Links on this page

view archives of 2013 Bulletin - NAN Fall Bulletin