A recent literature review conducted by Danielle DuPlessis et al. investigated the use of multi-domain assessments in tracking the recovery from concussion in both sports-related and military contexts. The study, published in Physical Therapy in Sport, found a strong preference for dual-task assessments, specifically, combinations of walking on a level surface while the participant answered questions.

In June, Leadership Team Member Dr. Elizabeth Sandel and I had the opportunity to (separately) talk with Tove Danovich for The Atlantic article The Standard Advice for Concussions Is Wrong. Tove and I had an in-depth conversation, and the article was published in The Atlantic on October 6th; the article includes a quote from me and two quotes from Dr. Sandel, Board Chair for Concussion Alliance.

We are excited to announce the publication of a new resource on our website, addressing concussions in Individuals with a Pre-Existing Disability. To our knowledge, this is the only resource of its kind on the web; it includes up-to-date research on how pre-existing disabilities impact the diagnosis, treatment, and recovery from concussions.

In a study presented at the American Neurological Association annual meeting, researcher Catherine M. McDonald, PhD, RN, FAAN, found that many adolescents with concussions return to driving sooner than might be safe. Robert Herpen, in an article for Helio, notes, “Those with concussion had more trouble with decision-making and reaction times than those without.” 

Did you know that “87% of brain injury survivors feel that fatigue has a negative impact on their life”? This high percentage was a finding from a study about fatigue after TBI by the UK charity Headway. A web page from Headway’s informational website shares important recommendations regarding coping with fatigue following a brain injury. These helpful instructions come from Headway’s Managing fatigue after brain injury booklet.

Recent findings from a study published in American Journal of Physical Medicine and Rehabilitation revealed that using a speech-language pathology screening checklist may prove beneficial in predicting the need for a speech-language pathology referral for pediatric concussions.

Research published in Nature Medicine by Mitchell and colleagues found that MDMA-assisted manualized inner-directed therapy (MDMA-AT) is a more effective treatment than manualized inner-directed therapy alone for improving moderate to severe post-traumatic stress disorder (PTSD).

A retrospective cohort study by Jacob Jo et al. revealed that sport-related concussions occurring during the early third of the season exhibited a quicker resolution of symptoms than those occurring in the later third of the season, although this finding did not remain statistically significant in a multivariate analysis.

A cross-sectional study published in JAMA Network Open found that participation in organized American football was associated with higher rates of reported parkinsonism or Parkinson’s disease diagnosis.

According to a study done by Moran et al., hormonal contraceptives do not appear to influence neurocognition and oculomotor baseline assessment measures for sport-related concussion (SRC).

Results from a recent study published in the Clinical Journal of Sports Medicine indicated that youth with exercise-induced vision dysfunction following sport-related concussion were at “a 3-folder greater risk” of developing persistent post-concussive symptoms (PPCS) compared to those without exercise-induced vision dysfunction.

A study published in the Journal of Neuroinflammation found that athletes with PPCS due to sports-related concussions (SRC) have elevated levels of inflammation in the brain. Of 27 cerebrospinal fluid (CSF) biomarkers of inflammation tested for, eight were significantly higher in athletes with PPCS compared to healthy controls.

Some people recover quickly from headache after concussion, but others take much longer. How do we know as soon as possible what will be the case for someone who has had a concussion? A recent study in Cephalalgia by Marbil and colleagues tracked the progression of headaches over time in children after a new concussion. They found that post-concussion headaches were common and were more severe in those with a history of headache prior to concussion.

A recent study in the Journal of Athletic Training explored the role of mental health in predicting lower extremity musculoskeletal injuries (LE MSK) after sports-related concussions in NCAA student-athletes. Previous research has found that the rate of LE MSK is elevated post-concussion, although the cause of this increased rate is unknown. In addition, poorer mental health is common post-concussion.

A review article by Stefanie Howell in the Psychiatric Times provides information to identify sleep-wake disturbances after traumatic brain injury (TBI), along with current diagnostic and treatment strategies. Although Howell writes generally about TBI (presumably of all severities), she notes that sleep-wake disturbances may develop after mild TBI (concussion), and several of the studies she references are specifically about mild TBI.

In this New York Times article, Christina Caron discusses one of the most effective therapy treatments: Cognitive Behavioral Therapy (CBT). However, it’s not only used in clinical psychology––but also to treat a common experience: insomnia. Most people have experienced insomnia at one point in their life or another. However, for some, insomnia is a constant in their lives; one in 10 adults has chronic insomnia, and it is a common symptom after a concussion.

New research from NYU Langone Health reveals that a diagnosis of hypertension in those who received concussion care was strongly linked to a longer concussion recovery period compared to those without hypertension. The data also showed that hypertension was related to an increased likelihood of a post-concussion syndrome diagnosis.

The Q-collar is commonly referred to as a concussion-prevention method, although the company says the Q-collar helps “protect the brain” of contact athletes over a season of play. However, limitations include not being “demonstrated to prevent long-term cognitive function deficits,” no evaluation of clinical outcome impacts, and the data not “demonstrating that the device can prevent concussion or serious brain injury.”

In June, Leadership Team Member Dr. Elizabeth Sandel and I had the opportunity to (separately) talk with Tove Danovich for an article about concussions and why it’s so hard for patients to find care. Danovich's article, The Standard Advice for Concussions is Wrong, was published in The Atlantic on October 6, 2023.

This September, Concussion Alliance CEO and Co-Founder Conor Gormally presented at Touro College of Osteopathic Medicine as part of the college’s Clinical Integrations series, which spotlights patient voices and experiences to humanize and make concrete the academic and intellectual learning of medicine in the first two years of medical school education.