Document Detail


Central or peripheral? A positional stance in reaction to the Prague statement on the role of neuropsychological assessment in sports concussion management.
MedLine Citation:
PMID:  18775640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this paper is to clarify the role of neuropsychological assessment in sports concussion management in response to the Prague summary statement of the most recent international conference on concussion (McCrory, P., Johnston, K., Meeuwisse, W., Aubry, M., Cantu, R., Dvorak, J., et al. (2005). In the Prague statement it is proposed that there should be a new categorization of concussion ('simple' versus 'complex') to inform management of the injury, including the suggestion that neuropsychological assessment is not indicated for 'simple' concussion. However, from a neuropsychological perspective the Prague position is conceptually problematic. The present paper proposes on theoretical and empirical grounds, that neurocognitive evaluation is warranted for any concussive injury to increase diagnostic sensitivity and provide prognostic indications. Further, three levels of neurocognitive assessment and their professionally legitimate implementation (that are poorly defined in the Prague paper) are delineated. Recommendations are provided for consideration at the next international concussion meeting, with emphasis on giving due weight to the neuropsychological position.
Authors:
Ann B Shuttleworth-Edwards
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists     Volume:  23     ISSN:  1873-5843     ISO Abbreviation:  Arch Clin Neuropsychol     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-09     Completed Date:  2009-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9004255     Medline TA:  Arch Clin Neuropsychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  479-85     Citation Subset:  IM    
Affiliation:
National Sports Concussion Initiative (NSCI), Psychology Department, Rhodes University, Grahamstown, South Africa. a.edwards@ru.ac.za
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MeSH Terms
Descriptor/Qualifier:
Athletic Injuries / complications*,  physiopathology,  therapy*
Brain Concussion* / classification,  physiopathology,  therapy
Clinical Protocols / standards
Cognition / physiology*
Humans
Neuropsychological Tests / standards*
Paraguay
Practice Guidelines as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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