TY - JOUR PY - 2004// TI - Duration of cognitive impairment after sports concussion JO - Neurosurgery A1 - Bleiberg, Joseph A1 - Cernich, Alison N. A1 - Cameron, Kenneth L. A1 - Sun, Wenyu A1 - Peck, Karen A1 - Ecklund, P. James A1 - Reeves, Dennis A1 - Uhorchak, John A1 - Sparling, Molly B. A1 - Warden, Deborah L. SP - 1073 EP - 78; discussion 1078 VL - 54 IS - 5 N2 - OBJECTIVE: We sought to determine the duration of cognitive impairment after sports concussion. METHODS: We conducted a study with a prospective design in which 729 athletes underwent preseason baseline testing by being administered a computerized neuropsychological test battery, followed by retesting at regular intervals after they sustained sports-related concussions. A control group consisting of nonconcussed athletes drawn from the same baseline population underwent testing at parallel intervals. RESULTS: Cognitive impairment in this primarily American Academy of Neurology Grade II sample of boxing concussions was apparent on the day of injury and at 1 to 2 days postinjury. Recovery of cognitive performance occurred during the 3- to 7-day interval. Comparison with control subjects showed that absent or attenuated practice effects, in addition to frank deterioration from baseline, were indications of recent concussion. CONCLUSION: The present findings of recovery during the 3- to 7-day interval postinjury are consistent with the American Academy of Neurology Grade II return-to-play practice parameters suggesting a 1-week time-out from participation in contact sports.

Language: en

LA - en SN - 0148-396X UR - http://dx.doi.org/ ID - ref1 ER -