TY  - JOUR
PY  - 2019//
TI  - What factors must be considered in 'return to school' following concussion and what strategies or accommodations should be followed? A systematic review
JO  - British journal of sports medicine
A1  - Purcell, Laura K.
A1  - Davis, Gavin A.
A1  - Gioia, Gerard A.
SP  - 250
EP  - 250
VL  - 53
IS  - 4
N2  - OBJECTIVE: To evaluate the evidence regarding (1) factors affecting return to school (RTS) and (2) strategies/accommodations for RTS following a sport-related concussion (SRC) in children and adolescents. <br><br>DESIGN: A systematic review of original studies specifically addressing RTS following concussion in the paediatric and sporting context. DATA SOURCES: MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid) electronic databases and the grey literature OpenGrey, ClinicalTrials.gov and Google Advanced. ELIGIBILITY CRITERIA: Studies were included if they were original research on RTS following SRC in children aged 5-18 years published in English between 1985 and 2017. <br><br>RESULTS: A total of 180 articles were identified; 17 articles met inclusion criteria. Several factors should be considered for RTS after concussion, including: symptomatology; rest following injury; age/grade; and course load. On RTS after concussion, 17%-73% of students were provided academic accommodations or experienced difficulty with RTS. Students were more likely to obtain academic accommodations in schools with a concussion policy if they had a medical RTS letter and had regular medical follow-up after concussion. <br><br>CONCLUSIONS: Schools should have a concussion policy and offer individualised academic accommodations to students recovering from SRC on RTS; a medical letter should be provided to facilitate provision/receipt of academic accommodations; students should have early, regular medical follow-up following SRC to help with RTS and monitor recovery; students may require temporary absence from school after SRC; clinicians should assess risk factors/modifiers that may prolong recovery and require more intensive academic accommodations. PROSPERO REGISTRATION NUMBER: CRD42016039184.<br><br>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.<p />  <p>Language: en</p>
LA  - en
SN  - 0306-3674
UR  - http://dx.doi.org/10.1136/bjsports-2017-097853
ID  - ref1
ER  -