Our Concussion Program's Research and News

Research Studies

ImPACT® 
ImPACT® data that has been collected on high school athletes is currently being analyzed to examine gender effects, symptoms effecting recovery, and possible return to play decisions based on a database of over 10,000 visits when ImPACT was administered.  This includes multiple investigators across the multi-disciplinary team at Children’s and involves three separate studies.

Functional magnetic resonance imaging (fMRI)
Advanced fMRI technology, morphometry, and cardiovascular paradigms are being utilized to assess frontal lobe function in the brain for high school football players.  This includes neuropsychological testing and ImPACT to monitor recovery of function and symptoms affecting our communities athletes.  This initiative was grant funded and is open thought the current football season.

Outcomes
We are presently analyzing data from our outcomes study for concussion education and the impact this has had on practice patterns for our local pediatricians. Using our continuing medical education (CME) modules via the web, the Children's Concussion program has created a venue from which further education can be gained from our primary care settings to provide quality care at a lower cost.

Recent Publications
"Clinical Commentary: Pediatric Sports Specific Return to Play Guidelines following Concussion"
Authors: Keith H. May, P.T., D.P.T., S.C.S., A.T.C., C.S.C.S., David L. Marshall, M.D., Thomas G. Burns, Psy.D., ABPP/CN, David M. Popoli, M.D., John A. Polikandriotis, Ph.D., MBA, MPH, FACHE. The International Journal of Sports Physical Therapy. Volume 9, Number 2. April 2014. Page 242

"CHOA concussion consensus: establishing a uniform policy for academic accommodations
Authors: David Popoli, M.D., Thomas G. Burns, Psy.D., ABPP/CN,, Meehan WP 3rd, Andrew Reisner, M.D. Clinical Pediatrics. 2014 Mar;53(3):217-24. doi: 10.1177/0009922813499070. Epub 2013 Aug 19.

  • Book Reviews, Papers and Articles
      "Clinical Commentary: Pediatric Sports Specific Return to Play Guidelines following Concussion"
      Authors: Keith H. May, P.T., D.P.T., S.C.S., A.T.C., C.S.C.S., David L. Marshall, M.D., Thomas G. Burns, Psy.D., ABPP/CN, David M. Popoli, M.D., John A. Polikandriotis, Ph.D., MBA, MPH, FACHE. The International Journal of Sports Physical Therapy. Volume 9, Number 2. April 2014. Page 242

      "CHOA concussion consensus: establishing a uniform policy for academic accommodations
      Authors: David Popoli, M.D., Thomas G. Burns, Psy.D., ABPP/CN,, Meehan WP 3rd, Andrew Reisner, M.D. Clinical Pediatrics. 2014 Mar;53(3):217-24. doi: 10.1177/0009922813499070. Epub 2013 Aug 19.

      - "Concussion in Children."Dr. Reisner and the Children’s concussion team take a look at the history of concussions and provide insight into the definitions, guidelines and treatments for a condition that affects millions of children each year. Authors: Andrew Reisner, M.D., F.A.C.S., F.A.A.P.; Natalie Tillman, R.N., B.S.N.; Linda Cole, R.N.; Elizabeth Atkins, R.N.; Greg Pereira, R.N., B.S.N., M.B.A., Mary Thacher, R.N., MSN, CEN.   Concussions in Children.  Neuro Update Vol 5, Issue 1, 2011.

      - "Clinical Commentary: Pediatric Sports Specific Return to Play Guidelines following Concussion", Keith H. May, P.T., D.P.T., S.C.S., A.T.C., C.S.C.S., David L. Marshall, M.D., Thomas G. Burns, Psy.D., ABPP/CN, David M. Popoli, M.D., John A. Polikandriotis, Ph.D., MBA, MPH, FACHE. The International Journal of Sports Physical Therapy. Volume 9, Number 2. April 2014. Page 242

      - "CHOA concussion consensus: establishing a uniform policy for academic accommodations"  David Popoli, M.D., Thomas G. Burns, Psy.D., ABPP/CN,, Meehan WP 3rd, Andrew Reisner, M.D. Clinical Pediatrics. 2014 Mar;53(3):217-24. doi: 10.1177/0009922813499070. Epub 2013 Aug 19.

      - Burns, T.G. & Yosick, R.  (2012).  Book Review: Kirkwood, M.W., & Yeates, K.O.  (2012). Mild Traumatic Brain Injury in Children and Adolescents: From Basic Science to Clinical Management.  New York, NY.  The Guilford Press.  Applied Neuropsychology: Child, 2(1), pp.78-79.

       - Arenivas, A. & Burns, T.G.  (2012).   Recent Trends in Pediatric and Adolescent Concussion:  How to Diagnose and Treat This Condition.  Book Review:  Apps, J.N. & Walter, K.D.  (Eds).  (2012). Pediatric and Adolescent Concussion:  Diagnosis, Management, and Outcomes.  New York:  Springer.  The Clinical Neuropsychologist, 1-3.

      - May, K.M., Marshall, D.L., Burns, T.G., Popoli, D.M., & Polikandriotis, J.A.  (2014).  Pediatric Sports Specific Return to Play Guidelines Following Concussion.  International Journal of Sports Physical Therapy, 9(2),  pp. 242-255.

      - Popoli, D.M., Burns, T.G., Meehan, W.P., Reisner, A.  (2014).  CHOA Concussion Consensus:  Establishing a Uniform Policy for Academic Accommodations.  Clinical Pediatrics, 53(3), pp. 217-224.

      - American Academy of Pediatrics. Point of Care Quick Reference: Head Injuries. Pediatric Care Online.

      - Atabaki SM. Pediatric head injury. Pediatrics in Review. 2007 Jun; 28(6): 215-24.

      - Bin, SS, Schutzman SA and Greenes DS. Validation of a clinical score to predict skull fracture in head injured infants. Ped Emer Care 26 (9) Sept 2010: 633-639.

      - Brody AS, Frush DP and Brent RL Radiation risk to children from computed tomography. PED 120(3) Sept 2007; 677-682.

      - Centers for Disease Control and Prevention. Heads up: Concussion in youth sports.

      - Hall Eric J. Lessons we have learned from our children: cancer risks from diagnostic radiology. Pediatr Rad (2002)32:700-706.

      - Kluger J. (2011, January 31). Headbanger Nation. Time, 177, 42-51.

      - Kupperman N et al. Identification of Children at very low risk of clinically important brain injuries after head trauma: a prospective cohort study. Lancet 2009: 374:1160-70.

      - Palchak MJ et al. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Ann Emer Med Oct 2003: 42:4; 492-506.

      - Palchak MJ et al. Does an isolated history of low of consciousness or amnesia predict brain injuries in children after blunt head trauma? PED 113:6; June 2004; e507-513.

      - Pauline Anderson. (2010, September 10). New Guidance on Management of Increasing Problem of Sports-Related Concussions in Children. Medscape Medical News.

      - Practice Guidelines: The Management of Minor Closed Head Injury in Children. PED 1998; 104; 6:1407-1415.

      - Schnadower D et al. Controversies in the evaluation and management of minor blunt head trauma in children. Curr Opin Ped 2007;19:258-264.Schutzman SA et al. Evaluation and management of children younger than two years old with apparently minor head trauma: proposed guideleins. PED 107(5) May 2001 983-993.


  • Poster Presentations
      Reisner, A., Jain, S., Chern, J., Bookland, M.J., Weselman, L., Hall, L., Burns, T.G., Hogan, E., & Waldner, D. (2014). Effect of a Community Education Program on Pediatrician’s Management of Concussion. Poster presented to the World Congress on Controversies in Pediatrics in Prague, Czech Republic on April 24, 2014. Abstract published in the CoPedia – Perinatal Medicine, P14.

      Jain S, Reisner A, Weselman B, Chern J, Salzberg N, Hall LB, Burns TG Impact of a Concussion Education Program on the Management of Concussions. Society for Academic Emergency Medicine annual meeting, Dallas, May 2014. 

      Herzog, M., Polikandriotis, J., Burns, T.G., & Drews, C. (2014). Prevalence of Undiagnosed Concussion in Adolescent Athletes Based on Neuropsychological Declines. Presented as an oral presentation to the Council on Sports Medicine & Fitness at the American Academy of Pediatrics in San Diego, CA on October 11, 2014.

      Hall, L.B., Reisner, A., Jain, S., Chern, J.J., Weselman, B., Hogan, E., Speake, K., Johnson, E., Hatcher, B., Polikandriotis, J.A., Clark, G., Marshall, D., Waldner, D., Licata, R.M., Burns, T.G. (2014). Effects of a Community Education Program on Pediatrician’s Management of Concussions. Poster presented to the National Neurotrauma Society and the abstract published in the Journal of Neurotrauma, 31(12), p. A-60.

      Hayes, L.L., Arenivas, A., Sun, B., Jones, R.A., Burns, T.G., Palasis, S. (2014). Altered Neural Activation in Children with Sports Related Concussion. Oral Presentation to the Society of Pediatric Radiology (SPR) Annual Meeting in Washington, DC.

      Arenivas, A., King, T.Z., Sun, B., McManus, S.M., Brewster, R., Hayes, L., & Burns, T.G. (2014). Neural Activation on a Working Memory functional MRI task in Pediatric Sports-Related Concussion. Paper Presentation to the International Neuropsychological Society and abstract published in the Journal of the International Neuropsychological Society (in press).
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Video: A dangerous injury on the rise in kids

A dangerous injury on the rise in kidsView

A recent report said that there is a major increase in the number of children visiting the emergency room for suspected concussions. I met with Dr. Andrew Reisner, a pediatric neurosurgeon at Children's Healthcare of Atlanta, to discuss what exactly concussions are and what you need to know to protect your children.

 
   
 
PatientStory
  • Alert Parent Spots Subtle Concussion Symptoms

    Bret was tackled by a much larger football player. He complained of a headache and sleepiness for the rest of the night and, two days later, his pupils were dilated and he was feeling nauseated.

    His mom knew the symptoms of a concussion and took him to Children's for treatment.