Sport-Related Concussions in High School Athletes: A Comprehensive Update

被引：0
作者：
Annabelle Shaffer [1 ]
Helen J. Kemprecos [1 ]
Maxwell G. Woolridge [2 ]
Nicholas D. Soulakis [3 ]
Paul M. Arnold [1 ]
机构：
[1] University of Illinois Urbana-Champaign, Carle Illinois College of Medicine, 506 S Matthews Ave, Urbana, 61801, IL
[2] College of Medicine, University of Florida, 1600 SW Archer Rd, Gainesville, 32610, FL
[3] Department of Health Informatics and Data Science, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, 2160 S 1st Ave, Maywood, 60153, IL
[4] Department of Neurological Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, 60153, IL
来源：
Current Neurology and Neuroscience Reports | 2025年 / 25卷 / 1期
关键词：
High school athletes; Return-to-learn; Return-to-sport; Sport concussion assessment tool; Sport-related concussion; Traumatic brain injury;
D O I：
10.1007/s11910-025-01419-5
中图分类号：
学科分类号：
摘要：
Purpose of Review: Sport-related concussions (SRC) in high school athletes are a growing public health concern, with recent advancements in epidemiology, pathophysiology, diagnosis, management, and prevention. We concisely summarize SRC in high school athletes, emphasizing current research and clinical implications. Recent Findings: Athletes are at significant risk of SRCs, with incidence varying by sport, sex, and competitive setting. Advances in pathophysiology highlight the role of metabolic disruption, inflammation, and axonal injury. Updated diagnostic tools, such as SCAT6, aid clinical evaluation, while advanced neuroimaging and biomarkers remain investigational. Return-to-sport/learn protocols emphasize a gradual, stepwise return. Preventative measures, including policy changes, neuromuscular training, and protective equipment, have reduced SRC incidence. Summary: Comprehensive SRC management includes recognition and removal from play followed by a structured return to sport/learning. Future research directions include biomarker validation, optimized prevention strategies, and long-term outcome assessment to reduce the burden of SRC in adolescent athletes. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2025.
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