{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T01:38:18Z","timestamp":1769305098387,"version":"3.49.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T00:00:00Z","timestamp":1591833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T00:00:00Z","timestamp":1591833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000765","name":"University College London","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000765","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Craniosynostosis correction involves major skull surgery in infancy\u2014a potential source of worry for parents when their treated children begin involvement in sports.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Electronic multiple choice survey of parents of children who had undergone craniosynostosis surgery in infancy using 5-point Likert scales.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Fifty-nine completed surveys were obtained from parents of children who had undergone previous craniosynostosis surgery. Mean age of children was 7.8\u00a0years (range 3\u00a0months to 22\u00a0years), with 36 non-syndromic and 23 syndromic cases. The most common surgery was fronto-orbital remodelling (18). Fifty-two of 59 were involved in athletic activity. The most intense sport type was non-contact in 23, light contact in 20, heavy contact in 4 and combat in 5. Participation level was school mandatory in 12, school club in 17, non-school sport club in 21 and regional representative in 2. One child had been advised to avoid sport by an external physician. Mean anxiety (1\u20135 Likert) increased with sport intensity: non-contact 1.7, light contact 2.2, heavy contact 3.5 and combat 3.6. Twenty-nine of 59 parents had been given specific advice by the Craniofacial Team regarding athletic activity, 28 of which found useful. Three sport-related head injuries were reported, none of which required hospitalisation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Little information exists regarding sports for children after craniosynostosis surgery. This study suggests that parental anxiety remains high, particularly for high impact\/combat sports, and that parents would like more information from clinicians about the safety of post-operative sporting activities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00381-020-04723-2","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T21:02:33Z","timestamp":1591909353000},"page":"287-290","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sporting activity after craniosynostosis surgery in children: a source of parental anxiety"],"prefix":"10.1007","volume":"37","author":[{"given":"Oloruntobi","family":"Rotimi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gu-Yun Paul","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juling","family":"Ong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. U. Owase","family":"Jeelani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5063-9943","authenticated-orcid":false,"given":"David J.","family":"Dunaway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3014-7428","authenticated-orcid":false,"given":"Greg","family":"James","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,11]]},"reference":[{"key":"4723_CR1","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1007\/s00381-012-1781-1","volume":"28","author":"W Lattanzi","year":"2012","unstructured":"Lattanzi W, Bukvic N, Barba M, Tamburrini G, Bernardini C, Michetti F, di Rocco C (2012) Genetic basis of single-suture synostoses: genes, chromosomes and clinical implications. Childs Nerv Syst 28:1301\u20131310. https:\/\/doi.org\/10.1007\/s00381-012-1781-1","journal-title":"Childs Nerv Syst"},{"key":"4723_CR2","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1159\/000495739","volume":"10","author":"J O'Hara","year":"2019","unstructured":"O'Hara J, Ruggiero F, Wilson L et al (2019) Syndromic craniosynostosis: complexities of clinical care. Mol Syndromol 10:83\u201397. https:\/\/doi.org\/10.1159\/000495739","journal-title":"Mol Syndromol"},{"key":"4723_CR3","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/j.neubiorev.2018.09.024","volume":"95","author":"SL Nijhof","year":"2018","unstructured":"Nijhof SL, Vinkers CH, van Geelen SM, Duijff SN, Achterberg EJM, van der Net J, Veltkamp RC, Grootenhuis MA, van de Putte EM, Hillegers MHJ, van der Brug AW, Wierenga CJ, Benders MJNL, Engels RCME, van der Ent CK, Vanderschuren LJMJ, Lesscher HMB (2018) Healthy play, better coping: the importance of play for the development of children in health and disease. Neurosci Biobehav Rev 95:421\u2013429. https:\/\/doi.org\/10.1016\/j.neubiorev.2018.09.024","journal-title":"Neurosci Biobehav Rev"},{"key":"4723_CR4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1093\/neuros\/nyaa057","volume":"36","author":"GA Davis","year":"2020","unstructured":"Davis GA, Makdissi M, Bloomfield P, Clifton P, Cowie C, Echemendia R, Falvey EC, Fuller GW, Green GA, Harcourt P, Hill J, Leahy K, Loosemore MP, McCrory P, McGoldrick A, Meeuwisse W, Moran K, Nagahiro S, Orchard JW, Pugh J, Raftery M, Sills AK, Solomon GS, Valadka AB (2020) Concussion guidelines in national and international professional and elite sports. Neurosurgery 36:6. https:\/\/doi.org\/10.1093\/neuros\/nyaa057","journal-title":"Neurosurgery"},{"key":"4723_CR5","doi-asserted-by":"publisher","unstructured":"Engelhardt J, Brauge D, Loiseau H (2020) Second impact syndrome. Myth or reality? Neurochirurgie. https:\/\/doi.org\/10.1016\/j.neuchi.2019.12.007","DOI":"10.1016\/j.neuchi.2019.12.007"},{"key":"4723_CR6","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1177\/0883073818790169","volume":"33","author":"GN McAbee","year":"2018","unstructured":"McAbee GN (2018) Are we permitting pediatric athletes with sports-related concussion to return to play too soon after concussion? J Child Neurol 33:759\u2013761. https:\/\/doi.org\/10.1177\/0883073818790169","journal-title":"J Child Neurol"},{"key":"4723_CR7","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1097\/SCS.0000000000006033","volume":"31","author":"AS Zerpe","year":"2020","unstructured":"Zerpe AS, Nowinski D, Ramklint M, \u00d6ster C (2020) Parents\u201c experiences of their child\u201ds craniosynostosis and the initial care process. 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