{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T09:55:45Z","timestamp":1783331745288,"version":"3.54.6"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"j_jom-2020-0106_abs_001_w2aab3b7c37b1b6b1aab1c16b1Aa\"><jats:title>Context<\/jats:title><jats:p>Concussion is among the most common injuries in athletes. Over the past 10 years, concussion knowledge has expanded, and guidelines for management have changed. Recent changes include recommendations against strict mental and physical rest after sustaining a concussion, a better recognition of preexisting conditions predisposing protracted concussion recovery, and the addition of preliminary patient counseling and education about the expected course of concussion recovery.<\/jats:p><\/jats:sec><jats:sec id=\"j_jom-2020-0106_abs_002_w2aab3b7c37b1b6b1aab1c16b2Aa\"><jats:title>Objective<\/jats:title><jats:p>To assess the impact of changes in concussion management on the duration of symptoms in middle school and high school athletes after sustaining a first-time, sports-related concussion.<\/jats:p><\/jats:sec><jats:sec id=\"j_jom-2020-0106_abs_003_w2aab3b7c37b1b6b1aab1c16b3Aa\"><jats:title>Methods<\/jats:title><jats:p>A retrospective review was performed of medical records of athletes who sustained a concussion between 2016 and 2018 and were treated by the same primary care physician (J.M.N) using the revised approach to concussion management described. Patients were included if they were 11 to 18 years old and had a diagnosis of first-time concussion sustained while playing organized sports. Athletes who sustained a concomitant injury or sustained a concussion outside of organized sports were excluded from the study; athletes lost to follow-up or with incomplete forms were also excluded. Each athlete\u2019s length of symptomatic time from his or her concussion was calculated. This data was then compared with a previously-published data set of athletes who sustained a concussion between 2011 and 2013, with the same inclusion criteria but a different approach to concussion management.<\/jats:p><\/jats:sec><jats:sec id=\"j_jom-2020-0106_abs_004_w2aab3b7c37b1b6b1aab1c16b4Aa\"><jats:title>Results<\/jats:title><jats:p>A total of 110 male and 72 female athletes (N=182) met the study\u2019s eligibility criteria. Collectively, athletes of both sexes from the 2016\u20132018 data set reported a higher incidence of preexisting conditions associated with prolonged concussion recovery compared with the data set of 2011\u20132013 athletes. However, both sexes from the 2016\u20132018 data set\u00a0also reported a shorter median duration of concussion symptoms compared with the 2011\u20132013 athletes (median duration 5 vs. 11\u00a0days for male athletes and 7 vs. 28\u00a0days for female athletes, respectively; p&lt;0.001).<\/jats:p><\/jats:sec><jats:sec id=\"j_jom-2020-0106_abs_005_w2aab3b7c37b1b6b1aab1c16b5Aa\"><jats:title>Conclusion<\/jats:title><jats:p>Recent changes in concussion management have led to decreased duration of symptoms among 11- to 18-year-old athletes with first-time, sports-related concussions. These management changes include advocating for early activity, recognizing preexisting conditions, and educating athletes about the realities of concussion recovery.<\/jats:p><\/jats:sec>","DOI":"10.1515\/jom-2020-0106","type":"journal-article","created":{"date-parts":[[2021,2,21]],"date-time":"2021-02-21T02:32:04Z","timestamp":1613874724000},"page":"49-56","source":"Crossref","is-referenced-by-count":5,"title":["First-time sports-related concussion recovery revisited: management changes and impact on recovery"],"prefix":"10.1515","volume":"121","author":[{"given":"John M.","family":"Neidecker","sequence":"first","affiliation":[{"name":"School of Osteopathic Medicine , Campbell University , Buies Creek , NC , USA"},{"name":"Orthopaedic Specialists of North Carolina , Raleigh , NC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Gealt","sequence":"additional","affiliation":[{"name":"Cooper Bone and Joint Institute, Cooper University Hospital , Camden , NJ , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Lambert","sequence":"additional","affiliation":[{"name":"School of Osteopathic Medicine , Rowan University , Stratford , NJ , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Luksch","sequence":"additional","affiliation":[{"name":"Rothman Institute , Philadelphia , PA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin D.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Miller School of Medicine , University of Miami , Miami , FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"2021022021043232447_j_jom-2020-0106_ref_001_w2aab3b7c37b1b6b1ab2b2b1Aa","doi-asserted-by":"crossref","unstructured":"McCory, P, Meeuwisse, WH, Dvorak, J, et al.. 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