Conference poster
Head Injury - Soccer
Medicine and science in sports and exercise, v 49(5S), pp 22-23
May 2017
Abstract
HISTORY: A 16-year-old female soccer goalie sustained a head injury during a heading drill. The player reported a few awkward headers, including one that hit her in the back of the head. The player developed a headache and nausea, but had a normal evaluation by an athletic trainer on the sidelines. The trainer still removed the athlete from play due to the mechanism of injury and the player’s report of low-grade symptoms.
PHYSICAL EXAMINATION: The player reported only a mild headache at rest the following day when she presented to clinic. On clinical examination, the player had no symptoms or abnormalities with smooth pursuits, saccades, vestibulo-ocular reflex, visual motion sensitivity, convergence and accommodation tests.
DIFFERENTIAL DIAGNOSIS:
1. Concussion
2. Sub-concussive head injury
3. No concussion
TEST AND RESULTS:
- The player performed the physical examination both 1-day and 1-week post-injury while wearing a functional near-infrared spectroscopy (fNIRS) headband that recorded anterior prefrontal cortex oxygenation changes. Compared to her baseline, the player showed significantly different levels of oxygenation changes at 1-day post-injury that approached pre-injury levels but had not fully returned to baseline at 1-week post-injury.
- At clinical evaluation a week after injury, the player reported no symptoms at rest or during the physical examination. The clinician detected no abnormal findings on physical examination.
FINAL WORKING DIAGNOSIS:
Concussion with subclinical deficits
TREATMENT AND OUTCOMES:
1. At 1-day post-injury, the player was permitted to begin a return-to-learn plan as well as a return-to-play protocol.
2. The player was cleared to return to soccer at 1-week post-injury with resolution of symptoms and normal physical examination.
Metrics
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Details
- Title
- Head Injury - Soccer
- Creators
- Christina L Master - Children's Hospital of PhiladelphiaEileen P Storey - Children's Hospital of PhiladelphiaLei Wang - Drexel UniversityHasan Ayaz - Drexel UniversityOlivia Podolak - Children's Hospital of PhiladelphiaMatthew F Grady - Children's Hospital of Philadelphia
- Publication Details
- Medicine and science in sports and exercise, v 49(5S), pp 22-23
- Conference
- ACSM 2017 – American College of Sports Medicine Annual Meeting (Denver, Colorado, United States, 30 May 2017–03 Jun 2017)
- Number of pages
- 2
- Resource Type
- Conference poster
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000413842900059
- Other Identifier
- 991014878070904721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Sport Sciences