Handbook of Neurological Sports Medicine

Part 1: General Concepts Chapter 1. Athletes and Neurological Injuries: A View From 10,000 Feet A Stroll Through History The Present Spectrum of Neurological Injury in Sports Concluding Thoughts References Chapter 2. Medicolegal Considerations in Neurological Sports Medicine With Increased Awareness Comes Increased Scrutiny The King of Concussions Negligence Duty and Breach Violation of a Statutory Duty Standard of Care Defined by Experts Standard of Care Established Through Literature, Rules, Protocols and Textbooks Good Samaritan Laws Proximate Cause Assumption of the Risk Theories of Negligence Cases of Interest NFL and NCAA Concussion Litigation Concluding Thoughts References Chapter 3. Having a Game Plan Developing an Emergency Action Plan Caring for Athletic Injuries Responsibilities of Host and Visiting Medical Staff Concluding Thoughts References Part 2: Sport-Related Head Injuries Chapter 4. Biomechanics, Pathophysiology, and Classification of Concussion Biomechanics and Basic Concepts Lessons Learned From Football Lessons Learned From Other Sports Pathophysiology of Concussion Classification of Concussion and Grading Systems Concluding Thoughts References Chapter 5. In the Trenches: Acute Evaluation and Management of Concussion Presentation Acute Evaluation Concluding Thoughts References Chapter 6. Neuroimaging and Neurophysiological Studies in the Head-Injured Athlete Standard Neuroimaging Advanced Structural Techniques Advanced Functional Techniques Neurophysiological Techniques Concluding Thoughts References Chapter 7. Neuropsychological Assessment in Concussion Use of Symptom Checklists Value of Neuropsychological Assessment of Concussion Issues With Computerized Assessments Other Considerations Other Issues Addressed by Neuropsychologists in the Assessment of Concussed Patients Concluding Thoughts References Chapter 8. Role of Balance Testing and Other Adjunct Measures in Concussion Balance Assessment in Concussion Emerging Technology and Future Directions for Adjunct Measures of Assessment in Concussion Concluding Thoughts References Chapter 9. Postconcussion Syndrome What's in a Definition Scope of the Problem A Neuroanatomical Substrate for Prolonged Symptoms Psychogenesis of PCS and PPCS A Modern Conceptual Framework for PCS and PPCS Concluding Thoughts References Chapter 10. Neuropathology of Chronic Traumatic Encephalopathy Definition of Chronic Traumatic Encephalopathy Posttraumatic Encephalopathy Versus Chronic Traumatic Encephalopathy Gross Morphology and Histomorphology of Chronic Traumatic Encephalopathy Concluding Thoughts References Chapter 11. The Emerging Role of Subconcussion A Working Definition Laboratory Evidence of Subconcussive Effects Clinical Evidence of Subconcussion Concluding Thoughts References Chapter 12. Severe Head Injury and Second Impact Syndrome Cerebral Contusions and Intraparenchymal Hemorrhage Traumatic Subarachnoid Hemorrhage Subdural Hematoma Skull Fractures Epidural Hematoma Diffuse Axonal Injury Arterial Dissection and Stroke Fatalities Other Posttraumatic Sequelae Second Impact Syndrome Concluding Thoughts References Chapter 13. Neurological Considerations in Return to Sport Participation History of Return to Play Symptom Complex and Identification Return to Play and Brain Abnormalities Addressing and Resolving Return to Play Issues Concluding Thoughts References Chapter 14. The Role of Pharmacological Therapy and Rehabilitation in Concussion The Decision to Treat Pharmacologically Somatic Symptoms Sleep Disturbance Symptoms Emotional Symptoms Cognitive Symptoms The Role of Rehabilitation in Concussion Management Concluding Thoughts References Chapter 15. The Research Behind Natural Neuroprotective Approaches to Concussion Eicosapentaenoic Acid and Docosahexaenoic Acid Curcumin Resveratrol Creatine Green Tea Caffeine Vitamins E and C Vitamin D Scutellaria baicalensis Examples of Other Neuroprotective Nutraceuticals Another Natural Approach: Hyperbaric Oxygen Therapy Concluding Thoughts Concluding Thoughts References Part 3: Sport-Related Injuries of the Spine and Peripheral Nervous System Chapter 16. Cervical, Thoracic, and Lumbar Spine Injuries: Types, Causal Mechanisms, and Clinical Features Background and Epidemiology Normal Anatomy Types of Tissue Injuries and Neurologic Syndromes Common Cervical Injuries and Conditions Common Thoracic Injuries Common Lumbar Injuries Concluding Thoughts References Chapter 17. Management of Spine Injuries, Including Rehabilitation, Surgical Considerations, and Return to Play On-the-Field Assessment Radiological Assessment Treatment and Rehabilitation Surgical Considerations Cervical Spine Injuries and Their Management and Treatment Cervical Spine Injury: Return to Play Thoracic and Lumbar Spine Injuries and Their Management Concluding Thoughts Chapter 18. Peripheral Nerve Injuries in Athletes Epidemiology Pathogenesis Clinical Evaluation Additional Testing Management Rationale Surgical Options: Primary Nerve Surgery Surgical Options: Secondary Surgery (Soft Tissue or Bony Reconstruction) Postoperative Management and Return to Play Legal Implications Concluding Thoughts References Part 4: Other Sport-Related Neurological Issues Chapter 19. Headaches in Athletics Clinical Approach and Assessment Commonly Recognized Headache Syndromes Coincidental to Sporting Activity Prolonged Sporting Activity as a Trigger for Commonly Recognized Headache Syndromes Primary Exertional Headache Headaches Attributed to Head or Neck Trauma Headaches Attributed to Sport-Specific Mechanisms Concluding Thoughts References Chapter 20. Heat Illness in Sports Background Contributory Factors in Heat Illness Prevention The Spectrum of Heat Illness and Management Return to Play Concluding Thoughts References

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• Medicina das lesões desportivas
• Medicina ambiental