Talk:Concussion

message: There is a lack of information in the research section about current research being conducted. I propose adding the following entry.
In 2014, the National Collegiate Athletic Association and the U.S. Department of Defense launched the largest concussion study in history -- the Concussion Assessment, Research and Education Consortium (CARE). The partnership between the NCAA and DOD formed because the organizations recognized that there were similarities in demographics and biomechanics behind the concussions experienced by college athletes and military personnel.          
The research study itself is being led by three career concussion researchers: Thomas W. McAllister, the Albert Eugene Sterne Professor and Chairman for the Indiana University School of Medicine Department of Psychiatry; Michael McCrea, Professor of Neurosurgery and Neurology and Director of Brain Injury Research at the Medical College of Wisconsin; and Steven Broglio, Associate Professor at the University of Michigan in the School of Kinesiology and Departments of Neurology and Physical Medicine and Rehabilitation. The study includes a clinical study core, which aims to define how concussion symptoms present and evolve over time in different people, and an advanced research core, which seeks to understand how the brain itself is affected by concussion and repetitive head impacts.  
To date, the study has received more than $46 million in funding from the NCAA and DOD.  More than 40,000 college athletes and cadets have been assessed across 30 college campuses and military service academies throughout the U.S., and more than 4,000 concussions have been analyzed from diagnosis and throughout treatment.
 
The first phase of the study has been completed and aims to study the acute effects of concussion and repetitive head impact exposure.  Ten research papers utilizing the first phase of CARE data have been published to date. The second phase of the study, which aims to assess the intermediate effects of concussion and repetitive head impacts, is in progress.  A long-term study, which could last 35 or more years, is also planned and will assess the potential long-term ramifications of concussion and repetitive head impact exposures.  It is the only long-term advanced research study of concussion and repetitive head impact exposure ever conducted.
--— Preceding unsigned comment added by Bdhendrickson (talk • contribs) 13:08, 18 July 2018 (UTC)
replies: text: Thanks for making a suggestion to improve the page.  This is heavily sourced from consortium websites and is somewhat promotional. This is unlikely to be implemented.  I've left a message at your talk page, User talk:Bdhendrickson. Jytdog (talk) 13:50, 18 July 2018 (UTC)
thread_title:  Request addition to research section 

message: Additionally, it is believed that the metabolic vulnerability, as a result of the energy crises, experienced after a concussion relates to the catastrophic effects that occur if re-injury occurs before recovery"Giza, C. C., & Hovda, D. A. (2014). The new neurometabolic cascade of concussion. 
Neurosurgery, 75 Suppl 4(0 4), S24-33. 147.9.36.67 (talk) 13:32, 6 December 2018 (UTC)
replies: text: Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. —KuyaBriBriTalk 15:15, 6 December 2018 (UTC)
thread_title:  Semi-protected edit request on 6 December 2018 

message: Under section 6.4 "Second impact syndrome" directly after 3rd sentence (ending with footnote 54), add "Additionally, it is believed that the metabolic vulnerability, as a result of the energy crises, experienced after a concussion relates to the catastrophic effects that occur if re-injury occurs before recovery." 
Giza, C. C., & Hovda, D. A. (2014). The new neurometabolic cascade of concussion. 
Neurosurgery, 75 Suppl 4(0 4), S24-33. Larostegui96 (talk) 20:33, 8 December 2018 (UTC)
replies: text: Not done: It is believed the idea that this metabolic vulnerability as described in the source over the course of 9 pages (according to the editor's submitted proposal containing the reference template parameter ) is an inordinate amount of individual pages needed to explain how that vulnerability relates to so-called catastrophic effects and re-injury. Either submit the verbatim exchange in the article which verifies the claim by using the  parameter, narrow down the page range, or submit another reference.   Spintendo  03:21, 9 December 2018 (UTC)
thread_title:  Semi-protected edit request on 8 December 2018 

message: Add under the "Research":
A novel model of awake closed-head injury has been developed in rats to study the effects of pre-clinical concussion. Early investigations showed deficits in reasoning and spatial memory up to 24 hours post-injury, with region-specific increases in ionized calcium-binding adaptor molecule 1 and glial fibrillary acidic protein (GFAP) at 3 days post-injury. This model demonstrates neuroinflammatory processes that persist beyond behavioural deficits.
Reference: https://www.ncbi.nlm.nih.gov/pubmed/30843474 [doi:10.1089/neu.2018.6169] Latelow (talk) 00:47, 30 October 2019 (UTC)
replies: text: Would you be okay with the following revised version of your edit?  Upsidedown Keyboard  (talk) 01:19, 13 November 2019 (UTC)
thread_title:  Semi-protected edit request on 30 October 2019 

message: Current ongoing research has demonstrated that there is a connection between concussions and increased lower extremity (LE) injury risk in sports. These lower extremity injuries can include acute fractures, muscle strains/tears, or ligament strains/ruptures. In a 90 day cohort study, researchers discovered that athletes returning to play post concussion were 2.48 times more likely to sustain a LE injury compared to control groups (Brooks 2016). 
Brooks, M. Peterson, K. Biese, K. Sanfilippo, J. Heiderscheit, B. Bell, D. 2016. Concussion Increases Odds of Sustaining a Lower Extremity Musculoskeletal Injury After Return to Play Among Collegiate Athletes. The American Journal of Sports Medicine. 44(3): 742-746. Victoriak33 (talk) 02:09, 23 November 2020 (UTC)
replies: text: Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate.  Seagull123  Φ  17:03, 23 November 2020 (UTC)
replies: text: I also noted that the proposed paper is a primary study (cohort study). Wikipedia communicates evidence a little differently than in academia, and the Wikipedia guideline for reliable sources in medicine suggests that secondary sources (see WP:MEDRS) are preferred over primary sources.  If you can find a systematic review or review article that summarizes this cohort study please share it here, along with your suggested article improvement. I would be happy to help. JenOttawa (talk) 20:53, 23 November 2020 (UTC)
thread_title:  Semi-protected edit request on 23 November 2020 

message: Hello,
We are a group of medical students from Queen's University. We are working to improve this article over the next two-weeks and will be posting our planned changes on this talk page. We look forward to working with the community and welcome any feedback regarding our suggestions. Thanks! RA10-2020 (talk) 20:16, 23 November 2020 (UTC)
replies: text: Thanks for this suggestion. I wonder if we can find a replacement for ref 70 (2005 primary research paper that is very outdated) at the same time? I will look as well. Anything over 2-4 years is very very outdated in concussion as the evidence base has changed significantly. This new systematic review may help for adolescent data but no quick fix IMO for updating this sentence. I know that this is beyond the scope of your assignment on Wikipedia, just leaving here in case someone has time before I circle back.JenOttawa (talk) 18:00, 2 December 2020 (UTC)

text: Great suggestion  for improving the return to school section. You highlight the need for 24-28 hours rest, however, on the flip side, Dr. Master's paper also says "prescribing strict rest beyond a couple of days has been shown to increase emotional symptoms in adolescents with acute concussion", highlighting newer research that prolonged rest can be detrimental to recovery and keeping kids out of school too long is not suggested (versus returning with accomodations when they are able to tolerate some school, after that brief but important 24-48 hrs cognitive rest). I think a paraphrased addition about a balance between the need for a short immediate 24-48 hrs maximum of complete rest and the evidence supporting kids to start resuming low-risk physical and cognitive activities as soon as they are able (they do not require med clearance to return to school) should be added to ensure that this accurately conveyed. Great re-use of your citation in this as well! JenOttawa (talk) 19:04, 3 December 2020 (UTC)

text: Hi! I find this a pretty outdated citation for concussion. I do know that there is a lot less research on elderly people with concussion though. I will keep an eye out as well to see if we can find a more recent secondary source to use. Please note: When you add your references while editing the actual article, you can see the options "automatic Manual Re-use". The first time you add the citation (if it is not already used in an article, click "automatic" and add your PMID, DOI, or website, then click "generate" to fill the template. The second time you want to use the same citation in an article, click "reusue" and search for your citation in the list. This adds in the a,b,c versus duplicating the citation in the list. If possible, practice this in your sandbox before editing live on Monday. Thanks very much! JenOttawa (talk) 03:30, 5 December 2020 (UTC)
thread_title:  Queen's University Student Editing Initiative 

message: In the 2nd paragraph, I noticed this sentence.  
"A full differential diagnosis by a physician or nurse practitioner is required to rule out life threatening head injuries, injuries to the cervical spine, and neurological conditions."
As a healthcare provider (physician assistant / PA / PA-C) working in emergency medicine, I find that sentence bizarre and misleading. Use of the phrase "differential diagnosis" in this context doesn't make much sense, or at least is very poorly worded. And specifically listing physician and nurse practitioner (but not physician assistant) is very weird, since all three professions do exactly the same thing when it comes to evaluating concussions.
A better way to word that sentence would be something like this:
"A thorough evaluation by a qualified medical provider (such as a physician, physician assistant, or nurse practitioner) is required to rule out life-threatening head injuries, injuries to the cervical spine, and neurological conditions."
(I noticed there's a similar sentence further down in the article, which should I would also recommend editing for improved accuracy.)
Thanks!
Ben Tanner, PA-C
:Thanks for suggesting this  I made this improvement. It is super helpful to have experts here helping! JenOttawa (talk) 02:25, 24 July 2021 (UTC)
thread_title:  Very strange sentence in the introduction - recommend changing 

message: In the "Prognosis" tab under "Pediatric concussion," change "Most children recovery completely..." to "Most children recover completely..." 2600:1700:1E31:300:751C:8020:E0CD:9499 (talk) 14:41, 21 November 2022 (UTC)
thread_title:  Semi-protected edit request on 21 November 2022 

message: In the Concussion#Diagnosis section, please change
:Brain imaging may be suggested. A brain CT or brain MRI should be avoided unless...
to
:Brain imaging may be suggested. A brain CT or brain MRI should be avoided unless...
or
:Brain imaging such as a CT scan or MRI may be suggested, but should be avoided unless...
Thank you. --173.67.42.107 (talk) 21:30, 21 February 2023 (UTC)
replies: text: I made this change.  thanks for posting.JenOttawa (talk) 13:36, 12 April 2023 (UTC)
thread_title:  typo edit request 

message: I have noticed a minor grammar error a few minutes ago within this part of the page:
"Symptoms may appear immediately or be delayed y 1-2 days."
It should be changed to:
"Symptoms may appear immediately or be delayed by 1-2 days."
(of course, without the bold text though... also, I know I'm logged out) 86.13.169.4 (talk) 16:07, 13 May 2023 (UTC)
replies: text: Fixed, thanks for flagging.JenOttawa (talk) 17:32, 15 May 2023 (UTC)
thread_title:  Minor grammar error 

message: I don't no what to right 102.89.43.255 (talk) 17:24, 17 May 2023 (UTC)
thread_title:  English notes thanks 

message: Please replace
 Resting completely for longer than 24–48 hours follow concussion 
as follows
 Resting completely for longer than 24–48 hours following concussion 
Thank you. 86.135.242.225 (talk) 10:04, 9 January 2024 (UTC)
replies: text: Rehsarb (talk) 12:45, 9 January 2024 (UTC)
thread_title:  Present participle needed