Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 22, Issue 2, pp 235–246 | Cite as

A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion

  • Michael W. Collins
  • Anthony P. Kontos
  • Erin Reynolds
  • Christopher D. Murawski
  • Freddie H. FuEmail author
Sports Medicine



The purpose of this paper is to discuss risk and prognostic factors for concussion outcomes, review comprehensive approaches to assessment, and describe a new method for conceptualizing treatment for sport-related concussion using clinical experience.


Based on the current literature of sport-related concussion and clinical experience, an approach for conceptualizing concussion care using clinical trajectories and targeted treatments was developed.


A comprehensive approach to assessment and targeted treatments for sport-related concussion was developed using specific clinical trajectories.


Sport-related concussions are heterogeneous and require an individualized clinical approach. The use of a comprehensive approach for assessing specific clinical trajectories following a sport-related concussion will help clinicians better conceptualize this injury. Clinicians can then match targeted treatment pathways to specific clinical trajectories to accelerate safe return to play for athletes following a sport-related concussion.

Level of evidence



Concussion Mild-traumatic brain injury Neurocognitive testing Return to play 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Michael W. Collins
    • 1
  • Anthony P. Kontos
    • 1
  • Erin Reynolds
    • 1
  • Christopher D. Murawski
    • 2
  • Freddie H. Fu
    • 2
    Email author
  1. 1.Department of Orthopaedic SurgeryUPMC Sports Medicine Concussion ProgramPittsburghUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of Pittsburgh School of MedicinePittsburghUSA

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