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Concussion in Alpine Ski

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Alpine Skiing Injuries

Part of the book series: Sports and Traumatology ((SPORTS))

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Abstract

Head injuries are a serious problem in every sports. Despite the injury prevention efforts, concussion does not decrease in frequency and they can have serious consequences. This is why it is very important to know them, recognize them, and be able to manage them.

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References

  1. Ackery A, Hagel BE, Provvidenza C, Tator CH (2007) An international review of head and spinal cord injuries in alpine skiing and snowboarding. Inj Prev 13(6):368–375

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. (CSN) EN 1077 (2007) Helmets for alpine skiers and snowboarders: European standards. http://www.en-standard.eu/csn-en-1077-helmets-for-alpine-skiers-and-snowboarders/. Accessed 27 Jan 2014

  3. Hagel BE, Pless IB, Goulet C, Platt RW, Robitaille Y (2005) Effectiveness of helmets in skiers and snowboarders: case-control and case crossover study. BMJ 330(7486):281

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sulheim S, Ekeland A, Holme I, Bahr R (2017) Helmet use and risk of head injuries in alpine skiers and snowboarders: changes after an interval of one decade. Br J Sports Med 51(1):44–50

    Article  PubMed  Google Scholar 

  5. Steenstrup SE, Bere T, Bahr R (2014) Head injuries among FIS World Cup alpine and freestyle skiers and snowboarders: a 7-year cohort study. Br J Sports Med 48(1):41–45

    Article  PubMed  Google Scholar 

  6. McBeth PB, Ball CG, Mulloy RH, Kirkpatrick AW (2009) Alpine ski and snowboarding traumatic injuries: incidence, injury patterns, and risk factors for 10 years. Am J Surg 197(5):560–563

    Article  PubMed  Google Scholar 

  7. Haaland B, Steenstrup SE, Bere T, Bahr R, Nordsletten L (2016) Injury rate and injury patterns in FIS World Cup alpine skiing (2006–2015): have the new ski regulations made an impact? Br J Sports Med 50(1):32–36

    Article  PubMed  Google Scholar 

  8. Oslo Sport Trauma Research Center : FIS Injury Surveillance System 2006–2016. http://www.fisski.com/mm/Document/documentlibrary/Medical/08/57/62/FIS_ISS_report_2015-16_Neutral.pdf

  9. Giza CC, Hovda DA (2014) The new neurometabolic cascade of concussion. Neurosurgery 75(Suppl 4):S24–S33

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kamins J, Giza CC (2016) Concussion-mild traumatic brain injury: recoverable injury with potential for serious sequelae. Neurosurg Clin N Am 27(4):441–452

    Article  PubMed  PubMed Central  Google Scholar 

  11. Laker SR (2015) Sports-related concussion. Curr Pain Headache Rep 19(8):41

    Article  PubMed  Google Scholar 

  12. Sufrinko A, Pearce K, Elbin RJ, Covassin T, Johnson E, Collins M, Kontos AP (2015) The effect of preinjury sleep difficulties on neurocognitive impairment and symptoms after sport-related concussion. Am J Sports Med 43(4):830–838

    Article  PubMed  Google Scholar 

  13. Covassin T, Elbin RJ, Harris W, Parker T, Kontos A (2012) The role of age and sex in symptoms, neurocognitive performance, and postural stability in athletes after concussion. Am J Sports Med 40(6):1303–1312

    Article  PubMed  Google Scholar 

  14. Cantu RC (1992) Cerebral concussion in sport. Management and prevention. Sports Med 14(1):64–74

    Article  CAS  PubMed  Google Scholar 

  15. American Academy of Neurology (1997) Practice parameter: the management of concussion in sports (summary statement): report of the quality standards subcommittee. Neurology 48:581–585

    Article  Google Scholar 

  16. Saunders R, Harbaugh R (1984) The second impact in catastrophic contact-sports head trauma. JAMA 252:538–539

    Article  CAS  PubMed  Google Scholar 

  17. Vagnozzi R, Signoretti S, Cristofori L, Alessandrini F, Floris R, Isgro E et al (2010) Assessment of metabolic brain damage and recovery following mild traumatic brain injury: a multicentre, proton magnetic resonance spectroscopic study in concussed patients. Brain 133(11):3232–3242

    Article  PubMed  Google Scholar 

  18. Vagnozzi R, Signoretti S, Tavazzi B, Floris R, Ludovici A, Marziali S et al (2008) Temporal window of metabolic brain vulnerability to concussion: a pilot H-magnetic resonance spectroscopy study in concussed athletes – Part III. Neurosurgery 62(6):1286–1295

    PubMed  Google Scholar 

  19. Bailly N, Afquir S, Laporte JD, Melot A, Savary D, Seigneuret E, Delay JB, Donnadieu T, Masson C, Arnoux PJ (2017) Analysis of injury mechanisms in head injuries in skiers and snowboarders. Med Sci Sports Exerc 49(1):1–10

    Article  PubMed  Google Scholar 

  20. Levy AS, Hawkes AP, Hemminger LM, Knight S (2002) An analysis of head injuries among skiers and snowboarders. J Trauma 53(4):695–704

    Article  PubMed  Google Scholar 

  21. Baschera D, Hasler RM, Taugwalder D, Exadaktylos A, Raabe A (2015) Association between head injury and helmet use in alpine skiers: cohort study from a Swiss level 1 trauma center. J Neurotrauma 32(8):557–562

    Article  PubMed  Google Scholar 

  22. Evans L, Frick MC (1988) Helmet effectiveness in preventing motorcycle driver and passenger fatalities. Accid Anal Prev 20:447–458

    Article  CAS  PubMed  Google Scholar 

  23. Norvell DC, Cummings P (2002) Association of helmet use with death in motorcycle crashes: a matched-pair cohort study. Am J Epidemiol 156:483–487

    Article  PubMed  Google Scholar 

  24. Thompson DC, Rivara FP, Thompson RS (1996) Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study. JAMA 276:1968–1973

    Article  CAS  PubMed  Google Scholar 

  25. Thompson RS, Rivara FP, Thompson DC (1989) A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med 320:1361–1367

    Article  CAS  PubMed  Google Scholar 

  26. Mueller BA, Cummings P, Rivara FP, Brooks MA, Terasaki RD (2008) Injuries of the head, face, and neck in relation to ski helmet use. Epidemiology 19(2):270–276

    Article  PubMed  Google Scholar 

  27. Cusimano MD, Kwok J (2010) The effectiveness of helmet wear in skiers and snowboarders: a systematic review. Br J Sports Med 44(11):781–786. https://doi.org/10.1136/bjsm.2009.070573

    Article  PubMed  Google Scholar 

  28. Bergmann KR, Flood A, Kreykes NS, Kharbanda AB (2016) Concussion among youth skiers and snowboarders: a review of the National Trauma Data Bank from 2009 to 2010. Pediatr Emerg Care 32(1):9–13

    Article  PubMed  Google Scholar 

  29. Haider AH, Saleem T, Bilaniuk JW, Barraco RD, Eastern Association for the Surgery of Trauma Injury Control Violence Prevention Committee (2012) An evidence-based review: efficacy of safety helmets in the reduction of head injuries in recreational skiers and snowboarders. J Trauma Acute Care Surg 73(5):1340–1347

    Article  PubMed  PubMed Central  Google Scholar 

  30. FIS (September 2014) Specifications for competition equipment and commercial markings, Edition 2014/15

    Google Scholar 

  31. American Society for Testing and Materials (ASTM) (2011) F2040-11; Standard specification for helmets used for recreational snow sports: ASTM. www.astm.org/Standards/F2040.htm. Accessed 27 Jan 2014

  32. Ruedl G, Brunner F, Woldrich T, Faulhaber M, Kopp M, Nachbauer W, Burtscher M (2013) Factors associated with the ability to estimate actual speeds in recreational alpine skiers. Wilderness Environ Med 24(2):118–123

    Article  PubMed  Google Scholar 

  33. P McCrory et al (2017) Consensus statement on concussion in sport––The 5th International Conference on Concussion in Sport held in Berlin, October 2016 Br J Sports Med

    Google Scholar 

  34. FIS Medical Guide, Edition 2013. http://www.fis-ski.com/mm/Document/documentlibrary/Medical/03/31/99/fis-medical-guide-2013_Neutral.pdf

    Google Scholar 

  35. Elbin RJ, Sufrinko A, Schatz P, French J, Henry L, Burkhart S, Collins MW, Kontos AP (2016) Removal from play after concussion and recovery time. Pediatrics 138(3):e20160910

    Article  PubMed  PubMed Central  Google Scholar 

  36. Sufrinko AM, Marchetti GF, Cohen PE, Elbin RJ, Re V, Kontos AP (2017) Using acute performance on a comprehensive neurocognitive, vestibular, and ocular motor assessment battery to predict recovery duration after sport-related concussions. Am J Sports Med 1:363546516685061

    Google Scholar 

  37. Kontos AP, Elbin RJ, Lau B, Simensky S, Freund B, French J et al (2013) Posttraumatic migraine as a predictor of recovery and cognitive impairment after sport-related concussion. Am J Sports Med 41:1497–1504

    Article  PubMed  Google Scholar 

  38. Iverson GL, Brooks BL, Collins MW, Lovell MR (2006) Tracking neuropsychological recovery following concussion in sport. Brain Inj 20(3):245–252

    Article  PubMed  Google Scholar 

  39. Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP (2014) A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med 42(10):2479–2486

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kontos AP, Sufrinko A, Elbin RJ, Puskar A, Collins MW (2016) Reliability and associated risk factors for performance on the vestibular/ocular motor screening (VOMS) tool in healthy collegiate athletes. Am J Sports Med 44(6):1400–1406

    Article  PubMed  Google Scholar 

  41. McGrath N, Dinn WM, Collins MW, Lovell MR, Elbin RJ, Kontos AP (2013) Post-exertion neurocognitive test failure among student-athletes following concussion. Brain Inj 27(1):103–113

    Article  PubMed  Google Scholar 

  42. Leddy J, Hinds A, Sirica D, Willer B (2016) The role of controlled exercise in concussion management. PM R 8(3 Suppl):S91–S100

    Article  PubMed  Google Scholar 

  43. Kontos AP, Sufrinko A, Womble M, Kegel N (2016) Neuropsychological assessment following concussion: an evidence-based review of the role of neuropsychological assessment pre- and post-concussion. Curr Pain Headache Rep 20(6):38

    Article  PubMed  Google Scholar 

  44. Collins MW, Kontos AP, Reynolds E, Murawski CD, Fu FH (2014) A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion. Knee Surg Sports Traumatol Arthrosc 22(2):235–246

    Article  PubMed  Google Scholar 

  45. Broglio SP, Collins MW, Williams RM, Mucha A, Kontos AP (2015) Current and emerging rehabilitation for concussion: a review of the evidence. Clin Sports Med 34(2):213–231

    Article  PubMed  PubMed Central  Google Scholar 

  46. Elbin RJ, Schatz P, Lowder HB, Kontos AP (2014) An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion. Curr Treat Options Neurol 16(11):320

    Article  CAS  PubMed  Google Scholar 

  47. Alsalaheen BA, Mucha A, Morris LO, Whitney SL, Furman JM, Camiolo-Reddy CE, Collins MW, Lovell MR, Sparto PJ (2010) Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther 34(2):87–93

    Article  PubMed  Google Scholar 

  48. Gallaway M, Scheiman M, Mitchell GL (2017) Vision therapy for post-concussion vision disorders. Optom Vis Sci 94(1):68–73

    Article  PubMed  Google Scholar 

  49. Reddy CC, Collins M, Lovell M, Kontos AP (2013) Efficacy of amantadine treatment on symptoms and neurocognitive performance among adolescents following sports-related concussion. J Head Trauma Rehabil 28(4):260–265

    Article  PubMed  Google Scholar 

  50. Rosner MS, Feinberg DL, Doble JE, Rosner AJ (2016) Treatment of vertical heterophoria ameliorates persistent post-concussive symptoms: a retrospective analysis utilizing a multi-faceted assessment battery. Brain Inj 30(3):311–317

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Neurosurgery, Humanitas Clinical and Research Center, Via Alessandro Manzoni, 56, Rozzano, MI, Italy

    Zefferino Rossini, Francesco Costa, Alessandro Ortolina, Massimo Tomei & Maurizio Fornari

  2. Division of Orthopaedic Rehabilitation, Galeazzi Research Hospital, Via Riccardo Galeazzi, 4, Milan, MI, Italy

    Valentina Re

Authors
  1. Zefferino Rossini
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  2. Francesco Costa
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  3. Alessandro Ortolina
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  4. Massimo Tomei
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  5. Maurizio Fornari
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  6. Valentina Re
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Corresponding author

Correspondence to Valentina Re .

Editor information

Editors and Affiliations

  1. IRCCS Galeazzi Orthopaedics Institute, Milan, Milano, Italy

    Herbert Schoenhuber

  2. IRCCS Galeazzi Orthopaedics Institute, Milan, Milano, Italy

    Andrea Panzeri

  3. National Research Council, Milan, Milano, Italy

    Simone Porcelli

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Rossini, Z., Costa, F., Ortolina, A., Tomei, M., Fornari, M., Re, V. (2018). Concussion in Alpine Ski. In: Schoenhuber, H., Panzeri, A., Porcelli, S. (eds) Alpine Skiing Injuries. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-61355-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-61355-0_5

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  • Online ISBN: 978-3-319-61355-0

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