Advancing Pediatric Concussion Care: What CHOP is Doing

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As clinicians and researchers in the Mind Matter Concussion Program at Children’s Hospital of Philadelphia (CHOP), our collective understanding of concussion – particularly among growing children and adolescents – continues to evolve.

Our robust bench-to-bedside research program has propelled many important advances in concussion care, informing how we diagnose and manage pediatric and adolescent concussions. Through our team’s efforts, we are advancing targeted interventions to optimize treatments, shorten recovery time, improve individual outcomes and prevent future concussions.

We continuously share our findings at professional conferences and speaking opportunities throughout the year.

Recent events

The International Pediatric Brain Injury Society & North American Brain Injury Society’s 2022 Joint Conference on Brain Injury was held Sept. 21-24 in New York City, NY. Christina L. Master, MD, FAAP, CAQSM, CAFSM, presented virtually on Educating the Primary Care Providers, and had an accepted paper on “Differences in Pupillary Light Reflex Metrics after Concussion Persist at Clinical Recovery.”

The National Academies of Sciences, Engineering and Medicine’s Forum on Traumatic Brain Injury: Biomarkers for Traumatic Brain Injury: A Workshop, was held virtually on Sept. 29, 2022. Dr. Master presented on “Major Classes of TBI Biomarkers – Other  Physiological Markers.”

Concussion leaders from CHOP presented live sessions and posters at the American Academy of Pediatrics (AAP) annual meeting Oct. 7-11, 2022. Christina L. Master, MD, FAAP, CAQSM, FACSM, presented on “Concussion and Vision: Seeing Concussion Through New Eyes," as well as “Differences in Pupillary Light Reflex Metrics After Concussion Persist at Clinical Recovery." She also delivered the Plenary address on “Managing Concussion-related Vision Problems.” Dr. Master and Matthew F. Grady, MD, FAAP, CAQSM, led an interactive workshop on “Keeping Up-to-Date on Sports Concussion.” Daniel J. Corwin, MD, MSCE, presented two posters on “Diagnostic and Prognostic Utility of Objective Physiologic Measure for Acute Pediatric Concussion” and “Investigating Disparities in Adherence to Clinical Care Recommendations in a Specialty Care Pediatric Concussion Population." Catherine C. McDonald, PhD, RN, FAAN was also among the experts in attendance.

The American Neurological Association (ANA) annual meeting was held Oct. 22-25 in Chicago, IL. Daniel J. Corwin, MD, MSCE, Associate Director of Research for the Division of Emergency Medicine at CHOP and scientist with the Center for Injury Research and Prevention, presented on “Diagnostic and Prognostic Utility of Objective Physiologic Measures for Acute Pediatric Concussion.”

In late October, Drs. Master and Corwin joined CHOP colleagues Kristy B. Arbogast, PhD; Tricia R. Roby, PhD, ATC; and Divya Jain, PhD, in Amsterdam at the Sixth International Consensus Conference on Concussion in Sport, to present a number of concussion-related topics, including:

  • Diagnostic and Prognostic Utility of Objective Physiologic Measures for Acute Pediatric Concussion (Corwin)
  • Randomized Trial of Incentivization to Maximize Retention for Real-Time Symptom and Activity Monitoring Using Ecological Momentary Assessment in Pediatric Concussion (Corwin)
  • Differences between concussed and uninjured adolescent drivers during simulated driving: a fNIRS study (Jain)
  • Neurophysiological, muscle activation, and gait deficits during dual-task conditions in concussed adolescents (Jain)
  • Head impact rates, mechanisms and kinematics in female high school lacrosse (Arbogast for Declan Patton, PhD)
  • Neurovascular coupling in acutely concussed pediatric patients (Roby)
  • Post-injury outcomes following non-sport related concussion: A CARE Consortium study (Roby)
  • Sex differences in non-sport related concussion: A CARE Consortium study (Roby)
  • Returning to driving after concussion in adolescents: timing and symptoms (Arbogast for Catherine C. McDonald, PhD, RN, FAAN)
  • Approaches for Calculating Head Impact Exposure in Live Sport using Head Impact Sensors (Arbogast)

Dr. Master presented the Keynote Address on “The Management of Pediatric Concussion” at the Australian College of Sport and Exercise Physicians Annual Scientific Conference, held Nov. 10-12, in Glenelg, South Australia.

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