Evidence-Based Management of Sport-Related Concussion: Completing the Puzzle

Abstract

Concussion-related evidence is evolving at a rapid pace due to the complexity of concussive injury and the increased societal and medical attention around its potential consequences. Recent evidence and consensus suggests a multimodal assessment and management model that encompasses the various domains affected by concussion. The model is inclusive of a clinical evaluation, symptoms assessment, neurocognitive assessment, and balance assessment. However, new evidence also highlights additional diagnostic and prognostic factors that are important to understand in the concussion management process. With these advances, there is also increased consensus and evidence for a more active approach to management of the injury. As such, there are many new advances in the field that are key for clinicians to understand and utilize in clinical practice. This narrative review will provide an overview of recent evidence illustrating the necessity of multimodal concussion assessment and management best practices.