Premorbid Functional Considerations in Pediatric Concussion

  • Peter L. Stavinoha
  • Brianne Butcher
  • Alice Ann Spurgin


Clinicians working with children with concussions and mild traumatic brain injury (TBI) can attest that substantial individual differences in functional outcomes exist even when injuries appear very similar. There is increasing interest in those factors that may moderate the negative impact of mild TBI in children, including greater awareness of the impact of the child’s preinjury functioning and the potential to positively or negatively impact functional outcome following concussion. This chapter focuses on preinjury variables that may influence neurocognitive and functional outcomes in individual children and adolescents following concussion and mild TBI. Specifically, research is reviewed on the influence of preinjury child characteristics (i.e., age, gender, cognitive and adaptive functioning, psychopathology, and genetic factors) and premorbid environmental characteristics (i.e., family psychosocial functioning, socioeconomic status, race/ethnicity, and family environment) on injury expression. By better understanding the impact of these factors on outcome from concussion, clinicians will be better equipped to provide targeted guidance and intervention to improve outcome by managing risk factors that have the potential to complicate recovery from this common injury.


Traumatic Brain Injury Family Environment Severe Traumatic Brain Injury Traumatic Brain Injury Patient Adaptive Functioning 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Peter L. Stavinoha
    • 1
  • Brianne Butcher
    • 2
  • Alice Ann Spurgin
    • 1
  1. 1.Children’s Medical Center of Dallas, University of Texas Southwestern Medical CenterDallasUSA
  2. 2.Children’s Medical Center of DallasDallasUSA

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