Postinjury Issues and Ethics of Return to Play in Pediatric Concussion

  • Jennifer Niskala Apps
  • Kevin D. Walter
  • Jason S. Doescher


Concussion management is an individualized process and therefore can be confusing to patients, parents, and other caregivers. There are guidelines to assist in identifying concussion symptoms and suggest return-to-play plans, but each patient deserves a unique approach to their injury. This chapter reviews the potential long-term complications of concussion, including chronic traumatic encephalopathy, chronic headaches, and neurocognitive dysfunction. It also explores the possible management options for concussed children and adolescents, many of which are emerging and somewhat experimental. Long-term psychosocial concerns are addressed. The ethics of return-to-play are also discussed.


Young Athlete Chronic Traumatic Encephalopathy National Football League Posttraumatic Headache Vestibular Rehabilitation 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Jennifer Niskala Apps
    • 1
    • 2
  • Kevin D. Walter
    • 3
    • 4
  • Jason S. Doescher
    • 5
    • 6
  1. 1.Department of Psychiatry and Behavioral MedicineMedical College of WisconsinMilwaukeeUSA
  2. 2.Pediatric NeuropsychologistChildren’s Hospital of WisconsinMilwaukeeUSA
  3. 3.Departments of Orthopaedics and PediatricsMedical College of WisconsinMilwaukeeUSA
  4. 4.Pediatric and Adolescent Sports MedicineChildren’s Hospital of WisconsinMilwaukeeUSA
  5. 5.Pediatric Neurology and EpilepsyMinnesota Epilepsy Group, P.A.Saint PaulUSA
  6. 6.Children’s Hospital and Clinics of MinnesotaSaint PaulUSA

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