Vanderbilt Concussion Summit October 24 2012 Vanderbilt Sports

Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCo. RE Gary Solomon, Ph. D. , FACPN Associate Professor, Departments of Neurological Surgery and Psychiatry Vanderbilt University School of Medicine Vanderbilt Sports Concussion Center Team Neuropsychologist, Nashville Predators Consulting Neuropsychologist, Tennessee Titans Vanderbilt Sports Concussion Center

Vanderbilt Sports Concussion Center Became operational July 1, 2011 Joint venture of the Departments of Neurological Surgery and Orthopedics/Sports Medicine Im. PACT Credentialed Virtual Center with multiple entry points in the VUMC system Standardized assessments: Im. PACT, BESS, Neuro history All ATCs and MDs have been trained Baseline evaluations performed on >9, 000 Davidson and Williamson county students Vanderbilt Sports Concussion Center

Our Mission Statement Scott Zuckerman, M. D. Neurosurgery Resident The purpose of the Vanderbilt Sports Concussion Research (V-SCo. Re) is to improve our knowledge in the area of sports-related concussion (SRC) and the outcome of these injuries in athletes. Goals also include identifying pre and post-concussion variables that influence recovery from a SRC and management approaches that can optimize an athlete’s return to the pre-injury level of function and performance V-SCo. RE meets quarterly. Vanderbilt Sports Concussion Center

The Concussion in Sport Group has delineated several “modifying factors” related to concussive injury. Few of these factors have been validated empirically. Age Gender Return to play Neurocognitive assessment Multiple concussions Medical conditions Psychiatric disorders ADHD/Learning Disabilities Vanderbilt Sports Concussion Center

Published Solomon, GS, Ott, SD and Lovell, MR. Long-term neurocognitive dysfunction in sports: What is the evidence? Clinics in Sports Medicine, 2011, 30: 165 -177. Lovell, MR, & Solomon, GS. Psychometric data for the NFL neuropsychological test battery. Applied Neuropsychology, 2011, 18: 197209. Schatz, P. Moser, RS. , Solomon, GS. , Ott, SD. , & Karpf, R. Prevalence of invalid computerized baseline neurocognitive test results in high school and college students. Journal of Athletic Training, 2012, 47: 289 -296. Zuckerman SL, Solomon GS, Forbes JA, Haase RF, Sills AK, Lovell MR. Response to acute concussive injury in soccer players: Is gender a modifying factor? Journal of Neurosurgery: Pediatrics, 2012. Vanderbilt Sports Concussion Center

In Press Solomon, GS. & Sills, AK. Pharmacologic treatment of sport-related concussion: A Review. Journal of Surgical Orthopedic Advances, in press. Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Forbes JA, Sills AK. Recovery from sports-related concussion: Days to return to baseline in adolescents vs. young adults. Surgical Neurology International, 2012, in press. Zuckerman SL, Kuhn A, Dewan M, Morone P, Forbes J, Solomon GS, Sills AK. Structural brain injury in sports-related concussion. Neurosurgical Focus, 2012, in press. Forbes, JA, Awad, A, Zuckerman, SL, Carr, K. Association between translational acceleration, rotational acceleration, and concussion in helmeted collisions: Literature review. Vanderbilt Sports Neurosurgical Focus, in press. Concussion Center

$Oral Presentations \ Recovery from Sports-Related Concussion: Days to Return to Baseline in Adolescents$

Oral Presentations \ Recovery from Sports-Related Concussion: Days to Return to Baseline in Adolescents vs. Young Adults. CNS Annual Meeting, October 2012, Chicago, IL. Establishing Im. PACT Norms for the Learning Disabled Following Sports-Related Concussion: A Neglected Population. AANS/CNS Pediatrics Section, November 2012, St. Louis, MO. Vanderbilt Sports Concussion Center

Studies Under Review Solomon GS, Haase, RF, Kuhn A. Neurocognitive performance and biopsychosocial characteristics of elite NFL draft picks: An exploratory study. Solomon, GS, Haase, RF, Kuhn, A. The Relationship Between Wonderlic and Im. PACT Scores in NFL Draft Picks: An Initial Investigation. __________________ Equilibrate Balance Assessment Studies: Reliability and Validity Vanderbilt Sports Concussion Center

Studies in Progress Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Forbes JA, Sills AK. Gender differences in symptoms of acute sport-related concussion: statistical vs. clinical significance. Zuckerman SL, Lee, Y, M, Solomon GS. Normative Data for Athletes with ADD and LD in sports-related concussion neurocognitive testing. Mc. Clure, J, Solomon GS, Kutscher, S. Gregory A. , Sills AK et al. Sleep and Its Relationship to Baseline Im. PACT Test Scores. Vanderbilt Sports Concussion Center

Studies in Progress Lovell, MR, Solomon, GS. Concussion in cheerleaders. Sills, AK, et al. Concussions in equestrians. Ott, SD, Solomon, GS, and Schatz, P. Baseline Neurocognitive Performance of Hispanic Athletes on Im. PACT: A Comparison of Test Results for Athletes with Baseline Administration in Spanish Versus Baseline Administration in English. Vanderbilt Sports Concussion Center

Projects in development i. Pad version of Im. PACT Reliability, Validity, Comparison with online Im. PACT and SCAT 2 Concussions in helmet vs. non-helmet sports Role of sleep and SRC National registry for structural injuries in SRC Vanderbilt Sports Concussion Center

Research Resources U. of Texas-Houston, St. Joseph's University, University at Albany, Boston University, University of Pittsburgh V-SCo. RE Im. PACT database of >15, 000 records Relationships with Vanderbilt and Belmont Athletics, Tennessee Titans, Nashville Predators, Milwaukee Admirals, and Cincinnati Cyclones, Nashville Sounds, Mississippi State, Olympic Equestrians SEC Concussion Committee (Dr. Sills) Concussion in Sport Group (Dr. Sills) CDC Children’s Concussion Workgroup (Dr. Gregory) Im. PACT Scientific Advisory Board (Dr. Solomon) Vanderbilt Sports Concussion Center

Areas for Collaboration Structural and Functional Neuroimaging Genetic Factors Biomarkers Treatment Approaches Long Term Effects Vanderbilt Sports Concussion Center

Vanderbilt Sports Concussion Center