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Despite a significant increase in the understanding of concussion,this injury remains one of the most complex and poorly understood.This manuscript will outline a step-by-step process for concussion evaluation to ensure subtle signs and symptoms are not overlooked.The systematic approach includes a thorough athlete history,observation of mannerisms,and palpation of the relevant anatomical regions.Special tests for neurostatus and postural control follow with manual muscle testing of theneck musculature as indicated.Finally,all athletes shouldbe subjected to functional testing.In conjunction with the clinical examination outlined here,the return to play decision should be made under the consultation of a physician.
Despite a significant increase in the understanding of concussion, this tract remains one of the most complex and poorly understood. This manuscript will outline a step-by-step process for concussion evaluation to ensure subtle signs and symptoms are not overlooked. The systematic approach includes a thorough athlete history, observation of mannerisms, and palpation of the relevant anatomical regions. Special tests for neurostatus and postural control follow with manual muscle testing of the neck musculature as indicated. Finally, all athletes should be subjected to functional testing. In conjunction with the clinical examination outlined here, the return to play decision should be made under the consultation of a physician.