Traumatic brain injury and pediatric concussion represent major global public health concerns. This narrative review aims to provide an updated overview of pediatric concussion by integrating current evidence regarding pathophysiology, diagnostic advances, neuroimaging, biomarkers, and evidence-based management strategies....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; while auditory processing can be affected by paediatric concussion, this narrative review does not provide new clinical guidance specific to hearing or audiological practice.
Updated concussion management protocols in children may prompt audiologists to be aware of referral pathways and the auditory processing sequelae of paediatric mTBI.
- 01Narrative review synthesises current evidence on pathophysiology, diagnosis, and management of paediatric mTBI.
- 02Active management protocols (early graduated activity) are highlighted over strict rest.
- 03Advances in diagnostic tools, including neuroimaging and biomarkers, are reviewed.
- 04Concussion in children may have unique recovery trajectories differing from adults.
- 05Indirect relevance to audiology via auditory processing disorder risk post-concussion.
Active management protocols improve outcomes in paediatric mild traumatic brain injury compared to strict rest.
guidelinepartially supportedDiagnostic advances including neuroimaging and biomarkers improve detection of paediatric concussion.
studypartially supported- PMID
- 42793423
- DOI
- 10.3390/brainsci16090998.
- Journal
- Brain Sciences
- Publication type
- review
- Evidence level
- 5
- Population
- Paediatric patients with mild traumatic brain injury or concussion
- Intervention
- Active management protocols, diagnostic advances for paediatric mTBI
Primary outcomes
Pathophysiological understanding of paediatric mTBI; Diagnostic accuracy of emerging tools; Clinical outcomes under active vs. rest-based management protocols