24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825

Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
Health Tip: Giving Cough Medicine to a ChildHealthy Sleep Habits for Kids Pay Off'Experience to Share': Facebook Page Helps Families Hit by Polio-Like IllnessFamily, School Support May Help Stop Bullies in Their TracksInfections in the Young May Be Tied to Risk for Mental Illness: StudyDoctors More Cautious Now When Prescribing Opioids to KidsMany Cases of Polio-Like Illness in Kids May Be MisdiagnosedSecondhand Pot Smoke Can Harm an Asthmatic ChildObesity Boosts Childhood Asthma Risk by 30 PercentAsk About the Antibiotics Prescribed for Your ChildProbiotics Show No Effect on Kids' Tummy UpsetsWhat Are This Year's Most Dangerous Toys?Secondhand Pot Smoke Found in Kids' LungsNearly 1 in 12 U.S. Kids Has a Food AllergyKids Get Caught in Deadly Cross-Fire of Domestic ViolenceTwo Factors at Birth Can Boost a Child's Obesity RiskCDC Probe Continues as Cases of Polio-Like Illness Rise in KidsHealth Tip: Limit Fat, Sugar and Salt in Your Child's DietSome Activity Fine for Kids Recovering From Concussions, Docs SayDead End for Treatment of Polio-Like Disorder Striking KidsAHA: Traumatic Childhood Could Increase Heart Disease Risk in AdulthoodSmartphones, Summer Birth Could Raise Kids' Odds for NearsightednessHealth Tip: If Your Child Develops a FeverPediatricians Renew Call to Abandon SpankingSleep May Speed Kids' Recovery From ConcussionSharp Rise Seen in Kids' ER Visits for Mental Health WoesInjured Parent Can Mean Sleepless Nights for KidsObesity May Harm Kids' Academics, Coping SkillsInstant-Soup Burns Send Almost 10,000 Kids to ERs Each YearHealth Tip: A Pediatrician's Role in Special EducationCommon Chemical Tied to Language Delay in KidsIn California, Some Doctors Sell 'Medical Exemptions' for Kids' VaccinationsGetting Flu Shot Annually Won't Undermine Its Effectiveness in KidsSmoke Alarm With Mom's Voice Wakes Children FasterDon't Blame Just Air Pollution for Asthma in KidsObesity a Painful Reality for 1 in 6 U.S. YouthsAHA: Heart Health's Impact on Brain May Begin in ChildhoodDisabling Hip Ailment Is Another Health Risk for Obese KidsTry Small 'Bites' to Get Kids to ExerciseCDC Warns of Polio-Like Virus Striking More U.S. KidsCountries That Ban Spanking See Less Teen Violence: StudyHealth Tip: Know the Risks of Chicken PoxKids' Concussion Symptoms May Persist for a YearAdd Asthma to List of Possible Causes of Childhood ObesityHealth Tip: Teach Your Kids ToleranceHealth Tip: Treat Your Child's AllergiesMore Evidence Video Games May Trigger Aggression in KidsDeath Rates for Young Americans Drop, But Still Too HighJust Witnessing School Violence Can Leave Psychic ScarsGrowing Up Poor May Permanently Damage Thinking Skills
Questions and AnswersLinks
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Child Development & Parenting: Infants (0-2)
Child Development & Parenting: Early (3-7)

Kids' Concussion Symptoms May Persist for a Year

HealthDay News
by By Steven Reinberg
HealthDay Reporter
Updated: Oct 15th 2018

new article illustration

MONDAY, Oct. 15, 2018 (HealthDay News) -- A year after a concussion, up to one-third of kids still have symptoms such as headache and irritability that may affect school performance, a new study finds.

"Children with all types of injuries may show post-concussion symptoms," said lead researcher Linda Ewing-Cobbs, a professor of pediatrics at the University of Texas Health Science Center Medical School in Houston.

Her team found as many as 31 percent still had symptoms that included inattention or fatigue 12 months after their head injury.

Girls who had mood problems beforehand and kids from poor or troubled families seem the most vulnerable, the researchers said.

According to Dr. Robert Glatter, an emergency physician at Lenox Hill Hospital in New York City, "This study is valuable because it demonstrates that our approach to post-concussive management should take into consideration prior psychological issues, gender, familial harmony, as well as income disparity."

Taking these factors into account might help identify children at higher risk for persistent symptoms, suggested Glatter, who was not involved with the new study.

Physical symptoms are usually seen soon after the head injury, Ewing-Cobbs said. Emotional and mental symptoms may become more noticeable several weeks later when children return to school and sports.

Although symptoms often disappear within a month, some children have prolonged difficulties that likely affect their school functioning, she explained.

"Children with symptoms that persist beyond a month should be monitored by their pediatrician so that they can be referred for any needed physical or psychological health services," Ewing-Cobbs added.

For the study, the researchers looked at nearly 350 children, aged 4 to 15, who suffered either a concussion or an orthopedic injury. Parents completed surveys that asked about their kids before the injury and general information about their home life.

The researchers then used a ratings scale to evaluate post-concussion recovery.

Although girls and boys had similar pre-concussion characteristics, girls had significantly more persistent symptoms than boys. They also had twice the odds of symptoms lasting one year after injury, the findings showed.

Family dynamics were also an important factor in children's recovery, the study authors noted.

"Children from families that are supportive, communicative, and have access to a community network of supports tend to do better in a variety of areas, including recovering from a concussion, than children who do not have these assets," Ewing-Cobbs said.

How soon a child can return to school and sports after a concussion needs to be tailored to each child, Ewing-Cobbs suggested. "There is no one-size-fits-all answer to the question of return-to-play in high-impact sports," she said.

That decision should be based on collaboration between medical and school personnel and family, she added.

Each year, 1 million to 2 million children in the United States are treated for mild traumatic brain injury, which includes concussion from sports and other causes.

Glatter said this study suggests special accommodations may be needed when kids return to school in order to ensure that recovery continues.

"This may include medications to manage headaches, regulate mood and anxiety, as well as cognitive behavioral therapy to help with adjustment and problem solving," he said.

Parents and teachers need to look out for any signs of depression or anxiety that could influence school performance and social integration, Glatter advised.

"Trainers, coaches, school administrators and parents need to be invested and aware of the gender-associated medical, family and social issues that play a role in post-concussion recovery," he said.

The report was published online Oct. 15 in the journal Pediatrics.

More information

To learn more about concussion, visit the American Association of Neurological Surgeons.