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“The chapters are well organized and frequently feature reader-friendly bullet points, numbered lists, charts, and tables. Healthcare providers may even find some of these charts and tables to be useful for the purpose of patient or parent education....The primary strength that makes this book essential for neuropsychologists and other healthcare providers is its inclusiveness. Having such a broad range of topics centered on a complete and sophisticated understanding of mTBI in children is unusual for a clinically relevant book and provides clinicians with a singular resource for all things pediatric mTBI. This volume is truly a more complete guide on mTBI in children than any other available resource. It is unusual to see such a juxtaposition of topicsincluding animal models, helmet technology, pathophysiology, and practical programming for school reintegrationintegrated into a single, cohesive volume. Such breadth is highly commendable and clearly sets this book apart. In general, this volume is an essential addition to the library of any healthcare provider who regularly sees children and adolescents with mTBI. It would be of particular interest to graduate students or early career clinical neuropsychologists and other healthcare providers searching for a concise yet very thorough introduction to the existing literature on practically every aspect of mTBI. Clinicians and administrators involved with multidisciplinary program development to address the needs of children who have sustained mTBI will find this book particularly valuable. Researchers, especially those new to the study of pediatric mTBI, will also find it useful in highlighting areas ripe for future study. Overall, the volume is exceptionally well researched and written; all intended audiences will find it educational and useful for their individual purpose.”

—Child Neuropsychology


“Comprehensively covers the current scientific literature, and presents cutting-edge issues in a neutral and factual manner. This is essential reading for clinicians involved in the care of children with mild traumatic brain injury. 5 stars.”

—Doody's Reviews


“An extremely readable, thorough, and broad overview of many complementary aspects of mTBI in children, from the physics and chemistry of injury to clinical intervention and treatment....The authors do a wonderful job making it apparent to the reader exactly what is, and what is not, known about the topic currently. The volume reads much like a handbook in that it provides a large breadth of knowledge in the topics it covers....This book is highly accessible and readable, yet detailed and comprehensive. It provides information useful to many different disciplines and level of depth that is informative and thought-provoking for seasoned clinicians....One could easily turn to the table of contents and find the chapter relevant to specific information being sought, no matter in what capacity one is involved with children who have sustained and mTBI....The volume is appropriate for many different audiences, including health care providers, researchers, students, school nurses, psychologists, athletic trainers, and coaches....Will likely become the authoritative resource in the field....It deserves a prominent spot on the pediatric neuropsychologist's bookshelf.”

—Applied Neuropsychology: Child


“This is an important, thorough, and comprehensive book that well covers the field of mTBI and achieves the authors' goal of being an inclusive text for all professionals interested in this topic. The chapters are of sufficient detail to make this book a good reference source for physicians and psychologists alike, as well as others involved in the rehabilitation of post-concussion patients....This is an excellent textbook for any graduate neuropsychological training program. It also would find a place in the training of neuropsychiatrists and neurology residents who might be interested in this field....Considering the vast amount of work that went into this book, the comprehensiveness of the references, and the quality of the team behind the chapters, it is reasonably priced.”

—Child and Family Behavior Therapy


“The book covers a range of topics and is likely to appeal to many in the neuroscience field including paediatricians, neurologists, neurosurgeons, neuropsychologists, and psychologists working with children and adolescents....Kirkwood and Yeates are to be commended on a succinct, informative, and up-to-date account of the complicated and controversial mTBI literature. The use of many tables, graphs, and pictures such as imaging scans make the text digestible and a valuable reference resource.”

—Brain Injury


“A treasure chest of knowledge, this is a reliable and practical guide for all practitioners dealing with pediatric mTBI. The book is packed with information and provides a blueprint for management of this patient population. The authors are careful to cite recent published evidence and consensus statements. Topics rarely covered elsewhere—such as the difficult management issues in complicated cases—are addressed in detail. Whatever your disciplinary background, if you work with children and adolescents with head injury, you should have this book on your desk.”

—Paul McCrory, MBBS, PhD, Florey Neurosciences Institutes, University of Melbourne; Australian Center for Research into Sports Injury and Prevention, Monash University


“This authoritative, comprehensive work will prove to be an outstanding resource for researchers and clinicians in multiple disciplines who seek to understand this major public health issue. Well-written, cohesively organized chapters cover everything from pathophysiology and epidemiology to assessment and clinical management.”

—Jeffrey Max, MD, Department of Psychiatry, University of California, San Diego; Director of Neuropsychiatric Research, Rady Children's Hospital, San Diego


“Kirkwood and Yeates have assembled an outstanding group of clinician-scientists to address a critical need in pediatric brain injury research and practice. This highly anticipated volume extends the knowledge base in mTBI to children and adolescents, emphasizing important developmental considerations. The chapters not only include data on the most current evidence-based outcomes, but also provide front-line clinicians with practical strategies for clinical evaluation and management. A 'must have' for pediatric practitioners and scientists.”

—E. Mark Mahone, PhD, ABPP, Director, Neuropsychology, Kennedy Krieger Institute; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine

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Table of Contents

I. Introduction

1. History, Diagnostic Considerations, and Controversies, Elisabeth A. Wilde, Stephen R. McCauley, Gerri Hanten, Gunes Avci, Alyssa P. Ybarra, and Harvey S. Levin

2. Epidemiology and Prevention, R. Dawn Comstock and Kelsey Logan

3. Biomechanics of Sports Concussion, Jason P. Mihalik

4. Animal Models, Andre Obenaus, Lei Huang, Jacqueline S. Coats, Richard Hartman, Jerome Badaut, and Stephen Ashwal

II. Evidence-Based Outcomes

5. Pathophysiological Outcomes, Talin Babikian, John DiFiori, and Christopher C. Giza

6. Neurological Outcomes, Gavin A. Davis

7. Neurobehavioral Outcomes, Keith Owen Yeates and H. Gerry Taylor

III. Clinical Evaluation

8. Biochemical Markers, Rachel P. Berger and Noel Zuckerbraun

9. Neuroimaging, Stephen Ashwal, Karen A. Tong, Brenda Bartnik-Olson, and Barbara A. Holshouser

10. Physical and Neurological Exam, Joseph A. Grubenhoff and Aaron Provance

11. Balance Testing, Tamara C. Valovich McLeod and Kevin M. Guskiewicz

12. Postconcussion Symptom Assessment, Jennifer A. Janusz, Maegan D. Sady, and Gerard A. Gioia

13. Cognitive Screening and Neuropsychological Assessment, Doug Bodin and Nicole Shay

IV. Clinical Intervention

14. Active Rehabilitation for Slow-to-Recover Children, Grant L. Iverson, Isabelle Gagnon, and Grace S. Griesbach

15. Medical and Pain Management, Pamela E. Wilson and Gerald H. Clayton

16. School-Based Management, John W. Kirk, Beth Slomine, and Jeanne E. Dise-Lewis

V. Topics of Special Interest

17. Sport-Related Concussion, Michael W. Kirkwood, Christopher Randolph, Michael McCrea, James P. Kelly, and Keith Owen Yeates

18. Injury in Preschool-Age Children, Audrey McKinlay

19. Forensic Considerations, Jacobus Donders

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About the Editors

Michael W. Kirkwood, PhD, ABPP, is Associate Clinical Professor in the Department of Physical Medicine and Rehabilitation at the University of Colorado School of Medicine and codirects the Children's Hospital Colorado Concussion Program in Aurora. Dr. Kirkwood is a board member of the American Academy of Clinical Neuropsychology and has served as President of the Colorado Neuropsychological Society. His research focuses on characterizing and treating the effects of pediatric traumatic brain injury, with a number of current projects focused on understanding persistent problems following concussion. Dr. Kirkwood is the author of more than 25 journal articles and book chapters.

Keith Owen Yeates, PhD, ABPP-CN, is the Ronald and Irene Ward Chair in Pediatric Brain Injury, Professor and Head of the Department of Psychology, and Adjunct Professor of Pediatrics and Clinical Neurosciences at the University of Calgary, Alberta, Canada. His influential research focuses on the outcomes of childhood brain disorders, especially traumatic brain injury (TBI). A recently published bibliometric analysis indicates that Dr. Yeates has authored more of the top 100 most-cited papers in pediatric TBI than any other researcher. Dr. Yeates is the inaugural Chair of the Canadian Concussion Network and is Editor-in-Chief of Neuropsychology. He has served as President of the Society for Clinical Neuropsychology (Division 40 of the American Psychological Association) and the International Neuropsychological Society.

• All titles by Keith Owen Yeates

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Contributors

Stephen Ashwal, MD, Department of Pediatrics, Loma Linda University, Loma Linda, California

Gunes Avci, PhD, Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas

Talin Babikian, PhD, ABPP, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Jerome Badaut, PhD, Departments of Pediatrics and Physiology, Loma Linda University, Loma Linda, California

Brenda Bartnik-Olson, PhD, Department of Radiology, Loma Linda University, Loma Linda, California

Rachel P. Berger, MD, MPH, Safar Center for Resuscitation Research, Department of Pediatrics, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania

Doug Bodin, PhD, ABPP, Department of Psychology, Nationwide Children’s Hospital, Columbus, Ohio

Gerald H. Clayton, PhD, Department of Physical Medicine and Rehabilitation, Children’s Hospital Colorado, Aurora, CO

Jacqueline S. Coats, BA, Department of Biophysics and Bioengineering, Loma Linda University, Loma Linda, California

R. Dawn Comstock, PhD, Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital; Department of Pediatrics, The Ohio State University College of Medicine, and Division of Epidemiology, College of Public Health, Columbus, Ohio

Gavin A. Davis, MBBS, FRACS, Department of Neurosurgery, Cabrini Hospital, Malvern, Victoria, Australia

John DiFiori, MD, Division of Sports Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Jeanne E. Dise-Lewis, PhD, Department of Rehabilitation Medicine, University of Colorado School of Medicine, and Children’s Hospital Colorado, Aurora, Colorado

Jacobus Donders, PhD, ABPP, Psychology Service, Mary Free Bed Hospital, Grand Rapids, Michigan

Isabelle Gagnon, PT, PhD, School of Physical and Occupational Therapy, McGill University; Trauma Programs, The Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada

Gerard A. Gioia, PhD, Division of Pediatric Neuropsychology, Children’s National Medical Center, Rockville, Maryland

Christopher C. Giza, MD, Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Grace S. Griesbach, PhD, Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Joseph A. Grubenhoff, MD, Section of Emergency Medicine, Department of Pediatrics, University of Colorado School of Medicine, and Children's Hospital Colorado, Aurora, Colorado

Kevin M. Guskiewicz, PhD, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Gerri Hanten, PhD, Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas

Richard Hartman, PhD, Department of Psychology, Loma Linda University, Loma Linda, California

Barbara A. Holshouser, PhD, Department of Radiology, Loma Linda University, Loma Linda, California

Lei Huang, MD, Department of Biophysics and Bioengineering, Loma Linda University, Loma Linda, California

Alyssa P. Ibarra, BS, Cognitive Neuroscience Laboratory, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas

Grant L. Iverson, PhD, Faculty of Medicine, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada

Jennifer A. Janusz, PsyD, ABPP, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado

James P. Kelly, MD, FAAN, Department of Neurosurgery, University of Colorado School of Medicine, Aurora, Colorado

John W. Kirk, PsyD, ABPP, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, and Children’s Hospital Colorado, Aurora, Colorado

Michael W. Kirkwood, PhD, ABPP, Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, and Children’s Hospital Colorado, Aurora, Colorado

Harvey S. Levin, PhD, ABPP, Cognitive Neuroscience Laboratory, Departments of Physical Medicine and Rehabilitation, Neurology, and Neurosurgery, Baylor College of Medicine, Houston, Texas

Kelsey Logan, MD, MPH, Departments of Internal Medicine and Pediatrics, and Department of Athletics, The Ohio State University College of Medicine, Columbus, Ohio

Stephen R. McCauley, PhD, Cognitive Neuroscience Laboratory, Departments of Physical Medicine and Rehabilitation, Neurology, and Pediatrics, Baylor College of Medicine, Houston, Texas

Michael McCrea, PhD, ABPP, Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin

Audrey McKinlay, PhD, Department of Psychology, University of Canterbury, Christchurch, New Zealand; School of Psychology and Psychiatry, Monash University, Melbourne, Australia

Tamara C. Valovich McLeod, PhD, ATC, Athletic Training Program, A.T. Still University, Mesa, Arizona

Jason P. Mihalik, PhD, ATC, Matthew Gfeller Sport-Related Traumatic Brain Injury and Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Andre Obenaus, PhD, Department of Pediatrics, Loma Linda University, Loma Linda, California

Aaron Provance, MD, Department of Orthopaedics, University of Colorado School of Medicine, and Children's Hospital Colorado, Aurora, Colorado

Christopher Randolph, PhD, ABPP, Department of Neurology, Loyola University Medical Center, Chicago, Illinois

Maegan D. Sady, PhD, Division of Pediatric Neuropsychology, Children’s National Medical Center, Rockville, Maryland

Nicole Shay, PhD, Outpatient Services, Emma Pendleton Bradley Hospital, East Providence, Rhode Island

Beth Slomine, PhD, ABPP, Department of Neuropsychology, Kennedy Krieger Institute, Johns Hopkins University, Baltimore, Maryland

H. Gerry Taylor, PhD, ABPP, Department of Pediatrics, Case Western Reserve University, Rainbow Babies and Children’s Hospital, University Hospitals Case Medical Center, Cleveland, Ohio

Karen A. Tong, MD, Department of Radiology, Loma Linda University, Loma Linda, California

Elisabeth A. Wilde, PhD, Cognitive Neuroscience Laboratory, Departments of Physical Medicine and Rehabilitation, Neurology, and Radiology, Baylor College of Medicine, Houston, Texas

Pamela E. Wilson, MD, Department of Rehabilitation Medicine, University of Colorado School of Medicine, and Children’s Hospital Colorado, Aurora, Colorado

Keith Owen Yeates, PhD, ABPP, Departments of Pediatrics, Psychology, and Psychiatry, The Ohio State University College of Medicine, and Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio

Noel Zuckerbraun, MD, Safar Center for Resuscitation Research, Department of Pediatrics, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania

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Audience

Neuropsychologists, child clinical psychologists and psychiatrists, school psychologists, pediatric rehabilitation professionals, pediatricians, and pediatric neurologists.

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Course Use

May serve as a supplemental text in graduate-level courses.