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Vanderbil t Sports Concussio n Center Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE 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

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Page 1: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Vanderbilt Concussion SummitOctober 24, 2012

Vanderbilt SportsConcussion Research

V-SCoRE

Gary Solomon, Ph.D., FACPNAssociate Professor, Departments ofNeurological Surgery and PsychiatryVanderbilt University School of MedicineVanderbilt Sports Concussion CenterTeam Neuropsychologist, Nashville PredatorsConsulting Neuropsychologist, Tennessee Titans

Page 2: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Vanderbilt Sports Concussion Center

Became operational July 1, 2011

Joint venture of the Departments ofNeurological Surgery and Orthopedics/Sports Medicine

ImPACT Credentialed

Virtual Center with multiple entry points in the VUMC system

Standardized assessments: ImPACT, BESS,Neuro history

All ATCs and MDs have been trained

Baseline evaluations performed on >9,000Davidson and Williamson county students

Page 3: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Our Mission Statement

Scott Zuckerman, M.D.Neurosurgery Resident

The purpose of the Vanderbilt Sports Concussion Research (V-SCoRe) 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-SCoRE meets quarterly.

Page 4: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

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.

AgeGenderReturn to playNeurocognitive assessmentMultiple concussionsMedical conditionsPsychiatric disordersADHD/Learning Disabilities

Page 5: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

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: 197-209.

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.

Page 6: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

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 tobaseline 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. Neurosurgical Focus, in press.

Page 7: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

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 ImPACT Norms for the Learning Disabled Following Sports-Related Concussion: A Neglected Population. AANS/CNS Pediatrics Section, November 2012, St. Louis, MO.

Page 8: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Studies Under Review

Solomon GS, Haase, RF, Kuhn A. Neurocognitive performance and biopsycho-social characteristics of elite NFL draft picks:An exploratory study.

Solomon, GS, Haase, RF, Kuhn, A. The Relationship Between Wonderlic and ImPACT Scores in NFL Draft Picks: An Initial Investigation.____________________________________

Equilibrate Balance Assessment Studies: Reliability and Validity

Page 9: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

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.

McClure, J, Solomon GS, Kutscher, S. Gregory A., Sills AK et al. Sleep and Its Relationship to Baseline ImPACT Test Scores.

Page 10: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

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 ImPACT: A Comparison of Test Results for Athletes with Baseline Administration in Spanish Versus Baseline Administration in English.

Page 11: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Projects in development

iPad version of ImPACTReliability, Validity, Comparison with online ImPACT and SCAT2

Concussions in helmet vs. non-helmet sports

Role of sleep and SRC

National registry for structural injuries in SRC

Page 12: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Research Resources

U. of Texas-Houston, St. Joseph's University, University at Albany, Boston University, University of Pittsburgh

V-SCoRE ImPACT 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)

ImPACT Scientific Advisory Board (Dr. Solomon)

Page 13: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Areas for Collaboration

Structural and Functional Neuroimaging

Genetic Factors

Biomarkers

Treatment Approaches

Long Term Effects

Page 14: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments
Page 15: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Page 16: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Page 17: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Page 18: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Page 19: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center

Page 20: Vanderbilt Concussion Summit October 24, 2012 Vanderbilt Sports Concussion Research V-SCoRE Gary Solomon, Ph.D., FACPN Associate Professor, Departments

Vanderbilt Sports Concussion Center