BEGIN:VCALENDAR VERSION:2.0 PRODID:-//GroupSpaces//NONSGML GS_IcalFeed//EN X-WR-CALNAME:Symposium 26280 Traumatic Brain Injury in the Athlete_ Psychiatric Implications - International Society for Sports Psychiatry CALSCALE:GREGORIAN METHOD:PUBLISH BEGIN:VEVENT DTSTAMP:20130620T010447Z UID:20110511T045904Z_147028@groupspaces.com DTSTART:20110515T190000Z SUMMARY:Symposium 26280 Traumatic Brain Injury in the Athlete: Psychiatric Implications DTEND:20110515T220000Z DESCRIPTION:Traumatic Brain Injury in the Athlete: Psychiatric Implication s \n \nSymposium 26280 \nAnnual American Psychiatric Association meet ing 2011 \nHonolulu\, Hawaii \nSunday 5/15/2011 from 12-3 PM \nRoom 3 19A/B in the Hawaii Convention Center \n \n \nSummary abstract: \n \n Traumatic brain injury in the athlete has thankfully\, increased in its vi sibility in recent times\, leading to more research and awareness about th is entity\, which affects athletes at every level of competition\, from re creational\, to elite\, to professional. There are computerized neuropsych ological batteries being used to assess such patients which will be presen ted. The psychiatric sequelae of such brain injury will be presented\, inc luding attentional deficits\, depression\, and suicidal ideation\, as well as cases of completed suicide. We will have athlete and psychiatrist spea k about his experience with traumatic brain injury. There will be a discus sion of the appropriate way to handle these patients clinically\, and what special considerations there need to be in returning to athletic competit ion. \n \nComponent abstracts: \n \nDavid Baron D.O. \n \nConcussion in Sports and Experience with the NFL \n \nAccording to the CDC\, 1.6 t o 3.8 million sports related traumatic brain injuries occur every year. Th ey recommend the symptoms be evaluated in 4 primary domains\;1) physical\, 2) cognitive\, 3) emotional\, and 4) sleep. Despite the dramatic increase in public awareness of TBI/concussion in sports (largely related to the m edia coverage of this issue in pro football) little research has been cond ucted into the emotional and sleep related problems. The NFL has recently taken important steps to address this problem\, including informational ma terial in every locker room\, requiring independent medical clearance befo re an injured player may return to compete\, standardized neurocognitive s creening measures\, and increased vigilance by referees to penalize helmet to helmet blows to the head. All well intended\, these efforts do not see m to have substantially addressed the ever growing problem. One positive o utcome has been the increased awareness of the importance of head and neck trauma in all sports\, particularly youth sports. Despite 3 international consensus conferences on TBI in Sports\, many more questions exist than a nswers. This presentation will review the extant knowledge of TBI in sport s and highlight the critical areas yet to be addressed\, with a special em phasis on the psychiatric issues related to TBI \, concussion\, and subcli nical multiple head and neck trauma. \n \n \n \nWilliam Tsushima Ph.D. \n \nUse of a Computerized Neuropsychological Test Battery for the Eval uation of Concussions in Hawaii High School Athletes \n \nThe high numbe r of head injuries and mild traumatic brain injuries(mTBI) sustained by hi gh school athletes calls for improved methods of assessing the neurocognit ive sequelae of sports-related concussions. In the late 1990s\, researcher s at the University of Pittsburgh Medical Center\, as part of their work w ith the Pittsburgh Steelers football team concussion program\, developed a reliable\, sensitive\, and practical approach to the neuropsychological a ssessment of mTBI. Instead of the labor intensive conventional paper-and-p encil psychometric instruments\, the research tem constructed a computer-b ased neurocognitive assessment\, referred to as ImPACT (Immediate Post-Con cussion Assessment and Cognitive Testing)\, that evaluates verbal and visu al memory\, processing speed\, and reaction time. The computerized testing provides a relatively brief (20-30 minutes)\, cost-efficient evaluation w ith clinically useful information for the management of head injured athle tes. A growing body of research attests to the reliability and validity of ImPACT in the neuropsychological evaluation of sports-related concussion. Currently\, ImPACT is utilized by over 125 Division I-1 and I-AA colleges \, over 300 high schools across the United States\, as well as the majorit y of National Football League teams\, and professional motor sports partic ipants. Despite the growing number of research reports on the ImPACT\, the influence of factors such as geographic region or ethnic minority members hip on ImPACT test performance has not been examined. This paper will pres ent the ImPACT scores of 751 Hawaii student athletes to be compared with n ational norms. The scores of 26 concussed athletes tested in a week after a single concussion will also be examined. \n \n \n \nBrandon Cornejo M.D. Ph.D. \nAn athlete’s experience with traumatic head injury \nBrando n Cornejo MD\, PhD is currently a 3rd year resident in Psychiatry at the U niversity of Wisconsin Hospitals and Clinics. He received both his MD and PhD from the University of Colorado and joined the residency program at UW HC on the research track. He has an interest in understanding dysfunction in the insular cortex\, a region of the brain responsible for interoceptiv e awareness – sensory information about temperature\, itch\, touch\, muscu lar and visceral sensation. In pathologic anxiety\, the insular cortex may “register” a difference between actual and expected bodily state resultin g in an increased prediction signal that triggers anticipation and fear ex pression. He is currently examining the role of glutamatergic mechanisms i n potentially detecting an increased prediction signal in a rodent model o f trait anxiety and PTSD. Clinically\, he has a strong interest in Mindful ness and the utilization of exercise to induce such a state. He is current ly an active cyclist\, racing for a local cycling team and focusing on cyc locross and mountain biking. He also spent 8 years playing collegiate and high school lacrosse. He lives in Madison\, WI with his family and really loves dark chocolate. \n \n \n \nIra Glick M.D. and Claudia Reardon M. D. \nSport Psychiatry and Traumatic Brain Injury: A New Frontier in a Cha llenging World \n \nThe field of sport psychiatry has steadily evolved a nd grown since its origin in 1990. Traumatic brain injury (TBI) in athlete s has brought increasing attention to the field\, both in clinical setting s and in the media. The goal of the sport psychiatrist is to (1) optimize health\, (2) improve athletic performance—or suspend it\, as deemed necess ary\, and (3) manage psychiatric symptoms\, including sequelae of TBI. We will address (1) the literature on epidemiology\, diagnosis and treatment of TBI\, (2) the evolution of our recognition of and treatment of TBI\, an d (3) unique challenges for the sport psychiatrist in this process. One su ch challenge is stigma. The athletic ethos leads to reluctance to consult any physician\, especially a psychiatrist. A second challenge is the athle te’s fear that he or she will not be allowed to continue to participate. A final challenge is negative behavior of some professionals\, e.g.\, allow ing athletes with TBI to continue to participate even when it is unsafe to do so. We discuss potential directions for future research on TBI in athl etes. ORGANIZER:Organizer CLASS:PUBLIC END:VEVENT END:VCALENDAR