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Howard G. Smith, M.D. is a former radio medical editor and talk show host in the Boston Metro area. His "Medical Minute" of health and wellness news and commentary was a regular weekday feature on WBZ-AM, WRKO-AM, and WMRE-AM. His popular two-way talk show, Dr. Howard Smith OnCall, was regularly heard Sunday morning and middays on WBZ.

Dr. Smith has adopted audio and video podcasting as conduits for HEALTH NEWS YOU SHOULD USE. Based on the latest medical, health, and wellness literature these reports provide practical information you can use to keep yourself and your family healthy. Many reports have video versions, and Dr. Smith’s YouTube Channel may be found at: http://bit.ly/2rNw6XQ

Trained at Harvard Medical School and a long-time faculty member at Boston Children’s Hospital, he practiced Pediatric Otolaryngology for 40 years in Boston, Southern California, and in central Connecticut.  He is now based in New York City.

If you have questions or suggestions about this content, please email the doctor at drhowardsmith.reports@gmail.com or leave him a message at 516-778-8864.  His website is: www.drhowardsmith.com.

Please note that the news, views, commentary, and opinions that Dr. Smith provides are for informational purposes only. Any changes that you or members of your family contemplate making to lifestyle, diet, medications, or medical therapy should always be discussed beforehand with personal physicians who have been supervising your care.

May 18, 2019

Vidcast:  https://youtu.be/RvII1BZlmOU

Pediatric sports medicine specialists at the University of Colorado report that a simple test, the Romberg test, can predict which children will suffer lasting effects from a concussion and would benefit from proactive therapy.  Their study was just published in the Journal of Neurosurgery;Pediatrics.

The data from more than 350 children and adolescents with a mean age of nearly 15 years showed that an abnormal Romberg balance test was the best predictor of prolonged symptoms after the traumatic brain injury.  This test was more predictive than other variables including self-reported headache severity, headache frequency, confusion, forgetfulness,  inattention, memory lapses, fatigue, and dizziness failed to correlate with the duration of issues post-concussion.

The Romberg test is simple to perform.  The subject stands with feet together and eyes closed.  The test is deemed positive if the individual cannot maintain balance with minimal movement.

This finding is important because a positive Romberg test will triage children who have sustained concussions into timely physical and psychological therapy.

Howell DR, Potter MN, Kirkwood MW, Wilson PE, Provance AJ, and Wilson JC. Clinical predictors of symptom resolution for children and adolescents with sport-related concussion. Journal of Neurosurgery: Pediatrics, 2019 DOI: 10.3171/2018.11.PEDS18626

#Concussion #romberg #recovery