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When should an athlete retire or discontinue participating in contact or collision sports following sport-related concussion? A systematic review

Michael Makdissi Orcid Logo, Meghan L Critchley Orcid Logo, Robert C Cantu, Jeffrey G Caron Orcid Logo, Gavin A Davis Orcid Logo, Ruben J Echemendia Orcid Logo, Pierre Fremont Orcid Logo, K Alix Hayden Orcid Logo, Stanley A Herring, Sidney R Hinds Orcid Logo, Barry Jordan, Simon Kemp Orcid Logo, Michael McNamee Orcid Logo, David Maddocks, Shinji Nagahiro, Jon Patricios Orcid Logo, Margot Putukian Orcid Logo, Michael Turner Orcid Logo, Stacy Sick, Kathryn J Schneider Orcid Logo

British Journal of Sports Medicine, Volume: 57, Issue: 12, Pages: 822 - 830

Swansea University Author: Michael McNamee Orcid Logo

Abstract

Objective To systematically review the scientific literature regarding factors to consider when providing advice or guidance to athletes about retirement from contact or collision sport following sport-related concussion (SRC), and to define contraindications to children/adolescent athletes entering...

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Published in: British Journal of Sports Medicine
ISSN: 0306-3674 1473-0480
Published: BMJ 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa63689
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Abstract: Objective To systematically review the scientific literature regarding factors to consider when providing advice or guidance to athletes about retirement from contact or collision sport following sport-related concussion (SRC), and to define contraindications to children/adolescent athletes entering or continuing with contact or collision sports after SRC.Data sources Medline, Embase, SPORTSDiscus, APA PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials were searched systematically.Study eligibility criteria Studies were included if they were (1) original research, (2) reported on SRC as the primary source of injury, (3) evaluated the history, clinical assessment and/or investigation of findings that may preclude participation in sport and (4) evaluated mood disturbance and/or neurocognitive deficits, evidence of structural brain injury or risk factors for increased risk of subsequent SRC or prolonged recovery.Results Of 4355 articles identified, 93 met the inclusion criteria. None of the included articles directly examined retirement and/or discontinuation from contact or collision sport. Included studies examined factors associated with increased risk of recurrent SRC or prolonged recovery following SRC. In general, these were low-quality cohort studies with heterogeneous results and moderate risk of bias. Higher number and/or severity of symptoms at presentation, sleep disturbance and symptom reproduction with Vestibular Ocular Motor Screen testing were associated with prolonged recovery and history of previous concussion was associated with a risk of further SRC.Conclusion No evidence was identified to support the inclusion of any patient-specific, injury-specific or other factors (eg, imaging findings) as absolute indications for retirement or discontinued participation in contact or collision sport following SRC.
Item Description: Systematic review
College: Faculty of Science and Engineering
Funders: This systematic review was prepared for presentation at the 6th International Conference on Concussion in Sport in Amsterdam, October 2022. An education grant was received from the Concussion in Sport International Consensus Conference Organising Committee through Publi Creations for partial administrative and operational costs associated with the writing of the systematic reviews.
Issue: 12
Start Page: 822
End Page: 830