Ethical issues in return-to-sport decisions

Burgess, Theresa

doi:10.17159/2078-516x/2011/v23i4a327

Cited by 7 publications

(10 citation statements)

References 8 publications

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“…Injuries incur high economic costs for sports teams (2). The family of the injured players, their coaches and sponsors can also be affected by these events (3).…”

Section: Introductionmentioning

confidence: 99%

How, When, and Where do Football Players get Injured?: a Descriptive Epidemiological Study on Male Professional Football Players in Spain for Four Seasons

Piqueras

López

González-Rubio

et al. 2017

Ann. Appl. Sport Sci

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Background. Sports injuries, in addition to the economic cost which they incur for football clubs, appear to be linked to a worse collective performance during the season. Objectives. The aim of this study was to determine the injury incidence in a professional football team during 4 consecutive seasons. Methods. A total of 109 football players aged about 25 ± 4 years, having experience in sports from 18 ± 5 years, were analysed based on the injuries which they suffered during the training sessions and competition. Based on the recommendations of the International Federation of Football Associations (FIFA), the exact type, severity and duration of football injuries were reported. Results. A total of 251 injuries (62.7 injuries/season and 2.3 injuries/player) were recorded. The incidence during the competition (37.2 injuries/1000h) was higher than that obtained during the training sessions (3.95 injuries/1000h). The injuries of a muscular type were the ones which showed the highest injury incidence (53% -3.3 injuries/1000h), where the posterior thigh (19.6%), the knee (18.3%) and the groin (17.4%) were the most frequently damaged zones. It was found that 14.4% of the injuries were relapses of injuries suffered previously. Conclusion. The injury incidence detected in Spanish players is within the normal range for professional football players. The highest frequency injury types are muscular injury, closely followed by joint injury. The variables of injury risk were undifferentiated by the level of competition, player´s age, position and time of occurrence (month).

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“…Injuries incur high economic costs for sports teams (2). The family of the injured players, their coaches and sponsors can also be affected by these events (3).…”

Section: Introductionmentioning

confidence: 99%

How, When, and Where do Football Players get Injured?: a Descriptive Epidemiological Study on Male Professional Football Players in Spain for Four Seasons

Piqueras

López

González-Rubio

et al. 2017

Ann. Appl. Sport Sci

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“…The team physician might be the primary person whose main concern is to evaluate and decide on the basis of both the short- and long-term health of the athlete (Johnson 2004). Ideally, the decision should not be dominated by the desire to affect the outcome of the competition or by the coaches, but should be based instead on the risks and consequences to the health of the athlete (Burgess 2012). Return-to-play decisions are unique to sports medicine and can be challenging because, while the primary aim of the team physician is the well-being of the athlete, he or she also must support the team goals (Johnson 2004).…”

Section: Return-to-play Decisionsmentioning

confidence: 99%

Sports Medicine and Ethics

Testoni

Hornik

Smith

et al. 2013

The American Journal of Bioethics

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Physicians working in the world of competitive sports face unique ethical challenges, many of which center around conflicts of interest. Team-employed physicians have obligations to act in the club’s best interest while caring for the individual athlete. As such, they must balance issues like protecting versus sharing health information, as well as issues regarding autonomous informed consent versus paternalistic decision-making in determining whether an athlete may compete safely. Moreover, the physician has to deal with an athlete’s decisions about performance enhancement and return to play, pursuit of which may not be in the athlete’s long-term best interests but may benefit the athlete and team in the short term. These difficult tasks are complicated by the lack of evidence-based standards in a field influenced by the lure of financial gains for multiple parties involved. In this article, we review ethical issues in sports medicine with specific attention paid to American professional football.

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“…When making a decision to allow or prohibit an athlete from participating in sports, we often turn to central ethical principles to help guide us, such as respect for autonomy, beneficence, nonmaleficence, and justice [1][2][3][4]. In the current situation, however, two of these principles are in direct conflict.…”

Section: Commentarymentioning

confidence: 99%

“…When such conflicts arise in medicine, we often turn to ethical principles to guide us in reaching a decision [1][2][3][4]. In this case, as is common in sports medicine [5][6][7][8][9], we have two ethical principles that are in conflict with one another.…”

Section: Commentarymentioning

confidence: 99%

“…He could discuss the evidence of chronic traumatic encephalopathy as well as the limitations of that evidence. By discussing the studies and data that are available while simultaneously acknowledging the existence of clinical uncertainty, Dr. Gupta would promote a more autonomous decision-making process, allowing Jesse and his parents to perform a more informed risk-benefit analysis [4,48].…”

Section: Commentarymentioning

confidence: 99%

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