Return-to-Play Guidelines in Concussion: Revisiting the Literature

Sabini, Rosanna C.; Nutini, Dennis N.; Nutini, Marykatharine

doi:10.3810/psm.2014.09.2070

Cited by 6 publications

(4 citation statements)

References 87 publications

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“…Studies have suggested that there is a sex difference in the constellation of symptoms following SRC, with fatigue/sleep disturbance, difficulty concentrating and emotional instability reported more frequently by females [ 82 , 86 , 87 , 88 ]. This is widely in line with our findings.…”

Section: Discussionmentioning

confidence: 99%

Are Sex Differences in Collegiate and High School Sports-Related Concussion Reflected in the Guidelines? A Scoping Review

Musko,

Demetriades

2023

Brain Sciences

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Background: Sport-related concussion (SRC) is a common sport injury. Females are participating in sports at increasing rates, and there is growing awareness that female athletes may be more vulnerable to SRC. Objectives: We aimed to identify sex differences in epidemiology, clinical manifestation and assessment of SRC and examine how these relate to the 6th International Conference on Concussion in Sport (ICCS). Methods: We conducted a scoping review of the Medline database and identified 58 studies examining the effects of sex on SRC in collegiate and high school athletes that were written in English and published in a peer-reviewed journal between March 2012 and March 2022. Results: We found that female athletes suffer higher rates of concussion in sex-comparable sports, in particular soccer. Female athletes experience more somatic symptoms—headache/migraine/sleep disturbance—and may take longer to recover from concussion. Sex differences were also identified regarding some aspects of sideline concussion assessment with the Sport Concussion Assessment Tool. Conclusions: Females are at greater risk and experience SRC differently than males; this is mostly likely due to a combination of biomechanical factors, differences in neck musculature and hormonal and social factors. Sex differences are not widely addressed by the 6th ICSS, which informs many sports’ concussion protocols.

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Section: Discussionmentioning

confidence: 99%

Are Sex Differences in Collegiate and High School Sports-Related Concussion Reflected in the Guidelines? A Scoping Review

Musko,

Demetriades

2023

Brain Sciences

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“…The literature is unambiguous with respect to the recommended treatment of LD/ADHD diagnoses in concussion research: patients with LD/ADHD have either traditionally been excluded from mTBI studies or treated as special populations. 28,29,30,31,32…”

Section: Cognitive Disorders As Modifying Factors In Concussion Researchmentioning

confidence: 99%

Cognitive Disorders Among Incoming College Football Athletes: Legal and Medical Implications of Undisclosed Inclusion in Concussion Research

Tatos¹,

Comrie²

2019

JoSPI

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“…Ensuring that information reaches target audiences through implementing the preferred method of learning of each stakeholder is referred to as knowledge transfer. 13,14 While a shared responsibility among stakeholders (players, coaches, administrative staff, and medical staff) has been advocated by previous literature to ensure the safe RTP of players, 12,15 differences in perceptions have been reported throughout the rugby community structure. 12 To ensure player welfare, World Rugby and BokSmart TM have developed concussion management recommendations.…”

Section: Introductionmentioning

confidence: 99%

“…This approach, which includes implementing a post-concussion RTP protocol, has proven to be a challenging issue for clinicians. Although the exercises prescribed at certain timeframes have proven beneficial, 15,16 the prescribed level of exercise appears to be vague. 17 If implemented correctly, players should not report concussion symptoms after any stages of the RTP protocol and if symptoms were to re-occur, they should revert to the previous stage.…”

Section: Introductionmentioning

confidence: 99%

Post-concussion return-to-play: Perceptions of roles, responsibilities and guideline implementation among community club rugby stakeholders in South Africa

Kraak

Vuuren

Welman

2021

International Journal of Sports Science & Coaching

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Concussions are an inherent part of rugby; however, subsequent concussions can be decreased by following the appropriate post-concussion return-to-play (RTP) protocols. The aim of this study was to compare stakeholders’ perceptions regarding their roles and responsibilities in terms of the implementation of post-concussion RTP in community club rugby in the Western Cape, South Africa. The results of a post-concussion RTP implementation questionnaire revealed limited knowledge of the recommended 6-stage BokSmart™ RTP protocol among players. Although not essential that players have knowledge of this protocol, this can be indicative of coaches’ disregard of the importance of communicating concussion knowledge. Coaches were identified as having a major role to play in post-concussion RTP, being responsible for monitoring matches and training sessions for concussion. They were also considered the most knowledgeable stakeholders on post-concussion return-to-play guidelines. Yet, coaches and administrative staff demonstrated a relatively low ability to advise on when to safely return to play. Only two thirds of coaches and a third of administrative staff were found to implement the recommended protocol, while less than half of medical staff and only a third of coaches demonstrated the ability to implement the protocol correctly, revealing inadequate knowledge. Hence, the study underscored the significance of education focusing on the practical implementation of post-concussion RTP protocols within community club rugby.

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Return-to-Play Guidelines in Concussion: Revisiting the Literature

Cited by 6 publications

References 87 publications

Are Sex Differences in Collegiate and High School Sports-Related Concussion Reflected in the Guidelines? A Scoping Review

Are Sex Differences in Collegiate and High School Sports-Related Concussion Reflected in the Guidelines? A Scoping Review

Cognitive Disorders Among Incoming College Football Athletes: Legal and Medical Implications of Undisclosed Inclusion in Concussion Research

Post-concussion return-to-play: Perceptions of roles, responsibilities and guideline implementation among community club rugby stakeholders in South Africa

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