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

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

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  • Medientyp: E-Artikel
  • Titel: When should an athlete retire or discontinue participating in contact or collision sports following sport-related concussion? A systematic review
  • Beteiligte: Makdissi, Michael; Critchley, Meghan L; Cantu, Robert C; Caron, Jeffrey G; Davis, Gavin A; Echemendia, Ruben J; Fremont, Pierre; Hayden, K Alix; Herring, Stanley A; Hinds, Sidney R; Jordan, Barry; Kemp, Simon; McNamee, Michael; Maddocks, David; Nagahiro, Shinji; Patricios, Jon; Putukian, Margot; Turner, Michael; Sick, Stacy; Schneider, Kathryn J
  • Erschienen: BMJ, 2023
  • Erschienen in: British Journal of Sports Medicine
  • Sprache: Englisch
  • DOI: 10.1136/bjsports-2023-106815
  • ISSN: 1473-0480; 0306-3674
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:sec><jats:title>Objective</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Data sources</jats:title><jats:p>Medline, Embase, SPORTSDiscus, APA PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials were searched systematically.</jats:p></jats:sec><jats:sec><jats:title>Study eligibility criteria</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>PROSPERO registration number</jats:title><jats:p>CRD42022155121.</jats:p></jats:sec>