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Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
- Source :
- British Journal of Sports Medicine, Weiler, R, Blauwet, C, Clarke, D, Dalton, K, Derman, W, Fagher, K, Gouttebarge, V, Kissick, J, Lee, K, Lexell, J, van de Vliet, P, Verhagen, E, Webborn, N & Ahmed, O H 2021, ' Concussion in para sport: The first position statement of the Concussion in Para Sport (CIPS) Group ', British journal of sports medicine, vol. 55, no. 21, bjsports-2020-103696, pp. 1187-1195 . https://doi.org/10.1136/bjsports-2020-103696, British journal of sports medicine, 55(21):bjsports-2020-103696, 1187-1195, British journal of sports medicine, 55(21):bjsports-2020-103696, 1187-1195. BMJ Publishing Group
- Publication Year :
- 2021
- Publisher :
- BMJ Publishing Group, 2021.
-
Abstract
- Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, the concussion in para sport (CIPS) multidisciplinary expert group was created. This group analysed and discussed in-depth para athlete-specific issues within the established key clinical domains of the current (2017) consensus statement on CIS. Due to the onset of the COVID-19 pandemic, the group held all meetings by video conferencing. The existing Sport Concussion Assessment Tool 5 (SCAT5) for the immediate on-field and office-based off-field assessment of concussion was evaluated as part of this process, to identify any para athlete-specific concerns. Regular preparticipation and periodic health examinations are essential to determine a baseline reference point for concussion symptoms but pose additional challenges for the interpreting clinician. Further considerations for concussion management for the para athlete are required within the remove, rest, reconsider and refer consensus statement framework. Considering return to sport (RTS), the 2017 CIS consensus statement has limitations when considering the RTS of the para athlete. Case-by-case decision making related to RTS following concussion is imperative for para athletes. Additional challenges exist for the evaluation and management of concussion in para athletes. There is a need for greater understanding of existing knowledge gaps and attitudes towards concussion among athlete medical staff, coaches and para athletes. Future research should investigate the use and performance of common assessment tools in the para athlete population to better guide their clinical application and inform potential modifications. Concussion prevention strategies and sport-specific rule changes, such as in Para Alpine Skiing and Cerebral Palsy Football, also should be carefully considered to reduce the occurrence of concussion in para athletes.
- Subjects :
- Position statement
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Population
Physical Therapy, Sports Therapy and Rehabilitation
Football
03 medical and health sciences
0302 clinical medicine
Multidisciplinary approach
Concussion
medicine
Humans
Orthopedics and Sports Medicine
Disabled Persons
Sports for Persons with Disabilities
030212 general & internal medicine
education
Brain Concussion
education.field_of_study
Concussion management
biology
Athletes
Consensus Statement
position statement
030229 sport sciences
General Medicine
head
biology.organism_classification
medicine.disease
disability
Athletic Injuries
Physical therapy
concussion
Psychology
Subjects
Details
- Language :
- English
- ISSN :
- 14730480 and 03063674
- Volume :
- 55
- Issue :
- 21
- Database :
- OpenAIRE
- Journal :
- British Journal of Sports Medicine
- Accession number :
- edsair.doi.dedup.....997e6b7b83a9bcfb001fd37cc1ae43e6
- Full Text :
- https://doi.org/10.1136/bjsports-2020-103696