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Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group

Authors :
Vincent Gouttebarge
Cheri A. Blauwet
Wayne Derman
Nick Webborn
Evert Verhagen
David Ernest Clarke
Osman Hassan Ahmed
Richard Weiler
Jan Lexell
Kenneth Lee
James Kissick
Kristina Fagher
Peter Van de Vliet
Kristine Dalton
Public and occupational health
AMS - Sports
APH - Health Behaviors & Chronic Diseases
Human Physiology and Sports Physiotherapy Research Group
Physiotherapy, Human Physiology and Anatomy
Orthopedic Surgery and Sports Medicine
AMS - Musculoskeletal Health
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.

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