Risk factors for sports concussion: an evidence-based systematic review

Abrahams, Shameemah; Fie, Sarah Mc; Patricios, Jon; Posthumus, Michael; September, Alison V.

doi:10.1136/bjsports-2013-092734

Cited by 192 publications

(158 citation statements)

References 114 publications

(204 reference statements)

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“…Whereas helmets do reduce the risk of moderate to severe head injuries, current helmet designs may not prevent concussion. [16][17][18] Furthermore, although our survey found that most curlers believe in a role for helmets, actual use is rare and stigmatized. Faced with similar challenges, other sports have implemented changes to rules to reduce concussions.…”

Section: Discussionmentioning

confidence: 94%

Injuries in recreational curling include head injuries and may be prevented by using proper footwear

Ting

2015

Health Promot Chronic Dis Prev Can

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Section: Discussionmentioning

confidence: 94%

Injuries in recreational curling include head injuries and may be prevented by using proper footwear

Ting

2015

Health Promot Chronic Dis Prev Can

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“…La mise en place de recommandations pour la prévention des SRC achoppe sur l'absence de preuve scientifique quant au rôle joué par chacun de ces facteurs [3,6,[49][50][51]. On note parmi les facteurs de risque avancés dans la littérature : -le genre.…”

Section: Facteurs Influençant La Survenue Et/ou La Gravité D'une Srcunclassified

Intérêt du port d’un protège-dents dans la diminution de l’incidence et/ou de la gravité des commotions cérébrales dans le sport

Gunepin

Derache

Dagain

et al. 2016

Med Buccale Chir Buccale

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Résumé -Introduction :La commotion cérébrale dans le sport ou Sport-Related Concussion (SRC) est un processus complexe se traduisant par un trouble de fonctionnement du cerveau. Son incidence ne cesse d'augmenter car la mise en place de mesures efficaces de prévention achoppe sur les zones d'incertitude entourant les SRC (diagnostic, traitements, etc.). Revue de littérature : Dans les années 1960, certains auteurs ont avancé l'hypothèse que le port d'un protège-dents ou protection intrabuccale (PIB) permettrait de prévenir la survenue de SRC. Depuis, des études confirmant ou infirmant cette hypothèse sont régulièrement publiées. Une analyse de la littérature permet de comprendre cette controverse et de distinguer ce qui est avéré de ce qui est supposé. Conclusion : Actuellement, sur la base d'arguments scientifiques, le port de PIB ne peut et ne doit pas être recommandé dans la prévention des SRC. La surestimation des effets protecteurs de la PIB risquerait d'engendrer une augmentation des comportements à risque chez les sportifs qui se sentiraient protégés alors qu'ils ne le seraient pas et ainsi d'augmenter paradoxalement la survenue de SRC. En revanche, l'efficacité des PIB dans la prévention des lésions oro-faciales étant scientifiquement prouvée, c'est à cette fin qu'elles doivent être recommandées pour la pratique sportive.Abstract -Investigation of the use of a mouthguard for decreasing the incidence and/or severity of sportrelated concussions. Introduction: Concussion in sport, so-called sport-related concussion (SRC), is a complex pathophysiological process resulting in the impairment of the brain. Its incidence is increasing due to the uncertainty surrounding SRC (diagnosis, management, etc.). Literature review: In the 1960's, some authors put forth the hypothesis that the use of a mouthguard could prevent the occurrence of SRC. Since then, many studies confirming or invalidating this hypothesis have been published regularly. An analysis of the literature allows us to understand this situation and distinguish between what is proven and what is supposed. Conclusion: Currently, on the basis of the scientific evidence, the use of a mouthguard cannot and must not be recommended for the prevention of SRC. The overestimation of the protective effects of a mouthguard can lead to an increase in risk behaviours in sportspeople, who feel protected while they are not. This can result in a paradoxical increase in SRC. However, mouthguards have been shown to be effective in preventing dental and orofacial injuries. For this reason, mouthguards should continue to be recommended and used in sport activities.

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“…Pre-morbid learning disorders, behavioural issues, or mental health problems are all known to be the source of a number of the post-concussion symptoms and clusters of symptoms [37]. For example, athletes with Attention Deficit Hyperactivity Disorder (ADHD) [38][39][40][41][42] or learning problems [39] have a greater lifetime history of concussion, and individuals with a prior history are at increased risk for a future concussion [43].…”

Section: Clinical Historymentioning

confidence: 99%

Sports Concussion: A Clinical Overview

Gardner¹

2018

Sport and Exercise Science

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Concussion is an injury risk associated with participation in collision sports. It has been identified as a research priority for many contacts and collision sports governing bodies worldwide. However, concussion remains under-researched in terms of clinical translation from both experimental models to clinical understanding, and from clinical studies to sports policy. Currently, the clinical management of concussion is largely guided by the presence or absence of symptoms with recovery indicated once all post-injury symptoms have resolved. Management of concussion includes physical and cognitive rest until acute symptoms resolve, with a graded program of exertion implemented prior to medical clearance and return-to-play. Considering the potential sequelae, the heterogeneity of symptoms, and the lack of an intervention known to prevent concussion, it is not any wonder that concussion is one of the most complex and perplexing injuries faced by medical professionals, and why making the return-to-play decision can be quite challenging. This chapter will provide an overview of the current clinical management guidelines and research literature pertaining to identification and diagnosis of injury, acute and post-acute management, and return-to-play decision-making. The traditional standard assessment process (e.g., symptom reporting, cognitive assessment, balance testing), new methods and advanced technology (e.g., ocular-motor testing, neuroimaging techniques), and biomarkers (e.g., blood plasma and serum, fluid) have led to greater insights into sports concussion and will also be briefly explored in this chapter.

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Risk factors for sports concussion: an evidence-based systematic review

Cited by 192 publications

References 114 publications

Injuries in recreational curling include head injuries and may be prevented by using proper footwear

Injuries in recreational curling include head injuries and may be prevented by using proper footwear

Intérêt du port d’un protège-dents dans la diminution de l’incidence et/ou de la gravité des commotions cérébrales dans le sport

Sports Concussion: A Clinical Overview

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