The management of concussion in sport is not standardized. A systematic review

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art_PIEDADE_The_management_of_concussion_in_sport_is_not_2021.PDF (448.02 KB)
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PERGAMON-ELSEVIER SCIENCE LTD
Autores
PIEDADE, Sergio Rocha
HUTCHINSON, Mark R.
FERREIRA, Daniel Miranda
MAFFULLI, Nicola
Citação
JOURNAL OF SAFETY RESEARCH, v.76, p.262-268, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Concussion is traumatic brain injury with associated tissue damage commonly produced by an indirect or direct head or facial trauma that can negatively impact an athletes' career and personal life. In this context, the importance on how to deal with a concussion has received attention from worldwide literature and has become a topic of enormous interest in the sports medicine arena. Objective: This systematic review aimed to investigate how sports-related concussion is being managed regarding athletic injuries, athletes' age, clinical signs of concussion, adopted questionnaires, as well as decision making in sports medicine. Methods: A systematic review of the literature was performed searching 10 electronic databases with no limitations for year of publication up to December 2019. The search terms used were: Brain Concussion, Athletes, Sports Medicine, Athletic Injuries, Clinical Decision-Making, and Decision Making. The articles were considered eligible when the studies related to populations of regular sports practitioners, professional or recreational, of any age; sports injury; articles reporting concussion evaluation in at least 30 athletes; and articles published in English, French, Portuguese, Italian. We excluded systematic review articles, reviews, editorials, sport-unrelated concussion, no questionnaire application, approaching retired athletes, consensus statement letters, author's reply to editorials, synopsis, and abstracts. Results: The parameters adopted for decision-making and management were broadly variable and were based on a variety of clinical signs or scoring outcomes from a myriad of questionnaires with little consistency in protocol or management guidelines, which could guide the average clinician. Conclusion: This systematic review provides current evidence that post-concussion management in sports medicine has yet to accomplish a standardized protocol that clinicians could use to optimally care for athletes. The extensive number of manuscripts and studies addressing the topic confirms that sports-related concussion in the pediatric and adolescent population has come to the forefront in the sports medicine field.
Palavras-chave
Brain concussion, Sports medicine, Athletic injuries, Clinical decision-making, Decision making
URI
https://observatorio.fm.usp.br/handle/OPI/48505
Referências
  1. Barr WB, 2001, J INT NEUROPSYCH SOC, V7, P693, DOI 10.1017/S1355617701766052
  2. Blanch P, 2016, BRIT J SPORT MED, V50, P471, DOI 10.1136/bjsports-2015-095445
  3. Bradley PS, 2010, J STRENGTH COND RES, V24, P2343, DOI 10.1519/JSC.0b013e3181aeb1b3
  4. Campbell-McGovern C, 2018, INJURY PREV, V24, P319, DOI 10.1136/injuryprev-2018-042831
  5. Chambers R, 2015, SPORTS MED, V45, P1065, DOI 10.1007/s40279-015-0332-9
  6. Choe MC, 2016, CURR PAIN HEADACHE R, V20, DOI 10.1007/s11916-016-0573-9
  7. Coleman BD, 2000, SCAND J MED SCI SPOR, V10, P2, DOI 10.1034/j.1600-0838.2000.010001002.x
  8. Cordingley D, 2016, J NEUROSURG-PEDIATR, V18, P693, DOI 10.3171/2016.5.PEDS16139
  9. Covassin T, 2008, J ATHL TRAINING, V43, P119, DOI 10.4085/1062-6050-43.2.119
  10. Delaney JS, 2015, CLIN J SPORT MED, V25, P113, DOI 10.1097/JSM.0000000000000112
  11. Desai N, 2019, CLIN J SPORT MED, V29, P361, DOI 10.1097/JSM.0000000000000646
  12. Eckner JT, 2010, J ATHL TRAINING, V45, P327, DOI 10.4085/1062-6050-45.4.327
  13. Ellis MJ, 2017, CAN J NEUROL SCI, V44, P24, DOI 10.1017/cjn.2016.312
  14. Ellis MJ, 2015, J NEUROSURG-PEDIATR, V16, P241, DOI 10.3171/2015.1.PEDS14510
  15. Frommer LJ, 2011, J ATHL TRAINING, V46, P76, DOI 10.4085/1062-6050-46.1.76
  16. Fuller CW, 2017, BRIT J SPORT MED, V51, P64, DOI 10.1136/bjsports-2016-096461
  17. Gabbett TJ, 2016, BRIT J SPORT MED, V50, P1017, DOI 10.1136/bjsports-2016-096308
  18. Gardner AJ, 2019, J ORTHOP SPORT PHYS, V49, P768, DOI 10.2519/jospt.2019.9105
  19. Hay J, 2016, ANNU REV PATHOL-MECH, V11, P21, DOI 10.1146/annurev-pathol-012615-044116
  20. Langlois JA, 2006, J HEAD TRAUMA REHAB, V21, P375, DOI 10.1097/00001199-200609000-00001
  21. Majerske CW, 2008, J ATHL TRAINING, V43, P265, DOI 10.4085/1062-6050-43.3.265
  22. Makdissi M, 2009, AM J SPORT MED, V37, P877, DOI 10.1177/0363546508328118
  23. McCrea M, 2005, J INT NEUROPSYCH SOC, V11, P58, DOI 10.1017/S1355617705050083
  24. McCrea M, 2013, J INT NEUROPSYCH SOC, V19, P22, DOI 10.1017/S1355617712000872
  25. McKeon JMM, 2013, J ATHL TRAINING, V48, P836, DOI 10.4085/1062-6050-48.6.17
  26. Navarro RR, 2011, CURR SPORT MED REP, V10, P27, DOI 10.1249/JSR.0b013e318205e072
  27. Pellman EJ, 2005, NEUROSURGERY, V56, P79, DOI 10.1227/01.NEU.0000150180.16552.8D
  28. Povoas SCA, 2014, J STRENGTH COND RES, V28, P430, DOI 10.1519/JSC.0b013e3182a953b1
  29. Putukian M, 2015, CLIN J SPORT MED, V25, P36, DOI 10.1097/JSM.0000000000000102
  30. Randolph C, 2009, ARCH CLIN NEUROPSYCH, V24, P219, DOI 10.1093/arclin/acp025
  31. Reches A, 2017, BRAIN INJURY, V31, P237, DOI 10.1080/02699052.2016.1231343
  32. Russell K, 2017, J NEUROTRAUM, V34, P2147, DOI 10.1089/neu.2016.4704
  33. Scanlan A, 2011, J SPORT SCI, V29, P1153, DOI 10.1080/02640414.2011.582509
  34. Shahim P, 2014, JAMA NEUROL, V71, P684, DOI 10.1001/jamaneurol.2014.367
  35. Strand S, 2015, APPL NEUROPSYCH-CHIL, V4, P58, DOI 10.1080/21622965.2013.802650
  36. Tsushima WT, 2019, ARCH CLIN NEUROPSYCH, V34, P60, DOI 10.1093/arclin/acy019
  37. Wasserman EB, 2016, AM J SPORT MED, V44, P226, DOI 10.1177/0363546515610537
  38. Wennberg RA, 2008, CAN J NEUROL SCI, V35, P647, DOI 10.1017/S031716710000946X
  39. Windt J, 2017, BRIT J SPORT MED, V51, P645, DOI 10.1136/bjsports-2016-095973

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - LIM/41