51
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Salmon D, Romanchuk J, Murphy I, Sullivan J, Walters S, Whatman C, Clacy A, Keung S, Van Der Vis K. Infographic. New Zealand Rugby's concussion management pathway. Br J Sports Med 2019; 54:298-299. [PMID: 31300392 DOI: 10.1136/bjsports-2019-100950] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2019] [Indexed: 11/03/2022]
Affiliation(s)
- Danielle Salmon
- Health, Safety and Welfare, New Zealand Rugby Union, Wellington, New Zealand
| | - Janelle Romanchuk
- Health, Safety and Welfare, New Zealand Rugby Union, Wellington, New Zealand
| | - Ian Murphy
- Health, Safety and Welfare, New Zealand Rugby Union, Wellington, New Zealand
| | - John Sullivan
- Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand
| | - Simon Walters
- Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand
| | - Chris Whatman
- Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand
| | - Amanda Clacy
- Sunshine Coast Mind and Neuroscience - Thompson Institute, University of the Sunshine Coast, Birtinya, Queensland, Australia
| | - Sierra Keung
- Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand
| | - Klazina Van Der Vis
- School of Medicine, University of Otago Medical School, Dunedin, New Zealand
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52
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Wayment HA, Huffman AH, Lane TS, Lininger MR. Relationship of athletic and academic identity to concussion reporting intentions. Musculoskelet Sci Pract 2019; 42:186-192. [PMID: 31014920 DOI: 10.1016/j.msksp.2019.04.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Revised: 03/26/2019] [Accepted: 04/09/2019] [Indexed: 01/29/2023]
Abstract
BACKGROUND Understanding concussed athletes' motivations for reporting concussion symptoms is important for health care professionals who are charged with the care, management, and prevention of future injury. OBJECTIVES To examine if athletic and academic identity predict concussion symptom reporting intentions above and beyond traditional socio-cognitive predictors. DESIGN Cross-sectional study using self-report measures during the 2016 collegiate football season. METHOD In a sample of National Collegiate Athletic Association (NCAA) Division I American football athletes (N = 205) we examined the relationship of athletic and academic identity with three indices of symptom reporting behavior: reporting during a game, reporting 24 h after a game, and reporting on behalf of a teammate. We used descriptive statistical analyses, correlations, and linear regression to examine hypotheses. RESULTS Controlling for traditional predictors, athletic identity was associated with a lower likelihood to report symptoms during a game (β = -0.22, t = -3.28, p < .001) or within 24 h (β = -0.28, t = -4.12, p < .001). Academic identity was positively associated with reporting intentions during a game (β = 0.12, t = 1.68, p < .05), 24 h later (β = 0.13, t = 1.85, p < .05), and on behalf of a teammate (β = 0.22, t = -3.36, p < .001). CONCLUSIONS Athletic and academic identities offer additional insight into athletes' motivation for concussion symptom reporting intentions, above and beyond traditional socio-cognitive predictors. Discussion focuses on the benefit of incorporating these important self-identities into educational health interventions to improve their impact.
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Affiliation(s)
- Heidi A Wayment
- Psychological Sciences, 1100 S. Beaver Street, Northern Arizona University, Flagstaff, AZ, 86011, USA.
| | - Ann H Huffman
- Psychological Sciences, 1100 S. Beaver Street, Northern Arizona University, Flagstaff, AZ, 86011, USA; W.A. Franke College of Business, 101 E. McConnell, Northern Arizona University, Flagstaff, AZ, 86011, USA.
| | - Taylor S Lane
- Interdisciplinary Health PhD Program, 1100 S. Beaver Street, Northern Arizona University, Flagstaff, AZ, 86011, USA.
| | - Monica R Lininger
- Physical Therapy and Athletic Training, 208 E. Pine Knoll Drive, Northern Arizona University, Flagstaff, AZ, USA.
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53
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An experimental study of two forms of concussion advice on planned physical activity. BRAIN IMPAIR 2019. [DOI: 10.1017/brimp.2019.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractBackground and aimsBest practice management for medically cleared concussion is to commence a graded return to activity, as tolerated, and within 24–48 h of the injury. Patients may encounter this or other advice if they search the Internet, or when they are discharged from care. It is not yet known how patients would interpret this advice, particularly for specific activities. This study compared the effect of two forms of concussion advice on physical activity plans. It was expected that compared to the advice to gradually return to activity, the advice to ‘rest’ would lead to reduced activity plans.MethodsConcussion simulators received the generic advice to undertake 1 week of (i) rest (no physical activity [NPA], n = 115) or (ii) graded physical activity (GPA, n = 104). Activity plans were recorded using items from the Mild Traumatic Brain Injury Rest-Activity Questionnaire (MTBI-RAQ).ResultsThere was a significant group difference in activity plans (NPA < GPA, total score and for all MTBI-RAQ items, p’s ≤ 0.001, medium-to-large effects). The average NPA response was for a significant reduction from pre-injury for 14 activities, with no planned change for 2 activities (walking, household chores). In the GPA group, there were plans to reduce (nitems = 7), continue (nitems = 5) or increase activities (nitems = 4; e.g., swimming). Both groups proposed to decrease ‘high-risk’ activities (e.g., heavy lifting).ConclusionAs expected, there was a significant effect of the type of advice on physical activity plans. Compared to the GPA advice, the NPA advice led to a significant reduction of planned physical activity. If concussed patients seek or receive advice that recommends NPA, it may prompt activity plans that are unnecessarily restrictive. If GPA advice is given, it leads to varied plans, with fewer restrictions overall, and avoidance of higher risk physical activities. Generic GPA advice has the potential to facilitate active recovery for concussion; however, patients would still likely benefit from a professional consultation about their plan and support to safely implement it, and this should be investigated in future research.
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54
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Elliott J, Anderson R, Collins S, Heron N. Sports-related concussion (SRC) assessment in road cycling: a systematic review and call to action. BMJ Open Sport Exerc Med 2019; 5:e000525. [PMID: 31205745 PMCID: PMC6540321 DOI: 10.1136/bmjsem-2019-000525] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/05/2019] [Indexed: 12/14/2022] Open
Abstract
Background Sports-related concussion (SRC) is a recognised risk in road cycling and can have serious health consequences. Recent high-profile cases of professional road cyclists continuing to participate in races despite suffering obvious SRC have highlighted the difficulties in assessing SRC within road cycling. Purpose To undertake a systematic review of the literature on SRC assessment in road cycling. Study design Systematic review. Methods Literature describing SRC assessment in road cycling was identified by searching MEDLINE, EMBASE, PsycINFO and Web of Science. Two reviewers independently screened titles and abstracts for eligibility and a qualitative analysis was undertaken of included studies. Results From 94 studies identified, two were included for review. Gordon et al describe the presentation of a single case of paediatric concussion following a cycling crash. They highlight the utility of SRC evaluation using the Sport Concussion Assessment Tool (SCAT) as well as the importance of a stepwise return-to-play protocol. Greve and Modabber discuss a number of traumatic brain injuries that occurred during the 2011 road cycling season and, as a minimum, call for riders to be withdrawn from competition following loss of consciousness or amnesia. Both studies are at high risk of bias and of low quality. Conclusion Road cycling poses unique challenges for the assessment of SRC. This review illustrates the lack of published evidence to advise effective means of SRC assessment within road cycling. The Union Cycliste Internationale (UCI) regulations advise the use of SCAT-5 for concussion assessment but this tool is impractical, requiring modification for use in road cycling. We would like to call on the UCI to hold a consensus meeting to establish an evidence-based SRC assessment protocol and return-to-riding protocol for road cycling.
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Affiliation(s)
- Jonathan Elliott
- School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK
| | - Richard Anderson
- Department of Medicine, University of Cambridge, Cambridge, United Kingdom
| | - Stephen Collins
- Department of Medicine and Surgery, Northern Health and Social Care Trust, Coleraine, United Kingdom
| | - Neil Heron
- General Practice/Centre for Public Health, Queen's University Belfast, Belfast, UK.,Department of General Practice, Keele University, Keele, Staffordshire, United Kingdom
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55
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Smith AM, Alford PA, Aubry M, Benson B, Black A, Brooks A, Burke C, D’Arcy R, Dodick D, Eaves M, Eickhoff C, Erredge K, Farrell K, Finnoff J, Fraser DD, Giza C, Greenwald RM, Hanzel M, Hoshizaki B, Huston J, Jorgenson J, Joyner M, Krause D, LaVoi N, Leaf M, Leddy J, Leopold J, Margarucci K, Margulies S, Mihalik J, Munce T, Oeur A, Podein S, Prideaux C, Roberts WO, Shen F, Soma D, Tabrum M, Stuart MB, Wethe J, Whitehead JR, Wiese-Bjornstal D, Stuart MJ. Proceedings from the Ice Hockey Summit III: Action on Concussion. EXERCISE MEDICINE 2019. [DOI: 10.26644/em.2019.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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56
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Smith AM, Alford PA, Aubry M, Benson B, Black A, Brooks A, Burke C, D'Arcy R, Dodick D, Eaves M, Eickhoff C, Erredge K, Farrell K, Finnoff J, Fraser DD, Giza C, Greenwald RM, Hoshizaki B, Huston J, Jorgensen J, Joyner M, Krause D, LaVoi N, Leaf M, Leddy J, Margarucci K, Margulies S, Mihalik J, Munce T, Oeur A, Prideaux C, Roberts WO, Shen F, Soma D, Tabrum M, Stuart MB, Wethe J, Whitehead JR, Wiese-Bjornstal D, Stuart MJ. Proceedings from the Ice Hockey Summit III: Action on Concussion. Curr Sports Med Rep 2019; 18:23-34. [PMID: 30624332 DOI: 10.1249/jsr.0000000000000557] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The Ice Hockey Summit III provided updated scientific evidence on concussions in hockey to inform these five objectives: 1) describe sport-related concussion (SRC) epidemiology, 2) classify prevention strategies, 3) define objective, diagnostic tests, 4) identify treatment, and 5) integrate science and clinical care into prioritized action plans and policy. Our action plan evolved from 40 scientific presentations. The 155 attendees (physicians, athletic trainers, physical therapists, nurses, neuropsychologists, scientists, engineers, coaches, and officials) voted to prioritize these action items in the final Summit session. 1) Establish a national and international hockey data base for SRC at all levels, 2) eliminate body checking in Bantam youth hockey games, 3) expand a behavior modification program (Fair Play) to all youth hockey levels, 4) enforce game ejection penalties for fighting in Junior A and professional hockey leagues, 5) establish objective tests to diagnose concussion at point of care (POC), and 6) mandate baseline testing to improve concussion diagnosis for all age groups. Expedient implementation of the Summit III prioritized action items is necessary to reduce the risk, severity, and consequences of concussion in the sport of ice hockey.
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Affiliation(s)
- Aynsley M Smith
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Patrick A Alford
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN
| | - Mark Aubry
- Sports Medicine, Ottawa Sports Medicine Center, Ottawa, ON, Canada
| | - Brian Benson
- Faculty of Kinesiology, Department of Clinical Neurosciences, Department of Family Medicine, University of Calgary, Calgary, AB, Canada
| | - Amanda Black
- Sport Injury Prevention Research Centre and the Integrated Concussion Research Program at the University of Calgary, Calgary, AB, Canada
| | - Alison Brooks
- Department of Orthopedics and Rehabilitation, University of Wisconsin - Madison, Madison, WI
| | - Charles Burke
- Department of Orthopedics, Burke & Bradley Orthopedics, UPMC St. Margaret, Pittsburgh, PA
| | - Ryan D'Arcy
- School of Computing Science, School of Engineering Science, Simon Frasier University, Surrey, BC, Canada
| | - David Dodick
- Department of Neurology, Mayo Clinic, Rochester, MN
| | | | - Chad Eickhoff
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Kristen Erredge
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Kyle Farrell
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Jonathon Finnoff
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Douglas D Fraser
- Department of Pediatrics, Department of Physiology/Pharmacology and Clinical Neurosciences, University of Western Ontario, London, ON, Canada
| | - Christopher Giza
- Department of Pediatrics, University of California-Los Angeles, Los Angeles, CA
| | - Richard M Greenwald
- Simbex, Lebanon, NH.,Thayer School of Engineering, Dartmouth College, Hanover, NH
| | - Blaine Hoshizaki
- Neurotrauma Impact Science Laboratory, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
| | - John Huston
- Department of Radiology, Mayo Clinic, Rochester, MN
| | - Janelle Jorgensen
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Michael Joyner
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN
| | - David Krause
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - Nicole LaVoi
- School of Kinesiology, University of Minnesota, Minneapolis, MN
| | | | - John Leddy
- Department of Orthopedics, Jacobs School of Medicine and Biomedical Science, University of Buffalo, Buffalo, NY
| | | | - Susan Margulies
- Wallace Coulter Department of Biomedical Engineering, Emory University, Atlanta, GA.,Georgia Institute of Technology, Atlanta, GA
| | - Jason Mihalik
- Department of Exercise and Sports Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Thayne Munce
- Sanford Sports Science Institution, Sanford Medical South Dakota, Sioux Falls, SD
| | - Anna Oeur
- Wallace Coulter Department of Biomedical Engineering, Emory University, Atlanta, GA
| | - Cara Prideaux
- Sports Medicine, Department of Physical Medicine Rehabilitation, Mayo Clinic, Rochester, MN
| | - William O Roberts
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN
| | - Francis Shen
- University of Minnesota Law School, Minneapolis, MN
| | - David Soma
- Department of Pediatric and Adolescent Medicine, Sports Medicine, Mayo Clinic, Rochester, MN
| | | | - Michael B Stuart
- Department of Orthopedic Surgery, Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN
| | - Jennifer Wethe
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN
| | | | | | - Michael J Stuart
- Department of Orthopedic Surgery, Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN
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57
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Sullivan KA, Billing L. An experimental study of the effect on activity intentions of postconcussion recovery advice. JOURNAL OF CONCUSSION 2019. [DOI: 10.1177/2059700219872673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study tested the effect of issuing return-to-activity advice on activity intentions at Day 2 and Day 10 days post simulated mild traumatic brain injury. One hundred and twenty-eight volunteers were randomly allocated to one of two groups who received ( n = 65) or did not receive standardized post-injury advice ( n = 63). To prime the simulation, the participants read a mild traumatic brain injury vignette about a person who is concussed while playing sport. Then the participants role-played the injured person and reported activity intentions for three activity types (cognitive, physical and restful) twice, once for each time frame (i.e. Day 2 and Day 10). The advice was to rest for the first 24–48 h and then gradually resume normal activities. There was no significant group by activity-type interaction ( p > .05) at Day 2. When both time frames were considered, there was no significant group × time frame interaction for any activity type or any item, except for an increase in non-manual (clerical) work and weight training at Day 10 compared to Day 2 in the group with the advice. In general, the intentions for all activity types were consistent with the recovery advice (i.e., rest then increasing activity), even when the advice was not given. However, at Day 10, cognitive and physical activity levels were still expected to be lower than usual (pre-injury), and many participants were uncertain about the concept of cognitive rest. These factors, along with individual patient circumstances, should be taken into account in rehabilitation planning.
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Affiliation(s)
- Karen A Sullivan
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
| | - Leanne Billing
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
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58
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Xia X, Zhang G, Wang X. Anger Weakens Behavioral Inhibition Selectively in Contact Athletes. Front Hum Neurosci 2018; 12:463. [PMID: 30515088 PMCID: PMC6255881 DOI: 10.3389/fnhum.2018.00463] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 11/01/2018] [Indexed: 11/22/2022] Open
Abstract
Studies have increasingly found that the aggression level of contact athletes is higher than that of non-athletes. Given that higher aggression levels are associated with worse behavioral inhibition and that athletes show better behavioral inhibition than non-athletes, it is unclear why contact athletes would exhibit higher aggression levels. Emotion, especially anger, is an important factor in the generation of aggressive behavior, and anger has been shown to affect behavioral inhibition. Thus, the present study examined the influence of anger on behavioral inhibition in contact athletes. An implicit emotional Go/No-go task was used that contained 50 anger-associated words and 50 neutral words as stimuli. Participants were asked to execute a key press depending on the explicit color of word and to ignore any (implicit) emotional information associated with the word. The results showed a significant interaction in performance accuracy on the No-go task between emotion (i.e., anger-associated words versus neutral words) and group (athlete versus non-athlete). The performance accuracy of the contact athletes on anger-associated stimuli was significantly lower than that for neutral stimuli. Evoked delta and theta oscillations were analyzed at the time windows 200–600 and 200–400 ms respectively in both groups. A time-frequency analysis indicated a significant interaction between group, emotion and task for both evoked delta and theta oscillations. Post hoc analyses showed that stronger evoked delta and theta oscillations were evoked during the presentation of anger-associated stimuli compared with neutral stimuli on the No-go task in athletes. By contrast, no other significant effect was found in the control group or between the control and athlete groups. These results indicate that time-frequency analysis can effectively distinguish conventional ERP components and that implicit anger significantly weakens behavioral inhibition in contact athletes but not in non-athletes.
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Affiliation(s)
- Xue Xia
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Guanghui Zhang
- Department of Mathematical Information Technology, University of Jyväskylä, Jyväskylä, Finland
| | - Xiaochun Wang
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
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59
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Monk SH, Legarreta AD, Kirby P, Brett BL, Yengo-Kahn AM, Bhatia A, Solomon GS, Zuckerman SL. Imaging findings after acute sport-related concussion in American football players: A systematic review. J Clin Neurosci 2018; 61:28-35. [PMID: 30487055 DOI: 10.1016/j.jocn.2018.11.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Accepted: 11/05/2018] [Indexed: 12/21/2022]
Abstract
Sport-related concussion (SRC) has emerged as a major public health problem. The results of brain imaging studies following SRC have raised questions about long-term neurologic health, but the clinical implications of these findings remain unknown. A systematic review of brain imaging findings after SRC was performed utilizing the following inclusion criteria: football players, brain imaging within 6 months of SRC, and sample size >5. Studies were assessed for: 1) methodology, 2) imaging outcomes, and 3) number of positive statistical comparisons. Imaging was classified as immediate (≤1 week post-injury) or subacute (>1 week to 6 months post-injury). Eleven studies met inclusion criteria. Eight of the 11 studies conducted a total of 809 comparisons of brain function, of which 149 (18%) were statistically significant. Nine of the 11 studies (82%) reported positive immediate findings, but were more likely to be subject to recall bias (86% vs. 0%) and to lack baseline advanced brain imaging (78% vs. 50%) than negative studies. Only 3 of 9 studies that reported subacute findings (33%) reported positive results, and these positive studies were also more likely to be subject to recall bias (100% vs. 40%) and to lack baseline advanced brain imaging (100% vs. 67%) than negative studies. The results of the study demonstrate the transitory nature of positive imaging findings and methodological limitations that complicate study interpretation. Further research is required to correlate imaging findings with clinical outcomes.
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Affiliation(s)
- Steve H Monk
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
| | - Andrew D Legarreta
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA
| | - Paul Kirby
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA
| | - Benjamin L Brett
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA; Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Aaron M Yengo-Kahn
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Aashim Bhatia
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Gary S Solomon
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Scott L Zuckerman
- Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
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60
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Murray AD, Archibald D, Murray IR, Hawkes RA, Foster C, Barker K, Kelly P, Grant L, Mutrie N. 2018 International Consensus Statement on Golf and Health to guide action by people, policymakers and the golf industry. Br J Sports Med 2018; 52:1426-14361. [PMID: 30245478 PMCID: PMC6241627 DOI: 10.1136/bjsports-2018-099509] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2018] [Indexed: 11/04/2022]
Abstract
Scientific and public interest relating to golf and health has increased recently. Players, potential players, the golf industry and facilities, and decision makers will benefit from a better understanding of how to realise potential health benefits and minimise health issues related to golf. We outline an International Consensus on Golf and Health. A systematic literature review informed the development of a survey. Utilising modified Delphi methods, an expert panel of 25 persons including public health and golf industry leaders, took part in serial surveys providing feedback on suggested items, and proposing new items. Predefined criteria for agreement determined whether each item was included within each survey round and in the final consensus. The working group identified 79 scientifically supportable statement items from literature review and discussions. Twenty-five experts (100%) completed all three rounds of surveys, rating each item, and suggesting modifications and/or new items for inclusion in subsequent surveys. After three rounds, 83 items achieved consensus with each with >75% agreement and <10% disagreement. These items are included in the final International Consensus on Golf and Health. The final consensus presented here can inform scientific knowledge, and action plans for (1) golfers and potential golfers, (2) golf facilities and the golf industry, and (3) policy and decision makers external to golf. These outputs, if widely adopted, will contribute to an improved understanding of golf and health, and aid these groups in making evidence-informed decisions to improve health and well-being.
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Affiliation(s)
- Andrew D Murray
- Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.,Sports and Exercise Medicine, University of Edinburgh, Edinburgh, UK
| | - Daryll Archibald
- Scottish Collaboration for Public Health Research and Policy, Edinburgh, Scotland.,School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Iain Robert Murray
- Department of Trauma and Orthopaedics, University of Edinburgh, Edinburgh, UK
| | - Roger A Hawkes
- Medical Services, European Tour Golf, Virginia Water, UK.,World Golf Foundation, St Augustine, Florida, USA
| | - Charlie Foster
- Centre for Exercise, Nutrition and Health Sciences, University of Bristol, Bristol, UK.,International Society of Physical Activity for Health, London, UK
| | | | - Paul Kelly
- Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK
| | - Liz Grant
- Global Health Academy and Usher Institute, University of Edinburgh, Edinburgh, UK
| | - Nanette Mutrie
- Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK
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61
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Makdissi M, Patricios J. Concussion in sport: best from Berlin, direction from Dublin and gems from gridiron. Br J Sports Med 2018; 52:903-904. [PMID: 29886434 DOI: 10.1136/bjsports-2018-099402] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2018] [Indexed: 11/04/2022]
Affiliation(s)
- Michael Makdissi
- Melbourne Brain Centre, Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Jon Patricios
- Section of Sports Medicine, Faculty of Health Sciences, University of Pretoria, Johannesburg, South Africa.,Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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