Navigation Links
AMSSM issues position statement on sport-related concussions

Philadelphia, Pa. (January 7, 2013) - Athletes with concussions must be held out of practice or play until all symptoms have resolved, to avoid the risk of further injury during the vulnerable period before the brain has recovered. That's among the key recommendations in the new American Medical Society for Sports Medicine (AMSSM) position statement on concussions in sport, which appears in the January issue of Clinical Journal of Sport Medicine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

At a time of increased concern over concussions at all levels of competitionfrom youth sports to professional leaguesthe position statement "provides an evidence-based, best practices summary to assist physicians with the evaluation and management of sports concussion." The statement was prepared by a task force of the AMSSM, a professional organization representing more than 2,100 nonsurgical sports medicine physicians.

Evidence on Rates, Risks, and Management of Concussions in Sport

"This statement is really a comprehensive guide to the current knowledge on concussion," commented lead author Dr Kimberly G. Harmon of University of Washington, Seattle. "It is critically important that sport concussions be evaluated and managed by medical professionals who are trained and familiar with sport concussion and aware of strengths and limitations of tests used to evaluate them." The AMSSM statement is available on the journal website.

The AMSSM position statement defines concussion as a "subset of mild traumatic brain injuryat the less severe end of the brain injury spectrum." The injury generally resolves completely with time. However, a growing body of research finds that concussion is followed by a period of increased vulnerability to repeat injury. Sustaining another concussion during this time has been linked to worse outcomes. In athletes and others with repeated concussions, irreversible damage may occur.

Up to 3.8 million sports-related concussions occur each year in the United States, half of which may go unreported. Risk is higher in certain sports and positions, in youth athletes, and in athletes with previous concussions. In sports with similar rules, female athletes may be at higher risk than males.

Prompt recognition is essential, and evaluation by a professional with appropriate training and experience is ideal. "Concussion remains a clinical diagnosis best made by a healthcare provider familiar with the athlete and knowledgeable in the recognition and evaluation of concussion," Dr Harmon and coauthors write.

'No Same Day Return to Play' after Concussion

The section on sideline evaluation specifies that any athlete with suspected concussion be removed from play and assessed by a health care professional trained in the evaluation and management of concussions. The AMSSM statement emphasizes, "There is no same day return to play for an athlete diagnosed with concussion."

Evidence for different types of tests and assessments in athletes with concussion is discussed; for many tests, further research is needed to validate their use. The statement supports the use of checklists for assessing concussion symptoms and tracking them over time. Computerized neuropsychological tests can be useful if performed by experts, but are not necessary for most athletes with concussions.

The section on concussion management emphasizes the need for complete recovery: "The primary concern with early return to play is decreased reaction time leading to increased risk of repeat concussion or other injury and prolongation of symptoms." Symptoms should be completely resolved before the athlete resumes exercise or practice. Return to play should be gradual, with step-wise increases in physical demands, sport-specific activities, and risk of contact.

"Modification and enforcement of the rules and fair play" may help in preventing concussions. There's no evidence that equipment, including helmets or mouth guards, reduces concussion risk. The statement emphasizes the role of education: "Greater efforts are needed to educate involved parties including athletes, parents, coaches, officials, school administrators, and healthcare providers to improve concussion recognition, management, and prevention."

"We don't want to over diagnose concussion or withhold athletes from all of the many positive aspects of sport, but at the same time it is important that athletes not play with symptoms of concussion," Dr Harmon added. " We need to continue to research and better understand concussion, prevention and safe participation in sport."


Contact: Connie Hughes
Wolters Kluwer Health

Related medicine news :

1. Carey Danis & Lowe Issues an Update on the Pradaxa Multi-District Litigation No. 2385
2. Honda Issues Recall of 800K Vehicles, Philadelphia Attorneys at Console & Hollawell Warn Consumers of Their Potential Risks
3. The Project for Natural Health Choices Inc. Issues an Advisory for Men to Consume Flavonoids in their Diet to Protect Against Prostate Cancer
4. Public ecology could help resolve mountaintop mining issues
5. Probiotic Action Issues a Response to an Article on Medical News Today About Synthetic Skin Research
6. American Society of Clinical Oncology issues annual report on state of clinical cancer science
7. Partisanship shapes beliefs about political and non-political issues
8. Health Issues Add to Risk of Vitamin D Deficiency, Study Says
9. Many cancer survivors face health-related quality of life issues
10. CWRUs Maxwell J. Mehlmans book examines issues emerging in genetic engineering
11. Children with autism experience interrelated health issues, says MU expert
Post Your Comments:
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet ... product that was developed to enhance the health of felines. The formula is all-natural ... two main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... recover from injury. Recently, he has implemented orthobiologic procedures as a method for ... is one of the first doctors to perform the treatment. Orthobiologics are substances ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... A recent ... that most people are unfamiliar with. The article goes on to state that individuals ... also many of these less common operations such as calf and cheek reduction. The ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- Research and Markets has announced ... Applications, Technologies, Forecasts" report to their offering. ... Smart Skin, Structural Health Monitoring, Composite Smart Structures, ... involves electronic and/or electrical components and circuits that ... such as vehicle bodies or conformally placed upon ...
(Date:6/24/2016)... According to a new market ... Needles, Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, ... of Purchase (Retail, Non-Retail) - Trends & Global Forecasts ... market for the forecast period of 2016 to 2021. ... by 2021 from USD 1.65 Billion in 2016, growing ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... - Forecast to 2022" report to their offering. ... for the patients with kidney failure, it replaces the function ... the patient,s blood and thus the treatment helps to keep ... in balance. Increasing number of ESRD patients ...
Breaking Medicine Technology: