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

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 imp...

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Autores principales: Weiler, Richard, Blauwet, Cheri, Clarke, David, Dalton, Kristine, Derman, Wayne, Fagher, Kristina, Gouttebarge, Vincent, Kissick, James, Lee, Kenneth, Lexell, Jan, Van de Vliet, Peter, Verhagen, Evert, Webborn, Nick, Ahmed, Osman Hassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551975/
https://www.ncbi.nlm.nih.gov/pubmed/33837003
http://dx.doi.org/10.1136/bjsports-2020-103696
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author Weiler, Richard
Blauwet, Cheri
Clarke, David
Dalton, Kristine
Derman, Wayne
Fagher, Kristina
Gouttebarge, Vincent
Kissick, James
Lee, Kenneth
Lexell, Jan
Van de Vliet, Peter
Verhagen, Evert
Webborn, Nick
Ahmed, Osman Hassan
author_facet Weiler, Richard
Blauwet, Cheri
Clarke, David
Dalton, Kristine
Derman, Wayne
Fagher, Kristina
Gouttebarge, Vincent
Kissick, James
Lee, Kenneth
Lexell, Jan
Van de Vliet, Peter
Verhagen, Evert
Webborn, Nick
Ahmed, Osman Hassan
author_sort Weiler, Richard
collection PubMed
description 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.
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spelling pubmed-85519752021-11-10 Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group Weiler, Richard Blauwet, Cheri Clarke, David Dalton, Kristine Derman, Wayne Fagher, Kristina Gouttebarge, Vincent Kissick, James Lee, Kenneth Lexell, Jan Van de Vliet, Peter Verhagen, Evert Webborn, Nick Ahmed, Osman Hassan Br J Sports Med Consensus Statement 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. BMJ Publishing Group 2021-11 2021-04-09 /pmc/articles/PMC8551975/ /pubmed/33837003 http://dx.doi.org/10.1136/bjsports-2020-103696 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Consensus Statement
Weiler, Richard
Blauwet, Cheri
Clarke, David
Dalton, Kristine
Derman, Wayne
Fagher, Kristina
Gouttebarge, Vincent
Kissick, James
Lee, Kenneth
Lexell, Jan
Van de Vliet, Peter
Verhagen, Evert
Webborn, Nick
Ahmed, Osman Hassan
Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title_full Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title_fullStr Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title_full_unstemmed Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title_short Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
title_sort concussion in para sport: the first position statement of the concussion in para sport (cips) group
topic Consensus Statement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551975/
https://www.ncbi.nlm.nih.gov/pubmed/33837003
http://dx.doi.org/10.1136/bjsports-2020-103696
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