Sport-related concussion (SRC) is a common injury in recreational and organized sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment, and management of SRC. In addition to a growing need for knowledgeable health care professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine formed a writing group to review the existing literature on SRC, update its previous position statement,1 and address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology, and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short- and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The American Medical Society for Sports Medicine is committed to best clinical practices, evidence-based research, and educational initiatives that positively impact the health and safety of athletes.
Bibliographical noteFunding Information:
Kimberly Harmon has research grants from Vulcan Industries and the Pac-12, outside of submitted work. Jay Clugston reports grants from Banyan Biomarkers, grants from Floriday High Tech Corridor Matching Funds Program, and grants from NCAA-DoD CARE Consortium outside of submitted work. Stan Herring has stock options in Vicis, outside of submitted work. Anthony Kontos has research contracts with GE-NFL Head Health Initiative, Abbott Labs and ELMindA, and receives royalties from the book “Concussion”, outside submitted work. John Leddy has research grant from the AMSSM outside of submitted work.
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