When should an athlete retire or discontinue participating in contact or collision sports following sport-related concussion? A systematic review
(Wann sollte ein Sportler nach einer sportbedingten Gehirnerschütterung die Teilnahme an Kontakt- oder Kollisionssportarten aufgeben oder beenden? Eine systematische Überprüfung)
Objective: To systematically review the scientific literature regarding factors to consider when providing advice or guidance to athletes about retirement from contact or collision sport following sport-related concussion (SRC), and to define contraindications to children/adolescent athletes entering or continuing with contact or collision sports after SRC.
Data sources: Medline, Embase, SPORTSDiscus, APA PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials were searched systematically.
Study eligibility criteria: Studies were included if they were (1) original research, (2) reported on SRC as the primary source of injury, (3) evaluated the history, clinical assessment and/or investigation of findings that may preclude participation in sport and (4) evaluated mood disturbance and/or neurocognitive deficits, evidence of structural brain injury or risk factors for increased risk of subsequent SRC or prolonged recovery.
Results: Of 4355 articles identified, 93 met the inclusion criteria. None of the included articles directly examined retirement and/or discontinuation from contact or collision sport. Included studies examined factors associated with increased risk of recurrent SRC or prolonged recovery following SRC. In general, these were low-quality cohort studies with heterogeneous results and moderate risk of bias. Higher number and/or severity of symptoms at presentation, sleep disturbance and symptom reproduction with Vestibular Ocular Motor Screen testing were associated with prolonged recovery and history of previous concussion was associated with a risk of further SRC.
Conclusion: No evidence was identified to support the inclusion of any patient-specific, injury-specific or other factors (eg, imaging findings) as absolute indications for retirement or discontinued participation in contact or collision sport following SRC.
PROSPERO registration number CRD42022155121.
© Copyright 2023 British Journal of Sports Medicine. BMJ Publishing Group Ltd of the BMA. Alle Rechte vorbehalten.
Schlagworte: | Sportmedizin Kopf Gehirn Verletzung Risikofaktor Sportfähigkeit |
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Notationen: | Biowissenschaften und Sportmedizin |
Tagging: | Gehirnerschütterung |
DOI: | 10.1136/bjsports-2023-106815 |
Veröffentlicht in: | British Journal of Sports Medicine |
Veröffentlicht: |
2023
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Jahrgang: | 57 |
Heft: | 12 |
Seiten: | 822-830 |
Dokumentenarten: | Artikel Literaturanalyse |
Sprache: | Englisch |
Level: | hoch |