Concussion in sport – What do we know, and what’s next? Proceedings from a symposium at Nottingham Trent University, UK
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Abstract
This paper presents shortened versions of talks given at a symposium about concussion in sport. The piece is designed, in similar lines as the event, to help communicate knowledge and ideas between academics in multiple disciplines, communities of practice and to develop public and patient involvement. The seven short essays are presented in the style of a conference proceedings paper. Each author presents their own focus, with one paper drawing on lived experiences and activism, three taking a biomedical approach and the remaining three drawing on social scientific analysis and literature. We have developed this paper to provide readers with a concise, but not complete, understanding of different topics related to concussion and brain injuries in sport. The limitations of space means that the authors have had to reduce the complexity of some ongoing debates on the topic. The final section is based on the comments and discussions that happened during and after the symposium. It offers some important takeaways and encourages scholars working in this area to prioritize multi-disciplinary research, and highlights the importance of centering the experiences and lives of those people affected by concussions and neurological disorders in the development and delivery of future work. It is hoped that communicating ideas in this way will encourage such ways of thinking as a means of tackling the complex set of problems that face those involved in sports where repeated forceful impact is a normalized 'part of the game'.
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References
AlHashmi, R., & Matthews, C. R. (2021). Athletes’ understanding of concussion – uncertainty, certainty and the “expert” on the street. Qualitative Research in Sport, Exercise and Health, 14(3), 444–459. https://doi.org/10.1080/2159676x.2021.1974928
Bennett, L. L., Arias, J. J., Ford, P. J., Bernick, C., & Banks, S. J. (2018). Concussion reporting and perceived knowledge of professional fighters. The Physician and Sportsmedicine, 47(3), 295–300. https://doi.org/10.1080/00913847.2018.1552481
Bieniek, K. F., Cairns, N. J., Crary, J. F., Dickson, D. W., Folkerth, R. D., Keene, C. D., Litvan, I., Perl, D. P., Stein, T. D., Vonsattel, J.-P., Stewart, W., Dams-O’Connor, K., Gordon, W. A., Tripodis, Y., Alvarez, V. E., Mez, J., Alosco, M. L., & McKee, A. C. (2021). The Second NINDS/NIBIB Consensus Meeting to Define Neuropathological Criteria for the Diagnosis of Chronic Traumatic Encephalopathy. Journal of Neuropathology &Amp; Experimental Neurology. https://doi.org/10.1093/jnen/nlab001
Channon, A., & Matthews, C. R. (2021). Communicating consent in sport: A typological model of athletes’ consent practices within combat sports. International Review for the Sociology of Sport, 57(6), 899–917. https://doi.org/10.1177/10126902211043992
Charlesworth, H., & Young, K. (2004). Why English Female University Athletes Play with Pain: Motivations and Rationalisations. In Research in the Sociology of Sport (pp. 163–180). Elsevier. https://doi.org/10.1016/s1476-2854(04)02008-4
Chaychi, S., Valera, E., & Tartaglia, M. C. (2022). Sex and gender differences in mild traumatic brain injury/concussion. In International Review of Neurobiology (pp. 349–375). Elsevier. https://doi.org/10.1016/bs.irn.2022.07.004
Cowley, E. S., Olenick, A. A., McNulty, K. L., & Ross, E. Z. (2021). “Invisible Sportswomen”: The Sex Data Gap in Sport and Exercise Science Research. Women in Sport and Physical Activity Journal, 29(2), 146–151. https://doi.org/10.1123/wspaj.2021-0028
Elliott-Sale, K. J., Minahan, C. L., de Jonge, X. A. K. J., Ackerman, K. E., Sipilä, S., Constantini, N. W., Lebrun, C. M., & Hackney, A. C. (2021). Methodological Considerations for Studies in Sport and Exercise Science with Women as Participants: A Working Guide for Standards of Practice for Research on Women. Sports Medicine, 51(5), 843–861. https://doi.org/10.1007/s40279-021-01435-8
Findler, P. (2015). Should Kids Play (American) Football? Journal of the Philosophy of Sport, 42(3), 443–462. https://doi.org/10.1080/00948705.2015.1079132
Follmer, B., Varga, A. A., & Zehr, E. P. (2020). Understanding concussion knowledge and behavior among mixed martial arts, boxing, kickboxing, and Muay Thai athletes and coaches. The Physician and Sportsmedicine, 48(4), 417–423. https://doi.org/10.1080/00913847.2020.1729668
Johnson, V. E., Stewart, W., Weber, M. T., Cullen, D. K., Siman, R., & Smith, D. H. (2015). SNTF immunostaining reveals previously undetected axonal pathology in traumatic brain injury. Acta Neuropathologica, 131(1), 115–135. https://doi.org/10.1007/s00401-015-1506-0
Koerte, I. K., Ertl-Wagner, B., Reiser, M., Zafonte, R., & Shenton, M. E. (2012). White Matter Integrity in the Brains of Professional Soccer Players Without a Symptomatic Concussion. JAMA, 308(18), 1859. https://doi.org/10.1001/jama.2012.13735
Lystad, R. P., & Strotmeyer, S. J. (2018). Concussion knowledge, attitudes and reporting intention among adult competitive Muay Thai kickboxing athletes: a cross-sectional study. Injury Epidemiology, 5(1). https://doi.org/10.1186/s40621-018-0155-x
Mackay, D. F., Russell, E. R., Stewart, K., MacLean, J. A., Pell, J. P., & Stewart, W. (2019). Neurodegenerative Disease Mortality among Former Professional Soccer Players. New England Journal of Medicine, 381(19), 1801–1808. https://doi.org/10.1056/nejmoa1908483
Maguire, J. (1991). Human Sciences, Sport Sciences, and the Need to Study People “In the Round.” Quest, 43(2), 190–206. https://doi.org/10.1080/00336297.1991.10484021
Malcolm, D. (2009). Medical Uncertainty and Clinician–Athlete Relations: The Management of Concussion Injuries in Rugby Union. Sociology of Sport Journal, 26(2), 191–210. https://doi.org/10.1123/ssj.26.2.191
Malcolm, D. (2019). The Concussion Crisis in Sport. Routledge. https://doi.org/10.4324/9780429292408
Malcolm, D. (2021). The Impact of the Concussion Crisis on Safeguarding in Sport. Frontiers in Sports and Active Living, 3. https://doi.org/10.3389/fspor.2021.589341
Matthews, C. R., & Maguire, J. (2019). Sports, Violence, and Society: Some Sociological Observations. In J. Maguire, M. Falcous, & K. Liston (Eds.), The Business and Culture of Sports: Society, Politics, Economy, Environment (Vol. 2, pp. 113–125). Macmillan Reference.
McArdle, D., DeMartini, A., Kim, S., & Connaughton, D. (2021). “It isn’t my area.” Coaches’ awareness of concussion protocols in Scottish youth football. Scottish Affairs, 30(1), 53–73. https://doi.org/10.3366/scot.2021.0352
McGroarty, N. K., Brown, S. M., & Mulcahey, M. K. (2020). Sport-Related Concussion in Female Athletes: A Systematic Review. Orthopaedic Journal of Sports Medicine, 8(7), 232596712093230. https://doi.org/10.1177/2325967120932306
McNamee, M., Anderson, L. C., Borry, P., Camporesi, S., Derman, W., Holm, S., Knox, T. R., Leuridan, B., Loland, S., Lopez Frias, F. J., Lorusso, L., Malcolm, D., McArdle, D., Partridge, B., Schramme, T., & Weed, M. (2023). Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy. Journal of Medical Ethics, jme-2022-108812. https://doi.org/10.1136/jme-2022-108812
Parsons, J. L., Coen, S. E., & Bekker, S. (2021). Anterior cruciate ligament injury: towards a gendered environmental approach. British Journal of Sports Medicine, 55(17), 984–990. https://doi.org/10.1136/bjsports-2020-103173
Piggin, J., Batten, J., Parry, K., Anderson, E., & White, A. J. (2022). Compulsory collisions and corporate interests in school rugby: challenging distortions in the framing of childhood injury. Injury Prevention, 29(1), 79–84. https://doi.org/10.1136/ip-2022-044775
Pike, E. C. J. (2005). “Doctors Just Say ‘Rest and Take Ibuprofen’.” International Review for the Sociology of Sport, 40(2), 201–219. https://doi.org/10.1177/1012690205057199
Roberts, A. L., Zafonte, R. D., Speizer, F. E., Baggish, A., Taylor, H. A., Nadler, L., & Weisskopf, M. G. (2020). Modifiable Risk Factors for Poor Cognitive Function in Former American-Style Football Players: Findings from the Harvard Football Players Health Study. Journal of Neurotrauma. https://doi.org/10.1089/neu.2020.7070
Schneider, K. J., & Patricios, J. S. (2023). Amsterdam 2022 International Consensus on Concussion in Sport: calling clinicians to action! British Journal of Sports Medicine, 57(11), 615–616. https://doi.org/10.1136/bjsports-2023-107127
Shenton, M. E., Hamoda, H. M., Schneiderman, J. S., Bouix, S., Pasternak, O., Rathi, Y., Vu, M.-A., Purohit, M. P., Helmer, K., Koerte, I., Lin, A. P., Westin, C.-F., Kikinis, R., Kubicki, M., Stern, R. A., & Zafonte, R. (2012). A review of magnetic resonance imaging and diffusion tensor imaging findings in mild traumatic brain injury. Brain Imaging and Behavior, 6(2), 137–192. https://doi.org/10.1007/s11682-012-9156-5
Siman, R., Giovannone, N., Hanten, G., Wilde, E. A., McCauley, S. R., Hunter, J. V., Li, X., Levin, H. S., & Smith, D. H. (2013). Evidence That the Blood Biomarker SNTF Predicts Brain Imaging Changes and Persistent Cognitive Dysfunction in Mild TBI Patients. Frontiers in Neurology, 4. https://doi.org/10.3389/fneur.2013.00190
Smith, D. H., & Stewart, W. (2020). “Concussion” is not a true diagnosis. Nature Reviews Neurology, 16(9), 457–458. https://doi.org/10.1038/s41582-020-0382-y
Sprouse, B., Alty, J., Kemp, S., Cowie, C., Mehta, R., Tang, A., Morris, J., Cooper, S., & Varley, I. (2020). The Football Association Injury and Illness Surveillance Study: The Incidence, Burden and Severity of Injuries and Illness in Men’s and Women’s International Football. Sports Medicine. https://doi.org/10.1007/s40279-020-01411-8
Vedung, F., Hänni, S., Tegner, Y., Johansson, J., & Marklund, N. (2020). Concussion incidence and recovery in Swedish elite soccer — Prolonged recovery in female players. Scandinavian Journal of Medicine &Amp; Science in Sports, 30(5), 947–957. https://doi.org/10.1111/sms.13644