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Post-concussion 'return to play' decision should be made solely by doctors, says new editorial

Date:
July 14, 2014
Source:
The Lancet
Summary:
An editorial calls for sports authorities to take into consideration the long term neurological problems that repeated concussions can cause. Cerebral concussion is the most common form of sports-related traumatic brain injury (TBI), and the long-term effects of repeated concussions may include dementia, amyotrophic lateral sclerosis, and other neurological disorders.

An editorial published today in The Lancet Neurology calls for sports authorities to take into consideration the long term neurological problems that repeated concussions can cause.

Cerebral concussion is the most common form of sports-related traumatic brain injury (TBI), and the long-term effects of repeated concussions may include dementia, amyotrophic lateral sclerosis, and other neurological disorders, say the journal editors.

However, what is perhaps more concerning, is that even when the symptoms of concussion are delayed, or if they come and go quickly, neurological damage can remain without detection. This can lead to footballers, such as Uruguayan defender Αlvaro Pereira during the 2014 FIFA World Cup, overruling doctors' advice to be substituted and returning to play after sustaining a head injury.

The journal editors argue that the decision for players to return to a game after sustaining a concussion should be made only by healthcare professionals, and "should surely be taken out of the hands of those with a vested interest in the player's performance."

According to the journal editors, "Many sporting organisations now acknowledge the potentially serious consequences of mild TBI and have drawn up new protocols to protect athletes who sustain a head injury'. However FIFPro, the world players' union, has called for an investigation of concussion protocols and return-to-play standards following Pereira's injury"


Story Source:

The above story is based on materials provided by The Lancet. Note: Materials may be edited for content and length.


Journal Reference:

  1. The Lancet Neurology. Tackling the sports-related concussion crisis. The Lancet Neurology, 2014; 13 (8): 747 DOI: 10.1016/S1474-4422(14)70161-9

Cite This Page:

The Lancet. "Post-concussion 'return to play' decision should be made solely by doctors, says new editorial." ScienceDaily. ScienceDaily, 14 July 2014. <www.sciencedaily.com/releases/2014/07/140714100418.htm>.
The Lancet. (2014, July 14). Post-concussion 'return to play' decision should be made solely by doctors, says new editorial. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2014/07/140714100418.htm
The Lancet. "Post-concussion 'return to play' decision should be made solely by doctors, says new editorial." ScienceDaily. www.sciencedaily.com/releases/2014/07/140714100418.htm (accessed July 31, 2014).

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