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Title: International study of video review of concussion in professional sports.
Austin Authors: Davis, Gavin A ;Makdissi, Michael;Bloomfield, Paul;Clifton, Patrick;Echemendia, Ruben J;Falvey, Éanna Cian;Fuller, Gordon Ward;Green, Gary;Harcourt, Peter Rex;Hill, Thomas;McGuirk, Nathan;Meeuwisse, Willem;Orchard, John W;Raftery, Martin;Sills, Allen K;Solomon, Gary S;Valadka, Alex;McCrory, Paul R
Affiliation: Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
National Football League, New York City, New York, USA
Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
Neurosurgery Department, Cabrini Hospital, Melbourne, Victoria, Australia
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
National Hockey League, Philadelphia, Pennsylvania, USA
World Rugby, Dublin, Ireland
Major League Baseball, New York City, New York, USA
Australian Football League, Melbourne, Victoria, Australia
Cricket Australia, Melbourne, Victoria, Australia
National Rugby League, Sydney, New South Wales, Australia
Department of Neurosurgery, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 27-Sep-2018 2018-09-27
Publication information: British journal of sports medicine 2018; online first: 27 September
Abstract: Video review has become an important tool in professional sporting codes to help sideline identification and management of players with a potential concussion. To assess current practices related to video review of concussion in professional sports internationally, and compare protocols and diagnostic criteria used to identify and manage potential concussions. Current concussion management guidelines from professional national and international sporting codes were reviewed. Specific criteria and definitions of video signs associated with concussion were compared between codes. Rules and regulations adopted across the codes for processes around video review were also assessed. Six sports with specific diagnostic criteria and definitions for signs of concussion identified on video review participated in this study (Australian football, American football, world rugby, cricket, rugby league and ice hockey). Video signs common to all sports include lying motionless/loss of responsiveness and motor incoordination. The video signs considered by the majority of sports as most predictive of a diagnosis of concussion include motor incoordination, impact seizure, tonic posturing and lying motionless. Regulatory requirements, sideline availability of video, medical expertise of video reviewers and use of spotters differ across sports and geographical boundaries. By and large, these differences reflect a pragmatic approach from each sport, with limited underlying research and development of the video review process in some instances. The use of video analysis in assisting medical staff with the diagnosis or identification of potential concussion is well established across different sports internationally. The diagnostic criteria used and the expertise of the video review personnel are not clearly established, and research efforts would benefit from a collaborative harmonisation across sporting codes.
DOI: 10.1136/bjsports-2018-099727
ORCID: 0000-0001-6116-8462
PubMed URL: 30262454
Type: Journal Article
Subjects: concussion
Appears in Collections:Journal articles

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