Author Affiliations: Division of Neuropsychology, Henry Ford Health System, Detroit, Mich (Drs Collins and Lovell); Department of Family Medicine, Indiana University School of Medicine, Indianapolis (Dr Mckeag).
Edited by Stephen Lurie, MD, PhD, JAMA
The issue of determining the readiness of athletes to return to action
following a head injury has received recognition as a major public health
issue.1 Concern over the health of the athlete
with a concussion has prompted the development of parameters to guide management
and return-to-play issues. These guidelines, however, have been controversial
within the sports medicine community.2 The
controversy appears to result from a lack of scientific foundation, and thus
an arbitrary delineation of concussion grades and return-to-play criteria.
This article critically examines concussion management guidelines and makes
recommendations for the development of practical strategies. Two actual concussion
cases illustrate these issues.
Collins MW, Lovell MR, Mckeag DB. Current Issues in Managing Sports-Related Concussion. JAMA. 1999;282(24):2283-2285. doi:10.1001/jama.282.24.2283