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Contempo 1999
December 22/29, 1999

Current Issues in Managing Sports-Related Concussion

Author Affiliations

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 Fishbein Fellow.

JAMA. 1999;282(24):2283-2285. doi:10.1001/jama.282.24.2283

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.