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Brain Injuries in Football

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Football Injuries

Abstract

American football participation is associated with a relatively high risk of sustaining mild traumatic brain injury or concussion. Concussion management practices have changed significantly over the past two decades due to rapidly progressing research. Several classic and newly emerging clinical tools are available to assist with acute diagnosis. Treatment paradigms have shifted away from prolonged rest toward earlier introduction of physical and cognitive activity. Multiple treatment interventions also exist for athletes with atypically long and complicated recoveries. Researchers are attempting to clarify the notorious heterogeneity associated with concussion presentations by identifying distinct clinical profiles and incorporating physiologic biomarkers intended to capture the complex and diverse biological effects of concussion. While thankfully rare, sports medicine clinicians must also recognize the signs of potential catastrophic injuries stemming from head trauma in football in order to guide proper acute management. Lastly, as researchers continue studying the long-term effects of football-related head trauma, clinicians should be aware of strategies for minimizing head impact exposure and for appropriately referring athletes concerned about cognitive or behavioral problems later in life.

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Asken, B.M., Sindelar, B.D., Clugston, J.R., Bailes, J.E. (2021). Brain Injuries in Football. In: Farmer, K.W. (eds) Football Injuries. Springer, Cham. https://doi.org/10.1007/978-3-030-54875-9_17

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