Abstract
It is estimated that 1.6–3.8 million sports-related concussions occur annually in the United States. In professional American football, approximately 100–200 concussions occur each year during the regular season. A concussion is defined as a “complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces.” To improve in the diagnosis and subsequent management of concussion in athletes in the National Football League (NFL), the NFL’s Head, Neck, and Spine Committee has developed standardized evidenced-based protocols. In addition, the NFL has implemented new rule changes directed at reducing the incidence of concussion, improving identification of concussion, and developing a safe return to play (RTP) procedure for concussed players. The NFL concussion guidelines outline requirements for preseason baseline testing, on-field identification and diagnosis of concussion, management of concussion, and RTP criteria.
Top Five Evidence Based References
Anzalone AJ, Blueitt D, Case T, McGuffin T, Pollard K, Garrison JC et al (2017) A positive vestibular/ocular motor screening (VOMS) is associated with increased recovery time after sports-related concussion in youth and adolescent athletes. Am J Sports Med 45(2):474–479
Collins MW, Kontos AP, Okonkwo DO, Almquist J, Bailes J, Barisa M et al (2016) Statements of agreement from the targeted evaluation and active management (TEAM) approaches to treating concussion meeting held in Pittsburgh, Oct 15–16, 2015. Neurosurgery 79:912–929
Elbin R, Sufrinko A, Schatz P, French J, Henry L, Burkhart S et al (2016) Removal from play after concussion and recovery time. Pediatrics 2016:e20160910
Collins MW, Kontos AP, Reynolds E, Murawski CD, Fu FH (2014) A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion. Knee Surg Sports Traumatol Arthrosc 22(2):235–246
McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S et al (2017). Consensus statement on concussion in sport: The 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med, https://doi.org/10.1136/bjsports-2017-097699
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Collins, M.W., Sandel, N., Norwig, J.A., Ruef, S. (2018). Sport-related Concussion: Experience from the National Football League. In: Musahl, V., Karlsson, J., Krutsch, W., Mandelbaum, B., Espregueira-Mendes, J., d'Hooghe, P. (eds) Return to Play in Football. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55713-6_52
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