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Neuroethics

, Volume 7, Issue 1, pp 63–74 | Cite as

Conflicts of Interest in Recommendations to Use Computerized Neuropsychological Tests to Manage Concussion in Professional Football Codes

  • Bradley PartridgeEmail author
  • Wayne Hall
Original Paper

Abstract

Neuroscience research has improved our understanding of the long term consequences of sports-related concussion, but ethical issues related to the prevention and management of concussion are an underdeveloped area of inquiry. This article exposes several examples of conflicts of interest that have arisen and been tolerated in the management of concussion in sport (particularly professional football codes) regarding the use of computerized neuropsychological (NP) tests for diagnosing concussion. Part 1 outlines how the recommendations of a series of global protocols for dealing with sports-related concussions (the 1st, 2nd and 3rd Consensus Statements on Concussion in Sport) have endorsed the use of NP testing. The development of these protocols has involved experts who have links with companies that sell computerised NP tests for concussion management. Part 2 describes how some professional football leagues—in particular the National Football League (NFL), the Australian Football League (AFL) and the National Rugby League (NRL)—have mandated specific NP testing products. They have done so on the basis of these international guidelines and by engaging experts who have conflicts of interest with NP testing companies. These decisions have also been taken despite evidence that casts doubt on the reliability and validity of NP tests when used in these ways.

Keywords

Concussion Sport Conflict of interest Chronic traumatic encephalopathy Neuropsychological test ImPACT CogState NFL AFL NRL 

Notes

Acknowledgements

Thanks to Mal Parker, Eric Racine, Julia Hocking, and Adrian Carter for their comments on an earlier version of this work. This work was supported by an NHMRC Postdoctoral Fellowship.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.UQ Centre for Clinical ResearchThe University of QueenslandHerstonAustralia

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