TY - JOUR
T1 - Sport-related concussion research agenda beyond medical science
T2 - culture, ethics, science, policy
AU - McNamee, Mike
AU - Anderson, Lynley C
AU - Borry, Pascal
AU - Camporesi, Silvia
AU - Derman, Wayne
AU - Holm, Soren
AU - Knox, Taryn Rebecca
AU - Leuridan, Bert
AU - Loland, Sigmund
AU - Lopez Frias, Francisco Javier
AU - Lorusso, Ludovica
AU - Malcolm, Dominic
AU - McArdle, David
AU - Partridge, Brad
AU - Schramme, Thomas
AU - Weed, Mike
N1 - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2023/3/3
Y1 - 2023/3/3
N2 - The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.
AB - The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.
KW - cultural diversity
KW - decision making
KW - ethics
KW - ethics- medical
KW - ethics- research
U2 - 10.1136/jme-2022-108812
DO - 10.1136/jme-2022-108812
M3 - Article
C2 - 36868564
SN - 0306-6800
JO - Journal of Medical Ethics
JF - Journal of Medical Ethics
M1 - jme-2022-108812
ER -