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Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy

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posted on 2023-04-13, 09:59 authored by Mike McNamee, Lynley C Anderson, Pascal Borry, Silvia Camporesi, Wayne Derman, Soren Holm, Taryn Rebecca Knox, Bert Leuridan, Sigmund Loland, Francisco Javier Lopez Frias, Ludovica Lorusso, Dominic MalcolmDominic Malcolm, David McArdle, Brad Partridge, Thomas Schramme, Mike Weed

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.

Funding

International Olympic Committee (Financial support for Concussion symposium organisation)

History

School

  • Sport, Exercise and Health Sciences

Published in

Journal of Medical Ethics

Publisher

BMJ Publishing Group

Version

  • VoR (Version of Record)

Rights holder

© Authors (or their employers)

Publisher statement

This is an Open Access Article. It is published by BMJ Publishing Group under the Creative Commons Attribution-NonCommercial 4.0 International Licence (CC BY-NC). Full details of this licence are available at: https://creativecommons.org/licenses/by-nc/4.0/

Acceptance date

2023-01-28

Publication date

2023-03-03

Copyright date

2023

ISSN

0306-6800

eISSN

1473-4257

Language

  • en

Depositor

Prof Dominic Malcolm. Deposit date: 12 April 2023

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