Sports medicine society updates concussion guidelines

Sports medicine society updates concussion guidelines
(HealthDay)—The American Medical Society for Sports Medicine (AMSSM) has released an updated position statement on concussion in sports. The statement was published in the February issue of the British Journal of Sports Medicine.

Kimberly G. Harmon, M.D., from the University of Washington in Seattle, and colleagues reviewed the existing literature on sports-related (SRC) to update the AMSSM 2013 position statement. The updated statement is intended for sports physicians who provide sports concussion care from acute injury to return-to-play.

According to the statement, SRC is a complex, heterogeneous brain injury that typically resolves clinically in one to four weeks. Diagnosis is challenging, as it relies on self-reported symptoms. Further, there are no easily available objective diagnostic tests. When using sideline and office assessment tools, physicians and others who diagnose concussion should be familiar with the psychometric properties of the tools. After a brief period of rest, patients with acute concussion can gradually and progressively increase physical and cognitive activity while staying below their symptom-exacerbation thresholds. For those with prolonged symptoms, a multidisciplinary care team should be considered. Further research is needed on the potential long-term effects from concussions and repetitive subconcussive impacts, as well as the incidence, prevalence, and modifiable risk factors.

"There are many beneficial aspects to participation in sport and exercise that should be balanced against the concern for concussion," write the authors. "The AMSSM supports continued research in the area of SRC to enhance safe participation in sport.

Study authors disclosed financial ties to athletic organizations and .

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Feb 16, 2019
An object lesson.
Another demonstration that "science" cannot be trusted.
They claim to be in "sports medicine". That's supposed to mean they are looking out for the players' health and they have access to so much information.
Why, then, should it be necessary for them to "update" their position on concucssions? Why didn't they get it right the first time? How dare they leet so many people go out thinking everything was certain when it wasn't?
Unsurprisingly, for example, blame the patients, characterizing effects as "self-reported". Only now, only here they admit that "no easily available objective diagnostic tests" are available. How many did they warn, when they were "treating" them that the tests were going to be declared unreliable and subjective when the "science" failed?

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