Journal of Physical Therapy and Sports Medicine

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Commentary - Journal of Physical Therapy and Sports Medicine (2023) Volume 7, Issue 6

A Step in the Right Direction: Evolving Perspectives on Concussion Management

David Mathew *

Department of Sports Medicine, University of Canberra, Australia

*Corresponding Author:
David Mathew
Department of Sports Medicine
Department of Sports Medicine

Received: 30-Oct-2023, Manuscript No. AAJPTSM-23-119329; Editor assigned: 02-Nov-2023, PreQC No. AAJPTSM-23-119329(PQ); Reviewed:16-Nov-2023, QC No. AAJPTSM-23-119329; Revised:21-Nov-2023, Manuscript No. AAJPTSM-23-119329(R); Published: 28-Nov-2023, DOI:10.35841/ aajptsm-7.6.180

Citation: Mathew D. A step in the right direction: Evolving perspectives on concussion management. J Phys Ther Sports Med. 2023;7(6):180

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Concussions, often referred to as "mild traumatic brain injuries," have long been a cause for concern in sports, particularly contact sports like football, hockey, and soccer. The impact of these injuries goes far beyond the field, affecting the lives of athletes and their families. Fortunately, in recent years, there has been a significant shift in the way we approach concussion management. [1,2]

As our understanding of concussions deepens and evolves, so too must our strategies for prevention, diagnosis, and treatment. In this opinion article, we will explore the progress that has been made in concussion management and highlight the steps still needed to further protect the well-being of athletes. Concussion management has come a long way from the days when "getting back in the game" was the primary focus. The traditional mindset, which often downplayed the severity of concussions, has given way to a more cautious and proactive approach. This shift is not only a reflection of increased awareness but also a response to mounting scientific evidence. [3].

Improved Education: One of the most significant advancements in concussion management is the emphasis on education. Coaches, athletes, and parents are now better informed about the signs and symptoms of concussions. This knowledge has led to more athletes recognizing and reporting their injuries, which is a crucial first step in proper concussion management. Enhanced Protocols: Sports organizations have introduced more rigorous concussion protocols. Athletes who suffer a concussion are now required to undergo a comprehensive evaluation before returning to play. This evaluation often includes a combination of medical assessments, cognitive testing, and physical exams. [4].

Better Technology: Advances in medical technology have made it easier to diagnose and monitor concussions. Tools like computerized neurocognitive tests and brain imaging have provided healthcare professionals with more objective data to assess an athlete's recovery progress [5].

Rule Changes: Many sports leagues have introduced rule changes aimed at reducing the risk of concussions. For example, in American football, new rules have been implemented to discourage helmet-to-helmet hits, and in soccer, there is a growing focus on reducing head injuries by limiting heading the ball at young ages. While the strides made in concussion management are commendable, there are still challenges and unmet needs that demand attention. Cultural Shift: Despite the progress, the culture surrounding sports, particularly at the professional level, can still encourage a "tough it out" mentality. Athletes may be hesitant to report symptoms or take themselves out of a game, fearing that they will be seen as weak or risking their careers. Access to Care: Not all athletes have equal access to the best medical care and resources for concussion management. This disparity can result in some athletes receiving suboptimal care, leading to potential long-term consequences [6].

Pediatric Concussions: Children and adolescents are particularly vulnerable to the effects of concussions, yet there is still much we don't know about how these injuries affect developing brains. There is a need for more research and tailored management strategies for young athletes.Long-term Effects: Despite our progress, we still have much to learn about the long-term effects of concussions. Chronic Traumatic Encephalopathy (CTE) is a pressing concern, and more research is needed to understand the link between concussions and degenerative brain diseases [7].

Prevention: While we have made strides in diagnosing and managing concussions, prevention should be a primary focus. Advancements in protective equipment and changes in game rules are positive steps, but we need more research into how to prevent concussions in the first place. Education and Awareness: We must continue to educate athletes, coaches, parents, and the general public about concussions. Awareness campaigns can help dispel myths and promote early reporting of symptoms. Comprehensive Care: Every athlete, regardless of age or skill level, should have access to quality concussion care. This requires expanding resources for diagnosis, treatment, and follow-up care, especially in underserved communities. Research Investment: Governments, sports organizations, and private institutions should invest more in concussion research. This includes studying the long-term effects of concussions and finding innovative prevention methods [8].

Encourage Reporting: Athletes should be encouraged and protected when they report concussion symptoms. This involves creating environments where athletes feel safe discussing their injuries without fear of negative repercussions. Age-Appropriate Protocols: Recognizing that young athletes may have unique needs, we should develop and implement age-appropriate concussion management protocols that address their specific challenges. Informed Policy Changes: Sports leagues and governing bodies must continually evaluate and update their rules and regulations to reduce the risk of concussions. This should be done in consultation with medical experts [9].

Concussion management has evolved significantly in recent years, marking a positive shift in the way we approach and address these traumatic brain injuries. Improved education, better protocols, and enhanced technology have all contributed to this progress. However, there are still significant challenges and unmet needs, including changing the culture around reporting concussions, ensuring equal access to care, and addressing the long-term effects of these injuries. As we continue to refine our approach to concussion management, it's crucial to remember that the well-being of athletes should always be our top priority. Through ongoing research, public awareness, and policy changes, we can create a safer and more informed environment for athletes of all ages and skill levels. This is not just a matter of sports, but a reflection of our commitment to the health and safety of those who dedicate themselves to the games we love [10].


  1. Ekegren CL, Gabbe BJ, Finch CF. Injury surveillance in community sport: can we obtain valid data from sports trainers?. Scand J Med Sci Sports. 2015;25(3):315-22.
  2. Indexed at, Google ScholarCross Ref

  3. Wallace J, Covassin T, Nogle S, Gould D, Kovan J. Knowledge of concussion and reporting behaviors in high school athletes with or without access to an athletic trainer. JAthl Train. 2017;52(3):228-35.\
  4. Indexed at, Google ScholarCross Ref

  5. Hill T, Orchard J, Kountouris A. Incidence of concussion and head impacts in Australian elite-level male and female cricketers after head impact protocol modifications. Sports Health. 2019;11(2):180-5.
  6. Indexed at, Google ScholarCross Ref

  7. Brukner P, Gara TJ, Fortington LV. Traumatic cricket?related fatalities in Australia: a historical review of media reports. Med J Aust. 2018;208(6):261-4.
  8. Indexed at, Google ScholarCross Ref

  9. Whitehouse DP, Kelleher?Unger IR, Newcombe VF. Head injury and concussion in cricket: incidence, current guidance, and implications of sports concussion literature. Transl Sports Med. 2021;4(3):319-26.
  10. Indexed at, Google ScholarCross Ref

  11. Leddy J, Hinds A, Sirica D, et al. The role of controlled exercise in concussion management. Pm&r. 2016;8(3):S91-100.
  12. Indexed at, Google ScholarCross Ref

  13. Davis GA, Anderson V, Babl FE, et al. What is the difference in concussion management in children as compared with adults? A systematic review. Br J Sports Med. 2017;51(12):949-57.
  14. Indexed at, Google ScholarCross Ref

  15. Lempke LB, Schmidt JD, Lynall RC. Athletic trainers' concussion-assessment and concussion-management practices: An update. J Athl Train. 2020;55(1):17-26.
  16. Indexed at, Google ScholarCross Ref

  17. Reddy CC, Collins MW. Sports concussion: management and predictors of outcome. Curr Sports Med Rep. 2009;8(1):10-5.
  18. Google Scholar

  19. Baugh CM, Kroshus E, Stamm JM, et al. Clinical practices in collegiate concussion management. Am J Sports Med. 2016;44(6):1391-9.
  20. Indexed at, Google ScholarCross Ref

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