Current state of concussion prevention strategies: a systematic review and meta-analysis of prospective, controlled studies

  title={Current state of concussion prevention strategies: a systematic review and meta-analysis of prospective, controlled studies},
  author={Daniel K. Schneider and Ravi K. Grandhi and Purnima Bansal and George E Kuntz and Kate E. Webster and Kelsey Logan and Kim D. Barber Foss and Gregory D. Myer},
  journal={British Journal of Sports Medicine},
  pages={1473 - 1482}
Objective The aim of the current review was to systematically identify, evaluate and synthesise trials that examine concussion prevention via equipment, educational programmes and training programmes. [] Key Method Data sources PubMed and EBSCO host (CINAHL, MEDLINE, SPORTDiscus). Eligibility criteria for selecting studies The electronic databases PubMed and EBSCO were searched using the phrases: concussion prevention equipment, concussion prevention training and concussion prevention education.
What strategies can be used to effectively reduce the risk of concussion in sport? A systematic review
Highlights include a protective effect of helmets in skiing/snowboarding and the effectiveness of policy eliminating body checking in youth ice hockey leagues where policy disallows body checking.
Head Games: A Systematic Review and Meta-analysis Examining Concussion and Head Impact Incidence Rates, Modifiable Risk Factors, and Prevention Strategies in Youth Tackle Football
This review identified a critical need for interventions to address the high rates of concussion and head impact in youth football and found contact training and contact restrictions have the strongest evidence supporting their effectiveness at reducing these rates.
A Systematic Review and Qualitative Analysis of Concussion Knowledge amongst Sports Coaches and Match Officials.
There is considerable room for further education on SRC amongst coaches and officials, particularly with the less commonly recognized symptoms of SRC and misconceptions about SRC management and prevention.
The Effectiveness of Regulations and Behavioral Interventions on Head Impacts and Concussions in Youth, High-School, and Collegiate Football: A Systematized Review.
Assessment of the effectiveness of regulations and behavioral interventions on head impacts and concussions in youth, high-school, and collegiate football using a systematic search strategy to identify relevant literature found four categories: football, head-injuries, and interventions.
A Scoping Review of Registered Clinical Studies on Mild Traumatic Brain Injury and Concussion (2000 to 2019).
It is suggested that most of the clinical studies are focused on diagnosis and non-pharmacological therapies for patients with mTBI/concussion, and there is a need for consensus on a uniform definition of concussion.
Pros and Cons of 19 Sport-Related Concussion Educational Resources in Canada: Avenues for Better Care and Prevention
The data demonstrates that using three or more resources further enhanced the users' concussion knowledge, however, it is critical to assess whether concussion prevention knowledge is sufficient to reduce injuries and factors influencing it.
Prevention of Concussion.
Anxiety-related concussion perceptions of collegiate athletes.
Does soccer headgear reduce the incidence of sport-related concussion? A cluster, randomised controlled trial of adolescent athletes
Soccer headgear did not reduce the incidence or severity of SRC in high school soccer players.
A Concussion Education Programme for Motorsport Drivers: A Field-Based Exploratory Pilot Study
Qualitative data indicated workshop-program participants developed safer attitudes toward concussion following programming, and preliminary evidence suggested individuals' responses to concussion education aligned with differences in NfC.


What are the most effective risk-reduction strategies in sport concussion?
No new valid, conclusive evidence was provided to suggest the use of headgear in rugby, or mouth guards in American football, significantly reduced players’ risk of concussion.
Incidence of concussion in contact sports: a systematic review of the evidence
There are few good studies on the incidence of concussion and limited information on the risk of concussion for females in contact sports, and some common methodological problems were identified in this literature with the hope of improving future studies.
Comparison of Mouth Guard Designs and Concussion Prevention in Contact Sports: A Multicenter Randomized Controlled Trial
  • D. Barbic, J. Pater, R. Brison
  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2005
In this study, concussion rates were not significantly different for varsity football and rugby players who wore the WIPSS Brain-Pad mouth guard compared with other types of mouth guards.
Altitude Modulates Concussion Incidence
The results of this epidemiological investigation indicate increased physiological responses to altitude may be associated with a reduction in sports-related concussion rates, especially in collision sports.
Physician Concussion Knowledge and the Effect of Mailing the CDC’s “Heads Up” Toolkit
Mailing the CDC’s “Heads Up” toolkit appears to affect physicians’ recommendations regarding returning to play after a concussion.
The Development of Guidelines for the Management of Concussion in Sports
The formal process of developing guidelines for the diagnosis and management of concussion in sports, including the grading scale, sideline evaluation, and management strategy adopted as a practice parameter by the American Academy of Neurology are described.
Injuries in youth ice hockey: a pilot surveillance strategy.
Whether injuries in youth ice hockey can be reduced by changes in playing rules, enforcement of existing rules, improvements in protective equipment, alteration in coaching techniques, and institution of educational programs is investigated.
Head injury mechanisms and the concept of preventive management: a review and critical synthesis.
The hypothesized claim that the exact biomechanics and the physiopathologic response at the time of injury determine the sequence of so-called secondary effects that are conceived as the inexorable delayed manifestations of the primary events and concomitant boundary conditions is derived.
Examining Concussion Rates and Return to Play in High School Football Players Wearing Newer Helmet Technology: A Three-Year Prospective Cohort Study
Recent sophisticated laboratory research has better elucidated injury biomechanics associated with concussion in professional football players, which has led to changes in helmet design and new helmet technology, which appears to have beneficial effects in reducing the incidence of cerebral concussion in high school football players.
Effect of Cognitive Activity Level on Duration of Post-Concussion Symptoms
This study supports the use of cognitive rest and adds to the current consensus opinion that increased cognitive activity is associated with longer recovery from concussion.