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

@article{Schneider2016CurrentSO,
  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},
  year={2016},
  volume={51},
  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.
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Citation Type

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Prevention of Concussion.
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Soccer headgear did not reduce the incidence or severity of SRC in high school soccer players.
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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.
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References

SHOWING 1-10 OF 103 REFERENCES
What are the most effective risk-reduction strategies in sport concussion?
TLDR
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
TLDR
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
TLDR
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
TLDR
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
TLDR
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
TLDR
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.
TLDR
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.
TLDR
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
TLDR
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
TLDR
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.
...
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