Patricios et al. (2023). Consensus statement on concussion in sport: The 6th International Conference on Concussion in Sport–Amsterdam, October 2022. British Journal of Sports Medicine, 57(11), 695–711. https://doi.org/10.1136/bjsports-2023-106898

  • This statement summarises evidence-informed principles of concussion prevention, assessment and management, and emphasises those areas requiring more research.

Schneider et al. (2023). Amsterdam 2022 process: A summary of the methodology for the Amsterdam International Consensus on Concussion in Sport. British Journal of Sports Medicine, 57(11), 712–721. https://doi.org/10.1136/bjsports-2022-106663

  • The 6th International Conference on Concussion in Sport was held in Amsterdam (27–30 October 2022) and consisted of 2 days of systematic review presentations, panel discussions, question and answer engagement with the 600 attendees, and abstract presentations. This was followed by a closed third day of consensus deliberations by an expert panel of 29 with observers in attendance. The fourth day, also closed, was dedicated to a workshop to discuss and refine the sports concussion tools (Concussion Recognition Tool 6 (CRT6), Sport Concussion Assessment Tool 6 (SCAT6), Child SCAT6, Sport Concussion Office Assessment Tool 6 (SCOAT6) and Child SCOAT6). We include a summary of recommendations for methodological improvements for future research that grew out of the systematic reviews.

Makdissi & Patricios (2018). Concussion in sport: Best from Berlin, direction from Dublin and gems from gridiron. British Journal of Sports Medicine, 52(14), 903–904. https://doi.org/10.1136/bjsports-2018-099402

  • Sports-related concussion (SRC) is one of the most important medical issues in contact and collision sports around the world. The NFL Head, Neck and Spine Committee’s Concussion Diagnosis and Management Protocols, published in this edition of the BJSM, represent a comprehensive approach to concussion management in professional sport. The protocols highlight how much the approach to SRC has evolved, particularly since the first International Conference on Concussion in Sport held in Vienna in November 2001. This evolution has been driven largely by concerns (both medical and public) regarding potential short-term and long-term adverse outcomes following SRC, and have been underpinned by evolving concepts from five international consensus meetings, and an explosion of research on SRC over the past decade.

Makdissi et al. (2023). When should an athlete retire or discontinue participating in contact or collision sports following sport-related concussion? A systematic review. British Journal of Sports Medicine, 57(12), 822–830. https://doi.org/10.1136/bjsports-2023-106815

  • Conclusion: No evidence was identified to support the inclusion of any patient-specific, injury-specific or other factors (eg, imaging findings) as absolute indications for retirement or discontinued participation in contact or collision sport following SRC.

Putukian et al. (2023). Clinical recovery from concussion–return to school and sport: A systematic review and meta-analysis. British Journal of Sports Medicine, 57, 798-809. https://doi.org/10.1136/bjsports-2022-106682

  • Conclusion: Most athletes have full return to learning by 10 days but take twice as long for a return to sport.

Leddy et al. (2023). Rest and exercise early after sport-related concussion: A systematic review and meta-analysis. British Journal of Sports Medicine, 57, 762-770. https://doi.org/10.1136/bjsports-2022-106676

  • Conclusion: Early physical activity, prescribed aerobic exercise and reduced screen time are beneficial following SRC. Strict physical rest until symptom resolution is not effective, and sleep disturbance impairs recovery after SRC.

Schneider et al. (2023). Targeted interventions and their effect on recovery in children, adolescents and adults who have sustained a sport-related concussion: a systematic review. British Journal of Sports Medicine, 57(12), 771–779. https://doi.org/10.1136/bjsports-2022-106685

  • Conclusion: Cervicovestibular rehabilitation is recommended for adolescents and adults with dizziness, neck pain and/or headaches for >10 days. Vestibular rehabilitation (for adolescents with dizziness/vestibular impairments >5 days) and active rehabilitation and/or collaborative care (for adolescents with persisting symptoms >30 days) may be of benefit.

Tabor et al. (2023). Role of biomarkers and emerging technologies in defining and assessing neurobiological recovery after sport-related concussion: A systematic review. British Journal of Sports Medicine, 57(12), 789–797. https://doi.org/10.1136/bjsports-2022-106680

  • Conclusion: Advanced neuroimaging, fluid-based biomarkers, genetic testing and emerging technologies are valuable research tools for the study of SRC, but there is not sufficient evidence to recommend their use in clinical practice.

Nguyen et al. (2023). Moving forward on the road to recovery after concussion: participant experiences of interdisciplinary intervention for persisting post-concussion symptoms. Disability and Rehabilitation,1-9. https://doi.org/10.1080/09638288.2023.2261374

  • Conclusion: Findings highlight current gaps in the acute management of concussion and provide end-user insights into the facilitators and barriers of treatment engagement and response. Responses also highlight the potential positive impact of interdisciplinary treatments. Clinician perspectives should be explored in future research.