SynthesisBritish journal of sports medicine2018
A systematic review of criteria used to define recovery from sport-related concussion in youth athletes.
Synthesis in British journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.
- Which psychosocial factors are associated with return to sport following concussion? A systematic review.Journal of sport and health science · 2022Pooled it
- The King-Devick test in an outpatient concussion clinic: Assessing the diagnostic and prognostic value of a vision test in conjunction with exercise testing among acutely concussed adolescents.Journal of the neurological sciences · 2019Trial
- Natural Progression of Symptom Change and Recovery From Concussion in a Pediatric Population.JAMA pediatrics · 2019Trial
- A Magnetic Resonance Imaging (MRI) Investigation of Cervical Spine Muscle Characteristics After Concussion: Identifying Return-to-Play Clearance and Subsequent Injury Prognosis.Journal of child neurology · 2026Article
- Evolution of Multifaceted Sport-Related Concussion Management: A 25-Year Narrative Review of Multidomain Assessment and Multimodal Rehabilitation.Sports (Basel, Switzerland) · 2026Review
- Article
- The risk of all-cause injury and site-specific injury in athletes after concussion: a systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- Multi-method proof-of-concept evaluation for R2Play: a novel multi-domain return-to-play assessment tool for concussion.PLOS digital health · 2025Article
- Optimal Recovery Following Pediatric Concussion.JAMA network open · 2025Article
- Parasympathetic Responses to Face Cooling in Adolescents with Sport-Related Concussion and After Clinical Recovery.Neurotrauma reports · 2025Article
- Use of physical exertion to enhance objective testing following mild traumatic brain injury: a systematic review.BMJ open sport & exercise medicine · 2025Article
- Does Physical Fitness Prior to Traumatic Brain Injury Affect Recovery Outcomes? A Scoping Review of Human and Animal Research.Neurotrauma reports · 2025Review
- Symptom clusters and resting cardiovascular autonomic measures in adolescents: From acute concussion to recovery.Physiological reports · 2024Article
- Plasma Biomarkers of Traumatic Brain Injury in Adolescents With Sport-Related Concussion.JAMA network open · 2024Article
- Cognition and post-concussive symptom status after pediatric mild traumatic brain injury.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024Article
- Evaluation of Post-Hospital Care of Traumatic Brain Injury in Children, Adolescents and Young Adults-A Survey among General Practitioners and Pediatricians in Germany.Diagnostics (Basel, Switzerland) · 2022Article
- Article
- Article
- Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists.Current neurology and neuroscience reports · 2021Review
- Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation.Journal of sport and health science · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe Concussion in Sport Group guidelines recommend a multifaceted approach to help clinicians make return to sport decisions. The purpose of this study was to identify the most common multifaceted measures used to define clinical recovery from sport-related concussion in young athletes (high school and/or college level) and to summarise existing knowledge of criteria used to make return to sport decisions.
designSystematic review. DATA SOURCES: The PubMed (MEDLINE), SPORTDiscus and Embase electronic databases were searched from 1 January 2000 to 1 March 2017 by three independent reviewers. ELIGIBILITY CRITERIA: Inclusion criteria: elementary, high school and college age groups, and a specific definition of clinical recovery that required two or more measures. EXCLUSION CRITERIA: review articles, articles using the same sample population, case studies, non-English language and those that used one measure only or did not specify the recovery measures used. STUDY QUALITY: Study quality was assessed using the Downs and Black Criteria.
resultsOf 2023 publications, 43 met inclusion criteria. Included articles reported the following measures of recovery: somatic symptom resolution or return to baseline (100%), cognitive recovery or return to baseline (86%), no exacerbation of symptoms on physical exertion (49%), normalisation of balance (30%), normal special physical examination (12%), successful return to school (5%), no exacerbation of symptoms with cognitive exertion (2%) and normalisation of cerebral blood flow (2%). Follow-up to validate the return to sport decision was reported in eight (19%) articles. Most studies were case-control or cohort (level of evidence 4) and had significant risk of bias.
conclusionAll studies of sport-related concussion use symptom reports to define recovery. A minority of studies used multiple measures of outcome or had clearly defined recovery criteria, the most common being a combination of a self-reported symptom checklist and a computerised neurocognitive test. Future studies ideally should define recovery a priori using objective physiological measures in addition to symptom reports.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.