Evidence map›Paper›PMID 36231582›Full record

ArticleInternational journal of environmental research and public health2022

'It's All Downhill from Here': A Scoping Review of Sports-Related Concussion (SRC) Protocols in Downhill Mountain Biking (DHI), with Recommendations for SRC Policy in Professional DMB.

Michael McLarnon, Stephen H Boyce, Neil Fisher, Neil Heron

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Michael McLarnonBelfast Health and Social Care Trust, Belfast BT9 7AB, UK.
Stephen H BoyceEmergency Department, Glasgow Royal Infirmary, Glasgow G4 0SF, UK.
Neil FisherUK Athletics, Birmingham B42 2BE, UK.
Neil HeronBritish Cycling, Manchester M11 4DQ, UK.ORCID 0000-0002-4123-9806

Funding

Department of Health
6 · The paper itself

Abstract

introductionDownhill mountain biking (DHI) is a form of cycling and does not currently have a specific sports-related concussion (SRC) assessment.

objectiveTo review the extent, range and nature of research investigating SRC in DMB, provide a summary of key literature findings relating to its identification and management, and then develop a SRC protocol specific to DMB.

designScoping review as per recognised methods.

settingLiterature-based. The following databases were searched: MEDLINE, EMBASE, Scopus and Web of Science, with no restrictions on date. Results were limited to the English language.

participantsSix articles were included in the review from 64 identified articles. The article had to specifically include an analysis of adult downhill riders for inclusion. OUTCOME MEASURES: Study type, study group (amateur/professional), concussion incidence, concussion assessment and recommendations. MAIN

resultsConcussion incidence was identified as between 5-23%. No study outlined a trackside assessment of cyclists or a protocol for return to play where SRC was identified. Several authors identified that riders often continued to participate despite the presence of a concussion. No sport-specific SRC assessment was determined for DHI, and a SRC assessment was therefore developed.

conclusionsThis review illustrates the lack of studies and formal protocol in SRC assessment for DHI. In light of this, we propose a three-stage framework specific to the sport to best identify a concussion and act where appropriate while minimising disruption to competition. This framework involves assessing the cyclist on the 'sideline', a second assessment post-event in the medical room and a third assessment the following day. A SRC consensus meeting specific for DHI is suggested with an identified need for updated guidance from UCI, requiring possible rule changes for the sport.

Indexed as

Athletic InjuriesBrain ConcussionSportsSports MedicineAdultHumansPolicyconcussionconsensus meetingdownhill mountain bike (DMB)head trauma assessmentsports-related concussion

Identifiers

PMID36231582
PMCPMC9566347

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.