{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:15Z","timestamp":1777927335900,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","issue":"11-12","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>\n                    A sports-related concussion (SRC) is most commonly sustained in contact sports, and is defined as a mild traumatic brain injury. An exercise-induced elevation of core body temperature is associated with increased brain temperature that may accelerate secondary injury processes following SRC, and exacerbate the brain injury. In a recent pilot study, acute head-neck cooling of 29 concussed ice hockey players resulted in shorter time to return-to-play. Here, we extended the clinical trial to include players of 19 male elite Swedish ice hockey teams over five seasons (2016-2021). In the intervention teams, acute head-neck cooling was implemented using a head cap for \u226545\u2009min in addition to the standard SRC management used in controls. The primary endpoint was time from SRC until return-to-play (RTP). Sixty-one SRCs were included in the intervention group and 71 SRCs in the control group. The number of previous SRCs was 2 (median and interquartile range [IQR]: 1.0-2.0) and 1 (IQR 1.0-2.0) in the intervention and control groups, respectively;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.293. Median time to initiate head-neck cooling was 10\u2009min (IQR 7-15; range 5-30\u2009min) and median duration of cooling was 45\u2009min (IQR 45-50; range 45-70\u2009min). The median time to RTP was 9 days in the intervention group (IQR 7.0-13.5 days) and 13 days in the control group (IQR 9-30;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The proportion of players out from play for more than the expected recovery time of 14 days was 24.7% in the intervention group, and 43.7% in controls (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Study limitations include that: 1) allocation to cooling or control management was at the discretion of the medical staff of each team, decided prior to each season, and not by strict randomization; 2) no sham cap was used and evaluations could not be performed by blinded assessors; and 3) it could not be established with certainty that injury severity was similar between groups. While the results should thus be interpreted with caution, early head-neck cooling, with the aim of attenuating cerebral hyperthermia, may reduce post-SRC symptoms and lead to earlier return-to-play in elite ice hockey players.\n                  <\/jats:p>","DOI":"10.1089\/neu.2022.0248","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T09:33:41Z","timestamp":1665567221000},"page":"1075-1085","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Shorter Recovery Time in Concussed Elite Ice Hockey Players by Early Head-and-Neck Cooling: A Clinical Trial"],"prefix":"10.1177","volume":"40","author":[{"given":"Ali","family":"Al-Husseini","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Lund, Neurosurgery, Lund University, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Fazel Bakhsheshi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Medicine, Lund University, Lund, Sweden."},{"name":"BrainCool AB, Medicon Village, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Gard","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Neurosurgery, Lund University, Lund, Sweden."},{"name":"Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yelverton","family":"Tegner","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Education, and Technology, Lule\u00e5 University of Technology, Lule\u00e5, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niklas","family":"Marklund","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Neurosurgery, Lund University, Lund, Sweden."},{"name":"Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,1]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000347"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515599634"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-09769"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-099079"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.2217\/cnc-2020-0007"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-09779"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.4397"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3181a4f389"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.011767"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/02640410500482677"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/23328940.2019.1691896"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097393"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.21.9.1318"},{"issue":"3","key":"e_1_3_5_15_2","first-page":"228","article-title":"The neurometabolic cascade of concussion","volume":"36","author":"Giza CC","year":"2001","unstructured":"Giza CC, , Hovda DA. 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