{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:56:23Z","timestamp":1794333383322,"version":"4.9.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T00:00:00Z","timestamp":1585612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurosurg.","NEUROS"],"published-print":{"date-parts":[[2020,8]]},"abstract":"Abstract<\/jats:title>\n \n The Berlin statement on sport-related concussion was published in 2017 using evidence-based recommendations. We aimed to examine (1) the implementation of, distribution and education based on the Berlin recommendations, and the development of sport-specific protocols\/guidelines among professional and elite sports, (2) the implementation of guidelines at the community level, (3) translation of guidelines into different languages, and (4) research activities. Senior medical advisers and chief medical officers from Australian Football League, All Japan Judo Federation, British Horseracing Authority, Cricket Australia, F\u00e9d\u00e9ration Equestre Internationale, Football Association, Gaelic Athletic Association, International Boxing Association, Irish Horseracing Regulatory Board, Major League Baseball, National Football League, National Hockey League, National Rugby League, and World Rugby completed a questionnaire. The results demonstrated that all 14 sporting organizations have published concussion protocols\/guidelines based on the Berlin recommendations, including\n Recognize, Removal from play, Re-evaluation, Rest, Recovery<\/jats:italic>\n , and\n Return to play.<\/jats:italic>\n There is variable inclusion of\n Prolonged symptoms. Prevention<\/jats:italic>\n and\n Risk reduction<\/jats:italic>\n and\n Long-term effects<\/jats:italic>\n are addressed in the guidelines, rules and regulations, and\/or sport-specific research. There is variability in education programs, monitoring compliance with guidelines, and publication in other languages. All sporting bodies are actively involved in concussion research. We conclude that the Berlin recommendations have been included in concussion protocols\/guidelines by all the sporting bodies, with consistency in the essential components of the recommendations, whilst also allowing for sport- and regional-specific variations. Education at the elite, community, and junior levels remains an ongoing challenge, and future iterations of guidelines may consider multiple language versions, and community- and junior-level guidelines.\n <\/jats:p>","DOI":"10.1093\/neuros\/nyaa057","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T07:18:55Z","timestamp":1581664735000},"page":"418-425","source":"Crossref","is-referenced-by-count":32,"title":["Concussion Guidelines in National and International Professional and Elite Sports"],"prefix":"10.1227","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8293-4496","authenticated-orcid":false,"given":"Gavin A","family":"Davis","sequence":"first","affiliation":[{"name":"Australian Football League Concussion Working Group, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Makdissi","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Bloomfield","sequence":"additional","affiliation":[{"name":"National Rugby League, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Clifton","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Cowie","sequence":"additional","affiliation":[{"name":"The Football Association, St George's Park, Needwood, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben","family":"Echemendia","sequence":"additional","affiliation":[{"name":"National Hockey League, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eanna C","family":"Falvey","sequence":"additional","affiliation":[{"name":"World Rugby, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon Ward","family":"Fuller","sequence":"additional","affiliation":[{"name":"Centre for Urgent and Emergency Care Research, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary Alan","family":"Green","sequence":"additional","affiliation":[{"name":"Major League Baseball, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Harcourt","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Hill","sequence":"additional","affiliation":[{"name":"British Horseracing Authority, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Leahy","sequence":"additional","affiliation":[{"name":"Gaelic Athletic Association, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike P","family":"Loosemore","sequence":"additional","affiliation":[{"name":"Institute Sport Exercise & Health, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"McCrory","sequence":"additional","affiliation":[{"name":"Concussion in Sport Group, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"McGoldrick","sequence":"additional","affiliation":[{"name":"The Irish Horseracing Regulatory Body, The Curragh, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem","family":"Meeuwisse","sequence":"additional","affiliation":[{"name":"National Hockey League, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Moran","sequence":"additional","affiliation":[{"name":"Gaelic Athletic Association, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Nagahiro","sequence":"additional","affiliation":[{"name":"All Japan Judo Federation, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W","family":"Orchard","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Pugh","sequence":"additional","affiliation":[{"name":"The Irish Horseracing Regulatory Body, The Curragh, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Raftery","sequence":"additional","affiliation":[{"name":"World Rugby, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen K","family":"Sills","sequence":"additional","affiliation":[{"name":"National Football League, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary S","family":"Solomon","sequence":"additional","affiliation":[{"name":"National Football League, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex B","family":"Valadka","sequence":"additional","affiliation":[{"name":"Major League Baseball, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,8]]},"reference":[{"issue":"1","key":"bib1-20231011","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1136\/bjsm.36.1.6","article-title":"Summary and agreement statement of the first international conference on concussion in sport, Vienna 2001. 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