{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:37Z","timestamp":1787016937503,"version":"build-2736575974"},"reference-count":15,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2021,5,28]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective was to explore the view and thoughts of physicians working in professional football about several aspects (eg, education and use of video footages) likely to enhance concussions\u2019 recognition and on-field management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An observational study based on a cross-sectional design by means of an electronic survey was conducted among physicians working for a professional football club in Belgium, England or France.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 96 physicians (95% male; mean age: 44 years) completed the survey. Nearly all participants (95%) were in favour of informational sessions about concussion for players or technical staff. Only 5%\u201310% of the participants mentioned that they had felt pressured by the technical staff or players not to substitute a player with a (potential) concussion. Most participants were in favour of an additional permanent concussion substitution and a temporary concussion substitution. Four out of five participants reported that the availability of instant video footages (side-line) would ease the recognition of concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A better recognition and on-field management of concussions in professional football can only be achieved with a holistic approach, including adequate laws of the football game and protocols. Especially, regular education of players and technical staff should be made mandatory while the medical teams should be provided side-line with instant video footages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjsem-2021-001086","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T12:41:02Z","timestamp":1622724062000},"page":"e001086","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Concussion in European professional football: a view of team physicians"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0126-4177","authenticated-orcid":false,"given":"Vincent","family":"Gouttebarge","sequence":"first","affiliation":[{"name":"Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands"},{"name":"Section Sports Medicine, University of Pretoria, Pretoria, South Africa"},{"name":"FIFPRO (Football Players Worldwide), Hoofddorp, Netherlands"},{"name":"Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imtiaz","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Medical Department, Queens Park Rangers Football and Athletic Club, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zafar","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Medical Department, Crystal Palace Football Club, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Orhant","sequence":"additional","affiliation":[{"name":"French Football Federation (FFF), Clairefontaine Medical Centre, FIFA Medical Center of Excellence, Clairefontaine, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Rosenbloom","sequence":"additional","affiliation":[{"name":"The Football Association, Technical Directorate, Burton-upon-Trent, UK"},{"name":"Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristof","family":"Sas","sequence":"additional","affiliation":[{"name":"Medical Department, Royal Sporting Club Anderlecht, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M M J","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands"},{"name":"Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES), Amsterdam Movement Sciences, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"2025083112401892000_7.2.e001086.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"2025083112401892000_7.2.e001086.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2011.01409.x"},{"key":"2025083112401892000_7.2.e001086.3","doi-asserted-by":"crossref","first-page":"i44","DOI":"10.1136\/bjsm.2007.037960","article-title":"Head injuries in the female football player: incidence, mechanisms, risk factors and management","volume":"41 Suppl 1","author":"Dvorak","year":"2007","journal-title":"Br J Sports Med"},{"key":"2025083112401892000_7.2.e001086.4","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/00913847.2017.1376572","article-title":"A history of concussions is associated with symptoms of common mental disorders in former male professional athletes across a range of sports","volume":"45","author":"Gouttebarge","year":"2017","journal-title":"Phys Sportsmed"},{"key":"2025083112401892000_7.2.e001086.5","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4085\/1062-6050-297-18","article-title":"History of sport-related concussion and long-term clinical cognitive health outcomes in retired athletes: a systematic review","volume":"55","author":"Cunningham","year":"2020","journal-title":"J Athl Train"},{"key":"2025083112401892000_7.2.e001086.6","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2020-103400","article-title":"Health-Promoting behaviours and concussion history are associated with cognitive function, mood-related symptoms and emotional-behavioural dyscontrol in former NFL players: an NFL-LONG study","author":"Walton","year":"2021","journal-title":"Br J Sports Med"},{"key":"2025083112401892000_7.2.e001086.7","first-page":"1","article-title":"Sport-Related concussion practices of medical team staff in elite football in the United Kingdom, a pilot study","volume":"9","author":"Rosenbloom","year":"2021","journal-title":"Science and Medicine in Football"},{"key":"2025083112401892000_7.2.e001086.8","unstructured":"Woodward M . Epidemiology: study design and data analysis. Boca Raton: CRC Press, 2014."},{"key":"2025083112401892000_7.2.e001086.9","first-page":"191","article-title":"World Medical association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","year":"2013","journal-title":"JAMA"},{"key":"2025083112401892000_7.2.e001086.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2018-000490"},{"key":"2025083112401892000_7.2.e001086.11","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1111\/sms.13644","article-title":"Concussion incidence and recovery in Swedish elite soccer - Prolonged recovery in female players","volume":"30","author":"Vedung","year":"2020","journal-title":"Scand J Med Sci Sports"},{"key":"2025083112401892000_7.2.e001086.12","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1111\/sms.13852","article-title":"Video analysis of concussion mechanisms and immediate management in French men's professional football (soccer) from 2015 to 2019","volume":"31","author":"Cassoudesalle","year":"2021","journal-title":"Scand J Med Sci Sports"},{"key":"2025083112401892000_7.2.e001086.13","unstructured":"England Professional Rugby Injury Surveillance Project Steering Group . Rugby players England professional rugby injury surveillance project: season report 2018-2019. Twickenham: Rugby Football Union, 2020."},{"key":"2025083112401892000_7.2.e001086.14","unstructured":"International football association board (the IFAB). Available: https:\/\/www.theifab.com\/news\/annual-business-meeting-2020 [Accessed 7 May 2021]."},{"key":"2025083112401892000_7.2.e001086.15","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100628"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2021-001086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:40:32Z","timestamp":1756669232000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2021-001086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,3]]},"published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1136\/bmjsem-2021-001086"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2021-001086","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}