{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:45:20Z","timestamp":1787028320135,"version":"build-2736575974"},"reference-count":26,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Sport-related concussions (SRC) are an increasingly common concern in young athletes, with long-term cognitive, physiological, behavioral, and psychological adverse outcomes. An estimated 1.1 million to 1.9 million SRCs occur per year in children &lt;18 years old in the United States. The post-concussive state has demonstrated consequences in several domains, including athletics and academics, although much more research has been conducted on the former. The objective of this scoping review was to ascertain findings from published studies on the effects of SRCs on academic performance and quality of life of young student athletes. A total of 175 articles were screened within the PubMed and CINAHL databases, along with a Google search. Fourteen papers fulfilled the inclusion criteria and were analyzed in the review. Quantitative and qualitative data were collated and demonstrated the heterogeneity with which, post-concussion academic performance outcomes were measured; only 4 of the 14 studies utilized formal academic metrics such as changes in grade point average (GPA) or examination scores. While the results overall did show statistically significant implications on academic performance decline after SRC, it is clear that there remains a paucity of research determining the consequences of SRCs on academic performance in the school environment. Further research is needed to better understand how to implement accommodations in the student\u2019s learning environment and guide return-to-learn protocols for student athletes following SRC.<\/jats:p>","DOI":"10.3390\/ijerph17207602","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T20:44:41Z","timestamp":1603140281000},"page":"7602","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Academic Performance Following Sport-Related Concussions in Children and Adolescents: A Scoping Review"],"prefix":"10.3390","volume":"17","author":[{"given":"Mekala","family":"Neelakantan","sequence":"first","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brinda","family":"Ryali","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Demma","family":"Cabral","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-0809","authenticated-orcid":false,"given":"Ann","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Library, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5361-6912","authenticated-orcid":false,"given":"Juli","family":"McCarroll","sequence":"additional","affiliation":[{"name":"Department of Library, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1422-3494","authenticated-orcid":false,"given":"Dilip R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport\u2014The 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1037\/rep0000155","article-title":"A review of the literature on pediatric concussions and Return-to-Learn (RTL): Implications for RTL policy, research, and practice","volume":"62","author":"Cox","year":"2017","journal-title":"Rehabil. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1016\/j.apmr.2018.05.012","article-title":"Invited Commentary on \u201cThe Report to Congress on the Management of Traumatic Brain Injury in Children\u201d","volume":"99","author":"Suskauer","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e20154635","DOI":"10.1542\/peds.2015-4635","article-title":"Sports-and recreation-related concussions in US youth","volume":"138","author":"Bryan","year":"2016","journal-title":"Pediatrics"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e20162151","DOI":"10.1542\/peds.2016-2151","article-title":"Variations in state laws governing school reintegration following concussion","volume":"138","author":"Thompson","year":"2016","journal-title":"Pediatrics"},{"key":"ref_6","first-page":"1","article-title":"Academic accommodations for a countywide concussion high school program","volume":"21","author":"Lopez","year":"2017","journal-title":"Sport J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/JSM.0000000000000268","article-title":"Young athletes\u2019 concerns about sport-related concussion: The patient\u2019s perspective","volume":"26","author":"Stein","year":"2016","journal-title":"Clin. J. Sport Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"262","DOI":"10.4085\/1062-6050-49.3.81","article-title":"Athletic trainers\u2019 familiarity with and perceptions of academic accommodations in secondary school athletes after sport-related concussion","volume":"50","author":"Williams","year":"2015","journal-title":"J. Athl. Train."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: Towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e162900","DOI":"10.1001\/jamapediatrics.2016.2900","article-title":"Association of persistent postconcussion symptoms with pediatric quality of life","volume":"170","author":"Novak","year":"2016","journal-title":"JAMA Pediatr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1542\/peds.2014-3434","article-title":"Academic effects of concussion in children and adolescents","volume":"135","author":"Ransom","year":"2015","journal-title":"Pediatrics"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.amepre.2019.08.016","article-title":"Concussion and academic impairment among U.S. high school students","volume":"57","author":"Lowry","year":"2019","journal-title":"Am. J. Prev. Med."},{"key":"ref_13","first-page":"2325967117745033","article-title":"Lived experiences of adolescent athletes following sport-related concussion","volume":"5","author":"Wagner","year":"2017","journal-title":"Orthop. J. Sport Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.3109\/02699052.2015.1031699","article-title":"Mild traumatic brain injuries in early adolescent rugby players: Long-term neurocognitive and academic outcomes","volume":"29","author":"Alexander","year":"2015","journal-title":"Brain Injury"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Russell, K., Selci, E., Black, B., Cochrane, K., and Ellis, M. (2019). Academic outcomes following adolescent sport-related concussion or fracture injury: A prospective cohort study. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0215900"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"CNC51","DOI":"10.2217\/cnc-2017-0009","article-title":"Academic outcomes and accommodations following adolescent sport-related concussion: A pilot study","volume":"2","author":"Russell","year":"2017","journal-title":"Concussion"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Russell, K., Hutchison, M.G., Selci, E., Leiter, J., Chateau, D., and Ellis, M.J. (2016). Academic outcomes in high-school students after a concussion: A retrospective population-based analysis. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0165116"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/02699052.2018.1546408","article-title":"A targeted neuropsychological examination of children with a history of sport-related concussion","volume":"33","author":"Moore","year":"2019","journal-title":"Brain Injury"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"E24","DOI":"10.1097\/HTR.0000000000000218","article-title":"Long-term school outcomes of children and adolescents with traumatic brain injury","volume":"32","author":"Prasad","year":"2017","journal-title":"J. Head Trauma Rehabil."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.2105\/AJPH.2016.303154","article-title":"Academic dysfunction after a concussion among US high school and college students","volume":"106","author":"Wasserman","year":"2016","journal-title":"Am. J. Public Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.jpeds.2018.11.003","article-title":"Concussion incidence, duration, and return to school and sport in 5- to 14-Year-Old American football athletes","volume":"207","author":"Chrisman","year":"2019","journal-title":"J. Pediatr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1017\/S1355617716000916","article-title":"Applying an evidence-based assessment model to identify students at risk for perceived academic problems following concussion","volume":"22","author":"Ransom","year":"2016","journal-title":"J. Int. Neuropsychol. Soc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.pmr.2011.08.008","article-title":"School and the concussed youth: Recommendations for concussion education and management","volume":"22","author":"Sady","year":"2011","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e20160910","DOI":"10.1542\/peds.2016-0910","article-title":"Removal from play after concussion and recovery time","volume":"138","author":"Elbin","year":"2016","journal-title":"Pediatrics"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1542\/peds.2013-2867","article-title":"Returning to learning following a concussion","volume":"132","author":"Halstead","year":"2013","journal-title":"Pediatrics"},{"key":"ref_26","unstructured":"Centers for Disease Control and Prevention (2020, September 03). Returning to School After a Concussion: A Fact Sheet for School Professionals, Available online: http:\/\/www.cdc.gov\/concussion\/pdf\/TBI_Returning_to_School-a.pdf."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/20\/7602\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:24:16Z","timestamp":1760178256000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/20\/7602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,19]]},"references-count":26,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2020,10]]}},"alternative-id":["ijerph17207602"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17207602","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,19]]}}}