{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:19:54Z","timestamp":1790950794583,"version":"4.1.0"},"reference-count":51,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"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>Objectives To investigate which United Kingdom (UK) amateur sporting organisations have published sports-related concussion (SRC) guidelines, their accessibility and the extent to which they follow the Berlin statement recommendations. This article is targeted at those involved with designing and implementing SRC guidelines in amateur sport. Design Scoping Review. Data Sources The SRC guidelines of 15 sporting organisations were accessed through public materials available from the official organisation website. Eligibility Criteria: To be included in this review, sports must enjoy broad participation by UK amateur athletes with a high risk of athletes sustaining an SRC. Results: 15 sporting organisations were included in this review with two, British Cycling and British Eventing, found not to have published SRC guidelines. There was found to be a large discrepancy between the extent to which the sport-specific guides followed the Berlin statement recommendations. Conclusions: The large discrepancy between the contents of the SRC guidelines may be putting the health of athletes at risk. We recommend the UK government publish standardised concussion guidelines based on the latest scientific research that must be used by all UK amateur sport groups.<\/jats:p>","DOI":"10.3390\/ijerph19031072","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T08:20:57Z","timestamp":1642580457000},"page":"1072","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["A Scoping Review of Concussion Guidelines in Amateur Sports in the United Kingdom"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1249-870X","authenticated-orcid":false,"given":"Emer","family":"Scullion","sequence":"first","affiliation":[{"name":"School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4123-9806","authenticated-orcid":false,"given":"Neil","family":"Heron","sequence":"additional","affiliation":[{"name":"General Practice\/Centre for Public Health, Queen\u2019s University Belfast, Belfast BT9 7BL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1136\/bjsports-2021-104235","article-title":"Selected issues in sport-related concussion (SRC|mild traumatic brain injury) for the team physician: A consensus statement","volume":"55","author":"Herring","year":"2021","journal-title":"Br. J. Sports Med."},{"key":"ref_2","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1249\/JSR.0000000000000825","article-title":"Concussion in Sport","volume":"20","author":"Moreland","year":"2021","journal-title":"Curr. Sports Med. Rep."},{"key":"ref_3","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1136\/bjsports-2016-097393","article-title":"What is the definition of sports-related concussion: A systematic review","volume":"51","author":"McCrory","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1136\/bjsm.2005.018614","article-title":"Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004","volume":"39","author":"McCrory","year":"2005","journal-title":"Br. J. Sports Med."},{"key":"ref_5","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.pmrj.2009.03.010","article-title":"Consensus Statement on Concussion in Sport\u2014The 3rd International Conference on Concussion in Sport Held in Zurich, November 2008","volume":"1","author":"McCrory","year":"2009","journal-title":"S. Afr. J. Sports Med."},{"key":"ref_6","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.pmrj.2013.02.012","article-title":"Consensus Statement on Concussion in Sport\u2014The 4th International Conference on Concussion in Sport Held in Zurich, November 2012","volume":"5","author":"McCrory","year":"2013","journal-title":"PM R"},{"key":"ref_7","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3810\/psm.2002.02.176","article-title":"Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001","volume":"30","author":"Aubry","year":"2002","journal-title":"Phys. Sportsmed."},{"key":"ref_8","doi-asserted-by":"publisher","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_9","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1093\/neuros\/nyaa057","article-title":"Concussion guidelines in national and international professional and elite sports","volume":"87","author":"Davis","year":"2020","journal-title":"Neurosurgery"},{"key":"ref_10","first-page":"41","article-title":"Are Irish Sporting Organisations Review article","volume":"3","author":"Beakey","year":"2016","journal-title":"Eur. J. Sport Med."},{"key":"ref_11","doi-asserted-by":"publisher","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. Theory Pract."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Levac, D., Colquhoun, H., and O\u2019Brien, K.K. (2010). Scoping studies: Advancing the methodology. Implement. Sci., 5.","DOI":"10.1186\/1748-5908-5-69"},{"key":"ref_13","doi-asserted-by":"publisher","first-page":"11","DOI":"10.7326\/M18-0850","article-title":"Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist SECTION","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_14","unstructured":"Sport England (2021, July 10). Active Lives Adult November 2019\u201320 Report. Available online: https:\/\/sportengland-production-files.s3.eu-west-2.amazonaws.com\/s3fs-public\/2021-12\/Active%20Lives%20Children%20and%20Young%20People%20Survey%20Academic%20Year%202020-21%20Report.pdf?VersionId=3jpdwfbsWB4PNtKJGxwbyu5Y2nuRFMBV."},{"key":"ref_15","unstructured":"British American Football Association (2021, July 10). British American Football Association Concussion Guidelines. Available online: https:\/\/rules.bafra.info\/docs\/2017\/BAFA\/Concussion%20Protocol%20FINAL.pdf."},{"key":"ref_16","unstructured":"British Basketball (2021, July 11). Concussion Guidelines for Basketball in Great Britain 2016-KEY POINTS SUMMARY. Available online: https:\/\/www.basketballengland.co.uk\/media\/12000\/concussion-guidelines-2016.pdf."},{"key":"ref_17","unstructured":"England Boxing (2021, July 12). England Boxing Rule Book. Available online: https:\/\/www.englandboxing.org\/wp-content\/uploads\/2020\/07\/England-Boxing-Rule-Book-2020.pdf."},{"key":"ref_18","unstructured":"England Cricket Board (2021, July 10). New Some of the Key Developments Since the Last Ecb Concussion Guidelines. Available online: https:\/\/platform-static-files.s3.amazonaws.com\/ecb\/document\/2018\/03\/20\/1af72872-6efe-4cc9-8d47-9c9493bd46cd\/ECB_Head_Injury_Concussion_Guidelines_2018.pdf."},{"key":"ref_19","unstructured":"Gaelic Athletic Association (2021, July 13). Concussion Management Guidelines for Gaelic Games. Available online: https:\/\/learning.gaa.ie\/sites\/default\/files\/ConcussionManagementGuidelinesforGaelicGamesNovember2018_0.pdf."},{"key":"ref_20","unstructured":"F\u00e9d\u00e9ration Internationale de Gymnastique (2021, July 27). Fig\u2014Concussion Guidelines. Available online: https:\/\/a.storyblok.com\/f\/83342\/x\/bdad669133\/medical_fig_concussion-overview.pdf."},{"key":"ref_21","unstructured":"Moghal, M., and Rossiter, M. (2021, July 11). GB & England Hockey Concussion Policy Guideline Summary. Available online: https:\/\/www.cuhc.org.uk\/wp-content\/uploads\/2020\/10\/CUHC-Concussion-Policy-2020-21.pdf."},{"key":"ref_22","unstructured":"Eventing, B. (2021, July 10). British Eventing Rules & Member\u2019s Handbook. Available online: https:\/\/www.britisheventing.com\/news\/2020-rules."},{"key":"ref_23","unstructured":"International Ice Hockey Federation (2021, July 13). International Ice Hockey Federation Concussion Protocol. Available online: https:\/\/blob.iihf.com\/iihf-media\/iihfmvc\/media\/downloads\/medical\/medical-care-guide\/2021-iihf-concussion-protocol.pdf."},{"key":"ref_24","unstructured":"British Judo (2021, July 12). British Judo Association Minor Head Injury Policy. Available online: https:\/\/www.britishjudo.org.uk\/wp-content\/uploads\/2020\/02\/Minor-Head-Injury-Policy-Valid-5th-February-2020-v1.1.pdf."},{"key":"ref_25","unstructured":"England Netball (2021, July 12). England Netball Concussion Policy. Available online: https:\/\/www.netballsouth.co.uk\/userfiles\/file\/docs\/competitions\/EN-branded-concussion-policy.pdf."},{"key":"ref_26","unstructured":"Rugby Football League (2021, July 19). Concussion. Available online: https:\/\/www.rugby-league.com\/governance\/medical\/concussion."},{"key":"ref_27","unstructured":"England Rugby (2021, July 14). HEADCASE- Extended Guidelines. Available online: https:\/\/www.englandrugby.com\/dxdam\/fc\/fc36ddd4-fa06-413e-865a-3fb1d7c15926\/HEADCASEEXTENDED.pdf."},{"key":"ref_28","unstructured":"The Football Association (2021, July 10). The FA\u2019s Concussion Guidelines. Available online: https:\/\/www.thefa.com\/get-involved\/fa-concussion-guidelines-if-in-doubt-sit-them-outold."},{"key":"ref_29","unstructured":"Swart, J., Bigard, X., Fladischer, T., Palfreeman, R., Riepenhof, H., Jones, N., and Heron, N. (2021, July 14). Cycling-Specific Sport Related Concussion. Available online: https:\/\/www.uci.org\/docs\/default-source\/medical\/2020-uci-cycling-specific-sport-related-concussion-protocol.pdf."},{"key":"ref_30","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1136\/bjsports-2017-097506","article-title":"The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale","volume":"51","author":"Echemendia","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_31","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1136\/bjsports-2017-097492","article-title":"The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5): Background and rationale","volume":"51","author":"Davis","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_32","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1136\/bjsports-2017-097508","article-title":"The Concussion Recognition Tool 5th Edition (CRT5): Background and rationale","volume":"51","author":"Echemendia","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_33","doi-asserted-by":"publisher","first-page":"265","DOI":"10.4085\/1062-6050-43.3.265","article-title":"Concussion in Sports: Postconcussive Activity Levels, Symptoms, and Neurocognitive Performance","volume":"43","author":"Majerske","year":"2008","journal-title":"J. Athl. Train."},{"key":"ref_34","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1136\/bjsports-2016-097470","article-title":"Approach to investigation and treatment of persistent symptoms following sport-related concussion: A systematic review","volume":"51","author":"Makdissi","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_35","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1136\/bjsports-2013-092255","article-title":"The difficult concussion patient: What is the best approach to investigation and management of persistent (>10\u2005days) postconcussive symptoms?","volume":"47","author":"Makdissi","year":"2013","journal-title":"Br. J. Sports Med."},{"key":"ref_36","first-page":"e310","article-title":"Premature return to play and return to learn after a sport-related concussion","volume":"60","author":"Carson","year":"2014","journal-title":"Can. Fam. Phys."},{"key":"ref_37","doi-asserted-by":"publisher","first-page":"2365","DOI":"10.1089\/neu.2009.0906","article-title":"Advances in sport concussion assessment: From behavioral to brain imaging measures","volume":"26","author":"Ellemberg","year":"2009","journal-title":"J. Neurotrauma"},{"key":"ref_38","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1542\/peds.2010-2005","article-title":"Clinical report\u2014Sport-related concussion in children and adolescents","volume":"126","author":"Halstead","year":"2010","journal-title":"Pediatrics"},{"key":"ref_39","first-page":"495","article-title":"Concussions among United States high school and collegiate athletes","volume":"42","author":"Gessel","year":"2007","journal-title":"J. Athl. Train."},{"key":"ref_40","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1067\/mpd.2003.190","article-title":"Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes","volume":"142","author":"Field","year":"2003","journal-title":"J. Pediatr."},{"key":"ref_41","doi-asserted-by":"publisher","first-page":"296","DOI":"10.3171\/jns.2003.98.2.0296","article-title":"Recovery from mild concussion in high school athletes","volume":"98","author":"Lovell","year":"2003","journal-title":"J. Neurosurg."},{"key":"ref_42","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1080\/02699050500309817","article-title":"Recovery from sports concussion in high school and collegiate athletes","volume":"20","author":"McClincy","year":"2006","journal-title":"Brain. Inj."},{"key":"ref_43","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1136\/bjsm.2009.058172","article-title":"Is there a gender difference in concussion incidence and outcomes?","volume":"43","author":"Dick","year":"2009","journal-title":"Br. J. Sports Med."},{"key":"ref_44","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1227\/NEU.0000000000001447","article-title":"Statements of Agreement From the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15\u201316, 2015","volume":"79","author":"Collins","year":"2016","journal-title":"Neurosurgery"},{"key":"ref_45","first-page":"243","article-title":"Psychological response to athletic injury: Sex differences","volume":"25","author":"Granito","year":"2002","journal-title":"J. Sport Behav."},{"key":"ref_46","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.3109\/09638288.2014.952452","article-title":"Post-concussion return to play and return to school guidelines for children and youth: A scoping methodology","volume":"37","author":"DeMatteo","year":"2015","journal-title":"Disabil. Rehabil."},{"key":"ref_47","doi-asserted-by":"publisher","first-page":"2885","DOI":"10.1177\/0363546513499230","article-title":"Concussion Symptoms and Neurocognitive Performance of High School and College Athletes Who Incur Multiple Concussions","volume":"41","author":"Covassin","year":"2013","journal-title":"Am. J. Sports Med."},{"key":"ref_48","doi-asserted-by":"publisher","first-page":"2549","DOI":"10.1001\/jama.290.19.2549","article-title":"Cumulative Effects Associated With Recurrent Concussion in Collegiate Football PlayersThe NCAA Concussion Study","volume":"290","author":"Guskiewicz","year":"2003","journal-title":"JAMA"},{"key":"ref_49","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1097\/01.PHM.0000083666.74494.BA","article-title":"Two-Year Prospective Study of Relative Risk of a Second Cerebral Concussion","volume":"82","author":"Zemper","year":"2003","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_50","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1249\/JSR.0b013e3182423bfd","article-title":"Second Impact Syndrome or Cerebral Swelling after Sporting Head Injury","volume":"11","author":"McCrory","year":"2012","journal-title":"Curr. Sports Med. Rep."},{"key":"ref_51","unstructured":"Sport Scotland (2021, August 16). If in Doubt, Sit Them Out. Available online: http:\/\/www.sportscotland.org.uk\/media\/1534421\/Scottish-Sports-Concussion-Guidance.pdf."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/3\/1072\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:03:48Z","timestamp":1760133828000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/3\/1072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,19]]},"references-count":51,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["ijerph19031072"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19031072","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,19]]}}}