{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:21:34Z","timestamp":1788434494239,"version":"build-2803163510"},"reference-count":36,"publisher":"National Athletic Trainers' Association","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Para sport athletes experience concussions at a similar rate to athletes without disabilities; however, published concussion tools have limited applicability to diverse athlete populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand health care provider (HCP) concussion management across different para sports and athlete classifications to identify facilitators and barriers influencing the delivery of concussion care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Online survey and virtual interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants<\/jats:title>\n                    <jats:p>Para sport HCPs completed online surveys (n = 21) and voluntary follow-up interviews (n = 11).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection and Analysis<\/jats:title>\n                    <jats:p>Researchers designed a survey from an established line of health care evaluation surveys and distributed it via chain-referral sampling following expert review (n = 3) and pilot testing (n = 4). We conducted follow-up interviews via Google Meet using automatic transcription technology and reviewed for accuracy. We used phenomenology to analyze the qualitative data with multianalyst triangulation and peer review as credibility strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Health care providers most often used the Sport Concussion Assessment Tool 6 (85.7%) to guide examinations, the modified Balance Error Scoring System (66.7%) for balance testing, and the Vestibular\/Ocular-Motor Screening (81.0%) for vestibular ocular-motor testing. Health care providers noted 3 themes: (1) the importance of developing purposefully flexible classification- and para sport\u2013specific frameworks to promote individualized concussion care while (2) building personal HCP\u2013athlete relationships to understand individual needs and improve concussion diagnostics and emphasizing (3) a multidisciplinary, team-based approach to care. Health care providers emphasized these themes as critical for successful management across para sports to overcome limited education and resource allocation available to often volunteer-based HCPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Para sport HCPs used current concussion assessment tools but reported a lack of effective adaptive guidelines exemplified by variable athlete-specific modifications for concussion care. Our findings emphasize the need to develop flexible frameworks for para sport concussion management while emphasizing a multidisciplinary, team-based approach to care and HCP\u2013athlete relationships to implement effective para sport concussion care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-0502.25","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:05:08Z","timestamp":1773795908000},"page":"629-638","source":"Crossref","is-referenced-by-count":0,"title":["An Inside Look at Para Sport Concussion Care: Para Sport Health Care Providers\u2019 Perspectives"],"prefix":"10.4085","volume":"61","author":[{"given":"Alexander P.","family":"Derstine","sequence":"first","affiliation":[{"name":"University of Lynchburg, VA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn M.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Landon B.","family":"Lempke","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas G.","family":"Bowman","sequence":"additional","affiliation":[{"name":"University of Lynchburg, VA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"5","key":"i1938-162X-61-9-629-b01","series-title":"Clin Neuropsychol","first-page":"1156","article-title":"Optimizing baseline and post-concussion assessments through identification, confirmation, and equivalence of latent factor structures: findings from the NCAA-DoD CARE Consortium","volume":"38","author":"Lempke","year":"2024","unstructured":"Lempke LB,\nBoltz AJ,\nGarcia GP, et al. Optimizing baseline and post-concussion assessments through identification, confirmation, and equivalence of latent factor structures: findings from the NCAA-DoD CARE Consortium. Clin Neuropsychol. 2024;38(5):1156\u20131174. doi:10.1080\/13854046.2023.2271614"},{"issue":"10","key":"i1938-162X-61-9-629-b02","series-title":"Sports Med","first-page":"1987","article-title":"Early exercise is associated with faster concussion recovery among collegiate athletes: findings from the NCAA-DoD CARE Consortium","volume":"53","author":"Lempke","year":"2023","unstructured":"Lempke LB,\nTeel EF,\nLynall RC, et al. Early exercise is associated with faster concussion recovery among collegiate athletes: findings from the NCAA-DoD CARE Consortium. Sports Med. 2023;53(10):1987\u20131999. doi:10.1007\/s40279-023-01861-w"},{"issue":"7","key":"i1938-162X-61-9-629-b03","series-title":"J Athl Train","first-page":"745","article-title":"Concussion symptomatology by symptom resolution time in US high school athletes: findings from the National Athletic Treatment, Injury and Outcomes Network High School Surveillance Program (NATION-SP)","volume":"59","author":"Didner","year":"2024","unstructured":"Didner N,\nBoltz AJ,\nRobison HJ,\nChandran A,\nQuinsey C. Concussion symptomatology by symptom resolution time in US high school athletes: findings from the National Athletic Treatment, Injury and Outcomes Network High School Surveillance Program (NATION-SP). J Athl Train. 2024;59(7):745\u2013750. doi:10.4085\/1062-6050-0201.23"},{"issue":"1","key":"i1938-162X-61-9-629-b04","series-title":"Br J Sports Med","first-page":"5","article-title":"Para athlete concussion care following the Amsterdam 2022 International Consensus Statement on Concussion in Sport: an urgent need for inclusivity within concussion research","volume":"59","author":"Weiler","year":"2024","unstructured":"Weiler R,\nDalton K,\nGuenther A, et al. Para athlete concussion care following the Amsterdam 2022 International Consensus Statement on Concussion in Sport: an urgent need for inclusivity within concussion research. 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