Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy (2023)

Abstract

The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.

Original languageEnglish (US)
Article numberjme-2022-108812
JournalJournal of medical ethics
DOIs
StateAccepted/In press - 2023

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Issues, ethics and legal aspects
  • Arts and Humanities (miscellaneous)
  • Health Policy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  • Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy (1)

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McNamee, M., Anderson, L. C., Borry, P., Camporesi, S., Derman, W., Holm, S., Knox, T. R., Leuridan, B., Loland, S., Lopez Frias, F. J., Lorusso, L., Malcolm, D., McArdle, D., Partridge, B., Schramme, T., & Weed, M. (Accepted/In press). Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy. Journal of medical ethics, [jme-2022-108812]. https://doi.org/10.1136/jme-2022-108812

McNamee, Mike ; Anderson, Lynley C. ; Borry, Pascal et al. / Sport-related concussion research agenda beyond medical science : Culture, ethics, science, policy. In: Journal of medical ethics. 2023.

@article{8fc7b78797f34ad89478b282164d4a15,

title = "Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy",

abstract = "The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.",

author = "Mike McNamee and Anderson, {Lynley C.} and Pascal Borry and Silvia Camporesi and Wayne Derman and Soren Holm and Knox, {Taryn Rebecca} and Bert Leuridan and Sigmund Loland and {Lopez Frias}, {Francisco Javier} and Ludovica Lorusso and Dominic Malcolm and David McArdle and Brad Partridge and Thomas Schramme and Mike Weed",

note = "Funding Information: This study was supported by International Olympic Committee (Financial support for Concussion symposium organisation). Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2023",

doi = "10.1136/jme-2022-108812",

language = "English (US)",

journal = "Journal of Medical Ethics",

issn = "0306-6800",

publisher = "BMJ Publishing Group",

}

McNamee, M, Anderson, LC, Borry, P, Camporesi, S, Derman, W, Holm, S, Knox, TR, Leuridan, B, Loland, S, Lopez Frias, FJ, Lorusso, L, Malcolm, D, McArdle, D, Partridge, B, Schramme, T & Weed, M 2023, 'Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy', Journal of medical ethics. https://doi.org/10.1136/jme-2022-108812

Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy. / McNamee, Mike; Anderson, Lynley C.; Borry, Pascal et al.
In: Journal of medical ethics, 2023.

Research output: Contribution to journalArticlepeer-review

TY - JOUR

T1 - Sport-related concussion research agenda beyond medical science

T2 - Culture, ethics, science, policy

AU - McNamee, Mike

AU - Anderson, Lynley C.

AU - Borry, Pascal

AU - Camporesi, Silvia

AU - Derman, Wayne

AU - Holm, Soren

AU - Knox, Taryn Rebecca

AU - Leuridan, Bert

AU - Loland, Sigmund

AU - Lopez Frias, Francisco Javier

AU - Lorusso, Ludovica

AU - Malcolm, Dominic

AU - McArdle, David

AU - Partridge, Brad

AU - Schramme, Thomas

AU - Weed, Mike

N1 - Funding Information:This study was supported by International Olympic Committee (Financial support for Concussion symposium organisation). Publisher Copyright:© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2023

Y1 - 2023

N2 - The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.

AB - The Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.

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U2 - 10.1136/jme-2022-108812

DO - 10.1136/jme-2022-108812

M3 - Article

AN - SCOPUS:85152685219

SN - 0306-6800

JO - Journal of Medical Ethics

JF - Journal of Medical Ethics

M1 - jme-2022-108812

ER -

McNamee M, Anderson LC, Borry P, Camporesi S, Derman W, Holm S et al. Sport-related concussion research agenda beyond medical science: Culture, ethics, science, policy. Journal of medical ethics. 2023;jme-2022-108812. doi: 10.1136/jme-2022-108812

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