Publications by authors named "D Maddocks"
Article Synopsis
- The 6th International Conference on Concussion in Sport took place in Amsterdam from October 27-30, 2022, leading to a new consensus statement and updates on concussion protocols.
- In preparation, author groups conducted extensive systematic reviews over 3½ years on key concussion-related topics, informing the conference discussions and outcomes.
- The conference introduced revised tools like CRT6 and SCAT6, emphasized the importance of the para athlete's perspective, and highlighted gaps in research concerning concussion prevention and long-term effects.
Objective: To define the time frames, measures used and modifying factors influencing recovery, return to school/learn (RTL) and return to sport (RTS) after sport-related concussion (SRC).
Design: Systematic review and meta-analysis.
Data Sources: 8 databases searched through 22 March 2022.
Objective: To systematically review the scientific literature regarding factors to consider when providing advice or guidance to athletes about retirement from contact or collision sport following sport-related concussion (SRC), and to define contraindications to children/adolescent athletes entering or continuing with contact or collision sports after SRC.
Data Sources: Medline, Embase, SPORTSDiscus, APA PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials were searched systematically.
Study Eligibility Criteria: Studies were included if they were (1) original research, (2) reported on SRC as the primary source of injury, (3) evaluated the history, clinical assessment and/or investigation of findings that may preclude participation in sport and (4) evaluated mood disturbance and/or neurocognitive deficits, evidence of structural brain injury or risk factors for increased risk of subsequent SRC or prolonged recovery.
Objective: To provide a review and discussion of a range of legal and ethical issues commonly faced by team physicians, with reference to high-profile international integrity crises in sport that have involved doctors. The article also presents some recommendations and guidance for team doctors and sporting organizations.
Data Sources: Media reports, legal cases, and journal articles describing recent sporting integrity crises that have involved medical issues and governance reforms which are emerging in response.
Article Synopsis
- - Understanding the long-term impacts of sports-related concussions is still unclear, with potential consequences including cognitive issues, depression, and links to neurodegenerative diseases like CTE, but definitive risks aren't established.
- - There’s no proven cause-and-effect relationship connecting concussions or contact sports to CTE, as no comprehensive studies have been conducted; findings from studies on high school athletes are inconsistent.
- - Athletes should have the autonomy to decide when to return to play after a concussion, based on recovery, medical assessments, and understanding of risks, without outside pressures influencing their choice.