Current Issues in Managing Sports-Related Concussion

Abstract
The issue of determining the readiness of athletes to return to action following a head injury has received recognition as a major public health issue.1 Concern over the health of the athlete with a concussion has prompted the development of parameters to guide management and return-to-play issues. These guidelines, however, have been controversial within the sports medicine community.2 The controversy appears to result from a lack of scientific foundation, and thus an arbitrary delineation of concussion grades and return-to-play criteria. This article critically examines concussion management guidelines and makes recommendations for the development of practical strategies. Two actual concussion cases illustrate these issues.

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