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Cited by 173Traumatic Brain Injury ResearchSports injuries and preventionTraumatic Brain Injury and Neurovascular Disturbances

American Medical Society for Sports Medicine Position Statement on Concussion in Sport

Harmon, Kimberly G., Clugston, James R., Dec, Katherine, Hainline, Brian, Herring, Stanley A., Kane, Shawn, Kontos, Anthony P., Leddy, John J. +5 more·2019·Clinical Journal of Sport Medicine
DOI 10.1097/jsm.0000000000000720
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Abstract

Sport-related concussion (SRC) is a common injury in recreational and organized sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment, and management of SRC. In addition to a growing need for knowledgeable health care professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine formed a writing group to review the existing literature on SRC, update its previous position statement,1 and address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology, and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short- and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The American Medical Society for Sports Medicine is committed to best clinical practices, evidence-based research, and educational initiatives that positively impact the health and safety of athletes.

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  • The increased risk of hormonal sequelae from sports-related TBI has not yet been reflected in official guidance on sports-related concussions.

    “This increased risk of hormonal sequelae from sports-related TBI has not yet been reflected in official guidance on sportsrelated concussions”

    From Neuroendocrine Disruptions Following Head Injury (2023) · cites this paper as [41]

  • There is some evidence that pituitary hormone dysfunction is seen at increased rates after subarachnoid hemorrhage and ischemic stroke, though definitions of deficiencies in this literature vary.

    “There is some evidence that pituitary hormone dysfunction is seen at increased rates after subarachnoid hemorrhage and ischemic stroke, though definitions of deficiencies in this literature vary [39-43].”

    From Neuroendocrine Disruptions Following Head Injury (2023) · cites this paper as [41]

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Authors
Harmon, K. G., Clugston, J. R., Dec, K., Hainline, B., Herring, S. A., Kane, S., Kontos, A. P., Leddy, J. J., McCrea, M. A., Poddar, S. K., Putukian, M., Wilson, J. C., & Roberts, W. O.
Affiliations
  • University of Washington (US)
  • University of Florida (US)
  • Virginia Commonwealth University (US)
  • National Collegiate Athletic Association (US)
  • University of North Carolina at Chapel Hill (US)
  • University of Pittsburgh (US)
  • University at Buffalo, State University of New York (US)
  • University of Colorado Denver (US)
  • Rutgers, The State University of New Jersey (US)
  • University of Colorado Anschutz (US)
  • University of Minnesota (US)
Corresponding author
  • Harmon, Kimberly G.
  • Herring, Stanley A.
  • Poddar, Sourav K.
ORCID
Venue
Clinical Journal of Sport Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-03
Volume
29
Issue
2
Pages
87-100
ISSN
1050-642X (ISSN-L)
DOI
10.1097/jsm.0000000000000720
OpenAlex
W3210660641
Semantic Scholar
84d5009c9c480e3512a822d38d7bc1d0dcb07afd
Cited by
173
References
127
Citations by year
2026: 17 · 2025: 17 · 2024: 12 · 2023: 29 · 2022: 27 · 2021: 31 · 2020: 36 · 2019: 4
FWCI
18.81
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Journal of Sport Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords
sports-related concussion, concussion management, concussion diagnosis, persistent post-concussion symptoms, concussion epidemiology, concussion pathophysiology, concussion prevention, clinical guidelines, athlete health and safety
MeSH terms
Return to Sport, Athletic Injuries, Brain Concussion, Humans, Societies, Medical, Sports Medicine, United States, Post-Concussion Syndrome

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