Medical researchers have found that sideline concussion tests are often ineffective, leading to false positives and missed concussions. A study conducted by Dr. Kimberly Harmon and her team at the University of Washington School of Medicine revealed that the standard method of concussion testing, such as the Sport Concussion Assessment Tool (SCAT), may not accurately diagnose concussions.
The study focused on 92 Division 1 college athletes who underwent concussion evaluations within 48 hours of injury. The researchers found that nearly half of the athletes diagnosed with concussions tested at or above their baseline word recall scores, indicating a flaw in the testing method.
The controversy surrounding brain injuries in sports is further fueled by the financial interests of universities and professional sports leagues. Athletes, who rely on their good health for their careers, may also face pressure to return to play despite potential risks.
The decision on an athlete’s return to play should be led by the team physician, according to a consensus statement by team physicians. Dr. Margot Putukian, chief medical officer for Major League Soccer, emphasized the importance of clinical judgment and familiarity with the athlete in assessing concussions on the sideline.
Overall, accurate sideline assessments of concussions remain a challenge due to the variability of symptoms and the time-pressured environment in which decisions must be made. It is crucial for medical professionals to thoroughly evaluate athletes and consider all factors before allowing them to return to play. Putukian emphasized in the conclusion of her literature review that in the sideline setting, it is better to err on the side of caution and consider symptoms as concussion-related until proven otherwise. She recommended removing the athlete from play for a thorough evaluation to ensure their safety and well-being.
Source link
