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Concussion in Sport: The Unheeded Evidence.

Grant Gillett

    Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
    |September 11, 2018
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    Summary

    Repeated head injuries, particularly in sports like American football, cause subtle yet significant neurocognitive impairments. Overcoming challenges in diagnosis and acknowledging the long-term impact on athletes is crucial for sports medicine.

    Keywords:
    brain functionconcussionneuropsychologythe politico-economic environment of health ethics

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    Area of Science:

    • Sports Medicine
    • Neurodiagnosis
    • Sports Neurology

    Background:

    • Repeated minor head injuries pose diagnostic challenges.
    • Evidence from New Zealand faced controversy and dated objective data.
    • Diffuse head injury is increasingly recognized globally.

    Purpose of the Study:

    • To highlight the diagnostic difficulties in recognizing subtle, insidious injuries from acute accelerational trauma.
    • To address the underestimation of diffuse head injury in sports medicine.
    • To examine the ethical and social factors influencing the recognition of these injuries.

    Main Methods:

    • Review of existing evidence on head injuries in sports.
    • Analysis of diagnostic challenges posed by advanced imaging technologies.
    • Examination of financial and social interests affecting injury recognition.

    Main Results:

    • Acute accelerational injury is subtle, insidious, and potentially financially momentous.
    • Vested interests, particularly in North America (Gridiron football), downplay diffuse head injury.
    • A confluence of social forces minimizes the recognition of these injuries.

    Conclusions:

    • The subtle nature of diffuse head injury and conflicting interests impede proper diagnosis and management.
    • Shattered lives of young athletes underscore the need for ethical analysis and recognition of these injuries.
    • There is a tendency to minimize the impact of repeated head trauma in sports.