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Air travel safety after mild traumatic brain injury (mTBI) and sports-related concussions (SRC) lacks clear guidelines. More research is needed to determine safe return-to-travel protocols for athletes with these injuries.

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Area of Science:

  • Neurology
  • Sports Medicine
  • Aerospace Medicine

Background:

  • Growing literature exists on return-to-play and recovery for mild traumatic brain injury (mTBI) and sports-related concussions (SRC).
  • Data on the safety of air travel for athletes post-mTBI/SRC is limited.
  • Hypoxia's effects on severe TBI patients are known, but its impact on mild TBI/SRC patients during air travel is unclear.

Purpose of the Study:

  • To highlight the lack of standardized recommendations for air travel safety after mTBI and SRC.
  • To identify the need for further research into the effects of mild hypoxia during air travel on athletes with recent mTBI/SRC.

Main Methods:

  • Literature review on mTBI, SRC, hypoxia, and air travel.
  • Analysis of existing data on TBI patient responses to hypoxia.
  • Identification of knowledge gaps regarding mild hypoxia and recent mTBI/SRC.

Main Results:

  • A significant paucity of data exists regarding safe air travel timelines post-mTBI/SRC.
  • The clinical significance of mild hypoxia experienced during commercial flights for athletes with recent mTBI/SRC remains undetermined.
  • Current clinical practice relies on weighing evidence and individual patient assessment.

Conclusions:

  • Further research is required to establish standardized recommendations for air travel after mTBI/SRC.
  • Clinicians must engage in shared decision-making with patients due to current evidence limitations.
  • Individualized patient assessment is crucial for determining air travel safety post-brain injury.