Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy

Journal article

McNamee, M., Anderson, Lynley C, Borry, Pascal, Camporesi, S., Derman, Wayne, Holm, S., Knox, T., Leuridan, Bert, Loland, Sigmund, Lopez Frias, Francisco Javier, Lorusso, Ludovica, Malcolm, Dominic, McArdle, David, Partridge, Brad, Schramme, T. and Weed, Mike 2023. Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy. Journal of Medical Ethics. 51 (1), pp. 68-76. https://doi.org/10.1136/jme-2022-108812
AuthorsMcNamee, M., Anderson, Lynley C, Borry, Pascal, Camporesi, S., Derman, Wayne, Holm, S., Knox, T., Leuridan, Bert, Loland, Sigmund, Lopez Frias, Francisco Javier, Lorusso, Ludovica, Malcolm, Dominic, McArdle, David, Partridge, Brad, Schramme, T. and Weed, Mike
AbstractThe Concussion in Sport Group guidelines have successfully brought the attention of brain injuries to the global medical and sport research communities, and has significantly impacted brain injury-related practices and rules of international sport. Despite being the global repository of state-of-the-art science, diagnostic tools and guides to clinical practice, the ensuing consensus statements remain the object of ethical and sociocultural criticism. The purpose of this paper is to bring to bear a broad range of multidisciplinary challenges to the processes and products of sport-related concussion movement. We identify lacunae in scientific research and clinical guidance in relation to age, disability, gender and race. We also identify, through multidisciplinary and interdisciplinary analysis, a range of ethical problems resulting from conflicts of interest, processes of attributing expertise in sport-related concussion, unjustifiably narrow methodological control and insufficient athlete engagement in research and policy development. We argue that the sport and exercise medicine community need to augment the existing research and practice foci to understand these problems more holistically and, in turn, provide guidance and recommendations that help sport clinicians better care for brain-injured athletes.
KeywordsCultural diversity; Decision making; Ethics; Medical ethics; Research ethics; Sport-related concussion
Year2023
JournalJournal of Medical Ethics
Journal citation51 (1), pp. 68-76
PublisherBMJ Publishing Group
ISSN0306-6800
1473-4257
Digital Object Identifier (DOI)https://doi.org/10.1136/jme-2022-108812
Official URLhttps://jme.bmj.com/content/early/2024/02/08/jme-2022-108812
FunderInternational Olympic Committee
Publication dates
Online03 Mar 2023
Publication process dates
Accepted28 Jan 2023
Deposited04 Jul 2024
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Open
Output statusPublished
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