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

Michael McNamee Orcid Logo, Lynley C Anderson, Pascal Borry, Silvia Camporesi Orcid Logo, Wayne Derman, Soren Holm Orcid Logo, Taryn Rebecca Knox Orcid Logo, Bert Leuridan, Sigmund Loland, Francisco Javier Lopez Frias, Ludovica Lorusso, Dominic Malcolm, David McArdle, Brad Partridge, Thomas Schramme Orcid Logo, Mike Weed

Journal of Medical Ethics, Pages: jme - 2022

Swansea University Author: Michael McNamee Orcid Logo

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Abstract

The 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...

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Published in: Journal of Medical Ethics
ISSN: 0306-6800 1473-4257
Published: BMJ 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa62799
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first_indexed 2023-03-06T12:14:27Z
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spelling v2 62799 2023-03-06 Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy 85b0b1623e55d977378622a6aab7ee6e 0000-0002-5857-909X Michael McNamee Michael McNamee true false 2023-03-06 EAAS The 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. Journal Article Journal of Medical Ethics 0 jme 2022 BMJ 0306-6800 1473-4257 3 3 2023 2023-03-03 10.1136/jme-2022-108812 Extended essay COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University SU Library paid the OA fee (TA Institutional Deal) This study was supported by International Olympic Committee (Financial support for Concussion symposium organisation). 2024-06-06T12:05:37.3743777 2023-03-06T11:23:13.0334645 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Michael McNamee 0000-0002-5857-909X 1 Lynley C Anderson 2 Pascal Borry 3 Silvia Camporesi 0000-0003-4135-1723 4 Wayne Derman 5 Soren Holm 0000-0002-7200-5607 6 Taryn Rebecca Knox 0000-0002-1595-5454 7 Bert Leuridan 8 Sigmund Loland 9 Francisco Javier Lopez Frias 10 Ludovica Lorusso 11 Dominic Malcolm 12 David McArdle 13 Brad Partridge 14 Thomas Schramme 0000-0001-6319-6635 15 Mike Weed 16 62799__26755__e204af8b38c84e588d8db4710ecfa92a.pdf 62799.pdf 2023-03-06T12:14:17.6877143 Output 421798 application/pdf Version of Record true © Author(s) (or their employer(s)) 2023. Published by BMJ. Distributed under the terms of a Creative Commons Attribution Non Commercial 4.0 License (CC BY-NC 4.0). true eng http://creativecommons.org/licenses/by-nc/4.0/
title Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
spellingShingle Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
Michael McNamee
title_short Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
title_full Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
title_fullStr Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
title_full_unstemmed Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
title_sort Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy
author_id_str_mv 85b0b1623e55d977378622a6aab7ee6e
author_id_fullname_str_mv 85b0b1623e55d977378622a6aab7ee6e_***_Michael McNamee
author Michael McNamee
author2 Michael McNamee
Lynley C Anderson
Pascal Borry
Silvia Camporesi
Wayne Derman
Soren Holm
Taryn Rebecca Knox
Bert Leuridan
Sigmund Loland
Francisco Javier Lopez Frias
Ludovica Lorusso
Dominic Malcolm
David McArdle
Brad Partridge
Thomas Schramme
Mike Weed
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container_title Journal of Medical Ethics
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container_start_page jme
publishDate 2023
institution Swansea University
issn 0306-6800
1473-4257
doi_str_mv 10.1136/jme-2022-108812
publisher BMJ
college_str Faculty of Science and Engineering
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hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
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department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description The 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.
published_date 2023-03-03T12:05:38Z
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