What is it about?

This article critically reviews and analyzes the gap between concussion science and its clinical application in elite sports. It examines the ethical, institutional, and cultural barriers that impede the effective implementation of concussion protocols. The scope of the review includes an analysis of case studies, literature, and policy frameworks to identify systemic pressures such as commercial interests and cultural norms that undermine protocol adherence. The findings highlight inconsistencies in return-to-play protocols, underreporting of symptoms by athletes, and unequal medical support across teams. The article emphasizes that technical solutions alone cannot bridge the gap between research and practice; instead, significant regulatory changes and a shift in priorities towards long-term athlete health are essential. It concludes with recommendations for enforceable regulations, external oversight, and enhanced education to ensure athlete brain health is prioritized over short-term athletic success.

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Why is it important?

This review examines the challenges and barriers to implementing concussion protocols in elite sports, highlighting the disconnect between scientific research and clinical practice. It critically analyzes the ethical, institutional, and cultural obstacles that prevent effective concussion management, emphasizing the need for systemic reforms. This work is significant as it underscores the importance of prioritizing athlete brain health over commercial and competitive interests in sports. Key Takeaways: 1. The review identifies systemic pressures, such as commercial interests and cultural norms, as significant barriers to the consistent implementation of concussion protocols, which compromises athlete safety. 2. It reveals that return-to-play protocols are often inconsistently applied, with athletes underreporting symptoms and lacking uniform medical support, which increases their risk of severe brain injuries. 3. The review advocates for enforceable regulations and external oversight, recommending a shift in priorities towards long-term athlete welfare and the adoption of evidence-based practices in concussion management.

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This page is a summary of: Concussion Protocols in Elite Sports: Gaps Between Research and Clinical Practice, Premier Journal of Sports Science, January 2025, Premier Science,
DOI: 10.70389/pjsps.100005.
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