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

Citation

Mcnamee M, Anderson LC, Borry P, Camporesi S, Derman W, Holm S, Knox TR, Leuridan B, Loland S, Lopez Frias FJ, Lorusso L, Malcolm D, Mcardle D, Partridge B, Schramme T & Weed M (2023) Sport-related concussion research agenda beyond medical science: culture, ethics, science, policy Extended essay. Journal of Medical Ethics. https://doi.org/10.1136/jme-2022-108812

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-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.

Notes
Output Status: Forthcoming/Available Online

Journal
Journal of Medical Ethics

People

Dr David McArdle

Senior Lecturer, Law