{"id":"https://openalex.org/W4299909130","doi":"https://doi.org/10.17615/1wjx-nx76","title":"Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review","display_name":"Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review","publication_year":2020,"publication_date":"2020-04-15","ids":{"openalex":"https://openalex.org/W4299909130","doi":"https://doi.org/10.17615/1wjx-nx76"},"language":"en","primary_location":{"id":"pmh:cdr.lib.unc.edu:rx913v53d","doi":null,"is_oa":true,"landing_page_url":"https://cdr.lib.unc.edu/downloads/3197xr785","pdf_url":"https://doi.org/10.17615/1wjx-nx76","source":{"id":"https://openalex.org/S4306401075","display_name":"Carolina Digital Repository (University of North Carolina at Chapel Hill)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114027177","host_organization_name":"University of North Carolina at Chapel Hill","host_organization_lineage":["https://openalex.org/I114027177"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"British Journal of Sports Medicine, 51(12)","raw_type":"Article"},"volume":null,"type":"review","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17615/1wjx-nx76","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012822963","display_name":"Michael Makdissi","orcid":"https://orcid.org/0000-0003-0334-7133","observed_orcids":["https://orcid.org/0000-0003-0334-7133"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Makdissi, Michael","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020581154","display_name":"John J. Leddy","orcid":"https://orcid.org/0000-0002-0370-1289","observed_orcids":["https://orcid.org/0000-0002-0370-1289"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Leddy, John J.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018437283","display_name":"Michael McCrea","orcid":"https://orcid.org/0000-0001-9791-9475","observed_orcids":["https://orcid.org/0000-0001-9791-9475"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"McCrea, Michael","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027430989","display_name":"Kevin M. Guskiewicz","orcid":"https://orcid.org/0000-0002-8682-2130","observed_orcids":["https://orcid.org/0000-0002-8682-2130"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Guskiewicz, Kevin M.","raw_affiliation_strings":["University of North Carolina at Chapel Hill","College of Arts and Sciences, Department of Exercise and Sport Science"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"College of Arts and Sciences, Department of Exercise and Sport Science","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024227079","display_name":"Kathryn Schneider","orcid":"https://orcid.org/0000-0002-5951-5899","observed_orcids":["https://orcid.org/0000-0002-5951-5899"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Schneider, Kathryn J.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016090025","display_name":"Sidney R. Hinds","orcid":"https://orcid.org/0000-0003-2231-6770","observed_orcids":["https://orcid.org/0000-0003-2231-6770"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hinds, Sidney","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039023703","display_name":"Nina Feddermann\u2010Demont","orcid":"https://orcid.org/0000-0002-9632-0601","observed_orcids":["https://orcid.org/0000-0002-9632-0601"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Feddermann-Demont, Nina","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103515287","display_name":"Karen M. Johnston","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Johnston, Karen M.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Turner, Michael","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Turner, Michael","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.04040226,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11368","display_name":"Long-Term Effects of COVID-19","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11246","display_name":"Sports injuries and prevention","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sports-related-concussion","display_name":"sports-related concussion","score":0.9929999709129333},{"id":"https://openalex.org/keywords/persistent-post-concussion-symptoms","display_name":"persistent post-concussion symptoms","score":0.8240000009536743},{"id":"https://openalex.org/keywords/post-concussion-syndrome","display_name":"post-concussion syndrome","score":0.7379999756813049},{"id":"https://openalex.org/keywords/concussion-assessment","display_name":"concussion assessment","score":0.7409999966621399},{"id":"https://openalex.org/keywords/concussion-treatment","display_name":"concussion treatment","score":0.9810000061988831},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"physiotherapy","score":0.878000020980835},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.8669999837875366},{"id":"https://openalex.org/keywords/concussion-management","display_name":"concussion management","score":0.3050000071525574}],"concepts":[{"id":"https://openalex.org/C2778426673","wikidata":"https://www.wikidata.org/wiki/Q326921","display_name":"Concussion","level":4,"score":0.8446496725082397},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5292277336120605},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.43087801337242126},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.424087256193161},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4109351933002472},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.18441927433013916},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.15378978848457336},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.1343671977519989}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:cdr.lib.unc.edu:rx913v53d","doi":null,"is_oa":true,"landing_page_url":"https://cdr.lib.unc.edu/downloads/3197xr785","pdf_url":"https://doi.org/10.17615/1wjx-nx76","source":{"id":"https://openalex.org/S4306401075","display_name":"Carolina Digital Repository (University of North Carolina at Chapel Hill)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114027177","host_organization_name":"University of North Carolina at Chapel Hill","host_organization_lineage":["https://openalex.org/I114027177"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"British Journal of Sports Medicine, 51(12)","raw_type":"Article"},{"id":"doi:10.17615/1wjx-nx76","doi":"https://doi.org/10.17615/1wjx-nx76","is_oa":true,"landing_page_url":"https://doi.org/10.17615/1wjx-nx76","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"pmh:cdr.lib.unc.edu:rx913v53d","doi":null,"is_oa":true,"landing_page_url":"https://cdr.lib.unc.edu/downloads/3197xr785","pdf_url":"https://doi.org/10.17615/1wjx-nx76","source":{"id":"https://openalex.org/S4306401075","display_name":"Carolina Digital Repository (University of North Carolina at Chapel Hill)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114027177","host_organization_name":"University of North Carolina at Chapel Hill","host_organization_lineage":["https://openalex.org/I114027177"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"British Journal of Sports Medicine, 51(12)","raw_type":"Article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4299909130.pdf","grobid_xml":"https://content.openalex.org/works/W4299909130.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3095849501","https://openalex.org/W2103643132","https://openalex.org/W4205122689","https://openalex.org/W2484962704","https://openalex.org/W4380574858","https://openalex.org/W2516626242","https://openalex.org/W2979297026","https://openalex.org/W122423773","https://openalex.org/W3114790453","https://openalex.org/W7101030638"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"conduct":[2],"a":[3,162,168,219,239],"systematic":[4],"review":[5],"of":[6,60,74,105,123,170,211,228],"the":[7,57,72,85,91,209],"literature":[8],"regarding":[9],"assessment":[10,75,99,187],"and":[11,34,70,100,116,128,153,194,197,218,235],"treatment":[12,77,104,198],"modalities":[13],"in":[14,84,151,156,238,248],"patients":[15,63,229],"with":[16,64,98,103,230,243,246],"persistent":[17,65,106,231],"symptoms":[18,67,107,173,232],"following":[19,108,134],"sport-related":[20],"concussion":[21],"(SRC).":[22],"DATA":[23],"SOURCES:":[24],"We":[25],"searched":[26],"Medline,":[27],"Embase,":[28],"SPORTSDiscus,":[29],"PsycINFO,":[30],"CINAHL,":[31],"Cochrane":[32],"library":[33],"ProQuest":[35],"Dissertation":[36],"&":[37],"Theses":[38],"Global":[39],"electronic":[40],"databases.":[41],"STUDY":[42],"ELIGIBILITY":[43],"CRITERIA:":[44],"Studies":[45],"were":[46,50,96,111],"included":[47,62],"if":[48],"they":[49],"original":[51],"research,":[52],"reported":[53],"on":[54],"SRC":[55,135],"as":[56,139],"primary":[58,193],"source":[59],"injury,":[61],"postconcussive":[66],"(>10":[68],"days)":[69],"investigated":[71],"role":[73],"or":[76],"modalities.":[78],"RESULTS:":[79],"Of":[80],"3225":[81],"articles":[82,89,95,102],"identified":[83],"preliminary":[86,206],"search,":[87],"25":[88],"met":[90],"inclusion":[92],"criteria.":[93],"11":[94],"concerned":[97],"14":[101],"SRC.":[109,249],"There":[110,204],"three":[112],"randomised":[113],"control":[114],"trials":[115],"one":[117],"quasi-experimental":[118],"study.":[119],"The":[120],"remainder":[121],"consisting":[122],"cross-sectional":[124],"studies,":[125],"historical":[126],"cohorts":[127],"case":[129],"series.":[130],"SUMMARY:":[131],"'Persistent":[132],"symptoms'":[133],"can":[136],"be":[137,176],"defined":[138],"clinical":[140,186],"recovery":[141],"that":[142,174,222],"falls":[143],"outside":[144],"expected":[145],"time":[146],"frames":[147],"(ie,":[148],">10-14":[149],"days":[150],"adults":[152],">4":[154],"weeks":[155],"children).":[157],"It":[158],"does":[159],"not":[160],"reflect":[161],"single":[163],"pathophysiological":[164],"entity,":[165],"but":[166],"describes":[167],"constellation":[169],"non-specific":[171],"post-traumatic":[172],"may":[175],"linked":[177],"to":[178,190],"coexisting":[179],"and/or":[180],"confounding":[181],"pathologies.":[182],"A":[183],"detailed":[184],"multimodal":[185],"is":[188,205,233],"required":[189],"identify":[191],"specific":[192,201],"secondary":[195],"processes,":[196],"should":[199,236],"target":[200],"pathologies":[202],"identified.":[203],"evidence":[207],"supporting":[208],"use":[210],"symptom-limited":[212],"aerobic":[213],"exercise,":[214],"targeted":[215],"physical":[216],"therapy":[217],"collaborative":[220,241],"approach":[221],"includes":[223],"cognitive":[224],"behavioural":[225],"therapy.":[226],"Management":[227],"challenging":[234],"occur":[237],"multidisciplinary":[240],"setting,":[242],"healthcare":[244],"providers":[245],"experience":[247]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2022-10-03T00:00:00"}