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J.D. DeFreese, Michael J. Baum, Julianne D. Schmidt, Benjamin M. Goerger, Nikki Barczak, Kevin M. Guskiewicz and Jason P. Mihalik

’s full potential and may influence clinicians to make premature and/or potentially dangerous return-to-play decisions that are inconsistent with best practice. Accordingly, the purpose of this study was to determine if life stressors are associated with college athlete concussion testing performance

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Gary Allen, Kristy Smith, Brady Tripp, Jason Zaremski and Seth Smith

clearance for return to full activities. Two weeks after the initial presentation, the patient was seen for a return-to-play examination by a sports medicine physician in an outpatient clinic. Symptoms had resolved and complete history was significant only for a paternal grandfather that died, most likely

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Steven Nagib and Shelley W. Linens

postconcussion, well after the majority of athletes return to play. 13 Motor control deficiency following concussion is a significant concern, as it has been correlated with increased risk of injury. 14 If gait analysis becomes an accepted objective and measurable concussion diagnostic tool, researchers should

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Nikolaus A. Dean

breaks the silence. “So, the good news is that you came in early enough that I think you will be able to return-to-play sometime later this season.” My eyes-widen, as I spike-up and lean into Doctor C. “You think?” I pry. “What the hell does that mean?” My mind is now running a thousand miles per hour

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Rebekah D. Alcock, Gregory C. Shaw and Louise M. Burke

sources (such as gelatine) to athletes with tendon and ligament injuries to aid in repair and accelerate return to play after injury. The proposed mechanism underpinning such a strategy is that the increase in blood concentrations of the amino acids and related compounds found in collagen will support an

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Karl Fullam, Brian Caulfield, Garrett F. Coughlan, Wayne McNulty, David Campbell and Eamonn Delahunt

return to play. Further advantageous effects of cryotherapy are that it reduces edema, 3 muscle spasms, 4 muscle blood flow, 5 and muscle temperature. 6 These physiological effects combine to reduce injury-induced inflammation. 7 , 8 The application of cryotherapy may also have an immediate negative

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Dai Sugimoto, Benton E. Heyworth, Brandon A. Yates, Dennis E. Kramer, Mininder S. Kocher and Lyle J. Micheli

status, the absence of knee joint effusion, quadriceps muscle strength symmetry, and “good-to-excellent” patient-reported functional outcome measure scores. 7 , 8 One particularly controversial and understudied component of achieving such measures of success is the optimization of “return-to-play

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Margo L. Mountjoy, Louise M. Burke, Trent Stellingwerff and Jorunn Sundgot-Borgen

). This finding is in stark contrast to the recognition that 44% ( n  = 12/27) of the same IFs have sport-specific return–to-play concussion guidelines ( Mountjoy et al., 2018a ). The problems associated with RED-S resemble an iceberg: its true magnitude is largely hidden, and its devastating impact is

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Steve Barrett

athletes’ training loads during conditioning sessions and return-to-play activities. The only study to date examining the comparison between RT and PED used a single match split into quarters during an Australian Rules Football game, reporting HSR and SP as poorly valid during RT. 8 However, RT and PED

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Brittany M. Ingram, Melissa C. Kay, Christina B. Vander Vegt and Johna K. Register-Mihalik

return-to-play guidelines as outlined by the Zurich consensus statement on concussion in sport. 10 As stated in the National Athletic Trainer’s Association’s best practice guidelines, 11 athletic trainers should work to educate coaches and parents about concussions including potential mechanisms of