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Taylor K. Wise

). Return-to-play should be determined by the medical factors associated with the athlete’s condition and the acceptable level of risk (individual to each athlete) that would accompany participating in their specific sport ( Creighton, Shrier, Shultz, Meeuwisse, & Matheson, 2010 ). Eating disorder policies

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Sergio Jiménez-Rubio, Archit Navandar, Jesús Rivilla-García, Víctor Paredes-Hernández and Miguel-Ángel Gómez-Ruano

high-velocity profiles mentioned previously, along with the peak and average velocities of the soccer players, could indicate the load on the hamstring muscle complex. A comparison of these parameters before and after an injury could be used to determine the success of the return-to-play (RTP) process

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Sinéad O’Keeffe, Niamh Ní Chéilleachair and Siobhán O’Connor

injury assessment, the injured participant completed the AFAQ, 19 which will be termed the AFAQ1 for the purpose of clarity in this study. Those who sustained a time-loss injury completed the AFAQ a second time immediately before their first training or match when returning to play, termed the AFAQ2

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Jessica E. Digiacomo, Riann M. Palmieri-Smith, John A. Redman III and Lindsey K. Lepley

Review Board. Table 1 Participant Demographics (Mean ± SD) Group N Age (y) Weight (kg) Height (m) Graft type Preinjury IKDC Preinjury Tegner Return to play IKDC Return to play Tegner Primary ACL surgery to return to play (mo) Return to play to reinjury (mo) Return to play without reinjury (mo, as of

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Lynda Mainwaring and Max Trenerry

This current special issue of the Journal of Clinical Sport Psychology was conceived and developed to provide a resource for clinicians who have contact with athletes who are at risk for or have sustained a concussion during sport participation. The special issue is part of an exciting two-issue series. This first installment contains papers from leaders in the field of sport concussion who review the frequency and mechanisms of concussion, models for managing concussion, the emotional aspects of concussion in sport, practical examples from a model sport concussion clinic, and the importance of sport concussion education and prevention. As Guest Editors, we hope that this timely and unique special series will be used by clinicians who help care for athletes and their families who have experienced concussion in their sport life.

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Krista M. Hixson, Alex N. Allen, Andrew S. Williams and Tamara C. Valovich McLeod

Clinical Scenario:

Mild traumatic brain injury, or concussion, has been associated with physical, cognitive, and emotional sequelae. Little is understood in regard to many characteristics, such as anxiety, and their effect on post-concussion symptoms.

Clinical Question:

Is state anxiety, trait anxiety, or anxiety sensitivity a clinical predictor of symptoms in those presenting with mild traumatic brain injury or concussion?

Summary of Key Findings:

A literature search returned 3 possible studies; 3 studies met inclusion criteria and included. One study reported in athletes that greater social support was associated with decreased state-anxiety, lower state anxiety post-concussion was associated with increased social support, and that those with greater social support may experience reduced anxiety, regardless of injury type sustained. One study reported baseline trait anxiety in athletes was not significantly associated with post-concussion state anxiety, but that symptoms of depression at baseline was the strongest predictor for post-concussion state anxiety. Three studies reported that state and trait anxiety are not related to increased post-concussion symptom scores. One study reported that greater anxiety sensitivity is related to higher reported post-concussion symptom scores, which may manifest as somatic symptoms following concussion, and revealed that anxiety sensitivity may be a risk factor symptom development.

Clinical Bottom Line:

There is low-level to moderate evidence to support that anxiety sensitivity is linked to post-concussion symptoms. State and trait anxiety do not appear to be related to post-concussion symptoms alone. Post-concussion state anxiety may occur if post-concussion symptoms of depression are present or if baseline symptoms of depression are present. Better social support may improve state anxiety post-concussion.

Strength of Recommendation:

There is grade B evidence to support that state and trait anxiety are not risk factors for post-concussion symptom development. There is grade C evidence to support anxiety sensitivity as a risk factor for developing post-concussion symptoms.

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Tracey Covassin, Kyle M. Petit and Morgan Anderson

/symptoms, prevalence), concussion education and awareness, concussion assessment and management, concussion recovery and return to play, concussion treatment, and future research and recommendations for youth sport stakeholders. We also address sex and developmental considerations throughout this review. In reviewing

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Courtney W. Hess, Stacy L. Gnacinski and Barbara B. Meyer

theory the lone-physician approach to injury rehabilitation is considered inferior to approaches aligned with the biopsychosocial model, it is still commonly used in practice as evidenced by continual reports of return-to-play decisions based only on physical measures of healing ( Creighton et al., 2010

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Michael Girdwood, Liam West, David Connell and Peter Brukner

tactical training. At this stage, he was kicking on the affected side without restriction. He resumed full contact training a week later. Outcomes The player was able to return to play a full match at 8 weeks. The player did not report any ongoing issues for the rest of the season. Given the unusual nature

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Caroline Lisee, Lindsay Slater, Jay Hertel and Joe M. Hart

knee injury after initial ACLR. 8 Understanding how to better prepare these populations at higher risk of encountering these challenges, especially at the time of return to play, is important throughout the rehabilitation process. To improve return-to-play rates and minimize risk of secondary injury