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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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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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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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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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Jenny H. Conviser, Amanda Schlitzer Tierney and Riley Nickols

and recovery status and, as such, ongoing re-evaluation by the MDTT during treatment is necessary. It is critical that the MDTT agree upon previously established parameters for return to play ( Cook et al., 2016 ) since a premature return to sport may increase risk of aggravated illness, injury or re

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Lynda M. Mainwaring, Sean M. Bisschop, Robin E.A. Green, Mark Antoniazzi, Paul Comper, Vicki Kristman, Christine Provvidenza and Doug W. Richards

Despite suggestions that emotions influence recovery from injury, there is little research into the emotional sequelae of mild traumatic brain injury (MTBI), or “concussion,” in sport. This examination compares emotional functioning of college athletes with MTBI to that of uninjured teammates and undergraduates. A short version of the Profile of Mood States (POMS; Grove & Prapavessis, 1992) assessed baseline emotions in all groups, and serial emotional functioning in the MTBI and undergraduate groups. Whereas preinjury profiles were similar across groups, the MTBI group showed a significant postinjury spike in depression, confusion, and total mood disturbance that was not seen for the other groups. The elevated mood disturbances subsided within 3 weeks postinjury. Given that concussed athletes were highly motivated to return to play, these data could be used as a benchmark of normal emotional recovery from MTBI. Findings are discussed in relation to current literature on emotional reaction to injury and directions for future research.

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James W.G. Thompson and David Hagedorn

Sports-related concussions are complex injuries with biomechanical and biochemical etiology that present with central and autonomic nervous system dysfunction. Current methods for assessing concussions and basing return-to-play decisions rely on symptom resolution, rating scales, and neuropsychological testing, all of which are indirect measures of injury severity and detect functional capabilities but do not directly measure injury location or severity. In addition, these downstream measures are susceptible to false negatives because compensatory mechanism, such as unmasking and redundancies in brain circuitry can return functional capabilities before injury resolution. The multifactorial nature of concussion necessitates rapid, inexpensive, and easily applied multimodal analysis methods that can offer greater sensitivity and specificity. This article discusses how new approaches utilizing electrophysiology (e.g., QEEG, ERP, ECG, HRV), quantified balance measures, and biochemistry are necessary to advance the science of concussion assessment, treatment, recovery projections, and return-to-play decisions. These additional assessment tools offer a more direct window into the severity and location of the injury, real-time measures of brain function, and the ability to measure the multiple body systems negatively affected by concussion.

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Claire-Marie Roberts and Jacky Forsyth

, 2018 ). In addition to this, it was clear that there is an urgent need for the design and implementation of return-to-play strategies for women after childbirth ( Elliott-Sale, 2018 ; Roberts & Kenttä, 2018 , Smith, 2018 ), no matter what level at which these women exercise or compete. Injury

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Zachary C. Merz, Joanne E. Perry and Michael J. Ross

severity and persistence of symptoms, and fears over the short- and long-term effects of repeated head injury. As the client’s PCS symptoms abated, conversation shifted toward sport psychological themes regarding return to play, fear of re-injury, and personal athletic values. However, as treatment

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Mette Rørth, Tine Tjørnhøj-Thomsen, Prue Cormie, John L. Oliffe and Julie Midtgaard

.1177/019372396020001004 10.1177/019372396020001004 Podlog , L. , Heil , J. , & Schulte , S. ( 2014 ). Psychosocial factors in sports injury rehabilitation and return to play . Physical Medicine and Rehabilitation Clinics of North America, 25 ( 4 ), 915 – 930 . PubMed ID: 25442166 doi:10.1016/j.pmr.2014