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Michael W. Collins, PhD; Mark R. Lovell, PhD; Douglas B. Mckeag, MD

JAMA. 1999;282:2283-2285.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

The issue of determining the readiness of athletes to return to action following a head injury has received recognition as a major public health issue.¹ Concern over the health of the athlete with a concussion has prompted the development of parameters to guide management and return-to-play issues. These guidelines, however, have been controversial within the sports medicine community.² The controversy appears to result from a lack of scientific foundation, and thus an arbitrary delineation of concussion grades and return-to-play criteria. This article critically examines concussion management guidelines and makes recommendations for the development of practical strategies. Two actual concussion cases illustrate these issues.

Definition and Identification

There is no universally accepted definition of concussion. One of the most popular working definitions is "a trauma-induced alteration in mental status that may or may not be accompanied by a loss of consciousness."³ Signs . . . [Full Text of this Article]

Better Strategies Are Needed

Return-to-Play Guidelines

Case 1

Case 2

Clinical Management of Concussion: Current Status and the Need for Further Research

Author Affiliations: Division of Neuropsychology, Henry Ford Health System, Detroit, Mich (Drs Collins and Lovell); Department of Family Medicine, Indiana University School of Medicine, Indianapolis (Dr Mckeag).

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