@article{ref1,
title="'It's all downhill from here': a scoping review of sports-related concussion (SRC) protocols in downhill mountain biking (DHI), with recommendations for SRC policy in professional DMB",
journal="International journal of environmental research and public health",
year="2022",
author="McLarnon, Michael and Boyce, Stephen H. and Fisher, Neil and Heron, Neil",
volume="19",
number="19",
pages="e12281-e12281",
abstract="INTRODUCTION: Downhill mountain biking (DHI) is a form of cycling and does not currently have a specific sports-related concussion (SRC) assessment. <br><br>OBJECTIVE: To review the extent, range and nature of research investigating SRC in DMB, provide a summary of key literature findings relating to its identification and management, and then develop a SRC protocol specific to DMB. <br><br>DESIGN: Scoping review as per recognised methods. SETTING: Literature-based. The following databases were searched: MEDLINE, EMBASE, Scopus and Web of Science, with no restrictions on date. <br><br>RESULTS were limited to the English language. PARTICIPANTS: Six articles were included in the review from 64 identified articles. The article had to specifically include an analysis of adult downhill riders for inclusion. OUTCOME MEASURES: Study type, study group (amateur/professional), concussion incidence, concussion assessment and recommendations. MAIN RESULTS: Concussion incidence was identified as between 5-23%. No study outlined a trackside assessment of cyclists or a protocol for return to play where SRC was identified. Several authors identified that riders often continued to participate despite the presence of a concussion. No sport-specific SRC assessment was determined for DHI, and a SRC assessment was therefore developed. <br><br>CONCLUSIONS: This review illustrates the lack of studies and formal protocol in SRC assessment for DHI. In light of this, we propose a three-stage framework specific to the sport to best identify a concussion and act where appropriate while minimising disruption to competition. This framework involves assessing the cyclist on the 'sideline', a second assessment post-event in the medical room and a third assessment the following day. A SRC consensus meeting specific for DHI is suggested with an identified need for updated guidance from UCI, requiring possible rule changes for the sport.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph191912281",
url="http://dx.doi.org/10.3390/ijerph191912281"
}