Para athlete concussion care following the Amsterdam 2022 International Consensus Statement on Concussion in Sport: an urgent need for inclusivity within concussion research (2024)

1. http://orcid.org/0000-0002-6216-839XRichard Weiler1,2,3,4,
2. http://orcid.org/0000-0002-2616-4797Kristine Dalton5,
3. Anna Guenther5,6,
4. Katelyn Mitchell7,
5. http://orcid.org/0000-0002-1434-3659Peter Van de Vliet8,
6. Shelina Babul9,
7. http://orcid.org/0000-0001-8568-1009Cheri Blauwet10,
8. David Clarke11,12,
9. Jenny Dea13,
10. http://orcid.org/0000-0002-8879-177XWayne Derman14,15,
11. http://orcid.org/0000-0002-9499-6691Carolyn Emery16,
12. http://orcid.org/0000-0002-9524-7553Kristina Fagher17,
13. http://orcid.org/0000-0002-0126-4177Vincent Gouttebarge18,19,20,
14. http://orcid.org/0000-0001-7190-0004Mohammad Nadir Haider21,
15. Tamerah Hunt22,
16. Kenneth Lee23,
17. http://orcid.org/0000-0001-5294-3332Jan Lexell17,
18. Ryan N Moran24,
19. Francine Pilon25,
20. Francois Prince26,27,28,
21. Phoebe Runciman14,
22. http://orcid.org/0000-0003-1995-4106Racheal Smetana29,
23. http://orcid.org/0000-0001-9227-8234Evert Verhagen1,
24. http://orcid.org/0000-0003-3636-5557Nick Webborn12,30,
25. http://orcid.org/0000-0002-1439-0076Osman Hassan Ahmed4,31,32

1. ¹Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
2. ²Institute Sport, Exercise and Health, Division of Surgery and Interventional Science, UCL, London, UK
3. ³Fortius Clinic, London, UK
4. ⁴The Football Association, Burton-upon-Trent, UK
5. ⁵School of Optometry & Vision Science, University of Waterloo, Waterloo, Ontario, Canada
6. ⁶Department of Kinesiology, Brock University, St Catharines, Ontario, Canada
7. ⁷Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Ontario, Canada
8. ⁸Immune-Oncological Centre Cologne, Cologne, Germany
9. ⁹Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
10. ¹⁰Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA, USA
11. ¹¹University of Hertfordshire, Hatfield, UK
12. ¹²Paralympics GB, London, UK
13. ¹³Alpine Canada Alpin, Calgary, Alberta, Canada
14. ¹⁴Institute of Sport and Exercise Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
15. ¹⁵International Olympic Committee Research Centre, Stellenbosch, South Africa
16. ¹⁶Sport Injury Prevention Research Centre, Faculty of Kinesiology and Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
17. ¹⁷Rehabilitation Medicine Research Group, Department of Health Sciences, Department of Health Sciences, Lund University, Lund, Sweden
18. ¹⁸Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
19. ¹⁹Amsterdam Movement Sciences, Musculoskeletal Health, Sports, Amsterdam, Netherlands
20. ²⁰Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, Netherlands
21. ²¹Department of Orthopaedics, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY, USA
22. ²²Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, Georgia, USA
23. ²³Spinal Cord Injury/Disorder, Physical Medicine & Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
24. ²⁴Department of Health Science, The University of Alabama, Tuscaloosa, Alabama, USA
25. ²⁵Department of Kinesiology, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada
26. ²⁶Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada
27. ²⁷Institut national du sport du Québec, Montreal, Quebec, Canada
28. ²⁸Hôpital du Sacré-Coeur Research Center, Montreal, Quebec, Canada
29. ²⁹Department of Psychiatry & Neurobehavioral Sciences, University of Virginia Health System, Charlottesville, Virginia, USA
30. ³⁰School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
31. ³¹Physiotherapy Department, University Hospitals Dorset NHS Foundation Trust, Poole, UK
32. ³²School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK

1. Correspondence to Dr Richard Weiler; rweiler{at}doctors.org.uk

• Brain Concussion
• Sporting injuries
• Para-Athletes
• Disabled Persons
• Head

Footnotes

• X @cattonline, @CheriBlauwetMD, @wderman, @CarolynAEmery, @KristinaFagher, @vgouttebarge, @jan.lexell, @Evertverhagen, @SportswiseUK, @osmanhahmed

• Contributors Editorial concept by RW. Discussion and planning of content and structure at online CIPS meeting. Main writing group RW, KD, AG, KM, PVdV and OHA met online to bring together and draft the sections in three groups (two for each section). Figure design by AG with KM and feedback from writing group and then CIPS group at several meetings and online. Content was then discussed, reviewed and refined by CIPS group at two online meetings and via email. All authors then provided feedback on consequent drafts until agreement reached on published version of manuscript. All authors meet ICMJE authorship criteria. RW is guarantor.

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests RW provides consultancy on sports medicine and brain health to AI Nexus Healthcare. CB is a member of BJSM editorial board and receives funding from the US Center for Disease Control and Prevention, and the National Institute on Disability, Independent Living and Rehabilitation Research. WD is a member of BJSM editorial board and chair of the IPC Medical Committee. CE is a member of BJSM editorial board and holds funding from NFL Play Smart Play Safe Programme, Canadian Institutes of Health Research, World Rugby, Canada Research Chairs Programme, Canada Foundation for Innovation, and is a member of the CISG. KF is a member of the BMJ Open SEM editorial board. JL is editor for the Para Sport and Paralympic Sport Section, American Journal of Physical Medicine and Rehabilitation (AJPMR) and Medical Director at Hermelinen Sports Concussion Centre, Luleå, Sweden. MNH is a paid statistician for BlinkCNS, was previously a paid statistician for Oculogica and provides statistics consultancy to industry. EV is editor-in-chief for BMJ Open SEM. NW is a member of UK Concussion Prevention Network Advisory Group. OHA is a member of BJSM and BMJ Open SEM editorial boards.

• Provenance and peer review Not commissioned; externally peer reviewed.