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1 NFL Head, Neck and Spine Committee's Concussion Diagnosis and Management Protocol 1 (2022)

handle is hein.blasports/nflccptcl0001 and id is 1 raw text is: Amended As of October 8, 2022 NFL Head, Neck and Spine Committee's Concussion Diagnosis and Management Protocol I. Overview of Injury A. Introduction Concussion is an important injury forthe professional football player. The diagnosis, prevention, and management of concussion is important to the National Football League (NFL), its players and member Clubs, and the National Football League Players Association (NFLPA). The NFL's Head, Neck and Spine Committee, in conjunction with the NFLPA Mackey-White Committee, has developed a comprehensive set of protocols regarding the diagnosis and management of concussions in NFL players. The diagnosis and management of concussion is complicated by the difficulty in identifying the injury as well as the complex and individual nature of its management. Ongoing education of players, NFL Club physicians, certified athletic trainers (ATCs), Unaffiliated Neurotrauma Consultants (UNCs), and Neuropsychology Consultants (NPCs) and other Club medical personnel regarding concussion is important, recognizing continued advances in concussion assessment and management. The objective of these protocols is to provide Club medical staffs responsible for the health care of NFL players with a guide for diagnosing and managing concussion. This document updates and supersedes the initial NFL Head, Neck and Spine Committee'sProtocols Regarding Diagnosis and Management of Concussion, issued in July, 2013, and all subsequent amendments thereto. B. Concussion Defined For purposes of these protocols, the term concussion is defined as (adapted from McCrory et al., 2017): Sport-related concussion (SRC) is a traumatic brain injury induced by biomechanical forces. Several common features that may be utilized in clinically defining the nature of a concussive head injury include the following: 1. SRC may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an impulsive force transmitted to the head. 2. SRC typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. However, in some cases, signs and symptoms evolve over a number of minutes to hours. 3. SRC may result in neuropathological changes, but the acute clinical signs and symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies. 1

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