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It is time to rewrite state youth sports concussion laws
BMJ Open Sport & Exercise Medicine ( IF 3.9 ) Pub Date : 2021-01-01 , DOI: 10.1136/bmjsem-2020-000959
Jonathan Howland , Holly Hackman , Alcy Torres , Julia Campbell , Jonathan Olshaker

Between 2009 and 2014, all 50 states and the District of Columbia passed legislation to improve the recognition and management of youth concussed in sports. These laws can include requirements for concussion training for school athletic personnel, concussion education for children and their parents, return-to-play (RTP) procedures, and medical clearance to for RTP. Concussion can impact academic learning and performance in children and adolescents. Postconcussion academic accommodations during recovery can be an important component of secondary prevention for mitigating the sequalae of head injury. Few state youth concussion laws, however, include provision of postconcussion return-to-learn (RTL) accommodations and most of those that do address RTL apply to student athletes only. Concussions may occur in youth who are not participating in organised sports (eg, falls, traffic crashes) and thus may not be subjected to RTL accommodations, even if the state mandates such procedures for athletes. Low income and students of colour may be more likely to have non-sports concussions than their more affluent and white peers, thus potentially creating demographic disparities in the benefits of RTL procedures. State youth sports concussion laws should be revised so that they include RTL provisions that apply to all students, athletes and non-athletes alike.

中文翻译:

现在是时候重写州青少年体育震荡法

在2009年至2014年之间,所有50个州和哥伦比亚特区均通过了立法,以提高对因体育运动而受到影响的青年的认识和管理。这些法律可能包括对学校运动人员进行脑震荡训练,对儿童及其父母进行脑震荡教育,重返比赛(RTP)程序以及对RTP进行医疗许可的要求。脑震荡会影响儿童和青少年的学习和表现。脑震荡后恢复期间的学术适应可能是二级预防的重要组成部分,可减轻头部受伤的性痛。但是,很少有州的青少年脑震荡法包括提供脑震荡后重返校园(RTL)的住宿,而大多数涉及RTL的法律仅适用于学生运动员。脑震荡可能发生在未参加有组织体育活动的年轻人中(例如,跌倒,交通事故),因此可能不会受到RTL调解,即使该州规定了运动员的此类程序。低收入和有色人种的学生可能比非富裕和白人同龄人更容易受到非运动性脑震荡,因此有可能在RTL程序的好处上造成人口统计学差异。应当修订州青少年体育震荡法,使其包括适用于所有学生,运动员和非运动员的RTL条款。因此有可能在RTL程序的好处上造成人口差异。应当修订州青少年体育震荡法,使其包括适用于所有学生,运动员和非运动员的RTL条款。因此有可能在RTL程序的好处上造成人口差异。应当修订州青少年体育震荡法,使其包括适用于所有学生,运动员和非运动员的RTL条款。
更新日期:2021-02-12
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