Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, the concussion in para sport (CIPS) multidisciplinary expert group was created. This group analysed and discussed in-depth para athlete-specific issues within the established key clinical domains of the current (2017) consensus statement on CIS. Due to the onset of the COVID-19 pandemic, the group held all meetings by video conferencing. The existing Sport Concussion Assessment Tool 5 (SCAT5) for the immediate on-field and office-based off-field assessment of concussion was evaluated as part of this process, to identify any para athlete-specific concerns. Regular preparticipation and periodic health examinations are essential to determine a baseline reference point for concussion symptoms but pose additional challenges for the interpreting clinician. Further considerations for concussion management for the para athlete are required within the remove, rest, reconsider and refer consensus statement framework. Considering return to sport (RTS), the 2017 CIS consensus statement has limitations when considering the RTS of the para athlete. Case-by-case decision making related to RTS following concussion is imperative for para athletes. Additional challenges exist for the evaluation and management of concussion in para athletes. There is a need for greater understanding of existing knowledge gaps and attitudes towards concussion among athlete medical staff, coaches and para athletes. Future research should investigate the use and performance of common assessment tools in the para athlete population to better guide their clinical application and inform potential modifications. Concussion prevention strategies and sport-specific rule changes, such as in Para Alpine Skiing and Cerebral Palsy Football, also should be carefully considered to reduce the occurrence of concussion in para athletes.

中文翻译：

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残疾人运动脑震荡：残疾人运动脑震荡 (CIPS) 集团的第一份立场声明

脑震荡是许多运动中的常见损伤，在残疾人运动员中也很常见。然而，与残疾人运动相关的脑震荡研究很少，之前的国际运动脑震荡 (CIS) 共识文件并未实质性地解决这一人群。为了解决这个问题并改善为残疾人运动员提供的脑震荡护理，成立了残疾人运动脑震荡 (CIPS) 多学科专家组。该小组在当前（2017 年）关于 CIS 的共识声明的既定关键临床领域内深入分析和讨论了特定于运动员的问题。由于 COVID-19 大流行，该小组通过视频会议召开了所有会议。现有的运动脑震荡评估工具 5 (SCAT5) 用于立即进行场内和基于办公室的场外脑震荡评估，作为此过程的一部分进行了评估，以确定任何与运动员相关的问题。定期准备和定期健康检查对于确定脑震荡症状的基线参考点至关重要，但对临床医生的解读也带来了额外的挑战。在移除、休息、重新考虑和转介共识声明框架内，需要进一步考虑对残疾人运动员的脑震荡管理。考虑到重返运动 (RTS)，2017 年 CIS 共识声明在考虑残疾人运动员的 RTS 时存在局限性。对于残障运动员来说，脑震荡后与 RTS 相关的逐案决策是必不可少的。残障运动员脑震荡的评估和管理还存在其他挑战。需要更深入地了解运动员医务人员、教练员和残疾人运动员之间现有的知识差距和对脑震荡的态度。未来的研究应该调查常见评估工具在运动员群体中的使用和性能，以更好地指导其临床应用并为潜在的修改提供信息。也应仔细考虑脑震荡预防策略和运动特定规则的变化，例如残疾人高山滑雪和脑瘫足球，以减少残疾人运动员脑震荡的发生。教练员和残疾人运动员。未来的研究应该调查常见评估工具在残疾人运动员群体中的使用和性能，以更好地指导其临床应用并为潜在的修改提供信息。也应仔细考虑脑震荡预防策略和运动特定规则的变化，例如残疾人高山滑雪和脑瘫足球，以减少残疾人运动员脑震荡的发生。教练员和残疾人运动员。未来的研究应该调查常见评估工具在残疾人运动员群体中的使用和性能，以更好地指导其临床应用并为潜在的修改提供信息。也应仔细考虑脑震荡预防策略和运动特定规则的变化，例如残疾人高山滑雪和脑瘫足球，以减少残疾人运动员脑震荡的发生。