Our understanding of the prevention, detection, management and potential longer-term effects of concussions in sport have evolved rapidly over the last 20 years. In 2001, the International Ice Hockey Federation (IIHF) initiated a meeting to discuss the diagnosis and management of sport-related concussion (SRC).1 This meeting was held in conjunction with the International Olympic Committee (IOC) and Fédération Internationale de Football Association (FIFA) in Vienna, Austria. Every 4 years researchers and clinicians with expertise in SRC are brought together to summarise the published literature and provide updated, evidence-informed recommendations regarding the evaluation and management of concussions.1–5 To date, there have been five consensus statements. This 20-year journey has been supported by sports organisations including the IOC, IIHF, FIFA and later by Fédération Equestre Internationale, World Rugby and the Fédération Internationale de l'Automobile. The sporting bodies are then able to take the evidence summaries and consensus recommendations that are created and develop concussion guidelines specific to their sports. The authorship group of the Consensus Statements has led the development and writing of the resulting output of the meetings including a quadrennial consensus statement and the accompanying Concussion Recognition Tool and Sports Concussion Assessment Tools (SCAT) for adults and children.4 Authors have been selected based on their research and clinical expertise in the area of concussion, including consideration for representation from broad geographical and content areas. The concussion consensus group remains aware of the need for a rigorous scientific process and has ensured since its inception that all outputs are made freely available to athletes and their medical providers. As the evidence has evolved, so too have the recommendations. The SCAT Card, first published in Prague, 2004 has evolved to include the evaluation of additional domains such as balance assessment, cervical spine evaluation and a neurological screen in its most …

中文翻译：

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运动中的脑震荡：共识进程仍在继续


过去 20 年来，我们对运动中脑震荡的预防、检测、管理和潜在长期影响的理解迅速发展。 2001年，国际冰球联合会（IIHF）发起了一次会议，讨论运动相关脑震荡（SRC）的诊断和治疗。1这次会议是与国际奥委会（IOC）和国际足球协会联合会联合召开的（国际足联）在奥地利维也纳。每 4 年，具有 SRC 专业知识的研究人员和临床医生都会聚集在一起，总结已发表的文献，并提供有关脑震荡评估和管理的更新的、有证据支持的建议。1-5 迄今为止，已达成五项共识声明。这一长达 20 年的历程得到了国际奥委会、国际冰联、国际足联等体育组织的支持，后来又得到了国际马术联合会、世界橄榄球联合会和国际汽车联合会的支持。然后，体育机构能够获取所创建的证据摘要和共识建议，并制定针对其运动项目的脑震荡指南。共识声明的作者小组领导了会议成果的开发和撰写，包括四年一度的共识声明以及随附的成人和儿童脑震荡识别工具和运动脑震荡评估工具 (SCAT)。4 作者是根据以下条件选择的：关于他们在脑震荡领域的研究和临床专业知识，包括考虑来自广泛地理和内容领域的代表性。 脑震荡共识小组仍然意识到严格的科学流程的必要性，并自成立以来一直确保所有成果都免费提供给运动员及其医疗提供者。随着证据的发展，建议也在不断发展。SCAT 卡于 2004 年在布拉格首次发布，现已发展到包括平衡评估、颈椎评估和神经系统筛查等其他领域的评估。