Journal Article

An assessment of current concussion identifcation and diagnosis methods in sports settings: A systematic review


Background: Concussion in sport is an ongoing global concern. The head injury assessment (HIA) by the feld of play is acknowledged as the frst step in recognising and identifying concussion. While previous systematic literature reviews have evaluated the sensitivity of side-line screening tools and assessment protocols, no systematic review has evaluated the research designs and assessments used in a feld setting. This systematic review investigated existing screening and diagnostic tools used in research as part of the HIA protocol to identify concussion that are currently used in professional, semi-professional and amateur (club) sports settings. Methods: A systematic searching of relevant databases was undertaken for peer-reviewed literature between 2015 and 2020. Results: Twenty-six studies met the inclusion criteria. Studies were of moderate to good quality, reporting a variety of designs. The majority of studies were undertaken in professional/elite environments with medical doctors and allied health practitioners (e.g., physical therapists) involved in 88% of concussion assessments. While gender was reported in 24 of the 26 studies, the majority of participants were male (77%). There was also a variety of concussion assessments (n=20) with the sports concussion assessment tool (SCAT) used in less than half of the included studies. Conclusion: The majority of studies investigating concussion HIAs are focused on professional/elite sport. With concussion an issue at all levels of sport, future research should be directed at non-elite sport. Further, for research purposes, the SCAT assessment should also be used more widely to allow for consistency across studies.

Attached files


Daly, Ed
Pearce, Alan J.
Finnegan, Emma
Cooney, Ciara
McDonagh, Maria
Scully, Grainne
McCann, Michael
Doherty, Rónán
White, Adam J.
Phelan, Simon
Howarth, Nathan
Ryan, Lisa

Oxford Brookes departments

Department of Sport, Health Sciences and Social Work


Year of publication: 2022
Date of RADAR deposit: 2022-07-12

Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License

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