Perspectiva sobre a 6ª Conferência Internacional em Concussão no Esporte

Haruo Nakayama; Yu Hiramoto; Satoshi Iwabuchi; Fiorenzo Moscatelli

Autores

Haruo Nakayama Department of Neurosurgery, Toho University Ohashi Medical Center, Tokyo, Japan
Yu Hiramoto Department of Neurosurgery, Toho University Ohashi Medical Center, Tokyo, Japan
Satoshi Iwabuchi Department of Neurosurgery, Toho University Ohashi Medical Center, Tokyo, Japan
Fiorenzo Moscatelli Department of Neurosurgery, Toho University Ohashi Medical Center, Tokyo, Japan

Palavras-chave:

Concussão No Esporte, Declaração De Amsterdã, Grupo Internacional Sobre Concussão No Esporte, Lesão Desportiva

Resumo

A Conferência Internacional sobre Concussão no Esporte, realizada a cada quatro anos desde 2001, tem sido fundamental para a formação do consenso internacional sobre concussões relacionadas ao esporte. No entanto, devido à pandemia global de COVID-19 — um evento sem precedentes —, não apenas os Jogos Olímpicos de Tóquio 2020, mas também a sexta edição da conferência (inicialmente programada para uma data anterior) foram adiados diversas vezes. Finalmente, a 6ª Conferência Internacional sobre Concussão no Esporte ocorreu em Amsterdã, no final de outubro de 2022. Em julho de 2023, foi divulgada a Declaração de Amsterdã, que reflete as conclusões dessa sexta conferência. Este artigo apresenta uma visão geral do evento, no qual foram reveladas e introduzidas atualizações significativas, incluindo revisões na definição de concussão relacionada ao esporte, bem como a versão mais recente da Ferramenta de Avaliação de Concussão no Esporte (SCAT) — conhecida como SCAT6 —, a Ferramenta de Avaliação em Consultório (SCOAT) e o protocolo atualizado de retorno ao esporte em etapas.

Referências

(1) Patricios JS, Schneider KJ, Dvorak J, Ahmed OH, Blauwet C, Cantu RC, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022. British Journal of Sports Medicine. 2023 June;57(11):695–711.

(2) Aubry M, Cantu R, Dvorak J, Graf-Baumann T, Johnston K, Kelly J, et al. Summary and Agreement Statement of the First International Conference on Concussion in Sport, Vienna 2001. The Physician and Sportsmedicine. 2002 Feb;30(2):57–63.

(3) McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, et al. Consensus statement on concussion in sport—The 5th international conference on concussion in sport held in Berlin, October 2016. Br. J. Sports Med. 2017;51:838–847.

(4) Schneider KJ, Patricios JS, Meeuwisse W, Schneider GM, Hayden KA, Premji Z, et al. Amsterdam 2022 process: A summary of the methodology for the Amsterdam International Consensus on Concussion in Sport. British Journal of Sports Medicine. 2023 June;57(11):712–21.

(5) Patricios JS, Schneider GM, van Ierssel J, Purcell LK, Davis GA, Echemendia RJ, et al. Beyond acute concussion assessment to office management: a systematic review informing the development of a Sport Concussion Office Assessment Tool (SCOAT6) for adults and children. British Journal of Sports Medicine. 2023 June;57(11):737–48.

(6) Davis GA, Patricios J, Purcell L, Anderson V, Gioia GA, Giza CC, et al. Introducing the Child Sport Concussion Office Assessment Tool 6 (Child SCOAT6). British Journal of Sports Medicine. 2023 June 1;57(11):668–71.

(7) Patricios JS, Davis GA, Ahmed OH, Blauwet C, Schneider GM, Purcell LK, et al. Introducing the Sport Concussion Office Assessment Tool 6 (SCOAT6). Br. J. Sports Med. 2023;57(11):648–50.

(8) Echemendia RJ, Ahmed OH, Bailey CM, Bruce JM, Burma JS, Davis GA, et al. Introducing the Concussion Recognition Tool 6 (CRT6). British Journal of Sports Medicine. 2023 June;57(11):689–91.

(9) Echemendia R.J., Ahmed O.H., Bailey C.M., Bruce J.M., Burma J.S., Davis G.A., Gioia G., Howell D.R., Fuller G.W., Master C.L., et al. The Concussion Recognition Tool 6 (CRT6). Br. J. Sports Med. 2023;57(11):692–4.

(10) Silverberg N D, Iverson GL, Cogan A, Dams-O’Connor K, Delmonico R, Jeong M, et al. The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation. 2023 May 1;104(8).

(11) McCrory P, Johnston K, Meeuwisse W, Aubry M, Cantu R, Dvorak J, et al. Summary and Agreement Statement of the 2nd International Conference on Concussion in Sport, Prague 2004. Clinical Journal of Sport Medicine. 2005 Mar;15(2):48–55.

(12) McCrory P, Meeuwisse W, Johnston K, Dvorak J, Aubry M, Molloy M, et al. Consensus Statement on Concussion in Sport 3rd International Conference on Concussion in Sport Held in Zurich, November 2008. Clinical Journal of Sport Medicine. 2009 May;19(3):185–200.

(13) McCrory P, Meeuwisse W, Aubry M, Cantu B, Dvorak J, Echemendia RJ, et al. Consensus Statement on Concussion in Sport—the 4th International Conference on Concussion in Sport Held in Zurich, November 2012. Clinical Journal of Sport Medicine. 2013 Mar;23(2):89–117.

(14) Echemendia RJ, Brett BL, Broglio SP, Davis GA, Giza CC, Guskiewicz KM, et al. Introducing the Sport Concussion Assessment Tool 6 (SCAT6). Br. J. Sports Med. 2023;57(11):619–21.

(15) Davis GA, Echemendia RJ, Osman Hassan Ahmed, Anderson V, C Blauwet, Brett BL, et al. Introducing the Child Sport Concussion Assessment Tool 6 (Child SCAT6). 2023 June 1;57(11):632–5.

(16) Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, et al. The sport concussion assessment tool 5th edition (SCAT5): Background and rationale. Br. J. Sports Med. 2017;51(11):bjsports–2017-097506.

(17) Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, et al. The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). British Journal of Sports Medicine. 2017 Apr 26;bjsports–2017-097492.

(18) CISG Tools - Concussion in Sport Group (CISG) [Internet]. 2022 June [cited 19 March 2024]. Available from: https://www.concussioninsportgroup.com/scat-tools/

(19) Leddy JJ, Master CL, Mannix R, Wiebe DJ, Grady MF, Meehan WP, et al. Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial. The Lancet Child & Adolescent Health. 2021 Nov;5(11):792–9.

(20) Hallock H, Mantwill M, Vajkoczy P, Wolfarth B, Reinsberger C, Lampit A, et al. Sport-Related Concussion. Neurology: Clinical Practice. 2023;13(2):e200123.

(21) Maddocks DL, Perry RW. Commentary: Concussion Guidelines in National and International Professional and Elite Sports. Neurosurgery. 2020 May 1;87(2):E123–5.

(22) Davis GA, Schneider K, Anderson V, Babl FE, Barlow KM, Blauwet C, et al. Pediatric Sport-related Concussion: Recommendations From the Amsterdam Consensus Statement 2023. Pediatrics. 2023 Dec 4;153(1).

IMAGE: Max Andrews ( https://commons.wikimedia.org/wiki/File:Concussion_Anatomy.png ), CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons

Article ( https://pmc.ncbi.nlm.nih.gov/articles/PMC11119671/ ) adapted for publication in accordance with the journal's submission rules, under the Creative Commons Attribution (CC BY) license