Welcome to the Chiropractic Australia  Journal Club.

The Journal Club has been established to allow busy clinicians convenient access to the latest research via Dropbox.

  • The Archive consists of approximately 3000 research articles taken primarily from the last 5 years along with some earlier key research sorted into 126 folders in DropBox.
  • The articles in each folder are sorted from newest to oldest (top to bottom).
  • The most recent articles will initially appear in the “Latest Research” folder. This folder will be added to every 2 weeks on the 1st and 15th of each month and with new articles replacing older articles which will be sorted into their relevant folders.
  • As we add new articles or sort them into folders it will automatically do the same to DropBox on your computer!
  • There is a “Submit an Article” folder so members can contribute new articles and fill the gaps with important past articles that are not yet part of the Archive!

Article of the Month: June 2017

The British Journal of Sports Medicine Current Issue on Concussion

A comments section for discussion on this month’s article can be found at the bottom of the page. Please feel free to contribute to the discussion.

The Journal Club database can be found on the following Dropbox Link

 

June Paper of the Month

 

This month the Chiropractic Australia Journal Club is looking at the current issue of The British Journal of Sports Medicine which is open access and dedicated to the new Concussion Guidelines with reviews of the free updated assessment tools.

 

The British Journal of Sports Medicine Current Issue on Concussion.

 

CONSENSUS STATEMENT

“The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements1–4 and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is developed for physicians and healthcare providers who are involved in athlete care, whether at a recreational, elite or professional level. While agreement exists on the principal messages conveyed by this document, the authors acknowledge that the science of SRC is evolving and therefore individual management and return-to-play decisions remain in the realm of clinical judgement.

This consensus document reflects the current state of knowledge and will need to be modified as new knowledge develops. It provides an overview of issues that may be of importance to healthcare providers involved in the management of SRC. This paper should be read in conjunction with the systematic reviews and methodology paper that accompany it. First and foremost, this document is intended to guide clinical practice; however, the authors feel that it can also help form the agenda for future research relevant to SRC by identifying knowledge gaps.

A series of specific clinical questions were developed as part of the consensus process for the Berlin 2016 meeting. Each consensus question was the subject of a specific formal systematic review, which is published concurrently with this summary statement. Readers are directed to these background papers in conjunction with this summary statement as they provide the context for the issues and include the scope of published research, search strategy and citations reviewed for each question. This 2017 consensus statement also summarises each topic and recommendations in the context of all five CISG meetings (that is, 2001, 2004, 2008, 2012 as well as 2016). Approximately 60 000 published articles were screened by the expert panels for the Berlin meeting. The details of the search strategies and findings are included in each of the systematic reviews.

Readers are encouraged to copy and freely distribute this Berlin Consensus Statement on Concussion in Sport, the Concussion Recognition Tool version 5 (CRT5), the Sports Concussion Assessment Tool version 5 (SCAT5) and/or the Child SCAT5. None of these are subject to copyright restriction, provided they are used in their complete format, are not altered in any way, not sold for commercial gain or rebranded, not converted into a digital format without permission, and are cited correctly.”

Consensus statement on concussion in sport-the 5<sup>th</sup> international conference on concussion in sport held in Berlin, October 2016.

McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, et al. Br J Sports Med. 2017 Apr 26. pii: bjsports-2017-097699. doi: 10.1136/bjsports-2017-097699.

Sport concussion assessment tool – 5th edition Free

Sport concussion assessment tool for childrens ages 5 to 12 years Free

Concussion recognition tool 5© Free

What are the critical elements of sideline screening that can be used to establish the diagnosis of concussion? A systematic review.

Patricios J, Fuller GW, Ellenbogen R, Herring S, Kutcher JS, Loosemore M, Makdissi M, McCrea M, Putukian M, Schneider KJ. Br J Sports Med. 2017 Mar 7. pii: bjsports-2016-097441. doi: 10.1136/bjsports-2016-097441.

What tests and measures should be added to the SCAT3 and related tests to improve their reliability, sensitivity and/or specificity in sideline concussion diagnosis? A systematic review

 

Ruben J Echemendia, Steven P Broglio, Gavin A Davis, Kevin M Guskiewicz, K. Alix Hayden, John J Leddy, William P Meehan, Margot Putukian, S John Sullivan, Kathryn J Schneider, Paul McCrory. BMJ Sports Medicine. June 2017. DOI: 10.1136/bjsports-2016-097466