French preparticipation physical evaluation for children in 2020: What has changed?

At the end of 2019, there was discussion in France about whether to abolish the obligatory medical certificate of no contraindication for a minor to obtain a sports license. It was finally decided not to abolish the certificate, but it raises the question of which steps should be taken to assess the physical capacities of children. General practitioners or pediatricians are responsible for the preparticipation physical evaluation of children wishing to obtain a sports license, in particular involving over 20 mandatory consultations between the ages of 0 and 18. The purpose of the article is to propose a course of action to be taken considering the French legislation and general pediatric resources concerning the medical examination and warning signs that should lead to vigilance.

Staying true to Rowan's Law: how changing sport culture can realize the goal of the legislation.

Rowan's Law was recently introduced into Ontario legislation following the death of Rowan Stringer, a young rugby player for whom a string of head injuries culminated in her death. The law mandates the removal from play of any youth athlete suspected to have a concussion and makes concussion education mandatory for certain individuals involved with youth sport. This commentary addresses the larger issues within sport culture that may limit the effectiveness of the law, and describes how awareness alone is not sufficient to generate change. The law can sometimes lead to a false sense of security, as well as retaliatory actions for those who are motivated to hide concussion. We describe the role of all persons involved with youth sport in facilitating a cultural shift to honour the intent behind Rowan's Law.

Concussion clinic presentation and symptom duration for pediatric sports-related concussions following Ohio concussion law.

In 2013, Ohio enacted a law to mitigate consequences of pediatric sports-related concussions. This study aimed to describe changes in clinic visits and symptom duration for pediatric sports-related concussions before and after this law. 3,133 new visits by 2,861 unique patients (10-18 years) presenting between April 2012 and April 2015 for sports-related concussions within 30 days of injury were included. There were 937 (29.9%), 1,132 (36.1%) and 1,064 (34.0%) concussion visits for pre-law, immediate-post law, and post-law periods, respectively. A greater proportion of concussion visits was observed among females from pre-law to post-law (P < 0.0001). No differences were observed across the three periods in symptom scores at injury (P = 0.5028) or at first clinic visit (P = 0.5686). However, patients presented to concussion clinics significantly earlier (17.6 vs. 22.8 days, P < 0.0001) and had quicker recovery (26.5 vs. 40.6 days, P < 0.0001) post-law than pre-law.

Qualitative Evaluation of High School Implementation Strategies for Youth Sports Concussion Laws.

CONTEXT:: All 50 states and the District of Columbia have enacted laws governing concussion management and education. These concussion laws, featuring common tenets regarding removal from play, return to play, and concussion education, have shaped school and district policies. OBJECTIVE:: To evaluate the strategies commonly used to implement concussion laws at the school and district levels, as reported by certified athletic trainers (ATs). DESIGN:: Qualitative study. SETTING:: High schools. PATIENTS OR OTHER PARTICIPANTS:: We interviewed 64 ATs from high schools (1 per school) participating in High School Reporting Information Online. DATA COLLECTION AND ANALYSIS:: Interviews were conducted with participants between April and October 2015 regarding implementation of the 3 core tenets of concussion laws. Research team members independently evaluated the interview transcripts and field notes to identify common themes in implementation strategies. RESULTS:: Of the 64 schools represented, 90.6% were public schools, 89.1% sponsored more than 15 sports, and all schools employed at least 1 AT and had a written concussion policy. Four commonly used strategies to implement removal from play were reliance on coaches, immediate response, referral and guidance after injury, and notification of key individuals. Use of assessment or baseline tests, communication among parties involved, reliance on AT assessments, and return-to-learn policies were 4 frequent strategies to implement return to play. Finally, 3 major implementation strategies to effectuate concussion education were use of existing educational tools, timing of education, and concussion training for school professionals. CONCLUSIONS:: Although concussion laws were passed at different times and varied in content across states, common themes in implementation strategies emerged across jurisdictions. The identification of strategic approaches to implementation will help ensure proper concussion management and education, reducing negative health outcomes among youths with concussions.

Are regional differences in basketball already established in under-18 games?

To identify regional differences in basketball games for under-age categories, this study analyzed game-related statistics of four continental championships for under-18 (U18) men. Methods: A total of 149 games from each continental championship for U18 men held in 2016 were analyzed. A one-way analysis of variance followed by a Bonferroni post hoc test was performed to assess differences in game-related statistics between the continents (Europe, Africa, America, Asia). A discriminant analysis was performed to identify game-related statistics which discriminate among the continents. Results: The U18 African championship, which was characterized by a high number of free throws, was clearly discriminated from any other U18 continental championship. Among the other U18 continental championships excluding the African championship, the biggest difference was observed between the European and the Asian championships. The U18 European championship was characterized by a low number of possessions and a high number of assists, whereas the U18 Asian championship was characterized by a high number of possessions and a low number of assists. Both possessions and assists showed high numbers in the U18 American championship. Conclusion: This study identified regional differences in basketball games among four continental championships for U18 men held in 2016. It is suggested that basketball games for under-age categories are played in a different manner in each region of the world. The information derived from this study will help players and coaches of under-age national teams prepare for international competitions.(AU)

Legislation for Youth Sport Concussion in Canada: Review, Conceptual Framework, and Recommendations.

In this article, we conduct a review of introduced and enacted youth concussion legislation in Canada and present a conceptual framework and recommendations for future youth sport concussion laws. We conducted online searches of federal, provincial, and territorial legislatures to identify youth concussion bills that were introduced or successfully enacted into law. Internet searches were carried out from July 26 and 27, 2016. Online searches identified six youth concussion bills that were introduced in provincial legislatures, including two in Ontario and Nova Scotia and one each in British Columbia and Quebec. One of these bills (Ontario Bill 149, Rowan's Law Advisory Committee Act, 2016) was enacted into provincial law; it is not actual concussion legislation, but rather a framework for possible enactment of legislation. Two bills have been introduced in federal parliament but neither bill has been enacted into law. At present, there is no provincial or federal concussion legislation that directly legislates concussion education, prevention, management, or policy in youth sports in Canada. The conceptual framework and recommendations presented here should be used to guide the design and implementation of future youth sport concussion laws in Canada.