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Considerations for Pediatric Retirement from Athletics Following Repetitive Concussive Traumatic Brain Injury: Incorporating the Right to an Open Future

Author

Listed:
  • Tyler S. Gibb

    (Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA)

  • Kathryn Redinger

    (Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA)

  • Casey Fealko

    (Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA)

  • Sonia Parikh

    (Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA)

Abstract

Guidance regarding the decision to remove an adolescent from athletic competition immediately following an acute concussive injury and the safe return of play in the short term is widely accepted and supported by clinical evidence, local institutional policies, and state and federal laws. There is considerably less guidance regarding the decision to permanently retire an adolescent athlete for medical reasons due to concussive injuries. In this article, we discuss the clinical and non-clinical considerations that should guide clinicians in discussions regarding the adolescent athlete’s permanent retirement by emphasizing the ethical obligation to protect the child’s right to an open future as possibly determinative in otherwise ambiguous cases.

Suggested Citation

  • Tyler S. Gibb & Kathryn Redinger & Casey Fealko & Sonia Parikh, 2021. "Considerations for Pediatric Retirement from Athletics Following Repetitive Concussive Traumatic Brain Injury: Incorporating the Right to an Open Future," IJERPH, MDPI, vol. 18(5), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2266-:d:505539
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    References listed on IDEAS

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    1. Kroshus, Emily & Garnett, Bernice & Hawrilenko, Matt & Baugh, Christine M. & Calzo, Jerel P., 2015. "Concussion under-reporting and pressure from coaches, teammates, fans, and parents," Social Science & Medicine, Elsevier, vol. 134(C), pages 66-75.
    2. Stefano Palermi & Anna Maria Sacco & Immacolata Belviso & Veronica Romano & Pietro Montesano & Bruno Corrado & Felice Sirico, 2020. "Guidelines for Physical Activity—A Cross-Sectional Study to Assess Their Application in the General Population. Have We Achieved Our Goal?," IJERPH, MDPI, vol. 17(11), pages 1-14, June.
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