Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
©Journal of Sports Science and Medicine (2020) 19, 65 - 77

Review article
A Systematic Review and Qualitative Analysis of Concussion Knowledge amongst Sports Coaches and Match Officials
Ping Chong Yeo1, , Edgar Q. Y. Yeo1, Joanne Probert2, Shauna H. S. Sim3, Dinesh Sirisena3
Author Information
1 Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
2 Department of Acute and Emergency Care, Khoo Teck Puat Hospital, Singapore
3 Department of Orthopaedic Surgery and Sports Medicine, Khoo Teck Puat Hospital, Singapore

Ping Chong Yeo
‚úČ Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
Publish Date
Received: 05-11-2019
Accepted: 16-12-2019
Published (online): 24-02-2020
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Sport-related concussion (SRC) is a public health issue of increasing concern. Sports coaches and match officials are important stakeholders in facilitating early recognition, immediate management and appropriate return-to-play following SRC. This systematic review analyses the current evidence on SRC knowledge amongst sports coaches and match officials. The review was conducted in accordance to PRISMA guideline. A qualitative analysis of knowledge on identification, management, prevention and consequences of SRC as well as return-to-play principles was performed. The Appraisal Tool for Cross-sectional Studies was employed to assess the quality and reliability of each study. Searches were conducted on PubMed, Medline Ovid, Web of Science, CINAHL, SPORTDiscus and Psycinfo. Studies included were primary studies in English published in peer-reviewed journals assessing the level of concussion knowledge or education level amongst coaches, officials or both, regardless of sports or competitive level. A total of 20880 studies were identified, from which 27 were included in this review. There were 26 cross-sectional studies and one randomized controlled trial; 20 assessed SRC knowledge amongst coaches, one considered only officials and six studies assessed both groups. Concussion knowledge amongst coaches and match officials was deemed moderate in most studies, although significant knowledge gaps were identified. There is considerable room for further education on SRC amongst coaches and officials, particularly with the less commonly recognized symptoms of SRC and misconceptions about SRC management and prevention. Beyond knowledge assessment, further investigation should explore the translation of concussion knowledge to on-field management of players with SRC.

Key words: Concussion, systematic review, sports coaches, match officials

           Key Points
  • In general, knowledge on sports-related concussion is moderate amongst coaches and officials, though important knowledge gaps were identified.
  • Most coaches and officials express interest in further concussion education, demonstrating room for improvement in current educational programmes
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