Title: Prolonged recovery from concussion<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
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        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{7c258421-28b5-42a4-8a62-4defac8a2b54}{195}" paraid="792945812" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(35, 35, 35); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Prolonged post-concussion symptoms are loosely defined as those lasting more than three or four weeks versus typical recovery, typically between 10-</span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">14 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(35, 35, 35);"> </span></p>
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                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(35, 35, 35); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Athletes who take longer than </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">"typical”</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> to recover have a challenging road of uncertainty. Medical providers are </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">ask</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">ed</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> to make </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">informed decisions</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> about “normal” and expected return based on limited information.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(35, 35, 35);"> </span></p>
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                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(35, 35, 35); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Evaluating both athlete and parental expectations is challenging, especially when navigating </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">difficult</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> conversations about medical disqualification and permanently </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">discontinuing</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> their sport.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(35, 35, 35);"> </span></p>
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                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(35, 35, 35); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">A</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> 20</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">16 study of </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">approximately</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> 50 patients</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> with </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">sports-associated </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">concussion </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">who had</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> persistent symptoms </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">lasting greater than </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">one-month</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> found that a </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">collaborative</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> multidisciplinary </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">treatment </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">approach </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">was associated with significant reduction in post concussive symptoms at six months versus usual treatment.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(35, 35, 35);"> </span></p>
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                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(35, 35, 35); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">A recent </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">2023 </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">study in Neurology </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">provides</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">additional</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> good news for athletes who are slow to recover from sports associated concussion</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">.</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Approximately 1750 concussed collegiate athletes </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">(diagnosed by team physician) </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">were enrolled. </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">In this study, slow recovery was defined as taking more than </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPHN2ZyB3aWR0aD0iMTBweCIgaGVpZ2h0PSIycHgiIHZpZXdCb3g9IjAgMCAxMCAyIiB2ZXJzaW9uPSIxLjEiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyIgeG1sbnM6eGxpbms9Imh0dHA6Ly93d3cudzMub3JnLzE5OTkveGxpbmsiPgogICAgPCEtLSBHZW5lcmF0b3I6IFNrZXRjaCA1Ny4xICg4MzA4OCkgLSBodHRwczovL3NrZXRjaC5jb20gLS0+CiAgICA8dGl0bGU+aW5zaWdodF90ZXh0dXJlPC90aXRsZT4KICAgIDxkZXNjPkNyZWF0ZWQgd2l0aCBTa2V0Y2guPC9kZXNjPgogICAgPGcgaWQ9Imluc2lnaHRfdGV4dHVyZSIgc3Ryb2tlPSJub25lIiBzdHJva2Utd2lkdGg9IjEiIGZpbGw9Im5vbmUiIGZpbGwtcnVsZT0iZXZlbm9kZCI+CiAgICAgICAgPGcgaWQ9Ikdyb3VwLTItQ29weSI+CiAgICAgICAgICAgIDxyZWN0IGlkPSJSZWN0YW5nbGUiIHg9IjAiIHk9IjAiIHdpZHRoPSIxMCIgaGVpZ2h0PSIyIj48L3JlY3Q+CiAgICAgICAgICAgIDxwYXRoIGQ9Ik0xLDEgTDUsMSIgaWQ9IkxpbmUtNCIgc3Ryb2tlPSIjNzE2MEU4IiBzdHJva2Utd2lkdGg9IjIiIHN0cm9rZS1saW5lY2FwPSJyb3VuZCI+PC9wYXRoPgogICAgICAgIDwvZz4KICAgIDwvZz4KPC9zdmc+")); border-bottom: 1px solid transparent;">14 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> for symptoms to resolve OR taking more than </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">24 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> to return to sport.</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> </span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(35, 35, 35);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{48224ca1-f036-4935-b612-e58005b9a992}{23}" paraid="1877928507" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(51, 51, 51); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Approximately 400 athletes met </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">the criteria</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> for slow recovery</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> (23%)</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">. </span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(51, 51, 51);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{e2128466-c41a-4a4a-9258-31ad7a66fdb9}{128}" paraid="1085799637" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Male athletes </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">participated</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> primarily in football, </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">soccer,</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> and basketball. </span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{48224ca1-f036-4935-b612-e58005b9a992}{210}" paraid="1936753913" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Female athletes </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">participated</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> primarily in soccer, </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">basketball,</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> and volleyball.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{5a71162d-48d3-4b20-925b-48163d0b875a}{232}" paraid="1446580747" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Of the athletes who took longer than </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">24 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> to return to play</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">:</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{a3afc807-9134-43c1-8280-d7983afb39f1}{234}" paraid="1274949793" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(51, 51, 51); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US">77.6%</span><span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> were able to return to play within </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">60 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> of injury,</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{985e5ce6-2c55-40f0-b18f-4eb29f4b852b}{220}" paraid="1075294972" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">83.4% returned to play within 90 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">, and</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{4cd29e60-4a83-4b87-bbaa-47b7bc987aec}{25}" paraid="988695442" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">10.6% did not return to play </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlContextualSpellingAndGrammarErrorV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">at</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> 6 months.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{ccf516a2-58fd-407c-90fa-6535fdee3046}{122}" paraid="1740063844" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
</div>
<div class="OutlineElement Ltr SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: Arial, Arial_MSFontService, sans-serif; font-size: 20px;">
        <p class="Paragraph SCXW99621118 BCX0" lang="EN-US" paraeid="{ccf516a2-58fd-407c-90fa-6535fdee3046}{133}" paraid="685122580" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space: pre-wrap; vertical-align: baseline; font-kerning: none; background-color: transparent; color: rgb(89, 89, 89);" xml:lang="EN-US">
                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(32, 37, 41); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Slow to recover athletes averaged </span><span class="NormalTextRun AdvancedProofingIssueV2Themed SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlAdvancedProofingIssueV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">35 days</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> after injury for return to play.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(32, 37, 41);"> </span></p>
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                <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; color: rgb(51, 51, 51); font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">This study </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">provides</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> valuable information for medical providers: T</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">h</span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">ere is an overall favorable prognosis for slow to recover concussed athletes </span><span class="NormalTextRun SCXW99621118 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">for return to school and sport.</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":120,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 14pt; line-height: 22.6625px; font-family: "Times New Roman", "Times New Roman_EmbeddedFont", "Times New Roman_MSFontService", serif; color: rgb(51, 51, 51);"> </span></p>
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         </p>
<fieldset><legend>References</legend>

                <p>
        <span class="TextRun SCXW99621118 BCX0" data-contrast="none" lang="EN-US" style="font-variant-numeric: normal; font-variant-east-asian: normal; white-space: pre-wrap; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(33, 33, 33); font-size: 12pt; line-height: 20.5042px; font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">McAllister TW,et al</span><span class="NormalTextRun SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">; Concussion Assessment, Research and Education (CARE) Consortium. Characteristics and Outcomes of Athletes </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlContextualSpellingAndGrammarErrorV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">With</span><span class="NormalTextRun SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> Slow Recovery </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlContextualSpellingAndGrammarErrorV2, url("data:image/svg+xml;base64,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")); border-bottom: 1px solid transparent;">From</span><span class="NormalTextRun SCXW99621118 BCX0" data-ccp-parastyle="List Bullet" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> Sport-Related Concussion: A CARE Consortium Study. Neurology. 2023 Jan 18:10.1212</span></span><span class="EOP SCXW99621118 BCX0" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":120,"335559740":259,"469777462":[360],"469777927":[0],"469777928":[8]}" style="white-space: pre-wrap; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif; color: rgb(33, 33, 33);"> </span></p>
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