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Sport and exercise medicine as a vehicle for advocacy? The Canadian perspective
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  1. Jane S Thornton1,2,
  2. Margaret Burghardt3,4
  1. 1 Public Health and Family Medicine, University of Western Ontario Schulich School of Medicine and Dentistry, London, Ontario, Canada
  2. 2 Family Medicine, Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada
  3. 3 Rebound Physiotherapy and Sport Medicine, Barrie, Ontario, Canada
  4. 4 Family Medicine, Michael G. DeGroote School of Medicine, McMaster University Health Sciences, Hamilton, Ontario, Canada
  1. Correspondence to Dr Jane S Thornton, Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada N6A 3K7; jane.s.thornton{at}gmail.com

https://doi.org/10.1136/bjsports-2019-100596

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    As sport and exercise medicine practitioners we have a unique opportunity to advocate for our athletes, our patients and our society. In this Canadian Academy of Sport and Exercise Medicine (CASEM)-led issue, we highlight several articles that serve as calls to action.

    Concussion—characteristics and consequences

    What are the long-term effects of concussion? What are risk factors for a poor outcome from concussion? From Newcastle under Lyme’s Keele University, psychology Professor Andrew Rutherford and colleagues explore the contentious debate over heading in football and risk of dementia in later life. Any rule changes made as a result of these concerns, they argue, would be based on opinion, not evidence; and reinforce the call for appropriately designed studies ( see page 321 ). In a submission for BJSM’s novel initiative, the PhD Academy Award, University of Michigan’s Dr Kathryn O’Connor elaborates on factors that increase concussion risk and prolong recovery, and the role of mental health, from studying 800 concussions in 10 604 military cadets ( see page 368 ). The take home message? Female cadets and cadets with greater somatic symptoms at baseline are at higher risk of concussion and may need specific interventions or monitoring; injury and environmental factors are what dictate prolonged recovery.

    To make real progress in managing …

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