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From the Guest Editor
This CNI REVIEW issue is dedicated to sport-related neurological conditions. Dr. Brian Wieder discusses cervical spine injuries. He covers the biomechanics of the cervical spine, identifies individual risk factors for injury, and outlines strategies for acute management and return to play decisions. Dr. Alan Weintraub addresses sport related concussion. He presents the neurobiology of sport related concussion and discusses acute management and return to play guidelines. Dr. Marc Treihaft overviews the evaluation and treatment of peripheral nervous system injuries in baseball, football, running, and cycling. Dr. Judy Lane covers the pathophysiology, evaluation, differential diagnosis, and treatment of sport related headache. Dr. A. Stewart Levy presents arguments for the use of helmets in sports and describes his own research about the prevention of sport related head injury with helmets. Finally, Dr. Elizabeth Kozora and Dr. Don Gerber review neuropsychological studies of the acute and chronic effects of sport related concussions and the use of neuropsychological screening in organized sports. We hope this issue provides you with better understanding of the prevention, evaluation, and treatment of sport-related neurological conditions. Don Gerber, 1 Pargman D. Understanding Sport Behavior. Prentice Hall. New Jersey; 1998.
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It is estimated that 3 to 5 million recreational and
competitive sports injuries occur each year and that 8 of 10 athletes will be
injured at some time during their careers.1 Many sport injuries are minor
and the athlete is able to fully resume play, however, some are severe and end
the athlete’s career. Sport injuries to the nervous system cover the full
range of severity from transient symptoms to permanent disability. They are the
most confusing of all injuries to athletes. The athlete’s experience with
prior injuries offers little help with understanding neurological conditions.
Traditional treatment approaches are often ineffective with such injuries, and
they may exacerbate the problem. If the athlete’s initial attempts to overcome
the condition are unsuccessful, secondary psychological complications frequently
compound the problem and prolong the recovery process. Prompt evaluation and
treatment is essential to protect the athletes health, prevent complications and
enable return to play. Athletes with neurological conditions also require
guidance about the risks of playing. 
