J Athl Train. 2020 Nov 05.
CONTEXT: There has been substantial growth over the past decade in sport-related concussion (SRC) research, yet no research to date has synthesized developments over this critical time period.OBJECTIVE: to apply a network analysis approach to evaluate trends in the sport-related concussion (SRC) literature using a comprehensive search of original, peer-reviewed research articles involving human participants published between January 1, 2010 and December 31, 2019.
DESIGN: Narrative review.
MAIN OUTCOME MEASURES: Bibliometric maps were derived from a comprehensive search of all published, peer-reviewed SRC articles on the Web of Science database. A clustering algorithm was used to evaluate associations among journals, organizations/institutions, authors, and keywords. The online search yielded 6,130 articles, 528 journals, 7,598 authors, 1,966 organizations, and 3,293 keywords.
RESULTS: The analysis supported five thematic clusters of journals: 1. Biomechanics/Sports medicine (n=15), 2. Pediatrics/Rehabilitation (n=15), 3. Neurotrauma/Neurology/Neurosurgery (n=11), 4. General Sports Medicine (n=11), 5. Neuropsychology (n=7). The analysis identified four organizational clusters with hub institutions: 1. University of North Carolina (n=19), 2. University of Toronto (n=19), 3. University of Michigan (n=11), 4. University of Pittsburgh (n=10). Network analysis revealed 8 clusters for SRC keywords, each with a central topic area: 1. Epidemiology (n=14), 2. Rehabilitation (n=12), 3. Biomechanics (n=11), 4. Imaging (n=10), 5. Assessment (n=9), 6. Mental health/Chronic Traumatic Encephalopathy (n=9), 7. Neurocognition (n=8), 8. Symptoms/impairments (n=5).
CONCLUSIONS: The findings suggest that during the past decade SRC research has: 1) been published primarily in sports medicine, pediatric, and neuro-focused journals, 2) involved a select group of researchers from several key institutions, and 3) focused on new topic areas including treatment/rehabilitation and mental health.
Keywords: concussion; mild traumatic brain injury; network analysis; rehabilitation