Alvia M et al (2022) MicroRNA alterations in chronic traumatic encephalopathy and amyotrophic lateral sclerosis. Front Neurosci 16:1–13. https://doi.org/10.3389/fnins.2022.855096
Asken B, Rabinovici G (2021) Identifying degenerative effects of repetitive head trauma with neuroimaging: a clinically-oriented review. Acta Neuropathol Commun. https://doi.org/10.1186/s40478-021-01197-4
Asken B et al (2016) Factors influencing clinical correlates of chronic traumatic encephalopathy (CTE): a review. Neuropsychol Rev 26(4):340–363. https://doi.org/10.1007/s11065-016-9327-z
Aubry M et al (2002) Summary and agreement statement of the first international conference on concussion in sport, Vienna 2001. Br J Sports Med 36(1):6–10. https://doi.org/10.1136/bjsm.36.1.6
Bailey J (2022) How a plagiarism scandal could change the world of sports concussions. Plagiarism Today. London, 24 March 2022. https://www.plagiarismtoday.com/2022/03/24/how-a-plagiarism-scandal-could-change-the-world-of-sports-concussions/. Accessed 18 May 2022
Benson B et al (2009) Is protective equipment useful in preventing concussion? A systematic review of the literature. Br J Sports Med 43(1):56–67. https://doi.org/10.1136/bjsm.2009.058271
Bieniek K et al (2021) The second NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy. J Neuropathol Exp Neurol 80(3):210–219. https://doi.org/10.1093/jnen/nlab001
Bonfield C et al (2015) Helmets, head injury and concussion in sport. Phys Sportsmed 43:236–246. https://doi.org/10.1080/00913847.2015.1039922
Bradford Hill A (1965) The environment and disease: association or causation? Proc R Soc Med 58(5):295–300
Brand K, Finkel A (2020) A decision-analytic approach to addressing the evidence about football and chronic traumatic encephalopathy. Semin Neurol 40(4):450–460. https://doi.org/10.1055/s-0039-1688484
Bunworth R (2016) Egg-shell skulls or institutional negligence? The liability of World Rugby for incidents of concussion suffered by professional players in England and Ireland. Int Sports Law J 16:82–98. https://doi.org/10.1007/s40318-016-0095-y
Casper ST, Finkel AM (2022) Did a misquotation warp the concussion narrative? Br J Sports Med 56:1334–1336. https://doi.org/10.1136/bjsports-2022-105689
Casper ST et al (2021) Toward complete, candid, and unbiased international consensus statements on concussion in sport. J Law Med Ethics 49(3):327–377. https://doi.org/10.1017/jme.2021.56
Cisneros B (2020) Challenging the call: should sports governing bodies be subject to judicial review? Int Sports Law J 20:18–35. https://doi.org/10.1007/s40318-020-00165-9
Cisneros (2021) Concussion litigation in rugby—part 1: duty of care. February 2021. https://rugbyandthelaw.com/2021/02/09/concussion-litigation-rugby-union-part-i-duty-of-care-negligence-world-rugby-rfu-wru/. Accessed 18 Aug 2023
Coles B (2022) Rugby told to “change or die” amid fears about concussion crisis suicides. The Telegraph, London, 25 July 2022. https://www.telegraph.co.uk/rugby-union/2022/07/25/ryan-jones-joins-legal-action-against-governing-bodies-dementia/. Accessed 25 July 2022
Concussion in Sport Group Statement (2023) Headway the brain injury association 19 July 2023. https://www.headway.org.uk/news-and-campaigns/news/2023/concussion-in-sport-group-statement/. Accessed 12 Dec 2023
Cooper S (2018) NCAA settles with wife of deceased Texas player in CTE Lawsuit. June 2018. https://sports.yahoo.com/ncaa-settles-wife-deceased-texas-player-cte-lawsuit-170435518.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAAL2F6zHP_zqs51CkcP5BRoGKAuhjn3Rwbzql0wgCbdxHX0cwDB0GCJwoYttmczif5xWkrDrZon6_Q3X5T65rXxNZ4s-3DwtvCVb-c8anH2K0bzT9B8QGKdBk6yevqZEAC-7YTz-MI6h6Mc6Pc4gwa9YP5UUaiq2gVsKAjXd7ZiAu. Accessed 21 Jul 2022
Cuthbert S, Rawlinson M (2022) CTE and causation: the key medico-legal issues in Rugby Union’s Concussion Litigation. LawInSport, 9 July 2021. https://www.lawinsport.com/topics/item/cte-and-causation-the-key-medico-legal-issues-in-rugby-union-s-concussion-litigation. Accessed 1 Jun 2022
Daneshvar DH et al (2011) Long-term consequences: effects on normal development profile after concussion. Phys Med Rehabil Clin N Am 22(4):683–700ix. https://doi.org/10.1016/j.pmr.2011.08.009
de Marco N (ed) (2022) Football and the law, 2nd edn. Bloomsbury Professional, London
Dean R, Noggle C (eds) (2014) The neuropsychology of cortical dementias, 1st edn. Springer, New York
Department for Culture (2023) Media and sport. A sustainable future: reforming football club governance. https://www.gov.uk/government/publications/a-sustainable-future-reforming-club-football-governance. Accessed 10 Dec 2023
Deubert C, Cohen G, Lynch HF (2016) Protecting and promoting the health of NFL players: legal and ethical analysis and recommendations. Harvard Law School. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2872163
Digital, Culture, Media and Sport Committee (2022) Concussion in sport: third report of session (HC 2021-2022, 46). https://committees.parliament.uk/work/977/concussion-in-sport/publications/. Accessed 5 Jul 2022
Dufour SC et al (2020) Prevalence and correlates of concussion in children: data from the adolescent brain cognitive development study. Cortex 131:237–250. https://doi.org/10.1016/j.cortex.2020.07.003
Eagle S et al (2021) Network analysis of sport-related concussion research during the past decade (2010–2019). J Athl Train 56(4):396–403. https://doi.org/10.4085/280-20
England Rugby (2015) Rugby safe. http://www.englandrugby.com/mm/Document/governance/gameSupport/01/31/44/99/Rugby_Safe_bookletFinAL_English.pdf. Accessed 6 Jun 2022
England Rugby (2021) English Professional Rugby Injury Surveillance Project 2020–21. https://keepyourbootson.co.uk/wp-content/uploads/2023/01/PRISP-2020-21.pdf. Accessed 26 Aug 2022
Finkel A, Bieniek K (2019) A quantitative risk assessment for chronic traumatic encephalopathy (CTE) in football: how public health science evaluates evidence. Hum Ecol Risk Assess 25(3):564–589. https://doi.org/10.1080/10807039.2018.1456899
Flao E et al (2021) Head impact research using inertial sensors in sport: a systematic review of methods, demographics, and factors contributing to exposure. Sports Med 52(3):481–504. https://doi.org/10.1007/s40279-021-01574-y
Freckelton I (2010) Plagiarism in law and medicine: challenges for scholarship, academia, publishers and regulators. J Law Med 17(5):645–659
Fuller C (2008) Catastrophic injury in Rugby Union: is the level of risk acceptable? Sports Med 38(12):975–986. https://doi.org/10.2165/00007256-200838120-00002
Gallo V et al (2022) Concussion and long-term cognitive function among rugby players—the BRAIN study. Alzheimers Dement 18(6):1164–1176. https://doi.org/10.1002/alz.12455
Gammons M (2013) Helmets in sport: fact and fallacy. Curr Sports Med Rep 12:377–380. https://doi.org/10.1249/JSR.0000000000000016
Gavett B, Stern R, McKee A (2011) Chronic traumatic encephalopathy: a potential late effect of sport-related concussive and subconcussive head trauma. Clin Sports Med 30(1):179–188. https://doi.org/10.1016/j.csm.2010.09.007
Gennarelli T et al (1982) Physiological response to angular acceleration of the head. Head INJ 129–140
Geraghty R (2022) Mathieu v Hinds. JPI Law 4:C219–C223
Goldberg D (2013) Mild traumatic brain injury, the national football league, and the manufacture of doubt: an ethical, legal, and historical analysis. J Legal Med 34:157–191. https://doi.org/10.1080/01947648.2013.800792
Goldschmidt H (2018) The NHL concussion litigation—a second class settlement? LawInSport. https://www.lawinsport.com/topics/item/the-nhl-concussion-litigation-a-second-class-settlement. Accessed 17 May 2021
Goswami R et al (2016) Frontotemporal correlates of impulsivity and machine learning in retired professional athletes with a history of multiple concussions. Brain Struct Funct 221(4):1911–1925. https://doi.org/10.1007/s00429-015-1012-0
Graham N, Sharp D (2019) Understanding neurodegeneration after traumatic brain injury: from mechanisms to clinical trials in dementia. J Neurol Neurosurg Psychiatry 90(11):1221–1233. https://doi.org/10.1136/jnnp-2017-317557
Guth T et al (2018) Influence of concussion history and genetics on event-related potentials in athletes: potential use in concussion management. Sports (basel) 6(1):5. https://doi.org/10.3390/sports6010005
Holbourn AHM (1943) Mechanics of head injuries. Lancet 242(6267):438–441
Houben R (2023) Sports governance (in football) under attack. Int Sports Law J 23:271–292. https://doi.org/10.1007/s40318-023-00253-6
Industrial Injuries Advisory Council. Sporting injuries: IIAC position paper 15 (Cmd 2005). https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/328593/iiac-pp15.pdf. Accessed 10 Jul 2022
Industrial Injuries Advisory Council. Neurodegenerative diseases in professional sportspersons: IIAC information note. https://www.gov.uk/government/publications/neurodegenerative-diseases-in-professional-sportspersons-iiac-information-note. Accessed 19 Sept 2023
Ingle S (2020) ‘Rugby players’ claim for brain injury has “less than 50/50 chance”, say experts. The Guardian, London. https://www.theguardian.com/sport/2020/dec/13/rugby-union-players-claim-for-brain-injury-dementia-world-rugby. Accessed 26 Apr 2022
James B (2022) The full list of accusations rugby players are making against the WRU and world rugby. The Guardian, London. https://www.walesonline.co.uk/sport/rugby/rugby-news/full-list-accusations-rugby-players-24579869. Accessed 25 Jul 2022
Jones B et al (2022) Ready for impact? A validity and feasibility study of instrumented mouthguards (iMGs). Br J Sports Med 56:1171–1179. https://doi.org/10.1136/bjsports-2022-105523
Khoury L (2005) Chester v Afshar: stepping further away from causation? Singap J Leg Stud 246–260
Kirby J (2015) Employers’ liability and concussive injury in professional rugby union: the application of health and safety legislation to concussive injury in professional rugby union in the UK and Ireland. ESLJ 13:2. https://doi.org/10.16997/eslj.2
Kitson R (2020) RFU says it can cover dementia payouts and rugby is safe for children to play. The Guardian, London. https://www.theguardian.com/sport/2020/dec/11/rfu-says-it-can-fund-dementia-payouts-from-insurance-if-necessary. Accessed 26 Apr 2022
Kitson R (2022) World Rugby to extend concussion stand-down period by five days. The Guardian. London. https://www.theguardian.com/sport/2022/jun/17/world-rugby-concussion-regulations-change. Accessed 26 June 2022
Kleiven S (2013) Why most traumatic brain injuries are not caused by linear acceleration but skull fractures are. Front Bioeng Biotechnol 1(15):1–5. https://doi.org/10.3389/fbioe.2013.00015
LawInSport (2016) World Rugby recognise and remove concussion education completed by record numbers. LawInSport. https://www.lawinsport.com/news/item/world-rugby-recognise-and-remove-concussion-education-completed-by-record-numbers. Accessed 10 July 2022
LeClair J et al (2022) Relationship between level of american football playing and diagnosis of chronic traumatic encephalopathy in a selection bias analysis. Am J Epidemiol 191(8):1429–1443. https://doi.org/10.1093/aje/kwac075
Lepage C et al (2019) Limbic system structure volumes and associated neurocognitive functioning in former NFL players. Brain Imaging Behav 13(3):725–734. https://doi.org/10.1007/s11682-018-9895-z
Lesman-Segev OH et al (2019) Tau PET and multimodal brain imaging in patients at risk for chronic traumatic encephalopathy. NeuroImage Clin. https://doi.org/10.1016/j.nicl.2019.102025
Lewis A, Taylor J (eds) (2021) Sport: law and practice, 4th edn. Bloomsbury Professional, Bloomsbury
Macdonald H et al (2022) Update on the investigation into the publication record of former BJSM editor-in-chief Paul McCrory. Br J Sports Med 56:1327–1328. https://doi.org/10.1136/bjsports-2022-106408
Malcom D (2021) The impact of the concussion crisis on safeguarding in sport. Front Sports Act Liv 3:1–4. https://doi.org/10.3389/fspor.2021.589341
Manley G et al (2017) A systematic review of potential long-term effects of sport-related concussion. Br J Sports Med 51:969–977. https://doi.org/10.1136/bjsports-2017-097791
Marshall S, Spencer R (2001) Concussion in Rugby: the hidden epidemic. J Athl Train 36(3):334–338
Martland H (1928) Punch drunk. JAMA 91:1108
McCrory P (2001) When to retire after concussion? Br J Sports Med 35:380–382. https://doi.org/10.1136/bjsm.35.6.380
McCrory P et al (2005) Summary and agreement statement of the 2nd international conference on concussion in sport, Prague 2004. Br J Sports Med 39:196–204. https://doi.org/10.1136/bjsm.2005.018614
McCrory P et al (2009) Consensus statement on concussion in sport: the 3rd international conference on concussion in sport held in Zurich, November 2008. J Athl Train 44(4):434–448
McCrory P et al (2013) Consensus statement on concussion in sport: the 4th international conference on concussion in sport held in Zurich, November 2012. Br J Sports Med 47:250–258. https://doi.org/10.4085/1062-6050-48.4.05
McCrory P et al (2017) Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 51(11):838–847. https://doi.org/10.1136/bjsports-2017-097699
McKee A et al (2009) Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. J Neuropathol Exp Neurol 68(7):709–735. https://doi.org/10.1097/NEN.0b013e3181a9d503
McKee A et al (2013) The spectrum of disease in chronic traumatic encephalopathy. Brain 136(1):43–64. https://doi.org/10.1093/brain/aws307
McKee A et al (2016) The first NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy. Acta Neuropathol 31(1):75–86. https://doi.org/10.1007/s00401-015-1515-z
McKee AC et al (2023) Neuropathologic and clinical findings in young contact sport athletes exposed to repetitive head impacts. JAMA Neurol 180(10):1037–1050. https://doi.org/10.1001/jamaneurol.2023.2907
McKeithan L et al (2019) Sport-related concussion: evaluation, treatment, and future directions. Med Sci (basel) 7(3):441–519
Meakin (2013) The evolving legal issues on rugby neuro-trauma? Sport Law J 21(3):34–42
Mez J et al (2017) Clinicopathological evaluation of chronic traumatic encephalopathy in players of American football. JAMA 318(4):360–370. https://doi.org/10.1001/jama.2017.8334
Nowinski C et al (2022) Applying the Bradford Hill criteria for causation to repetitive head impacts and chronic trauma encephalopathy. Front Neurol 13:938163. https://doi.org/10.3389/fneur.2022.938163
Omalu B et al (2005) Chronic traumatic encephalopathy in a national football league player. Neurosurgery 57(1):128–134. https://doi.org/10.1227/01.neu.0000163407.92769.ed
Opie H (2002) Negligence liability of rule making bodies in sport. ISLR 2:60–71
Osnato M, Giliberti V (1927) Postconcussion neurosis-traumatic encephalitis—a conception of postconcussion phenomena. Arch NeurPsych 18:181
Owens T et al (2021) Contact events in rugby union and the link to reduced cognition: evidence for impaired redox-regulation of cerebrovascular function. Exp Physiol 106(9):1971–1980. https://doi.org/10.1113/EP089330
Parker H (1937) Traumatic encephalopathy (punch drunk) of professional pugilists. J Neurol Psychopathol 15(57):20–28
UK Parliament (Hansard) (2014) Business of the house, vol 577. 13 March 2014. https://hansard.parliament.uk/commons/2014-03-13/debates/14031364000001/BusinessOfTheHouse. Accessed 30 Sept 2023
UK Parliament (Hansard) (2023) Football and dementia, vol 737. 14 September 2023. https://hansard.parliament.uk/commons/2023-09-14/debates/30291932-D17D-4F50-82F6-A6B94071F071/FootballAndDementia. Accessed 29 Sept 2023
Patricios JS et al (2023) Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022. Br J Sports Med 57:695–711. https://doi.org/10.1136/bjsports-2023-106898
Pierre K et al (2021) Chronic traumatic encephalopathy: update on current clinical diagnosis and management. Biomedicines 9(4):415. https://doi.org/10.3390/biomedicines9040415
Piggin J, Bairner A (2019) What counts as ‘the evidence’? a need for an urgent review of injury risk in school rugby. Br J Sports Med 53(1):10–11. https://doi.org/10.1136/bjsports-2017-098484
Progressive Rugby (2022) Crumbling credibility of Rugby Union’s Elite Concussion protocols hanging by a thread. https://www.progressiverugby.com/media/crumbling-credibility-of-rugby-union-concussion-protocols-hanging-by-a-thread. Accessed 20 May 2022
RFU Rules and Regulations (2019) https://www.englandrugby.com/dxdam/aa/aa6c359d-2ae0-42f8-873f-8e8c66488904/RFUHandbook2018-19_English.pdf. Accessed 24 May 2022
Rowson S et al (2016) Biomechanical perspectives on concussion in sport. Sports Med Arthrosc Rev 24(3):100–107. https://doi.org/10.1097/JSA.0000000000000121
Rugby League. New for 2024: significant changes to be introduced at all levels. https://www.rugby-league.com/new-for-2024. Accessed 9 Dec 2023
Satarasinghe P et al (2019) Unifying pathophysiological explanations for sports-related concussion and concussion protocol management: literature review. J Exp Neurosci 13:1–10. https://doi.org/10.1177/1179069518824125
Silverberg ND et al (2023) The American Congress of rehabilitation medicine diagnostic criteria for mild traumatic brain injury. Arch Phys Med Rehabil 104(8):1343–1355. https://doi.org/10.1016/j.apmr.2023.03.036
Slobounov SM et al (2017) The effect of repetitive subconcussive collisions on brain integrity in collegiate football players over a single football season: a multi-modal neuroimaging study. Neuroimage Clin 14:708–718. https://doi.org/10.1016/j.nicl.2017.03.006
Steinberg H, Rawlinson M, Beeton J (eds) (2022) Asbestos: law & litigation, 2nd edn. Sweet & Maxwell, London
Stewart W et al (2019) Primum non nocere: a call for balance when reporting on CTE. Lancet Neurol 18(3):231–233. https://doi.org/10.1016/S1474-4422(19)30020-1
Stokes K et al (2021) Does reducing the height of the tackle through law change in Elite Men’s Rugby Union (The Championship, England) reduce the incidence of concussion? A controlled study in 126 games. Br J Sports Med 55:220–225. https://doi.org/10.1136/bjsports-2019-101557
Strain J et al (2015) Imaging correlates of memory and concussion history in retired national football league athletes. JAMA Neurol 72(7):773–780. https://doi.org/10.1001/jamaneurol.2015.0206
The Guardian (2023) Landmark class action chases up to $1bn compensation for alleged long-term concussion damage to AFL players. London, 14 March 2023. https://www.theguardian.com/sport/2023/mar/14/landmark-class-action-chases-compensation-for-alleged-long-term-concussion-damage-to-afl-players. Accessed 11 Oct 2023
The Senate (Commonwealth of Australia). Community Affairs References Committee, Concussions and Repeated Head Trauma in Contact Sports. https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Headtraumainsport/Report/Chapter_3_-_Long-term_impacts_and_ensuring_the_integrity_of_research#_ftn7. Accessed 20 Oct 2023
Thorndike A (1952) Serious recurrent injuries of athletes. N Engl J Med Overseas Ed 247:554–556. https://doi.org/10.1056/NEJM195210092471504
Thorpe D (2022) Concussion, chronic traumatic encephalopathy and proof of causation by material contribution. ANZSLJ 15(1):63–95
Tierney G (2021) Concussion biomechanics, head acceleration exposure and brain injury criteria in sport: a review. Sports Biomech 23:1–29. https://doi.org/10.1080/14763141.2021.2016929
Tierney G et al (2021) Quantifying head acceleration exposure via instrumented mouthguards (iMG): a validity and feasibility study protocol to inform iMG suitability for the TaCKLE project. BMJ Open Sport Exerc Med. https://doi.org/10.1136/bmjsem-2021-001125
Tugcu I (2022) Head injuries in sport and the liability issues that surround them. JPI Law 2:73–77
Turner S (2023) The 6th consensus statement on concussion in sport: what’s new? LawInSport, 20 September 2023. https://www.lawinsport.com/topics/item/the-6th-consensus-statement-on-concussion-in-sport-whats-new?highlight=WyJjb25jdXNzaW9uIl0=#references. Accessed 10 Oct 2023
UK Government (2023) If in doubt sit them out: UK Concussion guidelines for non-elite (grassroots) Sport (April 2023) https://www.sportandrecreation.org.uk/policy/research-publications/concussion-guidelines. Accessed 1 Sept 2023
United Kingdom Anti-Doping Code (2021) https://www.ukad.org.uk/sites/default/files/2020-11/2021%20UK%20Anti-Doping%20Rules%20v1.0%20FINAL.pdf. Accessed 4 Aug 2022
van den Broek M, Sembi S (2022) Brain injury claims, 2nd edn. Sweet & Maxwell, London
Williams S et al (2022) Injuries in Elite Men’s Rugby Union: an updated (2012–2020) meta-analysis of 11,620 match and training injuries. Sports Med 52:1127–1140. https://doi.org/10.1007/s40279-021-01603-w
Wojtowicz M et al (2018) Cortical thickness and subcortical brain volumes in professional rugby league players. Neuroimage Clin 18:377–381. https://doi.org/10.1016/j.nicl.2018.01.005
World Rugby Laws of the Game (2023). https://resources.world.rugby/worldrugby/document/2023/01/20/9f77a933-29a2-4b04-80c0-892111d8a85f/WorldRugby_Laws_2023_en.pdf. Accessed 18 Aug 2023
World Rugby Response to Digital, Culture, Media and Sport Committee Inquiry into Concussion in Sport (2021). https://committees.parliament.uk/writtenevidence/25349/pdf/. Accessed 12 Aug 2023
World Rugby Regulations. https://www.world.rugby/organisation/governance/bye-laws/bye-law-15. Accessed 24 May 2022
World Rugby (2018) Global participation map. https://resources.world.rugby/worldrugby/document/2020/07/28/212ed9cf-cd61-4fa3-b9d4-9f0d5fb61116/P56-57-Participation-Map_v3.pdf. Accessed 24 Jul 2022
World Rugby. World Rugby integrates smart mouthguard technology to the head injury assessment as part of new phase of global player welfare measures. https://www.world.rugby/news/875212/world-rugby-integrates-smart-mouthguard-technology-to-the-head-injury-assessment-as-part-of-new-phase-of-global-player-welfare-measures. Accessed 10 Oct 2023
Wright DK et al (2021) Diffusion imaging reveals sex differences in the white matter following sports-related concussion. Cereb Cortex 31(10):4411–4419. https://doi.org/10.1093/cercor/bhab095
Zivadinov R et al (2018) Multimodal imaging of retired professional contact sport athletes does not provide evidence of structural and functional brain damage. J Head Trauma Rehabil 33(5):E24–E32. https://doi.org/10.1097/HTR.0000000000000422