James R Clugston

James R Clugston, MD, MS, FAMSSM, CAQSM

Sports Medicine Fellowship Director & Associate Professor

Department: MD-CHFM-STUDENT HEALTH CARE
Business Phone: (352) 294-7471
Business Email: jayclug@ufl.edu

About James R Clugston

James R. Clugston is an accomplished leader in academic research and medicine. Dr. Clugston graduated from medical school at the University of Florida, completed his residency in family medicine at Tallahassee Memorial Healthcare, and completed a fellowship in sports medicine at the Notre Dame Sports Medicine Fellowship in South Bend, Indiana.

Dr. Clugston currently serves as a clinical associate professor in the Department of Community Health and Family Medicine, as a physician at the Student Health Care Center, as a team physician for the University of Florida Athletic Association, as the director of Sports Medicine and Acute Care at Student Health, and as the program director of the UF Sports Medicine Fellowship – a fellowship which he founded in 2007. In January of 2017, he was awarded a joint appointment as clinical associate professor in the Department of Neurology.

In addition to his clinical work, Dr. Clugston is also heavily involved in various sports- and concussion-related research projects. He is currently working on multiple projects as principal investigator. Dr. Clugston serves as a peer reviewer for several prominent sports medicine journals and he himself has numerous peer-reviewed publications. He serves on the NCAA Concussion Safety Advisory Group, the NCAA COVID-19 Medical Advisory Group, the SEC Return to Activity and Medical Guidance Task Force, the Autonomy 5 Medical Advisory Group and is a nationally recognized speaker and presenter in the field of sports medicine.

Accomplishments

Michael L. Slive Distinguished Service Award
2021 · Southeastern Conference
Fellow
2020 · American Medical Society for Sports Medicine
SEC Team Physician of the Year
2018 · SEC Athletic Trainers and the Southern Orthopedic Society
Faculty Superior Accomplishment Award
2010 · University of Florida
University Superior Accomplishment Award
2010 · University of Florida
Resident Teacher Award
2000 · Society of Teachers of Family Medicine

Board Certifications

  • Family Medicine
    American Board of Family Medicine
  • Sports Medicine
    American Board of Family Medicine

Clinical Profile

Specialties
  • Family Medicine
Areas of Interest
  • Concussion
  • Heat emergencies
  • Muscle aches
  • Muscle strain treatment
  • Nutrition and athletic performance
  • Preventive health care
  • Sprains
  • Tendinitis

Research Profile

Principal Investigator:  A prospective study of biomarkers associated with sports induced concussions in college student athletes

Consortium Investigator: NCAA-DoD Concussion Assessment, Research and Education (CARE) Consortium

Principal Investigator: University of Florida Athletic Association Concussion Databank

Principal Investigator: University of Florida Student Health Care Center Concussion Databank

Open Researcher and Contributor ID (ORCID)

0000-0002-2103-1039

Areas of Interest
  • Sports Concussion

Publications

2021
Atrial Fibrillation Induced From Commotio Cordis.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 31(4):e213-e215 [DOI] 10.1097/JSM.0000000000000787. [PMID] 31860544.
2021
COVID-19 prevalence and presenting symptoms in a college student population: A retrospective chart review.
Journal of American college health : J of ACH. 1-5 [DOI] 10.1080/07448481.2021.1926270. [PMID] 34133912.
2021
Discriminative Validity of Vestibular Ocular Motor Screening in Identifying Concussion Among Collegiate Athletes: A National Collegiate Athletic Association-Department of Defense Concussion Assessment, Research, and Education Consortium Study.
The American journal of sports medicine. 49(8):2211-2217 [DOI] 10.1177/03635465211012359. [PMID] 33979240.
2021
Factors Associated with Symptom Reporting in U.S. Service Academy Cadets and NCAA Student Athletes without Concussion: Findings from the CARE Consortium.
Sports medicine (Auckland, N.Z.). 51(5):1087-1105 [DOI] 10.1007/s40279-020-01415-4. [PMID] 33428120.
2021
Football Injuries – A Clinical Guide to Inseason Management
Book – Springer. 1-443
2021
Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation.
Journal of sport and health science. 10(2):154-161 [DOI] 10.1016/j.jshs.2020.11.005. [PMID] 33188963.
2021
Predictive Accuracy of the Sport Concussion Assessment Tool 3 and Vestibular/Ocular-Motor Screening, Individually and In Combination: A National Collegiate Athletic Association-Department of Defense Concussion Assessment, Research and Education Consortium Analysis.
The American journal of sports medicine. 49(4):1040-1048 [DOI] 10.1177/0363546520988098. [PMID] 33600216.
2021
Preparticipation Cardiac Evaluation Findings in a Cohort of Collegiate Female Athletes.
The American journal of cardiology. 140:134-139 [DOI] 10.1016/j.amjcard.2020.10.055. [PMID] 33144161.
2021
The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial.
Journal of the International Neuropsychological Society : JINS. 27(8):790-804 [DOI] 10.1017/S1355617721000886. [PMID] 34548116.
2020
A Normative Reference vs. Baseline Testing Compromise for ImPACT: The CARE Consortium Multiple Variable Prediction (CARE-MVP) Norms.
Sports medicine (Auckland, N.Z.). 50(8):1533-1547 [DOI] 10.1007/s40279-020-01263-2. [PMID] 32034702.
2020
Academic aptitude mediates the relationship between socioeconomic status and race in predicting ImPACT scores in college athletes.
The Clinical neuropsychologist. 34(3):561-579 [DOI] 10.1080/13854046.2019.1666923. [PMID] 31549576.
2020
Acute Effects of Sport-Related Concussion on Serum Glial Fibrillary Acidic Protein, Ubiquitin C-Terminal Hydrolase L1, Total Tau, and Neurofilament Light Measured by a Multiplex Assay.
Journal of neurotrauma. 37(13):1537-1545 [DOI] 10.1089/neu.2019.6831. [PMID] 32024456.
2020
Acute Sports-Related Head Injuries.
Primary care. 47(1):177-188 [DOI] 10.1016/j.pop.2019.10.010. [PMID] 32014133.
2020
Association of acute vestibular/ocular motor screening scores to prolonged recovery in collegiate athletes following sport-related concussion.
Brain injury. 34(6):840-845 [DOI] 10.1080/02699052.2020.1755055. [PMID] 32315218.
2020
Collection of SARS-CoV-2 Virus from the Air of a Clinic Within a University Student Health Care Center and Analyses of the Viral Genomic Sequence.
Aerosol and air quality research. 20(6):1167-1171 [DOI] 10.4209/aaqr.2020.02.0202. [PMID] 33424954.
2020
Concussion Guidelines Step 2: Evidence for Subtype Classification.
Neurosurgery. 86(1):2-13 [DOI] 10.1093/neuros/nyz332. [PMID] 31432081.
2020
Correction to: A Normative Reference vs. Baseline Testing Compromise for ImPACT: The CARE Consortium Multiple Variable Prediction (CARE-MVP) Norms.
Sports medicine (Auckland, N.Z.). 50(8):1549-1549 [DOI] 10.1007/s40279-020-01277-w. [PMID] 32125667.
2020
Effect of Diagnosed Sleep Disorders on Baseline Concussion Symptom, Cognitive, and Balance Assessments in Collegiate Athletes.
The American journal of sports medicine. 48(4):991-999 [DOI] 10.1177/0363546520902701. [PMID] 32049571.
2020
Estimated age of first exposure to American football and outcome from concussion
Neurology. 95(21):e2935-e2944 [DOI] 10.1212/wnl.0000000000010672.
2020
Estimated age of first exposure to American football and outcome from concussion.
Neurology. 95(21):e2935-e2944 [DOI] 10.1212/WNL.0000000000010672. [PMID] 32907967.
2020
Estimated Age of First Exposure to Contact Sports and Neurocognitive, Psychological, and Physical Outcomes in Healthy NCAA Collegiate Athletes: A Cohort Study.
Sports medicine (Auckland, N.Z.). 50(7):1377-1392 [DOI] 10.1007/s40279-020-01261-4. [PMID] 32002824.
2020
Head Impact Exposure in College Football after a Reduction in Preseason Practices.
Medicine and science in sports and exercise. 52(7):1629-1638 [DOI] 10.1249/MSS.0000000000002283. [PMID] 32541378.
2020
Intracranial Hypotension in the Setting of Post-Concussion Headache: A Case Series.
Cureus. 12(9) [DOI] 10.7759/cureus.10526. [PMID] 33094067.
2020
King-Devick Test Time Varies by Testing Modality.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 30(5):e139-e142 [DOI] 10.1097/JSM.0000000000000691. [PMID] 30358616.
2020
Medical Disqualification Following Concussion in Collegiate Student-Athletes: Findings from the CARE Consortium.
Sports medicine (Auckland, N.Z.). 50(10):1843-1855 [DOI] 10.1007/s40279-020-01302-y. [PMID] 32557231.
2020
Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999-2001) and CARE Consortium (2014-2017).
British journal of sports medicine. 54(2):102-109 [DOI] 10.1136/bjsports-2019-100579. [PMID] 31036562.
2020
SCAT5 vs. SCAT3 Symptom Reporting Differences and Convergent Validity in Collegiate Athletes.
Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists. 35(3):291-301 [DOI] 10.1093/arclin/acz007. [PMID] 30796799.
2020
Word-reading ability as a “hold test” in cognitively normal young adults with history of concussion and repetitive head impact exposure: A CARE Consortium Study.
The Clinical neuropsychologist. 34(5):919-936 [DOI] 10.1080/13854046.2019.1680735. [PMID] 31698991.
2019
A Data-Driven Approach to Unlikely, Possible, Probable, and Definite Acute Concussion Assessment.
Journal of neurotrauma. 36(10):1571-1583 [DOI] 10.1089/neu.2018.6098. [PMID] 30484375.
2019
Acute Sport Concussion Assessment Optimization: A Prospective Assessment from the CARE Consortium.
Sports medicine (Auckland, N.Z.). 49(12):1977-1987 [DOI] 10.1007/s40279-019-01155-0. [PMID] 31347086.
2019
American Medical Society for Sports Medicine Position Statement on Concussion in Sport.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 29(2):87-100 [DOI] 10.1097/JSM.0000000000000720. [PMID] 30730386.
2019
American Medical Society for Sports Medicine position statement on concussion in sport.
British journal of sports medicine. 53(4):213-225 [DOI] 10.1136/bjsports-2018-100338. [PMID] 30705232.
2019
Comparison of Head Impact Exposure Between Concussed Football Athletes and Matched Controls: Evidence for a Possible Second Mechanism of Sport-Related Concussion.
Annals of biomedical engineering. 47(10):2057-2072 [DOI] 10.1007/s10439-018-02136-6. [PMID] 30362082.
2019
Drill-Specific Head Impacts in Collegiate Football Practice: Implications for Reducing “Friendly Fire” Exposure.
Annals of biomedical engineering. 47(10):2094-2108 [DOI] 10.1007/s10439-018-2088-5. [PMID] 29987539.
2019
Echocardiographic measurements of aortic root diameter (ARD) in collegiate football Athletes at pre-participation evaluation.
BMJ open sport & exercise medicine. 5(1) [DOI] 10.1136/bmjsem-2019-000546. [PMID] 31258930.
2019
Echocardiographic measurements of left ventricular end-diastolic diameter and interventricular septal diameter in collegiate football athletes at preparticipation evaluation referenced to body surface area.
BMJ Open Sport & Exercise Medicine. 5(1) [DOI] 10.1136/bmjsem-2018-000488. [PMID] 31205743.
2019
Estimated Age of First Exposure to American Football and Neurocognitive Performance Amongst NCAA Male Student-Athletes: A Cohort Study.
Sports medicine (Auckland, N.Z.). 49(3):477-487 [DOI] 10.1007/s40279-019-01069-x. [PMID] 30747378.
2019
Exploratory study of sport-related concussion effects on peripheral micro-RNA expression.
Brain injury. 33(4):1-7 [DOI] 10.1080/02699052.2019.1573379. [PMID] 30704304.
2019
Health-Related Quality of Life Following Concussion in Collegiate Student-Athletes With and Without Concussion History.
Annals of biomedical engineering. 47(10):2136-2146 [DOI] 10.1007/s10439-018-02151-7. [PMID] 30302664.
2019
Impact of Factors that Affect Reading Skill Level on King-Devick Baseline Performance Time.
Annals of biomedical engineering. 47(10):2122-2127 [DOI] 10.1007/s10439-018-02150-8. [PMID] 30341738.
2019
King-Devick Test Reliability in National Collegiate Athletic Association Athletes: A National Collegiate Athletic Association-Department of Defense Concussion Assessment, Research and Education Report.
Journal of athletic training. 54(12):1241-1246 [DOI] 10.4085/1062-6050-219-18. [PMID] 31618072.
2019
Multivariate Base Rates of Low Scores and Reliable Decline on ImPACT in Healthy Collegiate Athletes Using CARE Consortium Norms.
Journal of the International Neuropsychological Society : JINS. 25(9):961-971 [DOI] 10.1017/S1355617719000729. [PMID] 31272517.
2019
Predictors of post-concussion symptom severity in a university-based concussion clinic.
Brain injury. 33(4):480-489 [DOI] 10.1080/02699052.2019.1565897.
2019
Relationship Between the King-Devick Test and Commonly Used Concussion Tests at Baseline.
Journal of athletic training. 54(12):1247-1253 [DOI] 10.4085/1062-6050-455-18. [PMID] 31584854.
2019
Repetitive Head Impact Exposure in College Football Following an NCAA Rule Change to Eliminate Two-A-Day Preseason Practices: A Study from the NCAA-DoD CARE Consortium.
Annals of biomedical engineering. 47(10):2073-2085 [DOI] 10.1007/s10439-019-02335-9. [PMID] 31388849.
2019
Representation of concussion subtypes in common postconcussion symptom-rating scales.
Concussion (London, England). 4(3) [DOI] 10.2217/cnc-2019-0005. [PMID] 31827883.
2018
Age at First Concussion Influences the Number of Subsequent Concussions.
Pediatric neurology. 81:19-24 [DOI] 10.1016/j.pediatrneurol.2017.12.017. [PMID] 29523494.
2018
Concussion BASICS II: Baseline serum biomarkers, head impact exposure, and clinical measures.
Neurology. 91(23):e2123-e2132 [DOI] 10.1212/WNL.0000000000006616. [PMID] 30404782.
2018
Concussion BASICS III: Serum biomarker changes following sport-related concussion.
Neurology. 91(23):e2133-e2143 [DOI] 10.1212/WNL.0000000000006617. [PMID] 30404786.
2018
Concussion Biomarkers Assessed in Collegiate Student-Athletes (BASICS) I: Normative study.
Neurology. 91(23):e2109-e2122 [DOI] 10.1212/WNL.0000000000006613. [PMID] 30404785.
2018
Diffusion tensor imaging (DTI) findings in adult civilian, military, and sport-related mild traumatic brain injury (mTBI): a systematic critical review.
Brain imaging and behavior. 12(2):585-612 [DOI] 10.1007/s11682-017-9708-9. [PMID] 28337734.
2018
Immediate Removal From Activity After Sport-Related Concussion Is Associated With Shorter Clinical Recovery and Less Severe Symptoms in Collegiate Student-Athletes.
The American journal of sports medicine. 46(6):1465-1474 [DOI] 10.1177/0363546518757984. [PMID] 29558195.
2018
Influences of Mental Illness, Current Psychological State, and Concussion History on Baseline Concussion Assessment Performance.
The American journal of sports medicine. 46(7):1742-1751 [DOI] 10.1177/0363546518765145. [PMID] 29672135.
2018
Quantifying the Value of Multidimensional Assessment Models for Acute Concussion: An Analysis of Data from the NCAA-DoD Care Consortium.
Sports medicine (Auckland, N.Z.). 48(7):1739-1749 [DOI] 10.1007/s40279-018-0880-x. [PMID] 29488165.
2018
Socioeconomic Status and Race Outperform Concussion History and Sport Participation in Predicting Collegiate Athlete Baseline Neurocognitive Scores.
Journal of the International Neuropsychological Society : JINS. 24(1):1-10 [DOI] 10.1017/S1355617717000716. [PMID] 28791942.
2018
Test-Retest Reliability and Interpretation of Common Concussion Assessment Tools: Findings from the NCAA-DoD CARE Consortium.
Sports medicine (Auckland, N.Z.). 48(5):1255-1268 [DOI] 10.1007/s40279-017-0813-0. [PMID] 29138991.
2017
A National Study on the Effects of Concussion in Collegiate Athletes and US Military Service Academy Members: The NCAA-DoD Concussion Assessment, Research and Education (CARE) Consortium Structure and Methods.
Sports medicine (Auckland, N.Z.). 47(7):1437-1451 [DOI] 10.1007/s40279-017-0707-1. [PMID] 28281095.
2017
Acute Lumbar Paraspinal Myonecrosis in Football Players with Sickle Cell Trait: A Case Series.
Medicine and science in sports and exercise. 49(4):627-632 [DOI] 10.1249/MSS.0000000000001167. [PMID] 27875493.
2017
Baseline Neurocognitive Performance and Clearance for Athletes to Return to Contact.
Journal of athletic training. 52(1):51-57 [DOI] 10.4085/1062-6050-51.12.27. [PMID] 27905859.
2017
Concussion May Increase the Risk of Subsequent Lower Extremity Musculoskeletal Injury in Collegiate Athletes.
Sports medicine (Auckland, N.Z.). 47(5):1003-1010 [DOI] 10.1007/s40279-016-0607-9. [PMID] 27544666.
2017
Concussion-Like Symptom Reporting in Non-Concussed Collegiate Athletes.
Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists. 32(8):963-971 [DOI] 10.1093/arclin/acx018. [PMID] 28334382.
2017
Influence of Postconcussion Sleep Duration on Concussion Recovery in Collegiate Athletes.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. [DOI] 10.1097/JSM.0000000000000538. [PMID] 29189340.
2017
Lower Extremity Stiffness Changes after Concussion in Collegiate Football Players.
Medicine and science in sports and exercise. 49(1):167-172 [PMID] 27501359.
View on: PubMed
2016
“Playing Through It”: Delayed Reporting and Removal From Athletic Activity After Concussion Predicts Prolonged Recovery.
Journal of athletic training. 51(4):329-35 [DOI] 10.4085/1062-6050-51.5.02. [PMID] 27111584.
2016
Epidemiology of Sport-Related Concussion in an NCAA Division I Football Bowl Subdivision Sample.
The American journal of sports medicine. 44(9):2269-75 [DOI] 10.1177/0363546516645070. [PMID] 27159307.
2016
Statements of Agreement From the Targeted Evaluation and Active Management (Team) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015
Neurosurgery. 79(6):912-929 [DOI] 10.1227/NEU.0000000000001447. [PMID] 27741219.
2015
A case of vasovagal syncope in a collegiate swimmer during competition.
Current sports medicine reports. 14(2):86-90 [DOI] 10.1249/JSR.0000000000000128. [PMID] 25757001.
2015
Laparoscopic Hernia Repair With Adductor Tenotomy for Athletic Pubalgia: An Established Procedure for An Obscure Entity
Surgical endoscopy. 29(2):381-386 [DOI] 10.1007/s00464-014-3679-3. [PMID] 24986020.
2015
Occipital Neuralgia as a Sequela of Sports Concussion: a Case Series and Review of the Literature
. 14(1):16-19
2015
Occipital neuralgia as a sequela of sports concussion: a case series and review of the literature.
Current sports medicine reports. 14(1):16-9 [DOI] 10.1249/JSR.0000000000000121. [PMID] 25574876.
2015
Vision testing is additive to the sideline assessment of sports-related concussion.
Neurology. Clinical practice. 5(1):25-34 [DOI] 10.1212/CPJ.0000000000000060. [PMID] 29443175.
2014
Intracranial arteriovenous malformation in a college football player and return-to-play considerations.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 24(6):e62-4 [DOI] 10.1097/JSM.0000000000000058. [PMID] 24389627.
2013
Head Injury – Football
Medicine and Science in Sports and Exercise. 45(5, 1)
2013
Intramuscular hemangiomas.
Sports health. 5(5):448-54 [DOI] 10.1177/1941738112470910. [PMID] 24427416.
2012
Headache – Football
Medicine and Science in Sports and Exercise. 44
2010
Ten Years of Lower Leg Pain
Medicine and Science in Sports and Exercise. 42
2008
Mutiple Tibial Stress Fractures-Male Cross Country Runner
Medicine and Science in Sports and Exercise. 40(5):S145-S146 [DOI] 10.1249/01.mss.0000322094.28005.6f.
2008
Return to play after surgery of the lumbar spine.
Current sports medicine reports. 7(1):45-8 [DOI] 10.1097/01.CSMR.0000308666.15064.48. [PMID] 18296945.
2007
Diagnosis and management of metatarsal fractures.
American family physician. 76(6):817-26 [PMID] 17910296.
View on: PubMed
2004
An unusual cause of medial arm pain.
The Physician and sportsmedicine. 32(1):32-4 [DOI] 10.3810/psm.2004.01.88. [PMID] 20086389.

Grants

Dec 2017 – Dec 2018
Usability and Tolerability of novel protection device against potential brain injury during competitive sport
Role: Principal Investigator
Funding: Q30 INNOVATIONS
Aug 2015 – Jun 2017
Sports Concussion and Neuromusclar Function
Role: Project Manager
Funding: NATL INST OF HLTH NIAMS
Aug 2014 – Aug 2020
DoD/NCAA Grand Alliance: Concussion Assessment, Research and Education (CARE) Consortium
Role: Principal Investigator
Funding: UNIV OF MICHIGAN ANN ARBOR via US DEPT OF DEFENSE
Jul 2014 – Jun 2017
GATR: Gator Athletics TBI Research
Role: Principal Investigator
Funding: BANYAN BIOMARKERS INC
May 2012 – May 2019
Florida High Tech Corridor Council Matching Grants Program
Role: Project Manager
Funding: UNIV OF CENTRAL FLORIDA via FL HIGH TECH CORRIDOR CNCL

Education

Fellowship – Sports Medicine
2001 · Notre Dame Sports Medicine Fellowship, South Bend, Indiana
Residency – Family Medicine
2000 · Tallahassee Memorial Hospital
Medical Degree
1997 · University of Florida
Master of Science – Agroforestry
1993 · University of Florida
Bachelor of Science – Chemistry
1990 · Davidson College

Contact Details

Phones:
Business:
(352) 294-7471
Emails:
Business:
jayclug@ufl.edu