Compliance with return-to-play regulations following concussion in Australian schoolboy and community rugby union players

作者:Hollis Stephanie J*; Stevenson Mark R; McIntosh Andrew S; Shores E Arthur; Finch Caroline F
来源:British Journal of Sports Medicine, 2012, 46(10): 735-740.
DOI:10.1136/bjsm.2011.085332

摘要

Background There is a risk of concussion when playing rugby union. Appropriate management of concussion includes compliance with the return-to-play regulations of the sports body for reducing the likelihood of premature return-to-play by injured players. %26lt;br%26gt;Purpose To describe the proportion of rugby union players who comply with the sports body%26apos;s regulations on returning to play postconcussion. %26lt;br%26gt;Study design Prospective cohort study. %26lt;br%26gt;Methods 1958 community rugby union players (aged 15-48 years) in Sydney (Australia) were recruited from schoolboy, grade and suburban competitions and followed over %26gt;= 1 playing seasons. Club doctors/physiotherapists/coaches or trained injury recorders who attended the game reported players who sustained a concussion. Concussed players were followed up over a 3-month period and the dates when they returned to play (including either a game or training session) were recorded, as well as any return-to-play advice they received. %26lt;br%26gt;Results 187 players sustained %26gt;= 1 concussion throughout the follow-up. The median number of days before players returned to play (competition game play or training) following concussion was 3 (range 1-84). Most players (78%) did not receive return-to-play advice postconcussion, and of those who received correct advice, all failed to comply with the 3-week stand-down regulation. %26lt;br%26gt;Conclusions The paucity of return-to-play advice received by community rugby union players postconcussion and the high level of non-compliance with return-to-play regulations highlight the need for better dissemination and implementation of the return-to-play regulations and improved understanding of the underlying causes of why players do not adhere to return-toplay practices.

  • 出版日期2012-8