Research project : dr jon patricios (Concussion in rugby playing children)
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Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <12> Unique Identifier 18424486 Status
MEDLINE Authors
Schick DM. Molloy MG. Wiley JP. Authors Full Name Schick, D M. Molloy, M G. Wiley, J P. Institution Trinity Western University, Langley, Canada. Title
Injuries during the 2006 Women's Rugby World Cup. Source
British Journal of Sports Medicine. 42(6):447-51, 2008 Jun. Abstract
BACKGROUND: Although there have been reports of injury rates in men's World Cup rugby, there has been no research into injury rates in women's international rugby. OBJECTIVE: To determine the rate of injury at the 2006 Women's Rugby World Cup (WRWC). METHODS: All participating teams in the 2006 WRWC were enrolled prospectively in this study. Healthcare workers for each team collected data on training and game exposure and information on injuries. RESULTS: 55 players (16%) sustained at least one injury (10.0/1000 player hours); 4 players (1%) sustained two injuries. 45 injuries occurred during games (37.5/1000 player hours) and 14 injuries occurred during practice (12.5/1000 player hours), a statistically significant difference (RR = 12.5, 95% CI 6.9 to 22.8). The injury rate was 39.3/1000 player hours for the forwards and 42.2/1000 player hours for the backs (RR = 1.3, 95% CI 0.7 to 2.3). The front row had the highest injury rate (62.5/1000 player hours). 63.6% of injuries! occurred during the tackle. Most injuries occurred to the neck, knee and head/face. The majority of injuries were sprains, muscle injuries and contusions. There were five fractures during the event and four reported concussions. CONCLUSION: Female players sustained a considerable rate of injury during the 2006 WRWC. Backs had a slightly higher rate of injury than forwards, but the players most often injured were in the front row. The neck/cervical spine and knee were the most commonly injured regions, followed by the head and face. This is the first study to examine injury rates in female rugby players at a World Cup and reports valuable data in this population. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <13> Unique Identifier 17124109 Status
MEDLINE Authors
Sye G. Sullivan SJ. McCrory P. Authors Full Name Sye, Garry. Sullivan, S John. McCrory, Paul. Institution Kennedy Road Physiotherapy, Napier, New Zealand. Title
High school rugby players' understanding of concussion and return to play guidelines. Source
British Journal of Sports Medicine. 40(12):1003-5, 2006 Dec. Abstract
OBJECTIVE: To document high school players' understanding and attitudes towards concussion return to play guidelines. METHODS: A questionnaire based survey was performed of national high school rugby players as to their knowledge of existing concussion return to play guidelines. RESULTS: A total of 600 male players were surveyed, and 477 responded (response rate 80%). Half (237/477) were aware of concussion guidelines, and 60% (288/477) identified the mandated stand down period that is part of the regulations governing rugby football. Players obtained their information primarily from: teachers/coaches (239 responses), medical personnel (200), and other players (116). Of those players who suspected that they had been concussed (296/477, 62%), only 66 returned to play after medical clearance. CONCLUSIONS AND IMPLICATIONS: This sample of high school players showed a limited knowledge of the concussion guidelines covering their sport, and even when concussed did not follow rec! ommended protocols. This indicates the need for an increased focus on player education. Publication Type Journal Article. Result <14> Unique Identifier 16371495 Status
MEDLINE Authors
Browne GJ. Authors Full Name Browne, G J. Institution The Children's Hospital Institute of Sports Medicine, Westmead, Sydney, NSW, Australia. garyb@chw.edu.au Title
Cervical spinal injury in children's community rugby football. Source
British Journal of Sports Medicine. 40(1):68-71, 2006 Jan. Abstract
OBJECTIVE: To examine the characteristics of cervical spinal injury (CSI) in school aged children injured in community based rugby football who presented to the emergency department for assessment. METHODS: This is a retrospective descriptive case series study reviewing the medical records of all children younger than 15 years of age who presented to the emergency department at the Children's Hospital at Westmead, Sydney, Australia for assessment of injury to the cervical spine between 2000 and 2003. RESULTS: There were 125 children with CSI; most (97%) were boys of mean age 12.7 years. Injuries occurred throughout the season, with an unexpected peak in June. Neck pain was the main presenting complaint (98%). Neurological symptoms were reported in 43%, half having concussion. Hyperextension of the neck accounted for a third of all cases and was usually the result of a spear tackle. Appropriate treatment of the cervical spine on the field of play before transport to hospita! l was inconsistently performed. Half of the players with CSI suffered secondary injuries, consisting of concussive head injury, faciomaxillary injury, eye injury, or limb fracture. Admission to hospital was common, with all children admitted undergoing further radiological assessment. Two minor fractures were reported and no permanent neurological disability. Overall, no adverse events were reported and the clinical outcome was good. CONCLUSION: CSI in children playing rugby football is rarely catastrophic although often associated with other injuries. Continued efforts are needed to educate players and referees to prevent injury. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <15> Unique Identifier 16371495 Status
MEDLINE Authors
Browne GJ. Authors Full Name Browne, G J. Institution The Children's Hospital Institute of Sports Medicine, Westmead, Sydney, NSW, Australia. garyb@chw.edu.au Title
Cervical spinal injury in children's community rugby football. Source
British Journal of Sports Medicine. 40(1):68-71, 2006 Jan. Other ID
Source: NLM. PMC2491932 Abstract
OBJECTIVE: To examine the characteristics of cervical spinal injury (CSI) in school aged children injured in community based rugby football who presented to the emergency department for assessment. METHODS: This is a retrospective descriptive case series study reviewing the medical records of all children younger than 15 years of age who presented to the emergency department at the Children's Hospital at Westmead, Sydney, Australia for assessment of injury to the cervical spine between 2000 and 2003. RESULTS: There were 125 children with CSI; most (97%) were boys of mean age 12.7 years. Injuries occurred throughout the season, with an unexpected peak in June. Neck pain was the main presenting complaint (98%). Neurological symptoms were reported in 43%, half having concussion. Hyperextension of the neck accounted for a third of all cases and was usually the result of a spear tackle. Appropriate treatment of the cervical spine on the field of play before transport to hospita! l was inconsistently performed. Half of the players with CSI suffered secondary injuries, consisting of concussive head injury, faciomaxillary injury, eye injury, or limb fracture. Admission to hospital was common, with all children admitted undergoing further radiological assessment. Two minor fractures were reported and no permanent neurological disability. Overall, no adverse events were reported and the clinical outcome was good. CONCLUSION: CSI in children playing rugby football is rarely catastrophic although often associated with other injuries. Continued efforts are needed to educate players and referees to prevent injury. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <16> Unique Identifier 15039253 Status
MEDLINE Authors
Junge A. Cheung K. Edwards T. Dvorak J. Authors Full Name Junge, A. Cheung, K. Edwards, T. Dvorak, J. Institution Schulthess Klinik, FIFA-Medical Assessment and Research Centre (F-MARC), Zurich, Switzerland. ajunge@kws.ch Title
Injuries in youth amateur soccer and rugby players--comparison of incidence and characteristics. Source
British Journal of Sports Medicine. 38(2):168-72, 2004 Apr. Other ID
Source: NLM. PMC1724792 Abstract
OBJECTIVES: In reviewing the literature on sports injuries, few studies could be found in which exposure related incidences of injury in different types of sport were compared. These studies indicated that ice hockey, handball, basketball, soccer, and rugby are popular team sports with a relatively high risk of injury. The aim of the study was to compare the characteristics and incidence of injuries in male youth amateur soccer and rugby players. METHODS: This prospective cohort study comprised an initial baseline examination to ascertain the characteristics of the players and their level of performance, and a one season observation period during which a physician visited the team weekly and documented all occurring injuries. Twelve soccer and 10 rugby school teams with male amateur players aged 14-18 years were selected for the study. 145 soccer and 123 rugby players could be followed up over one season. RESULTS: Comparison of the incidence of soccer and rugby injuries in! dicated that rugby union football was associated with a significantly higher rate of injury than soccer. The differences were pronounced for contact injuries, injuries of the head, neck, shoulder, and upper extremity, as well as for concussion, fractures, dislocations, and strains. Rugby players incurred 1.5 times more overuse and training injuries in relation to exposure time, and 2.7 times more match injuries than soccer players. Three rugby players but no soccer players had to stop their participation in sport because of severe injury. CONCLUSION: The incidence of injury in New Zealand school teams playing soccer or rugby union is high, probably in part because of the low ratio of hours spent in training relative to hours spent playing matches. The development and implementation of preventive interventions to reduce the rate and severity of injury is recommended. Publication Type Comparative Study. Journal Article. Result <17> Unique Identifier 14665603 Status
MEDLINE Authors
Collie A. Maruff P. McStephen M. Darby DG. Authors Full Name Collie, A. Maruff, P. McStephen, M. Darby, D G. Institution CogState Limited, Carlton, Australia. acollie@cogstate.com Title
Psychometric issues associated with computerised neuropsychological assessment of concussed athletes. Source
British Journal of Sports Medicine. 37(6):556-9, 2003 Dec. Other ID
Source: NLM. PMC1724721 Abstract
Psychometric issues associated with computerised neuropsychological assessment in sports concussion are put forward. Issues critical to ensuring test reliability and sensitivity are discussed, with particular reference to how inappropriate test design can affect clinical decision making. Publication Type Case Reports. Journal Article.
Unique Identifier 11867487 Status
MEDLINE Authors
Pettersen JA. Authors Full Name Pettersen, J A. Institution University of Toronto, Toronto, Canada. Jacqueline.Pettersen@CalgaryHealthRegion.ca Title
Does rugby headgear prevent concussion? Attitudes of Canadian players and coaches. Source
British Journal of Sports Medicine. 36(1):19-22, 2002 Feb. Other ID
Source: NLM. PMC1724442 Abstract
OBJECTIVES: To examine the attitudes of players and coaches to the use of protective headgear, particularly with respect to the prevention of concussion. METHODS: A questionnaire designed to assess attitudes to headgear was administered to 63 players from four different Canadian teams, each representing a different level of play (high school, university, community club, national). In addition, coaches from all four levels were questioned about team policies and their personal opinions about the use of headgear to prevent concussion. RESULTS: Although the players tended to believe that the headgear could prevent concussion (62%), the coaches were less convinced (33%). Despite the players' belief that headgear offers protection against concussion, only a minority reported wearing headgear (27%) and few (24%) felt that its use should be made mandatory. Common reasons for not wearing headgear were "its use is not mandatory", "it is uncomfortable", and "it costs too much". CONC! LUSION: Although most players in the study believe that rugby headgear may prevent concussion, only a minority reported wearing it. Coaches tended to be less convinced than the players that rugby headgear can prevent concussion. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <19> Unique Identifier 11375874 Status
MEDLINE Authors
McIntosh AS. McCrory P. Authors Full Name McIntosh, A S. McCrory, P. Institution School of Safety Science, University of New South Wales, Sydney, Australia. a.mcintosh@unsw.edu.au Title
Effectiveness of headgear in a pilot study of under 15 rugby union football. Source
British Journal of Sports Medicine. 35(3):167-9, 2001 Jun. Other ID
Source: NLM. PMC1724334 Abstract
OBJECTIVE: To determine whether protective headgear reduced the incidence of concussion in a pilot study of under 15 rugby union. METHODS: Sixteen under 15 rugby union teams were recruited from three interschool competitions in metropolitan Sydney and the adjacent country region. A prospective study was undertaken over a single competitive season. The study had two arms: a headgear arm and a control arm. Headgear wearing rates and injury data were reported to the investigators and verified using spot checks. RESULTS: A total of 294 players participated in the study. There were 1179 player exposures with headgear and 357 without headgear. In the study time frame, there were nine incidences of concussion; seven of the players involved wore headgear and two did not. There was no significant difference between concussion rates between the two study arms. CONCLUSIONS: Although there is some controversy about the desirability of wearing protective headgear in football, this pilo! t study strongly suggests that current headgear does not provide significant protection against concussion in rugby union at a junior level. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <20> Unique Identifier 19423976 Status
MEDLINE Authors
Sullivan SJ. Bourne L. Choie S. Eastwood B. Isbister S. McCrory P. Gray A. Authors Full Name Sullivan, S John. Bourne, Liam. Choie, Sharon. Eastwood, Brigitte. Isbister, Sarah. McCrory, Paul. Gray, Andrew. Institution Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. sjohn.sullivan@otago.ac.nz Title
Understanding of sport concussion by the parents of young rugby players: a pilot study. Source
Clinical Journal of Sport Medicine. 19(3):228-30, 2009 May. Abstract
OBJECTIVE: Establish the knowledge and beliefs of the parents of high school rugby players about concussion. DESIGN: Descriptive cross-sectional intercept style face-to-face pilot survey. SETTING: The survey was conducted during high school rugby games. PARTICIPANTS: Two hundred parents of male high school rugby players who were attending their teenagers' games. MAIN OUTCOME MEASURES: Exploratory analysis of the closed- and open-ended questionnaire. Concussion signs and symptoms were subsequently mapped onto the framework of the Sport Concussion Assessment Tool. RESULTS: Most parents (83%; 165 of 198) reported that they were able to recognize a concussion in their teenager and provide a list of well-accepted signs and symptoms. Nearly all (96%; 188 of 196) were aware of the risks of continuing to play while concussed, and approximately half (51%; 99 of 196) were aware of return-to-play guidelines/recommendations after a concussion. CONCLUSIONS: Parents of male high school ! rugby players reported having basic knowledge of concussion symptoms and the seriousness of concussion. Parents are potentially key figures in the detection of a possible concussion in the postgame/practice home environment. Publication Type Journal Article. Result <21> Unique Identifier 19423974 Status
MEDLINE Authors
Lau B. Lovell MR. Collins MW. Pardini J. Authors Full Name Lau, Brian. Lovell, Mark R. Collins, Michael W. Pardini, Jamie. Institution University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15203, USA. Title
Neurocognitive and symptom predictors of recovery in high school athletes. Source
Clinical Journal of Sport Medicine. 19(3):216-21, 2009 May. Abstract
OBJECTIVES: The purpose of this study was to identify specific symptom and neuropsychological test patterns that might serve as prognostic indicators of recovery in concussed high school football players. The recently proposed simple versus complex concussion classification was examined and specific symptom clusters were identified. DESIGN: Case-control study. SETTING: High school football. PARTICIPANTS: Subjects were 108 recently concussed male high school football athletes between the ages of 13 and 19 (mean, 16.01) years. ASSESSMENT OF RISK FACTORS: Participants were evaluated by utilizing the Immediate Postconcussion Assessment and Cognitive Testing computer-based neurocognitive test battery at before injury and within an average of 2.23 days of injury. All athletes were followed until they met criteria for clinical recovery. MAIN OUTCOME MEASURES: Symptom ratings and neurocognitive test performance. RESULTS: Both neurocognitive test results and self-reported symptom d! ata had prognostic value in determining time to clinical recovery. Self-reported cognitive decline, Immediate Postconcussion Assessment and Cognitive Testing reaction time, and migraine headache symptoms were associated with longer time to clinical recovery. Overall, these difficulties were predictive of concussions that were retrospectively classified as complex. CONCLUSIONS: Specific symptom clusters and neurocognitive test results may have predictive value to classifying and managing concussions. Publication Type Journal Article. Result <22> Unique Identifier 18806547 Status
MEDLINE Authors
Shuttleworth-Edwards AB. Noakes TD. Radloff SE. Whitefield VJ. Clark SB. Roberts CO. Essack FB. Zoccola D. Boulind MJ. Case SE. Smith IP. Mitchell JL. Authors Full Name Shuttleworth-Edwards, Ann B. Noakes, Timothy D. Radloff, Sarah E. Whitefield, Victoria J. Clark, Susan B. Roberts, Craig O. Essack, Fathima B. Zoccola, Diana. Boulind, Melissa J. Case, Stephanie E. Smith, Ian P. Mitchell, Julia L G. Institution Department of Psychology, Rhodes University, Grahamstown, South Africa. a.edwards@ru.ac.za Title
The comparative incidence of reported concussions presenting for follow-up management in South African Rugby Union. Source
Clinical Journal of Sport Medicine. 18(5):403-9, 2008 Sep. Abstract
OBJECTIVE: The objective of this study was to compare the seasonal concussion incidence for school, university, club and provincial level Rugby Union players in South Africa. DESIGN: The study presents a retrospective statistical analysis of the number of reported concussions documented annually for groups of Rugby Union players as a proportion of those who received preseason neurocognitive assessment. SETTING: Between 2002 and 2006, concussion management programs using computerized neuropsychological assessment were implemented for clinical and research purposes by psychologists in selected South African institutions involved in Rugby Union from school through to the professional level. PARTICIPANTS: The incidence figures were based on 175 concussive episodes reported for 165 athletes who were referred for neurocognitive assessment from a population of 1366 athletes who received preseason baseline testing. INTERVENTIONS: Concussion management routines varied according to ! the protocols adopted by the different psychologists and rugby organizations. MAIN OUTCOME MEASUREMENTS: It was expected that the incidence of concussion would vary significantly due to level of play and different management protocols. RESULT: There was wide disparity in the manner in which concussion follow-up was managed by the various organizations. Within broadly comparable cohorts, tighter control was associated with a relatively higher concussion incidence for athletes per rugby playing season, with average institutional figures ranging from 4% to 14% at school level and 3% to 23% at adult level. CONCLUSIONS: This analysis suggests that concussion goes unrecognized and therefore incorrectly managed in a number of instances. Recommendations for optimal identification of concussed athletes for follow-up management are presented. Publication Type Journal Article. Research Support, Non-U.S. Gov't. Result <23> Unique Identifier 17304003 Status
MEDLINE Authors
Iverson G. Authors Full Name Iverson, Grant. Institution University of British Columbia and Riverview Hospital, 2255 Wesbrook Mall, Vancouver, British Columbia, Canada. giverson@interchange.ubc.ca Title
Predicting slow recovery from sport-related concussion: the new simple-complex distinction.[see comment]. Comments
Comment in: Clin J Sport Med. 2007 Jul;17(4):330; author reply 330-1; discussion 331; PMID: 17620795 Source
Clinical Journal of Sport Medicine. 17(1):31-7, 2007 Jan. Abstract
OBJECTIVE: Following the Second International Conference on Concussion in Sport in 2005, a summary agreement statement was published that introduced new terminology for sport-related concussions. This new classification system is binary (ie, "simple" versus "complex" concussions). Athletes who are slow to recover (ie, >10 days) are classified as having complex concussions. The purpose of this study was to determine if high school football players, retrospectively classified as having a simple or a complex concussion, could be differentiated in the first 48 after injury on the basis of symptom reporting or neuropsychological testing. DESIGN: Case-control study. SETTING: Pennsylvania high school football programs. PARTICIPANTS: The total sample consisted of 114 concussed high school football players who were identified through a 3 year prospective cohort study. INTERVENTIONS: All completed a computerized neuropsychological screening evaluation within 72 hours of injury. They! were followed clinically until they recovered and were cleared to return to play. They were classified retrospectively as having a simple (n = 55) or complex (n = 59) concussion based on their recovery times. MAIN OUTCOME MEASUREMENTS: Neurocognitive test performance and symptom ratings. RESULTS: Within 72 hours after injury, athletes with complex concussions performed more poorly on neuropsychological testing and reported more symptoms than those with simple concussions. Athletes with complex concussions who were slow to recover were 18 times more likely to have 3 unusually low neuropsychological test scores than those with simple concussions (95% CI = 2.3-144.9). Athletes with previous concussions did not recover more slowly. CONCLUSIONS: This study provides evidence that supports and refutes the clinical usefulness of the new simple-complex concussion classification system. Directory: health health -> A model didactic and clinical substance abuse curriculum developed for schools of nurse anesthesia health -> Curriculum Vitae Tonya Butler-Collins health -> By Health Educator Sylvester Johnson, Ph. D. Applied Physics For personal consultation service, please see health -> Purpose of this report health -> Cause for concern 2015/16 Supplement for wardens and sub-wardens Contents health -> Child sexual exploitation health -> Affordable care act health -> Section 5 Select Hardware and Mobile Device Selection and Security Download 358.25 Kb. Share with your friends:
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