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A systems approach to understanding the identification and treatment of sport-related concussion in community rugby union
Journal article   Peer reviewed

A systems approach to understanding the identification and treatment of sport-related concussion in community rugby union

Amanda Clacy, Natassia Goode, Rachael Sharman, Geoff Lovell and Paul M Salmon
Applied Ergonomics, Vol.80, pp.256-264
2019
DOI: https://doi.org/10.1016/j.apergo.2017.06.010
Appears in  Thompson Institute Research Collection
url
https://doi.org/10.1016/j.apergo.2017.06.010View
Published Version
url
https://doi.org/10.1016/j.apergo.2020.103220View
Correction (supplemental)

Abstract

systems thinking concussion injury management sport-related injury rugby union Sports or fitness related Thompson Institute Special Collection
Aim: The aim of the present study was to utilise a systems thinking approach to explore the perceived responsibilities for identifying and treating concussion held by different actors across the community rugby system (e.g., players, coaches, parents, medics, referees, and management), as well as their role-specific concussion management strategies. Methods: A systems approach was taken to assess what different stakeholders within rugby systems perceive their roles to be regarding concussion identification and treatment. Through an online survey, 118 members of the amateur (community) rugby union system were asked about their role-specific concussion management responsibilities and strategies. Respondents included players, parents, medics, coaches, club managers, administrators, and volunteers. Results: The majority of respondents indicated that they were able to identify the symptoms of rugby-related concussion, however, only medics stated their responsibility to use formal concussion assessments (e.g., SCAT2). A smaller number of the respondents indicated that they were involved in treating concussion within their current role/s (majority of which were medics). Conclusions: This study illustrated that the current challenges in the identification and treatment of rugby-related concussion in community sport may be due to role/responsibility confusion and possible overreliance on field-side medics. These findings offer insight into the possible limitations of the current concussion management guidelines and may offer empirically based direction for future revisions.

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