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

Amanda Clacy, Natassia Goode, Rachael Sharman, Geoff P. Lovell, Paul Salmon

Research output: Contribution to journalJournal Article

7 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)256-264
Number of pages9
JournalApplied Ergonomics
Volume80
DOIs
Publication statusPublished - 1 Oct 2019
Externally publishedYes

Fingerprint

Football
Systems Analysis
Sports
responsibility
community
coach
management
parents
Parents
Therapeutics
referee
Confusion
amateur
club
Administrative Personnel
online survey
Managers
Volunteers
stakeholder
Guidelines

Keywords

  • Concussion
  • Injury management
  • Rugby union
  • Sport-related injury
  • Systems thinking

Cite this

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title = "A systems approach to understanding the identification and treatment of sport-related concussion in community rugby union",
abstract = "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.",
keywords = "Concussion, Injury management, Rugby union, Sport-related injury, Systems thinking",
author = "Amanda Clacy and Natassia Goode and Rachael Sharman and Lovell, {Geoff P.} and Paul Salmon",
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A systems approach to understanding the identification and treatment of sport-related concussion in community rugby union. / Clacy, Amanda; Goode, Natassia; Sharman, Rachael; Lovell, Geoff P.; Salmon, Paul.

In: Applied Ergonomics, Vol. 80, 01.10.2019, p. 256-264.

Research output: Contribution to journalJournal Article

TY - JOUR

T1 - A systems approach to understanding the identification and treatment of sport-related concussion in community rugby union

AU - Clacy, Amanda

AU - Goode, Natassia

AU - Sharman, Rachael

AU - Lovell, Geoff P.

AU - Salmon, Paul

PY - 2019/10/1

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N2 - 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.

AB - 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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