Skip to main content
Erschienen in: Irish Journal of Medical Science (1971 -) 2/2021

30.09.2020 | Original Article

Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other sports

verfasst von: Darek Sokol-Randell, Mario Pasquale Rotundo, Gregory Tierney, Conor Deasy, Michael D. Cusimano

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Sport-related concussion (SRC) is a potential issue within Gaelic Football. Therefore, it is essential that concussion management guidelines are adhered to.

Hypothesis/purpose

The aim of this study is to determine if potential concussive events (PCEs) in the Gaelic Athletic Association (GAA) National Football League (NFL) are assessed in accordance with GAA concussion guidelines and compare this to other sports.

Methods

A descriptive video analysis approach was undertaken to identify PCEs throughout two seasons of play. Subsequent assessment, return to play (RTP) decisions, and signs of concussion were evaluated.

Results

A total of 242 PCEs were identified over 111 matches. Most PCEs (87.2%, n = 211) were assessed by medical personnel. However, 187 (88.6%) of assessments were under 2 min in duration. Of the 242 PCEs, 189 (78.1%) returned to play after on-pitch assessment, and 12 (5.0%) were removed following a PCE. Sixty-one (25.2%) players sustaining a PCE demonstrated one or more signs of concussion, of which 9 (14.8%) were removed from play.

Conclusion

In the GAA NFL, PCEs are often briefly assessed but rarely result in player removal. Introduction of video incident analysis and concussion substitutions, as in other sports, may reduce the long-term burden of SRC on Gaelic Football players.
Literatur
1.
Zurück zum Zitat Meeuwisse WH, Schneider KJ, Dvořák J et al (2017) The Berlin 2016 process: a summary of methodology for the 5th International Consensus Conference on Concussion in Sport. Br J Sports Med 51(11):873–876CrossRef Meeuwisse WH, Schneider KJ, Dvořák J et al (2017) The Berlin 2016 process: a summary of methodology for the 5th International Consensus Conference on Concussion in Sport. Br J Sports Med 51(11):873–876CrossRef
2.
Zurück zum Zitat Cusimano MD, Cho N, Amin K et al (2013) Mechanisms of team-sport-related brain injuries in children 5 to 19 years old: opportunities for prevention. PLoS One Cusimano MD, Cho N, Amin K et al (2013) Mechanisms of team-sport-related brain injuries in children 5 to 19 years old: opportunities for prevention. PLoS One
3.
Zurück zum Zitat Koh JO, Cassidy JD, Watkinson EJ (2003) Incidence of concussion in contact sports: a systematic review of the evidence. Brain Inj 17(10):901–917CrossRef Koh JO, Cassidy JD, Watkinson EJ (2003) Incidence of concussion in contact sports: a systematic review of the evidence. Brain Inj 17(10):901–917CrossRef
6.
Zurück zum Zitat Sullivan L, Thomas AA, Molcho M (2017) An evaluation of Gaelic Athletic Association (GAA) athletes’ self-reported practice of playing while concussed, knowledge about and attitudes towards sports-related concussion. Int J Adolesc Med Health 29(3):1–9 Sullivan L, Thomas AA, Molcho M (2017) An evaluation of Gaelic Athletic Association (GAA) athletes’ self-reported practice of playing while concussed, knowledge about and attitudes towards sports-related concussion. Int J Adolesc Med Health 29(3):1–9
7.
Zurück zum Zitat O’Connor S, Moran K, Burke C, Whyte E (2019) Sports-related concussion in adolescent Gaelic games players. Sports Health O’Connor S, Moran K, Burke C, Whyte E (2019) Sports-related concussion in adolescent Gaelic games players. Sports Health
8.
Zurück zum Zitat Gaelic Athletic Association (2018) Concussion Management Guidelines for Gaelic Games Gaelic Athletic Association (2018) Concussion Management Guidelines for Gaelic Games
9.
Zurück zum Zitat McLendon LA, Kralik SF, Grayson PA, Golomb MR (2016) The controversial second impact syndrome: a review of the literature. Pediatr Neurol McLendon LA, Kralik SF, Grayson PA, Golomb MR (2016) The controversial second impact syndrome: a review of the literature. Pediatr Neurol
10.
Zurück zum Zitat Guskiewicz KM, Marshall SW, Bailes J et al (2007) Recurrent concussion and risk of depression in retired professional football players. Med Sci Sports Exerc 39(6):903–909CrossRef Guskiewicz KM, Marshall SW, Bailes J et al (2007) Recurrent concussion and risk of depression in retired professional football players. Med Sci Sports Exerc 39(6):903–909CrossRef
11.
Zurück zum Zitat Koerte IK, Mayinger M, Muehlmann M et al (2016) Cortical thinning in former professional soccer players. Brain Imaging Behav Koerte IK, Mayinger M, Muehlmann M et al (2016) Cortical thinning in former professional soccer players. Brain Imaging Behav
12.
Zurück zum Zitat Omalu B (2014) Chronic traumatic encephalopathy. Prog Neurol Surg. p. 38–49 Omalu B (2014) Chronic traumatic encephalopathy. Prog Neurol Surg. p. 38–49
13.
Zurück zum Zitat Mackay DF, Russell ER, Stewart K et al (2019) Neurodegenerative disease mortality among former professional soccer players. N Engl J Med 381:1801–1808CrossRef Mackay DF, Russell ER, Stewart K et al (2019) Neurodegenerative disease mortality among former professional soccer players. N Engl J Med 381:1801–1808CrossRef
14.
Zurück zum Zitat Echemendia RJ, Meeuwisse W, McCrory P et al (2017) The Sport Concussion Assessment Tool 5th Edition (SCAT5). Br J Sports Med Echemendia RJ, Meeuwisse W, McCrory P et al (2017) The Sport Concussion Assessment Tool 5th Edition (SCAT5). Br J Sports Med
15.
Zurück zum Zitat Davis G, Makdissi M (2016) Use of video to facilitate sideline concussion diagnosis and management decision-making. J Sci Med Sport Davis G, Makdissi M (2016) Use of video to facilitate sideline concussion diagnosis and management decision-making. J Sci Med Sport
16.
Zurück zum Zitat Gardner AJ, Iverson GL, Stanwell P et al (2016) A video analysis of use of the new “concussion interchange rule” in the National Rugby League. Int J Sports Med 37(04):267–273CrossRef Gardner AJ, Iverson GL, Stanwell P et al (2016) A video analysis of use of the new “concussion interchange rule” in the National Rugby League. Int J Sports Med 37(04):267–273CrossRef
17.
Zurück zum Zitat Davis GA, Makdissi M, Bloomfield P et al (2018) International study of video review of concussion in professional sports. Br J Sports Med 53(20):1299–1304CrossRef Davis GA, Makdissi M, Bloomfield P et al (2018) International study of video review of concussion in professional sports. Br J Sports Med 53(20):1299–1304CrossRef
18.
Zurück zum Zitat Tarzi C, Aubrey J, Rotundo M et al (2020) Professional assessment of potential concussions in elite football tournaments. 91:1–4 Tarzi C, Aubrey J, Rotundo M et al (2020) Professional assessment of potential concussions in elite football tournaments. 91:1–4
19.
Zurück zum Zitat Armstrong N, Rotundo M, Aubrey J et al (2019) Characteristics of potential concussive events in three elite football tournaments. Inj Prev Armstrong N, Rotundo M, Aubrey J et al (2019) Characteristics of potential concussive events in three elite football tournaments. Inj Prev
20.
Zurück zum Zitat Davis GA, Makdissi M, Bloomfield P et al (2019) International consensus definitions of video signs of concussion in professional sports. Br J Sports Med 53(20):1264–1267CrossRef Davis GA, Makdissi M, Bloomfield P et al (2019) International consensus definitions of video signs of concussion in professional sports. Br J Sports Med 53(20):1264–1267CrossRef
21.
Zurück zum Zitat Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics
22.
Zurück zum Zitat McHugh ML (2012) Interrater reliability: the kappa statistic. Biochem Med 22:276–282CrossRef McHugh ML (2012) Interrater reliability: the kappa statistic. Biochem Med 22:276–282CrossRef
23.
Zurück zum Zitat Gardner AJ, Kohler R, McDonald W et al (2018) The use of sideline video review to facilitate management decisions following head trauma in super rugby. Sport Med - Open Gardner AJ, Kohler R, McDonald W et al (2018) The use of sideline video review to facilitate management decisions following head trauma in super rugby. Sport Med - Open
24.
Zurück zum Zitat World Rugby (2015) The Head Injury Assessment (HIA) Protocol World Rugby (2015) The Head Injury Assessment (HIA) Protocol
26.
Zurück zum Zitat Comper P, Echemendia R, Armstrong D et al NHL Concussion Evaluation and Management Protocol - 2016/2017 Season. 2016;1–7 Comper P, Echemendia R, Armstrong D et al NHL Concussion Evaluation and Management Protocol - 2016/2017 Season. 2016;1–7
27.
Zurück zum Zitat Mack C, Myers E, Barnes R et al (2019) Engaging athletic trainers in concussion detection: overview of the national football League ATC spotter program, 2011–2017. J Athl Train Mack C, Myers E, Barnes R et al (2019) Engaging athletic trainers in concussion detection: overview of the national football League ATC spotter program, 2011–2017. J Athl Train
28.
Zurück zum Zitat National Football League Operations (2020) Sideline of the Future National Football League Operations (2020) Sideline of the Future
29.
Zurück zum Zitat Patricios J (2014) Bok smart v south African Rugby’s national rugby safety and injury prevention program. Curr Sports Med Rep Patricios J (2014) Bok smart v south African Rugby’s national rugby safety and injury prevention program. Curr Sports Med Rep
30.
Zurück zum Zitat Kontos AP, Elbin RJ, Schatz P et al (2012) A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Am J Sports Med Kontos AP, Elbin RJ, Schatz P et al (2012) A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors. Am J Sports Med
Metadaten
Titel
Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other sports
verfasst von
Darek Sokol-Randell
Mario Pasquale Rotundo
Gregory Tierney
Conor Deasy
Michael D. Cusimano
Publikationsdatum
30.09.2020
Verlag
Springer International Publishing
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 2/2021
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-020-02390-5

Weitere Artikel der Ausgabe 2/2021

Irish Journal of Medical Science (1971 -) 2/2021 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.