Concussion in rugby: knowledge and attitudes of players

O'Connell, Emer; Molloy, Michael G.

doi:10.1007/s11845-015-1313-6

Cited by 23 publications

(23 citation statements)

References 17 publications

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“…This study sample (294 participants) is substantially larger when compared to other studies that investigated concussion knowledge among rugby players. [8,9,11,12] Only 46% of the total study sample had previously received information on concussion, which is marginally more than the 39% informed participants reported for Italian rugby players. [8] A better-informed sample was reported by Sye et al, [7] where 61% of their participants had received concussion information.…”

Section: Discussionmentioning

confidence: 94%

Concussion knowledge and attitudes among amateur South African rugby players

Viljoen¹,

Schoeman²,

Brandt³

et al. 2017

S. Afr. j. sports med

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Background: The South African Rugby Union’s BokSmart programme currently educates coaches and referees on concussion. Rugby players are often more familiar with their teammates than the coach or referee. Therefore they are well-positioned to play a pivotal role in rugby safety if they have adequate knowledge to identify subtle signs and abnormal behaviour displayed by a concussed teammate. However, no programme focuses on concussion education among South African rugby players and there is a dearth of literature on concussion education programmes among rugby players which could lead to safer return to play (RTP) habits.Objectives: To evaluate South African rugby players’ concussion knowledge and attitudes/behaviours regarding RTP following a concussion.Methods: A descriptive, cross-sectional study was used. Participants (n=294) were divided into junior amateur high school (JAHS) (n=216) and senior amateur club (SAC) (n=78) players. The modified RoCKAS-ST questionnaire was used to evaluate their concussion knowledge index (CKI) and concussion attitudes/behaviours index (CAI) regarding RTP.Results: On average, 62% (JAHS) and 60% (SAC) of the CKI questions were answered correctly. JAHS participants correctly identified 66% of concussion symptoms, similarly to the SAC participants (63%), rendering similar (p=0.37) overall CKI scores when comparing the two groups. The CAI questions yielded similar (p=0.98) results between the groups, reporting safe responses in 66% (JAHS) and 67% (SAC) of the items.Discussion and conclusion: Junior and senior South African amateur rugby players lacked approximately one-third of essential concussion knowledge, which may lead to a display of unsafe attitudes/behaviours to concussion and RTP. Further research is warranted to inform educational programmes on concussion among rugby players.

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Section: Discussionmentioning

confidence: 94%

Concussion knowledge and attitudes among amateur South African rugby players

Viljoen¹,

Schoeman²,

Brandt³

et al. 2017

S. Afr. j. sports med

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“…The above-mentioned statement is supported by studies done by O'Connell and Molloy and Delahunty et al, in which respectively 75% and 73% of the players indicated that they would play with a concussion in important matches. [5,11] The main reason for wanting to continue was the fear of letting their teammates down. Although these factors play a role, a player with a good concussion attitude may still choose to act in an incorrect or unsafe manner following concussion without being influenced.…”

Section: Discussionmentioning

confidence: 99%

“…These findings support the claims in the study by O'Connell and Molloy namely, that players are influenced by important matches. [5] Viljoen highlights that there needs to be educational workshops on concussion conducted specifically for rugby players. [3] Compared to the study done by Viljoen , [3] this present study has shown superior results with regards to concussion knowledge and attitudes.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the participants in the study also indicated that they would continue playing with a concussion because they did not want to let their teammates down. [5] When looking at hostel rugby at university level, it can be classified as a social league and the players follow less stringent training regimes compared to those followed in professional and international rugby. [6] The lack of physical conditioning for rugby puts the players at risk of injury during training and matches.…”

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confidence: 99%

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Concussion knowledge and attitudes amongst Stellenbosch University hostel rugby players

Kraak

Bernardo

Gouws

et al. 2018

S. Afr. j. sports med

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Background: Concussion occurs more frequently in contact sports, such as rugby, and is furthermore not fully recognised during play. It is also underreported in the literature, to medical personnel, or to coaches. Objectives: The objective of this study was to describe the knowledge about and attitudes towards concussion by Stellenbosch University hostel rugby players. Methods: The study focussed on gathering quantitative information through implementing a cross-sectional study design. One hundred and eighty Stellenbosch University hostel rugby players completed the modified Rosenbaum Concussion Knowledge and Attitudes Survey - Student Version (RoCKAS-ST). The RoCKAS-ST questionnaire is divided into three parts, namely, the evaluation of the Concussion Knowledge Index (CKI) and Concussion Attitudes Index (CAI), and a 16-symptom checklist. Results: The participants scored on average 75% in the CKI and 81% in the CAI. The correlation between CKI and CAI was r=0.14 which is considered a weak positive correlation. Discussion: The participants demonstrated sufficient knowledge of concussion and thus a safer attitude towards concussion. There were some concerning factors from the knowledge of the concussion questions and the symptoms that may have an effect on attitudes towards concussion. Conclusion: The study revealed that Stellenbosch University hostel rugby players have sufficient knowledge of what constitutes concussion, as well as the necessity of having safe attitude towards it. However, a small number of participants showed that they still may lack knowledge in certain areas concerning concussion.

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“…(Tables 5&6) 1,2 Concussed Irish soccer players are less inclined to continue playing in an important game than their amateur rugby union counterparts (4.3% versus 76.0%). 3 Conclusion Safer attitudes surrounding concussion are related to increasing player age, not necessarily playing experience. Higher player knowledge does not necessarily confer safer attitudes towards concussion.…”

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confidence: 99%

Assessing knowledge and attitudes towards concussion in irish footballers

Gallagher¹,

Falvey

2017

Br J Sports Med

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ObjectiveTo assess current levels of knowledge and attitude towards concussion in Irish soccer players and compare findings with other athletic groups. DesignParticipants completed a paper bases Rosenbaum Concussion Knowledge and Attitude Survey (RoCKAS). Results were collated and analysed using descriptive statistics to look for correlation between player subgroups.SettingUCD AFC training facility, Dublin, Ireland.ParticipantsSeventy male semi-professional and amateur League of Ireland players. Participants had to be registered players of UCD AFC Outcome measuresAll 70 participants completed the questionnaire and passed the RoCKAS internal validity scale.Main resultsIrish players showed good concussion knowledge, broadly safe attitudes and good symptom recognition awareness. There is a positive association between safer concussion attitudes and player age (Pearson correlation coefficient 0.258, p-value 0.031), although no such relationship existed between attitude and years of playing experience (p>0.05). There were no differences found in either knowledge or attitude in the subgroup of players who have a previous history of concussion. There was no association found between higher levels of player concussion knowledge and higher attitude scores (Correlation co-efficient 0.222, p-value 0.064).Current study knowledge scores were higher than those of English professional players (p ≤ 0.01) but lower than NCAA hockey players (p ≤ 0.01) but attitude scores across the three groups were similar. (Tables 5&6)1,2 Concussed Irish soccer players are less inclined to continue playing in an important game than their amateur rugby union counterparts (4.3% versus 76.0%).3 ConclusionSafer attitudes surrounding concussion are related to increasing player age, not necessarily playing experience. Higher player knowledge does not necessarily confer safer attitudes towards concussion. Future prevention strategies that serve to only educate players may not be effective unless they tackle the reasons players are likely to engage in unsafe behaviour.Competing interestsNone.Abstract 160 Table 5Pearson correletion co-efficient values comparing concussion knowledge (CKI) and attitude (CAI) among study sub groups.Abstract 160 Table 6 Comparison of current study to previous other studies using the RoCKAS concussion knowledge and attitude questionaire.

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Concussion in rugby: knowledge and attitudes of players

Cited by 23 publications

References 17 publications

Concussion knowledge and attitudes among amateur South African rugby players

Concussion knowledge and attitudes among amateur South African rugby players

Concussion knowledge and attitudes amongst Stellenbosch University hostel rugby players

Assessing knowledge and attitudes towards concussion in irish footballers

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