Objective To determine the rate of under-reporting of concussion and its symptoms in elite rugby league players in Australia. Methods The study was conducted in the preseason of the 2020 National Rugby League (NRL) competition. A total of 151 male, NRL club contracted rugby league players across three professional clubs participated. The participants completed a voluntary, anonymous survey exploring player demographics, concussion data, under-reporting instances and reasons for under-reporting over the 2018 and 2019 rugby league seasons. Results 17.2% of surveyed players reported sustaining a likely concussion over the past 2 years and not reporting to medical staff. 22% of NRL first grade players admitted to not reporting at least one concussion during the 2018 and 2019 seasons. The most common reason not to report was the player ‘not wanting to be ruled out of the game or training session’ (57.7%), followed by ‘not wanting to let down the coaches or teammates’ (23.1%). 85.4% of surveyed players reported having concussion education by their club in the previous two seasons. Conclusions 17.2 % of elite rugby league players in Australia chose not to report likely concussive episodes and concussion-related symptoms during the 2018 and 2019 seasons. Clinicians need to be aware of under-reporting in athletes when assessing players following head injuries. The findings highlight the need for development of validated, objective testing for concussion following sports-associated head injury.

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橄榄球联盟球员是否报告脑震荡症状？对澳大利亚精英团队的横断面研究

目的确定澳大利亚精英橄榄球联盟球员脑震荡漏报率及其症状。方法该研究是在2020年国家橄榄球联盟（NRL）比赛的季前进行的。NRL俱乐部的151名男性签约橄榄球联赛的球员来自三个专业俱乐部。参与者完成了一项自愿的匿名调查，以调查球员的人口统计资料，脑震荡数据，报告不足的事例以及在2018年和2019年橄榄球联赛赛季报告不足的原因。结果在过去的2年中，有17.2％的被调查者报告患有可能的脑震荡，而不向医务人员报告。NRL一年级球员中有22％承认在2018和2019赛季没有至少发生过一次脑震荡。不报告的最常见原因是球员“不想被排除在比赛或训练之外”（57.7％），其次是“不想让教练或队友失望”（23.1％）。85.4％的被调查球员表示前两个赛季他们的俱乐部接受过脑震荡教育。结论澳大利亚有17.2％的橄榄球精英联赛球员选择不报告2018年和2019年赛季可能发生的脑震荡发作和脑震荡相关症状。在评估运动员头部受伤后，临床医生需要注意运动员的漏报情况。研究结果强调，需要开发经过验证的，客观的运动相关性颅脑损伤后脑震荡测试。4％的被调查球员表示在前两个赛季中他们的俱乐部接受过脑震荡教育。结论澳大利亚有17.2％的橄榄球精英联赛球员选择不报告2018年和2019年赛季可能发生的脑震荡发作和脑震荡相关症状。在评估头部受伤后的运动员时，临床医生需要注意运动员的漏报情况。研究结果强调，需要开发经过验证的，客观的运动相关性颅脑损伤后脑震荡测试。4％的被调查球员表示在前两个赛季中他们的俱乐部接受过脑震荡教育。结论澳大利亚有17.2％的橄榄球精英联赛球员选择不报告2018年和2019年赛季可能发生的脑震荡发作和脑震荡相关症状。在评估运动员头部受伤后，临床医生需要注意运动员的漏报情况。研究结果强调，需要开发经过验证的，客观的运动相关性颅脑损伤后脑震荡测试。在评估运动员头部受伤后，临床医生需要注意运动员的漏报情况。研究结果强调，需要开发经过验证的，客观的运动相关性颅脑损伤后脑震荡测试。在评估运动员头部受伤后，临床医生需要注意运动员的漏报情况。研究结果强调，需要开发经过验证的，客观的运动相关性颅脑损伤后脑震荡测试。