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Post-concussion return-to-play: Perceptions of roles, responsibilities and guideline implementation among community club rugby stakeholders in South Africa
International Journal of Sports Science & Coaching ( IF 1.5 ) Pub Date : 2021-02-16 , DOI: 10.1177/1747954121996677
Wilbur Kraak 1 , Hanno van Vuuren 1 , Karen Welman 1
Affiliation  

Concussions are an inherent part of rugby; however, subsequent concussions can be decreased by following the appropriate post-concussion return-to-play (RTP) protocols. The aim of this study was to compare stakeholders’ perceptions regarding their roles and responsibilities in terms of the implementation of post-concussion RTP in community club rugby in the Western Cape, South Africa. The results of a post-concussion RTP implementation questionnaire revealed limited knowledge of the recommended 6-stage BokSmart™ RTP protocol among players. Although not essential that players have knowledge of this protocol, this can be indicative of coaches’ disregard of the importance of communicating concussion knowledge. Coaches were identified as having a major role to play in post-concussion RTP, being responsible for monitoring matches and training sessions for concussion. They were also considered the most knowledgeable stakeholders on post-concussion return-to-play guidelines. Yet, coaches and administrative staff demonstrated a relatively low ability to advise on when to safely return to play. Only two thirds of coaches and a third of administrative staff were found to implement the recommended protocol, while less than half of medical staff and only a third of coaches demonstrated the ability to implement the protocol correctly, revealing inadequate knowledge. Hence, the study underscored the significance of education focusing on the practical implementation of post-concussion RTP protocols within community club rugby.



中文翻译:

脑震荡后重返比赛:南非社区俱乐部橄榄球利益相关者对角色,职责和准则实施的看法

脑震荡是橄榄球的固有部分。但是,可以通过遵循适当的脑震荡后重播(RTP)协议来减少随后的脑震荡。这项研究的目的是比较在南非西开普省社区俱乐部橄榄球中脑震荡后RTP的实施方面,利益相关者对其角色和责任的看法。脑震荡后RTP实施调查表的结果表明,玩家之间对推荐的6阶段BokSmart™RTP协议的了解有限。尽管并非必须让玩家知道该协议,但这可以表明教练无视传达脑震荡知识的重要性。教练被认为在脑震荡后的RTP中起主要作用,负责监视比赛和脑震荡训练课程。他们还被认为是脑震荡后重返赛场指南中知识最渊博的利益相关者。但是,教练和行政人员对何时安全返回比赛提出建议的能力相对较低。发现只有三分之二的教练和三分之一的行政人员执行了推荐的规程,而不到一半的医务人员和只有三分之一的教练证明了正确实施该规程的能力,表明知识不足。因此,研究强调了在社区俱乐部橄榄球赛中重视脑震荡后RTP协议的实际实施的教育意义。他们还被认为是脑震荡后重返赛场指南中知识最渊博的利益相关者。但是,教练和行政人员对何时安全返回比赛提出建议的能力相对较低。发现只有三分之二的教练和三分之一的行政人员执行了推荐的规程,而不到一半的医务人员和只有三分之一的教练证明了正确实施该规程的能力,表明知识不足。因此,研究强调了在社区俱乐部橄榄球赛中重视脑震荡后RTP协议的实际实施的教育意义。他们还被认为是脑震荡后重返赛场指南中知识最渊博的利益相关者。但是,教练和行政人员对何时安全返回比赛提出建议的能力相对较低。发现只有三分之二的教练和三分之一的行政人员执行了推荐的规程,而不到一半的医务人员和只有三分之一的教练证明了正确实施该规程的能力,表明知识不足。因此,研究强调了在社区俱乐部橄榄球赛中重视脑震荡后RTP协议的实际实施的教育意义。发现只有三分之二的教练和三分之一的行政人员执行了推荐的规程,而不到一半的医务人员和只有三分之一的教练证明了正确实施该规程的能力,表明知识不足。因此,研究强调了在社区俱乐部橄榄球赛中重视脑震荡后RTP协议的实际实施的教育意义。发现只有三分之二的教练和三分之一的行政人员执行了推荐的规程,而不到一半的医务人员和只有三分之一的教练证明了正确实施该规程的能力,表明知识不足。因此,研究强调了在社区俱乐部橄榄球赛中重视脑震荡后RTP协议的实际实施的教育意义。

更新日期:2021-02-17
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