Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players
| Author | Jean Francois Chermann | en |
| Author | Shahnaz Klouche | en |
| Author | Alexis Savigny | en |
| Author | Nicolas Lefevre | en |
| Author | Serge Herman | en |
| Author | Yoann Bohu | en |
| Issued Date | 2014-12-31 | en |
| Abstract | Background: Although guidelines based on expert opinions have been developed for the immediate management and return to play of athletes after a concussion, data are lacking on this issue. Objectives: Evaluate a standardized management of brain concussion among rugby players to prevent the recurrence. Patients and Methods: A prospective study was performed from September 2009 to June 2012. All rugby players who had a concussion when playing rugby were included. Patients were managed by a specialized hospital team with a specific protocol developed in collaboration with the medical staff of the rugby clubs included in the study. The series included 35 rugby players, with 23 professionals and 12 high-level players, 30 men and 5 women, mean age 23.1 ± 5.5 years old. The median number of previous concussions was 2 (0-30) episodes. According to the Cantu concussion severity classification, 3 athletes were grade 1, 12 were grade 2 and 20 were grade 3. None of the injured athletes was lost to follow-up. The primary endpoint was the occurrence of a new concussion within 3 months after the first in patients who returned to rugby. Results: Thirty-three patients returned to rugby after a mean 22.1 ± 10 days. The recurrence rate within 3 months was 2/33 (6.1%). The median delay before returning to rugby was 21 (7-45) days. Factors associated with a delayed return to play were young age, initial loss of consciousness, severity Cantu grade 3 and post-concussive syndrome of more than 5 days. Analysis of two failures showed that the initial injury was grade 3 and that both were professional athletes and had a history of concussion. Conclusions: This prospective study validated the study protocol for the management of concussion in rugby players. | en |
| DOI | https://doi.org/10.5812/asjsm.24042 | en |
| Keyword | Brain Concussion | en |
| Keyword | Rugby | en |
| Keyword | Recurrence | en |
| Keyword | Trail Making Test | en |
| Keyword | Post-concussion syndrome | en |
| Keyword | Athletics Injuries | en |
| Publisher | Brieflands | en |
| Title | Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players | en |
| Type | Research Article | en |
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