現場の判断と段階的競技復帰に関する問題点：高校ラグビー選手への脳振盪調査結果より

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  • Concussion diagnosis on the field andobservance of GRTP: Results of questionnaires on concussion to high school rugby players

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<p>Background: Sport-related concussion should be taken more seriously. Repetitive concussion in a short period is likely to worsen a player's injury. To immediately remove players who have concussion, or are suspected of having concus­sion, is the safest way to protect them from a more serious state. Graduated Return to Play (GRTP) after having concus­sion is essential.</p><p>Objective: To ascertain the level of understanding of concus­sion among high school rugby players.</p><p>Method: We investigated with a questionnaire on concus­sion to 396 high school rugby players who participated in a Tokai District tournament in March 2013. The questionnaire contained the following: knowledge of symptoms and signs of concussion (S&S); knowledge of GRTP; personal experience of concussion (Experience); participation in sports concussion lectures (Lecture); observance of GRTP; and reasons for the non-observance of GRTP. The S&S and GRTP were taken from the International Rugby Board Concussion Guidelines.</p><p>Results: The players knew around 70% of S&S and GRTP procedures. Experience, Lecture, GRTP observance, and non-observance were 39%, 56%, 34%, and 38% respectively. The most common reasons for non-observance of GRTP were ignorance of its importance and not knowing of it. The most common S&S they had were dizziness, poor attention, loss of consciousness, and headache (66%, 59%, 48%, and 38% respectively). Players were less aware of inappropriate playing behavior, irritability, and feeling nervous or anxious as symptoms of concussion.</p><p>Conclusion: The results of this study showed the high school rugby players had some knowledge of concussion, but it wasn't sufficient and they didn't all complete GRTP. Recognition of concussion, removing the players from the field, and observance of GRTP prevent further injuries. Teachers, coaches, and others concerned with rugby, as well as the players themselves, should know about and practice correct concussion management.</p>

収録刊行物

  • 神経外傷

    神経外傷 37 (2), 81-87, 2014-12-20

    一般社団法人 日本脳神経外傷学会

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