Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other
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ORIGINAL ARTICLE
Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other sports Darek Sokol-Randell 1,2
& Mario Pasquale Rotundo
1,2
3
& Gregory Tierney & Conor Deasy
1,2,4
& Michael D. Cusimano
5
Received: 9 August 2020 / Accepted: 23 September 2020 # Royal Academy of Medicine in Ireland 2020
Abstract Background Sport-related concussion (SRC) is a potential issue within Gaelic Football. Therefore, it is essential that concussion management guidelines are adhered to. Hypothesis/purpose The aim of this study is to determine if potential concussive events (PCEs) in the Gaelic Athletic Association (GAA) National Football League (NFL) are assessed in accordance with GAA concussion guidelines and compare this to other sports. Methods A descriptive video analysis approach was undertaken to identify PCEs throughout two seasons of play. Subsequent assessment, return to play (RTP) decisions, and signs of concussion were evaluated. Results A total of 242 PCEs were identified over 111 matches. Most PCEs (87.2%, n = 211) were assessed by medical personnel. However, 187 (88.6%) of assessments were under 2 min in duration. Of the 211 players assessed, 189 (78.1%) returned to play after on-pitch assessment, and 12 (5.0%) were removed following a PCE. Sixty-one (25.2%) players sustaining a PCE demonstrated one or more signs of concussion, of which 9 (14.8%) were removed from play. Conclusion In the GAA NFL, PCEs are often briefly assessed but rarely result in player removal. Introduction of video incident analysis and concussion substitutions, as in other sports, may reduce the long-term burden of SRC on Gaelic Football players. Keywords Concussion assessment . Sport-related concussion . Video incident analysis
Introduction Darek Sokol-Randell and Mario Pasquale Rotundo contributed equally to this work. Darek Sokol-Randell, Mario Pasquale Rotundo Primary author, * Darek Sokol-Randell [email protected] Michael D. Cusimano [email protected] 1
University College Cork, School of Medicine, Gaol Walk, Brookfield Health Sciences Complex, University College, Cork T12 YN60, Ireland
2
Emergency Innovation Research Network, Wilton, Cork, Ireland
3
School of Biomedical Sciences, University of Leeds, Woodhouse, Leeds LS2 9JT, UK
4
Emergency Department, Cork University Hospital, Wilton, Cork, Ireland
5
Division of Neurosurgery, St. Michael’s Hospital, University of Toronto, 30 Bond St, Toronto, ON M5B 1W8, USA
In recent years, mild traumatic brain injury (mTBI) including sport-related concussion (SRC) has emerged as a major public health concern. The 5th International Conference on Concussion in Sport (ICCS) defined concussion as a change in brain function caused by biomechanical forces [1]. Athletes involved in high-impact sports such as American football, soccer, ice hockey, and rugby consistently experience high rates of SRC [2, 3]. However, very little data exists on less globalized and amateur sports played around the world. The Gaelic Athletic
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