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Title: The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby.
Austin Authors: Gardner, Andrew J;Kohler, Ryan;McDonald, Warren;Fuller, Gordon W;Tucker, Ross;Makdissi, Michael
Affiliation: Centre for Stroke and Brain Injury, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia
Hunter New England Local Health District Sports Concussion Program, Newcastle, NSW, Australia
Priority Research Centre for Stroke and Brain Injury, Calvary Mater Hospital, Waratah, NSW, Australia
HeadSmart™ Sports Concussion Program, Helensvale, Gold Coast, Australia
Australian Rugby Union (ARU), Moore Park, NSW, Australia
Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, ACT, Australia
Emergency Medicine Research in Sheffield Group, School of Health and Related Research, University of Sheffield, Sheffield, UK
School of Management Studies, Faculty of Commerce, University of Cape Town, Cape Town, South Africa
World Rugby, Pty (Ltd), Dublin, Ireland
The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia
Issue Date: 24-May-2018 2018-05-24
Publication information: Sports medicine - open 2018; 4(1): 20
Abstract: Sideline video review has been increasingly used to evaluate risk of concussive injury during match play of a number of collision sports, with the view to reducing the incidence of match play concussion injuries. The purpose of this study was to evaluate the effectiveness of sideline video review for identifying and evaluating head impact events in Rugby Union. All Australian teams' 2015 Super Rugby season matches were studied. Meaningful head impact events (HIEs) were identified, comprising events identified and acted upon during matches and events identified through a post-season retrospective review. Video footage of each HIE was coded by two experienced independent sports medicine clinicians to evaluate management decisions made by match-day (MDD) and team doctors (TD). HIE incidences for matches with and without sideline video were compared, and the agreement between game-day video interpretation and the independent clinician opinion calculated. Seventy HIEs were identified in 83 matches (47 identified during matches and 23 identified post-season), equating to 42.5 HIEs per 1000 player match hours. When video review was available, an unnoticed HIE occurred once every 4.3 matches, compared to once every 2.3 matches when the sideline video review was unavailable. Of the 47 identified in-match HIEs evaluated by TD and MDD during the season, 18 resulted in an immediate and permanent removal, 28 resulted in temporary removal for an off-field assessment, and one resulted in the player continuing the game. Game-day head injury assessment process video decisions agreed with the independent clinician view in 72% of cases, κ = 0.49 (95% CI 0.38-0.59, weak agreement). These findings suggest that access to sideline video review is an important supplementary component to identify potential concussions; however, there is a critical need for improved systems and processes to reduce the likelihood of missing an incident.
DOI: 10.1186/s40798-018-0133-4
Journal: Sports medicine - open
PubMed URL: 29797099
ISSN: 2199-1170
Type: Journal Article
Subjects: Concussion
In-match concussion management
Video analysis
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