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Concussion: A Growing Concern in the Rugby Fraternity

机译:脑震荡:橄榄球博爱中的日益关注

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Rugby is a team contact sport that is popular in many countries. Concussion remains one of the inherent risks of participation in rugby union with Certain facets of play, as well as specific tactics and strategies in contact and collision predispose athletes to a greater chance of sustaining a concussion. While other injuries incurred by rugby players have been well studied, less focus and attention has been directed towards concussion. The Third International Conference on Concussion in Sport defined concussion as a complex pathophysiologic process induced by traumatic biomechanical forces. World Rugby (previously known as the International Rugby Board or IRB) has acknowledged that there is a significant risk associated with concussions, and have subsequently implemented a risk management strategy [1]. This systematic review aims to evaluate the available evidence on concussion in Rugby Union (here- after referred to as ‘rugby’) and to conduct an analysis of findings regarding the incidence of concussion and players knowledge on concussion. Data was collected through Library Research on Masinde Muliro university of science and technology, Kenya rugby union, Kenya rugby football clubs, internets and Hospitals and clinics affiliated to Rugby. A desk review was also conducted and a search done PsycINFO?, MEDLINE?, Embase, SPORTDiscus?, Crossref, British Journal of Medicine (BMJ) Genamics Journal Seek, Global impact factor.com, Google Scholar, Academic keys, Open Academic Journals Index, Sherpa/RoMEO (University of Nottingham), Chemical Abstracts (CAS) and Open-j-Gate. Precisely the pathophysiology of concussion is not well known but recent research show that moderate to severe brain injury causes intricate torrent of neurochemical changes in the brain. The assumption is that similar changes occur in concussion. Paucity of literature exists on player knowledge of concussion or the rate of reporting of this injury despite there now being over 20, 000 adult rugby players in Ireland only but other studies showed that participants displayed a relatively high level of knowledge with regard to what constitutes a concussion, the risk that a history of concussion holds with regard to future concussion, and the authority that should rest with medical doctors in clearing players to Return To Play following concussion. In future Biomechanical research should be done with other clinical based research to improve on sideline concussion recognition and treatment modalities. In conclusion more research on concussion education, sensitization and awareness on concussion to help reduce incidences of concussion.
机译:橄榄球是一项团队接触运动,在许多国家都很流行。脑震荡仍然是某些方面的比赛参与橄榄球联盟的固有风险之一,还有接触和碰撞中的特定策略和策略使运动员更有可能承受脑震荡。尽管已经对橄榄球运动员造成的其他伤害进行了深入研究,但对脑震荡的关注和关注却有所减少。第三届脑震荡国际会议将脑震荡定义为由外伤生物力学力引起的复杂病理生理过程。世界橄榄球协会(以前称为国际橄榄球委员会或IRB)已经认识到脑震荡存在重大风险,并随后实施了风险管理策略[1]。这项系统的评估旨在评估橄榄球联盟中有关脑震荡的可用证据(以下简称“橄榄球”),并对有关脑震荡发生率的发现和运动员对脑震荡的知识进行分析。数据是通过Masinde Muliro科技大学,肯尼亚橄榄球联盟,肯尼亚橄榄球足球俱乐部,互联网以及橄榄球附属的医院和诊所的图书馆研究收集的。还进行了案头审查,并进行了PsycINFO?,MEDLINE?,Embase,SPORTDiscus?,Crossref,《英国医学杂志》(BMJ)Genamics Journal Seek,Global Impact Factor.com,Google Scholar,学术文献索引,Open Academic Journals Index检索,Sherpa / RoMEO(诺丁汉大学),化学文摘(CAS)和Open-j-Gate。确切的说,脑震荡的病理生理机制尚不清楚,但最近的研究表明,中度至重度的脑损伤会导致脑部复杂的神经化学变化。假设脑震荡会发生类似的变化。尽管目前仅在爱尔兰有20,000多名成年橄榄球运动员,但是关于脑震荡或这种损伤的报道率的文献很少,但其他研究表明,参与者对什么构成脑震荡表现出了较高的认识。脑震荡,脑震荡史对未来脑震荡的风险,以及在脑震荡后医生应准予运动员恢复比赛的权力。将来,应与其他基于临床的研究一起进行生物力学研究,以改善副反应性脑震荡的识别和治疗方式。总之,对脑震荡的教育,对脑震荡的认识和认识的更多研究有助于减少脑震荡的发生。

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