The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby

 

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dc.contributor.author Gardner, Andrew J
dc.contributor.author Kohler, Ryan
dc.contributor.author McDonald, Warren
dc.contributor.author Fuller, Gordon W
dc.contributor.author Tucker, Ross
dc.contributor.author Makdissi, Michael
dc.date.accessioned 2018-05-28T10:13:45Z
dc.date.available 2018-05-28T10:13:45Z
dc.date.issued 2018-05-24
dc.identifier.citation Sports Medicine - Open. 2018 May 24;4(1):20
dc.identifier.uri https://doi.org/10.1186/s40798-018-0133-4
dc.identifier.uri http://hdl.handle.net/11427/28167
dc.description.abstract Background 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. Methods 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. Results 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). Conclusions 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.
dc.language.iso en
dc.publisher Springer International Publishing
dc.source Sports Medicine
dc.source Sports Medicine
dc.source.uri https://link.springer.com/journal/40279
dc.subject.other Rugby
dc.subject.other Concussion
dc.subject.other Video analysis
dc.subject.other In-match concussion management
dc.title The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby
dc.type Journal Article
dc.date.updated 2018-05-27T03:30:17Z
dc.rights.holder The Author(s).
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Commerce en_ZA
dc.publisher.department School of Management Studies en_ZA
uct.type.filetype Text
uct.type.filetype Image


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