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

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dc.contributor.authorGardner, Andrew J
dc.contributor.authorKohler, Ryan
dc.contributor.authorMcDonald, Warren
dc.contributor.authorFuller, Gordon W
dc.contributor.authorTucker, Ross
dc.contributor.authorMakdissi, Michael
dc.date.accessioned2018-05-28T10:13:45Z
dc.date.available2018-05-28T10:13:45Z
dc.date.issued2018-05-24
dc.date.updated2018-05-27T03:30:17Z
dc.description.abstractBackground 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.identifier.apacitationGardner, A. J., Kohler, R., McDonald, W., Fuller, G. W., Tucker, R., & Makdissi, M. (2018). The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby. <i>Sports Medicine</i>, http://hdl.handle.net/11427/28167en_ZA
dc.identifier.chicagocitationGardner, Andrew J, Ryan Kohler, Warren McDonald, Gordon W Fuller, Ross Tucker, and Michael Makdissi "The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby." <i>Sports Medicine</i> (2018) http://hdl.handle.net/11427/28167en_ZA
dc.identifier.citationSports Medicine - Open. 2018 May 24;4(1):20
dc.identifier.ris TY - Journal Article AU - Gardner, Andrew J AU - Kohler, Ryan AU - McDonald, Warren AU - Fuller, Gordon W AU - Tucker, Ross AU - Makdissi, Michael AB - 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. DA - 2018-05-24 DB - OpenUCT DP - University of Cape Town J1 - Sports Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby TI - The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby UR - http://hdl.handle.net/11427/28167 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s40798-018-0133-4
dc.identifier.urihttp://hdl.handle.net/11427/28167
dc.identifier.vancouvercitationGardner AJ, Kohler R, McDonald W, Fuller GW, Tucker R, Makdissi M. The Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby. Sports Medicine. 2018; http://hdl.handle.net/11427/28167.en_ZA
dc.language.isoen
dc.publisherSpringer International Publishing
dc.publisher.departmentSchool of Management Studiesen_ZA
dc.publisher.facultyFaculty of Commerceen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.sourceSports Medicine
dc.sourceSports Medicine
dc.source.urihttps://link.springer.com/journal/40279
dc.subject.otherRugby
dc.subject.otherConcussion
dc.subject.otherVideo analysis
dc.subject.otherIn-match concussion management
dc.titleThe Use of Sideline Video Review to Facilitate Management Decisions Following Head Trauma in Super Rugby
dc.typeJournal Article
uct.type.filetypeText
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