Navigating Concussion: Community Rugby Players’ Experiences of a Concussion Management Initiative in New Zealand

Date
2024-07-15
Authors
Costa, Rodrigo
Salmon, Danielle
Walters, Simon
Badenhorst, Marelise
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Informa UK Limited
Abstract

Objective: Concussion is a serious concern in sport, with the potential to cause short- and long-term health consequences. These concerns highlight the need for the translation of concussion management guidelines into use in real-world sports settings. This qualitative study explores community rugby players’ concussion experiences as part of New Zealand Rugby’s concussion management pathway.

Methods: Semi-structured interviews were conducted with 36 rugby players (35 males and 1 female; 22 played at school and 14 at club-level; mean age 19.8 ± 4.8) Thematic analysis was utilized to analyze data.

Results: Four themes were identified i) the symptom journey, ii) the role of a dedicated concussion management pathway in shaping players' experiences, iii) the influence of coaches and physiotherapists, and iv) rugby culture. Support received as part of the concussion management pathway, and from individuals who were part of players’ concussion journey, deeply impacted their overall experience. However, players identified insufficient guidance while returning to school/work. At times, the sport’s collective cultural values made it difficult for players to enact positive concussion management behavior.

Conclusion: The findings highlight the importance of a defined management pathway to support players’ recovery. Addressing negative aspects of rugby’s collectivist culture remains critical for optimal concussion management and recovery.

Description
Keywords
Concussion , coach , health professional , participant voice , physiotherapist , qualitative descriptive , 4201 Allied Health and Rehabilitation Science , 42 Health Sciences , Neurosciences , Traumatic Head and Spine Injury , Traumatic Brain Injury (TBI) , Brain Disorders , Physical Injury - Accidents and Adverse Effects , 11 Medical and Health Sciences , 17 Psychology and Cognitive Sciences , Rehabilitation , 3202 Clinical sciences , 4201 Allied health and rehabilitation science , 5203 Clinical and health psychology
Source
Brain Injury, ISSN: 0269-9052 (Print); 1362-301X (Online), Informa UK Limited, 38(13), 1101-1112. doi: 10.1080/02699052.2024.2376266
Rights statement
© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.