Concussion has proved a difficult injury to both assess and treat. In the vast majority of cases symptoms of concussion resolve over a short period of time and have no lasting impact on a players health. Despite this there have been cases of concussion masking more serious head trauma and so no chances should be taken.
A comprehensive concussion management protocol is in practice at Cobham Rugby. In line with World Rugby and RFU policy, players that are believed to have sustained or report a head injury leading to concussive symptoms will be removed from play immediately.
The symptoms of concussion include:
Headache or a feeling of pressure in the head
Temporary loss of consciousness
concussion or feeling as if in a fog
Dizziness / seeing stars
Amongst other cognitive and physical signs
If a player has been removed from play they will be guided to a follow up assessment by a qualified onsite therapist present for all matches and training. Players showing the symptoms of concussion listed below will be asked to conduct The King-Devick test, an occulo-motor concussion test, in addition to routine neurological assessment.
Parents will be supplied with a testing and information pack and asked to repeat the King-Devick test at home over the next consecutive days. The King-Devick test therefore provides a means for parents to monitor cognitive recovery as the player’s scores improve and then level out.
King-Devick test use DOES NOT influence the return to play process. All players who show symptoms of concussion following head injury are advised to complete the graded return to play protocol outlined by the RFU. Please see the link in the tab ‘Concussion resources’ for more information.
We ask all parents to report injuries sustained at school or representative teams to the age group coaching staff. This one of the biggest challenges of concussion management and as such parents are relied upon to pass on key injury information.
A parents role pitch-side and at home
Each teams duty first aider will be keeping close watch for potential injuries. The cannot however watch every player. If you suspect that any player has sustained a head injury that may require review, please inform the coaches or duty first aider. Player safety is paramount.
If your child develops noticeable or reported symptoms that have gone previously unobserved, please contact lead physiotherapist - David Silver MCSP below and/or medical attention as soon as possible.
After rugby ask your child how the got on and how they feel. Players can be less than forthcoming with injury reporting if they feel they will be stopped from playing. For more information on both mums and dads roles in concussion awareness see the concussion resources tab
For more information concussion or other injuries please do not hesitate to contact:
David Silver MSc BSc MCSP SRP
Cobham Rugby - Lead Physiotherapist