Longworth Thomas, McDonald Andrew, Cunningham Corey, Khan Hussain, Fitzpatrick Jane
Registrar, Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia.
Sports Medicine, Eastern Suburbs Sports Medicine Centre, Sydney, New South Wales, Australia.
BMJ Open Sport Exerc Med. 2021 Jan 19;7(1):e000860. doi: 10.1136/bmjsem-2020-000860. eCollection 2021.
To determine the rate of under-reporting of concussion and its symptoms in elite rugby league players in Australia.
The study was conducted in the preseason of the 2020 National Rugby League (NRL) competition.A total of 151 male, NRL club contracted rugby league players across three professional clubs participated.The participants completed a voluntary, anonymous survey exploring player demographics, concussion data, under-reporting instances and reasons for under-reporting over the 2018 and 2019 rugby league seasons.
17.2% of surveyed players reported sustaining a likely concussion over the past 2 years and not reporting to medical staff. 22% of NRL first grade players admitted to not reporting at least one concussion during the 2018 and 2019 seasons. The most common reason to report was the player 'not wanting to be ruled out of the game or training session' (57.7%), followed by 'not wanting to let down the coaches or teammates' (23.1%). 85.4% of surveyed players reported having concussion education by their club in the previous two seasons.
17.2 % of elite rugby league players in Australia chose not to report likely concussive episodes and concussion-related symptoms during the 2018 and 2019 seasons. Clinicians need to be aware of under-reporting in athletes when assessing players following head injuries. The findings highlight the need for development of validated, objective testing for concussion following sports-associated head injury.
确定澳大利亚精英橄榄球联盟球员脑震荡及其症状的漏报率。
该研究在2020年国家橄榄球联盟（NRL）比赛的季前赛期间进行。来自三个职业俱乐部的总共151名与NRL俱乐部签约的男性橄榄球联盟球员参与了研究。参与者完成了一项自愿、匿名的调查，内容涉及球员人口统计学、脑震荡数据、漏报情况以及2018年和2019年橄榄球联盟赛季漏报的原因。
17.2%的受访球员报告在过去两年中遭受了可能的脑震荡但未向医务人员报告。22%的NRL一级球员承认在2018年和2019赛季至少有一次脑震荡未报告。最常见的漏报原因是球员“不想被排除在比赛或训练之外”（57.7%），其次是“不想让教练或队友失望”（23.1%）。85.4%的受访球员报告在前两个赛季接受了俱乐部的脑震荡知识教育。
在2018年和2019赛季，17.2%的澳大利亚精英橄榄球联盟球员选择不报告可能的脑震荡事件和与脑震荡相关的症状。临床医生在评估头部受伤的球员时需要意识到运动员中的漏报情况。研究结果凸显了开发针对运动相关头部损伤后脑震荡的有效、客观检测方法的必要性。
