School of Health and Human Performance, Dublin City University, Dublin, Ireland.
School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Brain Inj. 2023 Aug 24;37(10):1159-1166. doi: 10.1080/02699052.2023.2222643. Epub 2023 Jun 9.
Sport-related concussion (SRC) management may be poor in community sports such as Ladies Gaelic Football (LGF). This study examined factors associated with SRC management behavior in adult LGF players.
Participants ( = 657) answered an online survey on demographic factors, concussion knowledge, attitudes, and education, and SRC management behavior. Data from participants who reported sustaining an LGF-related SRC during the previous year ( = 115) were further analyzed.
Being diagnosed with SRC was the main factor influencing subacute management behavior. Players with diagnosed SRCs had increased odds of following a graded return-to-play (RTP) programme (OR = 4.89), following a medically supervised graded RTP programme (OR = 10.16), and being medically cleared before full RTP (OR = 13.45) compared with those with suspected SRCs. Concussion history was associated with increased odds of informing a coach of a possible SRC (OR = 2.86). Demographic factors, previous use of Ladies Gaelic Football Association concussion education resources, and concussion knowledge and attitudes had minimal or no influence on management behaviors.
Greater access to medical personnel at LGF training and matches is recommended. Due to limited medical resources in community sport, a clear referral pathway for players with SRC and comprehensive SRC education should be introduced to ensure players receive adequate medical care.
在社区体育中,如女子盖尔式足球(LGF),与运动相关的脑震荡(SRC)管理可能很差。本研究调查了与成年 LGF 球员 SRC 管理行为相关的因素。
参与者(n=657)在线回答了关于人口统计学因素、脑震荡知识、态度和教育以及 SRC 管理行为的调查。进一步分析了在前一年报告有 LGF 相关 SRC 的参与者(n=115)的数据。
被诊断出患有 SRC 是影响亚急性管理行为的主要因素。与疑似 SRC 患者相比,患有确诊 SRC 的患者更有可能遵循分级重返赛场(RTP)方案(OR=4.89)、遵循医学监督的分级 RTP 方案(OR=10.16)和在完全重返赛场前接受医学检查(OR=13.45)。脑震荡病史与更有可能告知教练可能发生的 SRC 的可能性增加有关(OR=2.86)。人口统计学因素、之前使用过盖尔足球协会脑震荡教育资源,以及脑震荡知识和态度对管理行为的影响很小或没有。
建议在 LGF 训练和比赛中增加医疗人员的数量。由于社区体育中的医疗资源有限,应该为 SRC 患者引入明确的转诊途径和全面的 SRC 教育,以确保他们获得足够的医疗护理。