Wilke Carolina Franco, Serner Andreas, Massey Andrew, McCall Alan, Fulcher Mark, Rosenbloom Craig, Carmody Sean, Patterson Stephen D, Okholm Kryger Katrine
Faculty of Sport, Technology and Health Sciences, St Mary's University Twickenham, London, UK.
FIFA Medical, Fédération Internationale de Football Association, Zurich, Switzerland.
Sci Med Footb. 2024 Aug 20:1-11. doi: 10.1080/24733938.2024.2388190.
The objective of this observational cross-sectional study was to assess the knowledge, attitudes and behaviours of medical staff participating in the FIFA Women's World Cup 2023 regarding the assessment and management of concussion in football. Medical staff from 32 teams qualified for the FIFA Women's World Cup 2023 were invited to answer an online survey. Results were analysed descriptively. 47 participants completed the survey. Concussion knowledge: 98% were aware of concussion protocol(s). Most concussive signs or symptoms were recognised, though only 36% of participants ( = 17) correctly reported potential symptom onset time. Knowledge on assessment and return to play elements varied. Attitude: 77% ( = 36) reported being very confident or confident in recognizing a suspected concussion. When assessing a suspected concussion on the pitch, 55% ( = 26) reported to have felt pressured by the player sometimes, very often or always, and 47% ( = 22) by the coaching staff. Behaviour: Among doctors, 70% reported their national team performs baseline concussion assessments. Reported use of on-field assessment elements suggested in concussion guidelines varied between 5% and 95%. In conclusion, most medical staff participating in the FIFA Women's World Cup 2023 were generally knowledgeable about concussion, reported on-pitch and return to play attitudes and behaviours aligning with evidence-based standards for safeguarding players' health. However, gaps were observed in all three domains, compared to guidelines. Expanding education to players and coaching staff is suggested to facilitate the delivery of evidence-based best practice.
这项观察性横断面研究的目的是评估参与2023年国际足联女子世界杯的医务人员在足球脑震荡评估和管理方面的知识、态度和行为。邀请了获得2023年国际足联女子世界杯参赛资格的32支球队的医务人员参与在线调查。对结果进行描述性分析。47名参与者完成了调查。脑震荡知识：98%的人知晓脑震荡协议。大多数脑震荡体征或症状得到了识别，不过只有36%的参与者（n = 17）正确报告了潜在症状出现的时间。在评估和重返比赛相关要素方面的知识各不相同。态度：77%（n = 36）的人表示在识别疑似脑震荡方面非常自信或有信心。在球场上评估疑似脑震荡时，55%（n = 26）的人表示有时、经常或总是会感到来自球员的压力，47%（n = 22）的人表示会感到来自教练组的压力。行为：在医生中，70%的人报告他们的国家队进行基线脑震荡评估。在脑震荡指南中建议的现场评估要素的报告使用率在5%至95%之间。总之，大多数参与2023年国际足联女子世界杯的医务人员总体上对脑震荡有一定了解，报告的场上和重返比赛的态度及行为符合保护球员健康的循证标准。然而，与指南相比，在所有三个领域都存在差距。建议对球员和教练组开展更多教育，以促进循证最佳实践的实施。
