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Unrecognized and Unreported Concussions Among Community Rugby Players.

Rachael Wittmer1, Thomas A Buckley2,3, Charles Buz Swanik2,3

  • 1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.

Sports (Basel, Switzerland)
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Summary
This summary is machine-generated.

Concussions are frequent in community rugby, with many players not reporting or recognizing injuries. Prior concussion history significantly increases the likelihood of undisclosed injuries, highlighting safety concerns.

Keywords:
collision sportsmild traumatic brain injurynondisclosurenonrecognitionsex differences

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Area of Science:

  • Sports Medicine
  • Neurology
  • Public Health

Background:

  • Concussions represent a significant injury in contact sports like rugby.
  • Underreporting and unrecognized concussions pose risks to player health and long-term recovery.
  • Understanding factors influencing concussion disclosure is crucial for developing effective safety protocols.

Purpose of the Study:

  • To determine the prevalence of unreported and unrecognized concussions in community rugby.
  • To investigate if reasons for non-disclosure differ based on player demographics (sex, position, playing history).

Main Methods:

  • An online survey was administered to 1037 community rugby players.
  • Data collected included diagnosed, unreported, and unrecognized concussion history.
  • Statistical analyses (Poisson regression, Fisher's exact tests) were used to assess prevalence and associations.

Main Results:

  • Concussion rates were high: 66.5% diagnosed, 32.4% unreported, 42.2% unrecognized.
  • Players with diagnosed concussions were more likely to not disclose (7.2x) and not recognize (2.3x) them.
  • Longer playing history correlated with higher non-disclosure (PR: 1.2), and males showed higher non-recognition (PR: 1.4).
  • Players with prior concussions were more likely to hide injuries to avoid removal from play (38.5% vs 13.6%).

Conclusions:

  • Community rugby has substantial rates of concussion underreporting and unawareness.
  • Player experience and concussion history are key factors influencing disclosure and recognition.
  • Enhanced education and improved reporting systems are essential for mitigating concussion risks in rugby.