Rugby professionnel et traumatismes crâniens (commotions cérébrales) : recommandations pour leur prise en charge en France

Decq, P.; Chermann, J.-F.; Loiseau, Hugues; Pariente, Jérémie; Touchon, Jacques; Mias, L.; Vidalin, H.; Lagarrigue, J.

doi:10.1016/j.jts.2011.10.005

Cited by 14 publications

(3 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This had two consequences: first under-reporting of accidents to avoid being out of play for 3 weeks, and in case of a reported concussion, the necessity of finding medical elements to approve a return to play. Since 2011 other guidelines have been published in France, including in particular, pre-season clinical tests ( 40 ) while, the 3-week protection rule was shortened in 2011 by the IRB.…”

Section: Discussionmentioning

confidence: 99%

Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players

Chermann¹,

Klouche

Savigny³

et al. 2014

Asian J Sports Med

View full text Add to dashboard Cite

Background:Although guidelines based on expert opinions have been developed for the immediate management and return to play of athletes after a concussion, data are lacking on this issue.Objectives:Evaluate a standardized management of brain concussion among rugby players to prevent the recurrence.Patients and Methods:A prospective study was performed from September 2009 to June 2012. All rugby players who had a concussion when playing rugby were included. Patients were managed by a specialized hospital team with a specific protocol developed in collaboration with the medical staff of the rugby clubs included in the study. The series included 35 rugby players, with 23 professionals and 12 high-level players, 30 men and 5 women, mean age 23.1 ± 5.5 years old. The median number of previous concussions was 2 (0-30) episodes. According to the Cantu concussion severity classification, 3 athletes were grade 1, 12 were grade 2 and 20 were grade 3. None of the injured athletes was lost to follow-up. The primary endpoint was the occurrence of a new concussion within 3 months after the first in patients who returned to rugby.Results:Thirty-three patients returned to rugby after a mean 22.1 ± 10 days. The recurrence rate within 3 months was 2/33 (6.1%). The median delay before returning to rugby was 21 (7-45) days. Factors associated with a delayed return to play were young age, initial loss of consciousness, severity Cantu grade 3 and post-concussive syndrome of more than 5 days. Analysis of two failures showed that the initial injury was grade 3 and that both were professional athletes and had a history of concussion.Conclusions:This prospective study validated the study protocol for the management of concussion in rugby players.

show abstract

Section: Discussionmentioning

confidence: 99%

Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players

Chermann¹,

Klouche

Savigny³

et al. 2014

Asian J Sports Med

View full text Add to dashboard Cite

show abstract

“…Previous French rugby consensus statement on concussion in sport established that a consultation with a neurologist could help return to sports under optimal conditions to prevent recurrent concussions. 35 36 Moreover, evidence has shown that consultation within 4 days following the injury could help diminish the duration of post-concussion syndrome due to a more thorough follow-up and support of the concussed athlete. 35–37 In this regard, athletes who potentially sustained a concussion were sent to an independent neurologist and underwent the standard procedure developed in collaboration with the medical staff of the sport clubs that participated in the study ( table 3 ).…”

Section: Methodsmentioning

confidence: 99%

“… 35 36 Moreover, evidence has shown that consultation within 4 days following the injury could help diminish the duration of post-concussion syndrome due to a more thorough follow-up and support of the concussed athlete. 35–37 In this regard, athletes who potentially sustained a concussion were sent to an independent neurologist and underwent the standard procedure developed in collaboration with the medical staff of the sport clubs that participated in the study ( table 3 ). Two main evaluations were conducted by the same neurologist, one within 48 hours following the injury (48 hours) and the second when deciding the RTP.…”

Section: Methodsmentioning

confidence: 99%

Perceptual-cognitive three-dimensional multiple-object tracking task can help the monitoring of sport-related concussion

Chermann¹,

Romeas²,

Marty³

et al. 2018

BMJ Open Sport Exerc Med

View full text Add to dashboard Cite

ObjectivesWhile the rate of sport-related concussion is increasing, more effective tools are needed to help monitor the diagnosis and return to play of athletes. The three-dimensional multiple-object tracking (3D-MOT) exercise is a perceptual-cognitive task that has shown predictive power towards the dynamic requirements of real-world activities such as sport. This study introduced the use of the 3D-MOT task, along with the Standardized Assessment of Concussion (SAC) and Modified Balance Error Scoring System (M-BESS) tests, for diagnosis and return to play in professional sports.MethodsFifty-nine professional athletes were tested with the 3D-MOT, SAC and M-BESS tests at 48 hours following the injury. The same measures were employed to evaluate the return to play following the standard concussion management protocol. The SAC and M-BESS tests were also performed in pre-season (baseline) in 32 out of the 59 athletes.ResultsThe injured athletes exhibited poor performance on 3D-MOT at 48 hours post injury compared with return to play (p<0.001) as well as compared with healthy professionals’ performance scores (p<0.001). Importantly, learning rate, which participants are thought to have an expert advantage on this perceptual-cognitive task, was totally disrupted at 48 hours post injury compared with healthy professionals (p<0.001). The 3D-MOT performance was also correlated to the total number of symptoms (p=0.020), SAC (p=0.031) and M-BESS (p=0.004) scores at 48 hours. Not surprisingly, SAC and M-BESS tests’ usefulness for monitoring concussion was found to be weak, particularly when test performance following the injury was compared to baseline (p=0.056 and 0.349 for SAC and M-BESS, respectively).Conclusion3D-MOT could help monitor sport-related concussion in professional athletes. The discussion also covers the critical importance of perceptual-cognitive assessment following concussion in the athletic population.

show abstract

Long-term consequences of recurrent sports concussion

et al. 2015

View full text Add to dashboard Cite

RRPs reported a higher number of RCs than ORSs (p < 0.001). A higher rate of major depressive disorder (PHQ-9 score >9) was observed among RRPs compared to ORSs (9% versus 6%) (p = 0.04), and the PHQ-9 score increased with the number of RCs regardless of the type of sport (p = 0.026). A higher rate of mild cognitive disorders (TICS-m score ≤30) was observed in RRPs compared to ORSs (57% versus 40%, p = 0.005), but no association was found with the number of RC. The HIT-6 score increased with the number of RCs (p = 0.019) CONCLUSIONS: More than 20 years after the end of their career, RRPs present higher rates of depression and lower F-TICS-m scores in favor of mild cognitive impairment compared with ORSs. PHQ-9 and HIT-6 scores were significantly associated with the number of RCs.

show abstract

Rugby professionnel et traumatismes crâniens (commotions cérébrales) : recommandations pour leur prise en charge en France

Cited by 14 publications

References 43 publications

Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players

Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players

Perceptual-cognitive three-dimensional multiple-object tracking task can help the monitoring of sport-related concussion

Long-term consequences of recurrent sports concussion

Contact Info

Product

Resources

About