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Studying Contact Replays : Investigating Mechanisms, Management and Game Exposures (SCRIMMAGE) for brain health in the Australasian National Rugby League : a protocol for a database design

Gardner, Andrew J.
Iverson, Grant L.
Bloomfield, Paul
Flahive, Sharron
Brown, James
Edwards, Suzi
Fuller, Gordon W.
Ghajari, Mazdak
Jhala, Prashant
Jones, Ben
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Abstract
Concussions in contact sports are challenging for athletes, health professionals and sporting bodies to prevent, detect and manage. Design of interventions for primary prevention, early recognition of concussion and continuing to improve postconcussion management are essential for protecting athletes and promoting brain health. Over the last decade, there have been advancements in video technology for analysing head impact events and improvements in the clinical management of concussions. This study protocol describes how researchers, clinicians and staff from the Australasian National Rugby League (NRL) have brought these advancements together and developed a database of videos with head impact events and clinical outcomes. The intended outputs from this work will enhance the understanding of head impact events in NRL, from biomechanical and gameplay factors to concussion and return to play outcomes. Publishing this protocol increases the transparency of this large-scale effort to better identify head impacts and their relationship to concussions and player movement behaviour to contextualise these variables to generate new knowledge and support the reproducibility of these emerging findings. Between 2017 and 2023, over 5250 head contact cases were recorded in the database, from which >1700 head injury assessments were performed, and >600 concussions were diagnosed. Future studies using these data are planned to inform both primary and secondary injury prevention initiatives, such as risk analysis and prediction of game scenarios that result in concussion, as well as investigation of features and factors that help to inform the duration of recovery and return to play.
Keywords
Concussions, contact sports, Australia, National Rugby League, NRL
Date
2024
Type
Journal article
Journal
BMJ Open Sport & Exercise Medicine
Book
Volume
10
Issue
4
Page Range
1-8
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Relation URI
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
File Access
Open
Open
Notes
This study was funded by National Health and Medical Research Council (Early Career Researcher Fellowship (AJG), Investigator Grant (AJG)). G1600288
© Author(s) (or their employer(s)) 2024. Re- use permitted under CC BY- NC. No commercial re- use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/