MOSMAN JUNIOR RUGBY CLUB

MJRC Concussion Protocol

 

Emergency 

1. Suspected concussion

2. Remove player from field IMMEDIATELY!

3. As soon as possible after the incident, player needs to be taken to an Emergency Department at a local hospital. When released by Emergency Department and concussion is noted, player starts mandatory two week rest period.

4. Within one week of the incident, player sees Dr Andrew Ullo from Absolute Health Solutions (Ph: 0413-925-004) for SCAT3 assessment and to be cleared to start graduated return to play (GRTP).

5. Start GRTP

* If the child has a suspected concussion they will be unavailable for selection for a minimum of 2 weeks.


Visible clues of concussion - what you see

Any one or more of the following visual clues can indicate a concussion:

  • Dazed, blank or vacant look
  • Lying motionless on ground/slow to get up
  • Unsteady on feet/balance problems or falling over/incoordination
  • Loss of consciousness or responsiveness
  • Confused/not aware of plays or events
  • Grabbing/clutching of head
  • Seizure (fits)
  • More emotional/Irritable than normal for that person

Symptoms of concussion - what you are told

Presence of any one or more of the following signs and symptoms may suggest a concussion:

  • Headache
  • Dizziness
  • Mental clouding, confusion, or feeling slowed down
  • Visual problems
  • Nausea or vomiting
  • Fatigue
  • Drowsiness/feeling like “in a fog“/difficulty concentrating
  • "Pressure in head”
  • Sensitivity to light or noise

Graduated Return To Play (GRTP) programme

A graduated return to play (GRTP) programme is a progressive exercise programme that introduces a player back to rugby in a step wise fashion. This should only be started once the player is symptom free. The GRTP programme consists of six distinct stages:

  • The first stage is the recommended rest period
  • The next four stages are training based restricted activity
  • Stage 6 is a return to play

Under the GRTP programme, the player can proceed to the next stage only if there are no symptoms of concussion during rest and at the level of exercise achieved in the previous GRTP stage.

If any symptoms occur while going through the GRTP programme, the player must return to the previous stage and attempt to progress again after a minimum 24-hour period of rest without symptoms.

Table 1: GRTP protocol - each stage is a minimum of 24 hours

Stage Rehabilitation Stage Exercise Allowed Objective
1 Minimum rest period Complete body and brain rest without symptoms Recovery
2 Light aerobic exercise Light jogging for 10-15 minutes, swimming or stationary cycling at low to moderate intensity. No resistance training. Symptomfree during full 24-hour period Increase heart rate
3 Sport-specific exercise Running drills. No head impact activities Add movement
4 Non-contact training drills Progression to more complex training drills, e.g. passing drills. May start progressive resistance training Exercise, coordination, and cognitive load
5 Full contact practice Normal training activities Restore confidence and assess functional skills by coaching staff
6 Return to play Player rehabilitated Recover

Important concussion links

Australian Rugby Union

http://www.stadiumclinic.com.au/pdf/aru-concussion-guidance-new.pdf

World Rugby

http://playerwelfare.worldrugby.org/concussion

 

Last Updated: Mar-09-2016 at 10:10pm