Concussion in rugby: how does this affect players and the rest of their lives?

Authored by the team ‘A-Team’: Padraig Amond, Courtney Barnes, John Cox, Pelin De-Vanney, Aimee Keast, John Knipe, Kian Middleton, Colby Wood, and Amelia Yates [E119 22J students].

This blog was written as part of a collaborative teamwork task by students studying E119. They had to select a topic and then decide on what roles each person would perform in the team, such as researcher, writer, editor, and leader. This blog was chosen as one of the best blogs from 27 blogs that were produced in January 2023.

children playing football

When playing most sports, participants are warned of the risks and potential minor injuries they could sustain, but there are limited discussions on the dangerous, long-term outcomes which could happen. Children are highly influenced between the ages of 8-14 years, yet these influences could be putting their future health in danger. It’s not only the children that need to be educated on these health risks but also the parents, coaches and support team who need to know the impacts of injuries, particularly concussions. So, how do we educate them?

A sport which has been researched into having significantly more severe concussion cases is Rugby. This is a contact, team sport played with two teams trying to score tries, penalty kicks and drop goals. Players can run with the ball and kick or pass it sideways or backwards to a teammate. According to HEADS UP (2019), a concussion happens when there is a traumatic brain injury, which could be induced by a jolt, blow, or bump to the skull or by the head and brain moving speedily back and forth due to a hit of the body. Therefore, how is it possible to get concussed in rugby? Many concussions are from tackles in which the abrupt movement causes the brain to twist or bounce around in the cranium. Throughout this blog, there will be many things which prove that long-term impact will cause concussions.

One player prone to injury was Shontayne Hape, a former England centre, who gave his point of view on concussion in rugby and said how ‘players are regularly pressured to return quickly from head injuries’ and claims they ‘routinely cheated cognitive tests designed to monitor their brain function throughout the season’ (Steven, 2018). The former England centre admitted he’d been concussed close to 20 times in his career and said his condition got so bad he could not remember his PIN number and was left with ‘depression, constant migraines, and memory loss’ (Steven, 2018). There are many players like Hape whose careers end abruptly from concussion.

Research conducted in England in the 2018-2019 season has shown that 20% of professional rugby players sustained at least one match concussion. This was a 16% increase from the previous season. The contact areas of tackling and scrummaging account for 75% of concussions (Rugby Union, 2020). The number of concussions may have increased due to a larger acknowledgement of the danger of concussions, meaning that the coaches and officials are looking out for them. However, not only has there been an increase in the number of players in rugby union, but also the physical build of players. An example of this is in 1962, the average height of an England player was 1.80 m and they weighed 85.7 kg, whereas in 2012 this rose to 1.88 m and a weight of 104 kg (Fordyce, 2012). The weight increase would mean that there is a greater force between players, adding to the chance of injury. Similarly, broader, and fitter players mean that on the pitch it is more compact, making it difficult to run past or around the opposing players and potentially hitting the head, shoulder, hip, or knee of an opponent with great force. This would mean that during the game, the number of collisions and contact time increase. The force that has increased from this rise in player build has led to this increase in concussions.

Concussions can lead to serious health conditions and illnesses that affect the brain, such as memory loss, depression, dementia, and Parkinson’s disease. A considerable amount of rugby players have experienced this, one being Nic Berry. Despite suffering numerous head injuries in multiple seasons, the 28-year-old was cleared to start the 2012 campaign for Wasps. However, a ‘concussive episode’ during the season opener against Harlequins forced him to quit the game which was a massive part of his life. The retirement age for a rugby player is 38 years old, meaning that players such as Nic have had their careers shortened by an incredible amount. Another player who has experienced this is Dominic Ryan. The Ireland international retired at 28 years old from ‘terrifying’ concussion-related health problems such as dementia. When he spoke in the Irish Times, Ryan said: ‘It’s a weight off my shoulders…with a bit of distance I can see it was a no-brainer to retire. I can see now I was literally putting myself in harm’s way’ (Peters, 2013).

Importantly, concussion isn’t just experienced within men’s rugby. ‘Women typically have less neck strength and experience a greater concussion risk as well as greater severity of symptoms with a longer duration of recovery compared to men,’ (Zielinski, 2019). Someone like Kat Merchant suffered from this and retired on medical advice aged 28 in 2014 after 11 confirmed concussions in 14 seasons and still suffers from symptoms. “I have a lower cognitive capacity…I can’t do a hundred things at once without getting a headache, getting flustered or without forgetting my words’ (Orchard, 2020).

This evidence provided shows that many more precautions should be introduced to protect rugby players. The effect that concussion has on their lives is huge; not being able to continue doing something they love. These blows to the head result in serious health issues. The fact that they must give up everything they know will negatively impact their mental health. However, it’s not just rugby that these precautions need to be seen being introduced into. Football is another sport which involves areas of high contact, e.g. headers, and repeated actions of this will also result in concussions. Will we see some important changes to these big sports anytime soon?

 

References

Centers for Disease Control and Prevention, National,  (2019), ‘What Is a Concussion?’, HEADS UP, CDC Injury Centre https://www.cdc.gov/headsup/basics/concussion_whatis.html (Accessed: 14 January 2023)

Fordyce, T. (2012) ‘Land of the rugby giants’, BBC Sport, 8 March. Available at: https://www.bbc.co.uk/blogs/tomfordyce/2012/03/land_of_the_rugby_giants.html  (Accessed: 20 January 2023)

Orchard, S. (2020), ‘Rugby and brain injuries: World Cup winner Kat Merchant has lower cognitive capacity’ BBC Sport, 16 December. Available at: https://www.bbc.co.uk/sport/rugby-union/55306949 (Accessed: 20 January 2023)

Rugby Union, (2020) ‘Concussion in rugby union affected 20% of professional players in England in 2018-19’, BBC Sport, 22 December. Available at: https://www.bbc.co.uk/sport/rugby-union/55360214 (Accessed: 14 January 2023)

Steven, (2018), ‘LIST: The shocking list of rugby concussions that have ended career’ Ruck, pp. 1-4, Available at: https://www.ruck.co.uk/list-the-shocking-list-of-rugby-concussions-that-have-ended-careers/4/ (Accessed: 20 January 2023)

Zielinski, P. (2019) ‘Can stronger necks prevent concussions?’ Futurity, 16 January. Available at: https://www.futurity.org/concussions-necks-athletes-1959052-2/ (Accessed: 16 January 2023)

 

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