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British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2002 Feb;36(1):19–22. doi: 10.1136/bjsm.36.1.19

Does rugby headgear prevent concussion? Attitudes of Canadian players and coaches

J Pettersen 1
PMCID: PMC1724442  PMID: 11867487

Abstract

Objectives: To examine the attitudes of players and coaches to the use of protective headgear, particularly with respect to the prevention of concussion.

Methods: A questionnaire designed to assess attitudes to headgear was administered to 63 players from four different Canadian teams, each representing a different level of play (high school, university, community club, national). In addition, coaches from all four levels were questioned about team policies and their personal opinions about the use of headgear to prevent concussion.

Results: Although the players tended to believe that the headgear could prevent concussion (62%), the coaches were less convinced (33%). Despite the players' belief that headgear offers protection against concussion, only a minority reported wearing headgear (27%) and few (24%) felt that its use should be made mandatory. Common reasons for not wearing headgear were "its use is not mandatory", "it is uncomfortable", and "it costs too much".

Conclusion: Although most players in the study believe that rugby headgear may prevent concussion, only a minority reported wearing it. Coaches tended to be less convinced than the players that rugby headgear can prevent concussion.

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Selected References

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  1. Collins M. W., Grindel S. H., Lovell M. R., Dede D. E., Moser D. J., Phalin B. R., Nogle S., Wasik M., Cordry D., Daugherty K. M. Relationship between concussion and neuropsychological performance in college football players. JAMA. 1999 Sep 8;282(10):964–970. doi: 10.1001/jama.282.10.964. [DOI] [PubMed] [Google Scholar]
  2. Finch C. F., McIntosh A. S., McCrory P. What do under 15 year old schoolboy rugby union players think about protective headgear? Br J Sports Med. 2001 Apr;35(2):89–94. doi: 10.1136/bjsm.35.2.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gentilini M., Nichelli P., Schoenhuber R., Bortolotti P., Tonelli L., Falasca A., Merli G. A. Neuropsychological evaluation of mild head injury. J Neurol Neurosurg Psychiatry. 1985 Feb;48(2):137–140. doi: 10.1136/jnnp.48.2.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gerrard D. F., Waller A. E., Bird Y. N. The New Zealand Rugby Injury and Performance Project: II. Previous injury experience of a rugby-playing cohort. Br J Sports Med. 1994 Dec;28(4):229–233. doi: 10.1136/bjsm.28.4.229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gronwall D., Wrightson P. Cumulative effect of concussion. Lancet. 1975 Nov 22;2(7943):995–997. doi: 10.1016/s0140-6736(75)90288-3. [DOI] [PubMed] [Google Scholar]
  6. Kelly J. P., Rosenberg J. H. Diagnosis and management of concussion in sports. Neurology. 1997 Mar;48(3):575–580. doi: 10.1212/wnl.48.3.575. [DOI] [PubMed] [Google Scholar]
  7. MacFlynn G., Montgomery E. A., Fenton G. W., Rutherford W. Measurement of reaction time following minor head injury. J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1326–1331. doi: 10.1136/jnnp.47.12.1326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Matser E. J., Kessels A. G., Lezak M. D., Jordan B. D., Troost J. Neuropsychological impairment in amateur soccer players. JAMA. 1999 Sep 8;282(10):971–973. doi: 10.1001/jama.282.10.971. [DOI] [PubMed] [Google Scholar]
  9. McIntosh A. S., McCrory P. Impact energy attenuation performance of football headgear. Br J Sports Med. 2000 Oct;34(5):337–341. doi: 10.1136/bjsm.34.5.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. McLatchie G., Brooks N., Galbraith S., Hutchison J. S., Wilson L., Melville I., Teasdale E. Clinical neurological examination, neuropsychology, electroencephalography and computed tomographic head scanning in active amateur boxers. J Neurol Neurosurg Psychiatry. 1987 Jan;50(1):96–99. doi: 10.1136/jnnp.50.1.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Newcombe F., Rabbitt P., Briggs M. Minor head injury: pathophysiological or iatrogenic sequelae? J Neurol Neurosurg Psychiatry. 1994 Jun;57(6):709–716. doi: 10.1136/jnnp.57.6.709. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Roy S. P. The nature and frequency of rugby injuries: a pilot study of 300 injuries at Stellenbosch. S Afr Med J. 1974 Nov 16;48(56):2321–2327. [PubMed] [Google Scholar]
  13. Wilson B. D. Protective headgear in rugby union. Sports Med. 1998 May;25(5):333–337. doi: 10.2165/00007256-199825050-00005. [DOI] [PubMed] [Google Scholar]

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