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Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other sports

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Abstract

Background

Sport-related concussion (SRC) is a potential issue within Gaelic Football. Therefore, it is essential that concussion management guidelines are adhered to.

Hypothesis/purpose

The aim of this study is to determine if potential concussive events (PCEs) in the Gaelic Athletic Association (GAA) National Football League (NFL) are assessed in accordance with GAA concussion guidelines and compare this to other sports.

Methods

A descriptive video analysis approach was undertaken to identify PCEs throughout two seasons of play. Subsequent assessment, return to play (RTP) decisions, and signs of concussion were evaluated.

Results

A total of 242 PCEs were identified over 111 matches. Most PCEs (87.2%, n = 211) were assessed by medical personnel. However, 187 (88.6%) of assessments were under 2 min in duration. Of the 242 PCEs, 189 (78.1%) returned to play after on-pitch assessment, and 12 (5.0%) were removed following a PCE. Sixty-one (25.2%) players sustaining a PCE demonstrated one or more signs of concussion, of which 9 (14.8%) were removed from play.

Conclusion

In the GAA NFL, PCEs are often briefly assessed but rarely result in player removal. Introduction of video incident analysis and concussion substitutions, as in other sports, may reduce the long-term burden of SRC on Gaelic Football players.

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Author notes

  1. Darek Sokol-Randell and Mario Pasquale Rotundo contributed equally to this work.

Authors and Affiliations

  1. University College Cork, School of Medicine, Gaol Walk, Brookfield Health Sciences Complex, University College, Cork, T12 YN60, Ireland

    Darek Sokol-Randell, Mario Pasquale Rotundo & Conor Deasy

  2. Emergency Innovation Research Network, Wilton, Cork, Ireland

    Darek Sokol-Randell, Mario Pasquale Rotundo & Conor Deasy

  3. School of Biomedical Sciences, University of Leeds, Woodhouse, Leeds, LS2 9JT, UK

    Gregory Tierney

  4. Emergency Department, Cork University Hospital, Wilton, Cork, Ireland

    Conor Deasy

  5. Division of Neurosurgery, St. Michael’s Hospital, University of Toronto, 30 Bond St, Toronto, ON, M5B 1W8, USA

    Michael D. Cusimano

Authors
  1. Darek Sokol-Randell
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  2. Mario Pasquale Rotundo
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  3. Gregory Tierney
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  4. Conor Deasy
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  5. Michael D. Cusimano
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Corresponding author

Correspondence to Darek Sokol-Randell.

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Ethical approval was granted by the Social Research Ethics Committee of the Cork Teaching Hospitals (Ref: 10/09/2019/02).

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Sokol-Randell, D., Rotundo, M.P., Tierney, G. et al. Frequent but limited assessment of potentially concussed players in Gaelic Football: an opportunity to learn from other sports. Ir J Med Sci 190, 787–792 (2021). https://doi.org/10.1007/s11845-020-02390-5

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  • DOI: https://doi.org/10.1007/s11845-020-02390-5

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