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Concussion: a Critical Medical Issue 2 ISSN No VOLUME 31 ISSUE 1, 2013 Opinions expressed throughout this magazine are the contributors’ own and do not necessarily reflect the views or policy of Sports Medicine Australia (SMA). Members and readers are advised that SMA cannot be held responsible for the accuracy of statements made in advertisements nor the quality or the goods or services advertised. All materials copyright. On acceptance of an article for publication, copyright passes to the publisher. Publisher 22 36 45 Sports Medicine Australia PO Box 78 Mitchell ACT 2911 sma.org.au Circulation: 4000 Concussion: a critical medical issue 2 ISSN No. 1032-5662 An outline of the concussion themed features within this issue of Sport Health. Editor Nello Marino John Orchard Member news 4 Managing Editor Amanda Boshier 5 minutes with… Professor Per Aagaard, Keynote Speaker, 6 Chief Executive Officer Asics Conference of Science and Medicine in Sport 2013 Nello Marino Walking the tightrope between Zurich and the stadium 9 Subscription Manager Brigid Doherty The concept and applicability of ‘zero tolerance’ in concussion. Advertising Manager Dr J Amanda Boshier An introduction to concussion in sport 15 Design/Typesetting An introduction of the main principles surrounding the management of concussion. Papercut Dr Ryan Kohler SMA State BRANCHES The concussion modifiers 22 Australian Capital Territory An overview of the clinical factors that may influence timing of recovery ACT Sports House or potential risk of complications following concussion in sport. 100 Maitland St Hackett ACT 2602 T (02) 6247 5115 Dr Michael Makdissi, Professor Gavin Davis and Professor Paul McCrory New South Wales Management issues in paediatric sports concussion 28 PO Box 3176 Rhodes NSW 2138 The management, symptoms, signs, and guidelines of concussion in children. T (02) 8116 9815 Professor Gavin Davis Northern Territory PO Box 2331 Darwin NT 0801 Life and education after brain injury 33 T (08) 8927 2333 An interview with Gary Johnston, SMA QLD Education and Business Development Queensland Manager who suffered a severe brain injury early on in his sporting career. Sports House 150 Caxton St Milton QLD 4064 Amanda Boshier T (07) 3367 2700 South Australia Concussion in rugby union 36 PO Box 219 Brooklyn Park SA 5025 An interview with Warren McDonald, Australian Rugby Union’s Chief Medical Officer. T (08) 8234 6369 Amanda Boshier Victoria & Tasmania The keys to business success 40 Sports House 375 Albert Road Albert Park VIC 3206 Business insights to help enhance your business. T (03) 9674 8777 Papercut, Sportspeople, Davidsons, ZOO Western Australia Physical sideline tests for the assessment of sports concussion 45 PO Box 57 Clarement WA 6010 A clinician’s guide to the SCAT3. T (08) 9285 8033 Dr Tony Schneiders SUBSCRIPTION Rates SMA partnership to raise concussion awareness 51 Australia A$40 Overseas A$60 The partnership between SMA and Brain Injury Australia to provide SMA members receive Sport Health a ‘grassroots’ concussion awareness and education campaign. as part of their membership fee Nick Rushworth Single copies and back copies A$15 Early-onset knee osteoarthritis after anterior cruciate ligament 52 (includes postage) reconstruction: don’t forget the PFJ PP No. 226480/00028 The patellofemoral joint and the long-term outcomes following For subscriptions contact anterior cruciate ligament reconstruction. T (02) 8116 9815 E [email protected] Adam Culvenor and Kay Crossley Cover photograph – www.istockphoto.com The emerging prominence of nutrition in injury management 57 Content photographs – www.istockphoto.com, A look at if the role of nutrition is being overlooked in the acute phase of injury. Chris Canham Photography, Elsener Australia Johan Leech Discipline group news and events 62 Journal of Science and Medicine in Sport 64 VOLUME 31 ISSUE 1, 2013 1 FROM THE CEO Concussion: a critical medical issue This edition of Sport Health marks the first of a number of themed issues. In keeping with its ever increasing profile we have chosen to tackle the issue of concussion in sport. Dr J asserts that concussion is arguably the most critical medical issue facing collision sports over the next decade. Some with extreme views even suggest it spells the end of collision sports as we know them. This remains to be seen. “A feature of the most recent consensus statement is the increased emphasis on special populations, particularly children.” Since the release of the 2012 concussion statement emanating from the 4th Concussion in Sport Conference in Zurich, many sporting codes have made rapid changes to rules in order to accommodate the evolving evidence of this injury. As usual Dr J provides a very open and honest account of the difficulties presented to medicos involved in professional team sports and the obvious dilemmas they face making decisions in such codes. We are also delighted to have contributions from Dr Michael Makdissi, who along with Professor Gavin Davis and Professor Paul McCrory, provides a deeper understanding of some of the factors that influence the timing of concussion recovery and offer the potential for complications following a concussion in sport. These again highlight the complexity of Sports Medicine Australia has recently announced a the injury and the variability in athlete symptom response. new partnership with Sixty4, an emerging new Australian based business that develops and produces innovative “He tells of piecing his life back together after his trauma sports bras for active women. For more information on and provides a compelling understanding of the real life Sixty4 visit www.sixty4.net impact of a serious collision injury from sport.” If you have a worthy cause or issue related to sports medicine or physical activity that you would like A feature of the most recent consensus statement is the promoted in Sport Health via a promotional item email increased emphasis on special populations, particularly children. [email protected] Whilst Professor Gavin Davis demonstrates that the processes adopted in the management of concussion in children are not dissimilar to concussion in adults, the obvious care and SMA CEO, Nello Marino highlights the concussion themed importance of ensuring children satisfy carefully graded steps features within this issue of Sport Health. in their return to play cannot be over emphasised. Gary Johnston is someone many SMA members will have I was fortunate to attend the recent Concussion in Football met in his role as Education and Business Development Conference in Melbourne in March. This was one of those Manager at the SMA Queensland Branch. Gary’s story is truly events where the competitive nature of our four major football remarkable. He spent two years in a coma following a serious codes gets put aside in the interest of collaboration for football accident. He tells of piecing his life back together after participant safety. Participant safety seems to have that effect. his trauma and provides a compelling understanding of the 2 SPORT HEALTH FROM THE CEO real life impact of a serious collision injury from sport. Gary is a wonderful advocate for espousing the value of safe practice in Follow SMA CEO sport and today uses his experience with absolute passion in Nello Marino on the delivery of SMA sport safety training. Twitter @SMACEO Do you know your dietary “Dr J asserts that concussion is arguably the most critical health ABC? A–Z of dietary medical issue facing collision sports over the next decade.” supplements and sports nutrition now online thanks to #BJSM http://bit.ly/YEFxNU – April 13, 2013 Round these off with an interview with Australian Rugby Union’s Chief Medical Officer, Dr Warren McDonald; a concussion RT @SMAPresident announces that Prof Jiri Dvorak Medical Director of FIFA will attend SMA conference in Phuket as invited overview from Dr Ryan Kohler of the Australasian College of speaker Oct 22–25 – April 4, 2013 Sports Physicians; and an overview of the assessment tools centred around the new SCAT3 written by Dr Tony Schneiders. Here is content from the latest issue of the now SMA partnered British Journal of Science and Medicine http://bit.ly/YEFxNU – We look forward to providing further themed issues in the near March 26, 2013 future with upcoming editions being dedicated to drugs and Interesting example of how urban planning impacts on the supplements in sport, and the history of sports medicine in health of Australians http://bit.ly/WA862H – March 19, 2013 Australia forming part of the celebration of Sports Medicine One key message from 1st concussion conference session, Australia’s 50th anniversary. player welfare is paramount, not rushing players back to play. Test and rest! – March 20, 2013 Nello Marino Australian sport has a clearer picture of what it’s up against. Chief Executive Officer This is an opportunity to engage us all in upholding the integrity Sports Medicine Australia of sport – February 8, 2013 [email protected] OneSMA – What it means to SMA members Since October 2010 the SMA National Board has been consulting with SMA State Branches on OneSMA, a proposal to merge the nine separately governed organisations that make up SMA, into one organisation. This consultation has guided the final proposed structure and constitution which is now available at onesmablog.com. What the proposed (OneSMA) merger means Overview of the OneSMA voting The National Board has considered the benefits of Full SMA Members will be given the opportunity to vote OneSMA and believes that the merger will result in: on a motion to adopt a new constitution and a more a) Improved benefits available to all members. effective and efficient new structure for SMA. b) Increased ability to better serve members and the Members will have the option to vote at a general meeting community, particularly those in regional areas. on June 26, or via postal vote. All voting members will receive a postal ballot at least 21 days prior to the c) Improved capacity to develop alliances with meeting date.
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