Skip to main content
Top
Published in: Sports Medicine - Open 1/2018

Open Access 01-12-2018 | Original Research Article

Frequency of Self-Reported Concussion Amongst Professional and Semi-Professional Footballers in Ireland During the 2014 Season: a Cross-Sectional Study

Authors: Nicola Coffey, Martin Lawless, Seamus Kelly, Conor Buggy

Published in: Sports Medicine - Open | Issue 1/2018

Login to get access

Abstract

Background

This paper examines the occupational risk of concussion amongst professional and semi-professional footballers in Ireland during the 2014 League of Ireland season. As part of a broader nationally representative study examining occupational safety and health (OSH) awareness amongst professional footballers, this empirical quantitative study, utilising a convenience sample is the first and largest investigation of the frequency of, and attitudes towards, concussion and concussion reporting amongst Irish senior professional and semi-professional footballers.

Methods

A census survey using an anonymous questionnaire was provided to available League of Ireland clubs between March and May 2015. Permission to access players was provided by the Professional Footballers Association of Ireland. This convenience sample was determined by club availability in relation to match fixtures. Participation by the footballers was voluntary. At the time, there were 250 professional and semi-professional players within the League available to participate.

Results

A total of 149 footballers participated in the study. Sixty percent of the participants were employed on a semi-professional basis and the majority of all participants were aged between 18 and 30. 15.7% of the participants reported having received a concussion in the 2014 season with semi-professional players having a noticeably higher (though not significant) reporting rate. Analysis indicated that there was a significant association between playing position and concussion reporting with defenders having the greater odds of reporting a concussion than other playing positions. Professional and semi-professional footballers have a relatively equal risk of receiving a concussion.

Conclusion

This research is the first major investigation of the self-reported frequency of, and attitudes towards, concussion amongst Irish senior professional and semi-professional footballers. The results have important implications for coaches, clinicians, parents, players and national governing bodies. Further research is needed to ascertain whether professional footballers perceive concussion as an occupational risk, and whether they appreciate that accepting such risks can have long-term implications for health.
Literature
1.
go back to reference American National Football League (2013). National Football League Review. Available at: http://www.nfl.com/news/story/0ap2000000363672/article/federal-judge-approves-nfl-concussion-settlement. Accessed 14 Dec 2014. American National Football League (2013). National Football League Review. Available at: http://​www.​nfl.​com/​news/​story/​0ap2000000363672​/​article/​federal-judge-approves-nfl-concussion-settlement.​ Accessed 14 Dec 2014.
2.
go back to reference U.S. District Court for the Eastern District of Pennsylvania (2015). National Football League Players’ concussion injury litigation.’. Available at: https://s3.amazonaws.com/s3.documentcloud.org/documents/2039302/n-f-l-concussion-settlement-ruling.pdf. Accessed 1 Jan 2016. U.S. District Court for the Eastern District of Pennsylvania (2015). National Football League Players’ concussion injury litigation.’. Available at: https://​s3.​amazonaws.​com/​s3.​documentcloud.​org/​documents/​2039302/​n-f-l-concussion-settlement-ruling.​pdf.​ Accessed 1 Jan 2016.
3.
go back to reference Theadom A, Starkey NJ, Dowell T, Hume PA, Kahan M, McPherson K, Feigin V. Sports-related brain injury in the general population: an epidemiological study. Journal of science and medicine in sport / sports medicine Australia. 2014;17(6):591.CrossRef Theadom A, Starkey NJ, Dowell T, Hume PA, Kahan M, McPherson K, Feigin V. Sports-related brain injury in the general population: an epidemiological study. Journal of science and medicine in sport / sports medicine Australia. 2014;17(6):591.CrossRef
4.
go back to reference McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017;0:1–10. McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017;0:1–10.
6.
go back to reference Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. Journal of Head Trauma Rehabilitation. 2006;21:375–8.CrossRefPubMed Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. Journal of Head Trauma Rehabilitation. 2006;21:375–8.CrossRefPubMed
7.
go back to reference Delaney JS, Frankovitch R. Head injuries and concussions in soccer. Clin J Sport Med. 2005;15(4):214–7.CrossRef Delaney JS, Frankovitch R. Head injuries and concussions in soccer. Clin J Sport Med. 2005;15(4):214–7.CrossRef
8.
go back to reference Tarnutzer AA, Straumann D, Brugger P, Feddermann-Demont N. Persistent effects of playing football and associated (subconcussive) head trauma on brain structure and function: a systematic review of the literature. Br J Sports Med. 2016;6:1-15 Tarnutzer AA, Straumann D, Brugger P, Feddermann-Demont N. Persistent effects of playing football and associated (subconcussive) head trauma on brain structure and function: a systematic review of the literature. Br J Sports Med. 2016;6:1-15
9.
go back to reference Delaney JS, Lacroix VJ, Leclerc S, Johnston KM. Concussions during the 1997 Canadian football season. Clin J Sport Med. 2000;10:9–14.CrossRefPubMed Delaney JS, Lacroix VJ, Leclerc S, Johnston KM. Concussions during the 1997 Canadian football season. Clin J Sport Med. 2000;10:9–14.CrossRefPubMed
10.
go back to reference Straume-Naesheim TM, Anderson TE, Dvorak J, Bahr R. Effects of heading exposure and previous concussions on neuropsychological performance among Norwegian elite footballers. British. J Sports Med. 2005;39(Suppl 1):i70–7. Straume-Naesheim TM, Anderson TE, Dvorak J, Bahr R. Effects of heading exposure and previous concussions on neuropsychological performance among Norwegian elite footballers. British. J Sports Med. 2005;39(Suppl 1):i70–7.
11.
go back to reference Matser JT, Kessels AG, Jordan BD, et al. Chronic traumatic brain injury in professional soccer players. Neurology. 1998;51:791–6.CrossRefPubMed Matser JT, Kessels AG, Jordan BD, et al. Chronic traumatic brain injury in professional soccer players. Neurology. 1998;51:791–6.CrossRefPubMed
12.
go back to reference Broglio SP, Vagnozzi R, Sabin M, Signoretti S, Tavazzi B, Lazzarino G. Concussion occurrence and knowledge in Italian football (soccer). Journal of Sports Science and Medicine. 2010;9:418–30.PubMedPubMedCentral Broglio SP, Vagnozzi R, Sabin M, Signoretti S, Tavazzi B, Lazzarino G. Concussion occurrence and knowledge in Italian football (soccer). Journal of Sports Science and Medicine. 2010;9:418–30.PubMedPubMedCentral
13.
go back to reference Bramley H, Patrick K, Lehman E, Silvis M. High school soccer players with concussion education are more likely to notify their coach of a suspected concussion. Clinical paediatrics. 2012;51(4):332–6.CrossRef Bramley H, Patrick K, Lehman E, Silvis M. High school soccer players with concussion education are more likely to notify their coach of a suspected concussion. Clinical paediatrics. 2012;51(4):332–6.CrossRef
14.
go back to reference Delaney JS, Lacroix VJ, Leclerc S, Johnston KM. Concussions among university football and soccer players. Clinical Journal of Sport Medicine, 1. 2002;12(6):331–8.CrossRef Delaney JS, Lacroix VJ, Leclerc S, Johnston KM. Concussions among university football and soccer players. Clinical Journal of Sport Medicine, 1. 2002;12(6):331–8.CrossRef
15.
go back to reference Williams JM, Langdon JL, McMillan JL, Buckley TA. English professional football players concussion knowledge and attitude. Journal of Sport and Health Science, 30. 2016;5(2):197–204.CrossRef Williams JM, Langdon JL, McMillan JL, Buckley TA. English professional football players concussion knowledge and attitude. Journal of Sport and Health Science, 30. 2016;5(2):197–204.CrossRef
16.
go back to reference Nordström A, Nordström P, Ekstrand J. Sports-related concussion increases the risk of subsequent injury by about 50% in elite male football players. Br J Sports Med. 2014;48(19):1447.CrossRefPubMed Nordström A, Nordström P, Ekstrand J. Sports-related concussion increases the risk of subsequent injury by about 50% in elite male football players. Br J Sports Med. 2014;48(19):1447.CrossRefPubMed
17.
go back to reference Anderson BL, Gittelman MA, Mann JK, Cyriac RL, Pomerantz WJ. High school football players’ knowledge and attitudes about concussions. Clinical journal of sport medicine,1. 2016;26(3):206–9.CrossRef Anderson BL, Gittelman MA, Mann JK, Cyriac RL, Pomerantz WJ. High school football players’ knowledge and attitudes about concussions. Clinical journal of sport medicine,1. 2016;26(3):206–9.CrossRef
18.
go back to reference Frass MS, Coughlan GF, Hart EC, McCarthy C. Concussion history and reporting rates in elite Irish rugby union players. Physical Therapy in Sport. 2013;5:1–7. Frass MS, Coughlan GF, Hart EC, McCarthy C. Concussion history and reporting rates in elite Irish rugby union players. Physical Therapy in Sport. 2013;5:1–7.
19.
go back to reference Dublin Coroner Court (2014). “Kenny Nuzum”. Coroner - Dr Brian Farrell, week 4, may 2014. Store street, Dublin 1, Ireland. Dublin Coroner Court (2014). “Kenny Nuzum”. Coroner - Dr Brian Farrell, week 4, may 2014. Store street, Dublin 1, Ireland.
20.
go back to reference National Research Centre for the Working Environment. Occupational safety climate questionnaire. Oslo, Norway: Division of Safety Research, National Research Centre for the Working Environment; 2015. National Research Centre for the Working Environment. Occupational safety climate questionnaire. Oslo, Norway: Division of Safety Research, National Research Centre for the Working Environment; 2015.
21.
go back to reference Diaz-Cabrera D, Hernandez-Fernaud E, Diaz RI. An evaluation of a new instrument to measure organisational safety culture values and practices. Accid Anal Prev. 2007;39:1202–11.CrossRefPubMed Diaz-Cabrera D, Hernandez-Fernaud E, Diaz RI. An evaluation of a new instrument to measure organisational safety culture values and practices. Accid Anal Prev. 2007;39:1202–11.CrossRefPubMed
22.
go back to reference Hayes BE, Perander J, Smecko T, Trask J. Measuring perceptions of workplace safety: development and validation of the work safety scale. J Saf Res. 1998;29:145–61.CrossRef Hayes BE, Perander J, Smecko T, Trask J. Measuring perceptions of workplace safety: development and validation of the work safety scale. J Saf Res. 1998;29:145–61.CrossRef
23.
go back to reference McCrea M, Kelly JP, Randolph C, Kluge J, Bartolic E, Finn G, Baxter B. Standardized assessment of concussion (SAC): on-site mental status evaluation of the athlete. Journal of Head Trauma Rehabilitation. 1998;11(13):27–35.CrossRef McCrea M, Kelly JP, Randolph C, Kluge J, Bartolic E, Finn G, Baxter B. Standardized assessment of concussion (SAC): on-site mental status evaluation of the athlete. Journal of Head Trauma Rehabilitation. 1998;11(13):27–35.CrossRef
24.
go back to reference Frontline Concussion (2016). Available at: http://apps.frontline.org/concussion-watch/#players_2014. Accessed 23 Jan 2016. Frontline Concussion (2016). Available at: http://​apps.​frontline.​org/​concussion-watch/​#players_2014. Accessed 23 Jan 2016.
25.
go back to reference Covassin T, Swanik CB, Sachs ML. Epidemiological considerations of concussions among intercollegiate athletes. Applied Neuropsycholology. 2003;10:12–22.CrossRef Covassin T, Swanik CB, Sachs ML. Epidemiological considerations of concussions among intercollegiate athletes. Applied Neuropsycholology. 2003;10:12–22.CrossRef
26.
go back to reference Provvidenza C, Engebretsen L, Tator C, Kissick J, McCrory P, Sills A, et al. From consensus to action: knowledge transfer, education and influencing policy on sports concussion. Br J Sports Med. 2013;47(5):332–8.CrossRefPubMed Provvidenza C, Engebretsen L, Tator C, Kissick J, McCrory P, Sills A, et al. From consensus to action: knowledge transfer, education and influencing policy on sports concussion. Br J Sports Med. 2013;47(5):332–8.CrossRefPubMed
27.
go back to reference Harmon KG, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2016;47:15–26. Harmon KG, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2016;47:15–26.
28.
go back to reference Lynn R, Guskiewicz K. Concussion research: new horizons. Lancet Neurol. 2015;14:14–6.CrossRef Lynn R, Guskiewicz K. Concussion research: new horizons. Lancet Neurol. 2015;14:14–6.CrossRef
29.
go back to reference Bramley H, Patrick K, Lehman E, Silvis M. High school soccer players with concussion education are more likely to notify their coach of a suspected concussion. Clin Pediatr. 2012;51(4):332–6.CrossRef Bramley H, Patrick K, Lehman E, Silvis M. High school soccer players with concussion education are more likely to notify their coach of a suspected concussion. Clin Pediatr. 2012;51(4):332–6.CrossRef
30.
go back to reference Roderick M. The work of professional football: a labour of love? London: Routledge; 2006. Roderick M. The work of professional football: a labour of love? London: Routledge; 2006.
31.
go back to reference Gardner A, Iverson GL, Levi CR, Schofield PW, Kay-Lambkin F, Kohler RMN, Stanwell P. A systematic review of concussion in rugby league. Br J Sports Med. 2015;49(8):495–8.CrossRefPubMed Gardner A, Iverson GL, Levi CR, Schofield PW, Kay-Lambkin F, Kohler RMN, Stanwell P. A systematic review of concussion in rugby league. Br J Sports Med. 2015;49(8):495–8.CrossRefPubMed
33.
go back to reference Central Statistics Office. Vital statistics fourth quarter and yearly summary 2013. Cork: Central Statistics Office, Information Section; 2014. Central Statistics Office. Vital statistics fourth quarter and yearly summary 2013. Cork: Central Statistics Office, Information Section; 2014.
34.
go back to reference King D, Brughelli M, Hume P, Gissane C. Assessment, management and knowledge of sport-related concussion: systematic review. Sports Med. 2014;44:449–71.CrossRefPubMed King D, Brughelli M, Hume P, Gissane C. Assessment, management and knowledge of sport-related concussion: systematic review. Sports Med. 2014;44:449–71.CrossRefPubMed
35.
go back to reference Brener ND, Billy JO, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003;33(6):436–57.CrossRefPubMed Brener ND, Billy JO, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003;33(6):436–57.CrossRefPubMed
36.
go back to reference Lee IM, editor. Epidemiologic methods in physical activity studies. New York: Oxford University Press; 2008. Lee IM, editor. Epidemiologic methods in physical activity studies. New York: Oxford University Press; 2008.
Metadata
Title
Frequency of Self-Reported Concussion Amongst Professional and Semi-Professional Footballers in Ireland During the 2014 Season: a Cross-Sectional Study
Authors
Nicola Coffey
Martin Lawless
Seamus Kelly
Conor Buggy
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Sports Medicine - Open / Issue 1/2018
Print ISSN: 2199-1170
Electronic ISSN: 2198-9761
DOI
https://doi.org/10.1186/s40798-017-0118-8

Other articles of this Issue 1/2018

Sports Medicine - Open 1/2018 Go to the issue