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Concussion: what it is and how sports science is making rugby safer

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Two decades ago there were only two criteria used to diagnose concussion. Jon Patricios, a sport and exercise medicine physician and co-lead author of the latest international consensus statement on concussion in sport, discusses the science of head injuries and some of the protocols adopted by World Rugby to make the game safer.

What is concussion?

Concussion is a traumatic brain injury that occurs as a result of a force that’s transmitted to the brain. It manifests as a functional change in the way the brain operates. Most are transient and resolve completely if recognised and managed appropriately.

Usually, we don’t see structural changes in the brain in the case of a concussion. In other words the brain scans look normal. And so what we have available to us, what I call the visible wound, is the changes in brain function.

That’s what we as medical professionals treating concussion look for,

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