SMITHY: Time to take action on head knocks
Blood flows from Ryan Hoffman's head. AAP Image/Action Photographics, Jeff Crow
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Please take the time to read Fitz Files on the back page of the sports section of Saturday’s Sydney Morning Herald, or find it online here.
It crystallised for me what has been a vexing problem for our sport and particularly so as a coach.
The damning evidence available now of what the short and long term holds for players in collision sports suffering from head collisions demands immediate action.
The changing demands and “improvements” of collision sports have amplified these dangers.
Reading about guys who are in their 40s or 50s not remembering their children’s names is scary but those guys finished playing in the 80s or 90s.
Ask any of the experts in the physical performance area of your club how much more powerful, heavier and faster the average player is compared to two or three decades ago.
I am certain we can all see the speed of the modern game compared to those times, combined with these more powerful athletes leads to much greater force in the collisions. I don’t think there is any evidence that skulls have gotten thicker or brains more resilient to bruising in that period.
Surely all of us who love the game and more so those making a living out of the game or responsible for its administration, can take steps to make a difference ASAP to the dangers often reinforced or heightened by both the rules and culture of our sport.
Yes there have been some very positive steps taken recently in the NRL by medicos limiting the dangers for players through possible penalties if clubs allow players to continue or resume playing when obviously concussed.
But I feel there are more things we can do. Rules and regulations could help.
The first could be a medical register that checks on any player at any age progressing to the next level with a “cause for concern” history of concussion.
To show how long this has been going on, in the 70s we used to refer to these guys as ‘soft heads’ and no, they were never required to pass medicals.
There were no work place safety regulations in those dark days.
In boxing I believe combatants must meet not only medical checks but also competency levels to prove they are capable of defending themselves with an similarly competent opponent. Why can’t we do something like that in footy?
There are guys playing even at the top level who I believe are prone to this types of injury for various reasons. One of these is skill levels.
Can you think of some players who seem to get hit around the head more often than others when carrying the ball? Yeah me too.
Have you ever thought about why? I reckon in many cases it’s because the player has not developed the skills of self protection.
Could we not set up a registration system requiring players to show they have such skills before they progress to the next level of representative age group footy for instance?
Equally the game’s rules currently reinforce the ball carriers lack of need to carry the ball with self protection skills because as fans we all clap and cheer when the high tackler is penalised!
We unintentionally are reinforcing that player to carry in the same manner again because we like it when we get penalties and get down the other end! There is no need to change and no thought for his welfare.
There are some guys playing in the NRL who do not know where to put their head when executing a tackle. They too are prone to head injury.
This one is also a coaching issue and could easily be an important component of the competency requirement I am proposing. When I took my one day per week role coaching tackle technique at Super Rugby Brumbies I was surprised at my brief research showing how many appeared to have issues with their feet, shoulder and head placement when tackling.
So that was my first commitment to each of them – your personal safety when tackling is number one priority for me!
During Rebels v Brumbies match, one of these high speed collisions caused James O’Connor to be taken from the field after a serious head knock – if you check that attempted tackle you will see what I mean by where to NOT put your head.
The following sideline scene of JOC appearing fit and ready to go but told “no way” by club medical staff is often met with great frustration from player, teammates, coaches and fans.
All involved in professional sport need to take stock of our long held association of sport’s toughness culture. Surely no one expects a guy to subject himself to any risk to his health.
We once had a head bin rule in footy to assist medical staff and players to reach optimal health decisions on these situations without causing issues to interchange.
It got KO’d by coaches who abused it. Maybe a licensing system for coaches could KO any coach or doctor even thinking of abusing such a rule if it were to be reintroduced.
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February 27th 2013 @ 5:54am
Johnno said | February 27th 2013 @ 5:54am | Report comment
The head is sacred model.
Best way to deal with this is to get really tough on suspensions, unless some headgear technology comes in that is really high-tech.
-So any tackle on the head that is deemed a penalty, accidental or deliberate,an immediate 5 week suspension etc.
So a swinging arm an instant 5 week ban. The player will think twice about doing it.
-Or if you have a player found guilty of a head high tackle, he is suspended and your club even if you win the match, your club loses the 2 competition points, and be forced to make a public apology, every time this offence occurs.
That would really make the player think twice about doing a head high tackle, or making nay physical contact to the head.
No contact, the best way to make no contact in rugby league on the head is to get really tough on head high tackles.
-And also if player is suspended 2 twice in the season for head high tackles, he is banned for the next season, A complete ban.
-And if he suffers the same fate , for the 2nd time in other words after he comes back from his 1 year ban, if he does it again.
-Gets suspended in the same season twice for a head high tackle, making dangerous contact with the head, he is banned for life, a life ban.
-Heavy suspensions would really reduce the physicals contact in rugby league, and scare players away from making big hits that may connect with the heads. Things like life bans, are the way to go to eradicate, no more soft 1 week here , 2 week here suspensions, we have to look at life bans, or be banned for a whole season.
-Coz you get tough you will watch the players go softer, and more cautious and respect there opponents more.
February 27th 2013 @ 7:06am
pogo said | February 27th 2013 @ 7:06am | Report comment
People won’t like it but, yeah, you need to come down on any contact with the head whether it is deliberate or careless.
I remember an exchange between commentators which went something like this:
Commentator 1: “you can see there his arm has come up off the ball”
Commentator 2: “it doesn’t matter where it’s come up from ’cause it’s ended up round his head”
February 27th 2013 @ 6:56am
Mals said | February 27th 2013 @ 6:56am | Report comment
Smithy, good story. Martin Lang springs to mind, he had no self preservation when it came to protecting his head when making hit ups.
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February 27th 2013 @ 7:07am
pogo said | February 27th 2013 @ 7:07am | Report comment
Or even running an angle when making hitups most of the time.
February 27th 2013 @ 7:51am
Justin2 said | February 27th 2013 @ 7:51am | Report comment
Well done to the doctors who kept JOC off the pitch. Thats what is needed most, much stricter policing and by INDEPENDENT medicos (not that I am 100% sure if that was what happened with JOC).
If the lights go out (think Jordan Lewis for Hawthorn) then thats an automatic 3 week break, bare minimum. No ifs or buts, sit it out. Happens again make it a 6 or 8 week break. More than that and you are looking at 1/2 – 3/4 of a season or retirement.
February 27th 2013 @ 8:31am
oikee said | February 27th 2013 @ 8:31am | Report comment
I agree with you 110%. The NRL should look into a model like this A.S.A.P.
Why dont you come back to rugby league where you belong Smithy. You seem like a very level headed presense that our game needs to go forward. Duty of care without going overboard is what the game needs.
“Have you ever thought about why? I reckon in many cases it’s because the player has not developed the skills of self protection”,
This is one of the best lines i have ever read from a ex-coach.
February 27th 2013 @ 9:23am
Pot Stirrer said | February 27th 2013 @ 9:23am | Report comment
I think we will one day go down the same path as NFL and have helmets. Im not for the ideamyself but i think its inevitable.
February 27th 2013 @ 9:38am
Johnno said | February 27th 2013 @ 9:38am | Report comment
problem is those NFL helmets, have been found to not really help concussion, just created a false sense of confidence., and help minimise head cuts.
Honestly I know this sounds awful but the only real protector would be motor sport helmets, or even push bike helmets. But both are 2 heavy.
Maybe rugby league should move to AFL rules, only tackling below was it high.
February 27th 2013 @ 1:03pm
pogo said | February 27th 2013 @ 1:03pm | Report comment
Helmets may in fact make things worse in some situations as they increase the weight of the head and as a result the force of the whipping action encountered.
February 27th 2013 @ 1:11pm
Wal said | February 27th 2013 @ 1:11pm | Report comment
They have also led to an increase in Career ending knee injuries, Knee 2 Head not good for the Head, Knee to Helmet not good for the Knee
February 27th 2013 @ 3:06pm
mushi said | February 27th 2013 @ 3:06pm | Report comment
It is like car’s you want them to take the damage of the impact not stay intact and transfer it to the passenger
February 27th 2013 @ 4:07pm
me, I like football said | February 27th 2013 @ 4:07pm | Report comment
Not hard helmets, but soft helmets Nathan Burke, Sean Hart style
February 27th 2013 @ 9:26am
eagleJack said | February 27th 2013 @ 9:26am | Report comment
It’s interesting your point about cheering on the penalty for a high shot as it gets you down the other end of the field.
I have noticed in recent times that players carrying the ball out from their own in-goal intentionally have their head up to maximise the chance of copping a high shot. And a relieving penalty will ensue getting your team out of the dangerzone. Think Hoffman against the Sharks last year.
Smithy, is this a planned tactic by coaches? It wouldn’t surprise me at all.
February 27th 2013 @ 9:58pm
yewonk said | February 27th 2013 @ 9:58pm | Report comment
smithy would not know, last roosters team he coached were penalty bandits.
February 27th 2013 @ 9:48am
turbodewd said | February 27th 2013 @ 9:48am | Report comment
If we are serious about head protection we would make headgear compulsory.
Today’s headgear is visually ugly, perhaps they could make better designs???
While I am a huge NFL fan, I believe the design of their helmets is flawed. They dont crumple enough or absorb enough of the impact. Cars are designed to crumple on impact, so should NFL helmets, they should be disposable. That sport can afford it.
NRL headgear needs to be made more attractive to the eye and compulsory. Will the rugby league community be able to stomach this idea….?
February 27th 2013 @ 11:47am
Ian Whitchurch said | February 27th 2013 @ 11:47am | Report comment
Once again, headgear doesnt help – indeed, by allowing the head to be used as a weapon it makes the problem worse.
February 27th 2013 @ 12:00pm
oikee said | February 27th 2013 @ 12:00pm | Report comment
The NFL is in trouble for the use of helmets. Spot on Ian. It makes you braver so your head becomes a weapon.
Accidental knockouts is the issue that Brian Smith is trying to deal with. How many times have we seen some guy put his head in front of a giant forwards hip. ? Lots.
This is why i made my statement above, Brian has understood the issue of the problem.
February 27th 2013 @ 12:56pm
turbodewd said | February 27th 2013 @ 12:56pm | Report comment
Under which rule are NRL players allowed to lead into a tackle with their head?! So you are saying Thurston should take off his headgear??? Insane.
February 27th 2013 @ 2:47pm
Scott Minto said | February 27th 2013 @ 2:47pm | Report comment
Nate Myles on Robbie Farah in the Origin series?
February 27th 2013 @ 3:08pm
mushi said | February 27th 2013 @ 3:08pm | Report comment
Not a rule but more in terms of gives the perceived ability ie Jimmy’s new car allowed him to get up to speeds of 300km/h that doesn’t mean the rules did
February 27th 2013 @ 10:29pm
Ian Whitchurch said | February 27th 2013 @ 10:29pm | Report comment
Turbodewd,
So, you never saw Martin Lang play, did you ?
February 27th 2013 @ 1:07pm
nachos supreme said | February 27th 2013 @ 1:07pm | Report comment
You can’t be serious? Who cares what headgear’s visual impact is? All I know is that having played with and without you wouldn’t catch me playing, even at subbie level, without it.
February 27th 2013 @ 1:29pm
st penguin said | February 27th 2013 @ 1:29pm | Report comment
Even headgear doesnt solve the problem.
The best analogy I’ve heard from the NFL experts is this: take an egg and cover it multiple rolls of bubble wrap. Now you can throw it at a wall and it wont break. However, the insides are scrambled.
February 27th 2013 @ 1:43pm
turbodewd said | February 27th 2013 @ 1:43pm | Report comment
Who are these NFL experts? Are you suggesting that headgear makes zero difference?
February 27th 2013 @ 2:19pm
josh said | February 27th 2013 @ 2:19pm | Report comment
The issue the NFL has/had with headgear was that players would use the helmets (with their perceived aura of invincibility) and use them in tackles. Hence the rule now banning deliberate helmet contact.
st penguin is right. Structurally you head will be protected from blows, but nothing stops the insides from getting a good rattle around the cranial cavity. Doesn’t have to be deliberate head shots either…
February 27th 2013 @ 2:39pm
turbodewd said | February 27th 2013 @ 2:39pm | Report comment
Are you suggesting, with a straight face, that headgear does not lessen the impact of a blow to the head?
NFL players dont wear headgear, they wear helmets, you know this, there is a difference.
Johnathan Thurston wears headgear, Tom Brady wears a helmet.
February 27th 2013 @ 3:54pm
pogo said | February 27th 2013 @ 3:54pm | Report comment
http://www.stuff.co.nz/sport/rugby/all-blacks/6158046/Headgear-won-t-protect-players-from-concussion
February 27th 2013 @ 10:30pm
Ian Whitchurch said | February 27th 2013 @ 10:30pm | Report comment
Turbodewd,
Headgear does not affect the problem, which is the brain bouncing around inside the skull as it tries to deal with rapid deceleration.
The is fundamentally a F=MA problem, and the physics is just the physics.
February 27th 2013 @ 2:49pm
Justin2 said | February 27th 2013 @ 2:49pm | Report comment
Thats exactly what the facts suggest. Helmets merely stop abrasions and cuts, bruising to the skull.
The brain is smashing around inside the skull….
February 27th 2013 @ 3:10pm
mushi said | February 27th 2013 @ 3:10pm | Report comment
He is talking head gear not helmets evne then I not sure they make a material difference but you can’t use the research of a rigid helmet (same NFL research suggested old style helmets were better…which we call head gear)
February 27th 2013 @ 7:27pm
Brian Smith said | February 27th 2013 @ 7:27pm | Report comment
Great example of the precise effect of concussion as I understand it too! Yes headgear has benefits but I don’t know of any scientific evidence it assist with concussions. Smithy
February 27th 2013 @ 7:23pm
Brian Smith said | February 27th 2013 @ 7:23pm | Report comment
Hey guys all this talk of head gear coming to the rescue is a concern.
My understanding is a someone else has written above ie they benefit head cuts not concussions because the brain bounces off the inside of the skull so until such time as we can pad the inside of the skull it’s the contacts with the head that cause the brain to move that is the problem!
In fact my limited experience with head geared players in footy is quite the opposite of safety. The headgear tends to make the player feel that he does not need to protect himself and he often leads with his head.
I have no proof or empirical evidence of this just gut feel but I also feel that there is something in the headgear which seems to attract the attention of tacklers perhaps subliminally to hit it with their arm!
February 27th 2013 @ 12:10pm
Bazzio said | February 27th 2013 @ 12:10pm | Report comment
Been waiting far too long for this article to appear somewhere ~ Good One Smiffy.
Gary Jack milking penalties or allowing his team-mates time to regroup by feigning head injury sticks in my mind more than anything, closely followed by Terry Randall & Martin Lang for genuinely worrying head or brain injury.
My suggestions ~
Soft padded head protection should be mandatory ~ modern materials are available, light, & can be adapted to any head shape (block).
Any head contact by a tackler, accidental or not, should be cause for immediate dismissal from the field of play = very fast learning.
Cognitive tests for every player post game & prior to the next training session following every competition match.
February 27th 2013 @ 12:59pm
turbodewd said | February 27th 2013 @ 12:59pm | Report comment
If headgear was compulsory you’d have to make an explicit rule that the ball carrier cannot charge with his head down, i.e discourage the use of the head in that way which a prop might consider if he was wearing headgear.
February 27th 2013 @ 1:33pm
The Barry said | February 27th 2013 @ 1:33pm | Report comment
running with your head up is the best way to get absolutely smashed….rugby league 101…just ask Martin Lang
February 27th 2013 @ 2:35pm
nachos supreme said | February 27th 2013 @ 2:35pm | Report comment
may as well ask Nathan Long and Kerrod Walters while on the topic….
February 27th 2013 @ 2:50pm
Justin2 said | February 27th 2013 @ 2:50pm | Report comment
Helmtes do sweet fark all for concussion and brain injury.
Please people get it through your heads, they only stop cits etc on the outside of the head. They do no stop the brain from moving inside the skull. Think about it, it isnt that hard…
February 27th 2013 @ 12:34pm
Freddy from Bondi said | February 27th 2013 @ 12:34pm | Report comment
I think the answer to this problem is to simply change a couple of rules:
1. I think that ‘dominate’ tackles should be called when a player chops someone around the legs, like how we were taught to tackle one on one years ago. If a defending teams gets a benefit for a low tackle it will take away the emphasis on hitting the attacker up high to allow time for more players to come in and gang tackle.
2. Pick teams of 20 players (7 reserves). Once a player comes off (unless its blood or result of an illegal tackle) they cant come back on. This opens the game up for little blokes, rewards the fitest players and will ultimately change the body shape of players so that there is more emphasis on fitness and speed rather then producing beefed-up monsters who only play 20mins. Therefore, the size of collisions should be decreased. This will also increase the emphasis on substutation strategies.
I dont think these changes will change the game we love too much so it is no longer reconisable (i.e. make players wear head gear / helmets)
Just a thought…
February 27th 2013 @ 1:07pm
pogo said | February 27th 2013 @ 1:07pm | Report comment
Interesting suggestion 2. I think 7 is too many to have the desired effect though, as you could easily make 3 of them giant 20 minuters, still have cover for the rest of the team, and they’d be fresh too.
February 27th 2013 @ 1:21pm
Basil C said | February 27th 2013 @ 1:21pm | Report comment
Trouble is they used to glorify Harragon and that South Sydney forward ?? running into each other and Harragon usually came out worse for wear. But he went back to the field all the time. Just bizarre.
February 27th 2013 @ 3:12pm
mushi said | February 27th 2013 @ 3:12pm | Report comment
And now he does those horrible NIB ads. that should be your campaign right there
February 27th 2013 @ 1:20pm
Wal said | February 27th 2013 @ 1:20pm | Report comment
Another great example being set by Union is Conrad Smith this week for the Hurricanes, He was taken from the field due to a knock, and as quoted in stuff.co.nz
He Failed “Pitch Side Concussion Assessment (PSCA) introduced to Super Rugby this season.”
“And though coaches Mark Hammett and Alama Ieremia said Smith seemed in good health in the hours after the match, they will not get the final say on his fitness to fly. [sic to Queensland]
That will fall to Dorfling (team Doctor)”, who will oversee a staggered recovery programme that is now mandatory, and a psychometric test later in the week.
“There are five steps in the test,” Dorfling explained yesterday. “Each day they do a level up and they must be symptom-free each day when they come to see us before doing the next step.
Sure beats seeing some bloke convulsing on the ground, only to have them get up and play the second half.