RATHBONE: Review of concussion protocols no brainer

By Clyde Rathbone / Expert

Make no mistake about it – the Lions series was great! Rugby really was the winner, unless rugby is the nickname for George Smiths brain.

Four days after my ‘head injury’ column, George delighted us all with one of the great noggin’ smashing moments in living memory!

Look, I love a good brain injury as much as the next guy. The mouth agape in slack jawed confusion, the groggy snake leg shuffle, eyeballs rolled back and the general “where am I – ahem – who am I?” expressions on the faces of the latest hapless victim really is priceless.

I get it, people, brain injuries are the new black.

How else could one explain return-to-play timeframes reduced from three weeks to five minutes! The public need entertaining and there’s only so much the Tabbot and Kruddy can do to bring raucous laughter into our homes.

All I’m suggesting is that to keep ‘the game they play in heaven’ off life-support we need to ensure our players avoid it too.

Think about it: if we don’t do something soon there will be nothing left but soccer mums and the ultimate brain damage sport – the NRL.

Rugby might have the Foxkopter, but the NRL’s robot – Tom Waterhouse – is far more impressive. Five minutes of Tom will have you booking a lobotomy, and his advertised service provides generous odds on the likely success or failure of the operation. But I digress.

We know brain injury is amusing, but we don’t yet have a great understanding of it. At least not to the extent that there is consensus regarding return-to-play protocols. This fact alone should mean that guidelines err on the side of caution and are weighted in favour of player welfare. It would be useful to have an independent panel of experts design evidence-based return-to-play protocols.

With all this talk of brain damage it would be remiss of me not to mention James O’Connor. Plenty of people seem delighted by JOC’s fall from grace, but the reality is that we’re all the poorer for his form – both on and off the pitch.

Rugby in Australia needs players like JOC thriving. Instead he seems intent on playing russian roulette with his career. During televised interviews JOC does not come across as stupid as his actions suggest. And where there’s smarts there is hope.

To see if intelligent life exists on planet JOC, I turned to the one thing intent on extinguishing it – social media.

JOC has 165,000 followers on Twitter, so I thought I’d hang out there and see what he is all about. After about 20 minutes I left convinced that JOC might also be a German robot intent on harming my brain.

My dad once told me that my life would be much easier if I just stopped doing stupid things. My dad likes taking his pants off for photographs but his advice is still sound.

While I’m not quite old enough to be James’ dad I guess, I could be an older, more handsome big brother. With this in mind I’d like to offer him some words of wisdom. It would be unfair to overload James with too much information so I’m going to identify a force multiplier – one factor that has a transformative advantageous effect.

Drum roll please…

Stop. Making. Moronic. Hand. Signs. In. Photographs. It makes you look very dumb indeed.

When a privileged white kid makes gang signs we can be sure of one thing – irony is either deeply valued or completely lost on that person. While I concede JOC’s hand sign fetish may be an attempt at self deprecating satire, I reserve my doubts.

I would just shelve the entire experiment. I understand this may be a little difficult to begin with, so if you feel your hands need some sort of weening off period, I would suggest the good old vanilla thumbs up. Trust me – your brand will thank you for it.

If abandoning gang signs is the bad news the good news is very good indeed. The good news is that you, James, have all the potential to become one of the best rugby players of your generation. What that makes you is incredibly fortunate.

A little humility and perspective means that instead of material possessions, image, fame or power you might come to realise that the most important thing is the positive difference you make in the lives of others.

What you decide to do with this opportunity is entirely up to you.

Follow @ClydeRathbone on Twitter

The Crowd Says:

2013-07-17T11:47:06+00:00

GWS

Guest


Giving good advice

2013-07-17T08:09:47+00:00

Ricky Schmidt

Roar Rookie


Clyde, I skipped over this article yesterday because the title led me to believe it was likely to be a rehash of your previous (excellent) article. Really glad I went back to it as it is a cracking read! You are on my must-read list.

2013-07-17T06:50:22+00:00

thabo moyo

Guest


Witty article, chum....well written. I agree with the hand gestures comment....doesn't look so flash when done by a posh white kid. Then again, I can't blame him for falling prey to the trappings of that great conveyor belt of the narcissist sports jock....Twitter.

2013-07-16T22:52:23+00:00

Damian

Guest


Hi Clyde, See the following website http://bjsm.bmj.com/content/47/5.toc (British Journal of Sports Medicine April Issue) for articles relating to 4th International Conference on Concussion in Sport, including diagnostic critieria and evidence-based return to play protocols.

2013-07-16T16:07:26+00:00

SandBox

Guest


Thanks, Well written

2013-07-16T14:11:20+00:00

AndyS

Guest


Reads harsher than it should - point was, putting aside what happened the week before and how he got back on against the Lions, what was he doing on the field the following week? That was his choice, quite aware of what happened the previous week and in a match that realistically mattered little. Everyone is aware of the damage headknocks do, including the players. So how different do they see it from playing with a degenerative problem in their knee, or a damaged back, or any of the other issues that have long term effects on them in life after rugby?

2013-07-16T13:58:19+00:00

AndyS

Guest


You are talking about the tackle that the TMO called a stop in play for, went back to have a look at and then specifically said looked like something but was actually nothing at all? Maybe they should ban him for his own good, seeing as he persists in putting his head places it might get cleaned out... just irresponsible, now that he is a certified basket case.

2013-07-16T12:35:11+00:00

ScrumJunkie

Guest


Force vs Brumbies. Had plenty of head knocks, luckily I was a prop so they're ineffective.

2013-07-16T12:31:24+00:00

ScrumJunkie

Guest


Force vs Brumbies. When George came on, first thing McCalman did was try take his head off. Disgraceful.

2013-07-16T08:03:54+00:00

DT

Guest


As Clyde mentions in the article, it's a big issue in the NFL. Ex players killing themselves in their 50s and even 40s after years of depression, degenerating memory and cognitive function due to too many head knocks. An issue touched on in Al Pacino's movie On Any Sunday. Not a classic by any means, but shows the lengths team owners will go to to win.

2013-07-16T07:12:17+00:00

Simoc

Guest


Good article but I think the head knock issue is serious. I could not believe given the 'duty of care' we are inundated with, that George Smith was allowed back on the field. He'de be playing on memory after that but should not be allowed to.When I kept getting concussed at school the coach explained what was happening and advised me to give up, which I did for a few years. Brain bruising stuff.

2013-07-16T07:00:22+00:00

Hossey

Roar Guru


Really funny read Clyde, loved it.

2013-07-16T07:00:13+00:00

Scot Free

Guest


Good read, as usual. Thanks! -- Comment from The Roar's iPhone app.

2013-07-16T06:43:08+00:00

Merican_Rugger

Guest


Mr. Rathbone- do you often ponder the tie between concussion, CTE, and chronic depression? I've suffered thru both repeated head knocks, Post Concussion Syndrome, and depression. Mine came from hockey moreso than rugby but the question remains- exactly how much is too much? How much damage is acceptable?

2013-07-16T05:10:08+00:00

Warren

Guest


QC may be many things. Articulate is not one of them.

2013-07-16T05:07:42+00:00

Nigel Imrie

Guest


Maybe you had a head knock brother it was a British Lion named Hibbard!

2013-07-16T04:28:16+00:00

Rath

Guest


Actually DT, there are no photos of my dad without his pants down...

2013-07-16T04:20:17+00:00

Elisha Pearce

Guest


Nailed it Hoy.

2013-07-16T04:16:22+00:00

DT

Guest


Clyde, are there any photos of your dad with his pants down on his Facebook page?

2013-07-16T04:08:00+00:00

AdamS

Roar Guru


You're a card Clyde.... Club doctors are to biased to give good medical advice, it should be independent. And before anyone goes on about oaths and professional ethics etc...look at what the doctors at essendon have been letting happen. Re JOC, great advice, but all he will see in your article are the words best rugby player, after which he will make a funny hand sign and say something like "Word Bro..."

More Comments on The Roar

Read more at The Roar