PURPOSE: Collision sport athletes, such as rugby payers, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of concussion and may experience more severe and chronic symptomology than men. Knowledge of the factors the affect a player disclosing their concussive symptoms, could help to inform strategies to improve compliance with reporting and management of head injuries. The purpose of this study was to investigate the factors that may impact women rugby players’ disclosure of a concussion. 

METHODS:  39 adult (≥ 18 years of age) female elite and semi-elite rugby players from the United States (n=22), UK and Ireland (n=17) were included in the study. Participants were purposively sampled. The interview questions were designed to elicit responses on participants’ playing background and experience in women’s rugby and to establish their SRC experience. Data were analysed deductively using a reflexive thematic approach to determine the potential reasons for SRC non-disclosure in women’s rugby.

RESULTS:  Four main themes were identified which may influence a player’s SRC non-disclosure, these included 1. Self-management of concussion; 2. Work-related pressure; 3. Lack of knowledge and 4. Worried about how they would be perceived by others.  Findings were consistent across players from different countries.  

CONCLUSION: This research has highlighted several reasons that may impact on women rugby players’ disclosure of SRC regardless of country of origin and healthcare access. Coaches and management teams should be aware of these reasons which may enhance how they discuss and mange concussion. A clear need for further education on concussion is required and strategies to create environments where women can openly discuss their concussion concerns. 

 

Disclosure(s): The authors have nothing to disclose.