Language:
IRB Passport site:

We use cookies to help make this website better. To find out more about the cookies we use, please read our Cookies Policy. If you continue without changing your cookie settings, you consent to this use, but if you want, you can find information in our Cookies Policy about how to remove cookies by changing your settings.

Home
Educational modules
Education and medical
Player Welfare Education
IRB Immediate Pitch Side Care Educational Modules (including First Aid In Rugby and Immediate Care in Rugby)
IRB Concussion Management Educational Modules
IRB Match Day Medical Staff Educational Module
IRB Rugby Ready
IRB Medical Guidelines & Documents
Concussion Management
Research & expert papers
Injury Surveillance - IRB Tournaments
Injury Surveillance - Professional Rugby
Injury Surveillance - Community Rugby
Prevention
Expert papers
Game analysis / research general
Weight guideline considerations
IRB Conference Information
IRB Rugby Science Network
IRB Rugby Science Network
Equipment
Artificial Surfaces
Natural Surfaces
Padded Clothing Regulation
Anti-doping
Anti-doping regulation
IRB Regulation 21: Anti-Doping
Testing programme
Anti-doping testing programme
Anti-doping education
IRB Keep Rugby Clean
Download a printable version of this document in Adobe PDF format
2008 - Zurich Consensus Statement on Concussion in Sport
P McCrory, W Meeuwisse, K Johnston, J Dvorak, M Aubry, M Molloy, R Cantu

Overview of paper

This paper is a revision and update of the recommendations developed following the 1st (Vienna) and 2nd (Prague) International Symposia on Concussion in Sport.1 2 The Zurich Consensus statement is designed to build on the principles outlined in the original Vienna and Prague documents and to develop further conceptual understanding of this problem using a formal consensus-based approach.

A detailed description of the consensus process is outlined at the end of this document. This document is developed for use by physicians, therapists, certified athletic trainers, health professionals, coaches and other people involved in the care of injured athletes, whether at the recreational, elite or professional level. While agreement exists pertaining to principal messages conveyed within this document, the authors acknowledge that the science of concussion is evolving and therefore management and return to play decisions remain in the realm of clinical judgement on an individualised basis. Readers are encouraged to copy and distribute freely the Zurich Consensus document and/or the Sports Concussion Assessment Tool (SCAT2) card and neither is subject to any copyright restriction. The authors request, however that the document and/or the SCAT2 card be distributed in their full and complete format.

The following focus questions formed the foundation for the Zurich concussion consensus statement:

Acute simple concussion

  • Which symptom scale and which sideline assessment tool is best for diagnosis and/or follow up?
  • How extensive should the cognitive assessment be in elite athletes?
  • How extensive should clinical and neuropsychological (NP) testing be at non-elite level?
  • Who should do/interpret the cognitive assessment?
  • Is there a gender difference in concussion incidence and outcomes?

Return to play (RTP) issues

  • Is provocative exercise testing useful in guiding RTP?
  • What is the best RTP strategy for elite athletes?
  • What is the best RTP strategy for non-elite athletes?
  • Is protective equipment (e.g. mouthguards and helmets) useful in reducing concussion incidence and/or severity?
Download a printable version of this document in Adobe PDF format
Copyright © International Rugby Board 2010-2014 | Terms & Conditions of Use | Privacy Policy | Cookies Policy