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Le taux de commotions cérébrales a diminué de 23 % en 2023
Les commotions cérébrales sont un domaine que la fédération internationale de rugby surveille de manière extrême. Et en cette année de Coupe du Monde de Rugby, le nombre d’occasions de suivre scrupuleusement les protocoles commotions a permis de tirer un bilan de l’efficacité du processus.
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« Dans le domaine des commotions cérébrales, nous surveillons et observons très intensément la performance du processus d’Évaluation des blessures à la tête (HIA), en « auditant » efficacement chaque cas de HIA, du début à la fin, ainsi qu’en travaillant avec l’outil Hawkeye et les médecins de match pour surveiller tous les impacts importants à la tête », indique le docteur Éanna Falvey, médecin-chef de World Rugby.
« Par conséquent, à la fin d’un tournoi, nous avons une bonne compréhension non seulement du nombre de commotions cérébrales, mais également de la façon dont elles se sont produites et de la façon dont les joueurs progressent dans le processus de HIA. »
Une réduction légère, mais réelle
Selon les premiers résultats du bilan de l’année 2023, le taux de commotions cérébrales a diminué de 23 %, passant de 12,2 par 1 000 heures de jeu à 9,4 par 1 000 heures.
« Il s’agit, bien sûr, d’un ensemble de données relativement petit (48 matchs), et il faut donc faire attention à ne pas surinterpréter sa pertinence, mais sur les deux dernières Coupes du Monde de Rugby masculines, l’incidence combinée des commotions cérébrales dans 93 matchs est de 10,4 pour 1 000 heures, ce qui représente une légère réduction par rapport aux taux dans le rugby mondial des clubs au cours de la dernière décennie », nuance le docteur.
Le plaquage, principale cause de commotion cérébrale
Dans le détail, le plaquage reste l’activité en match à l’origine de la plupart des commotions cérébrales. Selon les médecins, le plaquage a même été presque exclusivement responsable des cas de commotion cérébrale dans le cadre de la Coupe du Monde.
« 20 % des commotions cérébrales en 2023 ont résulté de ce que les officiels de match ont identifié comme un jeu déloyal, contre seulement 8 % en 2019 », détaille Éanna Falvey.
« Dans le même ordre d’idée, 43 % des cartons rouges et 19 % des cartons jaunes infligés pour jeu déloyal ont entraîné des blessures à la tête chez les joueurs.
« Ces chiffres sont globalement conformes à ce que nous avons vu dans le rugby des clubs d’élite depuis 2021, où les plaquages sanctionnés par des cartons sont considérablement plus susceptibles de provoquer des HIA1 et des commotions cérébrales que les plaquages légaux. »
Maintenir la sévérité envers les plaquages dangereux
Fort de ces constatations, le corps médical réclame de maintenir la sévérité en matière de sanction chaque fois qu’est constaté un contact à la tête et un jeu déloyal.
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Ce n’est pas la seule recommandation formulée par le Groupe de travail sur les Commotions cérébrales, groupe composé d’experts indépendants en matière de commotions cérébrales du monde entier, et du personnel médical et scientifique de World Rugby.
Plusieurs décisions relatives à la santé des joueurs ont été approuvées par le Comité exécutif de World Rugby en novembre dernier et devraient entrer en vigueur au 1er janvier 2024.
Période minimale de repos dans le rugby amateur
Parmi les recommandations, il est conseillé qu’il y ait une période minimale de réhabilitation individualisée dans le rugby amateur de 21 jours après une commotion cérébrale pour tous les niveaux, y compris les adultes.
« Dans le Protocole HIA, prévoir 17 minutes pour une évaluation hors du terrain HIA1 si le personnel médical est engagé dans deux autres évaluations hors du terrain HIA1 concomitantes », est-il indiqué dans la recommandation.
Autre point important : promouvoir les programmes de compétences sur le plaquage, en particulier auprès des groupes à risque, des enfants et des adultes qui débutent dans la pratique du rugby.
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Enfin, recommander des périodes de repos minimales et une fenêtre sans rugby de compétition dans le rugby de l’élite.
Comments on RugbyPass
Thanks Nick. I’m looking at the other 7 options in Australia and they don’t seem to be close behind Fraser at the moment? Even before reading this I thought he was well ahead. A random one - Slipper and Allalatoa seem to be getting well beaten in the scrum. I can’t remember this happening often before. Is it a technique/teamwork issue or are their bodies finally past it?
11 Go to commentsNZ is now entrenched in Div 2 of womens rugby. Canada would be thrashed by the likes of France or England. Europe are Div 1, with massive competitions, massive money…
2 Go to commentsBlackadder dies not deserve selection. He has not played enough games. Finau is just better. Kaino's replacement at Blindside On form TJ should be the starting 9 .
127 Go to commentsThe difference is Cotter..
5 Go to commentsThey can’t handle the level of comp in the NH. Pollard was a complete waste at Montpellier - and was the backup 12 when he left. Kitschoff was stealing his paycheque every week at Ulster,- getting absolutely rinsed by backup THs in the URC. There is a reason all the Boks go to Japan - they don’t have it in them to be able to compete. And yes, they won the RWC. Where Barnes and O'Keeffe were the direct reason for that tragedy occurring.
39 Go to commentsTrouble with Jones is he has so many impractical innovations. Kemeney wasn't good enough in any position for top level test rugby. I like how Vern has Papalii playing. He's always had the workrate when in form, although I'm not sure that he quite has Cane's mongrel.
11 Go to commentsPut those results on the old CV and send it in to the crusaders bro.
1 Go to commentsJust go with a top 6 system where the top 2 teams go straight to the semi-finals and the other 4 teams fight it out for the other 2 semi-final spots.
8 Go to commentsIt’s a shame that Baxter wasn’t nominated for DoR of the season. what he did is more impressive than McCall imo
1 Go to commentsSeveral boks said during World Cup they play so hard to give people back home hope. As an Englishman the Springboks Captain’s life story is an inspiration which should give us all hope and inspiration. Rather like that other great South African, Nelson Mandela
39 Go to commentsFox News, Tucker Carlson, Jordan Peterson and Joe Rogan? Yikes.
1 Go to commentsThat is harsh though. Messi has/had a reputation for trying to keep his feet and keep dribbling for goal. Many of his brethren were the histrionic divers but not him.
2 Go to commentsMcReight is certainly one of the first picked. He’s going to be the glue, a Wallaby with some rugby IQ and the everywhere man for the Wallabies.
11 Go to commentsSophie De Goede is one of the best players we’ve ever produced. Kicked all the points, 2 try assists, line out takes, carries, tackles, charge downs… what a player
1 Go to commentsThe guy had just beasted himself in a scrum and the blood hadn't yet returned to his head when he was pushed into a team mate. He took his weight off his left foot precisely at the moment he was shoved and dropped to the floor when seemingly trying to avoid stepping on Hyron Andrews’ foot. I don't think he was trying to milk a penalty, I think he was knackered but still switched on enough to avoid planting 120kgs on the dorsum of his second row’s foot. To effectively “police” such incidents with a (noble) view to eradicating play acting in rugby, yet more video would need to be reviewed in real time, which is not in the interest of the game as a sporting spectacle. I would far rather see Farrell penalised for interfering with the refereeing of the game. Perhaps he was right to be frustrated, he was much closer to the action than the only camera angle I've seen, however his vocal objection to Rodd’s falling over doesn't legitimately fall into the captain's role as the mouthpiece of his team - he should have kept his frustration to himself, that's one of the pillars of rugby union. I appreciate that he was within his rights to communicate with the referee as captain but he didn't do this, he moaned and attempted to sway the decision by directing his complaint to the player rather than the ref. Rugby needs to look closely at the message it wants to send to young players and amateur grassroots rugby. The best way to do this would be to apply the laws as they are written and edit them where the written laws no longer apply. If this means deleting laws such as ‘the put in to the scrum must be straight”, so be it. Likewise, if it is no longer necessary to respect the referee’s decision without questioning it or pre-emptively attempting to sway it (including by diving or by shouting and gesticulating) then this behaviour should be embraced (and commercialised). Otherwise any reference to respecting the referee should be deleted from the laws. You have to start somewhere to maintain the values of rugby and the best place to start would be giving a penalty and a warning against the offending player, followed by a yellow card the next time. People like Farrell would rapidly learn to keep quiet and let their skills do the talking.
1 Go to commentsThe name “Kwagga” came to mind while I was reading this. And there’s another Sevens convert roaming the wide open kant at the Lions now - JC Pretorius. Keep an eye on him.
11 Go to comments2024 Rugby Championship: Sat, 10 Aug 2024 – Sat, 28 Sept 2024. Looking forward to watching the All Blacks coached by Scott Robertson, with or without the ‘dynamic’ qualities of Shannon Michael Frizell - see his display against South Africa at Go Media Mount Smart Stadium on July 15.
1 Go to commentsI agree about 8 being too many The English premiership has top four only Top 14 has six URC has 8 I think 6 would be fine It gives those other two teams an incentive But rewarding a team in perhaps 8th with three wins is atrocious If they get in they know they only need one big game
8 Go to commentsInteresting article. I think the answer lies in a comment Kwagga Smith made during the World Cup. Asked whether it bothers him that the Bok team doesn’t get more credit he said: “We don’t play for people to respect us: we play for each other and we play for South Africa.” The Springbok team is a brotherhood - an incredibly tight unit, most of whom are good friends off the pitch as well. Not only do they not want to let South Africa down, but they fight like crazy not to let their teammates down. Not saying they don’t care about their club teammates, but I think the bond shared in the Boks is just much, much deeper. Tough to forge the same sort of bond at a club over a handful of years. That must translate into superior performances for country over club.
39 Go to commentsThere is very little creativity in the 9-10 axis for SA. 10 needs to be solid, put the work in and kick the points. the SA counter is almost always via the edge or a kick through for a winger. When was the last offensive backline score from SA against a top team? Perhaps the ultra physical nature of the SA teams means players they get to hit more stats in those games. Maybe the SA pleyers are perfectly suited to the SA system. In other Words they are not club players gathered to play SA Internationals. They are SA International players adapting to play club.
39 Go to comments