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Playing behind closed doors won't be a panacea for rugby claims Scotland team doctor

By Online Editors
(Photo by David Rogers/Getty Images)

Scotland team doctor James Robson has warned that sport may have a long wait before healthcare capacity can facilitate its return.

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Rugby competitions including the Guinness PRO14 are looking at ways of finishing their seasons following the lockdown, while England’s Premier League football clubs are among those to discuss playing behind closed doors in the next two months.

But Robson has warned that elite sport as well as amateur may have to wait a significant time before the NHS can cope with injured players on top of coronavirus victims and other patients who have had treatment delayed amid the pandemic.

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The long-serving Scotland medic has heard first hand how the health service has had to adapt quickly from his GP wife and part-time medical colleagues in the Scottish Rugby Union.

“Taking matches behind closed doors simply takes away the logistical problem of having a crowd,” Robson said.

“What it doesn’t change is the actual physical nature of the game, or indeed any sport, and the risk of injury.

“We can’t contemplate going behind closed doors until we get some semblance of normality back to the NHS and private care providers.

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“You can widen it to any sport. Physical activity is now very much a key strand of maintaining population health. It helps with reducing obesity, cancer, diseases like diabetes.

“But with any form of physical activity comes the risk of injury and what we have to balance is the good part of physical activity versus the risk of injury.

“It’s not just elite sportsmen and women who are prone to injury but people at other levels.

“Professional sport might help the psyche of the nation because it gives the population something to focus on and something to watch but everyday sport has a part to play in the fabric of our society and it’s what we can do to help those sports get back.

“It might be that what we have had is not what we will have in the near future or indeed the medium or long term.”

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Robson, who is also the SRU’s chief medical officer, added: “Within rugby we have a number of part-time medics who have normal jobs with the NHS.

“The normalisation of the NHS is vital for us as many of my colleagues who look after my rugby teams actually look after NHS patients as well.”

Robson also warned that rugby players will need a significant period of training before resuming match action.

“You can’t just simply rush people back,” he said. “In the same way you have a graduated return from concussion, we would need a graduated return.

“When they come back from summer holidays they have a period of individual training, a period of group training and then back into contact.

“It would require a form of pre-season but it would depend on how long the lockdown goes on for.

“You would be talking around four weeks to be ready, perhaps five weeks but as the lockdown goes on, that may increase. Any typical pre-season evolves over six to eight weeks.”

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Nickers 2 hours ago
All Blacks sabbaticals ‘damage Super Rugby Pacific when it is fighting for survival’

Sabbaticals have helped keep NZ’s very best talent in the country on long term deals - this fact has been left out of this article. Much like the articles calling to allow overseas players to be selected, yet can only name one player currently not signed to NZR who would be selected for the ABs. And in the entire history of NZ players leaving to play overseas, literally only 4 or 5 have left in their prime as current ABs. (Piatau, Evans, Hayman, Mo’unga,?) Yes Carter got an injury while playing in France 16 years ago, but he also got a tournament ending injury at the 2011 World Cup while taking mid-week practice kicks at goal. Maybe Jordie gets a season-ending injury while playing in Ireland, maybe he gets one next week against the Brumbies. NZR have many shortcomings, but keeping the very best players in the country and/or available for ABs selection is not one of them. Likewise for workload management - players missing 2 games out of 14 is hardly a big deal in the grand scheme of things. Again let’s use some facts - did it stop the Crusaders winning SR so many times consecutively when during any given week they would be missing 2 of their best players? The whole idea of the sabbatical is to reward your best players who are willing to sign very long term deals with some time to do whatever they want. They are not handed out willy-nilly, and at nowhere near the levels that would somehow devalue Super Rugby. In this particular example JB is locked in with NZR for what will probably (hopefully) be the best years of his career, hard to imagine him not sticking around for a couple more after for a Lions tour and one more world cup. He has the potential to become the most capped AB of all time. A much better outcome than him leaving NZ for a minimum of 3 years at the age of 27, unlikely to ever play for the ABs again, which would be the likely alternative.

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Mzilikazi 6 hours ago
How Leinster neutralised 'long-in-the-tooth' La Rochelle

Had hoped you might write an article on this game, Nick. It’s a good one. Things have not gone as smoothly for ROG since beating Leinster last year at the Aviva in the CC final. LAR had the Top 14 Final won till Raymond Rhule missed a simple tackle on the excellent Ntamack, and Toulouse reaped the rewards of just staying in the fight till the death. Then the disruption of the RWC this season. LAR have not handled that well, but they were not alone, and we saw Pau heading the Top 14 table at one stage early season. I would think one of the reasons for the poor showing would have to be that the younger players coming through, and the more mature amongst the group outside the top 25/30, are not as strong as would be hoped for. I note that Romain Sazy retired at the end of last season. He had been with LAR since 2010, and was thus one of their foundation players when they were promoted to Top 14. Records show he ended up with 336 games played with LAR. That is some experience, some rock in the team. He has been replaced for the most part by Ultan Dillane. At 30, Dillane is not young, but given the chances, he may be a fair enough replacement for Sazy. But that won’be for more than a few years. I honestly know little of the pathways into the LAR setup from within France. I did read somewhere a couple of years ago that on the way up to Top 14, the club very successfully picked up players from the academies of other French teams who were not offered places by those teams. These guys were often great signings…can’t find the article right now, so can’t name any….but the Tadgh Beirne type players. So all in all, it will be interesting to see where the replacements for all the older players come from. Only Lleyd’s and Rhule from SA currently, both backs. So maybe a few SA forwards ?? By contrast, Leinster have a pretty clear line of good players coming through in the majority of positions. Props maybe a weak spot ? And they are very fleet footed and shrewd in appointing very good coaches. Or maybe it is also true that very good coaches do very well in the Leinster setup. So, Nick, I would fully concurr that “On the evidence of Saturday’s semi-final between the two clubs, the rebuild in the Bay of Biscay is going to take longer than it is on the east coast of Ireland”

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