The Guardian (USA)

NRL orders 11-day stand-down period for concussed players

- Australian Associated Press

The NRL is considerin­g ramping up its concussion protocols further with saliva and blood testing after introducin­g a mandatory 11-day stand down for players after brain injuries.

The ARL Commission confirmed the most significan­t changes to its concussion policy in almost a decade on Wednesday, declaring player safety is the game’s No 1 priority.

Under the new rules, which come into effect from Thursday, players who have been diagnosed with a concussion will be automatica­lly stood down from contact training or playing for an 11-day period.

That will mean they are guaranteed to miss the following weekend’s match, and potentiall­y a second game depending on turnaround times.

Players will only be able to return sooner in exceptiona­l circumstan­ces, and after approval from an NRL-appointed independen­t neurologis­t.

To return early, the player must be asymptomat­ic the day following the concussion and cognitive testing must have returned to normal.

Players will be ineligible to apply for an early return if they have had five or more concussion­s previously, experience­d a concussion in the past three months or have already gone through a prolonged recovery.

Exemptions will not be available to any player deemed to have received a category-one concussion in a match or in training – determined by a player losing consciousn­ess, failing to protect themselves while falling, or showing unsteadine­ss on their feet after a head knock.

The rule change comes as injured players launch a class action against the

AFL, seeking up to $1bn in damages.

The NRL say their changes are about player safety rather than legal threats, following advice from experts and after watching worldwide trends.

“That [class action] is not a matter that is within our control,” NRL chief Andrew Abdo said. “What is in our control are our policies and procedures and making sure we can do everything we can to create a safe environmen­t.

“We are constantly reviewing that. This is purely based on what we know listening to our experts and what we know is right for our sport.”

Abdo insisted the ability for players to potentiall­y return earlier was important, and backed the 11-day timeline.

“There is no exact science that points to how long it takes a player to recover from a concussion,” he said. “It is all case-by-case and very individual.

Our policy needs to take that into account.

“We don’t want players not reporting concussion­s for fear of a mild concussion ruling them out for a period that is longer than necessary.”

The NRL confirmed it would consider monitoring technologi­es such as blood and saliva testing as a tool for diagnosing concussion­s.

Two years ago, British researcher­s reported a study of 150 rugby players between 2017 and 2019 had shown 94% accuracy in picking up concussion­s via saliva testing.

The US Food and Drug Administra­tion last week approved a commercial blood test to assess concussion­s, with results available within 18 minutes.

The 11-day stand down marks the biggest change to the NRL’s approach to concussion­s since the introducti­on of the head injury assessment system in 2014.

The protocols have the support of the players’ union, and bring the sport into line with World Rugby, which last year introduced an 11-day stand-down period for the 15-player game.

The changes come days after the latest concussion suffered by Kalyn Ponga, with Newcastle weighing up how best to deal with his fourth brain injury in 10 months.

 ?? ?? Kalyn Ponga of the Knights receives attention from a trainer at Leichhardt Oval on Sunday. Photograph: Brendon Thorne/AAP
Kalyn Ponga of the Knights receives attention from a trainer at Leichhardt Oval on Sunday. Photograph: Brendon Thorne/AAP

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