Concussion refresher course

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To be recognised as having competed your concussion refresher for your club you must be a registered member of your club through the Sporty Registration database. If you need any help registering for your club please ask your coach or a committee member.
This course and test is about educating players about concussion so that we can respond appropriately when an event happens.
We all need to be able to recognise when an event has happened, or might have happened, and support the player and the team in making the right decisions.
Information about concussion can be found on the NZAFF web site and on the NZAFF app including a list of symptoms and protocols for the processes after a concussion has happened.

Name *

Please use the same FULL name as you used when registering for your club. If you do not use yuour full name you cannot be confirmed as a registered member of your club.

Club *

AFC Tackle

AFC Flag

AFC Junior & Youth

Hamilton Hawks

Hawkes Bay Heat

Hutt Valley Spartans

Manurewa Eagles

Metro Lions

Nelson AFC

N H Pride

Otago AFC

Pacific Coast Sharks

Papakura Kings

Papatoetoe Wildcats

South Auckland Raiders

Takaanini Giants

Tamaki Lightning

Tauranga City Tridents

Wellington Wolves

Waitakere Bandits

Other:

Concussion and traumatic brain injuries

Question 1 *

Which is worse – a concussion or a traumatic brain injury (TBI)?

1 point

A traumatic brain injury (TBI)

A concusssion is a traumatic brain injury so equally bad.

A concussion

They are different but equally bad.

Question 2 *

Do all concussions involve loss of consciousness?

1 point

Maybe.

Yes. It is only a concussion if there is a loss of consciousness.

No. Players can still be concussed without losing conciousness.

Question 3 *

Will a person with a concussion show immediate symptoms?

1 point

No, symptoms can show up to 48 hours after an event.

Yes, if there are no immediate symptoms there is no concussion.

No, but symptoms will show up within 24 hours.

NZAFF injuries in the 2019/2020 season.

Question 4 *

Which player grade in NZ have the worst injury statistics?

1 point

Juniors

Premiers

Women

Colts

Question 5 *

Which injury is most common in our games in NZ?

1 point

Lower limb

Head/neck

Upper limb

Chest/ back

Question 6 *

In NZ our concussion statistics are low in comparison with other sports but perhaps as much as 80% are not reported. What do you think is the reason for this?

1 point

Unaware of what the symptoms are.

Scared, or reluctant to report an incident.

Thinking “bell ringing” is normal.

All of the above.

None of the above – our stats are right.

What happens in the brain when a concussion occurs.

Question 7 *

When a concussion happens there are chemical changes that have an effect on the brain. Which of the following effects are a result of concussion?

1 point

The brain is getting less energy because the brain cells “power station” is affected.

The brain needs 5 times more energy to recover.

The brain is getting 50% less blood so less oxygen and less glucose.

All of the above.

Question 8 *

Concussion effects on the brain can last up to two days so resting is important. Which of the following statements is true for resting after a concussion?

1 point

No brain stimulation including no TV, no Playstation, no reading.

No bright lights - preferably a darkened room.

No loud noise or music.

Bed rest is best with no physical activity.

The player will think he/she is ok and has no symptoms but they will be wrong.

all of the above

Question 9 *

Which of these statements are true about the dangers if a player returns to play too early before the brain recovers?

1 point

Second impact syndrome is more dangerous for players under 25 years old where the brain swells.

The possibility of another knock is about 50%.

If they get another knock then there is 100% chance they will have symptoms for life.

All of the above.

Sideline concussion assessment.

This video is over 8 minutes long but it is important because concussion is not easy to diagnose and the consequences of taking this lightly can be devastating. The sideline or on-field evaluation need focus especially while we do not have a standard test across the sport. It is also everyone's responsibility to raise the issue is a player might have have suffered a concussion. Do not wait for others to do something.

Question 10 *

Finish this sentence about an event that might involve concussion - “if you think (it might be)….."

1 point

Then you need to wait to see if there are symptoms.

Then it is. Best to be safe than sorry.

Then best to wait for someone else to notice it.

Then you need to check with someone else - the coach or manager.

Question 11 *

Which of the following statements about concussion assessment is NOT true?

1 point

Symptoms may vary and may last for days or weeks.

Symptoms are not alway the same in every case.

Some symptoms may appear right away and others may appear later.

Making an assessment is easy because the sympoms are obvious.

What to do after assessing a concussion.

Question 12 *

If you suspect a concussion the first thing you do is get the player off the field.

1 point

True

False

Question 13 *

You do not leave the player alone after taking them off the field. Always have someone with them monitoring them.

1 point

True

False

Question 14 *

Giving the player medication is ok.

1 point

True

False

Question 15 *

It is OK for the player to drive themselves home or to the hospital or doctors.

0 points

True

False

Question 16 *

The player must be evaluated by a medical doctor or other appropriate medical professional.

1 point

True

False

Question 17 *

The player does not need a medical clearance before returning to play. They can return when they think they are alright.

1 point

True

False

The challenges in making assessments.

Question 18 *

Diagnosing a concussion is easy because an MRI, X-ray or CT scan will pick it up.

1 point

True

False

Question 19 *

Symptoms can take weeks or months to appear and may appear in stages. This may be different for everyone.

1 point

True

False

Question 20 *

Concussed individuals will know when they are concussed or have symptoms.

1 point

True

False

Question 21 *

Concussion only happens when a player loses consciousness.

1 point

True

False

Recovery & return to sport.

Question 22 *

Put the following steps in the right order for a stepped return to sport after a concussion.

6 points

1st

2nd

3rd

4th

5th

6th

Daily activity that does not provoke symptoms.

Full contact practice once cleared by doctor

Return to sport

Sport specific activity. No body contact.

Light aerobic activity. no resistatnce triaining.

Non-contact training drills.

Summary

Question 23 *

There is an increasing awareness, especially for players under 25, about links between concussions and other health issues. What are these?

1 point

Depression

Suicide

All of the above

None of these - nothing has been proven.

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