A coronial inquest into the loss of life of former AFL participant Shane Tuck has been instructed concussion must be managed on a person foundation, somewhat than making use of the identical method to every case.
The inquest is wanting into Tuck’s loss of life by suicide in 2020 and whether or not it was linked to continual traumatic encephalopathy (CTE), a extreme mind illness he suffered from, and his time enjoying soccer and competing as a boxer.
Under the microscope are the sports activities’ insurance policies round headknocks and concussions and whether or not they defend the wellbeing of their gamers.
US neurosurgeon Robert Cantu instructed the inquest by way of videolink from Boston on Wednesday, talking about boxing, described the stand-down durations set for boxers after a struggle as “cookie cutter stuff.”
Dr Cantu, the medical director of the Concussion Legacy Foundation, which its web site says is “holding sports organizations accountable for concussion care” mentioned every case must be handled individually.
“A boxer can be stopped with a concussion in a KO, where he is up on his feet in a matter of seconds, seems to be fine and then in his exam the next day is fine, and a boxer can be knocked down and be unconscious for a matter of 30 seconds or more,” he instructed the inquest.
“Those two injuries are not the same and yet the stand-down period is theoretically the same.
“All I’m simply saying is these are kind of rough guidelines.
“I think the more important issue is the severity of the injury and how the individual is doing, and that should really guide how long someone stays out, rather than suggest some arbitrary amount of time.”
Dr Cantu mentioned he had a “major concern” about whether or not Australian boxing authorities has put sufficient consideration CTE and the long run results of headknocks of their insurance policies.
“There is an injury that can happen for repetitive chronic traumatic brain injuries, something that doesn’t show up usually at the time of a given match, but shows up years later. I don’t find that being very much addressed,” he mentioned.
Tuck sustained a number of head knocks throughout his profession which included enjoying 173 video games for Richmond and 5 skilled boxing matches.
Tuck suffered quite a few concussions in each sports activities, together with being knocked out within the fourth spherical of his first match and was carried out on a stretcher.
An post-mortem revealed the 38-year-old had “severe” CTE, which might solely be identified after loss of life, and can lead to behaviour adjustments together with despair and paranoia.
Tuck was identified with despair in 2010 and inside eight years reported listening to voices telling him to take his personal life, resulting in him being admitted to psychiatric models from 2018-2020 after a number of overdoses.
Symptoms of CTE additionally embrace poor consideration, focus and reminiscence and is linked to a scarcity of perception, poor judgment and impulsive behaviour.
Originally printed as US knowledgeable questions use of ‘cookie cutter’ stand-down durations at inquest into Shane Tuck’s loss of life
Source: www.dailytelegraph.com.au