Sports doctor Peter Larkins calls for AFL to consider concussion substitute


Leading sports activities doctor Dr Peter Larkins has referred to as for the AFL to consider including a fifth man to the bench as a concussion substitute.

The debate over the adverse impression golf equipment expertise once they lose gamers to concussion was raised over the weekend after the Swans misplaced Jake Lloyd lower than a minute into their match towards Hawthorn to a head knock, whereas Sam Reid didn’t return after half-time after a robust deal with by Shaun Burgoyne.

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The AFL and golf equipment have strengthened their concussion protocols in recent times, whether or not that be on recreation day or when it comes to matches missed.

There had been a concussion substitute between 2011 and 2015 however that was eliminated when the interchange cap was minimize from 120 to 90 with 4 lively gamers on the bench, having been three on the bench plus a substitute.

Larkins, who first raised the difficulty on 3AW, stated the return to a substitute particularly for game-ending head knocks would have a number of implications nevertheless it wanted to be thought-about.

“We have been very, very strict on concussion management on the day in the AFL, which is great,” he stated.

“But because of this heightened threshold of consciousness, it signifies that even (a participant with) probably the most delicate concussion is excluded for the remainder of the day, regardless that they could technically be wonderful 10 minutes later, 15 minutes later, like we used to see in previous occasions.

“I’m not suggesting we return to previous occasions by any means however I’m simply saying it is totally different when you’ve got a damaged ankle, ripped hamstring. Clearly, that individual is just not match to return on the day. I assume we’re actually having a selected medical strategy to head (knocks) and concussion.

“In the event that a player is excluded very early in the game because of concussion, and if you have two … it’s a topic of discussion. In the sense of fairness and balance in the competition, should we looking at having a dedicated sub concussion player – not just a sub player.”

North Melbourne was the one different membership to lose a participant to concussion on the weekend, with Trent Dumont harm within the second half towards Carlton.

In a column with Fairfax Media, former West Coast and Carlton nice Chris Judd questions whether a substitute would be open to tactical exploitation.

Larkins admitted the concussion substitute might be open to manipulation, and realised some would query why a substitute can be restricted to a head knock.

“The question is – you could have two hamstring (injuries) in the first quarter. Should there be a benefit given to those clubs?” he stated.

“That’s why I acknowledge that it’s tricky. I am just making the point that concussion has become such a big component of excluding people from games. I can’t think of a weekend where we haven’t had a concussion so far in 10 weeks.”

The AFL says the deserves of a concussion substitute haven’t been mentioned.


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