Northern Edition

Select Edition

Northern Northern
Southern Southern
Global Global
New Zealand New Zealand
France France

Was Alexis Palisson another case of concussion mismanaged?

Alexis Palisson during the match against La Rochelle at Stade Ernest Wallon

An incident involving Toulouse winger Alexis Palisson during the weekend’s Top 14 match against La Rochelle raises more concerns over player welfare and the administration of concussion protocols, writes James Harrington.

ADVERTISEMENT

The Top 14 match between Toulouse and La Rochelle should be remembered.

It should be remembered because it was La Rochelle’s first-ever win at Stade Ernest Wallon. It should be remembered because, following Clermont’s defeat at Castres just 24 hours earlier some 90-odd kilometres up the N126 from Toulouse, it was the match that saw the visitors move four points clear at the top of the table with just six rounds of the regular season remaining.

But it will be remembered for a very different reason. It will be remembered because it was overshadowed by another concussion controversy.

Thirteen minutes in, Toulouse’s 83kg winger Alexis Palisson tried to stop 103kg Levani Botai’s in his tracks. But the La Rochelle man had already built up quite a head of steam. This is what happened next:

https://twitter.com/greub1/status/838422731012059137

Then, Palisson tried to stand up:

It is safe to say the Toulouse 11 was unfit to continue. He was helped off the field and replaced by Jean-Marc Doussain.

According to World Rugby’s ‘recognise and remove’ concussion protocols, any player displaying clear or suspected signs of loss of consciousness should be permanently and immediately removed from the field of play (emphasis added).

ADVERTISEMENT

No Head Injury Assessment (HIA) should take place. So it would appear that Palisson’s match was over.

And yet, he returned six minutes later, after apparently passing an HIA that he probably should not have had. He finished the match.

Canada and Oyonnax player Jamie Cudmore has long been an advocate of player welfare in cases of concussion. His Rugby Safety Network was set up to raise awareness of the health issues surrounding head injuries. In an interview with Rugby Pass in January 2017, Cudmore spoke of his concern over HIAs.

Speaking at the time, he said: “Suspecting a concussion probably means a concussion. If there’s any suspicion, take the guy off. I don’t see it’s that difficult to figure out.”

ADVERTISEMENT

[rugbypass-ad-banner id=”1473723660″]

In May 2014, another Toulouse player, Florian Fritz – who was also playing on Sunday, and who also spent time off the pitch for an HIA – was at the centre of a similar controversy.

In the 19th minute of a Top 14 playoff match against Racing 92 (then known as Racing Metro 92), he clattered into Francois van der Merwe’s knee. As with the weekend’s incident involving Palisson, it was an accident.

Fritz tried to stay on the pitch, fighting off those who were trying to help him. Then he tried to walk off for treatment. He couldn’t. He had to sit down. A stretcher was brought out. Eventually, to an ovation from the crowd, he managed to walk, with aid, to the medical room. Gael Fickou came on as a replacement.

Then, quarter of an hour later, and in front of TV cameras, this happened:

Shortly afterwards, Fritz, with 12 stitches in his head and still apparently glassy-eyed, returned to the pitch at Ernest Wallon for the final five minutes of the first half. He was substituted at half-time.

Four months after the Fritz incident, France’s Ligue National de Rugby, which runs the Top 14, sent a strongly worded letter to Toulouse, reminding the club of its obligations regarding the treatment of players with concussion.

Given that World Rugby is working even harder to raise awareness of the dangers of concussion, perhaps Toulouse will receive something a little stronger than a pointed note from the headmaster this time.

ADVERTISEMENT

LIVE

{{item.title}}

Trending on RugbyPass

Comments

0 Comments
Be the first to comment...

Join free and tell us what you really think!

Sign up for free
ADVERTISEMENT

Latest Features

Comments on RugbyPass

S
SK 55 minutes ago
Why England's defence of the realm has crumbled without Felix Jones

The way they are defending is sometime pathetic to be honest. Itoje is usually on the inside of the rush and he is paired with a slower tight forward. Unable to keep up with the rush we have seen the line become disconnected on the inside where the big boys are. How many times have we seen Earl rush past the first receiver almost into no mans land covering no attacker. It looks like a system without any guidance. Tome Wright, Ikitau and a number of Wallabies went back to this soft centre as did Williams, Jordan and several others. Also when the line is broken the multiple lines of defence seems to be missing. The rush is predicated on a cover and recovery system with multiple lines of defence but with England you dont see it any more. Fitness and conditioning seems to be off as well as players are struggling to keep up with the intensity of the rush. Felix Jones has left a huge hole. The whole situation was and is a mess. Why they insist on not letting him go and having him work remotely is beyond me. Its leading to massive negative press and is a hot button issue thats distracting from the squad. Also the communication around Jones and his role has been absolute rubbish and is totally disjointed. While some say he is working remotely and playing a role others are saying theres been no contact. His role has not been defined and so people keep asking and keep getting different answers. England need a clean break from him and need to start over. Whatever reason for his leaving its time to cut the rope before the saga drags the whole Borthwick regime down. As for Joe El Abd well good luck to him. He is being made to look like an amateur by the whole saga and he is being asked to coach a system thats not his and which has been perfected and honed since 2017 by Nienaber, Jones, Erasmus and Co and which was first started by White in 2004. He is literally trying to figure out a system pioneered by double world cup winning coaches at the highest level and coach it at the same time. Talk about being on a hiding to nothing.

28 Go to comments
TRENDING
TRENDING Jake White: Ireland, Australia and Wales all have the same problem Jake White: Ireland, Australia and Wales have the same problem
Search