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Playing behind closed doors won't be a panacea for rugby claims Scotland team doctor

(Photo by David Rogers/Getty Images)

Scotland team doctor James Robson has warned that sport may have a long wait before healthcare capacity can facilitate its return.

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Rugby competitions including the Guinness PRO14 are looking at ways of finishing their seasons following the lockdown, while England’s Premier League football clubs are among those to discuss playing behind closed doors in the next two months.

But Robson has warned that elite sport as well as amateur may have to wait a significant time before the NHS can cope with injured players on top of coronavirus victims and other patients who have had treatment delayed amid the pandemic.

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The long-serving Scotland medic has heard first hand how the health service has had to adapt quickly from his GP wife and part-time medical colleagues in the Scottish Rugby Union.

“Taking matches behind closed doors simply takes away the logistical problem of having a crowd,” Robson said.

“What it doesn’t change is the actual physical nature of the game, or indeed any sport, and the risk of injury.

“We can’t contemplate going behind closed doors until we get some semblance of normality back to the NHS and private care providers.

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“You can widen it to any sport. Physical activity is now very much a key strand of maintaining population health. It helps with reducing obesity, cancer, diseases like diabetes.

“But with any form of physical activity comes the risk of injury and what we have to balance is the good part of physical activity versus the risk of injury.

“It’s not just elite sportsmen and women who are prone to injury but people at other levels.

“Professional sport might help the psyche of the nation because it gives the population something to focus on and something to watch but everyday sport has a part to play in the fabric of our society and it’s what we can do to help those sports get back.

“It might be that what we have had is not what we will have in the near future or indeed the medium or long term.”

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Robson, who is also the SRU’s chief medical officer, added: “Within rugby we have a number of part-time medics who have normal jobs with the NHS.

“The normalisation of the NHS is vital for us as many of my colleagues who look after my rugby teams actually look after NHS patients as well.”

Robson also warned that rugby players will need a significant period of training before resuming match action.

“You can’t just simply rush people back,” he said. “In the same way you have a graduated return from concussion, we would need a graduated return.

“When they come back from summer holidays they have a period of individual training, a period of group training and then back into contact.

“It would require a form of pre-season but it would depend on how long the lockdown goes on for.

“You would be talking around four weeks to be ready, perhaps five weeks but as the lockdown goes on, that may increase. Any typical pre-season evolves over six to eight weeks.”

Press Association

 

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f
fl 8 hours ago
What is the future of rugby in 2025?

Smith generally isn't well connected to his forward pods; doesn't do a great job of distributing to those around him; and has inferior positional and contestable kicking games than Ford and Fin.


When England have had success over the past few years, its been either through (i) defensive rugby backed up with smart tactical kicking or (ii) high possession attacking phase play based on quick ruck ball. George Ford was key to the implementation of (i) in the RWC, and in the 6N win over Wales, and to the implementation of (ii) in the 6N games against Ireland and France. Smith did great at (ii) when running at tired defenders at the end of the Ireland match, but has never successfully implemented that gameplan from the start of a test because he doesn't distribute or support his forwards enough to create consistent fast ball and build attacks over multiple phases. Instead, his introduction to the starting side has resulted in much more playmaking responsibilities being forced onto whoever plays 9. Alex Mitchell copes ok with that, but I think he looks better with a more involved playmaking 10 outside him, and it really isn't a gameplan that works for JVP or Spencer. As a result of that the outside backs and centres have barely touched the ball when Smith has been at 10.


This might not have been too much of a disaster, as England have seemed to be moving slightly towards the sort of attacking gameplan that France played under Labit and Quins play (I think this was especially their approach when they won the league a few years ago - but its still a part of their play now), which is based on kicking to create broken field rugby. This is (i) a sharp departure from the gameplans that have worked for England in the past few seasons; (ii) bears very little relation to the tactical approaches of the non-Quins players in the England team; and (iii) is an absolute disaster for the blitz defence, which is weak in transition. Unsurprisingly, it has coincided with a sharp decline in England's results.

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