Juniortränares upplevelser och erfarenheter av hantering och rehabilitering vid hjärnskakning inom amerikansk fotboll

Sammanfattning: Background: Concussion in adolescent american football occurs frequently and can give serious damage, especially to the younger brain. SAFF has guidelines for management and rehabilitation. The guidelines to be followed are called “Hjärntrappan”.  Purpose: To investigate a group of coaches experiences of management and rehabilitation after concussion, in adolescent american football in Sweden. Design and method: Qualitative exploratory design, based on semi structured interviews. Five coaches were included in the study. The data was analyzed using content analysis according to Graneheim and Lundman. Results: The coaches experienced limited skills in management and rehabilitation in concussions. There was a major responsibility for the medical staff, were competence varied widely and there was no requirement regarding education about concussion. There was limited knowledge of the work of the football association and its guidelines were not fully implemented. The coach education contained a limited part regarding concussions. A mandatory part about concussion for both coaches and medical staff was suggested to improve current management and rehabilitation. Conclusion: Treatment and rehabilitation regarding concussion need to be expanded in the coaches education courses. A knowledge certificate should be introduced for the medical staff for management and rehabilitation of junior players as well. Future research could study how rehabilitation is followed after concussions, or mapping risks in the management and rehabilitation of brain shocks in junior teams.