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Injury incidence, characteristics and timing in amateur male rugby union: A prospective cohort study
Abstract
Rugby union has a high incidence of match injuries. However, there is limited information regarding the incidence and characteristics of match injuries in male amateur players. In particular, there is a lack of information regarding injury rates per match quarter. Investigating this may inform injury prevention strategies. The aim is to determine whether the rate and characteristics of injury vary with match quarter in male amateur rugby union players, regardless of whether the injury resulted in time loss from play. This prospective cohort study recorded and examined the number and characteristics of injuries during match quarters across a season of amateur rugby union. Team match exposure was recorded. Injuries were recorded by a team physiotherapist consistent with Rugby Injury Consensus Group guidelines. Matches were divided into quarters for data analysis, and statistical significance was determined using Chi-square analysis. 127 players sustained 207 injuries across 18 games. The injury incidence was 164 injuries/1000 match hours. There was a significant (p < .001) difference in the number of injuries between match quarters, with the greatest number in the fourth, followed by the second, third, and first quarter. Forwards had a statistically significant higher rate of injury between quarters. Injury incidence in amateur rugby is higher than previously reported. Injury rates in amateur male rugby increase at the end of each match half, peaking in the fourth quarter. These findings contribute to the understanding of the aetiology of injury in amateur rugby union.
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References
Bahr R, & Krosshaug T. (2005). Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med, 39(6), 324-349. https://doi.org/10.1136/bjsm.2005.018341
Bathgate, A., Best, J. P., Craig, G., & Jamieson, M. (2002). A prospective study of injuries to elite Australian rugby union players. Br J Sports Med, 36(4), 265-269. https://doi.org/10.1136/bjsm.36.4.265
Best JP, McIntosh AS, & Savage TN. (2005). Rugby world cup 2003 injury surveillance projec. Br J Sports Med, 39(11), 812-817. https://doi.org/10.1136/bjsm.2004.016402
Bottini, E., Poggi, E. J., Luzuriaga, F., & Secin, F. P. (2000). Incidence and nature of the most common rugby injuries sustained in Argentina (1991-1997). Br J Sports Med, 34(2), 94-97. https://doi.org/10.1136/bjsm.34.2.94
Chalmers, D. J. (2002). Injury prevention in sport: not yet part of the game? Inj Prev, 8 Suppl 4, Iv22-25.
Deutsch, M. U., Kearney, G. A., & Rehrer, N. J. (2007). Time - motion analysis of professional rugby union players during match-play. J Sports Sci, 25(4), 461-472. https://doi.org/10.1080/02640410600631298
Finch C. (2006). A new framework for research leading to sports injury prevention. J Sci Med Sport 9 (1-2), 3-9.
Freitag, A., Kirkwood, G., & Pollock, A. M. (2015). Rugby injury surveillance and prevention programmes: are they effective? BMJ, 350. https://doi.org/10.1136/bmj.h1587
Fuller, C. W., Molloy, M. G., Bagate, C., Bahr, R., Brooks, J. H. M., Donson, H., . . . Wiley, P. (2007). Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. Clin J Sport Med, 41(5), 328-331. https://doi.org/10.1136/bjsm.2006.033282
Fulton, J., Wright, K., Kelly, M., Zebrosky, B., Zanis, M., Drvol, C., & Butler, R. (2014). Injury risk is altered by previous injury: a systematic review of the literature and presentation of causative neuromuscular factors. Int J Sports Phys Ther, 9(5), 583-595.
Gabbett, T. J., Polley, C., Dwyer, D. B., Kearney, S., & Corvo, A. (2014). Influence of field position and phase of play on the physical demands of match-play in professional rugby league forwards. J Sci Med Sport, 17(5), 556-561. https://doi.org/10.1016/j.jsams.2013.08.002
Garraway, W. M., Lee, A. J., Hutton, S. J., Russell, E. B., & Macleod, D. A. (2000). Impact of professionalism on injuries in rugby union. Br J Sports Med, 34(5), 348-351. https://doi.org/10.1136/bjsm.34.5.348
Holtzhausen, L. J., Schwellnus, M. P., Jakoet, I., & Pretorius, A. L. (2006). The incidence and nature of injuries in South African rugby players in the rugby Super 12 competition. S Afr Med J, 96(12), 1260-1265.
Hughes DC, & PA., F. (1994). A prospective survey of injuries to first-grade rugby union players. . Clin J Sport Med, 4(249-256). https://doi.org/10.1097/00042752-199410000-00007
Johnston, R. D., Gabbett, T. J., Walker, S., Walker, B., & Jenkins, D. G. (2015). Are three contact efforts really reflective of a repeated high-intensity effort bout? J Strength Cond Res, 29(3), 816-821. https://doi.org/10.1519/jsc.0000000000000679
Jones, M. R., West, D. J., Crewther, B. T., Cook, C. J., & Kilduff, L. P. (2015). Quantifying positional and temporal movement patterns in professional rugby union using global positioning system. Eur J Sport Sci, 15(6), 488-496. https://doi.org/10.1080/17461391.2015.1010106
McLaren SJ, Weston M, Smith A, Cramb R, & Portas MD. (2015). Variability of physical performance and player match loads in professional rugby union. . J Sci Med Sport, 19(6), 493-497. https://doi.org/10.1016/j.jsams.2015.05.010
Meeuwisse, W. H., Tyreman, H., Hagel, B., & Emery, C. (2007). A dynamic model of etiology in sport injury: the recursive nature of risk and causation. Clin J Sport Med, 17(3), 215-219. https://doi.org/10.1097/jsm.0b013e3180592a48
Quarrie, K. L., Alsop, J. C., Waller, A. E., Bird, Y. N., Marshall, S. W., & Chalmers, D. J. (2001). The New Zealand rugby injury and performance project. VI. A prospective cohort study of risk factors for injury in rugby union football. Br J Sports Med, 35(3), 157-166. https://doi.org/10.1136/bjsm.35.3.157
Roberts, S. P., Trewartha, G., England, M., Shaddick, G., & Stokes, K. A. (2013). Epidemiology of time-loss injuries in English community-level rugby union. BMJ, 3(11), e003998. https://doi.org/10.1136/bmjopen-2013-003998
Rogalski, B., Dawson, B., Heasman, J., & Gabbett, T. J. (2013). Training and game loads and injury risk in elite Australian footballers. J Sci Med Sport, 16(6), 499-503. https://doi.org/10.1016/j.jsams.2012.12.004
Schneiders, A. G., Takemura, M., & Wassinger, C. A. (2009). A prospective epidemiological study of injuries to New Zealand premier club rugby union players. Phys Ther Sport, 10(3), 85-90. https://doi.org/10.1016/j.ptsp.2009.05.001
Schwellnus, M. P., Thomson, A., Derman, W., Jordaan, E., Readhead, C., Collins, R., . . . Williams, A. (2014). More than 50% of players sustained a time-loss injury (>1 day of lost training or playing time) during the 2012 Super Rugby Union Tournament: a prospective cohort study of 17,340 player-hours. Br J Sports Med, 48(17), 1306-1315. https://doi.org/10.1136/bjsports-2014-093745
Swain, M. S., Lystad, R. P., Henschke, N., Maher, C. G., & Kamper, S. J. (2016). Match injuries in amateur Rugby Union: a prospective cohort study - FICS Biennial Symposium Second Prize Research Award. Chiropr Man Therap, 24, 17. https://doi.org/10.1186/s12998-016-0098-7
Takemura, M., Schneiders, A. G., Bell, M. L., & Milburn, P. D. (2007). Association of ground hardness with injuries in rugby union. Br J Sports Med, 41(9), 582-587; discussion 587. https://doi.org/10.1136/bjsm.2007.035568
Vaz L, Leite N, & Joao PV. (2012). Differences between experienced and novice rugby union players during small sided games. Perc and Motor Skills: Exer and Sport, 115(2), 594-604. https://doi.org/10.2466/30.10.25.pms.115.5.594-604
Williams, S., Trewartha, G., Kemp, S., & Stokes, K. (2013). A meta-analysis of injuries in senior men's professional Rugby Union. Sports Med, 43(10), 1043-1055. https://doi.org/10.1007/s40279-013-0078-1
Williams, S., Trewartha, G., Kemp, S. P., Brooks, J. H., Fuller, C. W., Taylor, A. E., . . . Stokes, K. A. (2016). Time loss injuries compromise team success in Elite Rugby Union: a 7-year prospective study. Br J Sports Med, 50(11), 651-656. https://doi.org/10.1136/bjsports-2015-094798
DOI: https://doi.org/10.14198/jhse.2020.153.08
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