This study identified tackle characteristics that had a lower propensity to result in an HIA for the tackler in both front-on and side-on upper body and lower body tackles.
Tackling is a major component of rugby union and effective attacking and defensive play are essential for game outcomes. In this study, a number of pre-contact, contact and post-contact tackle characteristics that had an influence on tackle gainline success for the ball carrier and tackler were identified using match video evidence from European Rugby Champions Cup games. A total of 122 front-on tackles and 111 side-on tackles were analysed. For each ball carrier and tackler characteristic, the Odds Ratio and 95% Confidence Interval were calculated based on a gainline success outcome. A Chi-Square and Phi and Cramer's V calculation was also conducted. A Chi-Square test then identified any statistically significant differences (p < 0.05) for proficiency characteristics between playing position. For both the ball carrier and tackler, tackle characteristics that were indicative of strong and powerful tackle technique such as 'explosiveness on contact' and 'leg drive on contact' were effective for achieving the desired gainline outcome. Playing position had an influence on only two proficiency characteristics that were statistically significant for gainline success: 'fending into contact' for ball carriers and 'straight back, centre of gravity forward of support base' for tacklers.
At present, blood biomarkers have only a limited role in the evaluation and management of concussion. Although several biomarkers of brain injury have been identified, continued research is required. S100B holds promise as the most clinically useful diagnostic biomarker. Blood biomarkers, in combination with other clinical data, such as head computed tomography, would maximize the diagnostic accuracy. The methodological limitations evident in blood biomarker research results in the need for the clinical utility of blood biomarker use in concussion to be further explored.
ObjectivesThe mechanisms of hamstring strain injuries (HSIs) in professional Rugby Union are not well understood. The aim of this study was to describe the mechanisms of HSIs in male professional Rugby Union players using video analysis.MethodsAll time-loss acute HSIs identified via retrospective analysis of the Leinster Rugby injury surveillance database across the 2015/2016 to 2017/2018 seasons were considered as potentially eligible for inclusion. Three chartered physiotherapists (analysts) independently assessed all videos with a consensus meeting convened to describe the injury mechanisms. The determination of the injury mechanisms was based on an inductive process informed by a critical review of HSI mechanism literature (including kinematics, kinetics and muscle activity). One of the analysts also developed a qualitative description of each injury mechanism.ResultsSeventeen acute HSIs were included in this study. Twelve per cent of the injuries were sustained during training with the remainder sustained during match-play. One HSI occurred due to direct contact to the injured muscle. The remainder were classified as indirect contact (ie, contact to another body region) or non-contact. These HSIs were sustained during five distinct actions—‘running’ (47%), ‘decelerating’ (18%), ‘kicking’ (6%), during a ‘tackle’ (6%) and ‘rucking’ (18%). The most common biomechanical presentation of the injured limb was characterised by trunk flexion with concomitant active knee extension (76%). Fifty per cent of cases also involved ipsilateral trunk rotation.ConclusionHSIs in this study of Rugby Union were sustained during a number of playing situations and not just during sprinting. We identified a number of injury mechanisms including: ‘running’, ‘decelerating’, ‘kicking’, ‘tackle’, ‘rucking’ and ‘direct trauma’. Hamstring muscle lengthening, characterised by trunk flexion and relative knee extension, appears to be a fundamental characteristic of the mechanisms of acute HSIs in Rugby Union.
It appears that player time-in-game does not affect tackler or ball carrier tackle technique proficiency at the elite level. More tackles occurring in the final quarter of a game provides an alternative explanation to more tackle-related injuries occurring at this stage.
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