BackgroundUnderstanding the mechanism of injury is necessary for the development of effective injury prevention strategies. Video analysis of injuries provides valuable information on the playing situation and athlete-movement patterns, which can be used to formulate these strategies. Therefore, we conducted a video analysis of the mechanism of concussion injury in junior-level rugby union and compared it with a representative and matched non-injury sample.MethodsInjury reports for 18 concussion events were collected from the 2011 to 2013 under-18 Craven Week tournaments. Also, video footage was recorded for all 3 years. On the basis of the injury events, a representative ‘control’ sample of matched non-injury events in the same players was identified. The video footage, which had been recorded at each tournament, was then retrospectively analysed and coded. 10 injury events (5 tackle, 4 ruck, 1 aerial collision) and 83 non-injury events were analysed.ResultsAll concussions were a result of contact with an opponent and 60% of players were unaware of the impending contact. For the measurement of head position on contact, 43% had a ‘down’ position, 29% the ‘up and forward’ and 29% the ‘away’ position (n=7). The speed of the injured tackler was observed as ‘slow’ in 60% of injurious tackles (n=5). In 3 of the 4 rucks in which injury occurred (75%), the concussed player was acting defensively either in the capacity of ‘support’ (n=2) or as the ‘jackal’ (n=1).ConclusionsTraining interventions aimed at improving peripheral vision, strengthening of the cervical muscles, targeted conditioning programmes to reduce the effects of fatigue, and emphasising safe and effective playing techniques have the potential to reduce the risk of sustaining a concussion injury.

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Background: Collisions (i.e. tackles, ball carries, and collisions) in the rugby league have the potential to increase injury risk, delay recovery, and influence individual and team performance. Understanding the collision demands of the rugby league may enable practitioners to optimise player health, recovery, and performance. Objective: The aim of this review was to (1) characterise the dose of collisions experienced within senior male rugby league match-play and training, (2) systematically and critically evaluate the methods used to describe the relative and absolute frequency and intensity of collisions, and (3) provide recommendations on collision monitoring. Methods: A systematic search of electronic databases (PubMed, SPORTDiscus, Scopus, and Web of Science) using keywords was undertaken. A meta-analysis provided a pooled mean of collision frequency or intensity metrics on comparable data sets from at least two studies. Results: Forty-three articles addressing the absolute (n) or relative collision frequency (n min −1) or intensity of senior male rugby league collisions were included. Meta-analysis of video-based studies identified that forwards completed approximately twice the number of tackles per game than backs (n = 24.6 vs 12.8), whilst ball carry frequency remained similar between backs and forwards (n = 11.4 vs 11.2). Variable findings were observed at the subgroup level with a limited number of studies suggesting wide-running forwards, outside backs, and hit-up forwards complete similar ball carries whilst tackling frequency differed. For microtechnology, at the team level, players complete an average of 32.7 collisions per match. Limited data suggested hit-up and wide-running forwards complete the most collisions per match, when compared to adjustables and outside backs. Relative to playing time, forwards (n min −1 = 0.44) complete a far greater frequency of collision than backs (n min −1 = 0.16), with data suggesting hit-up forwards undertake more than adjustables, and outside backs. Studies investigating g force intensity zones utilised five unique intensity schemes with zones ranging from 2-3 g to 13-16 g. Given the disparity between device setups and zone classification systems between studies, further analyses were inappropriate. It is recommended that practitioners independently validate microtechnology against video to establish criterion validity.