Ten-season epidemiological study of match injuries in men’s international rugby sevens

Fuller, Colin W; Taylor, Aileen

doi:10.1080/02640414.2020.1752059

Cited by 10 publications

(2 citation statements)

References 22 publications

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“…Overall, non-contact injury incidence was 0.06 per 1000 player-hours (95% CI 0.02–0.18, I 2 = 68%) in rugby union, 0.08 per 1000 player-hours (95% CI 0.05–0.12, I 2 = 84%) and 0.05 per 1000 player-exposures (95% CI 0.03–0.9, I 2 = 97%) in soccer, 0.17 per 1000 player-hours in floorball (95% CI 0.09–0.32, I 2 = 41%), 0.05 per 1000 player-exposures in basketball (95% CI 0.03–0.11, I 2 = 98%), and 0.06 per 1000 player-exposures in American football (95% CI 0.05–0.08, I 2 = 87%) (Appendices A8-1 and 8-2). There were insufficient studies for field hockey [ 55 ], Australian football [ 62 ], rugby sevens [ 41 ], lacrosse [ 48 ], volleyball [ 56 ], baseball [ 56 ], softball [ 56 ] and Gaelic football [ 77 ] (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type

et al. 2022

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Background Not all anterior cruciate ligament (ACL) injuries are preventable. While some ACL injuries are unavoidable such as those resulting from a tackle, others that occur in non-contact situations like twisting and turning in the absence of external contact might be more preventable. Because ACL injuries commonly occur in team ball-sports that involve jumping, landing and cutting manoeuvres, accurate information about the epidemiology of non-contact ACL injuries in these sports is needed to quantify their extent and burden to guide resource allocation for risk-reduction efforts. Objective To synthesize the evidence on the incidence and proportion of non-contact to total ACL injuries by sex, age, sport, participation level and exposure type in team ball-sports. Methods Six databases (MEDLINE, EMBASE, Web of Science, CINAHL, Scopus and SPORTDiscus) were searched from inception to July 2021. Cohort studies of team ball-sports reporting number of knee injuries as a function of exposure and injury mechanism were included. Results Forty-five studies covering 13 team ball-sports were included. The overall proportion of non-contact to total ACL injuries was 55% (95% CI 48–62, I2 = 82%; females: 63%, 95% CI 53–71, I2 = 84%; males: 50%, 95% CI 42–58, I2 = 86%). The overall incidence of non-contact ACL injuries was 0.07 per 1000 player-hours (95% CI 0.05–0.10, I2 = 77%), and 0.05 per 1000 player-exposures (95% CI 0.03–0.07, I2 = 97%). Injury incidence was higher in female athletes (0.14 per 1000 player-hours, 95% CI 0.10–0.19, I2 = 40%) than male athletes (0.05 per 1000 player-hours, 95% CI 0.03–0.07, I2 = 48%), and this difference was significant. Injury incidence during competition was higher (0.48 per 1000 player-hours, 95% CI 0.32–0.72, I2 = 77%; 0.32 per 1000 player-exposures, 95% CI 0.15–0.70, I2 = 96%) than during training (0.04 per 1000 player-hours, 95% CI 0.02–0.07, I2 = 63%; 0.02 per 1000 player-exposures, 95% CI 0.01–0.05, I2 = 86%) and these differences were significant. Heterogeneity across studies was generally high. Conclusion This study quantifies several key epidemiological findings for ACL injuries in team ball-sports. Non-contact ACL injuries represented over half of all ACL injuries sustained. The proportion of non-contact to total ACL injuries and injury incidence were higher in female than in male athletes. Injuries mostly occurred in competition settings.

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Section: Resultsmentioning

confidence: 99%

Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type

et al. 2022

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“…Rugby has one of the highest incidence rates of concussion across all sports45 46 and injury data show no sign of this incidence reducing 6. Although this is due to a multitude of different factors, including better identification and reporting, similar trends are observed in a number of contact sports 47 48. Significant financial49 50 and future health concerns have also been linked to head impacts,51 52 although it must be emphasised that the link between concussion and future health concerns remains unproven.…”

Section: Discussionmentioning

confidence: 87%

Poor isometric neck extension strength as a risk factor for concussion in male professional Rugby Union players

Farley

Barry²,

Sylvester

et al. 2022

Br J Sports Med

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BackgroundConcussion is one of the highest burden injuries within professional Rugby Union (‘rugby’) and comes with a high health and financial cost to players and teams. Limited evidence exists as to the existence of modifiable intrinsic risk factors for concussion, leaving athletes and clinicians with few options when developing prevention strategies.ObjectiveTo investigate whether neck strength is significantly associated with concussion incidence in professional male rugby players.Methods225 rugby players were assessed for neck strength at three time points throughout the 2018/2019 season using a method of isometric contraction. Associations with clinically diagnosed concussion injuries are presented as incidence rate ratios (IRRs) with 95% CIs.ResultsThirty concussions occurred in 29 players during the study period; a rate of 13.7 concussions per 1000 hours played. Greater neck strength was observed at mid and end of season time points versus preseason across the study population. There was a significant association between extension strength and concussion; a 10% increase for extension strength was associated with a 13% reduction in concussion rate (adjusted IRR (95% CI) 0.87 (0.78 to 0.98). No other significant associations were observed between concussion incidence and any other unique neck strength range or composite score.ConclusionHigher neck extension strength is associated with lower concussion rates in male rugby players. Neck strength is a modifiable intrinsic risk factor for concussion and may be an important component of a strength and conditioning regime.

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Paving the path for injury prevention in rugby‐7s: A systematic review and meta‐analysis

Behardien,

Ganda,

Dane

et al. 2024

European Journal of Sport Science

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This review and meta‐analysis aimed to describe the current rugby‐7s injury epidemiological literature by examining injury data from both sexes, all levels of play, and their associated risk factors. Studies published up until March 2024 were included. These studies were retrieved from six databases using search terms related to rugby‐7s or sevens, tackle, collision, collision sport, injury, athlete, incidence rate, mechanism, and risk factor. Only peer‐reviewed original studies using prospective or retrospective cohort designs with a clearly defined rugby‐7s sample were considered. Included studies needed to report one injury outcome variable. Non‐English and qualitative studies; reviews, conference papers, and abstracts were excluded. Twenty studies were included. The meta‐analysis used the DerSimonian–Laird continuous random‐effects method to calculate the pooled estimated means and 95% confidence interval. The estimated mean injury incidence rate for men was 108.5/1000 player‐hours (95% CI: 85.9–131.0) and 76.1/1000 player‐hours (95% CI: 48.7–103.5) for women. The estimated mean severity for men was 33.9 days (95% CI: 20.7–47.0) and 44.2 days (95% CI: 32.1–56.3) for women. Significantly more match injuries occurred in the second half of matches, were acute, located at the lower limb, diagnosed as joint/ligament, and resulted from being tackled. Fatigue, player fitness, and previous injuries were associated with an increased risk of injury. There were no statistically significant differences between women's and men's injury profiles. However, the inherent cultural and gendered factors which divide the two sports should not be ignored. The findings from this review will help pave the way forward beyond the foundational stages of injury prevention research in rugby‐7s.

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Ten-season epidemiological study of match injuries in men’s international rugby sevens

Cited by 10 publications

References 22 publications

Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type

Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type

Poor isometric neck extension strength as a risk factor for concussion in male professional Rugby Union players

Paving the path for injury prevention in rugby‐7s: A systematic review and meta‐analysis

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