Tackler and ball-carrier technique during moderate and severe injuries (≥8 days lost) compared with player-matched and team-matched injury-free controls in Elite Rugby Union

2021 ◽  
pp. bjsports-2020-103759
Author(s):  
Vincent Meintjes ◽  
Pip Forshaw ◽  
Steve den Hollander ◽  
Lindsay Starling ◽  
Michael Ian Lambert ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Video Analysis ◽  
Effect Size ◽  
Injury Risk ◽  
Rugby Union ◽  
Prevention Strategies ◽  
Severe Injuries ◽  
Technical Proficiency ◽  
Proficiency Scores

ObjectiveTo analyse tackler and ball-carrier technical proficiency during moderate and severe contact injuries (≥8 days lost) in professional rugby union, and compare it with injury-free event-matched controls from the same player and from the same team.MethodsTechnical proficiency for 74 (n=74) (moderate and severe; ≥8 days lost) tackler and ball-carrier injuries during The Currie Cup (2014–2018) and 623 matched non-injury events (253 own controls, 370 team controls) were examined through video analysis using a standardised list of technical criteria.ResultsMean technical proficiency score for injured tacklers during front-on tackles was 6.19/16 (arbitrary units (AU) 95% CI 4.89 to 7.48), which was significantly different to their own controls (8.90/16 AU, 95% CI 8.37 to 9.43, p<0.001, effect size (ES)=1.21, large) and team controls (9.93/16 AU, 95% CI 9.50 to 10.40, p<0.001, ES=1.71, large). Mean technical proficiency score for injured ball-carriers during front-on tackles was 5.60/14 AU (95% CI 4.65 to 6.55), which was significantly different to their own controls (8.08/14 AU, 95% CI 7.56 to 8.60, p<0.001, ES=1.16, moderate) and team controls (8.16/14 AU, 95% CI 7.75 to 8.57, p<0.001, ES=1.25, large).ConclusionFor the tackler and ball-carrier, for both front-on and side-on/behind tackles, overall technical proficiency scores were significantly lower for the injury-causing event, when compared with the player’s own injury-free tackles and the team’s injury-free tackles. Through analysing player and team controls, player technique deficiencies for the injured player and player technique deficiencies that expose all players to injury were highlighted, which may inform injury prevention strategies and policies, and assist coaches in optimising training to reduce tackle injury risk.

scholarly journals Evaluating the Implementation of Injury Prevention Strategies in Rugby Union and League: A Systematic Review using the RE-AIM Framework

2020 ◽  
Author(s):  
Craig Barden ◽  
Sheree Bekker ◽  
James Craig Brown ◽  
Keith A Stokes ◽  
Carly D. McKay
Keyword(s):  
Systematic Review ◽  
Injury Prevention ◽  
Injury Risk ◽  
English Language ◽  
Journal Article ◽  
Rugby Union ◽  
Research Field ◽  
Original Research ◽  
Inclusion Criteria ◽  
Prevention Strategies

AbstractRugby (union and league) has come under intense scrutiny due to its injury risk. Various interventions have been introduced to protect players from injury, with many deemed efficacious and advocated for use across various worldwide contexts. However, their implementation is less clear. The objective of this systematic review was to determine whether injury prevention interventions in rugby have evaluated their ‘reach’, ‘effectiveness’, ‘adoption’, ‘implementation’ and ‘maintenance’ as per the RE-AIM Multi-Dimension Item Checklist. Six electronic databases were searched in November 2019. Inclusion criteria included: English language, peer-reviewed journal article, original research, field-based rugby code, prospective intervention. Of the 4253 studies identified, 74 met the full inclusion criteria. Protective equipment, predominately mouthguards, was the intervention of interest in 44 studies. Other interventions included multimodal national injury prevention programmes, law changes and neuromuscular training programmes. ‘Effectiveness’ was the highest scoring RE-AIM dimension (55%), followed by ‘reach’ (26%). All other RE-AIM dimensions scored below 20%. Research currently focuses on determining intervention ‘effectiveness’. For injury prevention strategies to have their desired impact, there must be a shift to address all determinants associated with implementation. Consideration should be given to how this can be achieved by adopting specific reporting checklists, research frameworks and study designs.

scholarly journals Implementation of the Activate injury prevention exercise programme in English schoolboy rugby union

2021 ◽  
Vol 7 (2) ◽  
pp. e001018
Author(s):  
Craig Barden ◽  
Keith A Stokes ◽  
Carly D McKay
Keyword(s):  
Injury Prevention ◽  
Injury Risk ◽  
Behavioural Change ◽  
Exercise Programme ◽  
Rugby Union ◽  
Support Staff ◽  
Barriers To Implementation ◽  
Common Barriers ◽  
Perceptions Of School ◽  
Intervention Uptake

ObjectivesThe implementation of the Activate injury prevention exercise programme has not been assessed in an applied context. This study aimed to (1) describe the knowledge and perceptions of school rugby coaches and players towards injury risk, prevention and Activate and (2) evaluate Activate implementation in schoolboy rugby using the reach, effectiveness, adoption, implementation and maintenance framework.MethodsBespoke electronic surveys were administered to coaches (including support staff) and players at participating English schools (2018–2020). Most questions and statements were answered using a 7-point Likert scale. At baseline, participants detailed their Activate awareness and perceptions of injury risk and prevention in schoolboy rugby. At postseason, participants reported Activate use throughout the study and their perceptions towards the programme.ResultsAt baseline, significant differences existed between coaches (n=106) and players (n=571) in Activate awareness (75% and 13% respectively; χ2=173.5, p<0.001). Coaches perceived rugby had a significantly greater injury risk than players, while holding more positive perceptions towards injury prevention. At postseason, coaches reported greater Activate adoption compared with players (76% and 18% respectively; χ2=41.8, p<0.001); 45% of players were unaware if they used the programme. Median session adherence was twice weekly, with a median duration of 10–15 min. This suggests Activate was not implemented as intended, with recommendations of three 20 min sessions per week. Both groups identified common barriers to implementation, such as lack of time and inclusion of a ball.ConclusionCoaches are instrumental in the decision to implement Activate. Targeting behavioural change in these individuals is likely to have the greatest impact on intervention uptake.

scholarly journals Injury surveillance in taekwondo and judo during physiotherapy coverage of the seventh all Africa Games

2001 ◽  
Vol 57 (1) ◽  
pp. 32-34 ◽  
Author(s):  
J. S. Phillips ◽  
J. M. Frantz ◽  
S. L. Amosun ◽  
W. Weitz
Keyword(s):  
Early Diagnosis ◽  
Injury Prevention ◽  
Risk Ratio ◽  
Medical Staff ◽  
Injury Risk ◽  
Injury Severity ◽  
Upper Limbs ◽  
Severe Injuries ◽  
High Incidence ◽  
Type Of Injury

Objective: To obtain data relating to the incidence of injuries sustained during taekwondo and judo competitions at the 7th All Africa Games.Methods: Prospective recording of injuries sustained by athletes who sought physiotherapy services at the games. Details of type of injury, injury sites and injury severity were obtained.Results: Seventy athletes out of 390 participants reported injuries. The overall injury risk ratio was 0.18. Injuries reported were strains/sprains (65,6%), bruises/contusions (16.1%) and dislocations or fractures (12,9%). The upper limbs were more commonly injured. Of the injuries sustained, approximately 18%, 69% and 13% were respectively classified as mild, moderate and severe injuries.Conclusions: The high incidence of moderate to severe injuries highlights the need for injury prevention programs and the presence of medical staff at major tournaments in order to make early diagnosis and appropriate intervention.

Same name, same game, but is it different? An investigation of female rugby union match events in Canadian Varsity players

2021 ◽  
pp. 174795412110519
Author(s):  
Stephen W. West ◽  
Isla J. Shill ◽  
Christian Clermont ◽  
Nina Pavlovic ◽  
Joshua Cairns ◽  
...  
Keyword(s):  
Decision Making ◽  
Injury Prevention ◽  
Rugby Union ◽  
Comparable Data ◽  
Prevention Strategies ◽  
Frequent Contact ◽  
Calculated Average

Rugby Union is team-based collision sport with increasing global popularity, particularly in the women's game. Despite this, there is currently no evidence demonstrating the frequency of match events outside of the international game. Therefore, the aim of this study is to outline the frequency and distribution of match events in non-international female rugby union to both outline the demands placed on players and to assess the patterns of play for future injury prevention strategies. Forty-eight games from three seasons of varsity rugby were coded and rates of events per match were calculated. Average ball in play percentage was 51%. The tackle was the most frequent contact match event [280.0 (95% CIs: 270.2-289.7)] while passes were the most frequent non-contact match events [323.2 (95% CIs: 311.8-334.5)]. The distribution of events across match quarter was largely consistent and neither the fixture type, nor the season was consistently associated with differences in match event count per game. This study provides the first analysis of match events outside of international game and provides a useful reference for coaches in preparation of players as well as comparable data for the women's game when informing decision making on injury prevention.

scholarly journals Weekly Training and Competitive Load of Junior Level Community Cricket Players

2015 ◽  
Vol 49 (4) ◽  
pp. 164-167
Author(s):  
Scott William Talpey ◽  
Emma Siesmaa ◽  
Peta White ◽  
Caroline F Finch
Keyword(s):  
Injury Prevention ◽  
Injury Risk ◽  
Age Groups ◽  
Older Age ◽  
Community Level ◽  
Age Group ◽  
Prevention Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Weekly Training

ABSTRACT Purpose Understanding the participation habits of junior cricket players is needed to better inform injury prevention strategies in this sporting population. This investigation sought to describe the amount of training and competition undertaken by junior community level cricket players in a typical week. Materials and methods A cross-sectional survey with a 1 week recall was administered to 281 Australian junior community club cricket players aged 9 to 16 years. The number of training and competitive matches in the previous week and the number of contexts competed or trained in during that same week were determined. Results The majority of the surveyed cricketers participated in. 1 match during the previous week, with 10% reporting having participated in. 2 matches. More players from the under 16 years (U16) level others competed in. 2 matches in the previous week. Coinciding with the greater number of weekly participations in the older age group, 49% (CI: 9.60) of the U16 players reported also taking part in. 2 training sessions in the previous week. Overall, more players aged under 12 years (U12) (46%; CI: 31.6.57.6) reported not attending any cricket training in the previous week, than did older age groups (7% each). Moreover, 28% of U16 players reported also competing in an adult competition. Conclusion Older players had greater training and competitive loads than younger players. The number of competitive contexts across which junior players compete also increased with age. There is potential for heightened injury risk when training and match loads get too high, especially across playing contexts. How to cite this article Talpey SW, Siesmaa E, White P, Finch CF. Weekly Training and Competitive Load of Junior Level Community Cricket Players. J Postgrad Med Edu Res 2015;49(4): 164-167.

Factors Associated With Noncontact Injury in Collegiate Soccer: A 12-Team Prospective Study of NCAA Division I Men’s and Women’s Soccer

2021 ◽  
pp. 036354652110364
Author(s):  
Ryan M. Curtis ◽  
Robert A. Huggins ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
Lindsey K. Lepley ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Injury Prevention ◽  
Injury Risk ◽  
Contextual Factors ◽  
Division I ◽  
Injury Incidence ◽  
Prevention Strategies ◽  
Sleep Behavior ◽  
Injury Rates ◽  
Women's Soccer

Background: Multiteam, multi-institution prospective studies of both women’s and men’s sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies. Hypothesis: Characteristics of workload, sleep, and contextual factors will be associated with injury risk in collegiate soccer athletes. Study Design: Cohort study; Level of evidence, 2. Methods: Injuries, workload, and sleep characteristics were recorded daily throughout a complete season for 256 athletes from 12 separate National Collegiate Athletic Association Division I men’s and women’s soccer teams. Workload and contextual factors were assessed via multilevel Poisson regression to capture differences in injury incidence rate ratio (IRR). Paired t test and multilevel logistic regressions were used to assess the relationship between sleep behavior and injury. Results: Collegiate soccer athletes had lower rates of noncontact injury in the in-season (IRR, 0.42) and postseason (IRR, 0.48) compared with preseason, lower rates of injury in training (IRR, 0.64) compared with matches, and higher injury rates with only 1 day of rest in the previous week (IRR, 1.58) compared with >1 day. Injury rates peaked when training occurred 4 days before a match (IRR, 2.24) compared with a match. Injury rate increased exponentially with increases in the number of noncontact injuries incurred throughout the season (IRR, 2.23). Lower chronic loading, higher training monotony, and acute spikes and lulls in workload were associated with higher noncontact injury rates. Alterations in previous week sleep quality were associated with injury, while chronic sleep behavior and acute alterations (<7 days) in sleep behavior were not ( P > .05). Conclusion: Athlete and schedule-specific contextual factors, combined with characteristics of workload and weekly sleep behavior, are significantly associated with injury in collegiate soccer. Multiteam prospective cohort studies involving objective and subjective monitoring allow for the identification of multiple injury risk factors in sports, which can be used to guide injury prevention strategies. Maintaining higher chronic workloads, lowering training monotony, minimizing acute spikes or lulls in workloads, managing workloads during preseason and for athletes with previous injury, integrating more rest and recovery during congested periods, and optimizing sleep quality are all practical considerations for reducing injury risk in collegiate soccer.

scholarly journals Alpine Ski Racing Injuries

2019 ◽  
Vol 11 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Mitchell C. Tarka ◽  
Annabelle Davey ◽  
Geordie C. Lonza ◽  
Casey M. O’Brien ◽  
John P. Delaney ◽  
...  
Keyword(s):  
Risk Factors ◽  
Injury Prevention ◽  
Injury Risk ◽  
Cruciate Ligament ◽  
Injury Rate ◽  
Acl Injury ◽  
Prevention Strategies ◽  
Level Of Evidence ◽  
Acl Injuries ◽  
Ski Racers

Context: This article reviews the epidemiology of alpine ski racing–related injuries, risk factors, mechanisms of injury, and injury prevention strategies. Evidence Acquisition: Pertinent literature from peer-reviewed publications from 1976 through 2018. Study Design: Clinical review. Level of Evidence: Level 5. Results: The rate of injury in alpine ski racing is high. In general, knee injuries are the most common, with anterior cruciate ligament (ACL) disruptions being the most significant in terms of time loss from sport. Three specific mechanisms of ACL injury in alpine ski racers have recently been described (slip-catch, dynamic snowplow, and landing back-weighted). In contrast to other sports, female ski racers are not clearly at greater risk for ACL injury, especially at the highest level of competition. A high percentage of ski racers are able to return to their previous level of competition after ACL injury. Risk factors for injury and methods of injury prevention have been proposed; however, the rate of injury, particularly ACL injuries, has not decreased significantly. Conclusion: Alpine ski racing has a high injury rate. ACL injuries in particular remain problematic. Further study is needed to identify modifiable risk factors and implementation of injury prevention strategies.

What are the risk factors for injuries and injury prevention strategies for skiers and snowboarders in terrain parks and half-pipes? A systematic review

2018 ◽  
Vol 53 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Olivier Audet ◽  
Brent E Hagel ◽  
Albertro Nettel-Aguirre ◽  
Tatum Mitra ◽  
Carolyn A Emery ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Injury Prevention ◽  
Meta Analysis ◽  
Original Data ◽  
Current Evidence ◽  
Prevention Strategies ◽  
Eligibility Criteria ◽  
Severe Injuries ◽  
Registration Number

ObjectiveTo synthesise the current evidence regarding the risk factors, the injury prevention strategies and the profile of injured skiers and snowboarders in terrain parks (TPs) and half-pipes (HPs).DesignSystematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.Data sourcesLiterature searches from six electronic databases and manual searches were performed.Eligibility criteria for selecting studiesInclusion criteria were: (1) publication based on original data; (2) injuries sustained in TPs or HPs; (3) recreational skiing or snowboarding injuries; (4) observational or experimental study design with a comparison group.ResultsNo study explored the risk factors in HPs or the prevention strategies in TPs or HPs. From the literature retrieved, there is strong evidence that skiing or snowboarding in a TP is a risk factor for head, neck, back and severe injuries. Two papers assessed the risk factors for injuries in TPs, mainly demonstrating that features promoting aerial manoeuvres or a large drop to the ground were associated with higher feature-specific injury rates. The profile of injured skiers and snowboarders in TPs described in the literature suggested some evidence of associations between factors including activity, sex, skill level, helmet use, age and TP injuries.Summary/conclusionsThis systematic review demonstrates the need for studies identifying the risk factors for injuries to skiers and snowboarders and on interventions to reduce the risk of injury in TPs and HPs. Studies addressing the issue of TP design should be considered.PROSPERO registration numberCRD42016045206.

Sign in / Sign up

Export Citation Format

Share Document