Recent Trends in Rugby Union Injuries
Section snippets
Rugby Union Injury Literature Methodologies
Rugby union injury literature to date has been dominated by epidemiological studies [18], [21], [22], [23], [24], [25], [26], case reports [27], [28], [29], [30], [31], [32], and reports of nonfatal catastrophic spinal injuries [5]. Prospective epidemiological studies are particularly useful for identifying injuries of highest incidence and severity, and more importantly, those of highest risk (a product of incidence and severity) [33], [34] in different cohorts of players. These injuries can
Injuries Sustained During Matches
Match injuries constitute the largest proportion of the rugby-related injuries reported in epidemiological studies, typically contributing 80% to 90% of all injuries [18], [23], [25], [37], [45], [48], although the proportion depends on a number of factors, but predominately the ratio of training to match play. The risk of sustaining an injury in a rugby union match appears to be higher than in many other sports [4], [41], irrespective of the definition of injury (Fig. 3, Fig. 4); however,
Injuries Sustained During Training
A large number of rugby union players spend a greater proportion of time taking part in training activities for rugby than playing matches. Nevertheless, training injuries typically only constitute between 10% and 20% of all injuries in senior rugby union [18], [23], [25], [37], [45], [48], although the proportion appears to be higher in schoolboy rugby union (21%–37%) [41], [58], [59]. This difference may be because of the greater proportion of time spent in higher risk game-related training
Injury Severity, Injury Risk, and Injury Risk Factors
Reporting trends in the frequency of injuries in rugby union injury epidemiology (the incidence) without taking account of the severity of injuries may fail to highlight the injuries of greatest concern. Although a large proportion of the injuries reported in rugby union epidemiology allow a player to return to play within 7 days [12], [18], [25], [37], it is often the more severe injuries that together cause the greatest total absence. Therefore a measure of injury risk that considers the days
Padded Equipment and Mouth Guards
One potential method of reducing injury risk is by the wearing of padded equipment and mouth guards; although there is no stipulation that this equipment must be worn in the rules of the game. Shoulder pads, headgear, and chest pads that are worn during matches must be no thicker than 1 cm when uncompressed (0.5 cm for padding on other areas) and be no denser than 45 kg per cubic meter [3]. Helmets, padded headgear, and shoulder pads are used in many other collision and contact sports to
Catastrophic Spinal Injuries
Little is known about noncatastrophic spinal injuries [99], [100]; however, “nonfatal catastrophic (spinal) injuries” [6] have received considerable focus in the medical literature over several decades [5], [123], [124], [125], [126], [127], [128], [129], [130], [131], [132], [133], [134], [135], [136], [137], [138], [139], [140], [141], [142], [143] because of their devastating consequences. Nevertheless, these injuries are extremely rare (reported to be around 1 per 10,000 players per season
Long-term Health Implications
Few studies have been published and very little is known about the long-term health impact of rugby union injuries [145], [146], [147], [148]. In a 4-year follow-up study of amateur players, it was revealed that 26% of those who had ceased playing had done so because of a rugby injury (the largest category of retired players), with the knee (35%), back (14%), and shoulder (9%) the most common injury locations [148]. Furthermore, 35% of men who sustained an injury in the original epidemiological
Injury Research in the Future
The recently published IRB consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union should allow future research to be more consistent and comparable than is currently the case [6]. Our understanding of the etiology and epidemiology of rugby union injuries has improved with the increase in published research post-professionalism; however, there are still a number of major gaps, and further research is required to progress our understanding:
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Summary
The game of rugby union has evolved over nearly 2 centuries, and is now one of the world's most popular participation team sports. Recent drivers for change in the way the game is played have included rule modifications aimed to both reduce the risk of serious injury and to keep the ball in play longer, and the advent of professionalism in 1995. Trends from published studies show a high incidence of injury compared with other team sports; an apparent increase in injury risk since the advent of
Acknowledgement
The authors would like to thank Ed Morrison (Rugby Football Union Elite Referee Development Officer) for his assistance in documenting rugby union law changes.
References (157)
- et al.
Aerobic exercise physiology in a professional rugby union team
Int J Cardiol
(2003) - et al.
The rehabilitation of a professional rugby union player following a C7/T1 posterior microdiscectomy
Physical Therapy in Sport
(2005) - et al.
Injuries associated with elite participation in women's rugby over a competitive season: an initial investigation
Physical Therapy in Sport
(2004) - et al.
Epidemiology of rugby football injuries
Lancet
(1995) - et al.
Incidence of injury in elite junior rugby union: a prospective descriptive study
J Sci Med Sport
(2004) - et al.
A comparison of paediatric soccer, gaelic football and rugby injuries presenting to an emergency department in Ireland
Injury
(2007) - et al.
Playing conditions, player preparation and rugby injury: a case-control study
J Sci Med Sport
(2005) - International Rugby Board (IRB). 2007. IRB organisation. Available at: http://www.irb.com/EN/IRB+Organisation/....
- Rugby Football Union (RFU). 2007. International Rugby Board (IRB) playing charter. Available at:...
- International Rugby Board (IRB). Laws of the game rugby union: International Rugby Board. Available at:...
The epidemiology of sports and exercise related injury in the United Kingdom
Br J Sports Med
Rugby union injuries to the cervical spine and spinal cord
Sports Med
Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union
Br J Sports Med
The US national rugby team: a physiological and anthropometric assessment
Phys Sportsmed
Physique and motor performance characteristics of US national rugby players
J Sports Sci
Seasonal variations in the anthropometric and physiological characteristics of international rugby union players
The effect of pre-season training on the physiological characteristics of international rugby union players
J Sports Sci
A prospective study of injuries and training amongst the England 2003 rugby World Cup squad
Br J Sports Med
Anthropometric and physiological characteristics of first and second class rugby union players
J Sports Sci
Somatotype of Italian rugby players
J Sports Med Phys Fitness
The New Zealand rugby injury and performance project iii. Anthropometric and physical performance characteristics of players
Br J Sports Med
Epidemiology of injuries in English professional rugby union: part 1 match injuries
Br J Sports Med
Football injuries in Australia at elite level
Med J Aust
A prospective survey of injuries to first-grade rugby union players
Clin J Sport Med
The New Zealand rugby injury and performance project: V. epidemiology of a season of rugby injury
Br J Sports Med
A high rate of injury during the 1995 rugby World Cup
S Afr Med J
A prospective study of injuries to elite Australian rugby union players
Br J Sports Med
Rugby World Cup 2003 injury surveillance project
Br J Sports Med
Injury to the first rib synchondrosis in a rugby footballer
Br J Sports Med
Traumatic humeral articular cartilage shear (THACS) lesion in a professional rugby player: a case report
Br J Sports Med
Paraplegia secondary to fracture-subluxation of the thoracic spine sustained playing rugby union football
Br J Sports Med
Posterior sternoclavicular dislocation in a rugby player as a cause of silent vascular compromise: a case report
Br J Sports Med
Soft tissue neck lumps in rugby union players
Br J Sports Med
The application of risk assessment in sport
Sports Med
The influence of methodological issues on the results and conclusions from epidemiological studies of sports injuries: illustrative examples
Sports Med
Incidence, severity, aetiology and prevention of sports injuries. A review of concepts
Sports Med
Assessing causation in sport injury: a multifactorial model
Clin J Sport Med
Injuries in professional rugby union
Clin J Sport Med
The incidence and nature of injuries in South African rugby players in the rugby Super 12 competition
S Afr Med J
Incidence and nature of the most common rugby injuries sustained in Argentina (1991–1997)
Br J Sports Med
Croatian rugby project. Part ii: injuries
J Sports Med Phys Fitness
Injuries in youth amateur soccer and rugby players—comparison of incidence and characteristics
Br J Sports Med
Injury surveillance in a rugby tournament
Br J Sports Med
A survey of injuries in a 1st class rugby union football club
Br J Sports Med
Injuries in rugby union football
Br Med J
Epidemiology of injuries in English professional rugby union: part 2 training injuries
Br J Sports Med
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