Summary
In the game of rugby union, the scrum epitomises the physical nature of the game. It is both a powerful offensive skill, affording a base for attacking play, and a defensive skill in denying the opposition clean possession. However, the scrum has also been implicated in a large proportion of serious spinal injuries in rugby union. The majority of injuries are found to occur at engagement where the forces experienced by front-row players (more than two-thirds of a tonne shared across the front-row) can exceed the structural limits of the cervical spine. These large forces are a consequence of the speed of engagement and the weight (and number) of players involved in the scrum. This highlights not only the need for physical preparation of all forwards but particularly player restraint at engagement, and justifies the ‘crouch-pause-engage’ sequence recently introduced to ‘depower’ the scrum. As the hooker is the player exposed to the greatest loads throughout the scrum and subsequently most at risk, he should determine the timing of engagement of the 2 front-rows.
Stability of the scrum is an indication of front-row players’ ability to utilise their strength to transmit the force to their opponents as well as the push of second-row and back-row players behind them in the scrum. This appears to be independent of the size of players. Equally, it reflects the risk of chronic degeneration of the musculoskeletal system through repeated exposure to these large stresses. However, not only are older and more experienced players better able to generate and transmit these forces, they are also able to maintain the integrity of the scrum.
A large proportion of individual players’ efforts to generate force is lost in their coordinated effort in a normal scrum. It is assumed these forces are dissipated through players re-orientating their bodies in the scrum situation as well as to less efficient shear forces and to the elastic and compressive tissues in the body. It again reinforces the importance of physical preparation for all forwards to better withstand the large forces involved in scrummaging.
Despite negative publicity surrounding the risk of serious spinal injury in rugby union, limited research has been conducted to examine either the mechanisms of injury or techniques implicated in causing injury. Biomechanical information can provide systematic bases for modifying existing techniques and assessing the physical capacities necessary to efficiently and safely play in the scrum. This will both improve performance of game skills and minimise the potential for injury.
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References
Alem NM, Nusholtz GS, Melvin JW. Superior-inferior head impact tolerance levels. Final report. University of Michigan Transportation Research Institute, Ann Arbor, UMTRI-82-41, 1982
Australian Rugby Football Union. The Laws of the Game of Rugby Football, Australian Rugby Football Union, Sydney, 1992
Burry HC. Cervical injury in rugby. Unpublished report to the Medical Advisory Committee to the New Zealand Rugby Football Union (Inc.), 1984
Burry HC, Gowland H. Cervical spine injury in rugby football: a New Zealand survey. British Journal of Sports Medicine 15: 15–19, 1981
Burstein AH, Otis JC, Torg JS. Mechanisms and pethomechanics of athletic injuries to the cervical spine, pp. 139–154. In Torg (Ed.) Athletic injuries to the head, neck and face, Lea & Febiger, Philadelphia, 1982
Cohen I, Siff M. Increased safety in rugby scrums. South African Medical Journal 56: 625, 1979
Dedrick JD. How to avoid spinal injuries playing sport. Sports Monthly May: 2–8, 1985
Hodge KP. Spinal injuries in rugby scrums. In Research papers in physical education, Vol. 2, No. 4, p. 82, University of Otago, 1980
Horan FT. Injuries to the cervical spine in schoolboys playing rugby football. Journal of Bone and Joint Surgery — British Volume 66: 470–471, 1984
Hoskins T. Rugby injuries to the cervical spine in English schoolboys. Practitioner 233: 365–366, 1979
Irvine D. The Joy of Rugby, AH & AW Reed, Wellington, 1976
Leggoe J. Letter to the Editor, Australian, 6 June, 1984
Mertz HJ, Patrick LM. Strength and response of the human neck. In Proceedings of the 15th Stapp Car Crash Conference, p. 207, Society of Automotive Engineers, Warrendale, 1971
Micheli LJ, Riseborough EM. The incidence of injuries in rugby football. Journal of Sports Medicine and Physical Fitness 2: 93, 1974
Milburn PD. A comparison of the mechanics of hip and crotch binding techniques in rugby union scrummaging. Australian Journal of Science and Medicine in Sports 19: 3–9, 1987
Milburn PD. Mechanics of a rugby league scrum. In Morrison (Ed.) Proceedings of the VIIth International Symposium of the Society of Biomechanics in Sports, pp. 61–72, Footscray Institute of Technology, Melbourne, 1989
Milburn PD. The kinetics of rugby union scrummaging. Journal of Sports Sciences 8: 47–60, 1990a
Milburn PD. The biomechanics of rugby scrummaging. Unpublished report to the Australian and New Zealand Rugby Football Unions, 1990b
Naylor DJ, Neal R. Analysis of a neck brace for rugby. Abstract. Australian Journal of Science Medicine in Sport 20: 24, 1988
New Zealand Rugby Football Union. Unpublished report of the Medical Advisory Committee on Injuries to the Cervical Spine, 1979
New Zealand Rugby Football Union. Injury Prevention in Rugby Football: Situation Paper No. 1 (10th May), 1984
O’Carroll PF, Sheehan JM, Gregg TM. Cervical spine injuries in rugby football. Irish Medical Journal 74: 377–379, 1981
O’Connell TCJ. Rugby football injuries and their prevention. A review of 600 cases. Journal of the Irish Medical Association 34: 20–26, 1954
Otis JC, Burstein AH, Torg JS. Mechanisms and pathomechanics of athletic injuries to the cervical spine. In Torg (Ed.) Athletic injuries to the head, neck and face, 2nd ed., pp. 438–456, Mosby Year Book, St Louis, 1991
Reid DC, Saboe LA. Spine injuries resulting from winter sports. In Torg (Ed.) Athletic injuries to the head, neck and face, 2nd ed., pp. 142–156, Mosby Year Book, St Louis, 1991
Rodano R, Pedotti A. A quantitative analysis of thrust and motor coordination in a rugby scrum. In Reilly et al. (Eds) Science and football, pp. 476–486, E & FN Spon, London, 1988
Scher AT. Rugby injuries to the cervical spinal cord. South African Medical Journal 51: 473–475, 1977
Scher AT. Vertex impact and cervical dislocation in rugby players. South African Medical Journal 59: 227–228, 1981
Scher AT. ‘Crashing’ the rugby scrum — an avoidable cause of cervical spinal injury. Case reports. South African Medical Journal 61: 912–920, 1982
Scher AT. Serious cervical spinal injury in the older rugby player. South African Medical Journal 64: 138–140, 1983
Scher AT. Rugby injuries of the spine and spinal cord. Clinics in Sports Medicine 6: 87–99, 1987
Scher AT. Catastrophic rugby injuries of the spinal cord: changing patterns of injury. British Journal of Sports Medicine 25: 57–60, 1991
Silver JR. Injuries to the spine sustained by rugby. British Medical Journal 288: 37–43, 1984
Silver JR, Gill S. Injuries of the spine sustained during rugby. Sports Medicine 5: 328–334, 1988
Sorro OM, Van Peteghem PK, Schweigel JF. Cervical spine injuries on rugby players. Canadian Medical Association Journal 130: 735–736, 1984
Stubbs DA. Report, Sunday Times, May 10, 1981
Sumner N. An investigation into forces and pressures in a rugby scrum and particular injuries that occur in the spine. Unpublished BSc Report, Department of Sport and Recreation Studies, Liverpool Polytechnic, 1980
Taylor TFK, Coolican MRJ. Spinal-cord injuries in Australian footballers, 1960–1985. Medical Journal of Australia 147: 112–118, 1987
Torg JS. Editor’s Note in Taylor TFK, Coolican MRJ, Spinal cord injuries in football — rugby union, rugby league, and Australian Rules. In Torg (Ed.) Athletic injuries to the head, neck and face, 2nd ed., pp. 192–197, Mosby Year Book, St Louis, 1991
Torg JS, Quedenfeld TC, Burstein A, Spealman A, Nichols C. National football head and neck injury registry: report on cervical quadriplegia, 1971–1975. American Journal of Sports Medicine 7: 127–132, 1979
Torg JS, Truex RC, Marshall J. Spinal injury at the level of the third and fourth cervical vertebrae from football. Journal of Bone and Joint Surgery — American Volume 59: 1015–1019, 1977
Wakefield Express, 8 April 1893. Cited in Dunning E, Sheard. K, Barbarian, gentlemen and players, Australian National University Press, Canberra, 1979
Watkins RG. Neck injuries in football players. Clinics in Sports Medicine 5: 215–246, 1986
Wessels LGD. Rugby injuries in South Africa. South African Sports Medicine Journal 8: 14–18, 1980
Williams JPR, McKibbin B. Cervical spinal injuries in rugby union football. British Medical Journal 2: 23–30, 1978
Williams P, McKibbin B. Unstable cervical spine injuries in rugby — a 20-year review. Injury 18: 329–332, 1987
Yeo JD. The mechanisms of neck injury. Unpublished paper presented at the Solution to Neck Injuries in Football public forum, Sydney, 1983
Yeo JD. Acute Royal North Shore Injury Admissions to Spinal Injuries Unit from 1980–1984, personal communication, 1985
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Milburn, P.D. Biomechanics of Rugby Union Scrummaging. Sports Medicine 16, 168–179 (1993). https://doi.org/10.2165/00007256-199316030-00002
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DOI: https://doi.org/10.2165/00007256-199316030-00002