Int J Sports Med 2023; 44(03): 224-231
DOI: 10.1055/a-1958-0233
Orthopedics & Biomechanics

Epidemiology of the Injuries Sustained by Elite Spanish under-18 and under-20 Rugby Players

1   Independent Doctor Practice, Santiago, Chile
,
Juan José Ramos-Álvarez
2   Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain
,
Rafael Ramos Veliz
3   CEU, Centro de Estudios Universitario Cardenal Spindola CEU, Sevilla, Spain
,
Roberto Murias-Lozano
4   Medical Service, Spanish Rugby Union, Madrid, Spain
5   FACULTAD DE EDUCACIÓN Y SALUD, Universidad Camilo José Cela, Villafranca del Castillo, Spain
,
Mikel Aramberri
4   Medical Service, Spanish Rugby Union, Madrid, Spain
6   Orthopedic, Alai Sports Medicine Clinic, Madrid, Spain
,
José Carlos Saló
4   Medical Service, Spanish Rugby Union, Madrid, Spain
7   Orthopedics, Hospital Universitario Arnau de Villanova Lleida, Lleida, Spain
› Author Affiliations

Abstract

This study examines the injuries suffered by players (n=166) of the Spanish national men’s under-18 and under-20 rugby teams between 2015 and 2017, and identifies the actions involved in their occurrence. All injuries (total n=78) sustained during matches and training were recorded as recommended by World Rugby, and injury incidence rates per 1000 player-hours (ph) calculated for both types of activity. Injuries occurred more commonly during matches than during training (incidence 105.3 [95% CI: 78.7–131.9] per 1000 [ph] of match play, vs 1.16 [95% CI: 0.69–1.62] per 1000 ph of training), and most days absent per 1000 ph during matches with<3 days rest since the previous match (4209.2 [95% CI: 3516.2–4902.1] per 1000 ph of match play, vs 1947.4 [95% CI: 1511.8–2382.9] per 1000 ph of match play in matches with>3 days rest). These results provide information that may be useful in the development of strategies aimed at reducing the incidence of injuries.



Publication History

Received: 14 June 2022

Accepted: 09 October 2022

Accepted Manuscript online:
10 October 2022

Article published online:
01 December 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Maffulli N, Longo UG, Gougoulias N. et al. Long-term health outcomes of youth sports injuries. Br J Sports Med 2010; 44: 21-25 DOI: 10.1136/bjsm.2009.069526.
  • 2 Williams S, Trewartha G, Kemp SP. et al. Time loss injuries compromise team success in Elite Rugby Union: a 7-year prospective study. Br J Sports Med 2016; 50: 651-656 DOI: 10.1136/bjsports-2015-094798.
  • 3 Van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. Sports Med 1992; 14: 82-99
  • 4 Brooks JH, Fuller CW. The influence of methodological issues on the results and conclusions from epidemiological studies of sports injuries. Sports Med 2006; 36: 459-472
  • 5 Viviers PL, Viljoen JT, Derman W. A review of a decade of rugby union injury epidemiology: 2007–2017. Sports Health 2018; 10: 223-227
  • 6 Palmer-Green DS, Stokes KA, Fuller CW. et al. Match injuries in English youth academy and schools rugby union: an epidemiological study. Am J Sports Med 2013; 41: 749-755
  • 7 Leung FT, Franettovich Smith MM, Hides JA. Injuries in Australian school-level rugby union. J Sports Sci 2017; 35: 2088-2092
  • 8 Solis-Mencia C, Ramos-Álvarez JJ, Murias-Lozano R. et al. Epidemiology of injuries sustained by elite under-18 rugby players. J Athl Train 2019; 54: 1187-1191 DOI: 10.4085/1062-6050-510-18.
  • 9 Fuller CW, Taylor A, Raftery M. Eight-season epidemiological study of injuries in men’s international under-20 rugby tournaments. J Sports Sci 2018; 36: 1776-1783 DOI: 10.1080/02640414.2017.1418193.
  • 10 OCEBM Levels of Evidence Working Group. The Oxford Levels of Evidence 2. Oxford Centre for Evidence-Based Medicine. Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence
  • 11 Fuller CW, Molloy MG, Bagate C. et al. Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. Br J Sports Med 2007; 41: 328-331
  • 12 Rae K, Britt H, Orchard J. et al. Classifying sports medicine diagnoses: a comparison of the International classification of diseases 10-Australian modification (ICD-10-AM) and the Orchard sports injury classification system (OSICS-8). Br J Sports Med 2005; 39: 907-911
  • 13 Brown JC, Cross M, England M. et al. Guidelines for community-based injury surveillance in rugby union. J Sci Med Sport 2019; 22: 1314-1318 DOI: 10.1016/j.jsams.2019.08.006.
  • 14 Watkins CM, Storey A, McGuigan MR. et al. Horizontal force-velocity-power profiling of rugby players: a cross-sectional analysis of competition-level and position-specific movement demands. J Strength Cond Res 2021; 35: 1576-1585 DOI: 10.1519/jsc.0000000000004027.
  • 15 Haseler CM, Carmont MR, England M. The epidemiology of injuries in English youth community rugby union. Br J Sports Med 2010; 44: 1093-1099
  • 16 Barden C, Stokes K. Epidemiology of injury in elite English schoolboy rugby union: a 3-year study comparing different competitions. J Athl Train 2018; 53: 514-520 DOI: 10.4085/1062-6050-311-16.
  • 17 Mencía CS, Álvarez JJR, Veliz RR. et al. Comparison of the anthropometric profiles of elite youth rugby union players. Arch Med Deporte 2021; 38: 99-106
  • 18 Palmer-Green DS, Stokes KA, Fuller CW. et al. Training activities and injuries in English youth academy and schools rugby union. Am J Sports Med 2015; 43: 475-481 DOI: 10.1177/0363546514560337.
  • 19 Williams S, Trewartha G, Kemp S. et al. A meta-analysis of injuries in senior men’s professional rugby union. Sports Med 2013; 43: 1043-1055
  • 20 Hägglund M, Waldén M, Ekstrand J. Injury recurrence is lower at the highest professional football level than at national and amateur levels: does sports medicine and sports physiotherapy deliver. Br J Sports Med 2016; 50: 751-758 DOI: 10.1136/bjsports-2015-095951.
  • 21 Mathema P, Evans D, Moore IS. et al. Concussed or not? An assessment of concussion experience and knowledge within elite and semiprofessional rugby union. Clin J Sport Med 2016; 26: 320-325 DOI: 10.1097/jsm.0000000000000256.
  • 22 West SW, Starling L, Kemp S. et al. Trends in match injury risk in professional male rugby union: a 16-season review of 10 851 match injuries in the English Premiership (2002-2019): the Professional Rugby Injury Surveillance Project. Br J Sports Med 2021; 55: 676-682
  • 23 Bathgate A, Best JP, Craig G. et al. A prospective study of injuries to elite Australian rugby union players. Br J Sports Med 2002; 36: 265-269 discussion 269
  • 24 McLean BD, Coutts AJ, Kelly V. et al. Neuromuscular, endocrine, and perceptual fatigue responses during different length between-match microcycles in professional rugby league players. In J Sports Physiol Perfom 2010; 5: 367-383
  • 25 McLellan CP, Lovell DI, Gass GC. Markers of postmatch fatigue in professional rugby league players. J Strenth Cond Res 2011; 25: 1030-1039
  • 26 Hughes DC, Fricker PA. A prospective survey of injuries to first-grade rugby union players. Clin J Sport Med 1994; 4: 249-256
  • 27 Gabbett TJ. Influence of fatigue on tackling technique in rugby league players. J Strength Cond Res 2008; 22: 625-632 DOI: 10.1519/JSC.0b013e3181635a6a.
  • 28 Fuller CW, Taylor A, Kemp SP. et al. Rugby World Cup 2015: World Rugby injury surveillance study. Br J Sports Med 2017; 51: 51-57 bjsports-2016-096275
  • 29 Bleakley C, Tully M, O’Connor S. Epidemiology of adolescent rugby injuries: a systematic review. J Athl Train 2011; 46: 555-565
  • 30 Freitag A, Kirkwood G, Scharer S. et al. Systematic review of rugby injuries in children and adolescents under 21 years. Br J Sports Med 2015; 49: 511-519 bjsports-2014-093684
  • 31 Fuller CW, Brooks JH, Cancea RJ. et al. Contact events in rugby union and their propensity to cause injury. Br J Sports Med 2007; 41: 862-867 discussion 867 DOI: 10.1136/bjsm.2007.037499.
  • 32 Stokes KA, Locke D, Roberts S. et al. Does reducing the height of the tackle through law change in elite men’s rugby union (The Championship, England) reduce the incidence of concussion? A controlled study in 126 games. Br J Sports Med 2021; 55: 220-225 DOI: 10.1136/bjsports-2019-101557.
  • 33 Meintjes V, Forshaw P, den Hollander S. et al. 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. Br J Sports Med 2021; 55: 1411-1419 DOI: 10.1136/bjsports-2020-103759.
  • 34 DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep 2010; 9: 372-378 DOI: 10.1249/JSR.0b013e3181fdba58.