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Seasonal time-loss match injury rates and burden in South African under-16 rugby teams

  • Nicola Sewry
    Correspondence
    Corresponding author.
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa
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  • Evert Verhagen
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands

    Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Australia
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  • Mike Lambert
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands
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  • Willem van Mechelen
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands

    School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Australia

    School of Public Health, Physiotherapy and Population Sciences, University College Dublin, Ireland
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  • Clint Readhead
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    South African Rugby Union, South Africa
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  • Wayne Viljoen
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    South African Rugby Union, South Africa
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  • James Brown
    Affiliations
    Division of Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, South Africa

    Institute of Sport and Exercise Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa

    International Olympic Committee (IOC) Research Centre, South Africa
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      Abstract

      Objectives

      Youth rugby union is a popular sport with a high injury incidence density (IID) and burden. This high risk has called for further research into the factors affecting the injuries in youth rugby. The aim of the study was to analyse time-loss IID and burden in multiple schoolboy rugby teams over a season and the potential factors associated with injury.

      Design

      Prospective cohort

      Methods

      All time-loss injuries were recorded from three schools for the whole season. Overall IID and injury burden were calculated, as well as for injury event, type, location and the match quarter in which they occurred and Poisson regression analyses were performed to determine differences.

      Results

      IID was 28.8 (18.9–38.6) injuries per 1000 player hours over the season, with an injury burden of 379.2 (343.6–414.9) days lost per 1000 player hours. The ball-carrier had a significantly higher IID (11.3 (5.2–17.5) per 1000 player hours) compared to other events, and the joint (non-bone)/ligament injuries were the most common (IID of 12.2 (5.8–18.6) per 1000 player hours) and severe type of injury (burden of 172.6 (148.5–196.6) days lost per 1000 player hours).

      Conclusions

      The IID was similar to previous youth rugby studies, however the injury burden was much lower. The South African youth cohort showed similar factors associated with injury for inciting event (the tackle) and injury type (joint (non-bone)/ligament) and location (lower limb) as seen in other studies in both youth and senior players.

      Keywords

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      References

      1. World RugbyYear in Review 2016. 2016. Available at: http://www.worldrugby.org/documents/annual-reports?lang=en. Accessed 20 May 2018.

        • Hootman J.M.
        • Dick R.
        • Agel J.
        Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives.
        J Athl Train. 2007; 42: 311-319
        • 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
        • Palmer-Green D.S.
        • Stokes K.A.
        • Fuller C.W.
        • et al.
        Match injuries in English youth academy and schools rugby union: an epidemiological study.
        Am J Sports Med. 2013; 41: 749-755
        • Mc Fie S.
        • Brown J.
        • Hendricks S.
        • et al.
        Incidence and factors associated with concussion injuries at the 2011 to 2014 South African rugby union youth week tournaments.
        Clin J Sport Med. 2016; 26: 398-404
        • Hislop M.D.
        • Stokes K.A.
        • Williams S.
        • et al.
        Reducing musculoskeletal injury and concussion risk in schoolboy rugby players with a pre-activity movement control exercise programme: a cluster randomised controlled trial.
        Br J Sports Med. 2017; 51: 1140-1146
        • Brown J.
        • Verhagen E.
        • Viljoen W.
        • et al.
        The incidence and severity of injuries at the 2011 South African Rugby Union (SARU) youth week tournaments.
        South Afr J Sports Med. 2016; 2012: 49-54
        • Brown J.C.
        • Viljoen W.
        • Lambert M.I.
        • et al.
        The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments.
        J Sci Med Sport. 2015; 18: 394-399
        • Burger N.
        • Lambert M.I.
        • Viljoen W.
        • et al.
        Mechanisms and factors associated with tackle-related injuries in South African Youth rugby union players.
        Am J Sports Med. 2017; 45: 278-285
        • Burger N.
        • Lambert M.I.
        • Viljoen W.
        • et al.
        Tackle-related injury rates and nature of injuries in South African youth week tournament rugby union players (under-13 to under-18): an observational cohort study.
        BMJ Open. 2014; 4
        • Burger N.
        • Lambert M.I.
        • Viljoen W.
        • et al.
        Tackle technique and tackle-related injuries in high-level South African rugby union under-18 players: real-match video analysis.
        Br J Sports Med. 2016; 50: 932-938
        • Hendricks S.
        • O’connor S.
        • Lambert M.
        • et al.
        Contact technique and concussions in the South African under-18 Coca-Cola Craven Week Rugby tournament.
        Euro J Sport Sci. 2015; 15: 557-564
        • Tee J.C.
        • Lebatie F.
        • Till K.
        • et al.
        Injury incidence and characteristics in South African school first team rugby: a case study.
        South Afr J Sport Med. 2017; 29: 1-7
        • Durandt J.
        • Du Toit S.
        • Borresen J.
        • et al.
        Fitness and body composition profiling of elite junior South African rugby players.
        South Afr J Sports Med. 2006; 18: 38-45
        • Archbold H.A.P.
        • Rankin A.T.
        • Webb M.
        • et al.
        RISUS study: rugby injury surveillance in Ulster schools.
        Br J Sports Med. 2017; 51: 600-606
        • Brooks J.
        • Fuller C.
        • Kemp S.
        • et al.
        Epidemiology of injuries in English professional rugby union: part 1 match injuries.
        Br J of Sports Med. 2005; : 757-766
        • Haseler C.M.
        • Carmont M.R.
        • England M.
        The epidemiology of injuries in English youth community rugby union.
        Br J Sports Med. 2010; 44: 1093-1099
        • Sewry N.
        • Verhagen E.
        • Lambert M.
        • et al.
        Evaluation of the Effectiveness and implementation of the BokSmart Safe Six injury prevention programme: a study protocol.
        Inj Prev. 2017; 23: 428
        • Fuller C.
        • Molloy M.
        • Bagate C.
        • et al.
        Concensus statement on injury definitions and data collection procedures for studies of injuries in rugby union.
        Br J Sports Med. 2016; 2007: 328-331
        • Viljoen W.
        • Patricios J.
        BokSmart — implementing a National Rugby Safety Programme.
        Br J Sports Med. 2012; 46: 692-693
        • Fuller C.
        • Molloy M.
        Epidemiological study of injuries in men’s international under-20 rugby union tournaments.
        Clin J Sports Med. 2016; 2011: 356-358
        • Fuller C.W.
        • Laborde F.
        • Leather R.J.
        • et al.
        International Rugby Board Rugby World Cup 2007 injury surveillance study.
        Br J Sports Med. 2008; 42: 452-459
        • Duthie G.
        • Pyne D.
        • Hooper S.
        Applied physiology and game analysis of rugby union.
        Sports Med. 2016; 2003: 973-991
        • Hendricks S.
        • Lambert M.
        Tackling in rugby: coaching strategies for effective technique and injury prevention.
        Int J Sports Sci Coach. 2016; 2010: 117-131
        • Bathgate A.
        • Best J.
        • Craig G.
        • et al.
        A prospective study of injuries to elite Australian rugby union players.
        Br J Sports Med. 2016; 2002: 265-269