Severity and cost of injuries in amateur rugby league: a case study

The aim of this study was to determine the severity and cost of injuries in amateur rugby league. Seventy-two amateur rugby league players aged 28 +/- 6 years (mean +/- s) were surveyed at the end of a competitive season. An injury was defined as any pain, disability or injury that occurred as a result of a competition game which caused the player to miss subsequent games. Injuries were classified as minor (one game missed), moderate (two to four games missed) and major (five or more games missed). Of the 72 questionnaires distributed, 34 (47.2%) were returned. Twenty respondents (58.8%) sustained an injury that resulted in one or more missed games. Eight injured players (40.0%) missed five or more training sessions, six of whom (30%) missed five or more games as a result of the injury. The median time lost from employment or study for all injured players was 2 days per playing injury. The respective median direct (e.g. medical expenses) and indirect (e.g. wages lost) costs associated with the injury were 28.29 pounds and 77.04 pound per playing injury. A considerable proportion of injuries sustained in the present sample of amateur rugby league players were major, resulting in a loss of training, playing and employment or study time, and these injuries were associated with significant direct and indirect economic costs. Further studies, using a larger sample, would complement the present findings in establishing the severity and cost of amateur rugby league injuries. These results suggest that prevention strategies are required to reduce the severity and cost of amateur rugby league injuries.     

Science of rugby league football: a review

The purpose of this paper is to provide a comprehensive review of the science of rugby league football at all levels of competition (i.e. junior, amateur, semi-professional, professional), with special reference to all discipline-specific scientific research performed in rugby league (i.e. physiological, psychological, injury epidemiology, strength and conditioning, performance analysis). Rugby league football is played at junior and senior levels in several countries worldwide. A rugby league team consists of 13 players (6 forwards and 7 backs). The game is played over two 30 - 40 min halves (depending on the standard of competition) separated by a 10 min rest interval. Several studies have documented the physiological capacities and injury rates of rugby league players. More recently, studies have investigated the physiological demands of competition. Interestingly, the physiological capacities of players, the incidence of injury and the physiological demands of competition all increase as the playing standard is increased. Mean blood lactate concentrations of 5.2, 7.2 and 9.1 mmol . l(-1) have been reported during competition for amateur, semi-professional and professional rugby league players respectively. Mean heart rates of 152 beats . min(-1) (78% of maximal heart rate), 166 beats . min(-1) (84% of maximal heart rate) and 172 beats . min(-1) (93% of maximal heart rate) have been recorded for amateur, semi-professional and junior elite rugby league players respectively. Skill-based conditioning games have been used to develop the skill and fitness of rugby league players, with mean heart rate and blood lactate responses during these activities almost identical to those obtained during competition. In addition, recent studies have shown that most training injuries are sustained in traditional conditioning activities that involve no skill component (i.e. running without the ball), whereas the incidence of injuries while participating in skill-based conditioning games is low. Collaborative research among the various sport science disciplines is required to identify strategies to reduce the incidence of injury and enhance the performance of rugby league players. An understanding of the movement patterns and physiological demands of different positions at all standards of competition would allow the development of strength and conditioning programmes to meet the precise requirements of these positions. Finally, studies investigating the impact of improvements in physiological capacities (including the effect of different strength and conditioning programmes) on rugby league playing performance are warranted.     

Science of rugby league football: A review

The purpose of this paper is to provide a comprehensive review of the science of rugby league football at all levels of competition (i.e. junior, amateur, semi-professional, professional), with special reference to all discipline-specific scientific research performed in rugby league (i.e. physiological, psychological, injury epidemiology, strength and conditioning, performance analysis). Rugby league football is played at junior and senior levels in several countries worldwide. A rugby league team consists of 13 players (6 forwards and 7 backs). The game is played over two 30?–?40 min halves (depending on the standard of competition) separated by a 10?min rest interval. Several studies have documented the physiological capacities and injury rates of rugby league players. More recently, studies have investigated the physiological demands of competition. Interestingly, the physiological capacities of players, the incidence of injury and the physiological demands of competition all increase as the playing standard is increased. Mean blood lactate concentrations of 5.2, 7.2 and 9.1?mmol?·?l^?1 have been reported during competition for amateur, semi-professional and professional rugby league players respectively. Mean heart rates of 152 beats?·?min^?1 (78% of maximal heart rate), 166 beats?·?min^?1 (84% of maximal heart rate) and 172 beats?·?min^?1 (93% of maximal heart rate) have been recorded for amateur, semi-professional and junior elite rugby league players respectively. Skill-based conditioning games have been used to develop the skill and fitness of rugby league players, with mean heart rate and blood lactate responses during these activities almost identical to those obtained during competition. In addition, recent studies have shown that most training injuries are sustained in traditional conditioning activities that involve no skill component (i.e. running without the ball), whereas the incidence of injuries while participating in skill-based conditioning games is low. Collaborative research among the various sport science disciplines is required to identify strategies to reduce the incidence of injury and enhance the performance of rugby league players. An understanding of the movement patterns and physiological demands of different positions at all standards of competition would allow the development of strength and conditioning programmes to meet the precise requirements of these positions. Finally, studies investigating the impact of improvements in physiological capacities (including the effect of different strength and conditioning programmes) on rugby league playing performance are warranted.     

Incidence and characteristics of injury in under-19 academy level rugby league match play: A single season prospective cohort study

Academy rugby league competition is an important step along the pathway to professional status, but little is known about injury at this level of the game. The aim of this research was to establish the nature, incidence and burden of injury in English academy rugby league. Using an observational prospective cohort study design, and a time-loss injury definition, the injury outcomes of three professional rugby league academies were recorded during the 2017 season. A total of 87 injuries occurred in 59 matches for an overall injury incidence of 85 (95%CI 67–103) injuries per 1000 hours played. The mean severity of injury was 22 ± 19 days resulting in an overall injury burden of 1898 (95%CI 1813–1983) days lost per 1000 hours. The tackle event was the most common cause of injury (77% of all injuries). Forwards sustained a greater proportion of injuries than backs (forwards 67% vs. backs 33% of injuries). Concussion (13 (6–20) per 1000 hours) and ankle sprains (11 (4–17) per 1000 hours) were the most commonly diagnosed injuries. The shoulder joint was the most commonly injured site (17 (9–25) per 1000 hours). The incidence of injury for academy rugby league is similar to senior professional rugby league.     

Injuries in formal and informal non-professional soccer – an overview of injury context,causes, and characteristics

The objective of this study is to analyse context, causes, and characteristics of injuries in non-professional soccer. Therefore, a retrospective telephone survey was carried out with persons who were injured while playing soccer and who reported this accident to the Swiss National Accident Insurance Fund (Suva). Based on these data, an analysis of 708 soccer injuries was performed. The findings show that 30.1% of the injuries occurred during informal soccer play, and 75.4% of the injured persons were soccer club members. 53.0% of all injuries were caused by contact and 29.5% by foul play. Foul play was not associated with injury severity. With respect to injury severity, twisting/turning and being tackled by an opponent were identified as the most influental injury causes. Moreover, the risk of being severely injured was particularly high players of the 30+/40+ amateur leagues. In conclusion, the findings highlight that 30+/40+ league players are a major target group for the prevention of severe soccer injuries. Soccer clubs may constitute an appropriate multiplier for implementing prevention strategies such as fair play education, healthy play behaviours, and prevention programmes. Finally, a better understanding of injury situations leading to severe injuries is needed to improve injury prevention.     

Skill qualities as risk factors for contact injury in professional rugby league players

Abstract We investigated the relationship between skill qualities and contact injury risk in professional rugby league players. Sixty-six professional rugby league players aged 23?±?4 years (mean?±?s) participated in this three-year prospective study. Players underwent assessments of tackling proficiency, dual-task draw-and-pass proficiency, reactive agility, pattern recall, and pattern prediction. The frailty model was applied to calculate the adjusted risk ratios of injury. When the players' age and playing position were adjusted in the frailty model, the risk ratios showed that reactive agility was a predictor for the risk of injury. Players with reactive agility decision times of >80?ms had a lower incidence (relative risk?=?0.68, 95% CI 0.47-0.98, P?=?0.04) of injuries than players with reactive agility decision times of ≤80 ms. Although there was no relationship between injury and the majority of skill qualities (P?=?0.47-0.93), players with poor reactive agility performances (specifically longer decision times) had a lower risk of injury, suggesting that poor perceptual skill is protective against contact injuries in professional rugby league players. These players might inadvertently avoid the heavy collisions that result in injury, or at best result in partial contact that does not result in exposure to the full force of a tackle.     

Injuries in Australian school-level rugby union

There is a high incidence of injuries in rugby union due to the physical nature of the game. In youth rugby union, there are large variations in injury rates reported. Our study investigated the rates of injuries in school-level rugby union players in Australia using the consensus statement for rugby union injuries. Injury surveillance was conducted on 480 rugby players from 1 school in Queensland, Australia. Injury data were collected using paper-based injury recording forms during the 8-week rugby season using a “medical-attention” injury definition. In total, 76 players sustained one or more injuries, with a total of 80 injuries recorded. The overall injury rate was 31.8 injuries/1000 match player hours (95% CI, 25.4–39.4). Concussion had an incidence rate of 6.0/1000 match player hours (95% CI, 3.5–9.6). The incidence of upper limb and lower limb injuries were 9.1 and 9.9/1000 match player hours, respectively (95% CI, 5.9–13.5 and 6.6–14.5). The older age divisions had higher injury rates and most injuries occurred while tackling or being tackled. The injury rates observed in this sample of Australian school rugby union players provides direction for future studies to enable informed decisions relating to development of injury prevention programmes at this level of rugby.     

Game location and aggression in rugby league

The present study examined the relationship between aggression and game location in rugby league. We videotaped a random sample of 21 professional rugby league games played in the 2000 Super League season. Trained observers recorded the frequency of aggressive behaviours. Consistent with previous research, which used territoriality theories as a basis for prediction, we hypothesized that the home team would behave more aggressively than the away team. The results showed no significant difference in the frequency of aggressive behaviours exhibited by the home and away teams. However, the away teams engaged in substantially more aggressive behaviours in games they lost compared with games they won. No significant differences in the pattern of aggressive behaviours for home and away teams emerged as a function of game time (i.e. first or second half) or game situation (i.e. when teams were winning, losing or drawing). The findings suggest that while home and away teams do not display different levels of aggression, the cost of behaving aggressively (in terms of game outcome) may be greater for the away team.     

Relationships between physiological, anthropometric, and skill qualities and playing performance in professional rugby league players

In this study, we investigated the relationship between physiological, anthropometric, and skill qualities and playing performance in professional rugby league players. Fifty-eight high-performance rugby league players underwent measurements for anthropometry (height, body mass, sum of seven skinfolds), physiological (speed, change of direction speed, lower body muscular power, repeated-sprint ability, prolonged high-intensity intermittent running ability, and estimated maximal aerobic power), technical skill (tackling proficiency, draw and pass proficiency), and perceptual skill (reactive agility, pattern recall, pattern prediction) qualities. National Rugby League matches were coded for attacking (e.g. line breaks, try assists, etc.) and defensive (e.g. missed tackles, tackling efficiency, etc.) statistics commonly used to assess rugby league playing performance. The number of line break assists was significantly associated (P < 0.05) with greater playing experience (r = 0.36), dual-task draw and pass proficiency (r = 0.54), reactive agility (r = 0.29), and pattern recall (r = 0.32) and prediction (r = 0.28) ability, while faster speed over 40 m (r = -0.42) was associated (P < 0.05) with a higher number of tries scored. Greater age and playing experience, better lower body muscular power, and faster 10 m and 40 m speed were significantly associated (P < 0.05) with the number of tackle attempts (positive), tackles completed (positive), and proportion of missed tackles (negative). These findings demonstrate that well-developed physical and skill qualities are associated with effective playing performance in National Rugby League players.     

Game location and aggression in rugby league

The present study examined the relationship between aggression and game location in rugby league. We videotaped a random sample of 21 professional rugby league games played in the 2000 Super League season. Trained observers recorded the frequency of aggressive behaviours. Consistent with previous research, which used territoriality theories as a basis for prediction, we hypothesized that the home team would behave more aggressively than the away team. The results showed no significant difference in the frequency of aggressive behaviours exhibited by the home and away teams. However, the away teams engaged in substantially more aggressive behaviours in games they lost compared with games they won. No significant differences in the pattern of aggressive behaviours for home and away teams emerged as a function of game time (i.e. first or second half) or game situation (i.e. when teams were winning, losing or drawing). The findings suggest that while home and away teams do not display different levels of aggression, the cost of behaving aggressively (in terms of game outcome) may be greater for the away team.     

Influence of physiological characteristics on selection in a semi-professional first grade rugby league team: a case study

The aim of this study was to determine whether the physiological characteristics of players influence selection in a semi-professional first grade rugby league team. Sixty-six semi-professional rugby league players aged 24+/-4 years (mean +/- s) were monitored over two competitive seasons. The players underwent measurements of body mass, muscular power (vertical jump), speed (10, 20, 30 and 40 m sprint), agility (Illinois agility run) and estimated maximal aerobic power (multi-stage fitness test) 1 week before their first competition match. After selection for either the first or second grade team, the results of all physiological tests were collated and analysed to determine if there were any physiological differences between players selected for the two teams. Players selected to play in the first grade team were significantly (P< 0.05) older (25+/-4 vs 22+/-4 years) and heavier (93+/-10 vs 86+/-10 kg) and had more playing experience (18+/-6 vs 15+/-6 years) than second grade players. Muscular power, speed, agility and estimated maximal aerobic power were not significantly different (P > 0.05) between first grade and second grade players. These results suggest that the physiological capacities of players do not influence selection in a semi-professional first grade rugby league team. Rather, player selection appears to be based on body mass, playing experience and skill. These results support the need for a standardized skills performance test for semi-professional rugby league players.     

Influence of physiological characteristics on selection in a semi-professional first grade rugby league team: a case study

The aim of this study was to determine whether the physiological characteristics of players influence selection in a semi-professional first grade rugby league team. Sixty-six semi-professional rugby league players aged 24 - 4 years (mean - s ) were monitored over two competitive seasons. The players underwent measurements of body mass, muscular power (vertical jump), speed (10, 20, 30 and 40 m sprint), agility (Illinois agility run) and estimated maximal aerobic power (multi-stage fitness test) 1 week before their first competition match. After selection for either the first or second grade team, the results of all physiological tests were collated and analysed to determine if there were any physiological differences between players selected for the two teams. Players selected to play in the first grade team were significantly ( P ? 0.05) older (25 - 4 vs 22 - 4 years) and heavier (93 - 10 vs 86 - 10 kg) and had more playing experience (18 - 6 vs 15 - 6 years) than second grade players. Muscular power, speed, agility and estimated maximal aerobic power were not significantly different ( P > 0.05) between first grade and second grade players. These results suggest that the physiological capacities of players do not influence selection in a semi-professional first grade rugby league team. Rather, player selection appears to be based on body mass, playing experience and skill. These results support the need for a standardized skills performance test for semi-professional rugby league players.     

A Field Study of Traditional and Nontraditional Children's Baseball

Abstract

Nine- to 10-year-old children have difficulty playing baseball using adult rules because pitchers lack the ability to throw the ball over the plate with consistency and batters lack ability to hit erratically thrown balls. Thus a natural field experiment investigated a modification of adult baseball for 9- to 10-year-old children. Instead of one of the players on the opposing team pitching, the coach of the offensive team pitched to the batters. Teams in a league who played baseball by adult rules (traditional league) were compared with teams in a league who played the modified game (nontraditional league), and both these leagues were compared with 11- to 12-year-old teams (older league). Various offensive and defensive activities were recorded by two observers and satisfaction scores were obtained from the players after the games. More offensive and defensive activity occurred in the nontraditional league games than in the traditional and older league games.     

橄榄球运动损伤特征、影响因素及监控策略研究

橄榄球运动具有团体性项目中最为激烈的对抗性,这导致橄榄球运动员出现运动损伤的风险是显著的,因此如何针对橄榄球运动损伤进行有效预防成为教练员和运动员们所关注的内容。该研究主要基于英语文献,对橄榄球项目的运动损伤特征、影响因素及监控策略进行了梳理与分析,研究表明(1)橄榄球运动员的损伤类型、部位和严重程度具有明显的橄榄球专项特征,依据橄榄球运动员主要损伤类型、部位及严重程度采取针对性的预防措施能够降低球队的伤病风险;(2)橄榄球运动员运动损伤的影响因素主要包括伤病史、比赛与训练负荷、竞技水平、年龄与性别、接触动作、球员位置以及疲劳,依据运动损伤影响因素对训练和比赛过程进行合理控制能够减少运动损伤对球队整体竞技能力的影响;(3)橄榄球运动员的损伤监控策略主要包括运动损伤预筛查、建立运动损伤监测系统以及进行多学科合作参与,通过对橄榄球运动损伤监控策略的应用和探索可以从根源上提高橄榄球队的运动损伤监控效果。     

A comparison of physiological and anthropometric characteristics among playing positions in sub-elite rugby league players

This study compared the physiological and anthropometric characteristics of specific playing positions and positional playing groups in sub-elite rugby league players. Altogether, 415 sub-elite rugby league players underwent measurements of standard anthropometry (body mass, height, sum of four skinfolds), muscular power (vertical jump), speed (10-m, 20-m, and 40-m sprint), agility ("L" run), and estimated maximal aerobic power (multi-stage fitness test). Props were significantly heavier and had a greater skinfold thickness than all other playing positions. Centres, fullbacks, and hookers were faster than props over 40 m. When the data were analysed according to positional commonality, props were taller, heavier, had a greater skinfold thickness, were less agile, and were slower over 10 m than all other positional groups. The hookers/halves and outside backs positional groups were significantly faster over 40 m than the backrowers and props positional groups. In addition, the hookers/halves and outside backs positional groups had significantly greater estimated maximal aerobic power than the props positional group. The results of this study demonstrate that few physiological and anthropometric differences exist among individual playing positions in sub-elite rugby league players, although props are taller, heavier, have greater skinfold thickness, slower 10-m and 40-m speed, less agility, and lower estimated maximal aerobic power than other positional groups. These findings provide normative data for sub-elite rugby league players competing in specific individual positions and positional playing groups.     

A comparison of physiological and anthropometric characteristics among playing positions in sub-elite rugby league players

Abstract

This study compared the physiological and anthropometric characteristics of specific playing positions and positional playing groups in sub-elite rugby league players. Altogether, 415 sub-elite rugby league players underwent measurements of standard anthropometry (body mass, height, sum of four skinfolds), muscular power (vertical jump), speed (10-m, 20-m, and 40-m sprint), agility (“L” run), and estimated maximal aerobic power (multi-stage fitness test). Props were significantly heavier and had a greater skinfold thickness than all other playing positions. Centres, fullbacks, and hookers were faster than props over 40 m. When the data were analysed according to positional commonality, props were taller, heavier, had a greater skinfold thickness, were less agile, and were slower over 10 m than all other positional groups. The hookers/halves and outside backs positional groups were significantly faster over 40 m than the backrowers and props positional groups. In addition, the hookers/halves and outside backs positional groups had significantly greater estimated maximal aerobic power than the props positional group. The results of this study demonstrate that few physiological and anthropometric differences exist among individual playing positions in sub-elite rugby league players, although props are taller, heavier, have greater skinfold thickness, slower 10-m and 40-m speed, less agility, and lower estimated maximal aerobic power than other positional groups. These findings provide normative data for sub-elite rugby league players competing in specific individual positions and positional playing groups.     

The influence of game location and outcome on behaviour and mood states among professional rugby league players

In this study, we examined the relationship between home and away matches on mood. In addition, the relationships between game location, game outcome, behavioural factors, and mood were investigated among 12 professional English rugby league players competing in the Super League. Participants completed daily diaries for 27 days. The diary consisted of six analogue scales measuring mood (relaxed-tense, energetic-weary, depressed-elated, tired-alert, anxious-calm, cheerful-miserable) as well as behavioural factors and self-rated performance. There were no significant differences in self-reported mood states leading up to home or away matches except for players feeling more tired when playing away. Significant relationships between mood and behaviours (e.g. sleep and eating) and subjective performance were observed. The outcome of the match was found to influence mood, with a defeat resulting in decreased mood. Our results show that game location did not influence mood and therefore does not provide an explanation for the home advantage.     

Costs resulting from nonprofessional soccer injuries in Switzerland:A detailed analysis

Background:Soccer injuries constitute an important public health problem and cause a high economic burden.Nevertheless,comprehensive data regarding injury costs in nonprofessional soccer are missing.The aim of this study was to determine which groups of nonprofessional soccer athletes,injury types,and injury situations caused high injury costs.Methods:A cross-sectional,retrospective telephone survey was carried out with a random sample of persons who had sustained a soccer injury between July 2013 and June 2014 and who had reported this accident to the Swiss National Accident Insurance Fund(Suva).One year after the corresponding accident,every injury was linked to its costs and to the answers obtained in the interview about injury setting,injury characteristics,and injury causes.Finally,the costs of 702 injuries were analyzed.Results:The average cost of an injury in nonprofessional soccer amounted to€4030(bias-corrected and accelerated 95%confidence interval(BCa 95%CI):3427-4719).Persons aged 30 years and older experienced 35%of soccer injuries but accounted for 49%of all costs.A total of58%of all costs were the result of injuries that occurred during amateur games.In particular,game injuries sustained by players in separate leagues for players aged 30+/40+years led to high average costs of€8190(BCa 95%CI:5036-11,645).Knee injuries accounted for 25%of all injuries and were responsible for 53%of all costs.Although contact and foul play did not lead to above-average costs,twisting or turning situations were highly cost relevant,leading to an average sum of€7710(BCa 95%CI:5376-10,466)per injury.Conclusion:Nonprofessional soccer players aged 30 years and older and particularly players in 30+/40+leagues had above-average injury costs.Furthermore,the prevention of knee injuries,noncontact and nonfoul play injuries,and injuries caused by twisting and turning should be of highest priority in decreasing health care costs.     

An assessment of training volume in professional rugby union and its impact on the incidence, severity, and nature of match and training injuries

A prospective cohort study was used to assess the influence of training volume on injuries sustained by 502 professional rugby union players in England. Training volumes (excluding warm-ups, cool-downs, and recovery sessions), player injuries, and player match exposure times were reported weekly. Higher training volumes (>9.1 hours per week) did not increase the incidence of match or training injuries. However, higher training volumes did increase the severity of match injuries, particularly during the second half, and consequently resulted in a significant increase in the number of days' absence due to match injuries. Although lower-limb injuries were the most common match and training injuries, shoulder dislocations/instabilities resulted in more days' absence during weeks of higher training volumes, but the differences were not significant. The least number of days lost due to injuries occurred during weeks of intermediate training volumes (6.2-9.1 h per week). Training volume was not correlated with final league position. Fitness testing, defence, and rucking and mauling components were identified as being very high- or high-risk training activities. Our results provide evidence of the benefits of modifying the volume and content of rugby union training to reduce the risk associated with injuries to professional players.     

Eight-season epidemiological study of injuries in men’s international Under-20 rugby tournaments

The aim of this study was to define the incidence and nature of match injuries sustained in men’s international under-20 rugby. The study comprised an 8-season prospective study of 16 international under-20 rugby tournaments. Procedures complied with the consensus statement for epidemiological studies in rugby. Outputs included players’ mean age, stature and body mass and incidence, severity, location, type and cause of match injuries. The overall incidence of injury was 49.7 injuries/1000 player-match-hours (backs: 48.3; forwards: 50.9) with a mean severity of 32.2 days-absence (backs: 29.4; forwards: 34.4). There were no significant changes in incidence or severity of injury over the study period. Shoulder/clavicle (18.3%), head/face (16.4%), knee (13.7%) and ankle (13.7%) were the most common injury locations and ligament sprain (35.4%), haematoma/bruise (15.9%), concussion (12.5%) and muscle strain (11.2%) the most common types of injury. Being-tackled (29.2%), tackling (24.0%) and collisions (14.3%) were the most common events leading to injury. The results confirm that international under-20 rugby has a high incidence and severity of injury but the incidence is half that reported for senior international players. There was no significant change in the overall incidence of injury at the Under-20 level in the period 2008 to 2016.