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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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RISUS study: Rugby Injury Surveillance in Ulster Schools
H A P Archbold1, A T Rankin2, M Webb3
1Royal Victoria Hospital, Belfast, UK.
British Journal of Sports Medicine
|December 25, 2015
Summary
Adolescent rugby players experience frequent, severe injuries, particularly concussions and ligament damage, leading to significant time loss. Higher age, weight, and competitive level increase injury risk, while mouthguards may offer some protection.
Area of Science:
- Sports Medicine
- Orthopedics
- Epidemiology
Background:
- Rugby is a high-contact sport with a significant risk of injury among adolescent players.
- Understanding injury patterns and risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the incidence and types of injuries sustained by adolescent rugby players.
- To identify factors associated with an increased risk of injury in this population.
Main Methods:
- A prospective injury surveillance study was conducted over the 2014-2015 playing season in 28 schools in Ulster, Ireland.
- Data were collected from 825 adolescent male rugby players (mean age 16.9 years) across 28 first XV squads.
- Injury incidence was calculated per 1000 match hours, and Cox proportional hazard regression was used to determine risk factors.
Main Results:
- A total of 426 injuries were reported, with the head/face, clavicle/shoulder, and knee being the most common sites.
- Sprains, concussions, and muscle injuries were the most frequent diagnoses. Injury incidence was 29.06 per 1000 match hours.
- Higher age, heavier weight, playing representative rugby, and regular strength training were associated with increased injury risk. Playing for a lower-ranked team and wearing a mouthguard were associated with lower risk.
Conclusions:
- Adolescent rugby players face a high incidence of severe injuries, with concussion and lower limb injuries causing the most time loss.
- Physical characteristics and competitive level are key risk factors for injury.
- While players adhered to return-to-play protocols for concussion, evidence for the protective effect of equipment was limited.
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