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Epidemiology of Injuries in Women's Rugby Sevens: A Systematic Review.

Carlos Braga^1,2,3,4, Pedro Lopes¹, Luiz Miguel Santiago^1,3

¹Faculdade de Medicina, Universidade de Coimbra, 3000-548 Coimbra, Portugal.

Sports (Basel, Switzerland)

|February 26, 2026

Summary

Injuries in women's rugby sevens are frequent and severe, particularly among elite athletes. Understanding these injury patterns is crucial for developing effective prevention strategies and improving player safety.

Keywords:

athletic injuries epidemiology injury prevention sports medicine women’s rugby sevens

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Area of Science:

Sports Medicine
Epidemiology
Rugby Research

Background:

Women's rugby sevens is growing globally.
Injury patterns in this sport are not well understood.
Lack of knowledge hinders effective injury prevention.

Purpose of the Study:

To systematically review injury incidence, severity, burden, and risk factors.
To analyze data across different competitive levels in women's rugby sevens.
To identify knowledge gaps and guide future research.

Main Methods:

Systematic review of original studies on senior and U19 women's rugby sevens.
Inclusion criteria: reporting ≥ 2 epidemiological variables.
Exclusion criteria: men's rugby, mixed samples, 15-a-side, other sports, U19 players.
Searches across major databases and gray literature.
Risk of bias (ROBINS-I) and quality (STROBE) assessments.

Main Results:

Fifteen studies were included in the review.
Injury incidence varied significantly by competitive level (elite vs. community).
Elite players experienced higher injury severity (longer recovery times).
Predominant injuries affected the lower limb joints/ligaments.
Tackling was a primary injury mechanism; injuries often occurred in the second half.

Conclusions:

Current evidence is limited by small sample sizes and inconsistent reporting.
A moderate risk of bias was noted across studies.
Injuries are common and severe, especially in elite women's rugby sevens.
Targeted prevention strategies and enhanced surveillance are urgently needed.