Tackling concussion in professional rugby union: a case–control study of tackle-based risk factors and recommendations for primary prevention
BMJ Publishing Group
MetadataDangos cofnod eitem llawn
Background/aim: Concussion, the most common injury in professional rugby union, occurs most commonly during the tackle. Thus, we investigated the association between tackle characteristics and concussion. Methods: 182 video clips of tackles leading to clinically diagnosed concussion and 4619 tackles that did not were coded across three professional rugby union competitions. A variable selection process was undertaken to identify the most important variables for interpretation. A multivariate generalised linear model was used to model the association between retained variables and concussion risk. Magnitude-based inferences provided an interpretation of the real-world relevance of the outcomes. Results: The four retained variables were: accelerating player, tackler speed, head contact type and tackle type. Overall, 70% of concussions occurred to the tackler and 30% to the ball carrier. There was a higher risk of concussion if the tackler accelerated into the tackle (OR: 2.49, 95% CI 1.70 to 3.64) or the tackler was moving at high speed (OR: 2.64, 95% CI 1.92 to 3.63). Head contact with the opposing player’s head (OR: 39.9, 95% CI 22.2 to 71.1) resulted in a substantially greater risk of concussion compared with all other head contact locations. Conclusions: Interventions that reduce the speed and acceleration of the tackler and reduce exposure to head-to-head contact would likely reduce concussion risk in professional rugby union.
British Journal of Sports Medicine;
Cross, M.J., Tucker, R., Raftery, M., Hester, B., Williams, S., Stokes, K.A., Ranson, C., Mathema, P. and Kemp, S. (2019) 'Tackling concussion in professional rugby union: a case–control study of tackle-based risk factors and recommendations for primary prevention', British Journal of Sports Medicine, 53(16), pp.1021-1025. DOI: 10.1136/bjsports-2017-097912.
Dynodwr Gwrthrych Digidol (DOI)http://dx.doi.org/10.1136/bjsports-2017-097912
Article published in British Journal of Sports Medicine on 11 October 2017 (online), available at: http://dx.doi.org/10.1136/bjsports-2017-097912.
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
- Sport Research Groups 
Yn dangos eitemau sy’n perthyn drwy deitl, awdur, pwnc a chrynodeb.
Bitchell, Charlotte; Mathema, Prabhat; Moore, Isabel (Elsevier, 2019-12-04)Objectives To report match injury incidence, burden and mechanism over a four-year period in professional male Welsh Regional Rugby Union. Design: Descriptive; Longitudinal. Setting: Welsh Regional Rugby Union. Participants: ...
Ranson, Craig; Raftery, James; George, Jonathan; Miles, John; Moore, Isabel (Taylor & Francis, 2018-03-29)Artificial rugby union playing surface installation is increasing. This prospective cohort study aimed to examine the effect of playing surface on match injury types within 157 players of two UK professional rugby union ...
On average, a professional rugby union player is more likely than not to sustain a concussion after 25 matches Rafferty, James; Ranson, Craig; Oatley, Giles; Mostafa, Mohamed; Mathema, Prabhat; Crick, Tom; Moore, Isabel (BMJ, 2018-03-12)Objectives - To investigate concussion injury rates, the likelihood of sustaining concussion relative to the number of rugby union matches and the risk of subsequent injury following concussion. Methods - A four-season ...