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dc.contributor.authorAttwood, Matthew
dc.contributor.authorRoberts, Simon
dc.contributor.authorTrewartha, Grant
dc.contributor.authorEngland, Mike
dc.contributor.authorStokes, Keith
dc.date.accessioned2017-09-19T10:40:04Z
dc.date.available2017-09-19T10:40:04Z
dc.date.issued2017-10-21
dc.identifier.citationAttwood, M., Roberts, S., Trewartha, G., England, M. and Stokes, K. (2017) 'Efficacy Of A Movement Control Injury-prevention Programme In An Adult Community Rugby Union Population; A Cluster Randomised Controlled Trial', British Journal of Sports Medicine, 51(4), pp.1-8en_US
dc.identifier.issn0306-3674
dc.identifier.issn1473-0480 (ESSN)
dc.identifier.urihttp://hdl.handle.net/10369/8771
dc.descriptionThis article was published in British Journal of Sports Medicine on 21 October 2017 (online), available at http://dx.doi.org/10.1136/bjsports-2017-098005en_US
dc.description.abstractBackground Exercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in collision sports such as rugby union is lacking. Objective To evaluate the efficacy of an evidence-informed injury prevention exercise programme in reducing match injuries in adult community rugby union players. Design Prospective cluster randomised (single-blind) controlled trial. Clubs were the unit of randomisation. Setting English adult community clubs (2015–2016 season) with a formally qualified medical professional to diagnose and report match-injuries. Participants 860 clubs were invited to participate of which 81 volunteered and were randomly assigned. Data was received from 41 clubs (control, 19; intervention, 22). Interventions A 42-week exercise programme comprising 6-week graduated exercise blocks was introduced during pre-season. The control programme reflected ‘normal practice’ exercises, whereas the intervention focused on proprioception, balance, cutting, landing, and resistance exercises. Main Outcome Measurements Match-injury incidence and burden for: all ≥8 days time-loss injuries and targeted (lower-limb, shoulder, head and neck, excluding fractures and lacerations) ≥8 days time-loss injuries. Results Poisson regression identified unclear differences between groups for overall injury incidence (rate ratio (RR), 90% confidence interval (CI)=0.9, 0.6–1.3) and injury burden (RR, 90% CI=0.8, 0.5–1.4). A likely beneficial difference in targeted injury incidence (RR, 90% CI=0.6, 0.4–1.0) was identified, with ∼40% lower lower-limb incidence (RR, 90% CI=0.6, 0.4–1.0) and ∼60% lower concussion incidence (RR, 90%CI=0.36, 0.18–0.70) in the intervention group. Completing the intervention at least once per week was associated with a likely beneficial difference between groups (intervention n=15, control n=13; RR, 90% CI=0.7, 0.4–1.0). Conclusions This movement-control injury-prevention programme appeared efficacious, with likely beneficial differences for lower-limb injuries and concussion for the treatment clubs. Targeted injury incidence was ∼30% lower when 1 or more intervention sessions were completed each weeken_US
dc.description.sponsorshipRugby Football Unionen_US
dc.description.sponsorshipPrivate Physiotherapy Education Foundationen_US
dc.language.isoenen_US
dc.publisherBMJ Journalsen_US
dc.relation.ispartofseriesBritish Journal of Sports Medicine;
dc.subjectInjury preventionen_US
dc.subjectMovement controlen_US
dc.subjectRugby Unionen_US
dc.titleEfficacy of a movement control injury-prevention programme in an adult community rugby union population; a cluster randomised controlled trialen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1136/bjsports-2017-098005
dcterms.dateAccepted2017-09-12
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/
rioxxterms.licenseref.startdate2017-11-27
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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