comparative injury studies michael keating, ms, atc, cscs usa rugby medical services
TRANSCRIPT
Comparative Injury StudiesComparative Injury Studies
Michael Keating, MS, ATC, CSCSUSA Rugby
Medical Services
Recent Literature ReviewRecent Literature Review
1. Injuries…HS Rugby Players 05-06 – Collins et al – 2008 (RIO Rugby study)
2. Collegiate Rugby Union Injuries – Kerr et al – 2008
3. Injuries in US HS Athletes – Darrow et al – 20094. Tackle Injuries in Pro Rugby – Quarrie &
Hopkins – 2008
RIO Study RIO Study
1. Online reporting of ~ 60 clubs during 2005-2006
2. Online reporting mechanism3. Looked at over 62,000 player exposures 4. Examined over 290 total injuries5. 75% of the reporting was completed by coach
Rio StudyRio StudyInjury rate per 1,000 playerexposures
2005Rugby Rio
2006Rugby Rio
HS Football
Total 6.6 4.7 4.4
Game 15.9 15.0 12.1
Practice 1.5 1.1 2.5
Rio StudyRio StudyInjury rate per 10,000 player
exposures2005
Rugby Rio2006
Rugby RioHS Football
Concussion** 8.6 8.2 4.6
Fracture 8.8 8.2 4.9
Knee 5.2 6.3 6.6
RIO Study RIO Study
1. Fractures, Concussions and Ligament Sprains were the most common injuries – each comprised ~ 16% of all injuries
2. Almost 60% of all injuries occurred during the tackle, 75% involved contact with another player
3. Females had more ligament injuries as compared to males (20.8% > 14.9%)
4. More likely to suffer injury in game v. practice (10:1)
Collegiate Rugby Injuries - USA Collegiate Rugby Injuries - USA
1. Online reporting of ~ 70 clubs during 2005-2006
2. Online reporting mechanism3. Looked at almost 70,000 player exposures 4. Examined 850 total injuries5. 83% of the reporting was completed by coach
Collegiate Rugby Injury StudyCollegiate Rugby Injury StudyInjury rate per 1,000 playerexposures Rugby Football
Game 22.5 41.4*(35.9)
Practice 5.5 5.9
Collegiate Rugby Injury StudyInjury rate per 1,000 playerexposures Rugby Football
Concussion 2.0 4.5
Fracture 1.5+
Sprains 3.5+
College Rugby Injury Study College Rugby Injury Study
1. Ligament Sprains, Muscle Strains and Concussions were the most common injuries
2. Almost 50% of all injuries occurred during the tackle, 75% involved contact with another player
3. More likely to suffer injury in game v. practice (4:1)4. Possible lower injury rates as compared to other
studies secondary to lower standard of play
Future Direction Future Direction
1. Continue to utilize and fund research focusing on youth and college rugby
2. Higher participation of clubs3. Reliable reporting from medical personnel4. Equipment variations/improvements5. Tackle, scrum, lineout, ruck and maul education6. Anthropometric measures of players
Overuse or Gradual OnsetOveruse or Gradual Onset
• Used to be a prime concern and still is at Elite Level
• Identify underlying pathology and pathomechanics during screen
• Proper Dynamic Warm-up• Prescribe exercise specific to demands• “Injury Prevention” programs??•Long Term Athletic Development Model
MethodsMethods
Acute InjuriesAcute Injuries
• Previously little to no thought in this arena and now IS the FOCUS• How do we approach this??
Acute InjuriesAcute Injuries
• Techniques/skills – especially in contact• Training Sessions – contact vs. limited
contact •LTAD
Optimal development of young playersOptimal development of young players
• Influence of growth and maturity on early success• Dangers of overspecialisation at an early age (physical and
skills-related)• Long-term consequences (skill-base, injury, burnout)• Some evidence (Hartwig et al 2008) that high training
volumes better tolerated than high competition volumes• Overall lack of information – urgent need for longitudinal
observational studies form 16 – 21 years
Key is early education that is Key is early education that is both Consistent/Persistentboth Consistent/Persistent
&&RelevantRelevant