Physiotherapy Department, South Gloucestershire and Stroud College, Bristol, United Kingdom.
University of Bath, United Kingdom.
J Athl Train. 2018 May;53(5):514-520. doi: 10.4085/1062-6050-311-16. Epub 2018 Jun 7.
Injury risks in professional and community rugby union have been extensively described; however, less is known about injury epidemiology at the schoolboy level.
To investigate the injury risk in English schoolboy rugby union matches, comparing an elite competition (Achieving Academic and Sporting Excellence [AASE]) with subelite matches (non-AASE).
Retrospective cohort study.
Rugby union academy, consisting of 16- to 19-year-old males, based at an elite sports college in England.
A total of 132 participants (mean age = 17.5 years) were included in the study; 64 athletes experienced a total of 103 time-loss injuries over a 3-season period (2012-2015). All injuries were assessed and recorded by the team therapist using consensus statement definitions.
MAIN OUTCOME MEASURE(S): Injury characteristics were recorded and compared between groups. Primary outcome measures were injury incidence (per 1000 h match exposure) and injury burden (days absent/1000 h), and rate ratios and 95% confidence intervals are presented throughout.
A total of 131 matches were played (34 AASE, 97 non-AASE) and a total of 103 injuries were recorded (47 AASE, 56 non-AASE). The injury incidence in AASE matches (77/1000 h) was greater than in non-AASE matches (34/1000 h). The concussion incidence in AASE matches (20/1000 h) was 5 times that of non-AASE matches (4/1000 h). The head/face had the highest injury incidence for a specific location, followed by the shoulder region (AASE = 19/1000 h, non-AASE = 5/1000 h), which had the greatest injury burden (553/1000 h and 105/1000 h, respectively) for any specific body location. More than 50% of all injuries were associated with tackles.
A much greater incidence of all injuries occurred at the highest level of competition, and the concussion incidence was greater than that reported in any previously published study of youth rugby. Given the high incidence and burden of concussions and shoulder injuries, prevention and management deserve specific focus.
职业和社区橄榄球联盟的受伤风险已被广泛描述；然而，关于男校橄榄球联盟的受伤流行病学知之甚少。
调查英国男校橄榄球联盟比赛中的受伤风险，比较精英比赛（学术和体育卓越成就[AASE]）和次精英比赛（非 AASE）。
回顾性队列研究。
位于英国一所精英体育学院的橄榄球联盟学院，由 16 至 19 岁的男性组成。
共有 132 名参与者（平均年龄 17.5 岁）被纳入研究；在 3 个赛季（2012-2015 年）中，64 名运动员共经历了 103 次因伤停赛。所有的伤害都是由队医根据共识声明的定义进行评估和记录的。
记录并比较两组之间的受伤特征。主要观察指标是损伤发生率（每 1000 小时比赛暴露）和损伤负担（缺勤/1000 小时），并在整个研究中呈现比值比和 95%置信区间。
共进行了 131 场比赛（34 场 AASE，97 场非 AASE），记录了 103 次受伤（47 场 AASE，56 场非 AASE）。AASE 比赛的损伤发生率（77/1000 h）高于非 AASE 比赛（34/1000 h）。AASE 比赛中的脑震荡发生率（20/1000 h）是非 AASE 比赛的 5 倍（4/1000 h）。头部/面部受伤的特定部位发生率最高，其次是肩部（AASE = 19/1000 h，非 AASE = 5/1000 h），特定身体部位的损伤负担最大（分别为 553/1000 h 和 105/1000 h）。超过 50%的所有伤害都与擒抱有关。
在最高水平的比赛中，所有受伤的发生率都大大增加，脑震荡的发生率高于之前任何一项关于青年橄榄球的研究报告。鉴于脑震荡和肩部受伤的高发生率和负担，值得特别关注预防和管理。
