Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Clin J Sport Med. 2022 Sep 1;32(5):508-516. doi: 10.1097/JSM.0000000000000993. Epub 2021 Nov 10.
To describe injury and concussion rates and mechanisms in female high school rugby players.
Two-year prospective cohort study.
High school rugby.
Participants included 214 female High school rugby players (year 1) and 207 female High school players (year 2) from the Calgary Senior High School Athletics Association 2018 and 2019 rugby competition.
None.
Match and training injury and concussion. Injury definition included any injury resulting in time loss, inability to complete a session, and/or requiring medical attention. Details of reported injuries were collected on injury report forms and validated by a certified athletic therapist on a validated online injury surveillance platform. Exposure hours for players were tracked using paper or virtual weekly exposure forms by team designates.
A match incidence rate (IR) = 93.7 injuries/1000 match hours (95% confidence intervals (CI): 78.6-11.7) and training IR = 5.3 injuries/1000 training hours (95% CI: 4.0-6.9) were estimated. The tackle accounted for 109 (70%) match and 37 (44%) training injuries. Tackling was the most frequent mechanism of injury (IR = 37.5 injuries/1000 match hours, 95% CI: 27.5-51.8 and 1.2 injuries/1000 training hours, 95% CI: 0.7-2.4). Sixty-two match concussions (IR = 37.5 concussions/1000 match hours, 95% CI: 26.8-52.3) and 16 training concussions (IR = 1.0 concussions/1000 training hours, 95% CI: 0.7-1.4) occurred. Of 78 reported concussions, 78% for match and 56% for training were physician diagnosed. Tackling was the most frequent mechanism of concussion in matches (IR = 18.1 concussions/1000 match hours, 95% CI:11.4-28.6).
Injury and concussion rates in female high school rugby are high. The tackle accounted for the highest proportion of injuries. Prevention strategies (eg, tackle policy change, tackle-training programs, and neuromuscular training) should be explored to increase sport safety.
描述女子高中英式橄榄球运动员的损伤和脑震荡发生率及机制。
为期两年的前瞻性队列研究。
高中英式橄榄球。
参与者包括来自卡尔加里高级中学 2018 年和 2019 年橄榄球比赛的 214 名女子高中橄榄球运动员（第 1 年）和 207 名女子高中橄榄球运动员（第 2 年）。
无。
比赛和训练损伤和脑震荡。损伤定义包括任何导致时间损失、无法完成训练、和/或需要医疗注意的损伤。报告的损伤详细信息通过损伤报告表收集，并由经过认证的运动治疗师在经过验证的在线损伤监测平台上进行验证。通过团队指定的纸质或虚拟每周暴露表跟踪运动员的暴露时间。
比赛发生率（IR）=93.7 例/1000 比赛小时（95%置信区间（CI）：78.6-11.7），训练 IR = 5.3 例/1000 训练小时（95% CI：4.0-6.9）。擒抱导致 109 例（70%）比赛和 37 例（44%）训练损伤。擒抱是最常见的损伤机制（IR = 37.5 例/1000 比赛小时，95%CI：27.5-51.8 和 1.2 例/1000 训练小时，95%CI：0.7-2.4）。62 例比赛脑震荡（IR = 37.5 例/1000 比赛小时，95%CI：26.8-52.3）和 16 例训练脑震荡（IR = 1.0 例/1000 训练小时，95%CI：0.7-1.4）。78 例报告的脑震荡中，78%的比赛脑震荡和 56%的训练脑震荡由医生诊断。擒抱是比赛中最常见的脑震荡机制（IR = 18.1 例/1000 比赛小时，95%CI：11.4-28.6）。
女子高中英式橄榄球的损伤和脑震荡发生率较高。擒抱导致的损伤比例最高。应探索预防策略（例如改变擒抱政策、擒抱训练计划和神经肌肉训练）以提高运动安全性。
