Centre for Health and Injury and Illness Prevention in Sport, Department for Health, University of Bath, Bath, BA2 7AY, UK.
Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Canada.
Sports Med. 2022 May;52(5):1127-1140. doi: 10.1007/s40279-021-01603-w. Epub 2021 Dec 2.
The most recent meta-analytic review of injuries in elite senior men's Rugby Union was published in 2013. The demands of the game at the elite level are continually changing alongside law amendments and developments in player preparation. As such, an updated meta-analysis of injury data in this setting is necessary.
To meta-analyse time-loss injury data in elite senior men's Rugby Union between 2012 and 2020.
Electronic databases were searched using the keywords 'rugby' and 'inj*'. Nineteen studies met the inclusion criteria. Injury incidence rate data were modelled using a mixed-effects Poisson regression model. Days missed data were modelled using a general linear mixed model.
The included data encompassed a total of 8819 match injuries and 2801 training injuries. The overall incidence rate of injuries in matches was 91 per 1000 h (95% confidence interval (CI) 77-106). The estimated mean days missed per match injury was 27 days (95% CI 23-32). The overall incidence rate of match concussions was 12 per 1000 h (95% CI 9-15). The overall incidence rate of training injuries was 2.8 per 1000 h (95% CI 1.9-4.0). Playing level was not a significant effect modifier for any outcome.
The injury incidence rate and mean days missed per injury in the present meta-analysis were higher, but statistically equivalent to, the 2013 meta-analysis (81 per 1000 h and 20 days, respectively). The injury incidence rate for match injuries in elite senior men's Rugby Union is high in comparison to most team sports, though the training injury incidence rate compares favourably. The tackle event and concussion injuries should continue to be the focus of future preventative efforts.
最近一次对精英老年男子橄榄球联盟受伤情况的荟萃分析发表于 2013 年。随着精英级别比赛规则的改变以及球员准备工作的发展，比赛的要求也在不断变化。因此，有必要对这一背景下的损伤数据进行更新的荟萃分析。
对 2012 年至 2020 年间精英老年男子橄榄球联盟的伤停时间损伤数据进行荟萃分析。
使用“rugby”和“inj*”等关键词在电子数据库中进行检索。符合纳入标准的研究共有 19 项。使用混合效应泊松回归模型对损伤发生率数据进行建模。使用一般线性混合模型对伤停天数数据进行建模。
纳入的数据共涵盖了 8819 次比赛损伤和 2801 次训练损伤。比赛中损伤的总体发生率为 91 例/1000 小时（95%置信区间 77-106）。估计的每例比赛损伤平均伤停天数为 27 天（95%置信区间 23-32）。比赛中脑震荡的总体发生率为 12 例/1000 小时（95%置信区间 9-15）。训练损伤的总体发生率为 2.8 例/1000 小时（95%置信区间 1.9-4.0）。比赛级别不是任何结果的显著效应修饰因子。
与 2013 年的荟萃分析相比（分别为 81 例/1000 小时和 20 天），本次荟萃分析中损伤发生率和每例损伤平均伤停天数更高，但统计学上等效。与大多数团队运动相比，精英老年男子橄榄球联盟比赛损伤的发生率较高，而训练损伤的发生率则相对较好。触身事件和脑震荡损伤应继续成为未来预防工作的重点。
