Department for Health, University of Bath, Bath, UK
School of Sport and Exercise, University of Gloucestershire, Gloucester, UK.
Br J Sports Med. 2022 Jul;56(14):812-817. doi: 10.1136/bjsports-2021-105170. Epub 2022 Apr 6.
The efficacious injury prevention exercise programme has been shown to prevent injuries in English schoolboy rugby union. There is now a need to assess the implementation and effectiveness of in the applie setting.
This quasi-experimental study used a 24-hour time-loss injury definition to calculate incidence (/1000 hours) and burden (days lost/1000 hours) for individuals whose teams adopted (used during season) versus non-adopters. The dose-response relationship of varying levels of adherence (median sessions per week) was also assessed. Player-level rugby exposure, sessional adoption and injury reports were recorded by school gatekeepers. Rate ratios (RR), adjusted by cluster (team), were calculated using backwards stepwise Poisson regression to compare rates between adoption and adherence groups.
Individuals in teams adopting had a 23% lower match injury incidence (RR 0.77, 95% CI 0.55 to 1.07), 59% lower training injury incidence (RR 0.41, 95% CI 0.17 to 0.97) and 26% lower match injury burden (95% CI 0.46 to 1.20) than individuals on non-adopting teams. Individuals with high adherence (≥3 sessions per week) had a 67% lower training injury incidence (RR 0.33, 95% CI 0.12 to 0.91) and a 32% lower match injury incidence (RR 0.68, 95% CI 0.50 to 0.92) than individuals with low adherence (<1 session per week). While 65% of teams adopted during the season, only one team used three times per week, using whole phases and programme progressions.
is effective at preventing injury in English schoolboy rugby. Attention should focus on factors influencing programme uptake and implementation, ensuring can have maximal benefit.
已证实有效的损伤预防运动方案可预防英式男校橄榄球运动中的损伤。目前需要评估该方案在实际应用中的实施情况和效果。
本类实验研究采用 24 小时伤失工作日定义来计算采用（赛季中使用）和未采用方案的个体的损伤发生率（每 1000 小时发生次数）和损伤负担（每 1000 小时伤失工作日数）。还评估了不同程度的方案依从性（每周平均进行的课程次数中位数）的剂量-反应关系。由学校门卫人员记录运动员的橄榄球比赛暴露情况、课程采用情况和损伤报告。使用向后逐步泊松回归法，通过团队（聚类）进行校正，计算使用率比值（RR），以比较采用组和依从组之间的发生率。
与未采用方案的团队相比，采用方案的团队中个体的比赛损伤发生率降低了 23%（RR 0.77，95%CI 0.55 至 1.07），训练损伤发生率降低了 59%（RR 0.41，95%CI 0.17 至 0.97），比赛损伤负担降低了 26%（95%CI 0.46 至 1.20）。每周依从性≥3 次的个体的训练损伤发生率降低了 67%（RR 0.33，95%CI 0.12 至 0.91），比赛损伤发生率降低了 32%（RR 0.68，95%CI 0.50 至 0.92），与每周依从性＜1 次的个体相比。尽管 65%的团队在赛季中采用了方案，但只有一支团队每周使用 3 次，且全程使用和按方案逐步推进。
方案可有效预防英式男校橄榄球运动中的损伤。应关注影响方案采用和实施的因素，以确保方案发挥最大效益。
