West Stephen W, Shill Isla J, Sick Stacy, Schneider Kathryn J, WIley James Preston, Hagel Brent E, Emery Carolyn A, Black Amanda M
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada.
O'Brien Institute of Public Health, University of Calgary, Calgary, Canada.
Clin J Sport Med. 2023 Jul 1;33(4):405-413. doi: 10.1097/JSM.0000000000001118. Epub 2023 Jan 12.
To examine injury and concussion rates, mechanisms, locations, and types of injury in Canadian high school male rugby.
Prospective cohort study.
High school male rugby.
A total of 429 high school players (2018: n = 225, 2019: n = 256) were recruited from 12 teams in 7 schools in Calgary, Canada.
None.
Injury surveillance included baseline questionnaires, weekly exposure, and injury reports. Injuries included those requiring medical attention, resulted in time loss and/or inability to complete a session. Concussion was defined as per the fifth Consensus on Concussion in Sport, and all players with a suspected concussion were referred to a study sport medicine physician.
A total of 134 injuries were captured, leading to an injury incidence rate (IR) of 57.9/1000 hours [95% confidence intervals (CIs): 45.4-73.8]. Median time loss was 6 days (range: 0-90). Injuries to the head were the most common (40%), followed by shoulder (12%) and ankle (10%). The concussion IR was 22.0/1000 hours (95% CIs: 15.9-30.4), which was the most common injury type (38%), followed by sprain (20%) and strain (15%). Sixty-five percent of injuries occurred in the tackle (ball carrier 35%, tackler 30%) and 76% of concussions (ball carrier 41%, tackler 35%).
The rate of injury and concussion in Canadian youth high school male rugby is high, with tackle-related injuries and concussions the most common. Given this, there is a critical need for implementation of prevention strategies, in particular targeting concussion and the tackle event (eg, neuromuscular, tackle training, and law changes).
研究加拿大高中男子橄榄球运动中的损伤和脑震荡发生率、机制、部位及损伤类型。
前瞻性队列研究。
高中男子橄榄球运动。
从加拿大卡尔加里7所学校的12支队伍中招募了429名高中球员（2018年：n = 225，2019年：n = 256）。
无。
损伤监测包括基线问卷、每周的训练情况及损伤报告。损伤包括需要医疗关注、导致误工和/或无法完成训练的情况。脑震荡的定义依据《运动脑震荡第五次共识》，所有疑似脑震荡的球员均被转介给研究运动医学医生。
共记录到134例损伤，损伤发生率（IR）为57.9/1000小时[95%置信区间（CI）：45.4 - 73.8]。误工时间中位数为6天（范围：0 - 90天）。头部损伤最为常见（40%），其次是肩部（12%）和脚踝（10%）。脑震荡发生率为22.0/1000小时（95% CI：15.9 - 30.4），是最常见的损伤类型（38%），其次是扭伤（20%）和拉伤（15%）。65%的损伤发生在擒抱过程中（持球队员35%，擒抱者30%），76%的脑震荡发生在擒抱时（持球队员41%，擒抱者35%）。
加拿大青少年高中男子橄榄球运动中的损伤和脑震荡发生率较高，与擒抱相关的损伤和脑震荡最为常见。鉴于此，迫切需要实施预防策略，特别是针对脑震荡和擒抱动作（如神经肌肉训练、擒抱训练及规则改变）。
