Category: Concussion
Rugby Science Update 23
By Lara Paul
The aim of this study was to examine the association between tackle characteristics and suspected concussion-related versus non-injurious tackle events in a Canadian female varsity rugby cohort using video analysis. Video footage from Canada West female varsity rugby union league, spanning 2017 to 2019, were analysed. A case-control study design was employed to evaluate the relationship between tackle characteristics and a suspected concussive tackle event. Tackle and head impact characteristics, such as contact direction, location, intensity, were coded. In total, 13 439 tackles were identified. Among 151 225 suspected injury events identified, 26% were classified as suspected concussions. Of these, 78% were attributed to tackle events, while the remaining concussions resulted from other match events, such as a scrums, mauls, or rucks. A high head impact intensity score was strongly associated with concussion for both ball carriers and tacklers. Tackler related suspected concussions were linked to tackle events involving three tacklers in a tackle event, a tap tackle and an away pre-contact head position. Ball carrier related suspected concussions were associated with a tap tackle, illegal tackle type and down pre-contact head position. Concussion prevention programmes and strategies should be prioritised in rugby. The findings of this study can guide the development of strategies and programmes focused on tackle types and head positioning for both tacklers and ball carriers.
This study is published in the International Journal of Performance Analysis in Sport.
The purpose of this study was to identify tackle characteristics associated with clinically diagnosed concussions in the men’s rugby league. Additionally, it aimed to determine the tackle characteristics that predict concussions in rugby league. Match concussions were reported throughout the 2018-2022 Super League seasons and were analysed using video analysis by the research team. In total, 7415 tackles that did not involve concussive events were coded, alongside the analysis of 196 concussions. Seventy percent (70%) occurred to the tackler, while thirty percent (30%) occurred to the ball carrier. Key tackle characteristics associated with concussions included the tackle impact location on the ball carrier’s body, the ball carrier leading arm, the number of defenders in the tackle, and the interaction of body positioning between the ball carrier and tackler. Specific characteristics for tacklers included tackler head placement, the ball carrier leading arm, number of players in the tackle, and tackle impact zone location on the ball carrier. For ball carrier concussions, tackle impact zone location on the ball carrier and the ball carrier and tackler body position. Tackle technique interventions should prioritise proper head placement to minimize direct impacts to the tackler’s head. Interestingly, this study found that the greatest odds of concussion occurred when both players were falling or diving rather than remaining upright. Tackles involving one ball carrier and three tacklers were the most frequent tackle type and had the lowest odds of causing concussion. Prioritising strategies focused on the tackler may significantly reduce overall concussions. Interventions should address initial impact with the ball carriers’ head or neck to decrease ball carrier concussions. Further research into optimal techniques for both ball carrier and tackers is needed. The findings of this study suggest that modifying and reinforcing tackle laws could help reduce the incidence of concussions in rugby league.
This study is published in Journal of Science and Medicine in Sport.
The aim of this study was to explore youth Rugby Union coaches’ preferences for education and support in implementing injury prevention programmes. Five focus group were conducted in 2023, involving twelve Rugby Union coaches from secondary school teams and youth clubs in Ireland. Data were collected until data saturation was reached, and a conventional content analysis approach was used to analyse the data and address the research question. Three main categories emerged from the analysis: 1) Formal/non-formal learning, 2) Informal learning, and 3) Intrapersonal considerations. Coaches expressed a preference for live, structured, and practical workshops during the pre-season period, which a strong focus on developing knowledge. The emphasized that injury prevention workshop should also be a stand-alone session to allow full attention to the topic. Coaches also requested active resources to aid in planning their programmes. These resources would enable coaches to develop implicit knowledge of injury prevention programmes through various means, including adapting, integrating, and engaging in Q&A sessions. Coaches also sought the flexibility to adjust programmes as needed. The study identified a mismatch between coaches’ preferences for injury prevention programme education and what is currently offered through National Governing Bodies coach education programmes. Further exploration of perspectives of National Governing Bodies is necessary to address this gap.
This study is published in Physical Therapy in Sport.
Rugby Science Update 20
By Lara Paul
The state of play for contact training and coaching in women’s rugby
The purpose of this study was to review the current literature on tackle training in contact rugby codes and highlight key messages for coaches and stakeholders as part of a transdisciplinary approach to improve science, safety and gender equity in women’s rugby. The review looked at female specific injury surveillance, prevention, coaches in women’s rugby and match demands. The current literature is sparse but acknowledges the gendered sociocultural and environmental conditions that have influenced women’s experiences of rugby contact and coaching. One cannot copy and paste what has been done from male literature and expect it to work for women’s rugby. Women’s rugby should be understood and coached in a context‐specific manner, considering the needs of the players, coaches and the training environment. Developing and encouraging coaches to execute safe and effective tackle technical actions has been highlighted a priority in women’s rugby. Researchers in all disciplines have been encouraged to work across all levels of women’s rugby, with coaches and athletes, to understand the whole system of women’s rugby. This allows for a holistic approach to developing women’s rugby further. This review also suggests that adapting and adopting progressive tackle skill training frameworks and gender‐responsive coaching practices can aid tackle skill learning.
This study is published in the European Journal of Sport Science – Open Access.
The aims of this study were two-fold: 1) to describe the Head Acceleration Events (HAEs) experienced by professional men’s rugby union players during contact events using statistical modelling techniques appropriate for instrumental mouthguard (iMG) data, and 2) to explore the differences between contact-event types and positional groups. This observational study was conducted during the 2023 Currie Cup and Super Rugby season. Custom Prevent Biometrics iMGs were provided to all players. Post-match data was downloaded from the iMGs to provide linear and angular kinematics. Video analysis data, provided by Opta, included ruck, ball carrier and tackle data. Accelerometer, gyroscope, and proximity sensor data were synchronized to video timestamps of contact events using Matlab. Each HAE was linked to a contact event if their timestamps occurred within 10 seconds of one another. The results from this study show that as the HAEmax magnitude increased, the probability of occurrence decreased. This results in a relatively small probability of higher HAEmax magnitudes in professional male rugby union players. Tackles and ball carries had a greater probability of HAEmax in higher magnitude ranges than rucks. However, the defensive ruck probability profile was closer to tackle and carry events than attacking rucks. The authors suggest that defensive rucks may warrant greater consideration within the injury prevention interventions. No clear differences were found between positions for any of the contact events. The occurrence of HAEmax was associated with roles players performed within contact events, not their actual playing position. These results of HAEmax occurrence can be used to guide and evaluate future HAE reduction strategies in professional rugby union players. Additionally, these results can guide practitioners in planning and player monitoring.
This study is published in Scandinavian Journal of Medicine & Science in Sports.
The purpose of this study to quantify changes in body composition, blood markers, energy requirements, strength, and aerobic capacity of women’s international rugby league players during the lead up to the 2022 Rugby League World Cup (RLWC). Twenty-four international women’s rugby league players participated in this study. Players were tested at three testing points: 1) December 2021, at the beginning of the 2022 Women’s Super League pre-season; 2) March 2022, at the end of the 2022 Women’s Super League pre-season; and 3) October 2022, following the completion of the 2022 Women’s Super League season and prior to the RLWC. Data collection included anthropometric measurements (height and body mass), body composition, resting metabolic rate (RMR), blood profiling, assessments of endurance capacity (VO2max) and isometric strength. This study observed increases in lean mass during the pre-season which aligned with the team’s training goals. Backs demonstrated improvements in VO2max across the three testing points. Interestingly, no significant changes were observed in fat mass, RMR, blood markers, or strength over time. Forwards has a greater body mass and body fat percentages compared to backs. The authors recommend the inclusion of iron profile monitoring in practical settings, especially during intensified training phases, as it can contribute to players’ overall health and performance. Although the iron profiles remained at similar levels across all testing points, it was below the recommended threshold.
This study is published in PLoS ONE.
Rugby Science Update 14
A Coaching Session Framework to Facilitate Long-Term Athletic Development
The purpose of this article is to describe an evidence-based coaching session framework that can be applied in various coaching sessions. This framework is aimed to guide and optimise long-term athlete development across different youth ages, multiple sports, various development stages and considers the integration of both physical development and technical, tactical, and psychosocial development. Finally, it addresses how coaches can apply the framework. The coaching framework is based on RAMPAGE – Raise, Activate, Mobilize, Prepare, Activity, Games, Evaluate. Raise involves increasing the body temperature to prevent injuries and improve the athlete’s motor performance. This phase aims to enhance the locomotor skills and should include movement in all directions. Activate and Mobilize refers to the framework’s section involving dynamic movement. Dynamic movements facilitate physical preparation, reduce injury risks, and incorporate stability and mobility skills. The Prepare stage involves high-intensity movements (such as sprinting, jumping, or throwing) with maximal effort. This phase prepares athletes for high intensity movements in the session or, from a developmental perspective, harnesses specific physical capabilities. The Activity stage focuses on the coaching session’s main content. Games facilitate the development of technical, tactical, physical, and psychosocial aspects through activities such as small-sided games, adding in an element of fun to the coaching session. The Evaluate stage involves the cool-down process, providing an opportunity for ‘add-ons’ and flexibility. This phase encourages reflection on the coaching session, with the use of the rating of perceived challenge scale to monitor the technical and tactical aspects of their training. Additionally, the authors recommend focusing on communication, control, confidence, concentration, resilience, presence, self-awareness, and commitment for personal and psychosocial development.
This study is published in Strength and Conditioning Journal.
The aim of this study is to describe and analyse the locomotor movements of the players in the National Rugby League Women’s (NRLW) competition in Australia and New Zealand. A total of 117 players participated this study. All match (n = 12) and demographic data were collected from the NRLW website. The locomotor data were collected from the NRLW using Catapult OptimEyes S5 receivers. The data were collected from the 2018 and 2019 NRLW Holden Premiership seasons. Mean speed (m min−1), mean high-speed (>12 km h−1; m min−1), mean acceleration (m s−2) and points scored were the match variables used for analysis. The results showed that greater high speed running and lower mean acceleration was associated with more points scored, indicating that less accelerating and decelerating or faster speed of play was associated with more points being scored. Furthermore, other findings indicated that the difference in mean high-speed running between teams was associated with a higher points differential. For example, if a team completed 10% more high-speed running than their opposition, they were likely to score an average of 3.2 points more during a given match-half. In summary, this study suggests that high speed running should be considered a crucial characteristic in elite female rugby league conditioning programmes. Moreover, enhancing players’ high-speed running capacity may contribute to improved performance.
This study is published in Journal of Sports Sciences.
The purpose of this study is to describe the clinical presentation of players with a concussion during the Head Injury Assessment (HIA) 1, 2 and 3 process and to identify whether any sub-tests are associated with longer RTP time after a concussion. A total of 380 cases of match concussion from 3 seasons (2018–2021) of English club rugby were analysed. Players were identified with a possible concussion using either Criteria 1 signs during a match or during the 3-stage HIA process. Following the identification of a concussion, SCAT5 was used to diagnose the concussion and players then entered the 6-stage Gradual Return to Play protocol. Players were classified based on their time loss, with shorter RTP cased defined as RTP within 7 days of diagnosis and longer RTP cases as RTP in 8 or more days after diagnosis. Th study revealed that players who had been diagnosed with a concussion 12 months prior to their current concussion were 2.6 times more likely to be in the longer RTP cases. The severity of acute and sub-acute symptoms was identified as a predictor of slower RTP cases. Moreover, the study found that 31% of players with abnormal results in HIA3 (48 hours post diagnosis) were in the shorter RTP category, whereas the majority of players with symptom worsening during HIA3 were in the longer RTP cases. Interestingly, no cognitive or balance sub-test abnormalities or impairments are associated with longer return to play time. As a recommendation, authors suggest implementing a more conservative concussion management approach in sports.
This study is published in the Journal Sport and Health Sciences.
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