Rugby Science Update 15

Understanding elite rugby league players’ experience of collision, effective contact coaching techniques, and player contact psychology: A focus group study

The aim of this study is to understand the experiences of elite rugby league players regarding collisions in both training and match play. Eighteen European Super League players participated in this study, and data were collected through online focus groups. The interviews followed a semi structured format and covered various topics, including 1) offensive and defensive collisions, 2) collision monitoring, 3) defensive strategies and 4) the psychology behind collisions. After the interviews, a thematic analysis was used to identify, analysis and report the emerging themes. The focus groups revealed five themes: 1) The three-man tackle – the perceived optimal defensive strategy, 2) Not all collisions are the same; match play events change the collision intensity, 3) Bracing and blindsiding – two factors that influence experiences of collision and concussion, 4) Coaching philosophies and orientations, and 5) Psychological readiness for collisions. Furthermore, the authors recommend that future studies adopt a mixed methods approach to bridge the gap between theory and practice.

This study is published in Journal of Sport Science.

Andrew J. Dixon, Martin A. Littlewood, Colum J. Cronin, Craig Twist & Graeme L. Close (2024): Understanding elite rugby league players’ experience of collision, effective contact coaching techniques, and player contact psychology: A focus group study, Journal of Sports Sciences, DOI: 10.1080/02640414.2024.2313377

Match injuries in English schoolboy rugby union

The purpose of this study is to describe and compare the incidence, severity, and burden of match injuries among U13, U15, and U18 schoolboy rugby union players in England. The study spanned three rugby seasons (2017/18 to 2019/20) and involved data collection from 35 schools. Injury incidence, injury severity and injury burden were calculated and reported. The U18 age group had a significantly higher injury incidence (34.6 per1000 hours, 95% CI 31.5 to 38.1) compared to both the U13 (20.7 per 1000 hours, 95% CI 14.1 to 30.3, p=0.03) and U15 (24.6 per 1000 hours, 95% CI 20.6 to 29.5, p<0.01) age groups. While there was no significant difference between age groups for injury severity, the U18 age group had a higher injury burden (941 days/1000 hours, 95% CI 856 to 1035) than the U13 (477 days per 1000 hours, 95% CI 325 to 701, p<0.01) and U15 (602 days per 1000 hours, 95% CI 503 to 721, p<0.01) age groups. Across all age groups, the head was the most common injury site, and tackling accounted for 52% of all injuries for U13 boys, 48% for U15 boys and 62% U18 boys. Notably, the concussion was the most common injury type across all age groups. Interestingly, injury incidence, increased with age, possibly attributed to the greater forces generated in contact events due to increased mass, strength, and speed as players age. The authors emphasize the importance of teaching proper technique across all ages.

This study is published in BMJ Open Sport & Exercise Medicine.

Hancock MV, Barden C, Roberts SP, et al. Match injuries in English schoolboy rugby union. BMJ Open Sport & Exercise Medicine 2024;10:e001740. doi:10.1136/ bmjsem-2023-001740

Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations

This study aimed to achieve three primary objectives: 1) determine the prevalence of Stress Urinary Incontinence (SUI) and rugby-related urine leakage in female rugby players, 2) identify risk factors for SUI in female rugby players and 3) understand the impact of SUI on rugby participation. The survey, containing questioning on urinary continence and rugby related SUI, was distributed on social media October 2022 to February 2023, with a total of 396 female participants. Results showed that 43% of players reported rugby related SUI. General risk factors for rugby related SUI included a higher BMI, constipation, and childbirth. Rugby-specific risk factors involved playing a forward position and participating at amateur level. Tackling, running, and jumping/landing were identified as the events most likely to cause rugby related SUIs. Interestingly, 68% of players who experienced rugby related SUI continued to play with no modifications. The study concludes by emphasizing the need to prioritize the prevention and management of SUI within female rugby, with a specific focus on prevention strategies for forwards and amateur-level rugby players, such as sport-specific conditioning.

This study is published in the BMJ Open Sport & Exercise Medicine.

McCarthy-Ryan M, Perkins J, Donnelly GM, et al. Stress urinary incontinence prevalence and risk factors in female rugby players: a common health problem across four nations. BMJ Open Sport & Exercise Medicine 2024;10:e001832. doi:10.1136/bmjsem-2023-001832

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.

Till, Kevin; Eisenmann, Joe; Emmonds, Stacey; Jones, Ben PhD; Mitchell, Tom; Cowburn, Ian; Tee, Jason; Holmes, Neil; Lloyd, Rhodri S. A Coaching Session Framework to Facilitate Long-Term Athletic Development. Strength and Conditioning Journal 43(3):p 43-55, June 2021. | DOI: 10.1519/SSC.0000000000000558

Behind enemy lines: Expressing locomotor movements of athletes in the National Rugby League Women’s (NRLW) competition relative to opposition data

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.

Clare Minahan, Heidi R Thornton, Phillip Bellinger, Jonathan Ward, Dale Lovell, Simon Buxton & Tim Newans: Behind enemy lines: Expressing locomotor movements of athletes in the National Rugby League Women’s (NRLW) competition relative to opposition data, Journal of Sports Sciences, DOI: 10.1080/02640414.2023.2296736

Symptom presentation and evolution in the first 48 hours after injury are associated with return to play (RTP) after concussion in elite Rugby Union

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.

Ross Tucker, Matt Cross, Keith Stokes, Lindsay Starling, Rosy Hyman, Simon Kemp, Stephen West, Martin Raftery, Eanna Falvey, James Brown. Symptom presentation and evolution in the first 48 hours after injury are associated with return to play after concussion in elite Rugby Union, Journal of Sport and Health Science (2024), doi: https://doi.org/10.1016/j.jshs.2024.01.005

Rugby Science Update 13

Head Acceleration Events in Male Community Rugby Players: An Observational Cohort Study across Four Playing Grades, from Under‑13 to Senior Men

The objective of this study was to describe the Head acceleration events (HAE) burden across various age groups, ranging from U13 to Senior Premier Club level, and the different playing positions during both matches and training. Data were gathered using Prevent Biometric instrumented mouthguards (iMG) throughout the 2023 community rugby season, involving 328 male rugby players in 48 matches and 113 training sessions across U13, U15, U19, and Senior Premier men levels. All iMGs were equipped with an embedding sensor, triaxial accelerometer and gyroscope to detect ‘on-tooth’ time, as well as linear and angular kinematics, respectively. Additionally, all rugby sessions were recorded. Despite similar rugby exposure time across age grades, the percentage of HAE exposure increased with higher age grade, reflecting elevated match intensity as players matured.  Notably, 65% of HAEs occurred during matches for the Senior Premier level, with significantly smaller proportions during matches as age decreased. The study revealed a decline in HAE exposure during training with age. Furthermore, the relative risk of experiencing a high magnitude HAE was found to be is 1.36 times higher for U19 players compared to other levels. When analysing player positions, forwards exhibited a higher HAE exposure rate than backs, particularly in the tackle and ruck events, likely attributed to increased contact for forwards. Interestingly, at the U13 level, backs experienced more low-magnitude HAE during training sessions, presenting an opposite position incidence to Senior Premier players. Tackles accounted for 66–75% of HAE exposure in matches, emphasizing the authors recommendation for the importance of tackle and ruck technique training, particularly for higher grade players.

This study is published in Sports Medicine.

Bussey, M.D., Salmon, D., Romanchuk, J. et al. Head Acceleration Events in Male Community Rugby Players: An Observational Cohort Study across Four Playing Grades, from Under-13 to Senior Men. Sports Med (2023). https://doi.org/10.1007/s40279-023-01923-z

Best practice recommendations for body composition considerations in sport to reduce health and performance risks: a critical review, original survey and expert opinion by a subgroup of the IOC consensus on Relative Energy Deficiency in Sport (REDs)

The purpose of this review is to discuss the current knowledge regarding the relationship between body composition (BC) and athletic performance across different ages and sports. Additionally, the review aims to survey the evolution of BC considerations in international sport over the last decade and provide best practice recommendations for BC considerations to prevent potential health and performance consequences. A review search was conducted on PubMed in August 2022 and December 2022, focusing on exploring the impact of athletes’ BC on performance outcomes. The review includes a total of 29 studies, with most of them involving well trained athletes in individual sports. To address the evolution of BC considerations over the last decade, an electronic questionnaire was developed and circulated via social media and email lists. The survey included 125 practitioners from 26 countries working within competitive sports. The findings of this review indicate limited evidence regarding the association between BC and competitive success. Notably, endurance athletes ten to benefit from leanness, and muscle mass is crucial across various sports. Overall, persistent training and experience are essential for talent development and performance success. The survey results highlight the necessity for a more holistic approach to using and reporting BC data over the past decade. Practitioners emphasize the need for awareness and education on how BC assessment affects both performance and health. The survey also highlights that methods have remained largely unchanged over the decades, with practitioners still comparing arbitrary sport-specific ideal BC. The authors emphasize the importance of approaching BC assessments and reporting BC data appropriately. They recommend assessing BC only when necessary and providing the necessary support for athletes to avoid potential health risks. To mitigate these risks, pre-screening should be conducted by the medical and performance team. Testing protocol should be chosen wisely, with a recommended frequency not exceeding 4-6 times a year. Additionally, BC assessment for athletes under the age of 18 is not recommended.

This study is published in British Journal of Sports Medicine.

Mathisen TF, Ackland T, Burke LM, et al. Best practice recommendations for body composition considerations in sport to reduce health and performance risks: a critical review, original survey and expert opinion by a subgroup of the IOC consensus on Relative Energy Deficiency in Sport (REDs). Br J Sports Med 2023;57:1148–1160.

Tackling the tackle 2: Evaluation of referee and player behavioural change as measures of implementation of a law variation in community-level male amateur rugby union

The primary aim of this study was to investigate changes in player and referee behaviour following the implementation of the lowered (armpit) legal tackle height law variation intervention in amateur community rugby. Additionally, the study aimed to assess on-field referee sanctioning decisions for illegal high tackles. Building on a prior study which implemented the lowered (armpit) legal tackle height law intervention in the amateur community rugby, this research examined referee and player behaviour across three periods of the season. The study involved 42 teams participating in the university rugby club’s four-league, inter-residence competition with the inclusion of 16 referees from the South African Referees Academy. All matches were recorded and video footage from the mounted Go Pro on the referees was captured. Evaluation of on-field referee sanctioning was carried out by a professional South African Rugby Union (SARU) international-level referee, which assessed all videos coded as ‘high’ under the new law variation. The findings of the study revealed a positive on-field behaviour change in both players and referees following the new law variation. There was a significantly higher sanctioning rate by the referees in the middle period of the session, potentially contributing to a significant reduction in upright tackles in the last part of the season. Additionally, there was a fair agreement between the independent referee evaluation and the on-field sanctioning when reviewing the high tackles.

This study is published in the Journal of Science and Medicine in Sport.

R. van Tonder, S. Hendricks, L. Starling, et al., Tackling the tackle 2: Evaluation of referee and player behavioural change as measures of implementa…, Journal of Science and Medicine in Sport, https://doi.org/10.1016/j.jsams.2023.11.004