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Tackling in Rugby Union is associated with most match injuries. New tackle regulations have been explored to reduce injuries, but limited quantitative evidence is available to inform any law changes. Using a novel tackle simulator, we investigated upper body loading under different tackling conditions: direction of approach (0° - frontal, 45° and 90° to the ball carrier direction) and side of body (dominant vs. non-dominant). Peak impact force between tackler and simulator , and head and upper trunk segment motions were measured from 10 male players. Impact load averages were 17% higher at (0°) compared with (90°), across the two different tackling sides (p = 0.093), with the highest impact force measured during dominant-side shoulder tackles at 0° (5.63 ± 1.14 kN). Trunk resultant accelerations were higher (+19%, p = 0.010) at 0° compared with 90°, with the highest resultant acceleration measured in frontal tackles with the dominant shoulder (17.52 ± 3.97 g). We observed higher head lateral bending around the impact when tackling with the non-dominant shoulder at 45° (p = 0.024) and 90° (p = 0.047). Tackling from an offset angle from frontal may be safer. Deficiencies in tackling techniques on the non-dominant side should be reduced.

Injury surveillance seeks to describe the occurrence of, the circumstances around, and the factors associated with injury. The data collected from these epidemiological studies are considered essential for the continued development of injury prevention, treatment, and rehabilitation strategies. The tackle event is consistently reported to be responsible for the highest number of injuries in rugby union. Community rugby refers to the non-elite level of the game, usually at least one level below a countrys top tier of club rugby, and played in the most part on an amateur basis. Despite the growth in the women's game, relatively little evidence is available from this population as to the incidence, causes, or severity of injuries sustained during match-play or practice. The BokSmart National Rugby Safety Programme in South Africa is a prime example of a national sporting body adopting an evidence-based and evidence-driven approach to dealing with rugby injuries, especially catastrophic head, neck, and spine injuries.

The aim of this study was to understand how a place kicker's range is limited by their approach to the ball and their physical characteristics. Thirty-three kickers performed maximal place kicks and vertical jumps in a laboratory. Whole-body motion and ground reaction forces during the approach phase of the kicks, jump performance and anthropometric measurements of those whose predicted maximum distance was limited by range (n = 17) rather than accuracy were analysed. Principal component analysis (PCA) reduced the number of variables considered before stepwise regression analyses assessed variance in place kick maximum distance and associated criteria. Four components, explaining 94% of the variance in maximum distance, were extracted from the PCA: width of approach, anterior-posterior body position, centre-of-mass height and lower limb strength. Lower limb strength was a significant predictor of both kicking foot velocity (R2 = 0.55, p = 0.001) and ball velocity magnitude (R2 = 0.57, p

AIM To describe trends in the incidence of match concussions and time to return-to-play in professional rugby union. METHODS Match concussion incidence (injuries per 1000 player-match-hours) and time to return-to-play (mean and median days absence) were recorded in 3006 male professional rugby union players over 16 seasons (2002/03 - 2018/19). RESULTS From 2002/03 to 2009/10, incidence of concussions was stable at 4.3/1000 player-match-hours. From 2009/10 to 2018/19, there was an increase in concussion incidence, with the highest incidence in 2016/17 at 20.9/1000 player-match-hours (95% CI: 17.9-24.3). Annual prevalence of concussion also increased, suggesting more players were concussed rather than the same players sustaining more concussions. Before the introduction of standardized graduated return-to-play (GRTP) guidelines in 2011, 27% of players returned to play in

We aimed to identify differences in kicking leg and torso mechanics between groups of rugby place kickers who achieve different performance outcomes, and to understand why these features are associated with varying levels of success. Thirty-three experienced place kickers performed maximum effort place kicks, whilst three-dimensional kinematic (240 Hz) and ground reaction force (960 Hz) data were recorded. Kicking leg and torso mechanics were compared between the more successful (‘long’) kickers and two sub groups of less successful kickers (’short’ and ‘wide-left’) using magnitude-based inferences and statistical parametric mapping. Short kickers achieved substantially slower ball velocities compared with the long kickers (20.8 ± 2.2 m/s vs. 27.6 ± 1.7 m/s, respectively) due to performing substantially less positive hip flexor (normalised mean values = 0.071 vs. 0.092) and knee extensor (0.004 vs. 0.009) joint work throughout the downswing, which may be associated with their more front-on body orientation, and potentially a lack of strength or intent. Wide-left kickers achieved comparable ball velocities (26.9 ± 1.6 m/s) to the long kickers, but they were less accurate due to substantially more longitudinal ball spin and a misdirected linear ball velocity. Wide-left kickers created a tension arc across the torso and therefore greater positive hip flexor joint work (normalised mean = 0.112) throughout the downswing than the long kickers. Whilst this may have assisted kicking foot velocity, it also induced greater longitudinal torso rotation during the downswing, and may have affected the ability of the hip to control the direction of the foot trajectory.

The accurate detection of foot-strike and toe-off is often critical in the assessment of running biomechanics. The gold standard method for step event detection requires force data which are not always available. Although kinematics-based algorithms can also be used, their accuracy and generalisability are limited, often requiring corrections for speed or foot-strike pattern. The purpose of this study was to develop FootNet, a novel kinematics and deep learning-based algorithm for the detection of step events in treadmill running. Five treadmill running datasets were gathered and processed to obtain segment and joint kinematics, and to identify the contact phase within each gait cycle using force data. The proposed algorithm is based on a long short-term memory recurrent neural network and takes the distal tibia anteroposterior velocity, ankle dorsiflexion/plantar flexion angle and the anteroposterior and vertical velocities of the foot centre of mass as input features to predict the contact phase within a given gait cycle. The chosen model architecture underwent 5-fold cross-validation and the final model was tested in a subset of participants from each dataset (30%). Non-parametric Bland-Altman analyses (bias and [95% limits of agreement]) and root mean squared error (RMSE) were used to compare FootNet against the force data step event detection method. The association between detection errors and running speed, foot-strike angle and incline were also investigated. FootNet outperformed previously published algorithms (foot-strike bias = 0 [-10, 7] ms, RMSE = 5 ms; toe-off bias = 0 [-10, 10] ms, RMSE = 6 ms; and contact time bias = 0 [-15, 15] ms, RMSE = 8 ms) and proved robust to different running speeds, foot-strike angles and inclines. We have made FootNet’s source code publicly available for step event detection in treadmill running when force data are not available.

The appropriate determination of performance outcome is critical when appraising a performer’s technique. Previous studies of rugby place kicking technique have typically assessed performance based on ball velocity, but this is not the sole requirement. Therefore, a mathematical model of rugby place kick ball flight was developed to yield a single measure more representative of true performance. The model, which requires only initial ball flight kinematics, was calibrated and validated using empirical place kick data, and found to predict ball position with a mean error of 4.0% after 22 m of ball flight. The model was then applied to the performances of 33 place kickers. The predicted maximum distance, a single performance measure which accounted for initial ball velocity magnitude and direction, and spin, was determined using the model and was compared against ball velocity magnitude. A moderate association in the rank-order of the kicks between these two measures (ρ = 0.52) revealed that the relative success of the kicks would be assessed differently with each measure. The developed model provides a representative measure of place kick performance that is understandable for coaches, and can be used to predict changes in performance outcome under different ball launch or environmental conditions.

Objectives The objectives of this study were to explore the relationship between acute (1 week) and chronic (4-week average) bowling workloads and injury risk in National Development Programme fast bowlers, and to investigate individual differences in the relationship between acute:chronic workloads and injury. Design Prospective cohort study. Methods Bowling workloads and injury data were collected prospectively for 29 male fast bowlers (age range 15–18) on a National Programme over two years. Workload variables were calculated and the likelihood of injury and individual effects were explored using a generalised linear mixed effects model and magnitude-based inferences. Results Acute:chronic workloads of 109–142% (relative risk [RR]: 1.46, 90% CI: 0.93–2.29; likely harmful), and ≥142% (RR: 1.66, 90% CI: 1.06–2.59, likely harmful) were associated with a substantial increase in injury risk compared with the reference quartile (83 balls) substantially attenuated the influence of a high (>108%) acute:chronic workload ratio on injury risk (RR: 0.35, 90% CI: 0.17–0.74). Significant individual differences in the acute:chronic workload-injury relationship were evident. Conclusions The present study provides further evidence of the association between 'spikes’ in workload and injury risk, but also demonstrates that this relationship is individual-specific and dependent on the level of chronic workload. Support teams for fast bowlers should monitor bowling workloads to avoid rapid fluctuations but should also base decisions on individualised data.

BackgroundExercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in adult men’s collision sports such as rugby union is lacking.ObjectiveTo evaluate the efficacy of a movement control injury prevention exercise programme for reducing match injuries in adult men’s community rugby union players.Methods856 clubs were invited to participate in this prospective cluster randomised (single-blind) controlled trial where clubs were the unit of randomisation. 81 volunteered and were randomly assigned (intervention/control). A 42-week exercise programme was followed throughout the season. The control programme reflected ‘normal practice’ exercises, whereas the intervention focused on proprioception, balance, cutting, landing and resistance exercises.Outcome measures were match injury incidence and burden for: (1) all ≥8 days time-loss injuries and (2) targeted (lower limb, shoulder, head and neck, excluding fractures and lacerations) ≥8 days time-loss injuries.ResultsPoisson regression identified no clear effects on overall injury outcomes. A likely beneficial difference in targeted injury incidence (rate ratio (RR), 90% CI=0.6, 0.4 to 1.0) was identified, with a 40% reduction in lower-limb incidence (RR, 90% CI=0.6, 0.4 to 1.0) and a 60% reduction in concussion incidence (RR, 90% CI=0.4, 0.2 to 0.7) in the intervention group. Comparison between arms for clubs with highest compliance (≥median compliance) demonstrated very likely beneficial 60% reductions in targeted injury incidence (RR, 90% CI=0.4, 0.2 to 0.8) and targeted injury burden (RR, 90% CI=0.4, 0.2 to 0.7).ConclusionsThe movement control injury prevention programme resulted in likely beneficial reductions in lower-limb injuries and concussion. Higher intervention compliance was associated with reduced targeted injury incidence and burden.

Evidence supporting use of the Functional Movement Screen (FMSTM) to identify athletes’ risk of injury is equivocal. Furthermore, few studies account for exposure to risk during analysis. This study investigated the association of FMSTM performance with incidence and burden of match-injuries in adult community rugby players. 277 players performed the FMSTM during pre-season and in-season time-loss injuries and match exposure were recorded. The associations between FMSTM score, pain, and movement-pattern asymmetries with match-injury incidence (≥8-days time-loss/1000hours), severe match-injury incidence (>28-days time-loss/1000hours), and match-injury burden (total time-loss days/1000hours for ≥8-days match-injuries) were analysed using Poisson regression. Multivariate analysis indicated players with pain and movement-pattern asymmetry during pre-season had 2.9 times higher severe match-injury incidence (RR, 90%CI = 2.9, 0.9–9.7) and match-injury burden (RR, 90%CI = 2.9, 1.3–6.6). Players with a typically low FMSTM score (mean – 1SD threshold) were estimated to have a 50% greater match-injury burden compared to players with a typically high FMSTM score (mean + 1SD threshold) as match-injury burden was 10% lower per 1-unit increase in FMSTM score. As the strongest association with injury outcome was found for players with pain and asymmetry, when implementing the FMSTM it is advisable to prioritise these players for further assessment and subsequent treatment.

Hip joint contact loads during activities of daily living are not generally considered high enough to cause acute bone or joint injury. However there is some evidence that hip joint loads may be higher in stumble recovery from loss of balance. A common laboratory method used to evaluate balance recovery performance involves suddenly releasing participants from various static forward lean magnitudes (perturbation intensities). Prior studies have shown that when released from the same perturbation intensity, some older adults are able to recover with a single step, whereas others require multiple steps. The main purpose of this study was to use a musculoskeletal model to determine the effect of three balance perturbation intensities and the use of single versus multiple recovery steps on hip joint contact loads during recovery from forward loss of balance in community dwelling older adults (n=76). We also evaluated the association of peak hip contact loads with perturbation intensity, step length and trunk flexion angle at foot contact at each participant's maximum recoverable lean angle (MRLA). Peak hip joint contact loads were computed using muscle force estimates obtained using Static Optimisation and increased as lean magnitude was increased and were on average 32% higher for Single Steppers compared to Multiple Steppers. At the MRLA, peak hip contact loads ranged from 4.3 to 12.7 body weights and multiple linear stepwise regression further revealed that initial lean angle, step length and trunk angle at foot contact together explained 27% of the total variance in hip joint contact load. Overall findings indicated that older adults experience peak hip joint contact loads during maximal balance recovery by stepping that in some cases exceeded loads reported to cause mechanical failure of cadaver femurs. While step length and trunk flexion angle are strong predictors of step recovery performance they are at best moderate predictors of peak hip joint loading.

Tackling in Rugby Union is an open skill which can involve high-speed collisions and is the match event associated with the greatest proportion of injuries. The purpose of this study was to analyse the biomechanics of rugby tackling under different three movement conditions: from a stationary position, with the dominant shoulder and with the non-dominant shoulder, and moving forward, with the dominant shoulder. A specially devised contact simulator, a 50 kg punch bag instrumented with pressure sensors, was translated towards the tackler (n=15) in trials to evaluate the effect of laterality (dominant vs. non-dominant side) and tackling approach (standing vs. moving) on the external loads absorbed by the tackler, on head and trunk motion, and on trunk muscle activities. Peak impact force was substantially higher in the stationary dominant (2.84 ± 0.74 kN) than in the stationary non-dominant condition (2.44 ± 0.64 kN), but lower than in the moving condition (3.40 ± 0.86 kN). Muscle activation started on average 300 ms before impact, with higher activation for impact-side trapezius and non-impact side erector spinae and gluteus maximus muscles. Players’ technique for non-dominant side tackles was less compliant with current coaching recommendations in terms of cervical motion (more neck flexion and lateral bending were observed in the stationary non-dominant condition) and players could benefit from specific coaching focus on non-dominant side tackles.

The aim of this study was to describe the incidence, severity and type of shoulder injuries resulting from match play in adult community rugby union between 2009-2013. A total of 254 time-loss shoulder injuries were reported, an overall incidence of 2.2 per 1000 hours (95% CI: 1.9 to 2.4) and a mean injury severity of 9.5 weeks missed (95% CI: 8.2 to 10.8). The semi-professional group had an incidence of 2.8 injuries per 1000 hours (95% CI: 2.2 to 3.5), which was higher than the recreational group at 1.8 injuries per 1000 hours (95% CI: 1.4 to 2.2, p=0.004). The incidence of acromioclavicular joint injury for semi-professional players was 1.2 per 1000 hours (95% CI: 0.8–1.6); which was significantly higher than the incidence of this injury type in recreational players (0.5 per 1000 hours 95% CI: 0.3–0.7, p=0.002). Overall, back row players sustained the highest incidence of all shoulder injuries for a given playing position, 2.9 injuries per 1000 hours (95% CI: 2.2-3.6). The tackle was the main event associated with injury. Injury prevention programmes and coaching strategies that consider tackle technique and physical conditioning of the shoulder region are therefore considered important.

Purpose:To investigate strength and power development in elite rugby players during the different phases of a professional season.Methods:Sixteen professional rugby union athletes from an English premiership team were monitored for measures of lower-body peak force, force at 50 ms, force at 100 ms (all isometric squat), and power (explosive hack squat). Athletes were assessed at the start of preseason (T1), postpreseason (T2), midway through the competitive season (T3), and at the end of the competitive season (T4). Effect-size (ES) statistics with magnitude-based inferences were calculated to interpret differences in physical performance between the different stages of the season.Results:Very likely beneficial increases in force at 50 ms (+16%, ES = 0.75 ± 0.4) and 100 ms (+14%, ES = 0.63 ± 0.4) were observed between T1 and T2. A likely beneficial increase in power was observed between T2 and T3 (+4%, ES = 0.31 ± 0.2). Between T3 and T4, decreases in force at 50 ms (–6%, ES = –0.39 ± 0.3) and 100 ms (–9%, ES = –0.52 ± 0.4) occurred, while peak force and power were maintained. Over the full season (T1–T4) clear beneficial increases in all measures of strength and power were identified.Conclusions:Meaningful increases in strength and power can be achieved in professional English premiership rugby players over a full playing season. The greatest opportunity for strength and power development occurs during pre- to midseason phases, while these measures are maintained or decrease slightly during the latter stages of a season.

Aim To investigate incidence of concussion, clinical outcomes and subsequent injury risk following concussion. Methods In a two-season (2012/2013, 2013/2014) prospective cohort study, incidence of diagnosed match concussions (injuries/1000 h), median time interval to subsequent injury of any type (survival time) and time spent at each stage of the graduated return to play pathway were determined in 810 professional Rugby Union players (1176 player seasons). Results Match concussion incidence was 8.9/1000 h with over 50% occurring in the tackle. Subsequent incidence of any injury for players who returned to play in the same season following a diagnosed concussion (122/1000 h, 95% CI 106 to 141) was 60% higher (IRR 1.6, 95% CI 1.4 to 1.8) than for those who did not sustain a concussion (76/1000 h, 95% CI 72 to 80). Median time to next injury following return to play was shorter following concussion (53 days, 95% CI 41 to 64) than following non-concussive injuries (114 days, 95% CI 85 to 143). 38% of players reported recurrence of symptoms or failed to match their baseline neurocognitive test during the graduated return to play protocol. Summary and conclusions Players who returned to play in the same season after a diagnosed concussion had a 60% greater risk of time-loss injury than players without concussion. A substantial proportion of players reported recurrence of symptoms or failed to match baseline neurocognitive test scores during graduated return to play. These data pave the way for trials of more conservative and comprehensive graduated return to play protocols, with a greater focus on active rehabilitation.

We investigated the effect of a "PreBind" engagement protocol on the biomechanics of contested Rugby Union scrummaging at different playing levels. "PreBind" requires front-row props to take a bind on opposing players prior to the engagement, and to maintain the bind throughout the scrum duration. Twenty-seven teams from five different playing levels performed live scrums under realistic conditions. Video analysis, pressures sensors, and inertial measurement units measured biomechanical outcomes as teams scrummaged following different engagement protocols: the CTPE (referee calls "crouch-touch-pause-engage"), the CTS ("crouch-touch-set"), and the PreBind ("crouch-bind-set") variants. PreBind reduced the set-up distance between the packs (-27%) and the speed at which they came into contact by more than 20%. The peak biomechanical stresses acting on front rows during the engagement phase were decreased in PreBind by 14-25% with respect to CTPE and CTS, without reducing the capability to generate force in the subsequent sustained push. No relevant main effects were recorded for playing level due to within-group variability and there were no interaction effects between playing level and engagement protocol. Pre-binding reduced many mechanical quantities that have been indicated as possible factors for chronic and acute injury, and may lead to safer engagement conditions without affecting subsequent performance.

Place kicking is a complex whole-body movement that contributes 45% of the points scored in international Rugby Union. This study compared the kicking foot swing plane characteristics of accurate and inaccurate kickers, underpinned by differences in their support leg and pelvis kinematics at support foot contact, to identify key technique characteristics. Motion capture data (240 Hz) were collected from 33 experienced kickers, and distinct groups of accurate (n = 18) and inaccurate (n = 8) kickers were identified based on their performance characteristics. All accurate kickers were capable of kicking successfully from at least 33.3 m, whereas all inaccurate kickers would have missed left from distances greater than 30.7 m. The accurate group exhibited a moderately shallower swing plane inclination (50.6 ± 4.8° vs. 54.3 ± 2.1°) and directed the plane moderately further to the right of the target (20.2 ± 5.4° vs. 16.7 ± 4.1°). At support foot contact, the accurate group placed their support foot moderately less far behind the ball (0.08 ± 0.08 m vs. 0.12 ± 0.04 m) and positioned their centre of mass moderately further to the support leg side (0.77 ± 0.07 m vs. 0.72 ± 0.01 m) due to a moderately greater stance leg lean (29.3 ± 4.1° vs. 26.8 ± 3.2°). The kicking foot swing plane is highly planar in rugby place kicking but its orientation differs between accurate and inaccurate kickers. These plane characteristics may be controlled by support foot placement and support leg and pelvis kinematics at support foot contact.

Athletes in inner lanes may be disadvantaged during athletic sprint races containing a bend portion because of the tightness of the bend. We empirically investigated the veracity of modelled estimates of this disadvantage and the effect of running lane on selected kinematic variables. Three-dimensional video analysis was conducted on nine male athletes in lanes 8, 5 and 2 of the bend of an outdoor track (radii: 45.10, 41.41 and 37.72 m, respectively). There was over 2% (p < 0.05) reduction in mean race velocity from lane 8 (left step 9.56 ± 0.43 m/s, right step: 9.49 ± 0.41 m/s) to lane 5 (left step: 9.36 ± 0.51 m/s, right step: 9.30 ± 0.51 m/s), with only slight further reductions from lane 5 to lane 2 (left step: 9.34 ± 0.61 m/s, right step: 9.30 ± 0.63 m/s). Race velocity decreased mainly because of reductions in step frequency as radius decreased. These unique data demonstrate the extent of the disadvantage of inner lane allocation during competition may be greater than previously suspected. Variations in race velocity changes might indicate some athletes are better able to accommodate running at tighter radii than others, which should have implications for athletes' training.

Background: Choosing an appropriate definition for injury in injury surveillance studies is essential to ensure a balance among reporting reliability, providing an accurate representation of injury risk, and describing the nature of the clinical demand. Purpose: To provide guidance on the choice of injury definition for injury surveillance studies by comparing within- and between-team variability in injury incidence with >24-hour and >7-day time-loss injury definitions in a large multiteam injury surveillance study. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Injury data were reported for 2248 professional rugby union players from 15 Premiership Rugby clubs over 12 seasons. Within-team percentage coefficient of variation and mean between-team standard deviation (expressed as a percentage coefficient of variation) in injury incidence rates (injuries per 1000 player match hours) were calculated. For both variables, a comparison was made between >24-hour and >7-day injury incidence rates in terms of the magnitude of the observed effects. Results: The overall mean incidence across the population with a >24-hour time-loss injury definition was approximately double the reported incidence with the >7-day definition. There was a 10% higher between-team variation in match injury incidence rates with the >24-hour time-loss definition versus the >7-day definition. Conclusion: There was a likely higher degree of between-team variation in match injury incidence rates with a >24-hour time-loss definition than with a >7-day definition of injury. However, in professional sports settings, it is likely that the benefits of using a more inclusive definition of injury (improved understanding of clinical demand and the appropriate and accurate reporting of injury risk) outweigh the small increase in variation in reporting consistency.

Till, K, Morris, R, Stokes, K, Trewartha, G, Twist, C, Dobbin, N, Hunwicks, R, and Jones, B. Validity of an isometric midthigh pull dynamometer in male youth athletes. J Strength Cond Res 32(2): 490-493, 2018-The purpose of this study was to investigate the validity of an isometric midthigh pull dynamometer against a criterion measure (i.e., 1,000-Hz force platform) for assessing muscle strength in male youth athletes. Twenty-two male adolescent (age 15.3 ± 0.5 years) rugby league players performed 4 isometric midthigh pull efforts (i.e., 2 on the dynamometer and 2 on the force platform) separated by 5-minute rest in a randomized and counterbalanced order. Mean bias, typical error of estimate (TEE), and Pearson correlation coefficient for peak force (PF) and peak force minus body weight (PFBW) from the force platform were validated against peak force from the dynamometer (DynoPF). When compared with PF and PFBW, mean bias (with 90% confidence limits) for DynoPF was very large (-32.4 [-34.2 to -30.6] %) and moderate (-10.0 [-12.8 to -7.2] %), respectively. The TEE was moderate for both PF (8.1 [6.3-11.2] %) and PFBW (8.9 [7.0-12.4]). Correlations between DynoPF and PF (r 0.90 [0.79-0.95]) and PFBW (r 0.90 [0.80-0.95]) were nearly perfect. The isometric midthigh pull assessed using a dynamometer underestimated PF and PFBW obtained using a criterion force platform. However, strong correlations between the dynamometer and force platform suggest that a dynamometer provides an appropriate alternative to assess isometric midthigh pull strength when a force platform is not available. Therefore, practitioners can use an isometric midthigh pull dynamometer to assess strength in the field with youth athletes but should be aware that it underestimates peak force.

This study investigated whether the ‘constant limb force hypothesis’ can be applied to bend sprinting on an athletics track and to understand how force production influences performance on the bend compared with the straight. Force and three-dimensional video analyses were conducted on seven competitive athletes during maximal effort sprinting on the bend (radius 37.72 m) and straight. Left step mean peak vertical and resultant force decreased significantly by 0.37 BW and 0.21 BW, respectively, on the bend compared with the straight. Right step force production was not compromised in the same way, and some athletes demonstrated substantial increases in these variables on the bend. More inward impulse during left (39.9 ± 6.5 Ns) than right foot contact (24.7 ± 5.8 Ns) resulted in 1.6° more turning during the left step on the bend. There was a 2.3% decrease in velocity from straight to bend for both steps. The constant limb force hypothesis is not entirely valid for maximal effort sprinting on the bend. Also, the force requirements of bend sprinting are considerably different to straight-line sprinting and are asymmetrical in nature. Overall, bend-specific strength and technique training may improve performance during this portion of 200 m and 400 m races.

Biomechanical studies of rugby union scrummaging have focused on kinetic and kinematic analyses, while muscle activation strategies employed by front-row players during scrummaging are still unknown. The aim of the current study was to investigate the activity of spinal muscles during machine and live scrums. Nine male front-row forwards scrummaged as individuals against a scrum machine under "crouch-touch-set" and "crouch-bind-set" conditions, and against a two-player opposition in a simulated live condition. Muscle activities of the sternocleidomastoid, upper trapezius, and erector spinae were measured over the pre-engagement, engagement, and sustained-push phases. The "crouch-bind-set" condition increased muscle activity of the upper trapezius and sternocleidomastoid before and during the engagement phase in machine scrummaging. During the sustained-push phase, live scrummaging generated higher activities of the erector spinae than either machine conditions. These results suggest that the pre-bind, prior to engagement, may effectively prepare the cervical spine by stiffening joints before the impact phase. Additionally, machine scrummaging does not replicate the muscular demands of live scrummaging for the erector spinae, and for this reason, we advise rugby union forwards to ensure scrummaging is practiced in live situations to improve the specificity of their neuromuscular activation strategies in relation to resisting external loads.

This prospective cohort study investigated the influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite English Premiership Rugby Union players. Time loss (from 39.5 matches) and abrasion (from 27 matches) injury risk was compared between matches played on artificial turf and natural grass. Muscle soreness was reported over the 4 days following one match played on each surface by 95 visiting players (i.e., normally play on natural grass surfaces). There was a likely trivial difference in the overall injury burden relating to time-loss injuries between playing surfaces [rate ratio = 1.01, 90% confidence interval (CI): 0.73-1.38]. Abrasions were substantially more common on artificial turf (rate ratio = 7.92, 90% CI: 4.39-14.28), although the majority of these were minor and only two resulted in any reported time loss. Muscle soreness was consistently higher over the 4 days following a match on artificial turf in comparison with natural grass, although the magnitude of this effect was small (effect sizes ranging from 0.26 to 0.40). These results suggest that overall injury risk is similar for the two playing surfaces, but further surveillance is required before inferences regarding specific injury diagnoses and smaller differences in overall injury risk can be made. Language: en

An eight-season (2005/06–2012/13) prospective cohort design was used to record time-loss injuries in 15 English Premiership teams. Data pertaining to a total of 1 556 players and 9 597 injuries (8 180 subsequent) were included in the analysis. Injuries subsequent to an index injury were classified as (1) New: different site; (2) Local: same site (and different type); or (3) Recurrent: same site and type. The severity of subsequent injuries (days missed) was compared with their related index injury. The proportions of early (12 months) subsequent injuries were compared across injury classifications and diagnosis groupings. The majority of subsequent injuries (70%) were classified as new injuries, with 14% local and 16% recurrent. A large proportion of recurrent subsequent injuries (42%) occurred within two months of return-to-play. Subsequent injuries were not more severe than their corresponding index injury (effect sizes

Background Injury risk in youth rugby has received much attention, highlighting the importance of establishing evidence-based injury reduction strategies. Aim To determine the efficacy of a movement control exercise programme in reducing injuries in youth rugby players and to investigate the effect of programme dose on injury measures. Methods In a cluster-randomised controlled trial, 40 independent schools (118 teams, 3188 players aged 14–18 years) were allocated to receive either the intervention or a reference programme, both of which were to be delivered by school coaches. The intervention comprised balance training, whole-body resistance training, plyometric training, and controlled rehearsal of landing and cutting manoeuvres. Time-loss (>24 hours) injuries arising from school rugby matches were recorded by coaches and medical staff. Results 441 time-loss match injuries (intervention, 233; control, 208) were reported across 15 938 match exposure-hours (intervention, 9083; control, 6855). Intention-to-treat results indicated unclear effects of trial arm on overall match injury incidence (rate ratio (RR)=0.85, 90% confidence limits 0.61 to 1.17), although clear reductions were evident in the intervention arm for concussion incidence (RR=0.71, 0.48 to 1.05). When trial arm comparisons were limited to teams who had completed three or more weekly programme sessions on average, clear reductions in overall match injury incidence (RR=0.28, 0.14 to 0.51) and concussion incidence (RR=0.41, 0.17 to 0.99) were noted in the intervention group. Conclusion A preventive movement control exercise programme can reduce match injury outcomes, including concussion, in schoolboy rugby players when compared with a standardised control exercise programme, although to realise the greatest effects players should complete the programme at least three times per week.

Background A rugby tackle is an open and unpredictable event, which can lead to intentional or unintentional head-first impacts rather than the preferred ‘shoulder first’ technique. Objective To identify the effect of head-neck orientation as well as collision speed on the loads experienced at the upper cervical spine and the relevance in terms of injury risk from head-first impacts. Design Repeated ‘tackles’ were simulated using a 40 kg punch bag (simulated ball carrier) making contact against a fixed instrumented head and neck anthropometric test device (ATD). Setting Biomechanics laboratory. Patients (or Participants) A single head-neck ATD was used to complete all the trials. Interventions (or Assessment of Risk Factors) 10 repetitions were recorded in each of two speed ranges (low and high) and 3 ATD sagittal plane orientations (head-up [+20°], neutral [0°], and head-down [-20°]), 60 trials in total. Main Outcome Measurements Forces experienced at the equivalent of the C1 vertebra were measured by a load cell at the head joint of the ATD. ANCOVA (covariate=punch bag speed) and effect sizes were used to assess differences between tackle conditions. Results Low speed (2.34±0.18 m/s) tackles resulted in 37% lower peak impact forces compared with high speed (3.43±0.17 m/s) tackles. Total force on neck acted in multiple directions (75% in compression; magnitude of total force was 2.37±0.18 kN in neutral high speed condition) and it was substantially higher in the head-down orientation compared with the neutral (13%) and head-up orientation (17%). Conclusions Our findings support the idea that: 1) collision speed during a tackle affects the load experienced by the head-neck structures; 2) a neutral or head-up orientation of the head is preferred to a head-down orientation in the event of head-first impacts during simulated rugby tackle, which aligns with current Rugby Union coaching recommendations.

Background: Previous research has described general injury patterns in community-level rugby union, but specific information on time-loss head injuries has not been reported. Purpose: To establish the incidence and nature of significant time-loss head injuries in English community rugby match play, and to identify the injury risk for specific contact events. Study Design: Descriptive epidemiology study. Methods: Over 6 seasons, injury information was collected from 46 (2009-2010), 67 (2010-2011), 76 (2011-2012), 50 (2012-2013), 67 (2013-2014), and 58 (2014-2015) English community rugby clubs (Rugby Football Union levels 3-9) over a total of 175,940 hours of player match exposure. Club injury management staff reported information for all head injuries sustained during match play whereby the player was absent for 8 days or greater. Clubs were subdivided into semiprofessional (mean player age, 24.6 ± 4.7 years), amateur (24.9 ± 5.1 years), and recreational (25.6 ± 6.1 years) playing levels. Contact events from a sample of 30 matches filmed over seasons 2009-2010, 2010-2011, and 2011-2012 provided mean values for the frequency of contact events. Results: The overall incidence for time-loss head injuries was 2.43 injuries per 1000 player match hours, with a higher incidence for the amateur (2.78; 95% CI, 2.37-3.20) compared with recreational (2.20; 95% CI, 1.86-2.53) ( P = .032) playing level but not different to the semiprofessional (2.31; 95% CI, 1.83-2.79) playing level. Concussion was the most common time-loss head injury, with 1.46 per 1000 player match hours. The tackle event was associated with 64% of all head injuries and 74% of all concussions. There was also a higher risk of injuries per tackle (0.33 per 1000 events; 95% CI, 0.30-0.37) compared with all other contact events. Conclusion: Concussion was the most common head injury diagnosis, although it is likely that this injury was underreported. Continuing education programs for medical staff and players are essential for the improved identification and management of these injuries. With the majority of head injuries occurring during a tackle, an improved technique in this contact event through coach and player education may be effective in reducing these injuries.

Background The reporting of non-time loss injuries in community sport can be challenging due to infrequent contact between players and team medical staff. Text messaging or short messaging service (SMS) is a possible option for players to self-report these injuries. Objective Assess the incidence, site and inciting event of self-reported match injuries using SMS in men's community rugby union players. Design Using a cohort study design, consenting English community rugby players were contacted by SMS every Monday morning over a 33-week season with a follow-up on Tuesday for non-responders. Questions ascertained whether they played on the previous Saturday, whether they sustained an injury which ‘inhibited or stopped them playing’, the injured body site and if the injury event was contact or non-contact related. Setting English community rugby union during season 2015/16. Participants A total of 2990 players from 81 clubs were invited to participate. Mobile telephone numbers were provided by 1178 players (39%) from 41 clubs. The weekly mean response rate of players reporting whether or not they played was 61±2%. Independent variables Player match exposure, playing position. Main Outcome Measurements Injury incidence. Results Players reported 860 injuries over 9025 matches (71.5 injuries per 1000 player-match hours; 95% CI: 66.7–76.2). Contact events accounted for 84% of injuries. The head was the most commonly injured site (11.1; 95% CI: 9.2–12.9). Injury incidence was similar in forwards (68.7 95% CI 61.8–75.6) and backs (71.7 95% CI 64.1–79.6) but forwards reported a higher incidence of shoulder injuries than backs (9.8 95% CI: 7.2–12.4 versus 5.4 95% CI: 3.3–7.5; P=0.014) and backs reported a higher incidence of thigh injuries (3.3 95% CI: 1.8–4.8 versus 10.6 95% CI: 7.6–13.6; P

Background The use of the Functional Movement Screen (FMS) is widespread, but evidence supporting its use as an injury-screening tool in team sports such as Rugby Union is equivocal. Objective To determine the association between FMS score and match-injury incidence and match-injury burden in adult community rugby union players. Design Prospective cohort study. Setting English community rugby union clubs (2013–2014 season) with a formally qualified medical professional to diagnose and report match-injuries. FMS testing was completed during the pre-season period by the research team. Participants 436 players from 23 clubs completed the FMS. Match-injuries and individuals9 match exposure data was returned for 293 players. Risk Factors Lower FMS composite score (21 point maximum), the presence of pain and/or asymmetry. Main Outcome Measurements Association of FMS composite score, pain and asymmetry with match injury incidence (≥8 days time-loss/1000 hours) severe injury incidence (>28 days time-loss/1000 hours) and injury burden (total time-loss days/1000 hours). Results Poisson regression was offset for exposure (log transformed) and adjusted for random effects of club (cluster) and player. The associations between both match-injury incidence (≥8 days time-loss)(rate ratio (RR), 90% confidence interval (CI)=1.0, 0.9–1.0) and severe injury incidence (>28 days time-loss) (RR, 90% CI=0.9, 0.8–1.0) with composite FMS score were trivial. A one-point increase in FMS score was associated with a 10% reduction in injury burden (RR, 90% CI=0.9, 0.8–1.0), while the presence of both pain and asymmetry was associated with a three times increase in injury burden (RR, 90% CI=2.9, 1.1–7.8). Conclusions FMS score was not associated with injury incidence, but was associated with injury burden. As the sstrongest association with injury burden was found for pain and asymmetry, clubs using the FMS may be advised to prioritise rehabilitation of players with asymmetrical, painful movement patterns.

Objectives This cross-sectional study investigated the factors that may influence the physical loading on rugby forwards performing a scrum by studying the biomechanics of machine-based scrummaging under different engagement techniques and playing levels.Methods 34 forward packs from six playing levels performed repetitions of five different types of engagement techniques against an instrumented scrum machine under realistic training conditions. Applied forces and body movements were recorded in three orthogonal directions.Results The modification of the engagement technique altered the load acting on players. These changes were in a similar direction and of similar magnitude irrespective of the playing level. Reducing the dynamics of the initial engagement through a fold-in procedure decreased the peak compression force, the peak downward force and the engagement speed in excess of 30%. For example, peak compression (horizontal) forces in the professional teams changed from 16.5 (baseline technique) to 8.6 kN (fold-in procedure). The fold-in technique also reduced the occurrence of combined high forces and head-trunk misalignment during the absorption of the impact, which was used as a measure of potential hazard, by more than 30%. Reducing the initial impact did not decrease the ability of the teams to produce sustained compression forces.Conclusions De-emphasising the initial impact against the scrum machine decreased the mechanical stresses acting on forward players and may benefit players’ welfare by reducing the hazard factors that may induce chronic degeneration of the spine.

As a collision sport, rugby union has a relatively high overall injury incidence, with most injuries being associated with contact events. Historically, the set scrum has been a focus of the sports medicine community due to the perceived risk of catastrophic spinal injury during scrummaging. The contemporary rugby union scrum is a highly dynamic activity but to this point has not been well characterised mechanically. In this review, we synthesise the available research literature relating to the medical and biomechanical aspects of the rugby union scrum, in order to (1) review the injury epidemiology of rugby scrummaging; (2) consider the evidence for specific injury mechanisms existing to cause serious scrum injuries and (3) synthesise the information available on the biomechanics of scrummaging, primarily with respect to force production. The review highlights that the incidence of acute injury associated with scrummaging is moderate but the risk per event is high. The review also suggests an emerging acknowledgement of the potential for scrummaging to lead to premature chronic degeneration injuries of the cervical spine and summarises the mechanisms by which these chronic injuries are thought to occur. More recent biomechanical studies of rugby scrummaging confirm that scrum engagement forces are high and multiplanar, but can be altered through modifications to the scrum engagement process which control the engagement velocity. As the set scrum is a relatively 'controlled' contact situation within rugby union, it remains an important area for intervention with a long-term goal of injury reduction.

Background: Numerous injury epidemiology studies have reported injury patterns in senior rugby union, but investigations in youth rugby are limited. Purpose: To describe the nature of injuries resulting from match play within the English youth rugby union, including a comparison between 2 levels of play within the same age group: professional academy versus school rugby. Study Design: Cohort study; Level of evidence, 2. Methods: A 2-season (2006-2007 and 2007-2008) study obtained information on injuries sustained in male youth rugby union players (age, 16-18 years) from 12 English Premiership academies (n = 250) and 7 schools (n = 222). Match exposure (player-hours) and injury details were recorded. Results: Match injury incidence was 47 per 1000 player-hours for the academy and 35 per 1000 player-hours for the school groups; these rates were statistically different ( P = .026). The most common injury site was the lower limb and the most common injury type was a ligament sprain, with injuries to the knee and shoulder region resulting in the greatest burden of injury for both groups. The tackle event was the most common cause of match injury for both academy (51% of injuries) and school (57% of injuries) groups. Conclusion: Overall, the incidence of injury for youth rugby was lower than for previous studies in senior rugby, but injury patterns (location, type) and causes were similar. The study confirmed that match injury incidence was significantly greater in elite academy youth rugby union than schools rugby. The results suggest that the specific focus for injury risk management in youth rugby should be on players’ tackle technique and prevention strategies for knee and shoulder injuries.

This study investigated machine scrummaging at different playing levels in rugby union and analysed kinetic factors that might influence performance and injury risk. Thirty-four forward packs from six different playing levels scrummaged against an instrumented scrum machine under real environmental conditions. Applied forces were measured in three orthogonal directions. The peak (SD) of the overall compression forces during engagement ranged between 16.5 (1.4) kN (International-Elite) and 8.7 (0.1) kN (Women), while sustained compression forces spanned between 8.3 (1.0) kN (International) and 4.8 (0.5) kN (Women). The peak of the overall vertical force during the initial engagement phase was between -3.9 (0.7) kN (Elite) and -2.0 (1.0) kN (School), and the range of lateral forces was between 1.8 (0.3) kN (International) and 1.1 (0.3) kN (School). Forces measured across all playing levels, particularly during initial engagement, were generally higher than those measured in the most commonly cited previous studies. This increase may be due to a combination of changes in modern scrummaging technique, changes in players' anthropometrics, and experimental conditions that better respect ecological validity. The magnitude of the measured forces is in the range of values that studies on cadaveric specimens have indicated as potentially hazardous for (chronic) spine injuries.

As part of a wider project investigating the biomechanics of the rugby scrum within rugby union, the focus of the present study was to design, realise and test an unobtrusive measurement system for assessing the kinematics and kinetics of rugby forwards while scrummaging on the pitch in realistic environmental conditions. Currently the study investigates one forward pack (eight players) scrummaging against an instrumented scrum machine, a training aid used widely throughout rugby. The measurement system integrates three different subsystems for: (1) measuring forces exerted by players; (2) capturing players’ movements; and, (3) triggering/synchronising all the sensors involved in (1) and (2). Applied three-dimensional forces were measured by strain gauge circuits attached to each pusher arm of the machine and then summed to produce the components of overall force. Multiple camera views allowed the recording and subsequent analysis of player movements, in the primary transverse (50 Hz and 200 Hz) and sagittal (50 Hz) planes of motion. A control system executed pre-recorded audio commands to players with consistent timings, sent trigger pulses to acquisition devices and collected analogue data at 500 Hz. The overall system has been applied successfully in the field to record data from rugby union forward packs across a range of playing levels and initial results confirm that the measurement system will be useful for its desired purpose to compare the biomechanics of different scrum engagement techniques.

Background Injuries to youth rugby players have become an increasingly prominent health concern, highlighting the importance of developing and implementing appropriate preventive strategies. A growing body of evidence from other youth sports has demonstrated the efficacy of targeted exercise regimens to reduce injury risk. However, studies have yet to investigate the effect of such interventions in youth contact sport populations like rugby union. Objective To determine the efficacy of an evidence-based movement control exercise programme compared with a sham exercise programme to reduce injury risk in youth rugby players. Exercise programme compliance between trial arms and the effect of coach attitudes on compliance will also be evaluated. Setting School rugby coaches in England will be the target of the researcher intervention, with the effects of the injury prevention programmes being measured in male youth players aged 14–18 years in school rugby programmes over the 2015–2016 school winter term. Methods A cluster-randomised controlled trial with schools randomly allocated to either a movement control exercise programme or a sham exercise programme, both of which are coach-delivered. Injury measures will derive from field-based injury surveillance, with match and training exposure and compliance recorded. A questionnaire will be used to evaluate coach attitudes, knowledge, beliefs and behaviours both prior to and on the conclusion of the study period. Outcome measures Summary injury measures (incidence, severity and burden) will be compared between trial arms, as will the influence of coach attitudes on compliance and injury burden. Additionally, changes in these outcomes through using the exercise programmes will be evaluated. Trial registration number ISRTCNN13422001.

In this study, we investigated the effect of ingesting carbohydrate alone or carbohydrate with protein on functional and metabolic markers of recovery from a rugby union-specific shuttle running protocol. On three occasions, at least one week apart in a counterbalanced order, nine experienced male rugby union forwards ingested placebo, carbohydrate (1.2 g · kg body mass(-1) · h(-1)) or carbohydrate with protein (0.4 g · kg body mass(-1) · h(-1)) before, during, and after a rugby union-specific protocol. Markers of muscle damage (creatine kinase: before, 258 ± 171 U · L(-1) vs. 24 h after, 574 ± 285 U · L(-1); myoglobin: pre, 50 ± 18 vs. immediately after, 210 ± 84 nmol · L(-1); P0.05) and muscle soreness (1, 2, and 3 [maximum soreness = 8] for before, immediately after, and 24 h after exercise, respectively) increased. Leg strength and repeated 6-s cycle sprint mean power were slightly reduced after exercise (93% and 95% of pre-exercise values, respectively; P0.05), but were almost fully recovered after 24 h (97% and 99% of pre-exercise values, respectively). There were no differences between trials for any measure. These results indicate that in experienced rugby players, the small degree of muscle damage and reduction in function induced by the exercise protocol were not attenuated by the ingestion of carbohydrate and protein.

The purpose of the present time-motion analysis study was to gain greater understanding of physiological demands placed on netball players during competition. Six players for 3 positional groups we...

Since the declaration by the International Rugby Board (IRB) in August 1995 that the game of rugby union would become professional, the sport has undergone considerable change both on and off the f...

BACKGROUND: A negative association between injuries and team success has been demonstrated in professional football, but the nature of this association in elite Rugby Union teams is currently unclear.AIM: To assess the association between injury burden measures and team success outcomes within professional Rugby Union teams.METHODS: A seven-season prospective cohort design was used to record all time-loss injuries incurred by English Premiership players. Associations between team success measures (league points tally and Eurorugby Club Ranking (ECR)) and injury measures (injury burden and injury days per team-match) were modelled, both within (changes from season to season) and between (differences averaged over all seasons) teams. Thresholds for the smallest worthwhile change in league points tally and ECR were 3 points and 2.6%, respectively.RESULTS: Data from a total of 1462 players within 15 Premiership teams were included in the analysis. We found clear negative associations between injury measures and team success (70-100% likelihood), with the exception of between-team differences for injury days per team-match and ECR, which was unclear. A reduction in injury burden of 42 days (90% CI 30 to 70) per 1000 player hours (22% of mean injury burden) was associated with the smallest worthwhile change in league points tally.CONCLUSIONS: Clear negative associations were found between injury measures and team success, and moderate reductions in injury burden may have worthwhile effects on competition outcomes for professional Rugby Union teams. These findings may be useful when communicating the value of injury prevention initiatives within this elite sport setting.

Purpose:To explore the association between in-season training-load (TL) measures and injury risk in professional rugby union players.Methods:This was a 1-season prospective cohort study of 173 professional rugby union players from 4 English Premiership teams. TL (duration × session-RPE) and time-loss injuries were recorded for all players for all pitch- and gym-based sessions. Generalized estimating equations were used to model the association between in-season TL measures and injury in the subsequent week.Results:Injury risk increased linearly with 1-wk loads and week-to-week changes in loads, with a 2-SD increase in these variables (1245 AU and 1069 AU, respectively) associated with odds ratios of 1.68 (95% CI 1.05–2.68) and 1.58 (95% CI 0.98–2.54). When compared with the reference group (8651 AU (OR 1.39, 95% CI 0.98–1.98).Conclusions:Players had an increased risk of injury if they had high 1-wk cumulative loads (1245 AU) or large week-to-week changes in TL (1069 AU). In addition, a U-shaped relationship was observed for 4-wk cumulative loads, with an apparent increase in risk associated with higher loads (>8651 AU). These measures should therefore be monitored to inform injury-risk-reduction strategies.

This study investigated changes in performance and technique that occur during maximal effort bend sprinting compared with straight-line sprinting under typical outdoor track conditions. Utilising a repeated measures design, three-dimensional video analysis was conducted on seven male sprinters in both conditions (bend radius: 37.72 m). Mean race velocity decreased from 9.86 to 9.39 m/s for the left step (p = 0.008) and from 9.80 to 9.33 m/s for the right step (p = 0.004) on the bend compared with the straight, a 4.7% decrease for both steps. This was mainly due to a 0.11 Hz (p = 0.022) decrease in step frequency for the left step and a 0.10 m (p = 0.005) reduction in race step length for the right step. The left hip was 4.0° (p = 0.049) more adducted at touchdown on the bend than the straight. Furthermore, the bend elicited significant differences between left and right steps in a number of variables including ground contact time, touchdown distance and hip flexion/extension and abduction/adduction angles. The results indicate that the roles of the left and right steps may be functionally different during bend sprinting. This specificity should be considered when designing training programmes.

Aim: To establish the propensity for specific contact events to cause injury in rugby union. Methods: Medical staffat participating English community-level rugby clubs reported any injury resulting in the absence for one match or more from the day of the injury during the 2009/2010 (n=46), 2010/2011 (n=67) and 2011/2012 (n=76) seasons. Injury severity was defined as the number of matches missed. Thirty community rugby matches were filmed and the number of contact events (tackles, collision tackles, rucks, mauls, lineouts and scrums) recorded. Results: Of 370 (95% CI 364 to 378) contact events per match, 141 (137 to 145) were tackles, 115 (111 to 119) were rucks and 32 (30 to 33) were scrums. Tackles resulted in the greatest propensity for injury (2.3 (2.2 to 2.4) injuries/1000 events) and the greatest severity (16 (15 to 17) weeks missed/1000 events). Collision tackles (illegal tackles involving a shoulder charge) had a propensity for injury of 15 (12.4 to 18.3) injuries/1000 events and severity was 92 (75 to 112) weeks missed/1000 events, both of which were higher than any other event. Additional scrum analysis showed that only 5% of all scrums collapsed, but the propensity for injury was four times higher (2.9 (1.5 to 5.4) injuries/1000 events) and the severity was six times greater (22 (12 to 42) weeks missed/1000 events) than for non-collapsed scrums. Conclusions: Injury prevention in the tackle should focus on technique with strict enforcement of existing laws for illegal collision tackles. The scrum is a relatively controllable event and further attempts should be made to reduce the frequency of scrum collapse.

Aims: Biomechanical studies of the rugby union scrum have typically been conducted using instrumented scrum machines, but a large-scale biomechanical analysis of live contested scrummaging is lacking. We investigated whether the biomechanical loading experienced by professional front row players during the engagement phase of live contested rugby scrums could be reduced using a modified engagement procedure.Methods: Eleven professional teams (22 forward packs) performed repeated scrum trials for each of three engagement techniques, outdoors, on natural turf. The engagement processes were the 2011/12 (referee calls crouch-touch-pause-engage; CTPE), 2012/13 (referee calls crouch-touch-set; CTS) and 2013/14 (props pre-bind with the opposition prior to the “Set” command; PreBind) variants. Forces were estimated by pressure sensors on the shoulders of the front row players of one forward pack. Inertial Measurement Units were placed on an upper spine cervical landmark (C7) of the six front row players to record accelerations. Players’ motion was captured by multiple video cameras from three viewing perspectives and analysed in transverse and sagittal planes of motion.Results: The PreBind technique reduced biomechanical loading in comparison with the other engagement techniques, with engagement speed, peak forces and peak accelerations of upper spine landmarks reduced by approximately 20%. There were no significant differences between techniques in terms of body kinematics and average force during the sustained push phase.Conclusion: Using a scrum engagement process which involves binding with the opposition prior to the engagement reduces the stresses acting on players and therefore may represent a possible improvement for players’ safety.

Background Context: High-energy impacts are commonly encountered during sports such as Rugby Union. Whilst catastrophic injuries resulting from such impacts are rare, the consequences can be devastating for all those involved. A greater level of understanding of cervical spine injury mechanisms is required, with the ultimate aim of minimizing such injuries.Purpose: The present study aimed to provide a greater understanding of cervical spine injury mechanisms, by subjecting porcine spinal specimens to impact conditions based on those measured in vivo. The impacts were investigated using high-speed digital image correlation (DIC), a method not previously adopted for spinal impact research.Study Design: In-vitro biomechanical studyMethods: The study was funded through an institutional grant from the Rugby Football Union Injured Players Foundation. Eight porcine specimens were impacted using a custom-made rig. The cranial and caudal axial loads were measured at 1 MHz. Video data were captured with two cameras at 4 kHz, providing measurements of the 3D deformation and surface strain field of the specimens using DIC.Results: The injuries induced on the specimens were similar to those observed clinically. The mean (±SD) peak caudal load was 6.0 (±2.1) kN, which occurred 5.6 (±1.1) ms after impact. Damage observable with the video data occurred in six specimens, 5.4 (±1.1) ms after impact, and the peak surface strain at fracture initiation was 4.6 (±0.5) %.Conclusions: This study has provided an unprecedented insight into the injury mechanisms of the cervical spine during impact loading. The posture represents a key factor in injury initiation, with lordosis of the spine increasing the likelihood of injury.

This study investigated lower-limb kinematics to explain the techniques used to achieve high levels of sprint start performance. A cross-sectional design was used to examine relationships between specific technique variables and horizontal external power production during the block phase. Video data were collected (200 Hz) at the training sessions of 16 sprinters who ranged in 100 m personal best times from 9.98 to 11.6 s. Each sprinter performed three 30 m sprints and reliable (all intraclass correlation coefficients, ICC(2,3) ≥ 0.89) lower-limb kinematic data were obtained through manual digitising. The front leg joints extended in a proximal-to-distal pattern for 15 sprinters, and a moderate positive relationship existed between peak front hip angular velocity and block power (r = 0.49, 90% confidence limits = 0.08-0.76). In the rear leg, there was a high positive relationship between relative push duration and block power (r = 0.53, 90% confidence limits = 0.13-0.78). The rear hip appeared to be important; rear hip angle at block exit was highly related to block power (r = 0.60, 90% confidence limits = 0.23-0.82), and there were moderate positive relationships with block power for its range of motion and peak angular velocity (bothr = 0.49, 90% confidence limits = 0.08-0.76). As increased block power production was not associated with any negative aspects of technique in the subsequent stance phase, sprinters should be encouraged to maximise extension at both hips during the block phase.

Purpose:To assess the validity of a digitizing time–motion-analysis method for field-based sports and compare this with a notational-analysis method using rugby-union match play.Method:Five calibrated video cameras were located around a rugby pitch, and 1 subject completed prescribed movements within each camera’s view. Running speeds were measured using photocell timing gates. Two experienced operators digitized video data (operator 1 on 2 occasions) to allow 2-dimensional reconstruction of the prescribed movements.Results:Accuracy for total distance calculated was within 2.1% of the measured distance. For intraoperator and interoperator reliability, calculated distances were within 0.5% and 0.9%, respectively. Calculated speed was within 8.0% of measured photocell speed with intraoperator and interoperator reliability of 3.4% and 6.0%, respectively. For the method comparison, two 20-minute periods of rugby match play were analyzed for 5 players using the digitizing method and a notational time–motion method. For the 20-minute periods, overall mean absolute differences between methods for percentage time spent and distances covered performing different activities were 3.5% and 198.1 ± 138.1 m, respectively. Total number of changes in activity per 20 minutes were 184 ± 24 versus 458 ± 48, and work-to-rest ratios, 10.0%:90.0% and 7.3%:92.7% for notational and digitizing methods, respectively.Conclusion:The digitizing method is accurate and reliable for gaining detailed information on work profiles of field-sport participants and provides applied researchers richer data output than the conventional notational method.