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Meta-Analysis
. 2018 Apr;48(4):837-848.
doi: 10.1007/s40279-017-0838-4.

The Incidence of Injury in Amateur Male Rugby Union: A Systematic Review and Meta-Analysis

Caithriona Yeomans  1 , Ian C Kenny  2   3 , Roisin Cahalan  3   4 , Giles D Warrington  2   3 , Andrew J Harrison  2 , Kevin Hayes  5 , Mark Lyons  2 , Mark J Campbell  2   6 , Thomas M Comyns  2
Affiliations
Meta-Analysis

The Incidence of Injury in Amateur Male Rugby Union: A Systematic Review and Meta-Analysis

Caithriona Yeomans et al. Sports Med. 2018 Apr.

Abstract

Background: Rugby union is a physically demanding, full-contact team sport that has gained worldwide popularity. The incidence of injury in rugby union has been widely reported in the literature. While comprehensive injury surveillance and prevention programmes have been implemented within the professional game, there is a need for similar strategies in the amateur game. Despite recent increases in the volume of research in rugby, there is little consensus regarding the true incidence rate of match and training injuries in senior amateur male rugby union players.

Objective: The aim of the current review was to systematically review the available evidence on the epidemiology of time-loss injuries in senior amateur male rugby union players and to subsequently conduct a meta-analysis of the findings.

Methods: A comprehensive search of the PubMed, Scopus, SportDiscus and Google Scholar electronic databases was performed using the following keywords; ('rugby' OR 'rugby union') AND ('amateur' OR 'community') AND ('injur*' OR 'pain*'). Six articles regarding the incidence of injury in senior amateur male rugby union players, in both matches and training, were retrieved and included in the meta-analysis to determine the overall incidence rate of match injury, with descriptive analyses also provided for other reported variables.

Results: The overall incidence rate of match injuries within senior amateur rugby union players was 46.8/1000 player hours [95% confidence interval (CI) 34.4-59.2]. Contact events accounted for the majority of injuries, with the tackler more at risk than the player being tackled, and with respective incidence rates of 15.9/1000 player hours (95% CI 12.4-19.5) and 12.2/1000 player hours (95% CI 9.3-15.1).

Conclusion: This meta-analysis found that the incidence rate of injury in amateur rugby union players was lower than that in professional players, but higher than the incidences reported in adolescent and youth rugby players. By understanding the true incidence and nature of injuries in rugby, injury prevention strategies can best be implemented. Future prevention strategies may best be aimed towards the tackle area, specifically to the tackler, in order to minimize injury risk.

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Conflict of interest statement

Conflicts of interest

Caithriona Yeomans, Ian C. Kenny, Roisin Cahalan, Giles D. Warrington, Andrew J. Harrison, Kevin Hayes, Mark Lyons, Mark J. Campbell and Thomas M. Comyns declare that they have no potential conflicts of interest that are directly relevant to the content of this review.

Funding

Funding for this review was provided by the Irish Rugby Football Union and the University of Limerick, Ireland.

Figures

Fig. 1
Fig. 1
PRISMA [23] flowchart illustrating the inclusion and exclusion criteria used in the systematic review. PRISMA preferred reporting items for systematic reviews and meta-analyses
Fig. 2
Fig. 2
Incidence of match injuries (per 1000 player hours, with 95% confidence intervals). Roberts et al. [31] used an 8-day time-loss injury definition
Fig. 3
Fig. 3
Incidence of injuries (with 95% confidence intervals) by location of injury
Fig. 4
Fig. 4
Incidence of injuries (with 95% confidence intervals) by injury type
See this image and copyright information in PMC

References

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