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Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles
OBJECTIVE: This study aimed to identify the risk factors for tackle-related concussion observed in matches involving under (U) 18, U 22 and professional men’s Rugby Union players through video analysis. STUDY DESIGN: Descriptive epidemiology study. METHODS: Twenty Rugby Union matches each for high s...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576729/ https://www.ncbi.nlm.nih.gov/pubmed/37837553 http://dx.doi.org/10.1186/s40798-023-00642-z |
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author | Kawasaki, Takayuki Kawakami, Yuta Nojiri, Shuko Hasegawa, Yoshinori Kuroki, Manabu Sobue, Shogo Shibuya, Kenta Takazawa, Yuji Ishijima, Muneaki |
author_facet | Kawasaki, Takayuki Kawakami, Yuta Nojiri, Shuko Hasegawa, Yoshinori Kuroki, Manabu Sobue, Shogo Shibuya, Kenta Takazawa, Yuji Ishijima, Muneaki |
author_sort | Kawasaki, Takayuki |
collection | PubMed |
description | OBJECTIVE: This study aimed to identify the risk factors for tackle-related concussion observed in matches involving under (U) 18, U 22 and professional men’s Rugby Union players through video analysis. STUDY DESIGN: Descriptive epidemiology study. METHODS: Twenty Rugby Union matches each for high school (U18), university/college (U22) and professional (Elite) were randomly selected from 202 matches in the 2018/2019 season. Both one-on-one and tackles involving multiple tacklers were analyzed for the 60 matches. The 28 categorical and continuous variables (e.g., tackle characteristics and duration before the tackle) were applied as risk factors to a least absolute shrinkage and selection operator (Lasso) regression analysis. To identify high-risk situations, a simulation model with coefficients obtained from the Lasso regression was used. Statistical analysis was conducted according to tackle direction. RESULTS: A total of 14,809 tackles and 41 concussions involving 1800 players were included in the analyses. The incidence rate of concussions (injuries/1000 tackles) was greater in Elite players (4.0) compared with U18 (1.9) and U22 (2.4) players. The factors most highly associated with concussions were head-in-front tackles (where the tackler’s head is placed forward, impeding a ball carrier’s forward movements, 11.26/1000 tackles), and were more often observed among U18 players. A simulation model predicted that the highest risk tackle situation in Elite players was a head-in-front, side-on tackle below the hip of the ball carrier (predicted incidence rate 18.07/1000 tackles). CONCLUSION: The risk factors associated with concussion need to be assessed cautiously. Avoiding head-in-front, side-on tackles to the lower extremities of a ball carrier should be considered to reduce injury risks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40798-023-00642-z. |
format | Online Article Text |
id | pubmed-10576729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-105767292023-10-16 Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles Kawasaki, Takayuki Kawakami, Yuta Nojiri, Shuko Hasegawa, Yoshinori Kuroki, Manabu Sobue, Shogo Shibuya, Kenta Takazawa, Yuji Ishijima, Muneaki Sports Med Open Original Research Article OBJECTIVE: This study aimed to identify the risk factors for tackle-related concussion observed in matches involving under (U) 18, U 22 and professional men’s Rugby Union players through video analysis. STUDY DESIGN: Descriptive epidemiology study. METHODS: Twenty Rugby Union matches each for high school (U18), university/college (U22) and professional (Elite) were randomly selected from 202 matches in the 2018/2019 season. Both one-on-one and tackles involving multiple tacklers were analyzed for the 60 matches. The 28 categorical and continuous variables (e.g., tackle characteristics and duration before the tackle) were applied as risk factors to a least absolute shrinkage and selection operator (Lasso) regression analysis. To identify high-risk situations, a simulation model with coefficients obtained from the Lasso regression was used. Statistical analysis was conducted according to tackle direction. RESULTS: A total of 14,809 tackles and 41 concussions involving 1800 players were included in the analyses. The incidence rate of concussions (injuries/1000 tackles) was greater in Elite players (4.0) compared with U18 (1.9) and U22 (2.4) players. The factors most highly associated with concussions were head-in-front tackles (where the tackler’s head is placed forward, impeding a ball carrier’s forward movements, 11.26/1000 tackles), and were more often observed among U18 players. A simulation model predicted that the highest risk tackle situation in Elite players was a head-in-front, side-on tackle below the hip of the ball carrier (predicted incidence rate 18.07/1000 tackles). CONCLUSION: The risk factors associated with concussion need to be assessed cautiously. Avoiding head-in-front, side-on tackles to the lower extremities of a ball carrier should be considered to reduce injury risks. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40798-023-00642-z. Springer International Publishing 2023-10-14 /pmc/articles/PMC10576729/ /pubmed/37837553 http://dx.doi.org/10.1186/s40798-023-00642-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Research Article Kawasaki, Takayuki Kawakami, Yuta Nojiri, Shuko Hasegawa, Yoshinori Kuroki, Manabu Sobue, Shogo Shibuya, Kenta Takazawa, Yuji Ishijima, Muneaki Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title | Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title_full | Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title_fullStr | Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title_full_unstemmed | Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title_short | Risk Factors for Concussion in Under 18, Under 22 and Professional Men's Rugby Union: A Video Analysis of 14,809 Tackles |
title_sort | risk factors for concussion in under 18, under 22 and professional men's rugby union: a video analysis of 14,809 tackles |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576729/ https://www.ncbi.nlm.nih.gov/pubmed/37837553 http://dx.doi.org/10.1186/s40798-023-00642-z |
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