Investigating Nutrition and Hydration Knowledge and Practice among a Cohort of Age-Grade Rugby Union Players

Optimal athletic performance relies on meeting specific nutritional requirements, encompassing adequate calorie intake, macronutrient intake, and hydration. Misinformation or misconceptions about these necessities are prevalent among young athletes. This study investigated nutrition and hydration knowledge and practices among 28 male rugby union players aged 16 to 17, participating in Munster Rugby's 2023 Summer Age-Grade Development Programme, specifically the U18's Schools Squad. The Nutrition for Sport Knowledge Questionnaire assessed nutrition knowledge, while the Hydration Assessment Questionnaire evaluated hydration knowledge. Urinalysis for hydration status utilised urine specific gravity measurements pre-exercise on five separate days (1.018 ± 0.008 Usg). Dietary intake was recorded using a 3-day estimated food intake record on the Libro App, analysed with Nutritics software(Version 9.50). Suboptimal nutrition knowledge (49.6 ± 8.2%) and dietary practices were observed, with incongruent nutrient intakes compared to recommendations for adolescent athletes. While superior hydration knowledge (79.0 (77.3, 83.6) %) was evident, pre-exercise urine specific gravity readings indicated significant variation (p < 0.001) and signs of dehydration (USG > 1.020 Usg). No statistically significant correlations were found between knowledge and practices. The study highlights suboptimal nutrition and hydration knowledge and practices in youth athletes, suggesting the need for tailored support and educational interventions to enhance their overall health and performance. Further investigation into barriers and facilitators to dietary adherence is recommended for more effective interventions.

The World Rugby and International Rugby Players Contact Load Guidelines: From conception to implementation and the future

Managing training load in rugby union is crucial for optimising performance and injury prevention. Contact training warrants attention because of higher overall injury and head impact risk, yet players must develop physical, technical, and mental skills to withstand the demands of the game. To help coaches manage contact loads in professional rugby, World Rugby and International Rugby Players convened an expert working group. They conducted a global survey with players to develop contact load guidelines. This commentary aims to describe the contact load guidelines and their implementation, and identify areas where future work is needed to support their evolution.

Validation of an instrumented mouthguard in rugby union-a pilot study comparing impact sensor technology to video analysis

Background

To better understand the biomechanical profile of direct head impacts and the game scenarios in which they occur in Rugby Union, there is a need for an on-field validation of a new instrumented mouthguard (IMG) against the reference standard. This study considers the potential of a combined biomechanical (IMG) and video analysis approach to direct head impact recognition, both of which in isolation have limitations. The aim of this study is to assess the relationship between an instrumented mouthguard and video analysis in detection of direct head impacts in rugby union.

Design

Pilot Study - Observational Cohort design.

Methods

The instrumented mouthguard was worn by ten (3 backs, 7 forwards) professional Rugby Union players during the 2020-21 Gallagher Premiership (UK) season. Game-day video was synchronized with timestamped head acceleration events captured from the instrumented mouthguard. Direct Head Impacts were recorded in a 2 × 2 contingency table to determine sensitivity. Impact characteristics were also collected for all verified head impacts to further the understanding of head biomechanics during the game.

Results

There were 2018 contact events that were reviewed using video analysis. Of those 655 were categorized as direct head impacts which also correlated with a head acceleration event captured by the IMG. Sensitivity analysis showed an overall sensitivity of 93.6% and a positive predictive value (PPV of 92.4%). When false positives were excluded due to ball out of play, mouthguard removal or handling after a scoring situation or stoppage, PPV was improved (98.3%). Most verified head impacts occurred in and around the ruck contest (31.2%) followed by impacts to the primary tackler (28.4%).

Conclusion

This pilot validation study demonstrates that this IMG provides a highly accurate measurement device that could be used to complement video verification in the recognition of on-field direct head impacts. The frequency and magnitude of direct head impacts derived from specific game scenarios has been described and allows for greater recognition of high-risk situations. Further studies with larger sample sizes and in different populations of Rugby Union players are required to develop our understanding of head impact and enable strategies for injury mitigation.

Talent identification and development in an English Premiership rugby union club: the perspectives of players and coaches

The pathway towards senior professional status in sport is affected by a multitude of factors. An abductive examination of the talent identification and development processes at an English Premiership rugby union (RU) club was undertaken for the present study. Part one examined the perspectives on the selection and development processes of senior academy male players (n = 8), whereas part two explored the perceptions of male coaches (n = 7). A total of three focus groups were used. Three main themes were confirmed by players and coaches: (a) task constraints, (b) performer constraints, and (c) environmental constraints. Specifically, although athletes and coaches believed that performer constraints were highly impactful on players' career in RU, there were inconsistencies surrounding the task and environmental constraints. Despite an indication that three common themes impacted an players path, this preliminary study shows an imbalance in the understanding of some of the key factors perceived to be important for talent progression in the present rugby academy. More research using similar qualitative methods is recommended to better understand the differences in opinions between players and coaches. Meanwhile, practitioners should consider implementing objective and holistic strategies to improve the talent pathway in English RU academies.

Effects of 24-week prebiotic intervention on self-reported upper respiratory symptoms, gastrointestinal symptoms, and markers of immunity in elite rugby union players

OBJECTIVES

Elite rugby union players face numerous physiological and psychological stressors which can increase upper respiratory and gastrointestinal illness risk, and in turn can compromise training and competitive performance. This study aimed to investigate the effect of daily prebiotic supplementation on upper respiratory symptoms, gastrointestinal symptoms, and markers of immune function in elite rugby union players.

METHODS

Thirty-three elite rugby union players were randomly assigned to consume a prebiotic (2.8 g/day galactooligosaccharide) or placebo (2.8 g/day maltodextrin), daily for 168 days under double-blind conditions. Participants completed daily and weekly questionnaires for self-reported upper respiratory and gastrointestinal symptoms respectively. Blood and saliva samples were collected at 0, 84, and 168 days for assessment of plasma TNF-α and CRP, and saliva IgA respectively.

RESULTS

The prebiotic group experienced a 2-day reduction in upper respiratory symptom duration (P = 0.045). Gastrointestinal symptom severity and incidence were lower in the prebiotic group compared to the placebo group (P < 0.001, P = 0.041) respectively. Salivary immunoglobulin A secretion rate was 42% greater in the prebiotic group compared to the placebo group at day 168 (P = 0.004), no differences in CRP and TNF-α were found (P > 0.05).

CONCLUSION

A 168-day dietary prebiotic intervention reduced the duration of upper respiratory symptoms and reduced the incidence and severity of gastrointestinal symptoms in elite rugby union players. These findings suggest that seasonal prebiotic interventions may be beneficial for reducing illness in elite rugby union players, improving their availability to train and compete.Key pointsElite athletes are susceptible to upper respiratory symptoms and gastrointestinal symptoms which may impact upon training availability and competition performance.For the first time, this study shows that a dietary prebiotic intervention can reduce the duration of upper respiratory symptoms by 2 days in elite rugby union players.Dietary prebiotic supplementation can improve the incidence and severity of gastrointestinal symptoms experienced by elite rugby union players.Prebiotic supplementation was able to increase salivary IgA secretion after 168 days.These findings can inform practice suggesting that seasonal prebiotic use has the potential to modulate immune function and reduce illness in elite rugby union, which may improve a player's availability to train and compete.The mechanisms by which prebiotics reduce URS and GIS require further research exploration.

Effect of Match Schedule Density on Self-Reported Wellness and Sleep in Referees During the Rugby World Cup

PURPOSE

To examine the effect of match schedule on self-reported wellness and sleep in rugby union referees during the 2019 Rugby World Cup.

METHODS

Following an observational design, 18 international-level male referees participating in the 2019 Rugby World Cup completed a daily questionnaire to quantify wellness status (sleep quality, mood, stress, fatigue, muscle soreness, and total wellness) and sleep characteristics (bedtime, wake-up time, and time in bed) from the previous night across the tournament. Linear mixed models and effect sizes (Hedges gav) assessed differences in wellness and sleep characteristics between prematch and postmatch days surrounding single-game and 2-game congested match schedules (prematch1, postmatch1, prematch2, and postmatch2 days).

RESULTS

During regular schedules, all self-reported wellness variables except stress were reduced (gav = 0.33-1.05, mean difference -0.32 to -1.21 arbitrary units [AU]) and referees went to bed later (1.08, 1:07 h:min) and spent less time in bed (-0.78, 00:55 h:min) postmatch compared with prematch days. During congested schedules, only wellness variables differed across days, with total wellness reduced on postmatch1 (-0.88, -3.56 AU) and postmatch2 (-0.67, -2.70 AU) days, as well as mood (-1.01, -0.56 AU) and fatigue (-0.90, -1.11 AU) reduced on postmatch1 days compared with prematch days.

CONCLUSION

Referees were susceptible to acute reductions in wellness on days following matches regardless of schedule. However, only single-game regular match schedules negatively impacted the sleep characteristics of referees. Targeted strategies to maximize wellness status and sleep opportunities in referees considering the match schedule faced should be explored during future Rugby World Cup competitions.

Physical Fitness Tests as Predictors of High-Intensity Running Performance in Rugby

Understanding the physical fitness elements that influence high-intensity running ability during rugby matches is crucial for optimizing player performance and developing effective training strategies. In this study, we aimed to investigate the relationships between various physical fitness components and high-intensity running ability in rugby. For this purpose, 60 Japanese university rugby players were randomized into four groups and two matches were played. The participants were monitored in two matches, and their running abilities were assessed using GPS sensors. The running time was divided into three running velocity categories: distance run at ≤5.4 km/h (low-intensity running); distance run at 5.5~17.9 km/h (medium-intensity running), and distance run at ≥18.0 km/h ≤(high-intensity running) and backs and forwards were evaluated separately. To determine which physical fitness test is more predictive of performance, we decided to correlate several physical test performances with the running time intensities during the matches. Independently of the position, the high-intensity running time correlated with the repeated sprint ability (RSA) and the 40 m sprint speed. The results suggest that RSA measured in the field is the most important high-intensity running ability predictor during a match for both positions.

Lower systemic nitric oxide bioactivity, cerebral hypoperfusion and accelerated cognitive decline in formerly concussed retired rugby union players

NEW FINDINGS

What is the central question of this study? What are the molecular, cerebrovascular and cognitive biomarkers of retired rugby union players with concussion history? What is the main finding and its importance? Retired rugby players compared with matched controls exhibited lower systemic nitric oxide bioavailability accompanied by lower middle cerebral artery velocity and mild cognitive impairment. Retired rugby players are more susceptible to accelerated cognitive decline.

ABSTRACT

Following retirement from sport, the chronic consequences of prior-recurrent contact are evident and retired rugby union players may be especially prone to accelerated cognitive decline. The present study sought to integrate molecular, cerebrovascular and cognitive biomarkers in retired rugby players with concussion history. Twenty retired rugby players aged 64 ± 5 years with three (interquartile range (IQR), 3) concussions incurred over 22 (IQR, 6) years were compared to 21 sex-, age-, cardiorespiratory fitness- and education-matched controls with no prior concussion history. Concussion symptoms and severity were assessed using the Sport Concussion Assessment Tool. Plasma/serum nitric oxide (NO) metabolites (reductive ozone-based chemiluminescence), neuron specific enolase, glial fibrillary acidic protein and neurofilament light-chain (ELISA and single molecule array) were assessed. Middle cerebral artery blood velocity (MCAv, doppler ultrasound) and reactivity to hyper/hypocapnia (CVR CO 2 hyper ${\mathrm{CVR}}_{{\mathrm{CO}}_{\mathrm{2}}{\mathrm{hyper}}}$ /CVR CO 2 hypo ${\mathrm{CVR}}_{{\mathrm{CO}}_{\mathrm{2}}{\mathrm{hypo}}}$ ) were assessed. Cognition was determined using the Grooved Pegboard Test and Montreal Cognitive Assessment. Players exhibited persistent neurological symptoms of concussion (U = 109(41) , P = 0.007), with increased severity compared to controls (U = 77(41) , P < 0.001). Lower total NO bioactivity (U = 135(41) , P = 0.049) and lower basal MCAv were apparent in players (F2,39  = 9.344, P = 0.004). This was accompanied by mild cognitive impairment (P = 0.020, 95% CI, -3.95 to -0.34), including impaired fine-motor coordination (U = 141(41) , P = 0.021). Retired rugby union players with history of multiple concussions may be characterised by impaired molecular, cerebral haemodynamic and cognitive function compared to non-concussed, non-contact controls.

"Getting on the same page" enhancing team performance with shared mental models-case studies of evidence informed practice in elite sport

Within high performing, team invasion sports, collective decision making and coordination between teammates are essential characteristics. There is a wealth of evidence supportive of shared mental models as being an important construct to underpin team coordination. Yet, to this point, there is limited research considering the coaches' voices in the application of shared mental models in high performance sport, nor the challenges coaches face throughout the process. Given these limitations, we provide two case studies of evidence informed practice which privilege the voice of coaches who work in elite rugby union. In doing so, we aim to offer a deeper insight regarding the development, implementation, and continued use of shared mental models to enhance performance. Through these first-person case studies, we present the development of two shared mental models and the processes taken, challenges faced, and coaching methods used to underpin them. The case studies are then discussed with implications for coaches' practice supporting the development of their players' collective decision making.

New Zealand Youth Rugby Sevens: A Comparative Match Demands Study

Rugby sevens has established itself on the world stage since its inclusion in the 2016 Olympics. Participation among New Zealand (NZ) youth has surged. Sevens games have specific high demands, but little is known about these competitive demands in regards to youth. Two NZ male youth squads (U15, n = 13; U19, n = 14) were monitored during a national sevens tournament. Microsensor technology captured heart rate (HR) and kinematic performance. The rating of perceived exertion (RPE) was collected for U15 matches only. U19 and U15 players ran 108 ± 11 and 116 ± 13 m·min^-1 at an average speed (V_AVG) of 6.5 ± 0.6 and 6.9 ± 0.8 km·h^-1. Peak speeds (V_PEAK) reached 33.7 km·h^-1, and high-intensity running distance (HIRD) averaged 252 ± 102 m. U15 (44.3 ± 9.2 game^-1) and U19 (39.4 ± 6.1 game^-1) showed different sprint rates. U15 covered more moderate-velocity distance (20-80% V_MAX) and less low-velocity distance (<20% V_MAX). RPE was 13 ± 1 (U15). An average HR of 90.0 ± 3.9% HR_MAX was recorded. Upwards of 57% of game time was played at >95% HR_MAX. Youth sevens competition is specifically demanding. U15 can experience greater loads than older peers in rugby. Coaches can use this information to optimize players' physical development.

An exploratory study into the relationship between playing at home or away and concussion

PRIMARY OBJECTIVE

To investigate the effect of home and away game travel on risk of concussion across different levels of rugby union.

RESEARCH DESIGN

Exploration study across school, university, and professional rugby teams.

METHODS AND PROCEDURES

Retrospective analysis of concussion incidence and symptomology of surveillance data and prospective data collection for potential concussions via surveys. Data was collected from school rugby teams (n = 344 matches, over 2 years), a university rugby (n = 6 matches), and a professional rugby team (n = 64 matches, over two seasons).

MAIN OUTCOMES AND RESULTS

School level rugby had an increased prevalence of concussions in away matches (p = 0.02). Likewise, there was a significant increase (p < 0.05) in concussions at away matches in university rugby. In addition, the professional rug by team had significant differences in recovery times and symptoms with away fixtures, including longer recovery times (p < 0.01), more initial symptoms (p < 0.01), as well as greater and more severe symptoms at 48 hours (p < 0.05).

CONCLUSIONS

This research highlights an increased prevalence of concussion in school and university-aged rugby players away from home, as well as increased symptoms, symptom severity, and recovery times in professional rugby players.

The cycle ergometer test is not a reliable alternative to the countermovement jump in the assessment of power output

Background

Rugby union is a physically demanding collision sport that requires optimal neuromuscular function for maximal power output, with mechanical power an integral component of performance. Peak power (P_p) and relative P_p are parameters of neuromuscular function commonly assessed through the countermovement jump (CMJ) as a measure of fatigue. The Wattbike cycle ergometer test (CET) is a non-load bearing method of evaluating lower limb power. The cost-effective CET could therefore offer a viable alternative to the CMJ.

Objectives

This study aimed to determine the concurrent validity of the CMJ and CET.

Methods

Thirty-eight professional rugby union players performed twelve CMJs on a force platform with four loads (bodyweight: BW-CMJ; 20kg: 20-CMJ; 40kg: 40-CMJ and 60kg: 60-CMJ) and a six second peak power (6PPO) CET assessment on a Wattbike ergometer.

Results

CMJ power outputs were [BW-CMJ: P_p - 3101±648 W; 20-CMJ: P_p - 2724±513 W; 40-CMJ: P_p - 2490±496 W; 60-CMJ: P_p - 2238±366 W] and CET [P_p - 1310±161 W]. None of the CMJ-P_p values showed relationships with any CET power variables. Large (r = 0.51-0.63; p = 0.000 - 0.001) relationships were found to be between relative CMJ and relative CET power outputs. Bland-Altman plots, which were used to determine the level of agreement between the two assessments, showed the agreement between the tests was poor.

Conclusion

Though positive relationships existed between relative CMJ and relative CET power variables, analyses of the level of agreement in the Bland-Altman plots suggest that the two power assessment methods are not interchangeable measures of power.

The balancing act - Physiotherapists' experiences of managing rugby-related concussion in the community

BACKGROUND

New Zealand Rugby (NZR) implemented a concussion management pathway (CMP) to improve management at the community level. Physiotherapists play an important role in the CMP.

OBJECTIVE

This study explored physiotherapists' experiences in the management of community rugby-related concussion as part of the CMP.

METHODS

We adopted a pragmatic, descriptive qualitative approach to explore perceptions of twenty-four physiotherapists involved in the CMP. Thematic analysis was used to analyze data.

RESULTS

Four themes represented participants' experiences: 1) 'walking the tight rope between player welfare and performance' described the balancing act between different attitudes and priorities of the various rugby stakeholders; 2) empowering physiotherapists' authority and responsibilities, described the influence of physiotherapists' authority within the team and concussion management responsibilities; 3) multi-directional communication, described the role of communication between multiple stakeholders; and 4) the influence of context, which included the complexity of concussion, concussion knowledge of the physiotherapists and team, resource support for the physiotherapist, and access to a medical doctor.

CONCLUSION

Physiotherapists had positive attitudes toward the CMP and are well-positioned to play an active role in the pathway. Priorities of other stakeholders, authority of the physiotherapist and the communication flow influences physiotherapists' ability to optimally manage players with concussion.

Sport-related concussion disclosure in women's rugby-A social identity approach

Introduction

Sport-related concussion (SRC) is a risk of collision sports such as women's rugby. To support appropriate SRC diagnosis and management, an understanding of the factors that encourage SRC disclosure is necessary. To date, research has focused on ascertaining individual player knowledge and attitudes towards SRC disclosure.

Methods

We chose to investigate the potential influence of group identification effects by examining the role of social identity on SRC disclosure in elite women's rugby. Seventeen elite players from the United Kingdom and Ireland were interviewed and their transcripts thematically analysed.

Results

The data highlighted that the players shared a very strong social identity as women in rugby and were acutely aware that their experiences were different to their male counterparts. The shared social identity had both positive and negative implications for SRC disclosure. The players interviewed did not feel comfortable disclosing their symptoms to their coach and often felt that medical staff either did not listen to them or were unavailable to them. Mediators such as communication, trust in medical teams, perceived pressure, positive injury management experience, and player role models were identified.

Discussion

This research could be utilised to inform sport psychology interventions to enhance SRC disclosure in elite women's rugby.

Influence of playing surface on match injury risk in men's professional rugby union in England (2013-2019)

The use of artificial playing surfaces in professional rugby union is growing, but their effect on the injury risk profile remains unclear. The aim of this study was to examine the effect of playing surface on match injury risk in men's professional rugby in England. Six seasons of injury data (2013/14-2018/19) were collected from 15 professional English, men's rugby teams participating in domestic and European competition. The incidence, severity, and burden of match injuries were compared across playing surfaces. The dataset included 3351 injuries from a combined European and domestic data set (separated in to 2 categories; artificial and natural/hybrid surfaces) and 2675 injuries from a domestic only dataset (separated into 3 categories; artificial, hybrid, and natural surfaces). There were no differences in incidence rates between surface types on combined European and domestic match data, but injury burden was significantly greater on artificial (3082 days/1000 h, 95% CI 2847-3337) in comparison with natural/hybrid surfaces (2364 days/1000 h, 95% CI 2277-2454, p < 0.001). These differences were primarily driven by a significantly greater mean severity of hip/groin, and foot/toe injuries on artificial surfaces. This is the largest study to date to examine the relationship between surface type and injury risk in rugby union. The average severity and burden of injuries sustained on artificial surfaces was significantly greater compared with those sustained on hybrid/natural grass surfaces. This study can inform those involved in selection of surface for elite sport, weighing up the positive and negative elements of the varying surface types.

Protect the Player, Protect the Game: Reflections from Ex-Professional Rugby Union Players on Law Changes, Protective Equipment, and Duty of Care in the Professional Game

The emphasis of this study was to interview ex-professional male rugby union players (n = 23, mean age 35.5 ± 4.7 years) and discuss concussion management during their careers. In this study, two major themes were identified: (1) the duty of care to professional rugby union players by medical personnel, coaching staff, and owners of professional clubs and (2) the use of protective equipment and law changes to enhance player safety. In total, twenty-three ex-professional rugby union players were interviewed, and the majority (61%) had represented their countries at international test-level rugby. These interviews highlighted the belief that medical teams should be objective, independent entities within a professional rugby club. Furthermore, medical teams should not be in a position of being pressurised by head coaches, members of the coaching team, or club owners regarding return-to-play (RTP) protocols specific to concussion. The interviewees believed that they were pressured by coaches or members of the coaching team to play with concussion or concussive symptoms and other physical injuries. The results indicated that they had manipulated concussion testing themselves or with assistance to pass standard concussion testing protocols. The interviewees indicated that club owners have a duty of care to players even in retirement due to the high incidence of physical and mental injuries endured as a professional rugby player. Most participants indicated that a reduction in match playing time and reducing the amount of time engaged in contact training (workload volume) may assist in reducing concussion incidence. The participants suggested that changes to the current laws of the game or the use of protective equipment did not mitigate against concussion risk in the game of rugby union. The main limitation to the study is that participants had retired in the past ten years, and conditions for players may have changed. This study has highlighted that additional efforts are required by professional clubs to ensure the highest duty of care is delivered to current players and recently retired players.

Left ventricular function and mechanics in backs and forwards elite rugby union players

PURPOSE

The aim of the present study was to assess left ventricular (LV) morphological and regional functional adaptations in backs and forwards elite rugby union (RU) players.

METHODS

Thirty-nine elite male RU players and twenty sedentary controls have been examined using resting echocardiography. RU players were divided into two groups, forwards (n = 22) and backs (n = 17). Evaluations included tissue Doppler and 2D speckle tracking analysis to assess LV strains and twisting mechanics.

RESULTS

The elite RU players exhibited a LV remodeling characterized by an increase in LV mass indexed to body surface area (82.2 ± 13.2 vs. 99.9 ± 16.1 and 119.7 ± 13.4 g.m^-2, in controls, backs and forwards; P < 0.001). Compared to backs, forwards exhibited lower global longitudinal strain (19.9 ± 2.5 vs. 18.0 ± 1.6%; P < 0.05), lower early diastolic velocity (16.5 ± 1.8 vs. 15.0 ± 2.3 cm.s^-1; P < 0.05) and lower diastolic longitudinal strain rate (1.80 ± 0.34 vs. 1.54 ± 0.26 s^-1; P < 0.01), especially at the apex. LV twist and untwisting velocities were similar in RU players compared to controls, but with lower apical (-46.2 ± 22.1 vs. -28.2 ± 21.7 deg.s^-1; P < 0.01) and higher basal rotational velocities (33.9 ± 20.9 vs. 48.4 ± 20.7 deg.s^-1; P < 0.05).

CONCLUSION

RU players exhibited an increase in LV mass which was more pronounced in forwards. In forwards, LV global longitudinal strain was depressed, LV filling pressures were decreased and LV relaxation depressed at the apex.

Injury and Illness Incidence in 2017 Super Rugby Tournament: A Surveillance Study on a Single South African Team

Background

Professional rugby presents significant injury and illness risks to players, which need to be regularly assessed to monitor the effects of interventions and competition rules changes.

Hypothesis/Purpose

The purpose of this study was to determine the incidence and nature of time-loss injuries and illness during the pre-season and competition period of the 2017 Super Rugby tournament in a single South African team.

Study Design

Descriptive Epidemiology Study.

Methods

Forty-five adult players were recruited from one 2017 Super Rugby South African team, with 39 included in the final data set. Daily injury and illness data were routinely collected during the season by support staff over a 28-week period (January to July 2017), based on standardized injury and illness definitions. Retrospective analyses of the data were performed.

Results

The incidence of match injuries (241.0 per 1000 player hours) was significantly higher than training injuries (3.3 per 1000 player hours). Twenty one percent of all injuries occurred during the tackle; 37.5% of all injuries were of a "moderate" severity. The proportion of players who sustained a time-loss injury was 76.9% (n=30). The overall incidence of illness was 1.8 per 1000 player days. Acute respiratory tract infection (28.6%) was the most common diagnosis, and the majority of illnesses (64.3%) did not result in time-loss.

Conclusion

This study presented a longer study period than previous research by including the pre-season training, but represented only one single team. The incidence of match injuries was significantly higher than previously reported in Super Rugby tournaments, whereas illness rates were significantly lower. Support staff in professional rugby need to be trained on the standardized Orchard System of Classifications to ensure good quality data that can be compared to other teams within the same or other sporting codes.

Level of evidence

Level 3.

Dietary Intake over a 7-Day Training and Game Period in Female Varsity Rugby Union Players

This study estimated the daily energy intake (EI) and energy expenditure (TDEE) in female varsity rugby union players during a weekly training/game cycle. Fifteen (nine forwards, six backs) players (20.5 ± 0.4 y, 167.1 ± 1.8 cm, 74.9 ± 2.9 kg) were monitored for a 7-day period (one fitness, two heavy training, one light training, one game, and two recovery days) during their regular season. The average EI throughout the week for all 15 players was 2158 ± 87 kcal. There were no significant differences between days, but the lowest EI (1921 ± 227 kcal) occurred on the mid-week recovery day and the highest on game day (2336 ± 231 kcal). The average TDEE was 2286 ± 168 kcal (~6% > EI). The mean energy availability (EA) over the 7-day period was 31.1 ± 3.6 kcal/kg FFM/day for the group. Of the players, 14% were in the optimal EA range (>45 kcal/kg FFM/day); 34% were in the moderate range (≥30−45 kcal/kg FFM/day); and 52% had a poor EA of <30 kcal/kg FFM/day. Carbohydrate (3.38 ± 0.36 g/kg/day, 45% of EI); fat (1.27 ± 0.12 g/kg/day, 37% of EI); and protein (1.38 ± 0.12 g/kg/day, 18% of EI) consumption remained similar throughout the week (p > 0.05). The players consumed 6% less energy than they expended, providing poor to moderate EA; therefore, daily carbohydrate intake recommendations were not met.

Development of a Novel Coaching Platform to Improve Tackle Technique in Youth Rugby Players: A Proof of Concept

Rugby union is a field sport that is played at amateur and professional levels by male and female players globally. One of the most prevalent injury risks associated with the sport involves tackle collisions with opposition players. This suggests that a targeted injury reduction strategy could focus on the tackle area in the game. In amateur rugby union, injuries to the head, face and shoulder are the most common injury sites in youth rugby playing populations. A suboptimal tackle technique may contribute to an increased injury risk in these populations. One proposed mitigation strategy to reduce tackle-related injuries in youth populations may be to increase tackle proficiency by coaching an effective tackle technique. The present study aimed to demonstrate a proof of concept for a tackle technique coaching platform using inertial measurement units (IMUs) and a bespoke mobile application developed for a mobile device (i.e., a mobile phone). The test battery provided a proof of concept for the primary objective of modelling the motion of a player in a tackle event. The prototype (bespoke mobile application) modelled the IMU in a 3D space and demonstrated the orientation during a tackle event. The participants simulated ten tackle events that were ten degrees above and ten degrees below the zero degree of approach, and these (unsafe tackles) were indicated by a red light on the mobile display unit. The parameters of ten degrees above and below the zero angle of approach were measured using an inclinometer mobile application. These tackle event simulations provided a real-time stream of data that displayed the angle of tackles on a mobile device. The novel coaching platform could therefore constitute part of an injury reduction strategy for amateur or novice coaches to instruct safer tackle practice in youth rugby playing populations.

A Machine Learning Approach to Analyze Home Advantage during COVID-19 Pandemic Period with Regards to Margin of Victory and to Different Tournaments in Professional Rugby Union Competitions

Home advantage (HA) is the tendency for sporting teams to perform better at their home ground than away from home, it is also influenced by the crowd support, and its existence has been well established in a wide range of team sports including rugby union. Among all the HA determinants, the positive contribute of the crowd support on the game outcome can be analyzed in the unique pandemic situation of COVID-19. Therefore, the aim of the present study was to analyze the HA of professional high-level rugby club competition from a complex dynamical system perspective before and during the COVID-19 pandemic. HA was analyzed in northern and southern hemisphere rugby tournaments with (2013–2019) and without (2020/21) crowd support by the means of the exhaustive chi-square automatic interaction detection (CHAID) decision trees (DT). HA was mitigated by the crowd absence especially in closed games, although differences between tournaments emerged. Both for northern and southern hemisphere, the effect of playing without the crowd support had a negative impact on the home team advantage. These findings evidenced that in ghost games, where differences in the final score were less than a converted try (7 points), HA has disappeared.

Head Accelerations during a 1-on-1 Rugby Tackling Drill Performed by Experienced Rugby Union Players

Rugby Union is a popular sport played by males and females worldwide, from junior to elite levels. The highly physical skill of tackling occurs every few seconds throughout a match and various injuries associated with tackling are relatively common. Of particular interest are head injuries that result in a concussion. Recently, repeated non-injurious head impacts in sport have attracted the attention of researchers interested in brain health. Therefore, this study assessed head movement during repeated rugby tackle drills among experienced Rugby Union players. Experienced male and female participants performed 15 1-on-1 tackles in a motion analysis laboratory to measure the head movements of the ball carrier and tackler during each tackle, using three-dimensional motion capture. The average peak acceleration of the head for ball carriers was 28.9 ± 24.08 g and 36.67 ± 28.91 g for the tacklers. This study found that the type of head impacts common while performing a tackle in Rugby Union are similar to those experienced by soccer players during heading, which has been found to alter brain function that lasts hours after the event. This has important implications for player health and suggests that mitigation strategies should be considered for Rugby Union.

The COVID-19 Pandemic Impact on Away and Home Victories in Soccer and Rugby Union

Objective: To measure the impact of restrictions due to COVID on the proportion of matches won at home, away and draw in professional soccer and rugby union.

Materials and Methods: Two samples of professional soccer and rugby union matches were collected from 2012–13 to 2020–21 seasons. For soccer, data involved first and second division matches of the England, Spain, Germany, Italy, France, Belgium, Scotland, Greece, Portugal, and Turkey championships. For rugby union, championships concerned are Premiership Rugby, Celtic League, Top 14, and Pro D2. The proportions of home, away wins and draw were calculated and compared. A chi-square test of independence between years and types of result was realized to identify an overall inhomogeneity.

Results: The proportion of away matches won between the 2012–13 and 2020–21 seasons increased significantly from 28.5 ± 1.2% to 32.5 ± 1.5% in soccer and from 38.0 ± 3.6% to 42.8 ± 5.0% in rugby union. In Premiership Rugby championship, the victory percentage at home dropped from 55.8 ± 3.1% when tifosi were present to 45.8 ± 12.8% when they were not.

Conclusion: The home advantage was drastically reduced in empty stadiums for several European soccer and rugby union professional championships. It vanished in the Premiership Rugby and Celtic League during the 2020–21 season.

Characterising initial sprint acceleration strategies using a whole-body kinematics approach

Sprint acceleration is an important motor skill in team sports, thus consideration of techniques adopted during the initial steps of acceleration is of interest. Different technique strategies can be adopted due to multiple interacting components, but the reasons for, and performance implications of, these differences are unclear. 29 professional rugby union backs completed three maximal 30 m sprints, from which spatiotemporal variables and linear and angular kinematics during the first four steps were obtained. Leg strength qualities were also obtained from a series of strength tests for 25 participants, and 13 participants completed the sprint protocol on four separate occasions to assess the reliability of the observed technique strategies. Using hierarchical agglomerative cluster analysis, four clear participant groups were identified according to their normalised spatiotemporal variables. Whilst significant differences in several lower limb sprint kinematic and strength qualities existed between groups, there were no significant between-group differences in acceleration performance, suggesting inter-athlete technique degeneracy in the context of performance. As the intra-individual whole-body kinematic strategies were stable (mean CV = 1.9% to 6.7%), the novel approach developed and applied in this study provides an effective solution for monitoring changes in acceleration technique strategies in response to technical or physical interventions.

Concussion history in rugby union players is associated with depressed cerebrovascular reactivity and cognition

Recurrent contact and concussion in rugby union remains a significant public health concern given the potential increased risk of neurodegeneration in later life. This study determined to what extent prior-recurrent contact impacts molecular-hemodynamic biomarkers underpinning cognition in current professional rugby union players with a history of concussion. Measurements were performed in 20 professional rugby union players with an average of 16 (interquartile range [IQR] 13-19) years playing history reporting 3 (IQR 1-4) concussions. They were compared to 17 sex-age-physical activity-and education-matched non-contact controls with no prior history of self-reported concussion. Venous blood was assayed directly for the ascorbate free radical (A^•- electron paramagnetic resonance spectroscopy) nitric oxide metabolites (NO reductive ozone-based chemiluminescence) and select biomarkers of neurovascular unit integrity (NVU chemiluminescence/ELISA). Middle cerebral artery blood flow velocity (MCAv doppler ultrasound) was employed to determine basal perfusion and cerebrovascular reactivity (CVR) to hyper/hypocapnia ( CVR CO 2 Hyper / Hypo ). Cognition was assessed by neuropsychometric testing. Elevated systemic oxidative-nitrosative stress was confirmed in the players through increased A^•- (p < 0.001) and suppression of NO bioavailability (p < 0.001). This was accompanied by a lower CVR range ( CVR CO 2 Range ; p = 0.045) elevation in neurofilament light-chain (p = 0.010) and frontotemporal impairments in immediate-memory (p = 0.001) delayed-recall (p = 0.048) and fine-motor coordination (p < 0.001). Accelerated cognitive decline subsequent to prior-recurrent contact and concussion history is associated with a free radical-mediated suppression of CVR and neuronal injury providing important mechanistic insight that may help better inform clinical management.

Contact events in rugby union and the link to reduced cognition: evidence for impaired redox-regulation of cerebrovascular function

NEW FINDINGS

What is the central question of this study? How does recurrent contact incurred across a season of professional rugby union impact molecular, cerebrovascular and cognitive function? What is the main findings and its importance? A single season of professional rugby union increases systemic oxidative-nitrosative stress (OXNOS) confirmed by a free radical-mediated suppression in nitric oxide bioavailability. Forwards encountered a higher frequency of contact events compared to backs, exhibiting elevated OXNOS and lower cerebrovascular function and cognition. Collectively, these findings provide mechanistic insight into the possible cause of reduced cognition in rugby union subsequent to impairment in the redox regulation of cerebrovascular function.

ABSTRACT

Contact events in rugby union remain a public health concern. We determined the molecular, cerebrovascular and cognitive consequences of contact events during a season of professional rugby. Twenty-one male players aged 25 (mean) ± 4 (SD) years were recruited from a professional rugby team comprising forwards (n = 13) and backs (n = 8). Data were collected across the season. Pre- and post-season, venous blood was assayed for the ascorbate free radical (A^•- , electron paramagnetic resonance spectroscopy) and nitric oxide (NO, reductive ozone-based chemiluminescence) to quantify oxidative-nitrosative stress (OXNOS). Middle cerebral artery velocity (MCAv, Doppler ultrasound) was measured to assess cerebrovascular reactivity (CVR), and cognition was assessed using the Montreal Cognitive Assessment (MoCA). Notational analysis determined contact events over the season. Forwards incurred more collisions (Mean difference [M_D ] 7.49; 95% CI, 2.58-12.40; P = 0.005), tackles (M_D 3.49; 95% CI, 0.42-6.56; P = 0.028) and jackals (M_D 2.21; 95% CI, 0.18-4.24; P = 0.034). Forwards suffered five concussions while backs suffered one concussion. An increase in systemic OXNOS, confirmed by elevated A^•- (F_2,19  = 10.589, P = 0.004) and corresponding suppression of NO bioavailability (F_2,19  = 11.492, P = 0.003) was apparent in forwards and backs across the season. This was accompanied by a reduction in cerebral oxygen delivery ( c D O 2 , F_2,19  = 9.440, P = 0.006) and cognition (F_2,19  = 4.813, P = 0.041). Forwards exhibited a greater decline in the cerebrovascular reactivity range to changes in PET_CO2 ( CV R C O 2 RANG compared to backs (M_D 1.378; 95% CI, 0.74-2.02; P < 0.001).

A Comparison of an Alternative Weight-Grading Model Against Chronological Age Group Model for the Grouping of Schoolboy Male Rugby Players

Objectives

Concerns regarding marked differences in the weights and body composition of young rugby players competing within the same age groups have led to the suggestion of alternative models for grouping young players. The aims of this study were (1) to compare variance in the body size and body composition of schoolboy rugby players (9 to 14 years), across weight- and age-grading models, and (2) to identify morphotypes for the weight model using Hattori’s body composition chart.

Materials and Methods

Skinfold thickness measurements were used to assess body fat mass (BF), fat-free mass (FFM), body fat mass index (BFMI), and fat-free mass index (FFMI). Standardized measure of height and weight were taken for all participants. Data were grouped according to the age categories of the French Rugby Federation (U11: Under 11 years, U13: Under 13 years, and U15: Under 15 years), and to the weight categories (W30–44.9; W45–59.9; and W60–79.9) carried out from 25th and 75th weight percentile in each age category. Body mass index status (NW normal-weight versus OW/OB overweight/obese) was considered. Extreme morphotypes are characterized from BFMI and FFMI in the weight-grading model on Hattori’s body composition chart.

Results

The dispersion of anthropometric characteristics decreased significantly for the weight model, except for height in all groups and BFMI for U13. Among NW, 3, 1.8, and 0% upgraded; 18.2, 68.7, and 45.5% downgraded; among OW, 50, 21.5, and 12.5%; and among OB, 91.3, 83.3, and 74.6% upgraded, respectively, in U11, U13, U15. FFMI/BFMI were correlated in U11 (r = 0.80, p < 0.001), U13 (r = 0.66, p < 0.001), and U15 (r = 0.77, p < 0.001). There was no significant correlation in W45–59.9 and low correlations in W30–44.9 (r = 0.25, p < 0.001) and W60–79.9 (r = 0.29, p < 0.001). Significant grading difference between the centroids (p < 0.05) and the distribution deviates from centroids of BFMI and FFMI (p < 0.0001) were noted between the two models. Thirteen players were located in adipo-slender, twenty-three in adipo-solid, twenty-two in lean-slender, and two located in the lean-solid morphotype in weight model.

Conclusion

A weight-grading model should be considered to limit mismatches in anthropometric variables. However, variations of body composition also persisted for this model. Hattori’s body composition chart allowed more detailed examination of morphological atypicalities among schoolboy rugby players.

What Cognitive Mechanism, When, Where, and Why? Exploring the Decision Making of University and Professional Rugby Union Players During Competitive Matches

Over the past 50 years decision making research in team invasion sport has been dominated by three research perspectives, information processing, ecological dynamics, and naturalistic decision making. Recently, attempts have been made to integrate perspectives, as conceptual similarities demonstrate the decision making process as an interaction between a players perception of game information and the individual and collective capability to act on it. Despite this, no common ground has been found regarding what connects perception and action during performance. The differences between perspectives rest on the role of stored mental representations, that may, or may not facilitate the retrieval of appropriate responses in time pressured competitive environments. Additionally, in team invasion sports like rugby union, the time available to players to perceive, access memory and act, alters rapidly between specific game situations. Therefore, the aim of this study was to examine theoretical differences and the mechanisms that underpin them, through the vehicle of rugby union. Sixteen semi-elite rugby union players took part in two post-game procedures to explore the following research objectives; (i) to consider how game situations influence players perception of information; (ii) to consider how game situations influence the application of cognitive mechanisms whilst making decisions; and (iii) to identify the influence of tactics and/or strategy on player decision making. Deductive content analysis and elementary units of meaning derived from self-confrontation elicitation interviews indicate that specific game situations such as; the lineout, scrum or open phases of play or the tackle situation in attack or defence all provide players with varying complexity of perceptual information, formed through game information and time available to make decisions. As time increased, players were more likely to engage with task-specific declarative knowledge-of the game, stored as mental representations. As time diminished, players tended to diagnose and update their knowledge-in the game in a rapid fashion. Occasionally, when players described having no time, they verbalised reacting on instinct through a direct connection between perception and action. From these findings, clear practical implications and directions for future research and dissemination are discussed.

Sleep and Performance during a Preseason in Elite Rugby Union Athletes

Background: Preseason training optimises adaptations in the physical qualities required in rugby union athletes. Sleep can be compromised during periods of intensified training. Therefore, we investigated the relationship between sleep quantity and changes in physical performance over a preseason phase in professional rugby union athletes. Methods: Twenty-nine professional rugby union athletes (Mean ± SD, age: 23 ± 3 years) had their sleep duration monitored for 3 weeks using wrist actigraphy. Strength and speed were assessed at baseline and at week 3. Aerobic capacity and body composition were assessed at baseline, at week 3 and at week 5. Participants were stratified into 2 groups for analysis: <7 h 30 min sleep per night (LOW, n = 15) and >7 h 30 min sleep per night (HIGH, n = 14). Results: A significant group x time interaction was determined for aerobic capacity (p = 0.02, d = 1.25) at week 3 and for skinfolds at week 3 (p < 0.01, d = 0.58) and at week 5 (p = 0.02, d = 0.92), in favour of the HIGH sleep group. No differences were evident between groups for strength or speed measures (p ≥ 0.05). Conclusion: This study highlights that longer sleep duration during the preseason may assist in enhancing physical qualities including aerobic capacity and body composition in elite rugby union athletes.

Absolute and relative reliability of SCRuM test battery components assembled for schoolboy rugby players playing competitive rugby in low-resource settings: A pragmatic in-season test-retest approach

Background

Schoolboy rugby is a popular sport which forms the bedrock of rugby development in many African countries, including Zimbabwe. With burgeoning talent identification programmes, the development of multi-dimensional, logically-validated, and reliable test batteries is essential to inform the objective selection of potentially talented young rugby athletes.

Objectives

This study sought evidence on the absolute and relative test-retest reliability of the component test items in the newly-assembled SCRuM test battery.

Methods

Utilising a pragmatic test-retest experimental design, a sample of 41 Under-19 schoolboy players playing competitive rugby in the elite Super Eight Schools Rugby League in Harare, Zimbabwe, participated in the study.

Results

Physiological and game-specific skills tests which showed good to excellent relative reliability and acceptable absolute reliability, included: 20 m and 40 m speed, L-run, Vertical Jump (VJ), 60 s Push-Up, 2 kg Medicine Ball Chest Throw test (2 kg MBCT), Wall Sit Leg Strength test (WSLS), Repeated High Intensity Exercise test (RHIE), One Repetition Maximum Back Squat (1-RM BS) and Bench Press tests (1-RM BP), Yo-Yo Intermittent Recovery Level 1 test (Yo-Yo IRT L1), Tackling Proficiency test, Passing Ability Skill test and Running and Catching Ability skill test.

Conclusion

All these tests are reliable and warrant inclusion in the SCRuM test battery for possible profiling of U19 schoolboy rugby players during the 'in-season' phase provided there is adequate participant familiarisation and test standardisation. The test-retest ICCs and measurement errors are generalisable to other young athletes in this population, making the tests useful for the evaluation of training and developmental effects of the measured constructs.

Using Anthropometric Data and Physical Fitness Scores to Predict Selection in a National U19 Rugby Union Team

The purpose of this study was to compare measures of anthropometry characteristics and physical fitness performance between rugby union players (17.9 ± 0.5 years old) recruited (n = 39) and non-recruited (n = 145) to the Portuguese under-19 (U19) national team, controlling for their playing position (forwards or backs). Standardized anthropometric, physical, and performance assessment tests included players’ body mass and height, push up and pull-up test, squat test, sit-and-reach test, 20 m shuttle run test, flexed arm hang test, Sargent test, handgrip strength test, Illinois agility test, and 20-m and 50-m sprint test. Results showed that recruited forwards players had better agility scores (p = 0.02, ES = −0.55) than the non-recruited forwards, whereas recruited backs players had higher right (p < 0.01, ES = 0.84) and left (p = 0.01, ES = 0.74) handgrip strength scores than their counterparts. Logistic regression showed that better agility (for the forwards) and right handgrip strength scores (for the backs) were the only variables significantly associated with an increased likelihood of being recruited to the national team. In sum, these findings suggest that certain well-developed physical qualities, namely, agility for the forwards players and upper-body strength for the back players, partially explain the selection of U19 rugby players to their national team.

Isometric Mid-Thigh Pull Performance in Rugby Players: A Systematic Literature Review

The isometric mid-thigh pull (IMTP) is a multi-joint test of whole-body force production relevant to rugby players. "Rugby AND (mid-thigh pull OR midthigh pull OR mid thigh pull" were searched in PubMed, Sportdiscus, Academic Search Premier, CINAHL Plus with Full Text, and Google Scholar; the final date of search was 24 January 2018. Data extraction from 24 articles included subject characteristics, force data, and IMTP testing procedures. Select ranges of peak forces reported were: Youth: 1162-2374 N; Academy: 1855-3104 N; Professional: 2254-3851 N. Rate of force development (RFD) at 100 and 200 ms ranged from 5521 to 11,892 N and 5403 to 8405 N, respectively, among professional rugby players. Studies' research design were of moderate quality, but most studies lacked detailed reporting of IMTP procedures. Variability of force characteristics derived from the IMTP within similar populations (e.g., approximately 200% difference in peak force between samples of professional rugby league players) as well as large and unexpected overlaps between dissimilar populations, limit conclusions about force production capabilities relative to playing level, likely due to limitations and lack of standardization of IMTP procedures. Greater uniformity in IMTP testing procedures and reporting is needed. This manuscript provides a guide for reporting needs when presenting results from an IMTP in research.

How does playing position affect fatigue-induced changes in high-intensity locomotor and micro-movements patterns during professional rugby union games?

AbstractWe questioned whether changes in high-intensity locomotor and micro-movements patterns between the first and second part of each half depend on playing position in the 2014-2015 European rugby union championship winning team. Thirty-three rugby players were grouped according to five playing positions. Players were equipped with micro-electromechanical system including a GPS sampling at 10 Hz and high temporal resolution micro-sensors during 17 Top14 and 7 European games. High-speed movements (HSM), high-intensity accelerations (HIA), repeated high-intensity efforts (RHIE), and high-intensity micro-movements (HIMM) were subsequently compared between four 20-min game periods. No significant group × time interactions were observed for any locomotor variables (p > 0.283). Irrespectively of playing position, the number of HSM (p = 0.019), decreased from 0-20 min to 60-80 min as well as from 40-60 to 60-80 min (p < 0.001) with HIA (p = 0.020) and RHIE (p < 0.001). Significant group × time interaction was found for HIMM (p = 0.03) with a significant decrease observed in back row forwards from 0-20 to 60-80 min periods (-17.5%; ES = 0.6; p = 0.031). In elite rugby union, fatigue-induced changes during the last 20 min are independent from playing positions in high-intensity locomotor patterns in contrary to HIMM. Training drills that include specific RHIE (high-speed and HIA efforts) may be useful to postpone match-related fatigue.

Orofacial trauma and mouthguard use in Brazilian rugby union players

BACKGROUND/AIM

Rugby union represents a high-risk sport for orofacial trauma due to its impact collisions and repetitive tackles. The aim of this study was to investigate the prevalence of orofacial trauma according to mouthguard use among a sample of Brazilian rugby union players.

METHODS

An online questionnaire was sent to the 16 best rugby union clubs in Brazil. The questionnaire contained questions about the training history of each athlete, prevalence of orofacial trauma, and details about mouthguard use. Only participants who reported using a mouthguard were selected for this analysis.

RESULTS

A total of 244 individuals were included. The prevalence of orofacial trauma was 34.4%, and 61.9% of them did not wear a mouthguard at the time of the incident. The only type of mouthguard reported was the pre-fabricated ("boil and bite" and "ready-to-wear") type. A stronger association was observed between the reason for using a mouthguard and the outcome, whereas a lower proportion of trauma was observed among individuals who claimed mandatory mouthguard use at the gym/sport (20.0%). Time since the respondent started playing rugby union and who instructed them to use a mouthguard were not associated with orofacial trauma.

CONCLUSION

Prevalence of orofacial trauma was high among this sample of rugby union players from Brazil, even with the use of pre-fabricated mouthguards. This study encourages further investigation on the use of custom-made mouthguards in rugby union and the role of coach/physical educators to reduce the prevalence of orofacial trauma.

The impact of rule modifications on player behaviour in a talent identification and development environment: A case study of the Rugby Football Union's Wellington Academy Rugby Festival

Research has suggested that competition within talent identification and development systems should be modified from the adult format of the sport to meet the developmental needs of those participating. Yet limited research has evaluated the success of game changes, particularly the effectiveness of modifying the rules of a game to purposefully engineer changes in player behaviour. The purpose of this study was to monitor the impact of rule modifications on player behaviour within a talent identification and development system in rugby union. Performance indicators (ball in play, pass, offload, kick) were collected during full length (70 min) and shortened durations (30-42 min) of competitive matches played during a weeklong under sixteen rugby union festival in 2016 and after rule modifications were introduced in 2017-2019. The findings indicate that rule modifications had the prescribed impact on player actions, particularly in the shortened duration formats of the game. Therefore, rule modifications provide talent developers a tool to manipulate player behaviour, in this case skill attempts, within full-sided competitive matches.

Positional In-Match Running Demands of University Rugby Players in South Africa

The implementation of the Varsity Cup rugby competition among South African universities has sparked interest in university rugby cultures around the country. The Varsity Cup has established itself as one of the most important rugby competitions for full-time students. The development of specific conditioning programs for rugby players requires a thorough understanding of the game and the unique demands of playing positions. Therefore, the study aimed to investigate the in-match running demands of South African university rugby players by using GPS during match play for primary and secondary positional groups. Rugby players (n = 40) from two universities were assessed during match play (n = 17) over a competitive season by using GPS. Players were grouped into two primary positional groups, forwards (n = 22) and backs (n = 18), and five secondary positional groups, tight forwards (n = 14), loose forwards (n = 8), half backs (n = 5), inside backs (n = 6), and outside backs (n = 7). The GPS analysis provided the following match-play movements: total distance, high-speed meters, maximum velocity, match intensity, the number of accelerations and decelerations, and velocity zone. Halfbacks recorded the highest total distance (6620.9 ± 784.4 m; p = 0.02) and match intensity (77.7 ± 11.6 m/min; p = 0.01). Outside backs recorded the highest maximum velocity (8.385 ± 1.242 m/s; p = 0.00). Loose forwards registered the highest number of accelerations (385.5 ± 122.1) and decelerations (378.7 ± 108.1). Backs and their specific subgroups play at and within high velocity thresholds, significantly higher (p = 0.01) than that of the forwards. Forwards tend to be involved in a higher amount of accelerations and decelerations during match play, suggesting that forward play is at close quarters to the opposition. During university rugby matches, the backs covered greater distances and speeds than the forwards, whereas the forwards achieved more accelerations and decelerations than backs. Results from the study can assist Varsity Cup strength and conditioning coaches to prepare players for the position-specific demands of the competition.

Reliability of a Repeated High-Intensity Effort Test for Elite Rugby Union Players

This study aimed to adapt a repeated high-intensity effort (RHIE) test to the rugby union physical demands and assess both sprint time and tackle indices reliability. Following a familiarization session, sixteen elite rugby union players completed two RHIE tests consisting of 12 × 20 m sprint + tackle. Total sprint time and total g-force during tackling, average sprint time and average g-force as well as percentage decrement_{sprint time} and percentage decrement_tackle were considered for the analysis. Sprint time indices showed high to very high absolute and relative reliability (intraclass coefficient correlation (ICC) = 0.95, Standard Error Measurement (SEM) = 1.30%; ICC = 0.95, SEM = 1.44%; ICC = 0.73, SEM = 23.0%, for total sprint time, average sprint time and percentage decrement_{sprint time}, respectively). Tackle indices showed moderate to high reliability (ICC = 0.54, SEM = 16.5%; ICC = 0.61, SEM = 15.6%; ICC = 0.71, SEM = 12.3%, for total g-force, average g-force and percentage decrement_tackle, respectively). The RHIE test provides reliable measures of sprint time and tackle indices. Tackle indices should be used as a validation criterion of the test, whereas total time should be considered as the test final result.

What they know and who they are telling: Concussion knowledge and disclosure behaviour in New Zealand adolescent rugby union players

The purpose of this study was to survey high school rugby players from a range of ethnic, geographic and socioeconomic backgrounds in New Zealand (NZ) to gain an understanding of concussion knowledge, awareness of NZ Rugby's (NZR) guidelines and attitudes towards reporting behaviours. Male and female high school rugby players (n= 416) from across NZ were surveyed. The findings indicated that 69% of players had sustained a suspected concussion, and 31% had received a medical diagnosis of concussion. 63% of players indicated they were aware of NZR's guidelines. Māori and Pasifika players were less likely to be aware of the guidelines compared to NZ European, Adjusted OR 0.5, p = 0.03. Guideline awareness was significantly higher for those from high decile schools when compared to low (Unadjusted OR 1.63, p = 0.04); however, when ethnicity and school locations were controlled for this became non-significant (Adjusted OR= 1.3, p=0.37). The coach was the key individual for the provision of concussion information and disclosure of symptoms for players. The findings of this study will inform the development and delivery of NZR's community concussion initiative and how these examined factors influence a high school player's concussion knowledge and reporting behaviour.

Baseline Performance of High School Rugby Players on the Sport Concussion Assessment Tool 5

CONTEXT

Version 5 of the Sport Concussion Assessment Tool (SCAT5) was released in 2017 with an additional 10-word list option in the memory section and additional instructions for completing the symptom scale.

OBJECTIVE

To provide reference scores for high school rugby union players on the SCAT5, including immediate memory using the 10-word list, and examine how age, sex, and concussion history affected performance.

DESIGN

Cross-sectional study.

SETTING

Calgary, Alberta high schools.

PATIENTS OR OTHER PARTICIPANTS

High school rugby union players (ages 15-18 years) participating in a 2018 season cohort study (n = 380, males = 210, females = 170).

MAIN OUTCOME MEASURE(S)

Sport Concussion Assessment Tool 5 scores, including total number of symptoms (of 20), symptom severity (of 132), 10-word immediate memory (of 30), delayed memory (of 10), modified Standardized Assessment of Concussion (of 50), and balance examination (of 30).

RESULTS

The median number of symptoms reported at baseline ranged from 5 to 8 across sex and age stratifications. Median symptom severity was lowest in males with no concussion history (7; range, 0-28) and highest in females with a concussion history (13, range = 0-45). Median total scores on immediate memory were 2-3 (range = 0-4) for males and 21 (range = 9-29) for females. Median total scores were 3 (range = 0-4) on digits backward and 7 (range = 0-20) on delayed memory (all groups). Based on simultaneous quantile (q) regression at 0.50 and 0.75, adjusted for age and concussion history, being female was associated with a higher total symptoms score (q0.75 β_female = 2.85; 99% confidence interval [CI] = 0.33, 5.37), higher total symptom severity score (q0.75 β_female = 8.00; 99% CI = 2.83, 13.17), and lower number of errors on the balance examination (q0.75 β_female = -3.00; 99% CI = -4.85, -1.15). Age and concussion history were not associated with any summary measures.

CONCLUSIONS

The 10-word list option in the memory section reduced the likelihood of a ceiling effect. A player's sex may be an important consideration when interpreting the SCAT5 after concussion.

Match loads of university rugby union players between the 2016 and 2018 Varsity Cup competitions

Background

Rugby union is a popular and continuously growing sport globally. With the advance of technology, practices have been implemented to quantify the match running demands of rugby union players. The aim of this study was to analyse the match loads of rugby union players between the 2016 and 2018 Varsity Cup competitions.

Methods

The sample consisted of 562 match observations of male university rugby union players competing in the Varsity Cup tournaments.

Results

The backline players ran significantly longer total distances (5105 m; p = 0.001; ES = 0.49); have greater high-speed running (496 m; p = 0.001; ES = 1.03), very high-speed running (260 m; p = 0.001; ES = 1.50) and sprint distances (117 m; p = 0.001; ES = 1.32) than forward players. Backline players also accumulated a high number of metres per minute (238 ± 94; p = 0.001; ES = 0.46), total Player Load (488 ± 203; p = 0.001; ES = 0.31), RHIE (9 ± 8; p = 0.001; ES = 0.75) and number of accelerations (4 ± 5; p = 0.001; ES = 0.49).

Conclusion

These findings may assist coaches to develop player position specific training programmes to meet the physical demands of rugby.

Workloads of forward and backline adolescent rugby players: a pilot study

Background

There is minimal research on workloads of adolescent rugby players. Therefore, the main aim of this study was to determine the workloads placed on a cohort of South African adolescent rugby players (n = 17), during an in-season period.

Methods

Session RPE ratings were collected daily, 30 minutes after the training session concluded, during an 11-week in-season period. The training load was calculated as the session ratings of perceived exertion multiplied by the session's duration (min).

Results

The main finding of the study was that the adolescents in this investigation had similar workloads to elite players but higher workloads than other studies on adolescent rugby players. The forwards (3311±939 arbitrary units; AU) had a higher workload than backline players (2851±1080 AU). There was no difference between forwards and backline players with regards to the acute:chronic workload ratio.

Conclusion

Workloads are high in these adolescent players, particularly in the forwards, and are similar to the workloads of elite level rugby players.

Young Pacific Male Rugby Players' Perceptions and Experiences of Mental Wellbeing

Recent studies and increased media reporting across Australasia have linked young Pacific maleelite athletes to depression, suicide, and other adverse mental health-related events. Despite these accounts,little is known about the way this group experience emotions and mental wellbeing. The aim of this studywas to explore young Pacific male athletes' perceptions and experiences of emotions and mental wellbeing.This qualitative study involved 20 face-to-face interviews with young Pacific males (16⁻24 years) engaged inelite rugby union and rugby league programmes in Auckland, New Zealand. The results identified thatathletes defined mental wellbeing in a holistic and relational manner and perceived and mental wellbeing asthe culmination of several interconnected factors, including: Family support, reciprocating family support,living a 'well-balanced' life, athletic performance, and personal development away from sports. Themaintenance of a well-balanced athletic identity and positive social relations were deemed central tosustaining mental wellbeing for these young men.

Upper-body repeated-sprint training in hypoxia in international rugby union players

This study investigated the effects of upper-body repeated-sprint training in hypoxia vs. in normoxia on world-level male rugby union players' repeated-sprint ability (RSA) during an international competition period. Thirty-six players belonging to an international rugby union male national team performed over a 2-week period four sessions of double poling repeated-sprints (consisting of 3 × eight 10-s sprints with 20-s passive recovery) either in normobaric hypoxia (RSH, simulated altitude 3000 m, n = 18) or in normoxia (RSN, 300 m; n = 18). At pre- and post-training intervention, RSA was evaluated using a double-poling repeated-sprint test (6 × 10-s maximal sprint with 20-s passive recovery) performed in normoxia. Significant interaction effects (P < 0.05) between condition and time were found for RSA-related parameters. Compared to Pre-, peak power significantly improved at post- in RSH (423 ± 52 vs. 465 ± 69 W, P = 0.002, η²=0.12) but not in RSN (395 ± 65 vs. 397 ± 57 W). Averaged mean power was also significantly enhanced from pre- to post-intervention in RSH (351 ± 41 vs. 388 ± 53 W, P < 0.001, η²=0.15), while it remained unchanged in RSN (327 ± 49 vs. 327 ± 43 W). No significant change in sprint decrement (P = 0.151, η² = 0.02) was observed in RSH (-17 ± 2% vs. -16 ± 3%) nor RSN (-17 ± 2% vs. -18 ± 4%). This study showed that only four upper-body RSH sessions were beneficial in enhancing repeated power production in international rugby union players. Although the improvement from RSA to game behaviour remains unclear, this finding appears of practical relevance since only a short preparation window is available prior to international games.

Statistical Review and Match Analysis of Rugby World Cups Finals

The aim of this study was to describe the game related statistics and match analysis of rugby world cups finals from 1987 to 2015. Video recordings of all (n = 8 matches) rugby world cup finals were used for the purpose of this study. Games were analysed using the video analysis software (Sports code V8.9, Sportstec, Australia) and supplementary data were collected from the official reports published by the International Rugby Board and from webpages of Rugby World Cups. Magnitude of differences between the winners and losers was assessed mechanistically. Only 5 tries in total were scored in the last 8 rugby world cup finals. The main two modes of scoring points were penalty kicks and drop goals. Winning teams attempted more penalty kicks, yet seemed to miss more. The number of drop goals was similar between winning and losing teams. These findings highlight the significance of having an on form place-kicker and from a defensive perspective, conceding fewer penalties in kickable positions. Winners of the Rugby World Cup final won more scrums and lost few line-outs, emphasising the importance of winning the set-pieces. Further establishment of these variables and their influence on performance may be used to evaluate team performances and plan more effective tactical approaches to competition.

Changes in northern hemisphere male international rugby union players' body mass and height between 1955 and 2015

Objectives

We sought to establish the effects of professionalism, which officially began in 1995, on the body mass and height of northern hemisphere male international rugby union (RU) players. We hypothesised that mass would significantly increase following professionalism. We also investigated the changes in size of players according to their playing position, and we compared changes to rugby league (RL) players and the public.

Methods

The body mass and height of players representing their international team for that country’s first game of the Five Nations in 1955, 1965, 1975, 1985 and 1995 and, for 2005 and 2015, the Six Nations, were collected from matchday programmes. RL players’ data were collected from the Challenge Cup final games played in the same years.

Results

International RU player body mass has significantly increased since 1995. In 1955 mean (±SD) player body mass was 84.8  kg (±8.2); in 2015, it was 105.4  kg (±12.1), an increase of 24.3%. Between 1955 and 2015, the body mass of forwards increased steadily, whereas that of backs has mostly gone up since 1995. RU player body mass gain has exceeded that of RL, but the age-matched difference between RU players and the public has remained relatively constant.

Conclusions

The factors influencing the gain in body mass of rugby players are legion; however, we believe that the interpretation of the law relating to the scrum put-in and changes allowing substitutions have, at least in part, contributed to the observed changes. Injury severity is increasing, and this may be linked to greater forces (caused by greater body mass) occurring in contact. RU law makers should adjust the rules to encourage speed and skill at the expense of mass.

Effect of the PreBind Engagement Process on Scrum Timing and Stability in the 2013-16 Six Nations

This study examined whether changes in scrum engagement laws from the "crouch-touch-set" in 2013 to the "PreBind" engagement from 2014 onward have led to changes in scrum characteristics, specifically timing, in international rugby union. Duration and outcomes were identified for all scrums occurring in the 2013-16 Six Nations (N = 60 games) using video analysis. Scrum duration increased after the introduction of the PreBind engagement from 59 s in 2013 to 69 s in 2016 (P = .024, effect size = 0.93). A significant increase in mean contact duration per scrum occurred when prebinding was adopted (P < .05), moving from 7.5 s under the crouch-touch-set process to 8.5, 10.0, and 10.8 s with PreBind in 2014, 2015, and 2016 (effect size = 0.71, 2.05, and 3.0, respectively). The number of scrum resets and collapsed scrums, along with early engagement and pulling down infringements, was lower under the PreBind process. Overall, the PreBind engagement resulted in longer scrums with significant increases observed in overall and contact durations, with improved stability-related characteristics. The longer contact time is a consequence of increased stability with a shift from high-energy impact to a sustained push phase with a lower force that is a benefit to player welfare.

INJURY IDENTIFICATION: THE EFFICACY OF THE FUNCTIONAL MOVEMENT SCREEN™ IN FEMALE AND MALE RUGBY UNION PLAYERS

BACKGROUND

Rugby union is a collision sport which is associated with a high injury rate and therefore the development of effective injury prevention strategies is required.

PURPOSE

This study aimed to determine whether the Functional Movement Screen™ (FMS™) components can predict injury in female and male rugby union players and whether differences exist in the FMS™ scores of injured and non-injured players.

STUDY DESIGN

Prospective cohort study.

METHODS

Sixty-four female university rugby union players (age: 20.39 ± 1.91 years) and 55 male university rugby union players (age: 21.05 ± 1.35 years) completed the FMS™ which assesses seven functional movements on a scale of 0 to 3 and provides a total or composite score out of 21. Players were subsequently monitored for injury during the season and injury rates calculated.

RESULTS

The training injury rates for females were 5.80 injuries/1000 hours and males 5.34 injuries/1000 hours while the match injury rates for females was 55.56 injuries/1000 hours and males 46.30 injuries/1000 hours. FMS™ composite score demonstrated a significant difference between injured females and non-injured males (p = 0.01) and a combined sample comparison of injured and non-injured subjects was significant (p = 0.01). FMS™ composite score was not a good predictor of injury however as FMS™ individual components predicted 37.4% of the variance in total days injured in females. ROC curve analysis revealed an injury cut off score of 11.5 for females and males and provided a sensitivity and specificity of 0.90 and 0.86 and 0.88 and 1.00 respectively. The combined sample FMS™ composite score of 'multiple injuries' participants demonstrated no significant difference between non-injured (p = 0.31) and single injury subjects (p = 0.76).

CONCLUSION

Injury rates between female rugby and male rugby were similar with match injury rates higher in females. The FMS™ can be used to identify those players with the potential to develop injury and the FMS™ injury cut off point was 11.5 for both female rugby and male rugby players. Individual components of the FMS™ are a better predictor of injury than FMS™ composite score.

LEVELS OF EVIDENCE

2b.

Epidemiology of Time-Loss Injuries in Senior and under-18 Portuguese Male Rugby Players

Rugby union has one of the highest injury incidence rates in team sports, however, most of the available data focus on the epidemiology of injuries in countries where rugby is popular. We aimed to report the incidence rate and relevant epidemiological aspects of injuries occurred in a group of Portuguese male rugby players. A prospective cohort study was conducted with a group of 45 senior and 32 under-18 male players (total of 77 players). Outcome measures included injury incidence, position, type, location and severity of injuries. The match injury incidence for all players was 55.84 per 1000 player match-hours (66.66 for seniors, 42.85 for under-18), while mean time-loss for injury was 20.79 days. No statistical differences were found between groups. Lower limb injuries accounted for 60.5% of all injuries, while joint/ligament injuries were the most prevalent type. Contact events were responsible for 65.1% of injuries. Despite the limitations, the obtained data are consistent with the literature. Time-loss injuries seem highly prevalent in rugby union and the incidence rates found in this Portuguese-based study were lower than the reported for international and senior men’s professional rugby union, but higher than those occurring in community rugby in tier-1 countries. The authors believe these data reinforce the need to develop and implement effective injury surveillance and prevention programs.