Implementation of the Activate injury prevention exercise programme in English schoolboy rugby union

(Activate is the RFU’s Injury Prevention Exercise Programme) which all coaches should be made aware.

Authors:

Craig Barden1, Keith A Stokes1,2, Carly D McKay1,3

1.- Department for Health, University of Bath, Bath, UK
2.- Rugby Football Union, Twickenham, London, UK
3.- Centre for Motivation and Health Behaviour Change, University of Bath, Bath, UK

Fascinating paper just published on the 4th of May 2021, The Objectives of the study about the implementation of the Activate injury prevention exercise programme has not been assessed in an applied context.

This study aimed to

(1) describe the knowledge and perceptions of school rugby coaches and players towards injury risk, prevention and Activate and

(2) evaluate Activate implementation in schoolboy rugby using the reach, effectiveness, adoption, implementation and maintenance framework.

►► Coaches reported significantly greater baseline Activate awareness than players (75% and 18%,respectively).
►► Coaches had significantly greater Activate adoption during the study period (76% and 13%).
►► Coaches appear to be critical in the adoption and delivery of Activate in a school rugby environment.
►► Focus on behavioural change in coaches will likely have the greatest effect of Activate implementation.

Addressing coach barriers and using behavioural change theories may aid this.

Conclusion

Coaches had significantly greater awareness and adoption of Activate, with players largely unaware of the programme and if they used it. Coaches are instrumental in the decision to implement Activate. Targeting behavioural change in these individuals is likely to have the greatest impact on intervention uptake.

FULL PAPER Here A MUST Read: Activate Injury Prevention

For further reading click on the link from England Rugby: https://www.englandrugby.com/participation/coaching/activate

Short and long-term differences in anthropometric characteristics and physical performance between male rugby players that became professional or remained amateur

From: Journal of Exercise Science & Fitness

Authors
Michael J.Hamlin
Richard W.Deuchrass
Catherine E.Elliot
Nuttaset Manimmanakorn

An interesting paper that investigates which anthropometric and physical performance variables characterised players that advanced to professional teams (professionals) and how these variables changed over time, compared to those that did not secure professional contracts (i.e. remained amateurs).

Performances analysed for  83 male rugby players collected between 2015 and 2019 were determined using repeated measures analysis.

Study Conclusion

The study conclusion are limited but it states the characteristics that are likely to assist players in becoming professionals include being older, heavier, taller and stronger.

Click on the PDF to make your conclusions. Short and long-term differences in anthropometric characteristics and physical performance between male rugby players

A qualitative investigation into the individual injury burden of amateur rugby players

Authors: Gemma P. Murphy & Rachel B. Sheehan
Department of Physical Education and Sport Sciences, University of Limerick, Ireland

Highlights

Players shared similar experiences of burden when recovering from a severe injury.

Themes relating to personal and situational factors affect players during injury.

The highest burden of injury occurred during onset of injury and rehabilitation.

Burden of injury has the potential to affect a player’s rehabilitation outcome.

The Author’s findings indicate that individual injury experiences can affect a player’s recovery and rehabilitation outcome, potentially extending the injury process and affecting player availability for the team. As such, injury management should focus on alleviating any injury-related burden experienced by players, as well as burden placed on the team, to maximise rehabilitation outcomes.

Click on link to read the PDF Article: A qualitative investigation into the in..

Single leg hop for distance symmetry masks lower limb biomechanics:

http://dx.doi.org/10.1136/bjsports-2020-103677

Time to discuss Single Leg Hop distance as decision criteria for return to sport after #ACL reconstruction ?

A MUST read paper and not surprised after seeing the authors associated with the work

The study evaluated the lower limb status of athletes after anterior cruciate ligament reconstruction (ACLR) during the propulsion and landing phases of a single leg hop for distance (SLHD) task after they had been cleared to return to sport.

The Authors wanted to evaluate the biomechanical components of the involved (operated) and uninvolved legs of athletes with ACLR and compare these legs with those of uninjured athletes (controls).

For the full paper click on the link : bjsports-2020-103677.full

 

Anterior cruciate ligament injury: towards a gendered environmental approach

Authors:

  1. Joanne L Parsons
  2. Stephanie E Coen
  3. Sheree Bekke

Anterior cruciate ligament injury: towards a gendered environmental approach | British Journal of Sports Medicine (bmj.com)

For all coaches out there, If you work with female athletes of any level in a coaching, clinical or performance role….. This is a must read.

The paper discusses the curious absence of gender as an influencer in the dialogue surrounding ACL injuries. the study proposes adding gender as a pervasive developmental environment as a new theoretical overlay to an established injury model to illustrate how gender can operate as an extrinsic determinant from the pre-sport, training and competition environments through to ACL injury and the treatment environment.

 

For a full read of the paper click here : bjsports-2020-103173.full

 

Head impact exposures in women’s collegiate rugby

Original Research

Authors: Taylor L. Langevin ,Daniel Antonoff,Christina Renodin,Erin Shellene,Lee Spahr,Wallace A. Marsh &John M. Rosene

Published online: 01 Jun 2020 https://www.tandfonline.com/doi/abs/10.1080/00913847.2020.1770568?journalCode=ipsm20

OBJECTIVES: To describe the incidence, magnitude, and distribution of head impacts and track concussions sustained in a collegiate level women’s rugby season.

METHODS: Data on head impact incidence and magnitude were collected via Smart Impact Monitors (SIM) (Triax Technologies, Inc., Norwalk, CT) within fitted headbands during practices and games of one competitive season. Magnitude data included peak linear acceleration (PLA) and peak rotational velocity (PRV) measurements and were reported as median [IQR].

RESULTS: Players sustained 120 head impacts ≥ 15g (18.1g – 78.9g) with 1199 total athlete exposures. In eight games, 67 head impacts were recorded with a mean rate of 0.40 ± 0.22 hits per-player per-match, median PLA of 32.2g and PRV of 13.5 rad.sec-1. There were 53 head impacts in 47 practices with a mean rate of 0.05 ± 0.04 hits per-player per-practice, median PLA of 29.8g and PRV of 15.7 rad.sec-1. Four concussions were reported and monitored.

CONCLUSION: The incidence and magnitude of head impacts in collegiate level women’s rugby over one season of practices and games were fewer than those reported in other comparable studies. These findings give insight into the impact burden that female collegiate rugby athletes withstand throughout a competitive season.

Cumulative Sport‑Related Injuries and Longer Term Impact in Retired Male Elite‑ and Amateur‑Level Rugby Code Athletes and Non‑contact Athletes: A Retrospective Study

Interesting study by Durham University on the impact of the accumulation of injuries on both professional and amateur rugby players, important role on the Concussion.
Rugby union and rugby league are popular team contact sports, but they bring a high risk of injury. Although previous studies have reported injury occurrence across one or several seasons, none have explored the total number of injuries sustained across an entire career.
Reading the paper efforts should be prioritized to reduce the occurrence and recurrence of injuries in rugby codes at all levels of the sport.
Strategies should be developed for supporting specific physical health needs of both codes athlete’s post-retirement.
To read the full Article click on the PDF : Durham Study

Association of artificial turf and concussion in competitive contact sports: a systematic review and metaanalysis

Authors Frank O’ Leary 1, Nic Acampora 2, Fiona Hand 3, James O’ Donovan 1

BMJ Open Sport & Exercise Medicine 2020;6:e000695. doi:10.1136/bmjsem-2019-000695
1 Department of Performance
Medicine, Sport Ireland Institute,
Dublin, Ireland
2 Faculty of Life Sciences,
University of South Wales,
Pontypridd, UK
3 Department of Surgery, St.
Vincent’s University Hospital,
Elm Park, Dublin, Ireland

An interesting study published in May 2020 by the BMJ in Sports Exercise and Medicine concerning artificial pitches:

Artificial turf can be defined as ‘a surface of synthetic fibres made to look like natural grass’. Since its introduction in 1965, safety concerns have been raised over its use as a playing surface in competitive contact sports. The higher number of knee and ankle injuries occurring on artificial turf has been established.

Despite these safety concerns, an ongoing replacement of natural grass with synthetic turf continues to occur in contact sport.

The aim of this review was to compare the incidence of head injuries and concussion on both artificial turf and natural grass in those competitive contact sports (of any standard) using both surfaces. From this, the risk of such injuries can be directly compared on either playing surface.

What is already known?
► With increasing awareness of head injuries in contact sports, the diagnosis of concussion is becoming more common. Artificial turf is frequently used as a
playing surface for contact sports. There remains no consensus on whether playing surface contributes to the incidence of significant head injury.

What are the new findings?
► Analysis of the limited publications on artificial turf playing surface demonstrates a lower incidence of concussion and head injury in competitive contact sports. On subgroup analysis, this effect is most marked in rugby and American football, with no significant association of playing surface on the incidence of head injury or concussion in soccer.

This systematic review demonstrates an overall lower concussion and head injury rate occurring on artificial turf in competitive contact sports combined, yet when assessing the sports (soccer, American football and rugby) individually, the link between head injury and concussion with playing surface type is not as clear.

Future research in this area would be important to ascertain reasons for this result.

Further examination on what other factors exist that could lead to lower head injury and concussion rates on artificial turf in contact sports should be established. This may include: number
of collisions on artificial turf, the incidence of surface to head contact, the maintenance of the artificial turf as well as its surface properties including temperature and HIC (Head Injury Criterion).

For a full read of the article click on the link Artificial Turf and Concussion

Nutrients : journal of human nutrition

The Effects of Physical Activity and Diet Interventions on Body Mass Index in Latin American Children and Adolescents:  A Systematic Review and Meta-Analysis

Authors: Andrés Godoy-Cumillaf , Paola Fuentes-Merino, Armando Díaz-González , Judith Jiménez-Díaz , Vicente Martínez-Vizcaíno , Celia Álvarez-Bueno and Iván Cavero-Redondo

I don’t usually read this journal but this study published on the 20th of May addresses physical activity and nutrition and caught my attention. This paper did a systematic review and meta-analysis to compare the effect of physical activity only with that of physical activity plus diet interventions on body mass index (BMI) in Latin American children and adolescents.

The Study discusses results on the effect of physical activity plus diet agree with previous meta-analyses that have analysed non-Latin American populations, highlighting that physical activity is one of  the central elements of weight loss. However, when combined with diet intervention, the reduction ranged from 3.2% to 20% more, underscoring that the best results are achieved when calories are restricted. All this confirms the necessity of designing interventions which combine physical activity with a nutritional component. physical activity plus diet programs proved to be more efficient in decreasing BMI values in children and adolescents.

To summarise it is necessary to implement more physical activity plus diet interventions in Latin America, in order to help in reducing the high levels of overweight and obesity that are found in this region.

To read the full Article click on the link : Nutrients

Early Strength and Conditioning techniques at the turn of the 20th Century

They had the right idea for punishment or training? You decide