Format

Send to

Choose Destination
Clin J Sport Med. 2016 Sep;26(5):398-404. doi: 10.1097/JSM.0000000000000276.

Incidence and Factors Associated With Concussion Injuries at the 2011 to 2014 South African Rugby Union Youth Week Tournaments.

Author information

1
*Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and†Medical Department, South African Rugby Football Union, Cape Town, South Africa.

Abstract

OBJECTIVE:

To determine the concussion incidence and to identify factors associated with concussion in South African youth rugby union players.

DESIGN:

Prospective cohort study.

SETTING:

Injury surveillance was completed at the South African Rugby Union Youth Week tournaments (under-13, under-16, and under-18 age groups).

PARTICIPANTS:

South African youth rugby union players. A total of 7216 players participated in 531 matches between 2011 and 2014.

INTERVENTIONS:

None.

MAIN OUTCOME MEASURES:

Concussion incidence was calculated per 1000 player-match-hours with 95% CIs. Poisson regression was used to calculate the incidence rate ratio (IRR) between factors (age, time period, playing position, and activity at the time of concussion) potentially associated with concussions.

RESULTS:

The concussion incidence was 6.8/1000 player-match-hours (95% CI, 5.5-8.1) across all age groups. Under-13s (IRR, 1.5; P = 0.09) and under-16s (IRR, 1.7; P = 0.03) had higher concussion incidence rates than the under-18 age group. The incidence was higher in the third (IRR, 2.1; P = 0.04) and fourth (IRR, 2.5; P = 0.01) quarters of matches compared with the first quarter. Sixty-two percent of concussions occurred in the tackle situation. The tackler had a 4-fold greater concussion rate (IRR, 4.3; P < 0.001) compared with the ball carrier. The hooker and loose forwards had higher incidence rates than several other player positions (P < 0.05).

CONCLUSIONS:

The reported concussion incidence falls within the broad range previously reported in youth rugby. The evidence highlighted in this study may contribute to targeted concussion prevention strategies and provide a baseline against which the effectiveness of future interventions can be measured.

PMID:
27604072
DOI:
10.1097/JSM.0000000000000276
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center