Injuries In Rugby Union Players Research Articles

Reliability of Repeated Nordic Hamstring Strength in Rugby Players Using a Load Cell Device.

Hamstring strain injuries are one of the most common injuries in Rugby Union players, representing up to 15% of all sustained injuries. The Nordic eccentric hamstring test assesses the maximal hamstring eccentric strength and imbalances between limbs. Asymmetries and deficits in hamstring strength between legs are commonly assessed and used as screening methods to prevent injuries which can only be proven effective if hamstring strength measures are reliable over time. We conducted a repeated-measures reliability study with 25 male Rugby Union players. Nordic eccentric strength and bilateral strength balance was assessed. Three testing sessions were undertaken over three consecutive weeks. Intrasession and intersession reliabilities were assessed using typical errors (TE), coefficient of variations (CV), and intraclass correlation coefficients (ICC). Our results showed good intrasession reliability (ICC = 0.79-0.90, TE = 26.8 N to 28.9 N, CV = 5.5% to 6.7%), whilst intersession reliability was fair for mean and the max (ICC = 0.52-0.64, TE = 44.1 N to 55.9 N, CV from 7.4% to 12.5%). Regarding the bilateral strength balance ratios, our results showed good intrasession reliability (ICC = 0.62-0.89, TE = 0.5, CV = 4.4% to 7.2%), whilst the intersession reliability for mean and max values was fair (ICC = 0.52-0.54) with a good absolute intersession reliability CV ranging from 8.2% to 9.6%. Assessing the Nordic eccentric hamstring strength and the bilateral strength balance in Rugby players using a load cell device is a feasible method to test, and demonstrated good intrasession and fair intersession reliability. Nordic eccentric strength assessment is a more practical and functional test than isokinetic; we provide data from Rugby Union players to inform clinicians, and to establish normative values in this cohort.

Physical characteristics associated with neck pain and injury in rugby union players.

Neck pain and injury are common in rugby union. Physical characteristics predisposing players to neck injury are largely unknown. This study aimed to determine physical characteristics associated with neck pain and injury in rugby union players. Semi-professional rugby union players (N.=142) underwent pre-season measurements including cervical active range of motion (AROM), strength, sensorimotor proprioception (joint position error), and anthropometry. A structured interview established previous neck injury history, current symptoms, playing position, competition level, age, and years playing rugby. Team physiotherapists and player telephone interviews identified players sustaining a neck injury during the competitive season (defined as any reported neck pain or neck injury). T-tests or Mann-Whitney U tests determined differences between neck injured and non-injured players. Logistic regression determined factors associated with neck injury history and incidence. Sixty-five (46%) players reported a previous neck injury; 11 (8%) sustained a neck injury during the competitive season. Player age (OR 1.14, 95% CI 1.03-1.25, P=0.009) was associated with neck injury history. Pre-season lateral flexion AROM was less in players sustaining a neck injury or reporting neck pain during the season (median left 23.6°, IQR 21.8-26.2°; right 27.9°, 23.6-32.5°) than in other players (left 34.8°, 28.8-41.0°, P<0.01; right 39.1°, 28.9-48.1°, P=0.03). Lateral flexion AROM was associated with increased risk of neck pain or injury (OR 0.82, 95%CI 0.71-0.94, P=0.005). Decreased cervical lateral flexion AROM may contribute to neck injury risk in rugby union players. However, few physical characteristics predicted neck injury incidence, suggesting additional factors should be explored to determine injury risk.

Training volume and soft tissue injury in professional and non-professional rugby union players: a systematic review

AimTo investigate the relationship between training volume and soft tissue injury incidence, and characterise soft tissue injury in rugby union players.DesignA systematic search of electronic databases was performed. The search...

Thoracic posture, shoulder muscle activation patterns and isokinetic strength of semi-professional rugby union players

Background. Shoulder injuries are the most severe injuries in rugby union players, accounting for almost 20% of injuries related to the sport and resulting in lost playing hours.Objective. To profile the thoracic posture, scapular muscle activation patterns and rotator cuff muscle isokinetic strength of semi-professionalrugby union players.Methods. Using the hand-behind-the-neck and -back methods, we manually tested the range of motion (ROM) of the shoulder joints of 91 uninjured semi-professional rugby union players who consented to participate in the study. Profiling and classification of thoracic posture was performed according to the New York Posture Test. Activation patterns of the upper and lower trapezius, serratus anterior and infraspinatus scapular muscles were determined by electromyography. The isokinetic muscle strength of the rotator cuff muscles was determined at 60°/sec by measuring the concentric and eccentric forces during internal rotation (IR) and external rotation (ER).Results. Participants presented with non-ideal or unsatisfactory internal (59%) and external (85%) rotators of the shoulder. A slightly abnormal or abnormal forward head posture was observed in 55% of participants, while 68% had an abnormal shoulder position in the lateral view. The muscle activation sequence of the rotator cuff muscles was: (i) serratus anterior, (ii) lower trapezius, (iii) infraspinatus, and (iv) upper trapezius. The isokinetic ER/IR muscle-strength ratio during concentric muscle contraction was 64% (standard deviation (SD) ±14) for the left shoulder and 54% (SD ±10) for the right shoulder. The ER/IR ratio for eccentric muscle contraction was 67% (SD ±12) and 61% (SD ±9) for the left and right shoulders, respectively.Conclusions. Non-ideal or unsatisfactory flexibility of the external rotators of the shoulder, a forward shoulder posture in the lateral view, and weakness of the external rotators did not result in an abnormal rotator cuff muscle activation pattern in this study. Postural deviations may, however, increase the risk of shoulder injury in rugby union players in the long term, and should be corrected.

Thoracic posture, shoulder muscle activation patterns and isokinetic strength of semi-professional rugby union players

Background . Shoulder injuries are the most severe injuries in rugby union players, accounting for almost 20% of injuries related to the sport and resulting in lost playing hours. Objective. To profile the thoracic posture, scapular muscle activation patterns and rotator cuff muscle isokinetic strength of semi-professional rugby union players. Methods . Using the hand-behind-the-neck and -back methods, we manually tested the range of motion (ROM) of the shoulder joints of 91 uninjured semi-professional rugby union players who consented to participate in the study. Profiling and classification of thoracic posture was performed according to the New York Posture Test. Activation patterns of the upper and lower trapezius, serratus anterior and infraspinatus scapular muscles were determined by electromyography. The isokinetic muscle strength of the rotator cuff muscles was determined at 60°/sec by measuring the concentric and eccentric forces during internal rotation (IR) and external rotation (ER). Results . Participants presented with non-ideal or unsatisfactory internal (59%) and external (85%) rotators of the shoulder. A slightly abnormal or abnormal forward head posture was observed in 55% of participants, while 68% had an abnormal shoulder position in the lateral view. The muscle activation sequence of the rotator cuff muscles was: (i) serratus anterior, (ii) lower trapezius, (iii) infraspinatus, and (iv) upper trapezius. The isokinetic ER/IR muscle-strength ratio during concentric muscle contraction was 64% (standard deviation (SD) ±14) for the left shoulder and 54% (SD ±10) for the right shoulder. The ER/IR ratio for eccentric muscle contraction was 67% (SD ±12) and 61% (SD ±9) for the left and right shoulders, respectively. Conclusions . Non-ideal or unsatisfactory flexibility of the external rotators of the shoulder, a forward shoulder posture in the lateral view, and weakness of the external rotators did not result in an abnormal rotator cuff muscle activation pattern in this study. Postural deviations may, however, increase the risk of shoulder injury in rugby union players in the long term, and should be corrected.

Thoracic posture, shoulder muscle activation patterns and isokinetic strength of semi-professional rugby union players

Background. Shoulder injuries are the most severe injuries in rugby union players, accounting for almost 20% of injuries related to the sport and resulting in lost playing hours.Objective. To profile the thoracic posture, scapular muscle activation patterns and rotator cuff muscle isokinetic strength of semi-professionalrugby union players.Methods. Using the hand-behind-the-neck and -back methods, we manually tested the range of motion (ROM) of the shoulder joints of 91 uninjured semi-professional rugby union players who consented to participate in the study. Profiling and classification of thoracic posture was performed according to the New York Posture Test. Activation patterns of the upper and lower trapezius, serratus anterior and infraspinatus scapular muscles were determined by electromyography. The isokinetic muscle strength of the rotator cuff muscles was determined at 60°/sec by measuring the concentric and eccentric forces during internal rotation (IR) and external rotation (ER).Results. Participants presented with non-ideal or unsatisfactory internal (59%) and external (85%) rotators of the shoulder. A slightly abnormal or abnormal forward head posture was observed in 55% of participants, while 68% had an abnormal shoulder position in the lateral view. The muscle activation sequence of the rotator cuff muscles was: (i) serratus anterior, (ii) lower trapezius, (iii) infraspinatus, and (iv) upper trapezius. The isokinetic ER/IR muscle-strength ratio during concentric muscle contraction was 64% (standard deviation (SD) ±14) for the left shoulder and 54% (SD ±10) for the right shoulder. The ER/IR ratio for eccentric muscle contraction was 67% (SD ±12) and 61% (SD ±9) for the left and right shoulders, respectively.Conclusions. Non-ideal or unsatisfactory flexibility of the external rotators of the shoulder, a forward shoulder posture in the lateral view, and weakness of the external rotators did not result in an abnormal rotator cuff muscle activation pattern in this study. Postural deviations may, however, increase the risk of shoulder injury in rugby union players in the long term, and should be corrected.

Ankle syndesmosis injuries in rugby union players: A retrospective analysis

Ankle syndesmosis injuries in rugby union players: A retrospective analysis