Rugby Union Players Research Articles

Peak Running Demands in Elite Women's Rugby Sevens and Rugby Union Match Play: A Comparative Study.

In women's rugby, players regularly interchange between the rugby sevens (R7) and rugby union (RU) formats. Yet, the game demands and particularly the physical aspects respective to both formats vary and players must be able to respond accordingly. The aim of this study was to compare peak running demands in R7 and RU players. A total of 51 international women players participated. HSBC World Sevens Series (n = 19) and Six Nations Rugby Union tournament matches (n = 10) were analyzed for a total of 437 individual match observations. Global positioning systems were utilized to measure total (in meters) and high-speed (above 16km·h-1, in meters) distance and frequency of accelerations (above 2.5m·s-2, n) during different rolling-average periods (1-7min) to obtain peak running activity values. Power law modeling was used to obtain slope and intercept. For all variables, peak values and the value at the 90th percentile (P90) were analyzed. No intercept difference (P = .25; -0.12 ± 0.17) was observed between formats for total distance (161 vs 155m·min-1). In contrast, R7 players reported a higher intercept (P = .01; -0.29 ± 0.17) for high-speed distance (66 vs 51m·min-1), while the intercept was higher (P = .01; 0.31 ± 0.20) in RU for accelerations performed (6.1 vs 5.4n·min-1). Regarding P90, higher values (P < .001) were observed in R7 for total and high-speed distance and accelerations. While peak overall intensity was similar, P90 on the high-speed spectrum was higher in R7. Information on the most demanding match-play periods specific to both women's rugby formats can inform training specificity by tailoring sessions to ensure sufficient exposure to these peak demands and, consequently, aid transitioning betweenformats.

A 0.1% L-Menthol Mouth Swill in Elite Male Rugby Players Has Different Effects in Forwards and Backs.

Menthol mouth swills can improve endurance performance in the heat, which is attributed to attenuations in nonthermally derived thermal sensation (TS) and perception of effort. However, research in elite team-sport athletes is absent. Therefore, this study investigated the performance and TS responses to a 0.1% menthol mouth rinse (MR) or placebo (PLA) among elite male rugby union players. Twenty-seven (15 Forwards and 12 Backs) elite male Super Rugby players completed two 3-minute 15-a-side rugby-specific conditioning blocks, with MR or PLA provided at the start of training (baseline), at the start of each 3-minute block (swill 1 [S1] and swill 2 [S2]), and at the end of training (swill 3 [S3]). TS was assessed using the American Society of Heating, Refrigerating and Air-Conditioning Engineers 9-point Analog Sensation Scale after each swill and at baseline (preconditioning block). Acceptability was measured after baseline swill and S3 using a 5-question Likert scale. Physical performance was measured throughout training using global positioning system metrics. MR attenuated TS from baseline to S1 (P = .003, SD = 1.01) and S2 (P = .002, SD = 1.09) in Forwards only, compared with PLA. Acceptability was higher only for Forwards in MR versus PLA at baseline (P = .003, SD = 1.3) and S3 (P = .004, SD = 0.75). MR had no effect on physical performance metrics (P > .05). MR attenuated the rise in TS with higher acceptability at S1 and S3 (in Forwards only) with no effect on selected physical performance metrics. Longer-duration exercise (eg,a match) in hot-humid conditions eliciting markedly increased body temperatures could theoretically allow favorable changes in TS to enhance performance-these postulations warrant experimental investigation.

Longitudinal Development of Physical Characteristics and Function in Japanese Junior Rugby Union Players.

To longitudinally investigate the development of physical characteristics and function during 3years of high school among Japanese junior rugby players and examine the differences in these parameters between the positions. In 83 junior rugby players (forwards: n = 46, backs: n = 37) from one Japanese high school team who had participated in national high school competitions, anthropometric variables (height, body mass, fat and lean body mass, and body mass index), upper- and lower-body strength (eg,1-repetition-maximum [1RM] bench press, isokinetic knee muscle strength at 60°/s and 180°/s), and sprint and jump performance were measured. Upper- and lower-body strength relative to body mass and lean body mass were also calculated. All anthropometric indices improved with increasing age, and the values were higher in forwards than in backs (all P < .05). The 1-repetition maximum bench press (forwards: 40.8%, backs: 52.5%) and isokinetic knee strength (eg,extension at 60°/s, forwards: 15.4%, backs: 10.0%) improved with age (from 16 to 18y), and they were higher in forwards than in backs (all P < .05). Meanwhile, the 1RM bench press relative to lean body mass did not differ between the positions. Isokinetic knee muscle strength at 60°/s and 180°/s relative to lean body mass and sprint and jump performance did not improve with age. These results indicate that Japanese junior rugby players need to develop larger physiques and continuously increase their lower-body strength to improve sprint and jump performance.

Mental Fatigue Impairs Tackling Technique in Amateur Rugby Union Players.

To test the effects of mental fatigue (MF) on tackling technique on the dominant and nondominant shoulders in rugby union. Twenty male amateur rugby union players and a total of 953 tackles were analyzed. A randomized crossover counterbalanced design was used across a non-MF (control) and an MF condition. During each condition, each player performed 24 tackles, divided into 4 sets of 6 tackles (3 tackles on each shoulder). In the MF condition, players performed the Stroop Task between each set of tackles. A video recording of each tackle was used to evaluate each player's technical proficiency. A score of 1 point was awarded if a specific technique was performed correctly, and 0 point was given if not. The total score, measured in arbitrary units (AU) out of 11, represents the player's overall tackling proficiency. Overall, players displayed a significantly lower technical proficiency score in the MF condition compared to control (set 2: control 7.30 [7.04-7.57] AU vs MF 6.91 [6.70-7.12] AU, P = .009, effect size (ES) = 0.30 small and set 3: control 7.34 [7.11-7.57] AU vs MF 6.88 [6.66-7.11] AU, P = .002, ES = 0.37 small). For the nondominant shoulder, players had a significantly lower technical proficiency score during the MF condition at set 2 (control 7.05 [6.68-7.41] AU vs MF 6.69 [6.42-6.96] AU, P = .047, ES = 0.29 small) and set 3 (control 7.14 [6.83-7.45] AU vs MF 6.61 [6.35-6.87] AU, P = .007, ES = 0.49 small). MF can diminish a player's overall tackling proficiency, especially when tackling on the nondominant shoulder. The physiological mechanism for this finding may be impaired executive function and suboptimal functioning of neural signals and pathways, which result in less skillful coordination of movement. To further understand and explain MF-induced physiological changes in tackling, the feasibility of monitoring brain activity (such as electroencephalogram) and neuromuscular function (such as electromyogram) needs to be investigated. The findings from this study may also contribute to the development of more effective tackle training programs for injury prevention and performance.

Hematological Adaptations Following a Training Camp in Hot and/or Hypoxic Conditions in Elite Rugby Union Players.

To investigate the effects of a training camp with heat and/or hypoxia sessions on hematological and thermoregulatory adaptations. Fifty-six elite male rugby players completed a 2-week training camp with 5 endurance and 5 repeated-sprint sessions, rugby practice, and resistance training. Players were separated into 4 groups: CAMP trained in temperate conditions at sea level, HEAT performed the endurance sessions in the heat, ALTI slept and performed the repeated sprints at altitude, and H + A was a combination of the heat and altitude groups. Blood volume across all groups increased by 140mL (95%CI, 42-237; P = .006) and plasma volume by 97mL (95%CI 28-167; P = .007) following the training camp. Plasma volume was 6.3% (0.3% to 12.4%) higher in HEAT than ALTI (P = .034) and slightly higher in HEAT than H + A (5.6% [-0.3% to 11.7%]; P = .076). Changes in hemoglobin mass were not significant (P = .176), despite a ∼1.2% increase in ALTI and H + A and a ∼0.7% decrease in CAMP and HEAT. Peak rectal temperature was lower during a postcamp heat-response test in HEAT (0.3°C [0.1-0.5]; P = .010) and H + A (0.3°C [0.1-0.6]; P = .005). Oxygen saturation upon waking was lower in ALTI (3% [2% to 5%]; P < .001) and H + A (4% [3% to 6%]; P < .001) than CAMP and HEAT. Although blood and plasma volume increased following the camp, sleeping at altitude impeded the increase when training in the heat and only marginally increased hemoglobin mass. Heat training induced adaptations commensurate with partial heat acclimation; however, combining heat training and altitude training and confinement during a training camp did not confer concomitant hematological adaptations.

Opposition Skill Efficiency During Professional Rugby Union Official Games Is Related to Horizontal Force-Production Capacities in Sprinting.

This study aimed to determine relationships between parameters of force-production capacity in sprinting and opposition skill efficiency in rugby union games according to position. The sprint force-velocity profile of 33 professional rugby union players divided into 2 subgroups (forwards and backs) was measured on a 30-m sprint. Skill efficiencies (in percentage) of offensive duels, tackles, and rucks were assessed using objective criteria during 12 consecutive competitive games. Pearson correlation was used to determine the relationships between parameters of horizontal force-production capacity in sprinting (maximum propulsive power, theoretical maximum force [F0], theoretical maximum velocity, maximum ratio of horizontal force [RFmax], and rate of decrease of this ratio of forces with increasing velocity) and skill efficiencies. Two multiple linear regression models were used to observe whether skill efficiencies could depend on determinants of horizontal force application in low- or high-velocity conditions. A first model including F0 and theoretical maximum velocity was used as a macroscopic analysis, while a second model including RFmax and rate of decrease of this ratio of forces with increasing velocity was used as microscopic analysis to determine the most significant determinants of skill efficiency. All skill efficiencies were strongly correlated with maximum propulsive power in forwards and backs. In forwards, F0 and RFmax were the key predictors of dueling, rucking, and tackling efficiency. In backs, F0 was the main predictor of dueling and rucking efficiency, whereas RFmax was the key predictor of dueling and tackling efficiency. F0 and theoretical maximum velocity equivalently contributed to tackling performance. In rugby union forward and back players, skill efficiency is correlated with maximum propulsive power and may be more explained by horizontal force-production capacity and mechanical effectiveness at lower velocities than at higher velocities.

Profiling Professional Rugby Union Activity After Peak Match Periods.

The aim of this investigation was to quantify professional rugby union player activity profiles after the most intense (peak) passages of matches. Movement data were collected from 30 elite and 30 subelite professional rugby union athletes across respective competitive seasons. Accelerometer-derived PlayerLoad and global navigation satellite system-derived measures of mean speed and metabolic power were analyzed using a rolling-average method to identify the most intense 5- to 600-second passages (ie,worst-case scenarios) within matches. Player activity profiles immediately post their peak 5- to 600-second match intensity were identified using 5 epoch duration-matched intervals. Mean speed, metabolic power, and PlayerLoad declined sharply (∼29%-86%) after the most intense 5 to 600seconds of matches. Following the most intense periods of rugby matches, exercise intensity declined below the average match-half intensity 81% of the time and seldom returned to or exceeded it, likely due to a host of individual physical and physiological characteristics, transient and/or accumulative fatigue, contextual factors, and pacing strategies. Typically, player exercise intensities after the most intense passages of matches were similar between match halves, positional groups, and levels of rugby competition. Accurate identification of the peak exercise intensities of matches and movement thereafter using novel methodologies has improved the limited understanding of professional rugby union player activity profiles following the worst-case scenarios of matches. Findings of the present study may inform match-representative training prescription, monitoring, and tactical match decisions (eg,substitutions and positional changes).

The associations between anthropometric characteristics and nutritional parameters in male elite rugby union players

The objective was to analyse the associations between anthropometric characteristics and diet in male rugby players according to the playing position. A cross-sectional study was developed. The forwards had higher body weight (107 kg) and fat mass (FM; 12%) than the backs (87.8 kg and 8.47%, respectively) (p < 0.05). The quality of diet needs to improve (KIDMED value of 5.87 and 6.36 for forwards and backs, respectively). Nutritional imbalances, such as deficits in carbohydrates, fibre, calcium, magnesium and vitamin D, and excess of fats, saturated fatty acid, cholesterol and sugars were found. Carbohydrates and proteins intake were significant associated (p < 0.05) with a minor FM. Forwards with a KIDMED index of less than 8 had a significantly higher FM than those who maintained an optimal diet (p < 0.05). The diet of rugby players should be more in line with dietary recommendations and take into account the player position to optimise sports performance.

Effects of Tactical Periodization on Workload, Physical Fitness, and Well-Being in Professional Rugby Union Players During a Preseason Period.

Hu, X, Boisbluche, S, Philippe, K, Maurelli, O, Li, S, Xu, B, and Prioux, J. Effects of tactical periodization on workload, physical fitness, and well-being in professional rugby union players during a preseason period. J Strength Cond Res XX(X): 000-000, 2023-Tactical periodization (TP) emerged approximately 30 years ago and has recently gained considerable attention in rugby union (RU). It aims to develop specific physical fitness components with 3 acquisition days (strength, endurance, and speed). However, no study has investigated the effects of TP on workload, physical fitness, and well-being across an RU preseason. This study aimed to determine how RU players' workload response to TP focusing on positional differences, observe the influence of a TP preseason training program on aerobic fitness and neuromuscular performance between positions, and analyze the variation of well-being reported by forwards and backs from the 3 acquisition days. Thirty-two male players completed a 6-week TP protocol. External and internal workload variables were recorded through global positioning systems and session rating of perceived exertion (s-RPE) separately. Fitness assessments included Bronco and countermovement jump (CMJ) tests. The sum of well-being indices was measured using the Hooper index. Kruskal-Wallis H tests revealed that the highest values of PlayerLoad slow, PlayerLoad slow percentage, and s-RPE were found on endurance day and the lowest on speed day. Mann-Whitney U tests showed that 15 external workload parameters were higher in backs than forwards for each acquisition day. Small improvements were observed on the Bronco test. No differences were observed in CMJ performance during the preseason period and well-being values between acquisition days. This study provides unique insights into external and internal workload variables during each acquisition day. Furthermore, it highlights TP as an efficient theoretical concept to use in an RU context.

Acute beetroot juice supplementation did not enhance intermittent running performance in trained rugby players

ABSTRACT Purpose: Since the effect of dietary nitrate (NO3 -) supplementation on rugby performance is unclear, the aim of the present study was to determine the effect of acute NO3 - supplementation, on the modified Yo-Yo intermittent recovery level 1 (IR1) performance test in trained male rugby players. Methods: In a randomised, counterbalanced, double-blind, placebo-controlled crossover design, 12 trained rugby union players performed two experimental trials three hours after supplementation of either 140 mL NO3 --rich (BRJ; ∼12.8 mmol NO3 -) or NO3 --depleted (PLA) BRJ. After blood sampling, players performed the modified Yo-Yo IR1 test. Countermovement jumps (CMJ) were also measured before (pre-CMJ) and after (post-CMJ) the prone Yo-Yo IR1 test. Results: Plasma NO3 - (BRJ: 570 ± 146 µM vs. PLA: 72 ± 23 µM) and nitrite (NO2 -) concentrations (BRJ: 320 ± 123 nM vs. PLA: 103 ± 57 nM) were increased after BRJ compared to PLA supplementation (both P < 0.001). Performance in the modified Yo-Yo IR1 test did not differ between BRJ (542 ± 209 m) and PLA (498 ± 185 m, P = 0.3). The jump height in pre-CMJ and in post-CMJ were similar between trials (both P > 0.05). Conclusions: Acute BRJ supplementation increased plasma NO3 - and NO2 - concentrations but had no benefit on an intermittent running test that reflects the demands of rugby performance, and CMJ performances. The findings do not support acute high-dose NO3 - supplementation as an ergogenic aid to enhance physical performance in trained male rugby players.

Evaluating the impact of a digitally implemented subjective standard on professional rugby union player management decision-making

Using a pre-post-test design, this study evaluated the impact of implementing a standard on the reliability of player management decision-making within a professional rugby union environment. Five practitioners from a High-Performance Unit (HPU) rated 22 instances of Global Positioning System (GPS)–based external training load information of 14 players across the 2021–2022 season. This rating was whether a peak/trough/normal exposure in load had occurred. The ratings were repeated at four time points (separated by 2 weeks) before (Pre1, Pre2) and after (Post1, Post2) implementing a consensus statement as a subjective standard (using a dashboard) developed previously within the same environment to identify peaks/troughs in player external training loads. Inter-rater agreement between individuals at each voting round was assessed using Light's Kappa, while pre-post-standard intra-rater agreement was determined from Cohen's Kappa (both with 95% confidence intervals). Changes to dashboard usability from implementing the standard were assessed by administering the System Usability Scale to 11 HPU staff at the four time points. Pre-standard moderate inter-rater agreement (Pre1: 0.53 (0.36–0.69), Pre2: 0.60 (0.42–0.77)) increased to almost perfect agreement (Post1: 0.74 (0.57–0.89), Post2: 0.90 (0.79–1)) post-standard. The intra-rater agreement of 2/5 participants was almost perfect post-standard, while it remained within substantial levels for the others. A linear mixed model ( χ2(3) = 8.85, p = 0.03) illustrated a slight increase in dashboard usability after incorporating the standard (Pre1: 84.09, Pre2: 81.36; Post1: 87.73, Post2: 87.27). Overall, the results highlighted that the subjective standard enhanced reliability of practitioner agreement for the selected decision.

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

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. 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±5years 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 ( / ) 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.

Acute and subacute clinical markers after sport-related concussion in rugby union players.

The purpose of this study was to investigate the relationship between on-field post-concussion symptoms reported by athletes, on-field neurological signs reported by a trainer or physician, and/or post-concussion symptoms 72 h after brain injury in male rugby players. Cross-sectional study in a Sports Concussion Clinic setting. We enrolled 92 adult rugby union players, within the first 72 h after sport concussion. Four scales were measured. Immediate Concussion Sign Checklist (sideline); Immediate Concussion Symptom Checklist (24 h after concussion); Post-Concussion Symptoms Scale and Beck Depression Inventory (in-office 72 h after concussion). Odds ratios revealed that overtly symptomatic athletes were over 2.6 times more likely (p = 0.047) to exhibit post-traumatic amnesia than asymptomatic athletes. There were no differences in terms of on-field loss of consciousness or confusion. Immediate symptoms reported by athletes retrospectively were associated with symptoms reported on the Beck Depression Inventory (odds ratio 2.8; 95 % confidence interval 1.14-6.88), headache (odds ratio 4.9; 95 % confidence interval 1.92-12.79), memory concerns (odds ratio 3.15; 95 % confidence interval 1.06-9.34), pressure in the head (odds ratio 2.8; 95 % confidence interval 1.03-8.08), and visual disturbances (odds ratio 3.9; 95 % confidence interval 1.05-14.50) reported 72 h after sports concussion. Athletes who were overtly symptomatic after sports concussion were significantly more likely to experience post-traumatic amnesia and two or more on-field concussion signs relative to those athletes who were asymptomatic. Also, players with immediate symptoms reported higher depressive symptoms, somatic symptoms (headache and visual disturbances), and cognitive symptoms.

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

ABSTRACT 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 points Elite 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.

男子大学生ラグビー選手の外傷・障害特性

The purpose of this study was to describe the incidence, severity, and burden of injuries in Japanese male collegiate rugby union players. Initially, 170 male collegiate rugby union players from one university club were registered in this epidemiological surveillance study. The occurrence of injuries was recorded by a team medical staff during the 2017–2021 playing seasons. The incidence of injuries was 6.87 injuries/1000 h. This incidence was significantly higher during matches (100.37 injuries/1000 h) than that during training (3.63 injuries/1000 h). The severity of injuries was 31.0 days, and there were no significant differences between matches and training, or forwards and backs. The burden of injuries was 213.1 days/1000 h. This burden was significantly higher during matches (2887.8 days/1000 h) compared to training (120.1 days/1000 h). Matches had higher incidence of ankle sprain/ligament injuries (15.80 injuries/1000 h) and concussion (15.36 injuries/1000 h). The most common injury site was the ankle (1.24 injuries/1000 h). However, the greatest severity and burden were observed for knee injuries (severity: 59.1 days, burden: 48.6 days/1000 h). Furthermore, the greatest burden of injury type was knee sprain/ligament injuries (39.4 days/1000 h). In addition, the incidence of acromioclavicular joint injury was significantly higher in forwards, whereas hamstring strain was significantly higher in backs. The common injury mechanisms identified were being tackled (16.0%) and tackling (14.7%), followed by overuse (12.1%). In order to improve the player welfare of the Japanese collegiate rugby union players, it is necessary to work on the prevention strategy considering the injury profile.

Satisfaction with labial reinforcement of custom-made mouthguards among a cohort of rugby union players: A randomized crossover trial.

The optimal mouthguard design for athletes remains unclear. This study assessed satisfaction and preference among rugby union players for custom mouthguards with and without labial reinforcement. It also assessed discomfort and perceived protection. This prospective randomized controlled trial used a crossover design of four 1-week periods to compare conventional (Type A) and labial reinforced (Type B) customized 2 mouthguards for rugby union players from February to May 2022. Type B mouthguards included a 0.75-mm insert of polyethylene terephthalate glycol (Duran) in the anterior labial region. We ensured intraoral occlusion accommodation for both mouthguards. Players wore each mouthguard type when training and in competitive matches for 2 weeks according to one of two randomized sequences, and after each session, they rated the mouthguard on 10-point scales regarding discomfort, functional interference, protection, and general satisfaction. After 4 weeks, we asked participants to nominate their preferred mouthguard. In total, 22 of the 24 invited players (16 men and 6 women) were included. We observed no significant differences in discomfort, functional interference, protection, or general satisfaction by mouthguard type (P > .05 Wilcoxon test). Ultimately, 12 players (55%) preferred the Type A mouthguard and 10 (45%) preferred the Type B mouthguard (P = .832; one-sample binomial test). No serious adverse events occurred. Labial reinforcement does not affect satisfaction, perceived comfort and protection, or mouthguard preference among rugby union players. Int J Prosthodont 2023. doi: 10.11607/ijp.8444 Trial registration: NCT05238480 (ClinicalTrials.gov).

Coach and player rating of perceived challenge (RPC) as a skill monitoring tool in Rugby union

Objective To determine the relationship between player and coach rating of perceived challenge (RPC) for different training sessions over a competitive rugby union season. A secondary aim was to explore the relationship between player RPC and player session rating of perceived exertion (RPE). Methods We used an observational longitudinal study design to monitor 51 male highly-trained under 21 rugby union players and four coaches over an 11-week competitive rugby season (a total of 1798 training session observations). Player RPC (0 to 10 arbitrary units (AU)) and RPE ratings (0 to 10 AU) were collected after team sessions (a technical and tactical field-based session with all players training together), split sessions (a technical and tactical field-based session where players trained separately according to their positional grouping (forward and backs)) and gym sessions (non-field-based session with all players training together). Coach RPC ratings were only collected after team sessions and split sessions. Results A weak positive relationship (rho = 0.26; 95% CI: 0.09–0.42; p &lt; .001) was found for split sessions (player RPC: 4.40; 95% CI: 3.87–4.87 AU; coach RPC: 4.25; 95% CI: 3.92–4.60 AU), while a moderate positive relationship (rho = 0.37; 95% CI: 0.31–0.43; p &lt; .001) was found between player RPC (4.29; 95% CI: 4.00–4.55) and coach RPC (4.96; 95% CI: 4.89–5.05) for team sessions. Forwards had a higher RPC (5.33; 95% CI: 4.50–5.65) compared to backs (3.45; 95% CI: 2.88–4.00) for split ( p &lt; .001) and team sessions (forward's RPC: 4.66; 95% CI: 4.37–4.94; back's RPC: 3.84; 95% CI: 3.38–4.26; p &lt; .001). Conclusions In conclusion, using a rating to quantify the perceived challenge of training, we found coaches may be overestimating how challenging their training sessions are. Forwards-rated field sessions more challenging than backs, which likely represents their additional technical and tactical demands from training scrums, line-outs and mauls. While the RPC has strong theoretical justification as a rating tool to potentially fulfil the gap of quantifying the perceived challenge of training, thoughtful validity studies are yet to be conducted on the scale, which are the required next steps if the RPC is going form part of a coach's and practitioner's toolbox to optimise skill training.

NZ-RugbyHealth Study: Current Postural Control Ability of Former Rugby Union and Non-contact Sport Players.

Players in contact sports frequently experience mild traumatic brain (concussion) injuries (TBI). While there are known disruptions to balance following acute head trauma, it is uncertain if sport-related concussion injuries have a lasting impact on postural control. To assess postural control in retired rugby players in comparison to retired non-contact sport players, and to evaluate any association with self-reported sport-related concussion history. Using a cross-sectional design, 75 players in the NZ-RugbyHealth study from three sports groups (44 ± 8years; 24 elite rugby, 30 community rugby, 21 non-contact sport) took part in this study. The SMART EquiTest® Balance Master was used to assess participant's ability to make effective use of visual, vestibular and proprioceptive information using standardised tests. Postural sway was also quantified using centre of pressure (COP) path length. The relationship among sports group, sport-related concussion history and postural control was evaluated using mixed regression models while controlling for age and body mass index. Limited significant differences in balance metrics were found between the sports groups. A statistically significant (p < 0.001) interaction indicated a relationship between COP path length and sport-related concussion history in the most challenging balance condition, such that path length increased as the number of previous sport-related concussions increased. There was some evidence for a relationship between sport-related concussion recurrence in sports players and postural stability in challenging balance conditions. There was no evidence of impaired balance ability in retired rugby players compared with non-contact sport athletes.

Effects of preseason training on body composition, running performance, biochemical markers and workload variation in professional rugby union players

Few studies have examined the impact of a preseason training intervention through systematic measures in Pro D2 rugby union (RU). Therefore, this study aimed to describe the effects of 12 weeks of preseason training (three blocks) on body composition, running performance, biochemical markers, and workload (WL) variation in professional RU players. Physiological (physical and biochemical) responses to preseason WL were analyzed by examining changes in anthropometric characteristics, Yo-Yo intermittent recovery level 1 (Yo-Yo IR1) test, blood samples (BS), Hooper index (1–7), the 10-Hz global positioning system (GPS), and session rating of perceived exertion (s-RPE) in nineteen elite male players. Changes throughout the preseason were analyzed using the one-way and mixed-model analysis of variance. Significant (p < 0.01) improvements occurred in anthropometry and Yo-Yo IR1 running performance in forwards and backs. Total distance (p < 0.01) and impact (p < 0.05) during the second block were meaningfully higher than the other two blocks, with backs showing higher values than forwards. As expected, WL decreased significantly (p < 0.01) during the last training block. The WL variations were correlated with changes in biochemical markers over the preseason period. The collected data can be used for i) profiling French Pro D2 rugby championships players, ii) establishing effective training strategies, and iii) setting preseason WL expectations.

Inter-Professional and Methodological Agreement in Using the Cutting Movement Assessment Score (CMAS)

Background: The cutting movement assessment score (CMAS) provides a qualitative assessment of the side-step cutting (S-SC) technique. Previous research has been undertaken primarily by biomechanists experienced with S-SC evaluations. Little is known about the agreement between various sports science and medicine practitioners to ascertain whether the tool can be used effectively by different practitioners in the field. Currently, the CMAS uses three camera views (CVS) to undertake the evaluation, and it would be worthwhile to know whether the CMAS can be effectively conducted with fewer camera views to improve clinical utility. Therefore, the aim of the study was to examine the inter-rater agreement between different sports science and medicine practitioners and agreement between using different CVS to evaluate the S-SC technique using the CMAS. Methods: Video data were collected from 12 male rugby union players performing a 45° S-SC manoeuvre toward both the left and right directions. Five different sports science and medicine practitioners evaluated footage from three cameras of one left and one right trial from each player using the CMAS. Twelve different trials were also evaluated by the sports rehabilitator using single and multiple CVS. Agreements (percentage; Kappa coefficients (K)) between different practitioners and configurations of the CVS were explored. Results: Good to excellent inter-rater agreements were found between all practitioners for total score (K = 0.63–0.84), with moderate to excellent inter-rater agreements observed across all items of the CMAS (K = 0.5–1.0). Excellent agreement was found between using three CVS vs. two CVS that included at least a sagittal view (K = 0.96–0.97). Lower agreement (K = 0.83) was found between angle-frontal views with three CVS. Conclusions: The CMAS can be used effectively by various practitioners to evaluate the movement quality of S-SC. The use of two CVS that include at least a sagittal plane view would suffice to evaluate the S-SC technique against the CMAS.