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An American Experience with a New Olympic Collision Sport: Rugby Sevens

机译:美国的一项新的奥林匹克碰撞运动经验:七人制橄榄球

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Objectives: Rugby Sevens is a future Olympic collision sport that is played globally with a high incidence of injury. The sport is growing exponentially in the U.S. There is limited injury data on Rugby Sevens. Currently, there is no study evaluating incidence of injury in the National Rugby Sevens population in the U.S. The objective of this study was to characterize the injury rates among amateur Rugby Sevens players in the U.S. Methods: This was a prospective descriptive injury epidemiology study involving American Rugby Sevens tournaments from 2010-2013. The injury data were collected from both male and female Rugby Sevens players (13, 524 players) and conformed to the international consensus statement on rugby injury definitions. The study included a total of 1,127 teams competing in under-15 to national candidate level tournaments (USA Rugby Local Area, Territorial Union, National and All-Star Sevens Series, USA Sevens Invitational and Collegiate Rugby Championships). A total of 2746 matches were played, 2734 lasting 14-minutes (0.23 hours) in length and 12 lasting 20-minutes (0.33 hours) in length. The overall injury exposure for all players was 8858.9 playing hours (7 players per side * 2 teams per match * 0.23 hours per match * 2734 matches + 7 players per side * 2 teams per match * 0.33 hours per match * 12 matches). Player injury data were reported as proportion (%), mean (SD), and rate of injury as injuries per 1000 playing hours. Results: Incidence of combined medical attention and time-loss injuries was 97.7/1000 playing hours (n=875 injuries) (23.6±5 years old). Time-loss injuries alone were encountered at 43.1/1000 playing hours (n=380 injuries) (forwards, 14.3/1000, n=127; backs 25.7/1000, n=228) (RR: 1.8; 1.53-2.11, P < 0.001). Eliteational male competitors (242.6/1000) were injured more often than lower playing levels (147.6/1000) (P < 0.001). Most injuries were acute injuries (96%) that occurred during the tackling phase of play (97%), and it resulted mainly from contact with an opposing player (67%). The main injuries seen were ligament sprain in lower extremities (43%). Upper extremity injuries were seen more often among male players (76%) than female players (24%) (RR: 0.31, CI: 0.25-0.40, P < 0.001). Knee injuries were seen more often in women’s elite players than men’s elite players (P = 0.014). Headeck injuries (backs, 58%; forwards, 42%) occurred more often in male players (74%) (RR: 0.34; CI: 0.26-0.44, P < 0.001). Conclusion: Injury prevention in American Rugby Sevens should focus on proper tackling technique as most injuries in our series occurred during tackling. We also saw a significant number of headeck injuries in our U.S. playing population, which may reinforce the importance of proper tackling technique in this collision sport. The rate of headeck injuries (23%) in our U.S. cohort (National candidates, 25%; lower competitors, 23%) was higher than the rate reported among international male Rugby Sevens players (5%) (Table 1). Overall, our National candidates had higher rates of time loss injuries than lower American amateur playing levels. Our observed injury rate among U.S. elite players is also higher than that reported for international male Rugby Sevens population. Understanding the injury profile of American Rugby Sevens is important to healthcare providers and would direct the growth and safety of this growing collision sport, allowing safe return-to-play decisions and formulation of prevention protocols.
机译:目标:七人橄榄球是一项未来的奥林匹克碰撞运动,在全球范围内受伤率很高。在美国,这项运动正呈指数级增长。关于七人榄球赛的伤害数据有限。当前,尚无评估美国国家橄榄球七人榄球赛人群伤害发生率的研究。该研究的目的是表征美国业余橄榄球七人榄球赛运动员的受伤率。方法:这是一项涉及美国人的前瞻性描述性伤害流行病学研究2010-2013年橄榄球七人榄球锦标赛。受伤数据来自男女七人制橄榄球运动员(分别为13名,524名运动员),并且符合关于橄榄球损伤定义的国际共识声明。该研究包括总共1,127支球队,参加15岁以下至全国候选人水平的比赛(美国橄榄球本地区域赛,领土联盟,国家和全明星七人制橄榄球系列赛,美国七人制橄榄球邀请赛和大学橄榄球锦标赛)。总共进行了2746场比赛,其中2734场比赛时长14分钟(0.23小时),其中12场比赛时长20分钟(0.33小时)。所有球员的总体受伤风险为8858.9个小时(每边7名球员*每场比赛2支球队*每场比赛0.23小时* 2734场比赛+每边7名球员*每场比赛2支球队*每场比赛0.33小时*每场12场比赛)。球员受伤数据报告为比例(%),平均值(SD)和受伤率(每1000个游戏小时受伤数)。结果:医疗护理和失时伤害合并发生率为97.7 / 1000游戏小时(n = 875伤害)(23.6±5岁)。在43.1 / 1000的比赛时间中仅遭受时间损失的伤害(n = 380受伤)(向前,14.3 / 1000,n = 127;后卫25.7 / 1000,n = 228)(RR:1.8; 1.53-2.11,P < 0.001)。精英/国家级男性比赛(242.6 / 1000)受伤多于低水平比赛(147.6 / 1000)(P <0.001)。大多数伤害是在比赛的抢断阶段(97%)发生的急性伤害(96%),主要是由于与对方球员接触(67%)引起的。看到的主要伤害是下肢韧带扭伤(43%)。男性运动员(76%)比女性运动员(24%)更常见上肢损伤(RR:0.31,CI:0.25-0.40,P <0.001)。在女子精英运动员中,膝盖受伤的发生率高于男子精英运动员(P = 0.014)。男性运动员(74%)的头部/颈部受伤(背部58%;向前42%)发生率更高(RR:0.34; CI:0.26-0.44,P <0.001)。结论:“美国七人榄橄榄球”的伤害预防应着重于正确的处理技术,因为我们系列中的大多数伤害都是在处理过程中发生的。在美国比赛人群中,我们还发现大量头部/颈部受伤,这可能在这种碰撞运动中进一步强调了正确的应对技术的重要性。美国队列中的头部/颈部受伤率(23%)(全国候选人为25%;较低的竞争对手为23%)高于国际七人制橄榄球七人榄球手(5%)的报告率(表1)。总体而言,我们的国家应聘者比美国业余选手的失误率更高。我们在美国精英球员中观察到的伤害率也高于国际七人制橄榄球七人组报告的伤害率。了解美国橄榄球七人榄球的伤害状况对医疗保健提供者很重要,它将指导这种不断发展的碰撞运动的发展和安全性,从而允许安全的重赛决定和制定预防方案。

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