Literature DB >> 12937506

Concussion in Rugby: The Hidden Epidemic.

Stephen W. Marshall1, Richard J. Spencer.   

Abstract

OBJECTIVE: To determine the incidence of concussion in high school rugby players and compare the findings with the relevant published literature. DESIGN AND
SETTING: Prospective data collection in one US high school rugby program.
SUBJECTS: Two teams followed for 3 years. MEASUREMENTS: Injury rate, injury severity, and time withheld from competition.
RESULTS: Seventeen concussions were recorded, accounting for 25% of all reported injuries. The incidence rate for concussion was 3.8 per 1000 athlete-exposures (95% confidence interval, 2.0-5.7) or 11.3 per 100 player-seasons (95% confidence interval, 5.9-16.7). Of the 17 concussions, 14 were Cantu grade 1, 2 were grade 2, and 1 was grade 3. Concussions accounted for 25% of all days lost from rugby participation due to injury.
CONCLUSIONS: The incidence of concussion in this study was higher than previously reported in other studies. Methodologic limitations and administrative rules that required suspension for injured players may have suppressed reporting in previous epidemiologic studies. The incidence of concussion in rugby is probably much higher than previously suggested.

Entities:  

Year:  2001        PMID: 12937506      PMCID: PMC155428     

Source DB:  PubMed          Journal:  J Athl Train        ISSN: 1062-6050            Impact factor:   2.860


  10 in total

1.  The New Zealand Rugby Injury and Performance Project: V. Epidemiology of a season of rugby injury.

Authors:  Y N Bird; A E Waller; S W Marshall; J C Alsop; D J Chalmers; D F Gerrard
Journal:  Br J Sports Med       Date:  1998-12       Impact factor: 13.800

Review 2.  Protective headgear in rugby union.

Authors:  B D Wilson
Journal:  Sports Med       Date:  1998-05       Impact factor: 11.136

Review 3.  Mouthguards. Protection for the mouth in rugby union.

Authors:  D J Chalmers
Journal:  Sports Med       Date:  1998-05       Impact factor: 11.136

4.  A prospective study of the incidence and nature of injuries to adult rugby players.

Authors:  D R Clark; C Roux; T D Noakes
Journal:  S Afr Med J       Date:  1990-06-02

5.  Schoolboy Rugby injuries, 1969-1986.

Authors:  R M Davidson
Journal:  Med J Aust       Date:  1987-08-03       Impact factor: 7.738

6.  Epidemiological comparison of injuries in school and senior club rugby.

Authors:  A J Lee; W M Garraway
Journal:  Br J Sports Med       Date:  1996-09       Impact factor: 13.800

7.  A retrospective study of cervical spine injuries in American rugby, 1970 to 1994.

Authors:  M J Wetzler; T Akpata; T Albert; T E Foster; A S Levy
Journal:  Am J Sports Med       Date:  1996 Jul-Aug       Impact factor: 6.202

8.  The epidemiology of schoolboy rugby injuries.

Authors:  C E Roux; R Goedeke; G R Visser; W A van Zyl; T D Noakes
Journal:  S Afr Med J       Date:  1987-03-07

9.  Epidemiology of rugby football injuries.

Authors:  M Garraway; D Macleod
Journal:  Lancet       Date:  1995-06-10       Impact factor: 79.321

10.  The incidence and nature of rugby injuries experienced at one school during the 1982 rugby season.

Authors:  M Nathan; R Goedeke; T D Noakes
Journal:  S Afr Med J       Date:  1983-07-23
  10 in total
  24 in total

1.  Efficacy of Rugby Headgear in Attenuating Repetitive Linear Impact Forces.

Authors:  Carissa L. Knouse; Trenton E. Gould; Shane V. Caswell; Richard G. Deivert
Journal:  J Athl Train       Date:  2003-12       Impact factor: 2.860

Review 2.  The neuropsychology of heading and head trauma in Association Football (soccer): a review.

Authors:  Andrew Rutherford; Richard Stephens; Douglas Potter
Journal:  Neuropsychol Rev       Date:  2003-09       Impact factor: 7.444

3.  No cumulative effects for one or two previous concussions.

Authors:  G L Iverson; B L Brooks; M R Lovell; M W Collins
Journal:  Br J Sports Med       Date:  2006-01       Impact factor: 13.800

4.  Issues in estimating risks and rates in sports injury research.

Authors:  Sarah B Knowles; Stephen W Marshall; Kevin M Guskiewicz
Journal:  J Athl Train       Date:  2006 Apr-Jun       Impact factor: 2.860

5.  High school rugby players' understanding of concussion and return to play guidelines.

Authors:  Garry Sye; S John Sullivan; Paul McCrory
Journal:  Br J Sports Med       Date:  2006-12       Impact factor: 13.800

6.  Effects of subconcussive head trauma on the default mode network of the brain.

Authors:  Brian Johnson; Thomas Neuberger; Michael Gay; Mark Hallett; Semyon Slobounov
Journal:  J Neurotrauma       Date:  2014-10-16       Impact factor: 5.269

Review 7.  Mouthguards in sport activities : history, physical properties and injury prevention effectiveness.

Authors:  Joseph J Knapik; Stephen W Marshall; Robyn B Lee; Salima S Darakjy; Sarah B Jones; Timothy A Mitchener; Georgia G delaCruz; Bruce H Jones
Journal:  Sports Med       Date:  2007       Impact factor: 11.136

Review 8.  Effectiveness of Mouthguards for the Prevention of Orofacial Injuries and Concussions in Sports: Systematic Review and Meta-Analysis.

Authors:  Joseph J Knapik; Blake L Hoedebecke; Georgia G Rogers; Marilyn A Sharp; Stephen W Marshall
Journal:  Sports Med       Date:  2019-08       Impact factor: 11.136

9.  Sport Concussion Management Using Facebook: A Feasibility Study of an Innovative Adjunct "iCon".

Authors:  Osman Hassan Ahmed; Anthony G Schneiders; Paul R McCrory; S John Sullivan
Journal:  J Athl Train       Date:  2017-04       Impact factor: 2.860

Review 10.  Central nervous system injuries in sport and recreation: a systematic review.

Authors:  Cory Toth; Stephen McNeil; Thomas Feasby
Journal:  Sports Med       Date:  2005       Impact factor: 11.136

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