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Background: There is a high incidence of concussion sustained by athletes participating in rugby union, many of which go unreported. A lack of sufficient knowledge about concussion injuries may explain athletes’ failure to report. Several rugby union-playing countries have developed injury education and prevention programmes to address this issue. Objective: The aim of the current review was to systematically assess the content and level of evidence on concussion education/prevention programmes in rugby union and to make recommendations for the quality, strength, and consistency of this evidence. Methods: We searched PubMed, PsycInfo, MEDLINE, SPORTDiscuss, Webofscience, and conducted a manual search for articles. Results: Ten articles were included for review. Of these, six focused on the BokSmart injury prevention programme in South Africa, two focused on the RugbySmart injury prevention programme in New Zealand, one was an analysis of prevention programmes, and one was a systematic review of rugby injury prevention strategies. Conclusions: Despite the initiative to develop concussion education and prevention programmes, there is little evidence to support the effectiveness of such programmes. There is evidence to support education of coaches and referees. In addition, there is scant evidence to suggest that education and rule changes may have the benefit of changing athlete behaviours resulting in a reduction in catastrophic injury.  相似文献   

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ABSTRACT

The purpose of this study was to survey high school rugby players from a range of ethnic, geographic and socioeconomic backgrounds in New Zealand (NZ) to gain an understanding of concussion knowledge, awareness of NZ Rugby’s (NZR) guidelines and attitudes towards reporting behaviours. Male and female high school rugby players (n= 416) from across NZ were surveyed. The findings indicated that 69% of players had sustained a suspected concussion, and 31% had received a medical diagnosis of concussion. 63% of players indicated they were aware of NZR’s guidelines. Māori and Pasifika players were less likely to be aware of the guidelines compared to NZ European, Adjusted OR 0.5, p = 0.03. Guideline awareness was significantly higher for those from high decile schools when compared to low (Unadjusted OR 1.63, p = 0.04); however, when ethnicity and school locations were controlled for this became non-significant (Adjusted OR= 1.3, p=0.37). The coach was the key individual for the provision of concussion information and disclosure of symptoms for players. The findings of this study will inform the development and delivery of NZR’s community concussion initiative and how these examined factors influence a high school player’s concussion knowledge and reporting behaviour.  相似文献   

4.
The aim of this study was to determine the severity and cost of injuries in amateur rugby league. Seventy-two amateur rugby league players aged 28 - 6 years (mean - s) were surveyed at the end of a competitive season. An injury was defined as any pain, disability or injury that occurred as a result of a competition game which caused the player to miss subsequent games. Injuries were classified as minor (one game missed), moderate (two to four games missed) and major (five or more games missed). Of the 72 questionnaires distributed, 34 (47.2%) were returned. Twenty respondents (58.8%) sustained an injury that resulted in one or more missed games. Eight injured players (40.0%) missed five or more training sessions, six of whom (30%) missed five or more games as a result of the injury. The median time lost from employment or study for all injured players was 2 days per playing injury. The respective median direct (e.g. medical expenses) and indirect (e.g. wages lost) costs associated with the injury were 28.29 and 77.04 per playing injury. A considerable proportion of injuries sustained in the present sample of amateur rugby league players were major, resulting in a loss of training, playing and employment or study time, and these injuries were associated with significant direct and indirect economic costs. Further studies, using a larger sample, would complement the present findings in establishing the severity and cost of amateur rugby league injuries. These results suggest that prevention strategies are required to reduce the severity and cost of amateur rugby league injuries.  相似文献   

5.
橄榄球运动具有团体性项目中最为激烈的对抗性,这导致橄榄球运动员出现运动损伤的风险是显著的,因此如何针对橄榄球运动损伤进行有效预防成为教练员和运动员们所关注的内容。该研究主要基于英语文献,对橄榄球项目的运动损伤特征、影响因素及监控策略进行了梳理与分析,研究表明(1)橄榄球运动员的损伤类型、部位和严重程度具有明显的橄榄球专项特征,依据橄榄球运动员主要损伤类型、部位及严重程度采取针对性的预防措施能够降低球队的伤病风险;(2)橄榄球运动员运动损伤的影响因素主要包括伤病史、比赛与训练负荷、竞技水平、年龄与性别、接触动作、球员位置以及疲劳,依据运动损伤影响因素对训练和比赛过程进行合理控制能够减少运动损伤对球队整体竞技能力的影响;(3)橄榄球运动员的损伤监控策略主要包括运动损伤预筛查、建立运动损伤监测系统以及进行多学科合作参与,通过对橄榄球运动损伤监控策略的应用和探索可以从根源上提高橄榄球队的运动损伤监控效果。  相似文献   

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BackgroundPsychosocial factors predict recurrent injury and return to preinjury level of performance following orthopedic injury but are poorly understood following concussion. Current management protocols prioritize physical measures of recovery. Therefore, the objective of this study was to describe the psychosocial factors associated with return to sport (RTS) and how they are measured in athletes who sustained a concussion.MethodsMEDLINE, Embase, APA PsycINFO, CINAHL, and SPORTDiscus were searched through February 2, 2021. Eligible studies included original peer-reviewed publications describing psychosocial factors associated with RTS following a diagnosed concussion. The primary outcome was scales or measures employed and/or key thematic concepts.ResultsOf the 3615 studies identified, 10 quantitative cohort studies (Oxford Centre for Evidence-Based Medicine Level-3) representing 2032 athletes (85% male; high-school and collegiate collision/contact athletes) and 4 qualitative studies representing 66 athletes (74% male; 70% American football; aged 9–28 years) were included. We identified 3 overarching themes and 10 outcome measures related to psychosocial factors associated with RTS following concussion: (a) fear (e.g, of recurrent concussion, of RTS, of losing playing status); (b) emotional factors (e.g, depression, anxiety, perceived stress, mental health, disturbance mood); and (c) contextual factors (e.g, social support, pressure, sense of identity).ConclusionAlthough current medical clearance decisions prioritize physical measures of recovery, evidence suggests diverse psychosocial factors influence RTS following concussion. It remains unclear which psychosocial factors contribute to a successful RTS, including the influence of sex/gender and age. Future studies should evaluate the association of psychological readiness with physical measures of recovery at medical clearance, preinjury level of performance, and risk of recurrent concussion to support RTS clinical decision-making.  相似文献   

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The purpose of this paper is to provide a comprehensive review of the science of rugby league football at all levels of competition (i.e. junior, amateur, semi-professional, professional), with special reference to all discipline-specific scientific research performed in rugby league (i.e. physiological, psychological, injury epidemiology, strength and conditioning, performance analysis). Rugby league football is played at junior and senior levels in several countries worldwide. A rugby league team consists of 13 players (6 forwards and 7 backs). The game is played over two 30?–?40 min halves (depending on the standard of competition) separated by a 10?min rest interval. Several studies have documented the physiological capacities and injury rates of rugby league players. More recently, studies have investigated the physiological demands of competition. Interestingly, the physiological capacities of players, the incidence of injury and the physiological demands of competition all increase as the playing standard is increased. Mean blood lactate concentrations of 5.2, 7.2 and 9.1?mmol?·?l?1 have been reported during competition for amateur, semi-professional and professional rugby league players respectively. Mean heart rates of 152 beats?·?min?1 (78% of maximal heart rate), 166 beats?·?min?1 (84% of maximal heart rate) and 172 beats?·?min?1 (93% of maximal heart rate) have been recorded for amateur, semi-professional and junior elite rugby league players respectively. Skill-based conditioning games have been used to develop the skill and fitness of rugby league players, with mean heart rate and blood lactate responses during these activities almost identical to those obtained during competition. In addition, recent studies have shown that most training injuries are sustained in traditional conditioning activities that involve no skill component (i.e. running without the ball), whereas the incidence of injuries while participating in skill-based conditioning games is low. Collaborative research among the various sport science disciplines is required to identify strategies to reduce the incidence of injury and enhance the performance of rugby league players. An understanding of the movement patterns and physiological demands of different positions at all standards of competition would allow the development of strength and conditioning programmes to meet the precise requirements of these positions. Finally, studies investigating the impact of improvements in physiological capacities (including the effect of different strength and conditioning programmes) on rugby league playing performance are warranted.  相似文献   

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11.
The captain is perceived to be an important member of the leadership structure within teams across many professional sports. However, while there is a general acceptance that this is the case, there is very little research exploring the role and associated demands at an elite level. As a result, the aim of this study was to explore the captaincy experiences of elite professional rugby union captains. The participants were eight male captains purposefully sampled for this study. Participants were interviewed individually to gain an understanding of each participant’s captaincy experiences. The data were thematically analysed using interpretative phenomenological analysis. Nine super-ordinate themes emerged in the study: role, skills, requirements, challenges, the coach, development, experience, context, and approach. Results suggest that the captaincy role is broader than previously highlighted, particularly at the elite level. Also, the study highlights inconsistencies in the selection of captains and a lack of formal developmental support for elite rugby captains. As a result, future research should explore the development of specific evidence-based approaches to captain selection and development.  相似文献   

12.
ABSTRACT

To better understand doping-related attitude change, it is important to consider not only the amount of thinking (i.e., elaboration) done by message recipients, but also the favourability of their thoughts in response to the proposal, as well as the perceived validity in their thoughts. The main goal of the present study was to analyse the effects of a meta-cognitive process (i.e., thought validation) on attitudes related to doping. Thus, we randomly assigned participants to read a message either against or in favour of legalising several doping behaviours. Participants listed their thoughts regarding the proposal and indicated the perceived validity in their thoughts, then reported their attitudes. As hypothesised, the message against legalisation elicited more unfavourable thoughts and attitudes than the message in favour of legalisation. Most relevantly, the effects of the message direction on attitudes were greater for participants with higher (vs. lower) levels of thought validity. Furthermore, consistent with the thought validation process, results revealed that thought favourability was a better predictor of attitudes for participants with higher (vs. lower) perceived thought validity, indicating that perceiving one’s thoughts as valid plays an important role in persuasion. These findings provide novel insights for research and interventions regarding doping in sports.  相似文献   

13.
Elite rugby union teams currently employ the latest technology to monitor and evaluate the physical demands of training and games on their players. Tackling has been shown to be the most common cause of injury in rugby union, yet current player monitoring technology does not effectively evaluate player tackling measurements. Currently, to evaluate measurements specific to player tackles, a time-consuming manual analysis of player sensor data and video footage is required. The purpose of this work is to investigate tackle modeling techniques which can be utilised to automatically detect player tackles and collisions using sensing technology already being used by elite international and club level rugby union teams. This paper discusses issues relevant to automatic tackle analysis, describes a technique to detect tackles using sensing data and validates the technique by comparing automatically detected collisions to manually labeled collisions using data from elite club and international level players. The results of the validation show that the system is able to consistently identify collisions with very few false positives and false negatives, achieving a recall and precision rating of 0.933 and 0.958, respectively. The aim is that the automatically detected tackles can provide coaching, medical and strength and conditioning staff with objective tackle-specific measurements, in real time, which can be used in injury prevention and rehabilitation strategies.  相似文献   

14.
The purpose of this paper is to provide a comprehensive review of the science of rugby league football at all levels of competition (i.e. junior, amateur, semi-professional, professional), with special reference to all discipline-specific scientific research performed in rugby league (i.e. physiological, psychological, injury epidemiology, strength and conditioning, performance analysis). Rugby league football is played at junior and senior levels in several countries worldwide. A rugby league team consists of 13 players (6 forwards and 7 backs). The game is played over two 30 - 40 min halves (depending on the standard of competition) separated by a 10 min rest interval. Several studies have documented the physiological capacities and injury rates of rugby league players. More recently, studies have investigated the physiological demands of competition. Interestingly, the physiological capacities of players, the incidence of injury and the physiological demands of competition all increase as the playing standard is increased. Mean blood lactate concentrations of 5.2, 7.2 and 9.1 mmol . l(-1) have been reported during competition for amateur, semi-professional and professional rugby league players respectively. Mean heart rates of 152 beats . min(-1) (78% of maximal heart rate), 166 beats . min(-1) (84% of maximal heart rate) and 172 beats . min(-1) (93% of maximal heart rate) have been recorded for amateur, semi-professional and junior elite rugby league players respectively. Skill-based conditioning games have been used to develop the skill and fitness of rugby league players, with mean heart rate and blood lactate responses during these activities almost identical to those obtained during competition. In addition, recent studies have shown that most training injuries are sustained in traditional conditioning activities that involve no skill component (i.e. running without the ball), whereas the incidence of injuries while participating in skill-based conditioning games is low. Collaborative research among the various sport science disciplines is required to identify strategies to reduce the incidence of injury and enhance the performance of rugby league players. An understanding of the movement patterns and physiological demands of different positions at all standards of competition would allow the development of strength and conditioning programmes to meet the precise requirements of these positions. Finally, studies investigating the impact of improvements in physiological capacities (including the effect of different strength and conditioning programmes) on rugby league playing performance are warranted.  相似文献   

15.
The re-entry of South Africa into the international sporting arena and the resultant need for the identification and development of talent, especially among formerly deprived groups of people, provided the incentive for this study. Its aim was to identify the physical, motor and anthropometric variables that will enable coaches to identify 10-year-old boys, based on their abilities, who could become successful rugby players. Altogether, 173 ten-year-old boys with no rugby experience from a cross-section of the population were selected at random and subjected to 14 physical and motor tests and 14 anthropometric measurements. From 22 schools which participated in the Western Transvaal primary schools under-11 rugby league, the three top teams (n = 45 individuals) were selected and also tested. The results from these three teams were used as the criteria for rugby talent among 10-year-old boys. To establish the best predictors of talent, a stepwise discriminant analysis was conducted: this indicated eight variables (four motor and four anthropometric) that discriminated maximally between the talented and the rest of the players of this age. With classification functions based on these eight variables, 93.8% of all the subjects were classified correctly, indicating good validity. A canonical analysis, based on the selected variables, was then conducted on all the under-11 teams that played in the league in the region (n = 330), and they were ranked according to the scores of the first canonical variable from the most to the least talented. By comparing these results with the players who were chosen for the region's primary schools team, a success rate of 88% in prediction of talent was established. We conclude that this is a successful and practical method to aid the teacher and the coach in selecting and developing talent among 10-year-old rugby players in South Africa.  相似文献   

16.
The aim of this study was to establish the ways in which coping style and situational appraisals are related to the consistency of using approach and avoidance coping strategies for skilled Australian basketball referees (n = 133) after three game-related stressful events. The events, ‘making a mistake’, ‘aggressive reactions by coaches or players’ and ‘presence of important others’, were determined from previous research on sources of acute stress among basketball officials. Our findings indicated that: referees exhibited consistent avoidance, but not approach, coping styles; they used more avoidance than approach strategies; and they perceived stress to be positively correlated with approach, and negatively associated with avoidance, coping strategies. These findings suggest that individual differences exist in perceptions of stress (i.e. situational appraisals), controllability and coping styles among moderately and highly skilled basketball referees. The implications for teaching cognitive and behavioural strategies for effective coping with acute stress in basketball officiating are discussed.  相似文献   

17.
The aim of this study was to define the incidence and nature of match injuries sustained in men’s international under-20 rugby. The study comprised an 8-season prospective study of 16 international under-20 rugby tournaments. Procedures complied with the consensus statement for epidemiological studies in rugby. Outputs included players’ mean age, stature and body mass and incidence, severity, location, type and cause of match injuries. The overall incidence of injury was 49.7 injuries/1000 player-match-hours (backs: 48.3; forwards: 50.9) with a mean severity of 32.2 days-absence (backs: 29.4; forwards: 34.4). There were no significant changes in incidence or severity of injury over the study period. Shoulder/clavicle (18.3%), head/face (16.4%), knee (13.7%) and ankle (13.7%) were the most common injury locations and ligament sprain (35.4%), haematoma/bruise (15.9%), concussion (12.5%) and muscle strain (11.2%) the most common types of injury. Being-tackled (29.2%), tackling (24.0%) and collisions (14.3%) were the most common events leading to injury. The results confirm that international under-20 rugby has a high incidence and severity of injury but the incidence is half that reported for senior international players. There was no significant change in the overall incidence of injury at the Under-20 level in the period 2008 to 2016.  相似文献   

18.
Artificial rugby union playing surface installation is increasing. This prospective cohort study aimed to examine the effect of playing surface on match injury types within 157 players of two UK professional rugby union clubs playing 209 matches (96 on artificial surfaces and 113 on grass) over three seasons. There was no difference in overall injury risk between the two playing surfaces with injury incidence on artificial 80.2 (CI 69.9–91.7) and on grass 81.9 per 1000 match-hours (CI 72.2–92.5), with an incidence rate ratio (RR) of 0.98 (CI 0.82–1.17). There was a higher rate of concussion (RR 0.52, CI 0.34 – 0.78) and chest injuries on grass (RR 0.26 CI 0.07, 0.95), and a higher rate of thigh haematoma (RR 2.25, CI 1.05–4.82) foot injuries (RR 4.12, CI 1.10, 15.40) and injury to players being tackled (RR 1.46, CI 1.00, 2.15) on artificial. Whilst there was no higher injury risk for matches played on artificial versus natural grass surfaces, the higher incidence of concussion and chest injury on grass, and the higher rate of foot injuries on artificial surfaces may be related to tackle and footwear-to-surface interface factors.  相似文献   

19.
Although experts have noted that adolescent athletes should be educated about concussions to improve their safety, there is no agreement on the most effective strategy to disseminate concussion education. The purpose of this study was to develop, implement and assess a concussion education programme. More precisely, four interactive oral presentations were delivered to high school student-athletes (N = 35, Mage = 15.94, SD = 0.34) in a large urban centre. Participants completed a questionnaire at three time-points during the season to measure changes in their knowledge (CK) and attitudes (CA) of concussions, and focus group interviews were conducted following the concussion education programme. Questionnaire data revealed participants’ post-intervention CK scores were higher than their pre-intervention scores. During the focus groups, the student-athletes said they acquired CK about the role of protective equipment and symptom variability, and in terms of CA, they intended to avoid dangerous in-game collisions in the future. Our study was the first to create and deliver a concussion education intervention across multiple time-points, and to use mixed-methods in its assessment. These findings may be of interest to researchers, practitioners and stakeholders in sport who are invested in making the sport environment safer through concussion education and awareness.  相似文献   

20.
Educational reform has led to a more naturalistic, authentic assessment of student learning. The pendulum of alternative assessment has swung toward a portfolio format. Designing portfolio systems appropriate for K-12 physical education programs requires a multifaceted approach. To assist measurement and evaluation instructors, an 8-step process is described that can be used in courses or workshops for both preservice and inservice physical education teachers. The steps are (a) determine general and specific purposes; (b) decide the type(s) of portfolios to be used; (c) establish an organizing framework; (d) identify construction, storage, and management options; (e) establish a process for selecting items; (f) determine reflection and self-assessment techniques; (g) plan conference strategies; and (h) develop evaluation criteria and procedures.  相似文献   

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