Longitudinal study of five seasons of upper limb injuries in training and matches in elite female rugby union at club and national team level.

IF 3.9 Q1 SPORT SCIENCES
BMJ Open Sport & Exercise Medicine Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.1136/bmjsem-2024-002359
Caroline Sarah White, Paul Garner, Keith A Stokes, Sean Williams, Ian Horsley, Simon P T Kemp, Andy Soundy
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Abstract

Background: Data on upper limb injuries in elite female rugby athletes are limited. This study aims to describe the incidence, severity and burden of upper limb injuries over five seasons in elite women's rugby at both the club and international levels in training and matches.

Methods: A longitudinal cohort study was conducted from the 2017/2018 to 2021/2022 seasons, involving female players from the English club top tier and international team. Data on upper limb injuries were reported by team medical staff, capturing injury type, location, severity and mechanism. Injury incidence was calculated per 1000 hours of match/training exposure, and burden was measured by multiplying incidence by severity.

Results: A total of 190 upper limb injuries were recorded, with shoulder injuries the most common, representing 43% of all injuries. Median severity (mid-range of injury severity within the data) in international settings was lower than in club settings (Club matches 38 days, IQR 65, international matches 15 days, IQR 55). Injury burden (which is derived from injury mean severity and injury incidence) was significantly higher at international level (club matches, 265 days/1000 hours, 95% CI 213 to 328; club training 6 days/1000 hours, 95% CI 6 to 8; international matches 2638 days/1000 hours, 95% CI 2000 to 3481; international training 51 days/1000 hours, 95% CI 30 to 88).

Conclusions: The current study data highlight a low injury severity at an international level. Although the international injury severity rate is higher than club injury incidence and burden. Hand injuries were more common within club training settings, and the shoulder was more prevalent in all other settings.

优秀女子橄榄球俱乐部与国家队训练与比赛中上肢损伤的纵向研究。
背景:优秀女橄榄球运动员上肢损伤的数据是有限的。本研究旨在描述在五个赛季中,在俱乐部和国际水平的精英女子橄榄球训练和比赛中上肢损伤的发生率、严重程度和负担。方法:从2017/2018赛季到2021/2022赛季,对来自英格兰顶级俱乐部和国际球队的女球员进行纵向队列研究。团队医务人员报告上肢损伤的数据,包括损伤类型、部位、严重程度和机制。计算每1000小时比赛/训练暴露的伤害发生率,并将发生率乘以严重程度来衡量负担。结果:共记录了190例上肢损伤,其中肩部损伤最为常见,占所有损伤的43%。国际比赛的中位严重程度(数据中受伤严重程度的中间范围)低于俱乐部比赛(俱乐部比赛38天,IQR 65,国际比赛15天,IQR 55)。受伤负担(由受伤平均严重程度和受伤发生率得出)在国际水平上明显更高(俱乐部比赛,265天/1000小时,95% CI 213至328;俱乐部培训6天/1000小时,95% CI 6 ~ 8;国际比赛2638天/1000小时,95% CI 2000 ~ 3481;国际培训51天/1000小时,95% CI 30 ~ 88)。结论:目前的研究数据强调了国际水平的低损伤严重程度。虽然国际伤病严重率高于俱乐部伤病发生率和负担。手部受伤在俱乐部训练环境中更为常见,而肩部受伤在所有其他环境中更为普遍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.10
自引率
4.20%
发文量
106
审稿时长
20 weeks
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