Background

The most recent meta-analytic review of injuries in elite senior men’s Rugby Union was published in 2013. The demands of the game at the elite level are continually changing alongside law amendments and developments in player preparation. As such, an updated meta-analysis of injury data in this setting is necessary.

Objective

To meta-analyse time-loss injury data in elite senior men’s Rugby Union between 2012 and 2020.

Methods

Electronic databases were searched using the keywords ‘rugby’ and ‘inj*’. Nineteen studies met the inclusion criteria. Injury incidence rate data were modelled using a mixed-effects Poisson regression model. Days missed data were modelled using a general linear mixed model.

Results

The included data encompassed a total of 8819 match injuries and 2801 training injuries. The overall incidence rate of injuries in matches was 91 per 1000 h (95% confidence interval (CI) 77–106). The estimated mean days missed per match injury was 27 days (95% CI 23–32). The overall incidence rate of match concussions was 12 per 1000 h (95% CI 9–15). The overall incidence rate of training injuries was 2.8 per 1000 h (95% CI 1.9–4.0). Playing level was not a significant effect modifier for any outcome.

Conclusions

The injury incidence rate and mean days missed per injury in the present meta-analysis were higher, but statistically equivalent to, the 2013 meta-analysis (81 per 1000 h and 20 days, respectively). The injury incidence rate for match injuries in elite senior men’s Rugby Union is high in comparison to most team sports, though the training injury incidence rate compares favourably. The tackle event and concussion injuries should continue to be the focus of future preventative efforts.

中文翻译：

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精英男子橄榄球联盟的伤病：11,620 场比赛和训练伤病的更新（2012-2020 年）荟萃分析

背景

2013 年发布了最新的精英高级男子橄榄球联盟受伤的荟萃分析评论。精英级别的比赛需求随着法律的修改和球员准备的发展而不断变化。因此，有必要对这种情况下的伤害数据进行更新的荟萃分析。

客观的

对 2012 年至 2020 年精英高级男子橄榄球联盟的时间损失伤害数据进行荟萃分析。

方法

使用关键字“橄榄球”和“inj*”搜索电子数据库。十九项研究符合纳入标准。使用混合效应泊松回归模型对伤害发生率数据进行建模。使用一般线性混合模型对错过的天数进行建模。

结果

纳入的数据包括总共 8819 场比赛伤病和 2801 场训练伤病。比赛中受伤的总体发生率为每 1000 小时 91 次（95% 置信区间 (CI) 77-106）。每场比赛受伤的估计平均缺席天数为 27 天（95% CI 23-32）。比赛脑震荡的总发病率为每 1000 小时 12 次（95% CI 9-15）。训练损伤的总发生率为每 1000 小时 2.8 次（95% CI 1.9-4.0）。对于任何结果，游戏等级都不是显着的效果修饰符。

结论

本荟萃分析中的伤害发生率和每次伤害的平均错过天数较高，但在统计学上与 2013 年的荟萃分析相当（分别为每 1000 小时和 20 天 81 天）。与大多数团队运动相比，精英高级男子橄榄球联盟的比赛伤病发生率较高，但训练伤病发生率相对较高。铲球和脑震荡应该继续成为未来预防工作的重点。