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Objective: To explore youth Rugby Union coaches' preferences for education and support in the implementation of injury prevention programmes (IPPs)., Methods: Twelve Rugby Union coaches involved with youth teams participated in five online focus groups. Conventional content analysis was used to determine preferences initially from transcripts, and thereafter main categories, generic categories and sub-categories., Results: Coach preferences were organised into three main categories: 'formal/non-formal learning', 'informal learning', and 'intrapersonal considerations'. The generic categories of 'logistics', 'content' and 'resources' featured substantially in coach preferences for education. Coaches prefer live structured group workshops in the pre-season period, which focus on the development of implicit knowledge. To do this, coaches prefer practical opportunities for coaching within the education session. In support of this education, coaches want resources (both physical and video) which assist in session planning., Conclusions: The preferences of youth Rugby Union coaches towards IPP education and support are similar to that of other coaching domains. A live practical workshop held in the pre-season is preferred, although facilitator preferences varied. A mismatch is evident between coach preferences for IPP education and what is currently being offered through NGB coach education therefore further exploration of NGB perspectives is warranted., Competing Interests: Declaration of Competing interest Authors declared no conflict of interest., (Copyright © 2024. Published by Elsevier Ltd.)

Female Rugby Union players were affected by contact breast injuries (CBI) and exercise-induced breast pain (EIBP). Hundred and eighty-two female Rugby players from 25 different countries reported incurring a CBI or EIBP which affected sport performance. A higher percentage of 7s players (7s: 64.3%, 15s: 51.9%) reported at least one CBI over a 12-month period. EIBP frequency, during the same period, was notably low for 7s and 15s. Sprinting, jumping and running were the most frequent activities precipitating the severest EIBP. Being tackled or tackling most frequently caused a CBI. Respondents affected by either CBI (57.3%) or EIPB (51.3%) reported always playing-on during matches despite their pain or injury. Between 19.4% and 32.1% of the respondents did not have a CBI or EIBP prevention strategy. A paucity of player knowledge on prevention strategies was noted, indicating a need for education addressing breast pain and injury among players.

Background: Robust surveillance of injury aetiology and epidemiology is recognised as fundamental for effective injury reduction and management programmes. However, while sex-specific differences in injury type and nature are noted in the literature, it is unclear if these are reflected in surveillance practices, and how the athlete is affected., Objective: Therefore, this study aimed to systematically review contact breast injuries (CBIs) among adult female athletes., Methods: The following databases were searched: PubMed, EMBASE, SPORTDiscus including MEDLINE, Web of Science and Scopus. The literature search was conducted in May 2023 and the search was limited to articles in the English and German language. Studies including female athletes, aged 18 years and above, in any sports (team or individual) at any level (amateur, semi-professional and professional), where an occurrence of CBI was documented were included. Studies were included irrespective of their investigated timeframes (e.g. the whole career, one or multiple seasons). Findings were categorised (e.g. sport, level of competition and investigated timeframe of the study) to enable possible comparisons. Case studies were excluded due to the non-generalisability of findings., Results: Of the six studies included, rugby codes (rugby union, rugby league and rugby sevens) had the highest occurrence rate (62.0%) of CBIs among eight different investigated sports (rugby codes 62.0%, softball 59.5%, Australian Football League (AFL) 51.0%, water polo 50.0%, soccer 46.7%, basketball 27.6-48.8%, volleyball 34.6%, boxing 0.0%). Between 25.6% and 62.0% of participants reported incurring a CBI and between 0.0% and 42.9% of CBIs were reported to a medical professional or support staff. The reported treatment rate for CBIs ranged between 0.0% and 2.1%, The main mechanisms for CBIs (where reported) were contact with another athlete (AFL 37.6%, rugby codes 56%) the ball (AFL 31.6%, rugby codes 25.5%) and the ground (AFL 6.6%, rugby codes 22%). Between 18.2% and 48% of the participants reported that CBIs negatively affected their performance. Risk factors increasing CBIs were positional differences, larger breast size and higher body mass index (BMI). In-season injury data collection and surveillance supported through education of both players and medical staff were identified to be of relevance for future CBI prevention. None of the studies reported incidence rate., Conclusion: Despite the frequent occurrence of CBIs among female athletes, reporting and treatment remains low. Awareness and education of all stakeholders are fundamental to ensuring better breast safety in female sport. Identifying the mechanics, severity and risk factors of CBIs through thorough injury surveillance must be a focus of further research., Registration: The study was preregistered on Open Science Framework (OSF)., (© 2024. The Author(s).)

Objectives: To explore the differences and correlations in the Y-Balance Test (YBT) scores, ankle-dorsiflexion range of motion (ADF ROM ), single-leg drop jump (SLDJ) and single-leg hop for distance (SLHD) in amateur male rugby players by playing positions and limb dominance., Design: Cross-sectional study., Setting: Argentinian amateur rugby club., Participants: Male (n = 58) senior amateur rugby players., Main Outcome Measures: ADF ROM , YBT (anterior [AN] , posteromedial, posterolateral, and composite [COM] ), SLDJ and SLHD performances., Results: Forwards demonstrated different anthropometric traits than backs (p < 0.001 to 0.003; ES: -0.508 to -1.331), whereas the latter attained better jump performance (p < 0.001-0.05; ES: 0.297-1.349) and YBT COM scores compared to the former, irrespective of limb dominance (p: 0.007-0.034; ES: 0.569-0.730). With regards to the associations, forwards' BMI (rho: -0.35 to -0.52, ES: 0.184) and ADF ROM values (rho: 0.41 to 0.53, ES: 0.184; r: 0.43 to 0.50, ES: 0.184) were associated to jump performance among both limbs. In contrast, for the backs, leg length was associated with SLHD (rho: 0.42-0.45, ES: 0.214) and YBT COM (rho: -0.67 to -0.76, ES: 0.215). Likewise, ADF ROM values (r: 0.44-0.56, ES: 0.185) were moderately associated to YBT AN in both limbs., Conclusions: Backs attained better dynamic balance, wider ADF ROM , and better unilateral vertical and horizontal jumps performances in dominant and non-dominant limb, compared to forwards. Additionally, ADF ROM maybe an important aspect to consider when aiming to improve balance and jump performance among forwards and backs., Competing Interests: Declaration of competing interest None declared., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Objective: To systematically map the coach education (CE) component of injury prevention programmes (IPPs) for youth field sports by identifying and synthesising the design, content and facilitation strategies used to address competency drivers and behaviour change., Design: Scoping review., Data Sources: PubMed, PsycInfo, EMBASE, CINAHL, SportDiscus and Google Scholar electronic databases were searched using keywords related to IPPs and youth field sports., Eligibility Criteria for Selecting Studies: Studies of IPPs in youth field sports, that provided 'train-the-trainer' education to coaches as designated delivery agents., Results: 20 studies from two field sports (soccer/football; n=17, Rugby Union; n=3) fulfilled the eligibility criteria. Eleven CE interventions occurred in the preseason and 18 occurred at one time-point (single day). Five studies cited use of a behavioural change theory or model in the design of their CE, most frequently the Health Action Process Approach model (n=5); and use of behavioural change techniques varied. Twelve of twenty studies (60%) reported some form of ongoing support to coaches following the CE primary intervention concurrent with IPP implementation., Conclusion: CE that occurs on 1 day (one time-point) is most popular for preparing coaches as delivery agents of IPPs in youth field sports. While recognising pragmatic barriers, more expansive in-service training, support and feedback may enhance the effective implementation of IPPs., Trial Registration Number: https://doi.org/10.17605/OSF.IO/FMHGD., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objectives: To analyse match and training injury incidence rates and burden from pre-(2019) and post-COVID-19 (2021) seasons; To analyse injury related variables as mechanisms, type, body locations, severity and the differences of the most common injuries according to playing positions., Design: An observational study was performed according to the consensus statement on injury definitions and data collection from World Rugby. Injury variables were collected retrospectively for 2019 season and prospectively during 2021 season., Setting: Argentinian amateur rugby club., Participants: Male (n = 110) senior amateur rugby players., Main Outcome Measures: Match and training time loss injuries, time of exposures and injury related variables., Results: Training incidence rate during post-lockdown season (4.2/1000 player-training-hours) was significantly higher (p < 0.001) than the pre-lockdown season (0.9/1000 player match hours). Post-lockdown hamstring strain injury (HSI) and concussions match incidence rates were significantly (p < 0.001; p < 0.05 respectively) higher in comparison with 2019 season. Regarding playing positions, backs showed a significantly increase (p < 0.05) in HSI match incidence rate post lockdown., Conclusions: After the COVID-19 lockdown, training incidence rate was significantly higher than previous season (2019), showing the impact of the lockdown restrictions. Coaches and medical staff must consider that players probably need more lead-in time for conditioning and more monitoring after periods of no rugby., Competing Interests: Declaration of competing interest None declared., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Background: Concern has been raised over the injury risk to school Rugby union (Rugby) players and the potential long-term health consequences. Despite the increase in studies for this cohort, the influence of playing position on injury incidence and presentation is unclear., Purpose: To describe the incidence, nature and severity of match injuries for school Rugby in Ireland overall, and as a function of playing position., Study Design: Prospective cohort study., Methods: Data were collected from 15 male (aged 16-19 years) school Senior Cup teams across 2 seasons. In total, 339 players participated in season 1, whereas 326 players participated in season 2. Injury data were recorded onto a bespoke online platform. Match exposure was also recorded., Results: The incidence rate of match injuries (24-hour time loss) was 53.6 per 1000 hours. Across both seasons, 6810 days were lost from play due to injury. Forwards (65.4 per 1000 hours) sustained significantly more ( P < 0.05) injuries than backs (40.5 per 1000 hours). The head, shoulder, knee, and ankle were the most common injured body regions; however, forwards sustained significantly more ( P < 0.05) head and shoulder injuries than backs. The tackle was responsible for the majority of injuries in both groups. The highest proportion of injuries occurred during the third quarter., Conclusion: Clear differences in injury presentation and incidence were evident when comparing forwards versus backs. The high rate of head and shoulder injuries in the forwards suggest the need for more targeted injury-prevention strategies and further research on education and laws around the tackle event. The spike of injuries in the third quarter suggests that fatigue or inadequate half-time warm-up may be a contributing factor warranting further exploration., Clinical Relevance: This study demonstrates clear differences in injury presentation according to playing position in school Rugby and highlights the need for a more tailored approach to the design and implementation of injury-prevention strategies., Level of Evidence: Level 3.

Purpose: This study aimed to determine the accuracy of a 4 split time modelling method to generate velocity-time and velocity-distance variables in elite male 100-m sprinters and subsequently to assess the roles of key sprint parameters with respect to 100-m sprint performance. Additionally, this study aimed to assess the differences between faster and slower sprinters in key sprint variables that have not been assessed in previous work., Methods: Velocity-time and velocity-distance curves were generated using a mono-exponential function from 4 split times for 82 male sprinters during major athletics competitions. Key race variables-maximum velocity, the acceleration time constant (τ), and percentage of velocity lost (v Loss )-were derived for each athlete. Athletes were divided into tertiles, based on 100-m time, with the first and third tertiles considered to be the faster and slower groups, respectively, to facilitate further analysis., Results: Modelled split times and velocities displayed excellent accuracy and close agreement with raw measures (range of mean bias was -0.2% to 0.2%, and range of intraclass correlation coefficients (ICCs) was 0.935 to 0.999) except for 10-m time (mean bias was 1.6% ± 1.3%, and the ICC was 0.600). The 100-m sprint performance time and all 20-m split times had a significant near-perfect negative correlation with maximum velocity (r ≥ -0.90) except for the 0 to 20-m split time, where a significantly large negative correlation was found (r = -0.57). The faster group had a significantly higher maximum velocity and τ (p < 0.001), and no significant difference was found for v Loss (p = 0.085)., Conclusion: Coaches and researchers are encouraged to utilize the 4 split time method proposed in the current study to assess several key race variables that describe a sprinter's performance capacities, which can be subsequently used to further inform training., Competing Interests: Competing interests The authors declare that they have no competing interests., (Copyright © 2019. Production and hosting by Elsevier B.V.)

Background: Rugby union is a physically demanding sport that carries an inherent risk of injury. Despite being a popular and widely played team sport, little is known about injuries occurring across the male and female amateur game., Purpose: To establish and compare injury incidence, nature, and severity in male and female Irish amateur rugby union., Study Design: Prospective cohort study., Level of Evidence: Level 3., Methods: Data were collected prospectively from 25 male teams (959 players) and 8 female teams (234 players) over 2 full seasons. Both time-loss (24-hour time-loss injury definition) and non-time-loss match injury reports were collected, alongside match exposure data., Results: Time-loss match injury incidence rates were 49.1/1000 and 35.6/1000 player-hours for male and female players, respectively. Concussion and ankle ligament sprains were the most common diagnoses for male (5.6/1000 and 4.4/1000 player-hours, respectively) and female players (5.5/1000 and 3.9/1000 player-hours, respectively). Anterior cruciate ligament injuries presented the highest injury burden for male and female players with 200.3 and 307.2 days of absence per 1000 player-hours, respectively. In female players, 83% of noncontact injuries occurred in the fourth quarter of match play., Conclusion: While female players had a lower overall injury incidence rate compared with male players, concussion and ankle ligament injuries were the most common injuries in both cohorts. In female players, a high rate of noncontact injuries in the second half points to the need for strength and conditioning training programs to reduce fatigue-related injuries., Clinical Relevance: Establishing the incidence and burden of rugby-related injuries is an essential step in minimizing injury risk. This epidemiological information will aid the development of future reduction strategies, including education and coaching strategies and strength and conditioning programs, informed by the most common injuries observed and the mechanism of injury.

Training load (TL) is a modifiable risk factor that may provide practitioners with opportunities to mitigate injury risk and increase sports performance. A regular problem encountered by practitioners, however, is the issue of missing TL data. The purpose of this study was to examine the impact of missing TL data in team sports and to offer a practical and effective method of missing value imputation (MVI) to address this. Session rating of perceived exertion (sRPE) data from 10 male professional soccer players (age, 24.8 ± 5.0 years; height, 181.2 ± 5.1 cm; mass, 78.7 ± 6.4 kg) were collected over a 32-week season. Data were randomly removed at a range of 5-50% in increments of 5% and data were imputed using 12 MVI methods. Performance was measured using the normalized root-mean-square error and mean of absolute deviations. The best-fitting MVI method across all levels of missingness was Daily Team Mean (DTMean). Not addressing missing sRPE data may lead to more inaccurate calculations of other TL metrics (e.g., acute chronic workload ratio, training monotony, training strain). The DTMean MVI method may provide practitioners with a practical and effective approach to addressing the negative consequences of missing TL data.

Background: The shoulder has been reported as a frequent location of injury in adult professional and amateur rugby, with match injury incidence rates ranging from 1.8 to 3 per 1000 player-hours (h). An increased understanding of the incidence and mechanism of shoulder injuries in school rugby players is vital to establish effective injury preventive strategies and advise on appropriate rehabilitation., Purpose: To describe the incidence, nature, and severity of shoulder injuries in schoolboy rugby in Ireland., Study Design: Descriptive epidemiology study., Methods: Injury surveillance was carried out for Senior Cup teams across two seasons (N = 665 players aged 17-19 years) in Ireland from 2018 to 2020. Match and training injury data were recorded using an online system by trained nominated injury recorders. Match exposure was also recorded., Results: Shoulder match injury incidence was 12.2 per 1000 h (95% CI, 9.1-16.2), with a mean severity of 47 days' time loss and an overall burden of 573 days per 1000 h. In total, 47 match and 5 training shoulder injuries were recorded. The most common injuries were shoulder dislocations/subluxations (34%), followed by acromioclavicular joint sprains (30%). Shoulder dislocations/subluxations represented the most burdensome injury (280 days per 1000 h). The tackle accounted for the majority (81%) of shoulder injuries. Forwards sustained a significantly higher incidence of shoulder injuries (8.3/1000 h) in comparison with backs (3.9/1000 h), with a rate ratio of 2.13 (95% CI, 1.15-3.94; P = .015)., Conclusion: We found a notably higher injury incidence rate in schoolboy rugby as compared with the adult amateur and professional game. Shoulder injuries were responsible for more days lost than any other injury, and shoulder dislocations were the most severe. This is of particular concern so early in a player's career and warrants further investigation into potential risk factors and mechanisms associated with shoulder injuries in school-age players., Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: This study forms part of the Irish Rugby Injury Surveillance Project, which is partly funded by the Irish Rugby Football Union. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto., (© The Author(s) 2021.)

Abstract: Healy, R, Kenny, IC, and Harrison, AJ. Resistance training practices of sprint coaches. J Strength Cond Res 35(7): 1939-1948, 2021-This study describes the results of a survey of resistance training practices of sprint coaches. This study investigated why sprint coaches prescribe resistance training to their athletes, what exercises they select, and what factors are involved with their selection. Forty-one of 73 (56%) sprint coaches with mean ± SD coaching experience of 8.4 ± 6.4 years were included in this study. Coaches completed an online questionnaire consisting of 5 sections: (a) informed consent, (b) coach background information, (c) coach education and qualifications, (d) coaches' views on resistance training, and (e) exercise selection and preference. The results showed that coaches prescribe resistance training to their sprint athletes to develop strength and power, which they believe will transfer to sprint performance. Coaches prescribed a wide variety of traditional, ballistic, and plyometric exercises, with the hurdle jump found to be the most widely prescribed exercise (93% of coaches surveyed). Coaches selected exercises for a variety of reasons; however, the 3 most prominent reasons were: (a) performance adaptations; (b) practicality; and (c) the targeting of muscles/muscle groups. Coaches prioritized exercises that specifically developed strength, power, and reactive strength for their sprint athletes. This research can be used to develop educational resources for sprint coaches who wish to use resistance training with their athletes. In addition, sprint coaches can use the data presented to expand their current exercise repertoire and resistance training practices., (Copyright © 2019 National Strength and Conditioning Association.)

Abstract: Griffin, A, Kenny, IC, Comyns, TM, and Lyons, M. Training load monitoring in amateur Rugby Union: A survey of current practices. J Strength Cond Res 35(6): 1568-1575, 2021-Amateur Rugby Union has an inherent risk of injury that is associated with detrimental effects on player welfare and team performance. Training load (TL) is a modifiable risk factor that, when monitored, may provide strength and conditioning (S&C) coaches with opportunities to reduce the risk of injury. The purpose of this study was to explore TL monitoring practices used by S&C coaches working with male and female amateur adult Rugby Union teams and their rationale for using such. Thirty-three (n = 31 male and n = 2 female) S&C coaches representing 62% of the total number of male clubs and 71% of female clubs, playing at the highest national amateur level, participated in the study by completing an online survey. Seventy-three percent of respondents stated that they monitor TL. The most common method of recording TL was the session rating of perceived exertion (sRPE), used in 83% of monitoring systems. Thirty-three percent of the S&C coaches surveyed use the sRPE data to calculate the acute:chronic workload ratio (ACWR) for highlighting when players are at risk of injury. This study is the first of its kind to exclusively examine the TL monitoring practices of S&C coaches working with amateur adult Rugby Union teams. Thirteen S&C coaches responded to the open-ended question and 3 higher order themes were highlighted: (a) communication with players (b) support from other staff and (c) limiting factors., (Copyright © 2020 National Strength and Conditioning Association.)

Introduction: In professional rugby, sports-related concussion (SRC) remains the most frequent time loss injury. Therefore, accurately diagnosing SRC and monitoring player recovery, through a multi-modal assessment process, is critical to SRC management. In this protocol study, we aim to assess SRC over multiple time points post-injury to determine the value of multi-modal assessments to monitor player recovery. This is of significance to minimise premature return-to-play and, ultimately, to reduce the long-term effects associated with SRC. The study will also establish the logistics of implementing such a study in a professional setting to monitor a player's SRC recovery., Methods and Analysis: All players from the participating professional rugby club within the Irish Rugby Football Union are invited to participate in the current study. Player assessment includes head injury assessment (HIA), neuropsychometric assessment (ImPACT), targeted biomarker analysis and untargeted biomarker analysis. Baseline HIA, ImPACT, and blood draws are performed prior to the start of playing season. During the baseline tests, player's complete consent forms and an SRC history questionnaire. Subsequently, any participant that enters the HIA process over the playing season due to a suspected SRC will be clinically assessed (HIA and ImPACT) and their blood will be drawn within 3 days of injury, 6 days post-injury, and 13 days post-injury., Ethics and Dissemination: Ethical approval was attained from the Science and Engineering Research Ethics Committee, University of Limerick (Approval Code: 2018&#95;06&#95;11&#95;S&E). On completion of the study, further manuscripts will be published to present the results of the tests and their ability to measure player recovery from SRC., Trial Registration Number: NCT04485494., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objectives: To ascertain the extent of injury surveillance and prevention practices currently in operation and the availability of qualified personnel across Rugby playing schools in the Republic of Ireland., Design: Cross-sectional survey design., Setting: Rugby playing schools across Ireland., Participants: The Rugby games master, head Rugby coach or teacher/coach with knowledge of all Rugby activities in the school., Results: Ninety-three Rugby playing schools responded and reported 356 (97% male, 3% female) school Rugby teams. Rugby injuries were formally monitored in 86% of schools. Injury recorders were primarily coaches (61%). Physiotherapy provision was available in 28% of schools, 14% of schools provided access to a medical doctor and 44% of schools provided access to an S&C coach. Structured warm-ups were undertaken in 66% of schools, weekly gym sessions in 49% of schools and 31% of schools did not implement any formal injury prevention measures., Conclusions: Injury monitoring practices, medical personnel accessibility and the frequency of injury prevention practices varies considerably across Rugby playing schools in Ireland. Future injury surveillance and prevention systems should be suitable for use by non-medical personnel and reflect the structural organisation of the school Rugby game so that data are not solely representative of the elite, well-resourced schools., Competing Interests: Declaration of competing interest The authors have no conflict of interest to declare., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Background: There has been a recent increase in research examining training load as a method of mitigating injury risk due to its known detrimental effects on player welfare and team performance. The acute:chronic workload ratio (ACWR) takes into account the current training load (acute) and the training load that an athlete has been prepared for (chronic). The ACWR can be calculated using; (1) the rolling average model (RA) and (2) the exponentially weighted moving average model (EWMA)., Objective: The primary aim of this systematic review was to investigate the literature examining the association between the occurrence of injury and the ACWR and to investigate if sufficient evidence exists to determine the best method of application of the ACWR in team sports., Methods: Studies were identified through a comprehensive search of the following databases: EMBASE, Medline, SPORTDiscus, SCOPUS, AMED and CINAHL. Extensive data extraction was performed. The methodological quality of the included studies was assessed according to the Newcastle-Ottawa Scale (NOS) for Cohort Studies., Results: A total of 22 articles met the inclusion criteria. The assessment of article quality had an overall median NOS score of 8 (range 5-9). The findings of this review support the association between the ACWR and non-contact injuries and its use as a valuable tool for monitoring training load as part of a larger scale multifaceted monitoring system that includes other proven methods. There is support for both models, but the EWMA is the more suitable measure, in part due to its greater sensitivity. The most appropriate acute and chronic time periods, and training load variables, may be dependent on the specific sport and its structure., Conclusions: For practitioners, it is the important to understand the intricacies of the ACWR before deciding the best method of calculation. Future research needs to focus on the more sensitive EWMA model, for both sexes, across a larger range of sports and time frames and also combinations with other injury risk factors.

Objectives: To investigate factors associated with injury in amateur male and female rugby union players., Design: A prospective cohort study., Setting: Amateur rugby clubs in Ireland., Participants: Male (n = 113) and female (n = 24) amateur rugby union players from 5 of the top 58 amateur clubs in Ireland., Main Outcome Measures: Pre-season testing included physical tests assessing hamstring flexibility, dorsiflexion range of movement, adductor muscle strength and foot position. Wellness questionnaires assessed sleep quality (PSQI), coping skills (ACSI-28) and support levels (PASS-Q). Players were monitored throughout the season for injury., Results: The time-loss match injury incidence rate was 48.2/1000 player hours for males and 45.2/1000 player hours for females. Two risk profiles emerged involving; 'age + navicular drop + training pitch surface' (53%) and 'age + navicular drop + groin strength' (16%). An inverse relationship between groin strength and groin injury was found for the 'backs' players (-0.307, p < 0.05). Using the PSQI, 61% of players had poor sleep quality, however no relationship between the wellness questionnaires and injury was found., Conclusion: Two injury risk profiles emerged, associated with subsequent injury occurrence. Using these risk profiles, individualized prevention strategies may be designed regarding deficits in groin muscle strength and identifying foot alignment., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Healy, R, Smyth, C, Kenny, IC, and Harrison, AJ. Influence of reactive and maximum strength indicators on sprint performance. J Strength Cond Res 33(11): 3039-3048, 2019-The primary aim of this study was to assess the relationship between reactive and maximal strength measures with 40 m sprint performance and mechanical properties. Fourteen male and 14 female sprinters participated in this study. On the first day, subjects performed 40 m sprints with 10-m split times recorded in addition to maximal theoretical velocity, maximal theoretical force and peak horizontal power, which were calculated from force-velocity relationships. On the second day, subjects performed isometric midthigh pulls (IMTPs) with peak force (PF) and relative PF calculated, drop jumps (DJs) and vertical hopping where the reactive strength index (RSI) was calculated as jump height (JH) divided by contact time (CT). Pearson correlations were used to assess the relationships between measures and independent samples t-tests were used to assess the differences between men and women. No significant correlations were found between DJ and hopping RSI and sprint measures. A significant strong positive correlation was found between IMTP PF and peak horizontal power in men only (r = 0.61). The male sprinters performed significantly better in all recorded measures apart from hopping (CT, JH and RSI) and DJ CT where no significant differences were found. The lack of association between reactive and maximal strength measures with sprint performance is potentially because of the test's prolonged CTs relative to sprinting and the inability to assess the technical application of force. Several methods of assessing reactive strength are needed that can better represent the demands of the distinct phases of sprinting e.g., acceleration, maximum velocity.

Objectives: To describe the development, implementation and evaluation of a comprehensive injury surveillance system., Design: The four phases; i) A survey of 58 medical professionals working in amateur rugby. ii) The design of a web-based injury surveillance system (IRISweb). iii) Recruitment of 21 of the top 58 amateur clubs to use IRISweb. iv) An evaluation survey of the 21 participating clubs., Setting: Irish amateur rugby clubs., Participants: Medical professionals working in amateur rugby., Main Outcome Measures: Phase one investigated the injury monitoring practices in operation prior to the IRIS project. Phase four investigated the effectiveness and usefulness of IRISweb., Results: Twenty-one clubs were recruited, however 2 clubs failed to provide a full season of data (10% dropout rate). Eighty-two percent of the remaining 19 clubs rated IRISweb as 'good' or 'very good'. Facilitators of injury surveillance were; increased player adherence (65%) and notifications to update the system (59%), however, poor player adherence (71%) and medical staff availability (24%) were the main barriers., Conclusions: The IRIS project is the first prospective long-term injury surveillance system in Irish amateur rugby, effectively tracking injuries to guide future evidence-based injury prevention strategies. This study highlights facilitators and barriers to injury surveillance within amateur sport., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Objectives: To ascertain current injury surveillance and player education practices in Irish amateur rugby union., Design: Cross-sectional survey., Setting: Amateur rugby clubs in Ireland., Participants: Medical professionals and rugby coaches of the top 58 amateur rugby clubs in Ireland., Main Outcome Measures: The survey investigated the current injury and training load monitoring practices in operation in Irish amateur rugby. It also explored whether player education sessions regarding injury prevention and concussion recognition and management were conducted in these clubs., Results: Forty-four clubs completed the survey, giving an overall response rate of 76%. Ninety-one percent of the responding clubs monitored injuries. Sixty-four percent of these clubs operated return to play protocols for all injuries, while 36% operated return to play protocols for concussion only. Injury prevention education was conducted by 71% of these clubs and 82% educated players on concussion recognition and management., Conclusions: Implementing effective injury monitoring strategies in both amateur and professional sport settings may aid in minimizing injury risk. In Ireland, 91% of the responding clubs monitored injuries and 71% educated players on injury prevention. By implementing one centralized injury surveillance system for Irish amateur rugby, injury trends can be effectively monitored and used to guide prevention strategies., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Purpose: To assess the relationships between reactive strength measures and associated kinematic and kinetic performance variables achieved during drop jumps. A secondary aim was to highlight issues with the use of reactive strength measures as performance indicators., Methods: Twenty-eight national- and international-level sprinters, 14 men and 14 women, participated in this cross-sectional analysis. Athletes performed drop jumps from a 0.3-m box onto a force platform with dependent variables contact time (CT), landing time, push-off time, flight time, jump height (JH), reactive strength index (RSI, calculated as JH/CT), reactive strength ratio (RSR, calculated as flight time/CT), and vertical leg-spring stiffness recorded., Results: A Pearson correlation test found very high to near-perfect relationships between RSI and RSR (r = .91-.97), with mixed relationships between RSI, RSR, and the key performance variables (men: r = -.86 to -.71 between RSI/RSR and CT, r = .80-.92 between RSI/RSR and JH; women: r = -.85 to -.56 between RSR and CT, r = .71 between RSI and JH)., Conclusions: The method of assessing reactive strength (RSI vs RSR) may be influenced by the performance strategies adopted, that is, whether athletes achieve their best reactive strength scores via low CTs, high JHs, or a combination. Coaches are advised to limit the variability in performance strategies by implementing upper and/or lower CT thresholds to accurately compare performances between individuals.

Background: Rugby union is a physically demanding, full-contact team sport that has gained worldwide popularity. The incidence of injury in rugby union has been widely reported in the literature. While comprehensive injury surveillance and prevention programmes have been implemented within the professional game, there is a need for similar strategies in the amateur game. Despite recent increases in the volume of research in rugby, there is little consensus regarding the true incidence rate of match and training injuries in senior amateur male rugby union players., Objective: The aim of the current review was to systematically review the available evidence on the epidemiology of time-loss injuries in senior amateur male rugby union players and to subsequently conduct a meta-analysis of the findings., Methods: A comprehensive search of the PubMed, Scopus, SportDiscus and Google Scholar electronic databases was performed using the following keywords; ('rugby' OR 'rugby union') AND ('amateur' OR 'community') AND ('injur*' OR 'pain*'). Six articles regarding the incidence of injury in senior amateur male rugby union players, in both matches and training, were retrieved and included in the meta-analysis to determine the overall incidence rate of match injury, with descriptive analyses also provided for other reported variables., Results: The overall incidence rate of match injuries within senior amateur rugby union players was 46.8/1000 player hours [95% confidence interval (CI) 34.4-59.2]. Contact events accounted for the majority of injuries, with the tackler more at risk than the player being tackled, and with respective incidence rates of 15.9/1000 player hours (95% CI 12.4-19.5) and 12.2/1000 player hours (95% CI 9.3-15.1)., Conclusion: This meta-analysis found that the incidence rate of injury in amateur rugby union players was lower than that in professional players, but higher than the incidences reported in adolescent and youth rugby players. By understanding the true incidence and nature of injuries in rugby, injury prevention strategies can best be implemented. Future prevention strategies may best be aimed towards the tackle area, specifically to the tackler, in order to minimize injury risk.

Maximum- and reactive-strength qualities both have important roles in athletic movements and sporting performance. Very little research has investigated the relationship between maximum strength and reactive strength. The aim of this study was to investigate the relationship between maximum-strength (isometric midthigh-pull peak force [IMTP PF]) and reactive-strength (drop-jump reactive-strength index [DJ-RSI]) variables at 0.3-m, 0.4-m, 0.5-m, and 0.6-m box heights. A secondary aim was to investigate the between- and within-group differences in reactive-strength characteristics between relatively stronger athletes (n = 11) and weaker athletes (n = 11). Forty-five college athletes across various sports were recruited to participate in the study (age, 23.7 ± 4.0 y; mass, 87.5 ± 16.1 kg; height, 1.80 ± 0.08 m). Pearson correlation results showed that there was a moderate association (r = .302-.431) between maximum-strength variables (absolute, relative, and allometric scaled PF) and RSI at 0.3, 0.4, 0.5 and 0.6 m (P ≤ .05). In addition, 2-tailed independent-samples t tests showed that the RSIs for relatively stronger athletes (49.59 ± 2.57 N/kg) were significantly larger than those of weaker athletes (33.06 ± 2.76 N/kg) at 0.4 m (Cohen d = 1.02), 0.5 m (d = 1.21), and 0.6 m (d = 1.39) (P ≤ .05). Weaker athletes also demonstrated significant decrements in RSI as eccentric stretch loads increased at 0.3-m through 0.6-m box heights, whereas stronger athletes were able to maintain their reactive-strength ability. This research highlights that in specific sporting scenarios, when there are high eccentric stretch loads and fast stretch-shortening-cycle demands, athletes' reactive-strength ability may be dictated by their relative maximal strength, specifically eccentric strength.

Cycling economy (CE), power output at maximal oxygen uptake ( W V̇O 2 max), and anaerobic function (ie, sprinting ability) are considered the best physiological performance indicators in elite road cyclists. In addition to cardiovascular function, these physiological indicators are partly dictated by neuromuscular factors. One technique to improve neuromuscular function in athletes is through strength training. The aim of this study was to investigate the effect of a 20-wk maximal- and explosive-strength-training intervention on strength (maximal strength, explosive strength, and bike-specific explosive strength), W V̇O 2 max, CE, and body composition (body mass, fat and lean mass) in cyclists. Fifteen competitive road cyclists were divided into an intervention group (endurance training and strength training: n = 6; age, 38.0 ± 10.2 y; weight, 69.1 ± 3.6 kg; height, 1.77 ± 0.04 m) and a control group (endurance training only: n = 9; age, 34.8 ± 8.5 y; weight, 72.5 ± 7.2 kg; height, 1.78 ± 0.05 m). The intervention group strength-trained for 20 wk. Each participant completed 3 assessments: physiology (CE, W V̇O 2 max, power at 2 and 4 mmol/L blood lactate), strength (isometric midthigh pull, squat-jump height, and 6-s bike-sprint peak power), and body composition (body mass, fat mass, overall leanness, and leg leanness). The results showed significant between- and within-group changes in the intervention group for maximal strength, bike-specific explosive strength, absolute W V̇O 2 max, body mass, overall leanness, and leg leanness at wk 20 (P < .05). The control group showed no significant within-group changes in measures of strength, physiology, or body composition. This study demonstrates that 20 wk of strength training can significantly improve maximal strength, bike-specific explosive strength, and absolute W V̇O 2 max in competitive road cyclists.

Beattie, K, Carson, BP, Lyons, M, Rossiter, A, and Kenny, IC. The effect of strength training on performance indicators in distance runners. J Strength Cond Res 31(1): 9-23, 2017-Running economy (RE) and velocity at maximal oxygen uptake (VV[Combining Dot Above]O2max) are considered to be the best physiological performance indicators in elite distance runners. In addition to cardiovascular function, RE and VV[Combining Dot Above]O2max are partly dictated by neuromuscular factors. One technique to improve neuromuscular function in athletes is through strength training. The aim of this study was to investigate the effect of a 40-week strength training intervention on strength (maximal and reactive strength), VV[Combining Dot Above]O2max, economy, and body composition (body mass, fat, and lean mass) in competitive distance runners. Twenty competitive distance runners were divided into an intervention group (n = 11; 29.5 ± 10.0 years; 72.8 ± 6.6 kg; 1.83 ± 0.08 m) and a control group (n = 9; 27.4 ± 7.2 years; 70.2 ± 6.4 kg; 1.77 ± 0.04 m). During week 0, 20, and 40, each subject completed 3 assessments: physiology (V2 mmol·L BLa, V2 mmol·L BLa [blood lactate], V4 mmol·L BLa, RE, VV[Combining Dot Above]O2max, V[Combining Dot Above]O2max), strength (1 repetition maximum back squat; countermovement jump and 0.3 m drop jump), and body composition (body mass, fat mass, overall lean, and leg lean). The intervention group showed significant improvements in maximal and reactive strength qualities, RE, and VV[Combining Dot Above]O2max, at weeks 20 (p ≤ 0.05) and 40 (p ≤ 0.05). The control group showed no significant changes at either time point. There were no significant changes in body composition variables between or within groups. This study demonstrates that 40 weeks of strength training can significantly improve maximal and reactive strength qualities, RE, and VV[Combining Dot Above]O2max, without concomitant hypertrophy, in competitive distance runners.

The aim of this study was to assess the concurrent validity of the Optojump™ system (Microgate, Bolzano, Italy) versus a force platform in the estimation of temporal and reactive strength measures. In two separate investigations, twenty physically active males performed double-leg and single-leg drop jumps from a box height of 0.3 m and a 10 s vertical bilateral hopping test. Contact time, flight time and total time (the sum of contact and flight time) were concurrently assessed during single and double-leg drop jumps and during hopping. Jump height, the reactive strength index and the reactive strength ratio were also calculated from contact time and flight time. Despite intraclass correlation coefficients (ICCs) for all variables being close to 1 (ICC > 0.975), a significant overestimation was found in contact time (0.005 ± 0.002 s) and underestimations in flight time (0.005 ± 0.003 s), the reactive strength index (0.04 ± 0.02 m·s-1) and the reactive strength ratio (0.07 ± 0.04). Overestimations in contact time and underestimations in flight time were attributed to the physical design of the Optojump™ system as the transmitter and receiver units were positioned 0.003 m above the floor level. The Optojump™ demonstrated excellent overall temporal validity with no differences found between systems for total time. Coaches are advised to be consistent with the instrumentation used to assess athletes, however, in the case of comparison between reactive strength values collected with the Optojump™ and values collected with a force platform, regression equations are provided.

Inertial sensors such as accelerometers and gyroscopes can provide a multitude of information on running gait. Running parameters such as stride time and ground contact time can all be identified within tibial accelerometry data. Within this, stride time is a popular parameter of interest, possibly due to its role in running economy. However, there are multiple methods utilised to derive stride time from tibial accelerometry data, some of which may offer complications when implemented on larger data files. Therefore, the purpose of this study was to compare previously utilised methods of stride time derivation to an original proposed method, utilising medio-lateral tibial acceleration data filtered at 2Hz, allowing for greater efficiency in stride time output. Tibial accelerometry data from six participants training for a half marathon were utilised. One right leg run was randomly selected for each participant, in which five consecutive running stride times were calculated. Four calculation methods were employed to derive stride time. A repeated measures analysis of variance (ANOVA) identified no significant difference in stride time between stride time calculation methods (p=1.00), whilst intra-class coefficient values (all >0.95) and coefficient of variance values (all <1.5%) indicate good reliability. Results indicate that the proposed method possibly offers a simplified technique for stride time output during running gait analysis. This method may be less influenced by "double peak" error and minor fluctuations within the data, allowing for accurate and efficient automated data output in both real time and post processing., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

The purpose of this systematic review was to search the scientific literature for original research, addressing the effects different forms of resistance-based training have on sprinting performance in competitive sprinters. Specific key words (Sprinters OR Sprint) NOT (Rugby, Soccer, Cycling, Swimming, Paralympic, and Nutrition) were used to search relevant databases through November 2013 for related literature. Original research was reviewed using the Physiotherapy Evidence Database scale. Five studies met the inclusion criteria: actively competitive adult male sprinters who participated in a resistance-based intervention (>4 weeks), with outcome measures in the form of 10- to 100-m sprint times. Exclusion criteria included acute studies (<4 weeks), nonsprinting populations, and studies with no performance outcome measures (10- to 100-m sprint times). Three of the 5 studies used both locomotor resistance and fixed plane resistance, whereas the remaining 2 studies used more fixed plane resistance, for example, squat and leg extension. Three of the studies showed a statistical improvement in sprinting performance measures, for example, a decrease in 30-m sprint time (p = 0.044), whereas 1 study showed a decrease in sprinting performance. The analysis concluded that resistance-based training has a positive effect on sprinting performance. Varied input of locomotor resistance and fixed plane resistance has resulted in similar percentage change for sprinting performance. This review adds to the body of knowledge by strongly highlighting the dearth of literature exploring the effects of resistance-based training on sprinting performance in competitive sprinters. The short duration and wide range of exercises implemented in studies to date are of concern, but coaches should not hesitate to implement well-planned resistance programs for their sprint athletes.

Purpose: There is scarcity of information on the long-term adaptations in lower limb biomechanics during game-specific movements after anterior cruciate ligament (ACL) reconstruction. Particularly, variables such as knee abduction moments and transverse plane knee motion have not been studied during a game-specific landing and cutting task after ACL reconstruction. The purpose of this study was to compare the hip and knee mechanics between the ACL-reconstructed (ACLr) group and a healthy control group., Methods: Thirty-eight reconstructed athletes (18 ACLr, 18 control) participated in the study. Three-dimensional hip, knee, and ankle angles were calculated during a maximal drop jump land from a 0.30-m box and unanticipated cutting task at 45°., Results: During the landing phase, ACLr participants had increased hip flexion (P < 0.003) and transverse plane knee range of motion (P = 0.027). During the cutting phase, the ACLr participant's previously injured limb had increased internal knee abduction moment compared with that of the control group (P = 0.032). No significant differences were reported between the previously injured and contralateral uninjured limb., Conclusions: Previously injured participants demonstrated higher knee abduction moment and transverse plane range of motion when compared with those of control participants during a game-specific landing and cutting task.

Background: Economy, velocity/power at maximal oxygen uptake ([Formula: see text]) and endurance-specific muscle power tests (i.e. maximal anaerobic running velocity; vMART), are now thought to be the best performance predictors in elite endurance athletes. In addition to cardiovascular function, these key performance indicators are believed to be partly dictated by the neuromuscular system. One technique to improve neuromuscular efficiency in athletes is through strength training., Objective: The aim of this systematic review was to search the body of scientific literature for original research investigating the effect of strength training on performance indicators in well-trained endurance athletes-specifically economy, [Formula: see text] and muscle power (vMART)., Methods: A search was performed using the MEDLINE, PubMed, ScienceDirect, SPORTDiscus and Web of Science search engines. Twenty-six studies met the inclusion criteria (athletes had to be trained endurance athletes with ≥6 months endurance training, training ≥6 h per week OR [Formula: see text] ≥50 mL/min/kg, the strength interventions had to be ≥5 weeks in duration, and control groups used). All studies were reviewed using the PEDro scale., Results: The results showed that strength training improved time-trial performance, economy, [Formula: see text] and vMART in competitive endurance athletes., Conclusion: The present research available supports the addition of strength training in an endurance athlete's programme for improved economy, [Formula: see text], muscle power and performance. However, it is evident that further research is needed. Future investigations should include valid strength assessments (i.e. squats, jump squats, drop jumps) through a range of velocities (maximal-strength ↔ strength-speed ↔ speed-strength ↔ reactive-strength), and administer appropriate strength programmes (exercise, load and velocity prescription) over a long-term intervention period (>6 months) for optimal transfer to performance.

The aim of this study was to develop a method to quantify movement variability in the backswing and downswing phase of the golf swing and statistically assess whether there was any relationship between movement variability and outcome variability. Sixteen highly skilled golfers each performed 10 swings wearing retro-reflective markers which were tracked by a three-dimensional (3D) motion analysis system operating at 400 Hz. Ball launch conditions were captured using a launch monitor. Performance variability was calculated for each body marker based on a scalene ellipsoid volume concept which produced a score representative of the 3D variability over the 10 trials. Outcome variability was quantified as the coefficient of variation of ball velocity for the 10 trials. The statistical analysis revealed no significant correlations between performance variability for each marker trajectory and outcome variability. Performance variability in the backswing or downswing was not related to ball velocity variability. It was postulated that individual players used their own strategies in order to control their performance variability, such that it had no effect on outcome variability.

The purpose of this investigation was to determine the concurrent validity of a commonly used electronic switch mat (ESM), or jump mat, compared with force plate (FP) data. The efficiency of collection and accuracy of data are paramount to athlete and player field testing for the strength and conditioning coach who often has access only to a jump mat. Ten subjects from 5 different sporting backgrounds completed 3 squat jumps (SJs), 3 countermovement jumps (CMJs), and 3 drop jumps (DJs). The jumps were performed on an AMTI FP operating at 1,000 Hz with an ESM positioned on top of the platform. All the subjects were experienced with the protocols involved with jump testing. The resulting absolute errors between FP and ESM data were 0.01, 0.02, and 0.01 m for CMJ, SJ, and DJ heights, respectively. However, the coefficient of variation for the DJ contact time (CT) was 57.25%, CMJ (r = 0.996), and SJ (r = 0.958) heights correlated very strongly with force platform data, and DJ data were not as strong (r = 0.683). Confidence interval tests revealed bias toward CMJ and SJ (p < 0.05). The jump mat can accurately calculate the CMJ height, SJ height, and reactive strength index for all the 3 jump protocols. However, the faster CTs and rapid movements involved in a DJ may limit its reliability when giving measures of CT, flight time, and height jumped for DJs. Strength and conditioning coaches can use such a jump mat device with the confidence that it is accurately producing valid measurements of their athlete's performance for CMJ and SJ slow SSC protocols.

The aim of this study was to determine how shaft length affects golf driving performance. A range of drivers with lengths between 1.168 m and 1.270 m, representing lengths close to the 1.219 m limit imposed by R&A Rules Limited (2008), were assembled and evaluated. Clubhead and ball launch conditions and drive distance and accuracy were determined for seven category 1 golfers (handicaps 0.21 +/- 2.41) who performed shots on a purpose-built practice hole. As shaft length increased from 1.168 m to 1.270 m, initial ball velocity increased (+ 1.8 m/s, P < 0.01). Ball carry (+ 4.3 m, P = 0.152) also increased, although not significantly so. Furthermore, as shaft length increased, for all club comparisons there was no decrease in accuracy. Ball launch conditions of spin components and launch angle remained unaffected by shaft length. Launch angle increased (0.8 degree, F = 1.074, P = 0.362) as driver shaft length increased. Our results show that clubhead and ball velocity together with ball carry tended to increase with no loss of accuracy.