891 FO58 – Equal playing fields? The influence of playing surface on injury risk in elite female rugby union (2018–2022)
BackgroundA significant proportion (up to 40%) of elite women’s rugby teams in England play on artificial surfaces. Artificial surfaces have been associated with increased injury burden in the men’s professional game; however, the influence of these surfaces on injury risk for female rugby union pla...
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Published in | British journal of sports medicine Vol. 58; no. Suppl 2; p. A33 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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London
BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
02.03.2024
BMJ Publishing Group LTD |
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Abstract | BackgroundA significant proportion (up to 40%) of elite women’s rugby teams in England play on artificial surfaces. Artificial surfaces have been associated with increased injury burden in the men’s professional game; however, the influence of these surfaces on injury risk for female rugby union players remains to be investigated.ObjectivesTo investigate the influence of playing surface on match-related injury incidence, severity, and burden within elite women’s rugby union in England.DesignRetrospective cohort study across 4 seasons (2018/19 – 2021/22).SettingA total of 12 teams competing in the English Premiership competition.ParticipantsElite female rugby union players.Assessment of Risk FactorsPlaying surface (artificial turf [AT] versus natural grass/hybrid [NG]).Main Outcome MeasurementsIncidence rate, mean severity, and burden of time-loss match injuries. Z-tests were used to assess rate ratios (RR), with NG as the reference group.ResultsThere were 498 injuries reported across both playing surfaces (213 AT, 285 NG), with no significant differences observed in overall injury incidence, severity, or burden. The incidence of knee injuries was significantly higher on AT (7.1/1000 h) than on NG (4.3/1000 h; RR: 1.67, P = 0.03), with the most frequent knee injury type on AT being joint and ligament injuries (3.7/1000 h). The incidence of ankle injuries was also significantly greater on AT (6.2/1000 h vs. 3.7/1000 h; RR: 1.65, P = 0.05). There was a significantly lower burden of head and neck injuries on AT (394/1000 days on NG vs. 250/1000 days on AT; RR: 0.64, P = 0.009).ConclusionsThe overall risk associated with playing rugby union on AT was comparable to NG surfaces for elite female players. However, the incidence of ankle and knee injuries was significantly higher on AT, and so future preventative efforts should focus on footwear-to-surface interface factors. |
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AbstractList | BackgroundA significant proportion (up to 40%) of elite women’s rugby teams in England play on artificial surfaces. Artificial surfaces have been associated with increased injury burden in the men’s professional game; however, the influence of these surfaces on injury risk for female rugby union players remains to be investigated.ObjectivesTo investigate the influence of playing surface on match-related injury incidence, severity, and burden within elite women’s rugby union in England.DesignRetrospective cohort study across 4 seasons (2018/19 – 2021/22).SettingA total of 12 teams competing in the English Premiership competition.ParticipantsElite female rugby union players.Assessment of Risk FactorsPlaying surface (artificial turf [AT] versus natural grass/hybrid [NG]).Main Outcome MeasurementsIncidence rate, mean severity, and burden of time-loss match injuries. Z-tests were used to assess rate ratios (RR), with NG as the reference group.ResultsThere were 498 injuries reported across both playing surfaces (213 AT, 285 NG), with no significant differences observed in overall injury incidence, severity, or burden. The incidence of knee injuries was significantly higher on AT (7.1/1000 h) than on NG (4.3/1000 h; RR: 1.67, P = 0.03), with the most frequent knee injury type on AT being joint and ligament injuries (3.7/1000 h). The incidence of ankle injuries was also significantly greater on AT (6.2/1000 h vs. 3.7/1000 h; RR: 1.65, P = 0.05). There was a significantly lower burden of head and neck injuries on AT (394/1000 days on NG vs. 250/1000 days on AT; RR: 0.64, P = 0.009).ConclusionsThe overall risk associated with playing rugby union on AT was comparable to NG surfaces for elite female players. However, the incidence of ankle and knee injuries was significantly higher on AT, and so future preventative efforts should focus on footwear-to-surface interface factors. |
Author | Williams, Sean Smith, Kieran Starling, Lindsay Toyah McKay, Carly Kemp, Simon Stokes, Keith |
Author_xml | – sequence: 1 givenname: Kieran surname: Smith fullname: Smith, Kieran organization: UK Collaborating Centre for Injury and Illness in Sport (UKCCIIS), Edinburgh and Bath, UK – sequence: 2 givenname: Carly surname: McKay fullname: McKay, Carly organization: UK Collaborating Centre for Injury and Illness in Sport (UKCCIIS), Edinburgh and Bath, UK – sequence: 3 givenname: Keith surname: Stokes fullname: Stokes, Keith organization: Rugby Football Union, Twickenham, UK – sequence: 4 givenname: Lindsay Toyah surname: Starling fullname: Starling, Lindsay Toyah organization: World Rugby, Dublin, Ireland – sequence: 5 givenname: Simon surname: Kemp fullname: Kemp, Simon organization: London School of Hygiene and Tropical Medicine, London, UK – sequence: 6 givenname: Sean surname: Williams fullname: Williams, Sean organization: UK Collaborating Centre for Injury and Illness in Sport (UKCCIIS), Edinburgh and Bath, UK |
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Copyright | Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ. 2024 Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ. |
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Notes | OS10 – Injury risk factors and prevention in rugby, Prince Pierre, March 2, 2024, 14:00 – 15:00 7th IOC World Conference on Prevention of Injury and Illness in Sport, Monaco, 29 February–2 March 2024 |
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Snippet | BackgroundA significant proportion (up to 40%) of elite women’s rugby teams in England play on artificial surfaces. Artificial surfaces have been associated... |
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SubjectTerms | Females Full Oral Abstracts Injuries Knee Rugby |
Title | 891 FO58 – Equal playing fields? The influence of playing surface on injury risk in elite female rugby union (2018–2022) |
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