Incidence and Risk Factors in Concussion Events: A 5-Season Study in the French Top 14 Rugby Union Championship
| dc.rights.license | open | en_US |
| dc.contributor.author | CHERADAME, Jeremy | |
| dc.contributor.author | PISCIONE, Julien | |
| dc.contributor.author | CARLING, Christopher | |
| dc.contributor.author | GUINOISEAU, Jean-Pierre | |
| dc.contributor.author | DUFOUR, Bernard | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | JACQMIN-GADDA, Helene | |
| dc.contributor.author | DECQ, Philippe | |
| dc.date.accessioned | 2021-06-23T14:27:55Z | |
| dc.date.available | 2021-06-23T14:27:55Z | |
| dc.date.issued | 2021-04-16 | |
| dc.identifier.issn | 1552-3365 (Electronic) 0363-5465 (Linking) | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/79277 | |
| dc.description.abstractEn | BACKGROUND: Concussions are a source of major concern in rugby, and a limited number of studies have attempted to identify risk factors for these injuries. PURPOSE: To investigate the incidence of match concussion and associated risk factors, including individual workload, anthropometric variables, playing position, and season phase, in elite rugby union players. STUDY DESIGN: Case-control study; Level of evidence 3. METHODS: All concussions and explanatory variables were collected for every match over 5 consecutive seasons (2014-2018) in 1334 professional players participating in the French Top 14 championship. Concussion risk was estimated using mixed effects Poisson regression. RESULTS: Mean match concussion incidence equated to 10.4 (95% CI, 9.3-11.5) concussions for 1000 hours of game exposure. A peak was reached in the 2016-2017 season (13.7; 95% CI, 11.0-16.5). A greater risk was observed in the playoffs as compared with the first phase of the season (incidence rate ratio, 3.96; 95% CI, 2.10-7.35). In comparison with other positions, half-backs incurred the highest rate of concussion events (incidence, 16.1; 95% CI, 11.8-20.3). Irrespective of playing position, those with greater height and lower body mass reported a higher risk of concussions (P = .02), especially during tackling actions for lighter players (P = .01) and during other match events for taller players (P = .03). When adjusted for season phase, players who had accumulated a higher amount of playing time since the beginning of the season demonstrated a lower risk of concussion (P = .005). CONCLUSION: Inter- and intraseasonal variations in concussion rates were observed. Within positional groups, lighter and taller players were more at risk, with the highest incidence generally observed in half-backs. Workload was measured by the number of matches played before a concussion event, and it appeared to have a protective rather than deleterious effect on concussion risk. | |
| dc.language.iso | EN | en_US |
| dc.subject.en | Concussion | |
| dc.subject.en | Rugby | |
| dc.subject.en | Epidemiology | |
| dc.subject.en | Longitudinal study | |
| dc.subject.en | Incidence | |
| dc.subject.en | Multivariate analysis | |
| dc.title.en | Incidence and Risk Factors in Concussion Events: A 5-Season Study in the French Top 14 Rugby Union Championship | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1177/03635465211006480 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 33861663 | en_US |
| bordeaux.journal | American Journal of Sports Medicine | en_US |
| bordeaux.page | 1921-1928 | en_US |
| bordeaux.volume | 49 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 7 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | BIOSTAT_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-03269045 | |
| hal.version | 1 | |
| hal.date.transferred | 2021-06-23T14:27:58Z | |
| hal.export | true | |
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