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dc.rights.licenseopenen_US
dc.contributor.authorCHERADAME, Jeremy
dc.contributor.authorPISCIONE, Julien
dc.contributor.authorCARLING, Christopher
dc.contributor.authorGUINOISEAU, Jean-Pierre
dc.contributor.authorDUFOUR, Bernard
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorJACQMIN-GADDA, Helene
dc.contributor.authorDECQ, Philippe
dc.date.accessioned2021-06-23T14:27:55Z
dc.date.available2021-06-23T14:27:55Z
dc.date.issued2021-04-16
dc.identifier.issn1552-3365 (Electronic) 0363-5465 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/79277
dc.description.abstractEnBACKGROUND: 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.isoENen_US
dc.subject.enConcussion
dc.subject.enRugby
dc.subject.enEpidemiology
dc.subject.enLongitudinal study
dc.subject.enIncidence
dc.subject.enMultivariate analysis
dc.title.enIncidence and Risk Factors in Concussion Events: A 5-Season Study in the French Top 14 Rugby Union Championship
dc.typeArticle de revueen_US
dc.identifier.doi10.1177/03635465211006480en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed33861663en_US
bordeaux.journalAmerican Journal of Sports Medicineen_US
bordeaux.page1921-1928en_US
bordeaux.volume49en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue7en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03269045
hal.version1
hal.date.transferred2021-06-23T14:27:58Z
hal.exporttrue
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