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The relationship between physical and wellness measures and injury in amateur rugby union players

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posted on 2023-03-01, 11:26 authored by Caithríona Yeomans, Thomas M. Comyns, Róisin Máire Cahalan, Kevin Hayes, Victoria Costello, Giles D. Warrington, Andrew J. Harrison, MARK LYONSMARK LYONS, Mark J. Campbell, Liam G. Glynn, Ian C. Kenny
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.



Physical Therapy in Sport;40, pp. 59-65





Other Funding information

Irish Rugby Injury Surveillance, Irish Rugby Football Union


This is the author’s version of a work that was accepted for publication in Physical Therapy in Sport. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Physical Therapy in Sport Volume 40, November 2019, Pages 59-65,



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  • Allied Health
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