Comparison of Injuries in American Collegiate Football and Club Rugby: A Prospective Cohort Study

The American Journal of Sports Medicine
Nienke W WilligenburgTimothy E Hewett

Abstract

American football and rugby players are at substantial risk of injury because of the full-contact nature of these sports. Methodological differences between previous epidemiological studies hamper an accurate comparison of injury rates between American football and rugby. To directly compare injury rates in American collegiate football and rugby, specified by location, type, mechanism, and severity of injury, as reported by licensed medical professionals. Cohort study; Level of evidence, 2. Licensed medical professionals (athletic trainer or physician) associated with the football and rugby teams of a National Collegiate Athletic Association Division I university reported attendance and injury details over 3 autumn seasons. Injuries were categorized by the location, type, mechanism, and severity of injury, and the injury rate was calculated per 1000 athlete-exposures (AEs). Injury rate ratios (IRRs) were calculated to compare overall, game, and practice injury rates within and between sports. The overall injury rate was 4.9/1000 AEs in football versus 15.2/1000 AEs in rugby: IRR = 3.1 (95% CI, 2.3-4.2). Game injury rates were higher than practice injury rates: IRR = 6.5 (95% CI, 4.5-9.3) in football and IRR = 5.1 (95% CI, 3.0-8...Continue Reading

References

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Citations

Jan 22, 2008·Clinics in Sports Medicine·Dennis CaineCaroline Caine
Nov 3, 2016·British Journal of Sports Medicine·Chad Cook
Jan 28, 2017·The American Journal of Sports Medicine·Nicholas BurgerSharief Hendricks
Jun 3, 2016·The American Journal of Sports Medicine·Hamish Kerr
Feb 15, 2018·Sports Health·Pierre L ViviersWayne Derman
Feb 14, 2018·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Michael K KrillTimothy E Hewett
May 19, 2020·The Physician and Sportsmedicine·Taylor L LangevinJohn M Rosene
Sep 15, 2020·Journal of American College Health : J of ACH·Natalie Joan FullerCaroline J Ketcham
Sep 23, 2018·Sports Medicine·Enora Le FlaoDoug King
Apr 29, 2020·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Michael K KrillTimothy E Hewett
Nov 13, 2020·Journal of Science and Medicine in Sport·Katherine J HunzingerThomas A Buckley
Mar 16, 2021·Sports Medicine·Kathryn L Van PeltSteven P Broglio
Apr 1, 2021·Orthopaedic Journal of Sports Medicine·J Chance MillerC S Ahmad
Feb 16, 2021·The Journal of Sports Medicine and Physical Fitness·Aleksandra SpałekMarta Barłowska-Trybulec

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