Injury risk in international Rugby Union: Three-year injury surveillance of the Welsh national team

Background: Within international Rugby Union, only injury rates during the Rugby World Cup have been reported. Therefore, injury rates and types during other international tournaments are unknown. Purpose: To assess the 3-year incidence, severity, nature, and causes of match and training injuries sustained during different international tournaments played by the Welsh national Rugby Union team. Study Design: Descriptive epidemiology study. Methods: Injury data for all players (n = 78) selected for 1 national Rugby Union team over a 3-year period were analyzed using the international consensus statement methods. Player height (cm) and mass (kg) were recorded. Tournaments were grouped for comparisons as: autumn tournaments (2012 and 2013), Rugby World Cup (RWC; 2011), Six Nations (2012, 2013, and 2014), and summer tournaments (2012, 2013, and 2014). Injury incidence (injuries/1000 hours), prevalence (% of players unavailable), and severity (days lost) were calculated for each tournament. Injury location, type, and cause of match and training injuries were analyzed. Results: Match injury incidence was highest during autumn tournaments (262.5/1000 match-hours) and lowest during the RWC (178.6/1000 match-hours). Summer tournaments had the highest training incidence (5.5 injuries/1000 training-hours). Mild injuries were most likely during the RWC (risk ratio [RR], 2.02; 95% CI, 1.26-3.24), while severe injuries were most likely during autumn tournaments (RR, 3.27; 95% CI, 1.70-6.29). Quadriceps hematomas (18.8/1000 match-hours; 95% CI, 11.3-31.1) and concussions (13.8/1000 match-hours; 95% CI, 7.6-24.8) were the most common match injuries, with shoulder dislocations being the most severe (111 mean days lost per injury). Conclusion: Injury rates were considerably higher than those previously reported for multiple teams during RWC tournaments. Further investigation of injury rates and risk factors is recommended to accurately gauge their impact within international Rugby Union, particularly with regard to lower limb hematoma, concussion, and shoulder injuries

Manipulating constraints to train decision making in Rugby Union

This paper focuses on the paradoxical relationship between game unpredictability and the certainty of players' actions in team ball sports. Our research on this relationship leads us to suggest a method for training decision making, which we exemplify in the team sport of Rugby Union. The training methodology is based on application of theoretical insights from ecological psychology, complex dynamical systems and the constraints-led approach. The paper starts with a critical overview of traditional approaches to studying decision making in sport. Next we describe the sport of Rugby Union to exemplify a complex dynamical system, and explain how that conceptualisation captures the interactions of players within that performance context. We conclude our analysis by describing how to manipulate task constraints to improve decision-making performance, as players search for an appropriate blend of stability and variability in their actions. In the final part of the paper, we suggest some methods to train decision making based on four stages: i) identifying the problem; ii) setting out a strategy to solve it; iii) creating an action model; and iv) building a decision-making exercise. The main conclusion from our work for coaches and sports scientists is that decision making should be improved through training methods that provide an accurate balance between stability of actions, which gives structure to the players' performance, and variability, which allows them to cope with the uncertainty of situational constraints, such as the behaviour of specific opponents