An investigation of lower limb injuries in adolescent rugby players

Abstract

Background
While physical activity and exercise have known benefits, injury in adolescent sporting populations is common. Most injuries are classified as minor to moderate, however severe injuries may have consequences. Risk reduction and return to play strategies should be more reflective of a broader understanding of injury burden. An understanding of healthcare provision and current practices in schools’ rugby may help to identify areas of concern and to inform educational opportunities for schools, coaches, players and parents.

Methods
This project was in three phases. Phase one was a systematic review of epidemiological research reporting the incidence of lower limb musculoskeletal injury in adolescent athletes who participate in Rugby, Football, Australian football and Gaelic football. Phase two involved semi-structured interviews with schools’ rugby coaches and semi-structured focus groups with players and parents. Phase three focused on the development of an educational concept for individuals involved in the management of injured schools’ rugby players.

Results
The findings of the systematic review found that lower limb injuries were common in adolescent rugby and football players. Coaches have a significant role in the management of injured schools’ rugby players and their decision making is influenced by several factors. Players and parents are, to some extent, aware of injury risk. There is a need for education of players and parents to increase awareness of the management of injury and return to play in schools’ rugby.

Conclusions
This doctoral research presents robust qualitative evidence supporting the need to improve awareness of injury, to provide actionable pitch-side and RTP protocols for coaches that offer a consistent approach and a benchmark for coaches, players and parents involved in schools’ rugby. Coaches, players and parents would welcome education-focused initiatives aimed at increasing awareness of injury. Based on the findings of the qualitative research, an education-focused protocol (toolkit) was developed.

Date of Award	Apr 2024
Original language	English
Supervisor	Daniel Kerr (Supervisor) & John Cathcart (Supervisor)