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2006 RWC - Women Injury Surveillance D Schick, JP Wiley, University of Calgary Sport Medicine Centre
2006 Women’s World Cup, Edmonton, Alberta
3rd IRB official World Cup
3 Edmonton venues
12 teams
339 athletes (all consented to participate)
WRWC Format
5 games over 20 days
3 ‘Pool’ and 2 ‘placing’ games
5881 player hours (1200 match and 4681 practice)
Injury Definition
Time loss injury was defined as the inability to participate fully in training or match play after an injury that occurred during either rugby training or game according to a recent iRB injury definition consensus statement.
Methods
Prior to tournament information sent to all teams
Meeting with managers and medical team
Meeting with each team to obtain consent, age, height, weight
Information sheets to medical staff
Collected information sheets from medical staff after each game
Players
AGE
WEIGHT (kg)
HEIGHT (cm)
OVERALL
28 (4.7)
168.1(6.9)
74.6(10.7)
FORWARDS
29(4.6)
172.0(6.7)
80.1(10.1)
BACKS
27(4.8)
165.6(5.9)
68.0(7.5)
Injury Rates WRWC 06
55 players suffered at least one injury (16%)
59 total number of injuries (10/1000 PH)
45 match injuries (37.5/1000 PH)
14 practice injuries(2.99/1000 PH)
Forwards – 38.29 injuries/1000 PH
Front row
62.5
Loose forwards
20.8
Locks
6.3
Backs – 42.19 injuries/1000 PH
Outside backs
58.1
Inside backs
56.3
Center backs
12.5
86% of injuries caused by contact
63% in the tackle
Tackled
(16) 36%
Tackling
(12) 27%
Collision
(4) 9%
Maul/Ruck
(4) 9%
Scrum
(4) 9%
Other
(4) 9%
Injuries by Body Region
Head/face
8
Knee
9
Neck/cervical spine
9
Hip/groin
6
Shoulder/clavicle
5
Ankle
4
Anterior thigh
4
Lower leg/Achilles
4
Hand/finger
2
Sternum/ribs
4
Low back
2
Sacrum/pelvis
3
Abdomen
1
Elbow
1
Foot/toe
1
Posterior thigh
1
Injury Type
Sprain/ligament injury
17
Haematoma/contusion
8
Muscle injury
13
Laceration
9
Fracture
5
Nerve injury
6
Tendon injury
3
Concussion
4
Dislocation/subluxation
2
Meniscus/cartilage/disc
2
Dental injury
1
Other bone injury
1
Spinal cord injury
1
Other injury
3
Emergency Services
1 suspected cervical injury
Transported by ambulance and cleared
Comparison to Men’s RWC Injuries/1000 PH
EVENT
OVERALL
GAMES
19951
32.82
prelim: 30 final round: 43
20032
not available
97.9
WRWC 2006
10
37.5
1Jakoet & Noakes, SAMJ 1998 2Best et al, BJSM 2005
Other Comparisons (per 1000 PH)
EVENT
OVERALL
GAMES
PRACTICES
Women/Prov1
7.1
20.5
1.2
Eng Prof2
91
2
WRWC 06
10
37.5
3
1Carson et al, CJSM 1999 2Brooks et al, BJSM 2005
Comparisons With Other Women’s Sports
LEVEL
OVERALL INJURY RATE
Ice Hockey1
intercollegiate
7.77
Soccer2
youth
6.7
Basketball2
youth
4.9
Handball2
youth
7.6
Rugby 2006
World Cup
10
1Schick and Meeuwisse, AJSM 2003 2de Loes M, IJSM, 1995
Conclusions
Injury rate compared to other women sports not much higher
Lower injury rate to men
High rate of injury in front row forwards which is unusual compared to the men
This study is the start of the IRB injury surveillance studies for games it sponsors