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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
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