To (1) systematically review the literature to identify which match-related risk factors and mechanisms of rugby tackle events result in musculoskeletal injury, concussion, head injury assessments, and head impacts or head accelerations; and (2) identify the perceived importance and feasibility of potential intervention strategies for tackle-related injury reduction in the rugby codes.A systematic search was performed using Preferred Reporting Systematic Reviews and Meta-Analyses guidelines. Risk factors/mechanisms associated with tackle injuries across the rugby codes were extracted. After extraction, 50 international rugby experts participated in a Delphi poll. Via content analysis, expert-recommended risk factors/mechanisms were developed. In round two, experts rated all risk factors and mechanisms for importance to injury risk. In round three, the feasibility of law changes, coach and player education, and training as interventions to reduce injury risk for each injury risk factor/mechanism deemed important during round two was rated.PubMed (MEDLINE), Scopus, SPORTDiscus (EBSCOhost) and CINAHL.Eligible studies included cohort, observational and cross-sectional designs, which included male or female rugby union, league or sevens players.37 eligible studies were identified, with 138 injury risk factors/mechanisms extracted. 70% of the studies were rated 'high quality', with 30% moderate quality. 38 new risk factors/mechanisms were recommended by the expert group, 8 being identified as important and highly feasible for modification by an intervention strategy. 'The tackler placing their head on the incorrect side of the ball carrier' was described as the most important mechanism, with 'training' and 'coach/player education' thought to be highly feasible interventions.Numerous risk factors or mechanisms associated with tackle-related injury appear important and modifiable, helping to guide interventions to reduce injury risk in the rugby tackle.
Objectives: To determine the effect on participation attendance (being there) and involvement (experience of participation) compared with usual activities of a community gym-based physical activity intervention (FitSkills) for young people with disability.
Methods: An assessor-blinded stepped wedge cluster randomised trial was completed involving 163 participants with self-identified disability (61 female; mean age 19), 123 mentors and 11 sites randomised to four groups. Participant and mentor pairs exercised together two times a week for 12 weeks. The primary outcomes were participation attendance and involvement, and health-related quality of life measured by five questionnaires (Adolescent Physical Activity Recall; Adolescent Sedentary Activity; Children's Assessment of Participation and Enjoyment; Participation and Environment Measure Children and Youth (PEM-CY); Child Health Utility 9D). The secondary outcomes were participation preferences, walking capacity, attitudes to exercise, physical activity and well-being (life satisfaction). Data were analysed using linear mixed-effects models.
Results: Immediately after the intervention, there was an increase in participation attendance, measured in terms of the number of different physical activities participated in (0.8 activities, 95% CI 0.4 to 1.1); and frequency (how often activities were performed) for one outcome, the PEM-CY (0.2 units, 95% CI 0.01 to 0.4). There was an increase in time spent doing physical activities (23%, 95% CI 4% to 46%), but no change in sedentary time (3%, 95% CI -6% to 12%). Analysis of time-averaged effects up to 15 months after the intervention showed an increase in the number of physical activities (1.0 activities, 95% CI 0.4 to 1.6) only. There was no change in the primary outcomes of participation involvement (ie, experience of participation) or health-related quality of life immediately after the intervention, or across time.
Conclusion: A student-mentored community-gym-based physical activity intervention increased self-reported physical activities in the intermediate term but did not change health-related quality of life in young people with disability.
Trial registration: ACTRN12617000766314.
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：