Physical characteristics associated with neck pain and injury in rugby union players

Journal article

Snodgrass, Suzanne J., Osmotherly, Peter G., Reid, Susan A., Milburn, Peter D. and Rivett, Darren A.. (2018). Physical characteristics associated with neck pain and injury in rugby union players. The Journal of Sports Medicine and Physical Fitness. 58(10), pp. 1474 - 1481. https://doi.org/10.23736/S0022-4707.17.07255-3

Authors	Snodgrass, Suzanne J., Osmotherly, Peter G., Reid, Susan A., Milburn, Peter D. and Rivett, Darren A.
Abstract	BACKGROUND: Neck pain and injury are common in rugby union. Physical characteristics predisposing players to neck injury are largely unknown. This study aimed to determine physical characteristics associated with neck pain and injury in rugby union players. METHODS: Semi-professional rugby union players (N.=142) underwent pre-season measurements including cervical active range of motion (AROM), strength, sensorimotor proprioception (joint position error), and anthropometry. A structured interview established previous neck injury history, current symptoms, playing position, competition level, age, and years playing rugby. Team physiotherapists and player telephone interviews identified players sustaining a neck injury during the competitive season (defined as any reported neck pain or neck injury). T-tests or Mann-Whitney U tests determined differences between neck injured and non-injured players. Logistic regression determined factors associated with neck injury history and incidence. RESULTS: Sixty-five (46%) players reported a previous neck injury; 11 (8%) sustained a neck injury during the competitive season. Player age (OR 1.14, 95% CI 1.03-1.25, P=0.009) was associated with neck injury history. Pre-season lateral flexion AROM was less in players sustaining a neck injury or reporting neck pain during the season (median left 23.6°, IQR 21.8-26.2°; right 27.9°, 23.6-32.5°) than in other players (left 34.8°, 28.8-41.0°, P CONCLUSIONS: Decreased cervical lateral flexion AROM may contribute to neck injury risk in rugby union players. However, few physical characteristics predicted neck injury incidence, suggesting additional factors should be explored to determine injury risk.
Keywords	spine; wounds and injuries; prevention and control; football
Year	2018
Journal	The Journal of Sports Medicine and Physical Fitness
Journal citation	58 (10), pp. 1474 - 1481
Publisher	Edizioni Minerva Medica
ISSN	0022-4707
Digital Object Identifier (DOI)	https://doi.org/10.23736/S0022-4707.17.07255-3
Scopus EID	2-s2.0-85055614184
Page range	1474 - 1481
Research Group	School of Allied Health
Publisher's version	File Access Level Controlled
Place of publication	Italy

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