{"id":10665,"date":"2023-07-10T06:00:11","date_gmt":"2023-07-10T05:00:11","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10665"},"modified":"2023-07-05T14:36:23","modified_gmt":"2023-07-05T13:36:23","slug":"body-on-the-line-experiences-of-tackle-injury-in-womens-rugby-union-a-grounded-theory-study","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/10\/body-on-the-line-experiences-of-tackle-injury-in-womens-rugby-union-a-grounded-theory-study\/","title":{"rendered":"Body on the line: experiences of tackle injury in women\u2019s rugby union \u2013 a grounded theory study"},"content":{"rendered":"

In this blog we will explain the results of our recent study published in BJSM. We conducted a qualitative study using a grounded theory approach to capture the tackle injury experiences and behaviours in women\u2019s rugby union.\u00a0<\/span><\/p><\/blockquote>\n

Why is this study important?<\/b><\/h4>\n

Women\u2019s Rugby is one of the fastest growing sports worldwide (1). Tackle-related injuries remain a problem in the women\u2019s game, accounting for up to 67% of all match injuries (2). It is important to understand tackle injuries to prevent potential negative consequences such as disruption to sport participation, reduced physical activity and potential long-lasting impact.\u00a0<\/span><\/p>\n

The sport\u2019s governing body, World Rugby, has committed to funding evidence-informed injury prevention programmes, but research in women\u2019s rugby is still playing catch-up. We can only assume that tackle coaching frameworks and injury prevention strategies are likely informed by research in men\u2019s rugby (3). Understanding of the performance context is essential for the success of injury prevention strategies (4). This study is important since it is the first to explore tackle injury experiences in women\u2019s rugby players from Europe, North America and Africa.\u00a0<\/span><\/p>\n

How did the study go about this?<\/b><\/h4>\n

We interviewed 21 senior women\u2019s rugby players using qualitative grounded theory methods. We asked players about their experiences of tackle injuries and tackle skill learning. Players were aged between 20-48 years and came from diverse backgrounds and sporting systems in the UK, Ireland, France, Canada and South Africa. The playing experiences of participants ranged from 12 months to 20 years from club to elite international level. <\/span><\/p>\n

<\/b>What did the study find?<\/b><\/h4>\n

We found that player\u2019s considered tackling a highly complex skill that requires technical, tactical, physical and psychological proficiency to execute safely and effectively. The majority of participants’ first introduction to rugby was in adulthood through university or clubs and in some cases participants were \u2018fast tracked\u2019 (less than 1 year participation) to compete internationally.\u00a0<\/span><\/p>\n

We found that tackle injuries were common in women\u2019s rugby. Players reported a sense of fear and lack of confidence in their experience of tackling but felt that tackle injuries were an inevitable part of the game. Players described \u2018playing catch-up\u2019 in terms of tackle preparedness, noting how their status as women and late starters in rugby increased their risk of injury. Interactions with teammates, coaches and the rugby culture that normalised injury and rewarded \u2018putting your body on the line\u2019 shaped player\u2019s tackle injury beliefs and behaviours. For example, players commonly played through pain and injuries and were only taken seriously when they impeded a player\u2019s ability to perform.\u00a0<\/span><\/p>\n

\u201cI broke my finger in the warm-up before an international game and one of the girls turned<\/span><\/i><\/p>\n

and said to me that \u2018it\u2019s just a mindset\u2019, and it was. You just play the game, strap it up, get a<\/span><\/i><\/p>\n

load of pain killers into you and just play the game.\u201d <\/span><\/i>(participant quote)<\/span><\/p><\/blockquote>\n

Women\u2019s tackle injury experiences were often intertwined with day-to-day realities of marginalisation (e.g., gender stereotypes, homophobia and stigma) and underpreparedness. These experiences were often situated alongside tackle coaching that paid little attention to player wellbeing or the training age and learning needs of their players. On account of inequalities in club structures, women\u2019s rugby teams counted themselves lucky to have access to the gym, pitches and pitch-side medical support.\u00a0<\/span><\/p>\n

What are the key take-home points?<\/b><\/h4>\n

Tackle injuries are common and carry considerable physical and emotional burden in women\u2019s rugby. Beyond the stakeholders directly related to the players (e.g., teammates, coaches, match officials), there are other dimensions (e.g., club environments, rugby culture and wider society) that affect tackle injury experiences in women\u2019s rugby. By adopting a nuanced, collective approach (4) that reflects the complexity of the skill of tackling and accounts for the performance context and preferences of women\u2019s rugby players we will be better placed to protect player health in rugby. The figure below shows some practical recommendations that can be used in designing effective tackle frameworks for women\u2019s rugby.<\/span><\/p>\n

Figure 1: Practical Recommendations to Support Tackle Injury Prevention in Women\u2019s Rugby Union (<\/strong><\/em>Adapted from Bronfenbrenner 1979 ecological systems model (5)).\u00a0<\/strong><\/em><\/h6>\n

 <\/p>\n

\"\"<\/p>\n

 <\/p>\n

References<\/b><\/h5>\n

1) World Rugby<\/span>. New report highlights global rise in rugby interest in 2019 (2020); 2020. Available: <\/span><\/i>https:\/\/www.world.rugby\/news\/600417\/new-report-highlights-global-rise-in-rugby-interest-in-2019<\/span><\/i><\/a> [Accessed 03 Aug 2022].<\/span><\/i><\/p>\n

2) West S, Shill I, Patricios J, et al<\/span>. 461 narrowing the gender gap in rugby injury epidemiology: a novel video-analysis study in the women\u2019s game. Br J Sports Med 2021;55:A176. <\/span><\/i>doi:10.1136\/bjsports-2021-IOC.422<\/span><\/i><\/a><\/p>\n

3) Dane K, Simms C, Hendricks S, et al<\/span>. Physical and technical demands and preparatory strategies in female field collision sports: a scoping review. Int J Sports Med 2022;43:1173\u201382. <\/span><\/i>doi:10.1055\/a-1839-6040<\/span><\/i><\/a>\u00a0<\/span><\/p>\n

4) Hendricks S, Emery C, Jones B, et al \u2018Tackling\u2019 rugby safety through a collective approach British Journal of Sports Medicine 2023;57:562-563. <\/span>doi:10.1136\/bjsports-2023-107020<\/span><\/i><\/a><\/p>\n

5) Bronfenbrenner U<\/span>. <\/span>The ecology of human development: experiments by nature and by design<\/span><\/i>. Harvard: Harvard University Press, 1979.\u00a0<\/span><\/p>\n

Authors<\/b><\/h5>\n

Kathryn Dane<\/span> 1<\/span>, Geraldine Foley\u00a0<\/span>2<\/span> , Fiona Wilson\u00a0<\/span>1<\/span><\/p>\n

    \n
  1. Discipline of Physiotherapy, Trinity College Dublin School of Medicine, Dublin, Ireland<\/span><\/i><\/li>\n
  2. Discipline of Occupational Therapy, Trinity College Dublin School of Medicine, Dublin, Ireland<\/span><\/i><\/li>\n<\/ol>\n
    Conflict of interest: <\/b>FW is an Deputy Editor for the British Journal of Sports Medicine<\/span><\/h6>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    In this blog we will explain the results of our recent study published in BJSM. We conducted a qualitative study using a grounded theory approach to capture the tackle injury experiences and behaviours in women\u2019s rugby union.\u00a0 Why is this study important? Women\u2019s Rugby is one of the fastest growing sports worldwide (1). Tackle-related injuries […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":464,"featured_media":10666,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1501,16187,16188,1399,1757],"class_list":["post-10665","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-athletes","tag-female","tag-female-athletes","tag-injury","tag-rugby"],"yoast_head":"\nBody on the line: experiences of tackle injury in women\u2019s rugby union \u2013 a grounded theory study - BJSM blog - social media's leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=10665\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Body on the line: experiences of tackle injury in women\u2019s rugby union \u2013 a grounded theory study - BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"In this blog we will explain the results of our recent study published in BJSM. 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