Evidence map›Paper›PMID 39897992›Full record

ArticleBMJ open sport & exercise medicine2025

High tackle headache: implications of referee agreement for tackle height law change.

Ruth Leese, Ash Kolstad, Ricardo T Sant'Anna, Carly D McKay, Stephen W West

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Whistleblower: the front line and critical facilitator for injury prevention policy?Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ruth LeeseDepartment for Health, University of Bath, Bath, UK.
Ash KolstadSport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Ricardo T Sant'AnnaDepartment of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, UK.
Carly D McKayDepartment for Health, University of Bath, Bath, UK.
Stephen W WestDepartment for Health, University of Bath, Bath, UK.ORCID 0000-0001-5800-7000

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Rugby Union has a relatively high risk of injury. Early evidence suggests a benefit of lowering tackle height to reduce head and neck injuries, although concerns persist among stakeholders regarding implementation challenges. This study aimed to understand whether referees can reach the same conclusion regarding tackle height in a controlled environment (ie, video) and whether priming influenced these decisions. Methods: Forty-eight active referees completed a questionnaire based on high-tackle decision-making guidelines after watching tackles. Participants were randomly assigned one of two instructional videos containing a high or legal tackle to investigate the impact of priming on law interpretation. Results: The percent agreement regarding tackle height was 78.1% between participants, 62.7% between participants and an experienced analyst, and 74.0% between participants and a gold-standard referee. Mean intra-rater reliability when determining whether a tackle was high was substantial (percent agreement: 91.2%). For high tackles, 83% of participants agreed on the danger level, 57% on the contact location and 71% on the presence of mitigating factors. No significant effects of priming were observed. Inter-rater agreement among participants and the gold-standard referee was moderate for all items except danger and height, which showed strong agreement. Conclusion: These results suggest a need for improved referee training to support changes to the legal tackle height.

Indexed as

ImplementationInjuryPreventionRugby

Identifiers

PMID39897992
PMCPMC11781086

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.