Evidence map›Paper›PMID 40478418›Full record

ArticleSports medicine (Auckland, N.Z.)2025

Instrumented Mouthguards in Men's Rugby League: Quantifying the Incidence and Probability of Head Acceleration Events at a Group and Individual Level.

James Tooby, Cameron Owen, Thomas Sawczuk, Gregory Roe, Kevin Till, Gemma Phillips, Dane Vishnubala, Ryan White, Steve Rowson, Ross Tucker and 2 more

Abstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

12 authors.

James ToobyCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK. j.tooby@leedsbeckett.ac.uk.ORCID 0000-0002-5398-4416
Cameron OwenCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Thomas SawczukCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Gregory RoeCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Kevin TillCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Gemma PhillipsCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Dane VishnubalaRugby Football League, Etihad Campus, Manchester, UK.
Ryan WhiteCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Steve RowsonCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Ross TuckerWorld Rugby, 8-10 Pembroke St., Dublin, Ireland.
Gregory TierneyNanotechnology and Integrated Bioengineering Centre (NIBEC), School of Engineering, Ulster University, Belfast, UK.
Ben JonesCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing concern that exposure to head acceleration events (HAEs) may be associated with long-term neurological effects.

objectivesTo quantify the incidence and probability of HAEs during men's professional rugby league match-play on a group and individual basis using instrumented mouthguards (iMGs).

methodsA total of 91 men's professional rugby league players participating in the 2023 Super League season wore iMGs, resulting in the collection of 775 player matches (mean 8.3 matches per player). Incidence of HAEs (rate of HAEs per median playing time) was calculated via generalised linear mixed models. Probability of HAEs (likelihood of experiencing an HAE during a tackle-event) was calculated using an ordinal mixed effects regression model.

resultsThe mean incidence of HAEs exceeding 25 g per median playing time ranged from 0.86-1.88 for back positions and 1.83-2.02 for forward positions. The probability of exceeding 25 g during a tackle event was higher for ball-carriers (6.29%, 95% confidence intervals [CI] 5.27-7.58) than tacklers (4.26%, 95% CI 3.48-5.26). Several players exhibited considerably higher incidence and probability than others, e.g. one player averaged 5.02 HAEs exceeding 25 g per median playing time and another had a probability of 20.00% of exceeding 25 g during a tackle event as a ball-carrier and 34.78% as a tackler.

conclusionsThis study quantifies the incidence and probability of HAEs in men's rugby league match-play, advancing our understanding of HAE exposure in men's rugby league. These findings support the development of individualised HAE mitigation strategies targeted at individuals with elevated HAE exposures.

Indexed as

AccelerationFootballHeadMouth ProtectorsAdultCompetitive BehaviorHumansIncidenceMale

Identifiers

PMID40478418
PMCPMC12559052

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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.