Evidence map›Paper›PMID 41016997›Full record

ArticleSports medicine (Auckland, N.Z.)2026

Head Acceleration Event Magnitude and Incidence Rate in Academy Rugby Union: A Comparison Across Club and International Competition.

Jonathan Ward, Damien Bonnet, Mickael Roumeau, Loic Louit, Olivier Chaplain, Bertrand Mathieu, Marie-Aurelie Castel, Patrice Halimi, Jean-Jacques Raymond, Julien Piscione and 1 more

Abstract readComparative Study
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In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2026. 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. Article
4 · The record

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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

11 authors.

Jonathan WardProvence Rugby, Aix en Provence, France. jbward2303@gmail.com.ORCID 0009-0005-1686-9231
Damien BonnetProvence Rugby, Aix en Provence, France.
Mickael RoumeauProvence Rugby, Aix en Provence, France.
Loic LouitLaboratory Youth-Physical Activity and Sports-Health (J-AP2S), Toulon University, Toulon, France.
Olivier ChaplainFrench Federation of Rugby (FFR), Marcoussis, France.ORCID 0009-0008-6353-2190
Bertrand MathieuFrench Federation of Rugby (FFR), Marcoussis, France.ORCID 0009-0000-2522-7525
Marie-Aurelie CastelFrench Federation of Rugby (FFR), Marcoussis, France.ORCID 0009-0008-8952-0892
Patrice HalimiProvence Rugby, Aix en Provence, France.
Jean-Jacques RaymondSport Medicine and Traumatology Unit, CHITS, Musse Hospital, Toulon, France.
Julien PiscioneFrench Federation of Rugby (FFR), Marcoussis, France.ORCID 0009-0001-2370-4313
Olivier GavarryLaboratory Youth-Physical Activity and Sports-Health (J-AP2S), Toulon University, Toulon, France.ORCID 0000-0001-6806-3831

Funding

Association Nationale de la Recherche et de la Technologie 2022/0327
6 · The paper itself

Abstract

backgroundHead acceleration events (HAEs) are an increasing concern in rugby union due to their association with brain injury and long-term neurological health.

objectivesThis original research study aimed to establish essential baseline data on HAEs in under-21 professional rugby using instrumented mouthguards (iMGs) and to determine whether a higher competition level (professional club versus international) is associated with elevated magnitude and incidence rate of HAEs.

methodsA prospective observational cohort design was used with 32 under-21 club academy players and 38 under-20 international players. Players underwent 3D dental scans and were provided with custom-fit iMGs. The iMGs contained an accelerometer and gyroscope that sampled at 3200 Hz with measured ranges of ± 200 g and ± 35 rad/s. The iMGs recorded peak linear acceleration (PLA), peak angular acceleration (PAA) and peak angular velocity (PAV). Data were collected from academy matches (254 player-matches; 241 h of exposure) and international matches (114 player-matches; 118.2 h of exposure). Descriptive statistics (median, interquartile range [IQR], 95th percentile and peak values) were calculated to characterise HAE magnitude across positions and competition levels. Negative binomial regressions assessed incidence rates across teams, positions and thresholds, adjusting for exposure time.

resultsA total of 6508 HAEs were recorded across 368 player matches from club U21 and national U20 rugby players. Median and peak values for linear acceleration, angular acceleration and change in angular velocity were generally higher in club players, particularly in the front row and outside backs. Club outside backs demonstrated the highest PLA (72.8 g) and PAA (5740 rad/s

conclusionThis study compared HAEs in U21 professional club and U20 international rugby players using iMGs. Contrary to expectations, international players did not consistently exhibit higher HAE magnitude or incidence. Notably, club outside backs and front row players experienced the highest severe HAE rates. These findings highlight the need to consider playing style, position-specific demands and technique in strategies to mitigate concussion risk in developing elite rugby players.

Indexed as

AccelerationFootballHeadAccelerometryCompetitive BehaviorHumansIncidenceMaleMouth ProtectorsProspective StudiesYoung Adult

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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.