ArticleBritish journal of sports medicine2026
Training-related concussions in men's English Premiership Rugby Union: an eight-season prospective cohort study of 153 243 player-weeks.
Article in British journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Head Acceleration Event Exposure during Pre-Season Training in Elite Men's Rugby Union.Sports medicine - open · 2026Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the incidence, severity, burden and risk factors of training-related concussion injuries in elite men's Rugby Union.
methodsTraining-related concussions recorded as part of the Professional Rugby Injury Surveillance Project were examined between the 2016/2017 and 2023/2024 seasons. Incidence rates (per 1000 hours) were calculated with 95% CIs. Poisson regression and incidence rate ratios described season-to-season changes in concussion incidence. A generalised linear mixed model assessed the influence of time in season, match minutes played in the previous 28 days, dominant training type and previous concussion as fixed effects, accounting for weekly training exposure. Random intercepts included player and team.
resultsThe incidence of concussions in training was 0.23 per 1000 hours (95% CI 0.22 to 0.29). The mean severity (days absent) of concussions was 18 days (95% CI 15 to 21). The burden of training concussions was 4.16 days absent per 1000 hours (95% CI 3.57 to 4.85). The tackle (46%) and accidental collisions (26%) were the most common inciting events. The incidence of training-related concussions was significantly higher in the 2021/2022, 2022/2023 and 2023/2024 seasons compared with the 2016/2017 season. Preseason (incidence rate ratio (IRR) 1.80 (95% CI 1.24 to 2.60), p=0.01) and full-contact training (IRR 2.20 (95% CI 1.17 to 4.12), p=0.01) were associated with a higher risk of concussion compared with the final 3 months of the season and non-contact training.
conclusionFull-contact training and the preseason period are associated with an increased risk of training-related concussion. Accordingly, full-contact and preseason training should be strategically planned to minimise risk.
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