Rugby Fans in Training New Zealand (RUFIT NZ): a randomized controlled trial to assess the effectiveness of a healthy lifestyle program for overweight men delivered through professional rugby clubs.

BACKGROUND: A healthy lifestyle program that appeals to, and supports, overweight and obese New Zealand (NZ) European, Maori (indigenous) and Pasifika men to achieve weight loss is urgently needed. A pilot program inspired by the successful Football Fans in Training program but delivered via professional rugby clubs in NZ (n = 96) was shown to be effective in weight loss, adherence to healthy lifestyle behaviors, and cardiorespiratory fitness in overweight and obese men. A full effectiveness trial is now needed. AIMS: To determine the effectiveness and cost effectiveness of Rugby Fans In Training-NZ (RUFIT-NZ) on weight loss, fitness, blood pressure, lifestyle change, and health related quality of life (HRQoL) at 12- and 52-weeks. METHODS: We conducted a pragmatic, two-arm, multi-center, randomized controlled trial in NZ with 378 (target 308) overweight and obese men aged 30-65 years, randomized to an intervention group or wait-list control group. The 12-week RUFIT-NZ program was a gender-sensitised, healthy lifestyle intervention delivered through professional rugby clubs. Each intervention session included: i) a 1-h workshop-based education component focused on nutrition, physical activity, sleep, sedentary behavior, and learning evidence-based behavior change strategies for sustaining a healthier lifestyle; and 2) a 1-h group-based, but individually tailored, exercise training session. The control group were offered RUFIT-NZ after 52-weeks. The primary outcome was change in body weight from baseline to 52-weeks. Secondary outcomes included change in body weight at 12-weeks, waist circumference, blood pressure, fitness (cardiorespiratory and musculoskeletal), lifestyle behaviors (leisure-time physical activity, sleep, smoking status, and alcohol and dietary quality), and health-related quality of life at 12- and 52-weeks. RESULTS: Our final analysis included 200 participants (intervention n = 103; control n = 97) who were able to complete the RUFIT-NZ intervention prior to COVID-19 restrictions. At 52-weeks, the adjusted mean group difference in weight change (primary outcome) was -2.77 kg (95% CI -4.92 to -0.61), which favored the intervention group. The intervention also resulted in favorable significant differences in weight change and fruit and vegetable consumption at 12-weeks; and waist circumference, fitness outcomes, physical activity levels, and health-related quality of life at both 12 and 52 weeks. No significant intervention effects were observed for blood pressure, or sleep. Incremental cost-effective ratios estimated were $259 per kg lost, or $40,269 per quality adjusted life year (QALY) gained. CONCLUSION: RUFIT-NZ resulted in sustained positive changes in weight, waist circumference, physical fitness, self-reported physical activity, selected dietary outcomes, and health-related quality of life in overweight/obese men. As such, the program should be recommended for sustained delivery beyond this trial, involving other rugby clubs across NZ. TRIAL REGISTRATION: Australia New Zealand Clinical Trials Registry, ACTRN12619000069156. Registered 18 January 2019, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376740 Universal Trial Number, U1111-1245-0645.

Laboratory Validation of Instrumented Mouthguard for Use in Sport.

Concussion is an inherent risk of participating in contact, combat, or collision sports, within which head impacts are numerous. Kinematic parameters such as peak linear and rotational acceleration represent primary measures of concussive head impacts. The ability to accurately measure and categorise such impact parameters in real time is important in health and sports performance contexts. The purpose of this study was to assess the accuracy of the latest HitIQ Nexus A9 instrumented mouthguard (HitIQ Pty. Ltd. Melbourne Australia) against reference sensors in an aluminium headform. The headform underwent drop testing at various impact intensities across the NOCSAE-defined impact locations, comparing the peak linear and rotational acceleration (PLA and PRA) as well as the shapes of the acceleration time-series traces for each impact. Mouthguard PLA and PRA measurements strongly correlated with (R2 = 0.996 and 0.994 respectively), and strongly agreed with (LCCC = 0.997) the reference sensors. The root mean square error between the measurement devices was 1 ± 0.6g for linear acceleration and 47.4 ± 35 rad/s2 for rotational acceleration. A Bland-Altman analysis found a systematic bias of 1% for PRA, with no significant bias for PLA. The instrumented mouthguard displayed high accuracy when measuring head impact kinematics in a laboratory setting.

Influence of Artefact Correction and Recording Device Type on the Practical Application of a Non-Linear Heart Rate Variability Biomarker for Aerobic Threshold Determination.

Recent study points to the value of a non-linear heart rate variability (HRV) biomarker using detrended fluctuation analysis (DFA a1) for aerobic threshold determination (HRVT). Significance of recording artefact, correction methods and device bias on DFA a1 during exercise and HRVT is unclear. Gas exchange and HRV data were obtained from 17 participants during an incremental treadmill run using both ECG and Polar H7 as recording devices. First, artefacts were randomly placed in the ECG time series to equal 1, 3 and 6% missed beats with correction by Kubios software's automatic and medium threshold method. Based on linear regression, Bland Altman analysis and Wilcoxon paired testing, there was bias present with increasing artefact quantity. Regardless of artefact correction method, 1 to 3% missed beat artefact introduced small but discernible bias in raw DFA a1 measurements. At 6% artefact using medium correction, proportional bias was found (maximum 19%). Despite this bias, the mean HRVT determination was within 1 bpm across all artefact levels and correction modalities. Second, the HRVT ascertained from synchronous ECG vs. Polar H7 recordings did show an average bias of minus 4 bpm. Polar H7 results suggest that device related bias is possible but in the reverse direction as artefact related bias.

Heart Rate Variability During Exercise: A Comparison of Artefact Correction Methods.

Giles, DA and Draper, N. Heart rate variability during exercise: a comparison of artefact correction methods. J Strength Cond Res 32(3): 726-735, 2018-There is a need for standard practice in the collection and processing of RR interval data recorded using heart rate monitors (HRMs) in research. This article assessed the validity of RR intervals and heart rate variability (HRV) data obtained using an HRM during incremental exercise and artefact correction methods. Eighteen participants completed an active orthostatic test and incremental running V[Combining Dot Above]O2max test, while simultaneous recordings using a Polar V800 HRM and an electrocardiogram were made. Artefacts were corrected by deletion; degree zero, linear, cubic, and spline interpolation; and Kubios HRV software. Agreement was assessed using percentage bias, effect size (ES), intraclass correlation coefficients (ICC), and Bland-Altman limits of agreement (LoA). Artefacts increased relative to exercise intensity, to a peak of 4.46% during 80-100% V[Combining Dot Above]O2max. Correction of RR intervals was necessary with unacceptably increased bias, LoA, and ES and reduced ICC in all but resting recordings. All correction methods resulted in data with reduced percentage bias and ES for resting and <60% V[Combining Dot Above]O2max recordings. However, at >60% V[Combining Dot Above]O2max, even with correction, large amounts of variation were present in HRV measures of root mean square of the successive difference of intervals, low-to-high frequency ratio, Poincaré dispersion perpendicular to the axis (SD1), and sample entropy. Linear interpolation produced RR intervals with the lowest bias and ES. However, caution should be given to HRV parameters at high exercise intensities, as large amounts of variation were still present. Recommendations for minimizing artefacts are discussed, along with guidelines for their identification, correction, and reporting.

The effect of potential fall distance on hormonal response in rock climbing.

The aim of this study was to examine the effect of alterations in potential lead fall distance on the hormonal responses of rock climbers. Nine advanced female climbers completed two routes while clipping all (PRO-all) or half (PRO-½) of the fixed points of protection. Venous blood samples were analysed for total catecholamines, noradrenaline (norepinephrine), adrenaline (epinephrine), dopamine, lactate, cortisol and serotonin. Differences between the two conditions pre, immediately post and 15 min post climbing were assessed using a 2 × 3 repeated measures ANOVA. All hormones and blood lactate concentrations increased significantly (P < 0.05) immediately post climb, except for cortisol. Peak cortisol concentrations did not occur until 15 min post ascent. Further, significant interactions between climbing and clipping conditions were found for total catecholamines (890% of basal concentration in PRO-½ vs. 568% in PRO-all), noradrenaline (794% vs. 532%) and dopamine (500% vs. 210%). There were no significant interactions for adrenaline (1920% vs. 1045%), serotonin (150% vs. 127%) or lactate (329% vs. 279%). The study showed a greater catecholamine response with an increase in potential lead fall distance. The most pronounced increases seen in catecholamine concentration were reported for dopamine and noradrenaline.

Validity of the Polar V800 heart rate monitor to measure RR intervals at rest.

PURPOSE: To assess the validity of RR intervals and short-term heart rate variability (HRV) data obtained from the Polar V800 heart rate monitor, in comparison to an electrocardiograph (ECG). METHOD: Twenty participants completed an active orthostatic test using the V800 and ECG. An improved method for the identification and correction of RR intervals was employed prior to HRV analysis. Agreement of the data was assessed using intra-class correlation coefficients (ICC), Bland-Altman limits of agreement (LoA), and effect size (ES). RESULTS: A small number of errors were detected between ECG and Polar RR signal, with a combined error rate of 0.086 %. The RR intervals from ECG to V800 were significantly different, but with small ES for both supine corrected and standing corrected data (ES <0.001). The bias (LoA) were 0.06 (-4.33 to 4.45 ms) and 0.59 (-1.70 to 2.87 ms) for supine and standing intervals, respectively. The ICC was >0.999 for both supine and standing corrected intervals. When analysed with the same HRV software no significant differences were observed in any HRV parameters, for either supine or standing; the data displayed small bias and tight LoA, strong ICC (>0.99) and small ES (≤0.029). CONCLUSIONS: The V800 improves over previous Polar models, with narrower LoA, stronger ICC and smaller ES for both the RR intervals and HRV parameters. The findings support the validity of the Polar V800 and its ability to produce RR interval recordings consistent with an ECG. In addition, HRV parameters derived from these recordings are also highly comparable.

Urinary myoglobin quantification by high-performance liquid chromatography: An alternative measurement for exercise-induced muscle damage.

This study investigated a means of quantifying urinary myoglobin using a novel reverse-phase high-performance liquid chromatography (RP-HPLC) method that is an alternative measure of exercise-induced muscle damage. It also investigated the effect of storage and alkalization on urinary myoglobin stability issues. An RP-HPLC method was validated by precision and repeatability experiments. Myoglobin stability was determined through spiked urine samples stored at various temperatures over an 8-week period using alkalization and dilution in a pH 7.0 buffer. The method was validated with urine collected from mixed martial arts fighters during a competition and training session. The method produced linearity from 5 to 1000 µg/ml (R(2) = 0.997), intra- and inter-assay coefficients of variation from 0.32 to 2.94%, and a lower detection limit of 0.2 µg/ml in the final dilution and 2 µg/ml in the original urine sample. Recovery ranged from 96.4 to 102.5%, myoglobin remained stable at 4 °C when diluted in a pH 7.0 buffer after 20 h, and a significant increase (P < 0.01) and an identifiable peak were observed following a mixed martial arts contest and training session. Storage length and conditions had significant effects (P < 0.05) on stability. The method's simplicity and noninvasive nature means it can be used as an alternative muscle damage assay following exercise and trauma.

Changes in acute biochemical markers of inflammatory and structural stress in rugby union.

Rugby union is a sport governed by the impacts of high force and high frequency. Analysis of physiological markers following a game can provide an understanding of the physiological response of an individual and the time course changes in response to recovery. Urine and saliva were collected from 11 elite amateur rugby players 24 h before, immediately after, and at 17, 25, 38, 62 and 86 h post-game. Myoglobin, salivary immunoglobulin A and cortisol were analysed by ELISA, whereas neopterin and total neopterin were analysed by high-performance liquid chromatography. There was a significant post-game increase of all four markers. The increases were cortisol 4-fold, myoglobin 2.85-fold, neopterin 1.75-fold and total neopterin 2.3-fold when corrected with specific gravity. All significant changes occurred post-game only, with markers returning to and remaining at baseline within 17 h. The intensity of the game caused significant changes in key physiological markers of stress. They provide an understanding of the stress experienced during a single game of rugby and the time course changes associated with player recovery. Neopterin provides a new marker of detecting an acute inflammatory response in physical exercise, while specific gravity should be considered for urine volume correction post-exercise.

Forearm oxygenation and blood flow kinetics during a sustained contraction in multiple ability groups of rock climbers.

Currently, the physiological mechanisms that allow elite level climbers to maintain intense isometric contractions for prolonged periods of time are unknown. Furthermore, it is unclear whether blood flow or muscle oxidative capacity best governs performance. This study aimed to determine the haemodynamic kinetics of 2 forearm flexor muscles in 3 ability groups of rock climbers. Thirty-eight male participants performed a sustained contraction at 40% of maximal voluntary contraction (MVC) until volitional fatigue. Oxygen saturation and blood flow was assessed using near infrared spectroscopy and Doppler ultrasound. Compared to control, intermediate, and advanced groups, the elite climbers had a significantly (P < 0.05) higher strength-to-weight ratio (MVC/N), de-oxygenated the flexor digitorum profundus significantly (P < 0.05) more (32, 34.3, and 42.8 vs. 63% O2, respectively), and at a greater rate (0.32, 0.27, and 0.34 vs. 0.77 O2%·s(-1), respectively). Furthermore, elite climbers de-oxygenated the flexor carpi radialis significantly (P < 0.05) more and at a greater rate than the intermediate group (36.5 vs. 14.6% O2 and 0.43 vs. 0.1O2%·s(-1), respectively). However, there were no significant differences in total forearm ∆ blood flow. An increased MVC/N is not associated with greater blood flow occlusion in elite climbers; therefore, oxidative capacity may be more important for governing performance.

Oxygen recovery kinetics in the forearm flexors of multiple ability groups of rock climbers.

The purpose of this study was to determine muscle tissue oxidative capacity and recovery in intermediate, advanced, and elite rock climbers. Forty-four male participants performed (a) sustained and (b) intermittent contractions at 40% of maximal volitional contraction (MVC) on a sport-specific fingerboard until volitional fatigue. Near-infrared spectroscopy was used to assess muscle tissue oxygenation during both the exercise and the 5-minutes passive recovery period, in the flexor digitorum profundus (FDP) and flexor carpi radialis (FCR). During the sustained contraction only, muscle tissue deoxygenation (O2 debt) in the FDP and FCR was significantly greater in elite climbers compared with the control, intermediate, and advanced groups (FDP: 32 vs. 15, 19, 22%; FCR: 19 vs. 11, 8, 15%, respectively). However, elite climbers had a significantly quicker time to half recovery (T1/2) than the control and intermediate groups in the FDP (8 vs. 95 and 47 seconds, respectively) and the FCR (7 vs. 30 and 97 seconds, respectively) because the O2% recovered per second being significantly greater (FDP: 4.2 vs. 0.7 and 0.3; FCR: 4.8 vs. 0.1 and 0.2, respectively). Furthermore, during the intermittent contraction, T1/2 in elite climbers was significantly quicker compared with the control and intermediate groups in the FDP (8 vs. 93 and 83 seconds, respectively) and FCR (16 vs. 76 and 50 seconds, respectively). Consequently, lower-level climbers should focus training on specific intermittent fatigue protocols. Competition or elite climbers should make use of appropriate rests on route to aid recovery and increase the chances of reaching the next hold.

The impact of fear words in a secondary task on complex motor performance: a dual-task climbing study.

The relationship between emotion and motor action has been previously examined using relatively simple motor tasks. However, there has been limited research using more complex physical tasks. One such complex physical task is high-angle climbing. In this experiment, we examined the performance of climbers in a dual climbing and word memory task, in which they were asked to recall fear-related or neutral words after the climb, as well as single-task performance. Climbing distance, efficiency, and word recall all significantly decreased in the dual-task conditions, relative to the single tasks. Climbing distance and efficiency also decreased in the fear word dual task, relative to the neutral word memory dual task. Subjective measures of performance indicated that climbers were aware of impaired climbing performance in the dual tasks, relative to the climbing-only condition, but that they were not aware of the increased impairment caused by the fear words. These findings have important theoretical and practical implications, particularly in occupational settings requiring climbing-like operations, such as fire-fighting and search and rescue.

The relationship between climbing ability and physiological responses to rock climbing.

AIM: The aim of this study was to examine the relationship between submaximal and maximal physiological responses to rock climbing for climbers of differing abilities. METHODS: Twenty-six male climbers performed a submaximal climbing test on a known circuit at 90° (vertical) and 105° (15° overhanging) inclination and speed 25 movements · min(-1). A maximal test was undertaken on a similar circuit at the same speed with inclination increasing by 10° for each successive 3 min stage. RESULTS: Mean oxygen consumption and heart rate (HR) increased with wall inclination and climbers reached a mean (± SD) peak VO2 of 40.3 ± 3.5 mL · kg(-1) · min(-1) during the maximal test. Self-reported climbing ability was negatively correlated with VO2 and HR during the submaximal test at 90° (VO2, r = -0.82; HR, and r = -0.66) and at 105° (VO2, r = -0.84; HR, and r = -0.78) suggesting an increased exercise economy for climbers with a higher ability level. CONCLUSION: Findings from this study indicate that there is a relationship between wall inclination and the physiological demand of a climb. However, the increased technical ability and fitness of higher level climbers appears to an extent to offset the increased demand through improved exercise economy which in turn leads to an increased time to exhaustion and an improvement in performance.

The Impact of Drop Test Conditions on Brain Strain Location and Severity: A Novel Approach Using a Deep Learning Model.

In contact sports such as rugby, players are at risk of sustaining traumatic brain injuries (TBI) due to high-intensity head impacts that generate high linear and rotational accelerations of the head. Previous studies have established a clear link between high-intensity head impacts and brain strains that result in concussions. This study presents a novel approach to investigating the effect of a range of laboratory controlled drop test parameters on regional peak and mean maximum principal strain (MPS) predictions within the brain using a trained convolutional neural network (CNN). The CNN is publicly available at https://github.com/Jilab-biomechanics/CNN-brain-strains . The results of this study corroborate previous findings that impacts to the side of the head result in significantly higher regional MPS than forehead impacts. Forehead impacts tend to result in the lowest region-averaged MPS values for impacts where the surface angle was at 0° and 45°, while side impacts tend to result in higher regional peak and mean MPS. The absence of a neck in drop tests resulted in lower regional peak and mean MPS values. The results indicated that the relationship between drop test parameters and resulting regional peak and mean MPS predictions is complex. The study's findings offer valuable insights into how deep learning models can be used to provide more detailed insights into how drop test conditions impact regional MPS. The novel approach used in this paper to predict brain strains can be applied in the development of better methods to reduce the brain strain resulting from head accelerations such as protective sports headgear.

Long-term cost-effectiveness analysis of rugby fans in training-New Zealand: a body weight reduction programme for males.

OBJECTIVES: We sought to extrapolate the long-term costs and clinical impacts attributed to the rugby fans in training-New Zealand (RUFIT-NZ) trial in Aotearoa, New Zealand. DESIGN: A modelled cost-effectiveness analysis using efficacy data from RUFIT-NZ was conducted from the Aotearoa New Zealand healthcare perspective. SETTING: A Markov cohort model was constructed with a lifetime time horizon. The model simulated events of myocardial infarction (MI), stroke and type 2 diabetes mellitus (T2DM) occurring among a hypothetical cohort of 10 000 individuals receiving either the RUFIT-NZ intervention or no intervention. Efficacy data were based on the RUFIT-NZ trial, and the latest Global Burden of Disease study was used to extrapolate the impact of body weight reduction on clinical outcomes of T2DM, MI or stroke. Cost and utility data were drawn from the RUFIT-NZ trial and published sources. PRIMARY OUTCOME MEASURES: The incremental cost-effectiveness ratio (ICER). RESULTS: Over a lifetime time horizon, participants in the RUFIT-NZ intervention gained 0.02 (discounted) quality-adjusted life years (QALYs) at an additional cost of NZ$863, relative to no intervention. The estimated ICER was NZ$49 515 per QALY gained (discounted), which is above the arbitrary willingness-to-pay threshold of NZ$45 000 per QALY. Sensitivity analyses supported the robustness of these findings. CONCLUSIONS: RUFIT-NZ was associated with a reduction in cardiovascular and endocrine events for overweight and obese males. However, based on conservative assumptions, RUFIT-NZ was unlikely to be cost-effective from a healthcare system perspective. TRIAL REGISTRATION NUMBER: ACTRN12619000069156.

Effects of resistance training combined with vascular occlusion or hypoxia on neuromuscular function in athletes.

The aim was to investigate the effects of low-load resistant training combined with vascular occlusion or normobaric hypoxic exposure, on neuromuscular function. In a randomised controlled trial, well-trained athletes took part in a 5-week training of knee flexor/extensor muscles in which low-load resistant exercise (20% of one repetition maximum, 1-RM) was combined with either (1) an occlusion pressure of approximately 230 mmHg (KT, n = 10), (2) hypoxic air to generate an arterial blood oxygen saturation of ~80% (HT, n = 10), or (3) with no additional stimulus (CT, n = 10). Before and after training, participants completed the following tests: 3-s maximal voluntary contraction (MVC3), 30-s MVC, and an endurance test (maximal number of repetitions at 20% 1-RM, Reps20). Electromyographic activity (root mean square, RMS) was measured during tests and the cross-sectional area (CSA) of the quadriceps and hamstrings was measured pre- and post-training. Relative to CT, KT, and HT showed likely increases in MVC3 (11.0 ± 11.9 and 15.0 ± 13.1%, mean ± 90% confidence interval), MVC30 (10.2 ± 9.0 and 18.3 ± 17.4%), and Reps20 (28.9 ± 23.7 and 23.3 ± 24.0%). Compared to the CT group, CSA increased in the KT (7.6 ± 5.8) and HT groups (5.3 ± 3.0). KT had a large effect on RMS during MVC3, compared to CT (effect size 0.8) and HT (effect size 0.8). We suspect hypoxic conditions created within the muscles during vascular occlusion and hypoxic training may play a key role in these performance enhancements.

Metabolic demands of slacklining in less and more advanced slackliners.

Walking or balancing on a slackline has gained increasing popularity as a recreational and school sport, and has been found to be suitable for developing neuromuscular control. The metabolic requirements for neuromuscular control on slackline, however, have not been well described. Therefore, the aim of the study was to determine the metabolic demands of slacklining in less and more advanced slackliners. Nineteen slackliners performed several 4 min balance tasks: parallel and one-leg stance on stable platform (2LS and 1LS), 1 leg stance on a slackline (1LSS), walking at a self-selected speed and at a given speed of 15 m min-1 on a slackline (WSS and WGS). Expired gas samples were collected for all participants and activities using a portable metabolic system. During1 LS and 1LSS, there were 140% and 341% increases in oxygen uptake (V̇O2) with respect to V̇O2 rest, respectively. During slackline walking, V̇O2 increased by 460% and 444% at self-selected and given speed, respectively. More advanced slackliners required mean metabolic demands 0.377 ± 0.065 and 0.289 ± 0.050 kJ·kg-1·min-1 (5.7 ± 0.95 and 3.9 ± 0.6 MET) for WGS and 1LSS, respectively, whilst less advanced slackliners, 0.471 ± 0.081 and 0.367 ± 0.086 kJ·kg-1·min-1 (6.4 ± 1.2 and 5.0 ± 1.1 MET) for WGS and 1LSS, respectively. Our data suggest that balancing tasks on slackline require V̇O2 corresponding to exercise intensities from light to moderate intensity. More advanced slackliners had a ∼25% reduced energy expenditure when compared with lower ability counterparts during simple balance tasks on the slackline.HighlightsBalancing on a slackline is metabolically demanding and slackline training is suitable not only to develop neuromuscular control but also to meet cardiovascular fitness demands.Improved postural control demonstrated by skilled slackliners reduces by ∼25% metabolic cost of balancing tasks on a slackline when compared to less skilled counterparts.Falls during slacklining increase the metabolic demands of the activity. Three falls per minute during walking on a slackline increase the oxygen uptake by ∼50%.

Effect of compression garments on short-term recovery of repeated sprint and 3-km running performance in rugby union players.

The aim of this study was to investigate whether wearing compression garments during recovery improved subsequent repeated sprint and 3-km run performance. In a randomized single-blind crossover study, 22 well-trained male rugby union players (mean ± SD: age 20.1 ± 2.1 years, body mass 88.4 ± 8.8 kg) were given a full-leg length compressive garment (76% Meryl Elastane, 24% Lycra) or a similar-looking noncompressive placebo garment (92% Polyamide, 8% Lycra) to wear continuously for 24 hours after performing a series of circuits developed to simulate a rugby game. After the 24-hour recovery, garments were removed and a 40-m repeated sprint test (10 sprints at 30-second intervals), followed 10 minutes later by a 3-km run, was completed. One week later, the groups were reversed and testing repeated. Relative to the placebo, wearing the compressive garment decreased time to complete the 3 km by 2.0% ± 1.9% (mean ± 90% confidence interval). Additionally, average sprint times improved (1.2% ± 1.5%) and fatigue was diminished (-15.8% ± 26.1%) during the repeated sprint test in the compression group compared with the placebo group. Delayed onset muscle soreness was substantially lower in the compression group compared with the placebo group, 48 hours after testing. Wearing compressive garments during recovery is likely to be worthwhile, and very unlikely to be harmful for well-trained rugby union players.

Drop Test Kinematics Using Varied Impact Surfaces and Head/Neck Configurations for Rugby Headgear Testing.

World Rugby employs a specific drop test method to evaluate headgear performance, but almost all researchers use a different variation of this method. The aim of this study was, therefore, to quantify the differences between variations of the drop testing method using a Hybrid III headform and neck in the following impact setups: (1) headform only, with a flat steel impact surface, approximating the World Rugby method, (2 and 3) headform with and without a neck, respectively, onto a flat MEP pad impact surface, and (4) headform and neck, dropped onto an angled MEP pad impact surface. Each variation was subject to drop heights of 75-600 mm across three orientations (forehead, side, and rear boss). Comparisons were limited to the linear and rotational acceleration and rotational velocity for simplicity. Substantial differences in kinematic profile shape manifested between all drop test variations. Peak accelerations varied highly between variations, but the peak rotational velocities did not. Drop test variation also significantly changed the ratios of the peak kinematics to each other. This information can be compared to kinematic data from field head impacts and could inform more realistic impact testing methods for assessing headgear.

Potential of Soft-Shell Rugby Headgear to Mitigate Linear and Rotational Peak Accelerations.

Rugby union is a popular sport played across the world. The physical contact inherent in the game means that players are at increased risk of concussive injury. In 2019, World Rugby created a new category of permitted headgear under Law 4 as a medical device. This established a pathway for headgear designed to reduce peak accelerations to be worn in matches. Investigations of the potential of soft-shelled protective headgear to reduce head impact accelerations have been mostly limited to the analysis of linear kinematics. However rotational head impact accelerations have long been implicated as far more injurious. The aim of this study, therefore, was to assess the linear and rotational acceleration reduction brought about by soft-shelled rugby headgear. A Hybrid III headform and neck were dropped onto a modular elastomer programmer impact surface, impacting at four different velocities (1.7-3.4 m/s) in five different impact orientations. Impact surface angles were 0°, 30°, and 45°. Peak linear and rotational accelerations, PLA and PRA respectively, were recorded. All headgear significantly reduced PLAs and PRAs when compared to a no headgear scenario. The new generation, headgear reduced all measures significantly more than the older generation of headgear. Impact locations offset from the center of mass of the headform resulted in the highest PRAs measured. As the impact surface angle increased, both PLAs and PRAs decreased. The study demonstrated that headgear tested lowered PLAs by up to 50%, and PRAs by up to 60% compared to the bare headform. Our data suggest that new generation headgear could make a difference on the field in reducing injurious impact accelerations in a collision.