scrum history, scrum force project & scrum injuries dr martin raftery

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Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

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Page 1: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum History, Scrum Force Project & Scrum Injuries

Dr Martin Raftery

Page 2: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Background

Scrums and the Game

Page 3: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum History 1982 - 2004

Over 20 year period

a) scrums per game have almost halved

b) scrum contest result unchanged

c) scrum penalties - more to feeding team

Thomas – IRB Analysis 2005

1982 2004

Scrums per Game 31 19

Possession with feed 88% 89%

Penalties Feed = Non Feed For feed 6:1

Page 4: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Changes – RWC 1995 - 2011

RWC 1995 v RWC 2011• Scrum collapse was three times greater in RWC 2011 than in

RWC1995• Scrum sanctions were four times greater in RWC 2011 than in

RWC1995

RWC 2003 v RWC 2011• Collapses doubled • Sanctions doubled.

Scrum collapse has tripled over past 16 years

Page 5: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Historical Facts

1. Scrums per game halved over a 20 year period

2. Scrum collapse tripled over a 16 year period

3. Scrum contest results remain unchanged – 88% win with feed

4. Scrum penalties are now awarded more frequently awarded to feeding team

Page 6: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Current Scrum Facts

RWC 2011 - 48 Games

Thomas IRB 2011

Total Average / Game

Primary Scrum 791 17

Clean result from Primary Scrum 426 9

Primary scrum resulted in a collapse(2 collapse penalized and 3 reset)

240 5

Total Scrum Engagement 940 20

Penalties / FK(3 primary scrums and 2 reset scrums penalized)

222 5

Page 7: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrums RWC 2011 – All Games

RWC 2011 - RESULT PER 100 SCRUMS

53 primary scrums result in clean ball

29 primary scrums collapse

18 primary scrums result in penalty or reset

Thomas IRB 2011

Page 8: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Time

RWC 2011

Average scrums / Game – 17

Average time / scrum – 50 seconds* (2011 data)

Average scrum time / match – 14 minutes

Scrum is responsible for 8% of contested game events but occupies 17.5% of game time.

Thomas IRB 2011

Page 9: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Collapse

Data – 2011 RWC Pool Matches

Results / 100 scrums

Data suggests scrum collapse is an issue at the top level of Game only

Thomas IRB 2011

Collapses Re-set Penalties / FK

Tier 1 v Tier 1 50 31 41

Tier 1 v Tier 2 34 17 29

Tier 2 v Tier 2 19 9 17

6 Nations 54 30 44

Tri Nations 43 25 25

Page 10: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Current Facts

1. Primary scrums resulting in clean ball ≈ 50%

2. As game event, the scrum occupies a disproportionate amount of time – 17.5% time for 8% of contested events

3. Scrum collapse primarily an issue at the top level of the Game - ? Biomechanical, ? tactical

Page 11: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Summary – Historical & Current Evidence

1. Number of scrums per game have reduced by ≈ 50% over past 20 years

2. Clean ball from a primary scrum occurs ≈ 50%

3. Scrum collapses have tripled over past 15 years but are an issue at the “top level” of the Game

4. Scrum contest outcomes have NOT altered over past 20 years with 88-89% of outcomes “going with the feed”.

5. Scrum consumes disproportionate amount of Game time* – 17.5% time for 8% of contested events

Page 12: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Force Project Goal

Objective is to obtain data regarding the biomechanical demands of rugby scrummaging

with a view to establishing

safe scrummaging techniques.

Bath University

Page 13: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Force Project

Key Results

from

Scrum Machine Measurements

Page 14: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Terminology

• Peak Engagement Force – maximum force measured at engagement

• Sustained Compression Force – force measured following the initial impact

• Lateral forces

• Vertical forces

Page 15: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

What is being measured?

Scrum Machine Forces (Phase 1)

Forces – 3 directions (horizontal, lateral 7 vertical) but individual 4 forces

Different engagements – 6 (Hit & Hold, Double Shove, CTE, Hit & Hold with CTE, Passive, 7+1 and Hit & Hold no number 8)

Levels of Game – 6 (International, Elite, Community, Adolescent, Women, U/18)

Page 16: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Peak Engagement Forces (PEF)

• PEF are twice the levels found 20 years ago but similar to recent smaller studies (2002 & 2008).

• PEF are twice sustained compression forces.

• International and Elite packs generate higher peak engagement forces even normalizing for pack mass. Speed of engagement was identified as an additional factor.

• PEF for Passive engagement are 50% of “normal” peak engagement forces and equal PEF 20 years ago.

PEF forPassive engagement in this trial similar to normal engagement 20

years ago – issues scrum machine rigidity

Page 17: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Other Forces

• All forces increase with the level in the men’s game (U18 to Elite).

• ALL engagement conditions produced similar sustained compression forces.

• 3 Stage Call (CTE) did alter timing of engagement by minimizing anticipation effect.

• Passive engagement showed significantly lower forces

Page 18: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Passive Engagement

• Significantly lower peak engagement forces (≈ 50%)

• Significantly lower vertical forces (≈ 20%) - negative or downward forces

• Reduced peak to peak excursion of lateral forces

• Sustained compression forces for Passive Engagement were similar when compared with other engagement types

• Engagement speeds for Passive engagement were 55-75% of Hit and Hold (normal) engagement.

1990 engagement ≈ 2010 “passive” engagement

for PEF and speed of engagement

Page 19: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Key Evidence – Scrum Force Project

1. The “doubling” of peak engagement forces over the past 20 years is linked to increased mass of packs and the speed of engagement – technique change

2. Scrum forces in 1990 were similar to a 2011 scrum with “passive” engagement

3. Sustained compression forces do NOT vary across the different engagement types

Page 20: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Injuries and the Scrums

• Acute, non catastrophic

• Degenerate, sub clinical

• Acute catastrophic

Page 21: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Injuries

Contact events in Rugby Union and their propensity to cause injury.

Fuller et al. BJSM 2007

• Scrums are 60% more likely to result in an injury when compared to the tackle (injury / game event).

• Scrum injuries when they occur are more severe - scrum 213.2 days lost/1000 events compared with tackle 127 days lost/1000 events

Page 22: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Injuries - Acute

• 91% scrum injuries occur in front row (Brooks 2005)

• 33 of 35 (94%) scrum injuries occurred to front row (Fuller 2007)

• Front row spinal injuries - 58% occur in the scrum, 13% occur in tackle (Fuller 2007)

• Neck injuries more prominent in hooker and loose head

prop than any other player (Brooks 2011)

Page 23: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Injuries - Degenerative

• Front row forwards prone to premature degeneration of the cervical spine Berge (1999), Scher (1990), Castinel (2010)

• Rugby forwards exhibited reduced cervical mobility

compared with rugby backs and controls. (Lark & McCarthy 2007,

2009, 2010)

Page 24: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Injuries - Catastrophic

• 40% of all catastrophic injuries are related to scrum (Quarrie 2002, Berry 2006 , Fuller 2008) – 27% 2011 Rugby Survey 9 Unions

• There is consistent evidence that front row forwards are at

highest risk for catastrophic injury. (Silver 1988, Quarrie 2002,

Hermanus 2010)

• 170 scrum spinal injuries – 47% occurred during engagement, 46% due to collapse (Quarrie 2002)

• Evidence that catastrophic scrum injuries have more severe long term disabilities when compared with tackle catastrophic injuries (MacLean 2011)

Page 25: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Scrum Injuries - Evidence

Acute, degenerative and catastrophic spinal injuries from scrum events are ALL more

frequent in front row players

Page 26: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Known Risk

Law 3.5 - Each player in the front row and any potential

replacement must be suitably trained and experienced

Front Row is known to be a high risk position

Page 27: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

The Facts

• Scrums per game have halved over past 20 years (Thomas 2011)

• Scrum collapse has tripled over past 15 years (Thomas 2011)

• Peak Engagement Forces are estimated to have doubled over past 20 years (Trewartha 2012)

AND

• Scrums are 60% more likely to result in an injury when compared to the tackle (injury / game event) (Fuller 2007)

• Acute, degenerative and catastrophic spinal injuries from scrum events are ALL more frequent in front row players

• Catastrophic scrum injuries have more severe long term disabilities when compared with tackle catastrophic injuries (MacLean 2011)

Page 28: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Why Investigate?

Player Safety and Welfare

in the scrum

which is a “controllable” event.

Page 29: Scrum History, Scrum Force Project & Scrum Injuries Dr Martin Raftery

Reminder

Law 20 - Purpose of scrum

“restart play quickly, safely and fairly after a minor infringement or a stoppage”