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Record W4412933182 · doi:10.1136/bmjsem-2025-002612

Tackle characteristics associated with concussion in elite men’s rugby union: unpicking the differences between tacklers and ball-carriers

2025· article· en· W4412933182 on OpenAlexaff
Keith Stokes, Duncan Locke, Simon Roberts, Steffan Griffin, Stephen West, Ben Jones, Matt Cross, Simon Kemp, Sean Williams

Bibliographic record

VenueBMJ Open Sport & Exercise Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicTraumatic Brain Injury Research
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsConcussionTorsoMedicineOddsOdds ratioPhysical therapyPoison controlInjury preventionPhysical medicine and rehabilitationLogistic regressionMedical emergencyInternal medicineAnatomy

Abstract

fetched live from OpenAlex

Objective To identify characteristics of tackling, of being tackled and interactions between tackle characteristics that are associated with concussion. Methods A case-control study in male professional rugby union players in England over five seasons (2016/2017 to 2020/2021) analysed characteristics of tackles that led to a clinically diagnosed concussion (cases), and a control group of tackles that did not result in a concussion. ORs were plotted against the overall frequency of each tackle characteristic. Results 231 tackles resulting in concussions (tackler 178, 77%; ball-carrier 53, 23%), alongside 9963 control tackles, were analysed. For tacklers, ‘head to torso’ ( Lower CI OR Upper CI; 4.0 6.5 10.7 ) had relatively low odds of concussion compared with ‘no head contact’. ‘Head to knee’ had the highest odds of concussion ( 75.3 155.8 322.4 ), but ‘head to hip’ occurred more frequently and had the highest number of concussions per 1000 tackles (3.1/1000 tackles). For ball-carriers, ‘head to head’ contact had the highest odds of concussion ( 56.7 104.3 192.0 ). When ‘tackler body position’ was ‘upright’, the odds of concussion to the tackler were significantly higher when contacting the ball-carrier’s ‘head and neck’ versus their ‘torso’ ( 3.0 23.7 206.7 ). Conclusions Lower tackles reduce the chances of concussion to ball-carriers. The influence of tackle height on concussion to tacklers is more nuanced, but the chances are relatively low when contact is made with the ball-carrier’s torso. These findings support ongoing implementation of strategies to reduce concussion risk by lowering tackle height to target the torso.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.019
Threshold uncertainty score0.038

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0000.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.066
GPT teacher head0.379
Teacher spread0.314 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes1
Has abstractyes

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