Background Though rare, rugby union carries a risk for serious injuries such as acute spinal cord injuries (ASCI), which may result in permanent disability. Various studies have investigated injury mechanisms, prevention programmes and immediate medical management of these injuries. However, relatively scant attention has been placed on the player’s experience of such an injury and the importance of context.
Aim The aim of this study was to explore the injury experience and its related context, as perceived by the catastrophically injured player.
Methods A qualitative approach was followed to explore the immediate, postevent injury experience. Semi-structured interviews were conducted with 48 (n=48) players who had sustained a rugby-related ASCI.
Results Four themes were derived from the data. Participants described the context around the injury incident, which may be valuable to help understand the mechanism of injury and potentially minimise risk. Participants also described certain contributing factors to their injury, which included descriptions of foul play and aggression, unaccustomed playing positions, pressure to perform and unpreparedness. The physical experience included signs and symptoms of ASCI that is important to recognise by first aiders, fellow teammates, coaches and referees. Lastly, participants described theemotional experience which has implications for all ASCI first responders.
Significance All rugby stakeholders, including players, first responders, coaches and referees, may gain valuable information from the experiences of players who have sustained these injuries. This information is also relevant for rugby safety initiatives in shaping education and awareness interventions.
- spinal injury
- South Africa, qualitative study
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Contributors MB conducted the interviews and was involved in conceptualising the manuscript; she also conducted the analyses and wrote the initial drafts of the manuscript. EV and JCB were involved in the analyses and interpretation of the results. All authors (EV, MIL, WvM and JCB) were involved in conceptualising and editing the drafts of the manuscript.
Funding MB’s PhD is funded by the Vrije Universiteit Amsterdam / NRF South Africa Desmond Tutu Doctoral Scholarship, administered through SAVUSA, the Oppenheimer Memorial Trust and Zuid-Afrikahuis Study foundation for South African students.
Competing interests None declared.
Patient consent Obtained.
Ethics approval Ethical clearance for the study was obtained from the University of Cape Town (UCT) Human Research Ethics Committee (HREC REF: 893/2015).
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement All data are published, and therefore there are no additional data available. Owing to the sensitive nature of the information and appropriate medical ethics, access to the raw data set will be reviewed on request.