Epidemiology Table 8g Sports and Recreation - Oceania

Sports-Oceania

Author
Year
N

Geographic region

Inclusion/exclusion criteria

Study population

Injury features

Cause (%) / sample

Quarrie et al. 2007
N=77

New Zealand

1976-2005
Spinal injury claims due to rugby in Accident Compensation Corporation database Note: Mandatory education program for rugby players started in 2001.

No details

No details

Rugby:
100% (n=77)

Prevalence:
Per 100,000 players/year

Scrum related:
1.4 (1996-2000)
0.2 (2001-2005)

Other related
1.3 (1996-2000)
1.1 (2001-2005)

Spinecare Foundation 2003
N=80

Queensland and New South Wales, Australia

1986-1996
All acute, Football related SCI (lasting) from 6 SCI units that were major referral centers for SCI

Males = 100%
Average age at injury =23.5 (15-49) years;
62 adults, 18 schoolboys.

C4/5 or C5/6 n=38
Frankel grades A B C n=42
Frankel grade D n=24
Frankel grade F n=8
37 complete
43 incomplete
T11 n=1
Deaths n=6

Rugby:
100% (n=80)

Prevalence:
Per 100,000 players:
5.9 

7.3 cases per year of rugby related SCI

Quarrie et al. 2007

N=77

New Zealand

1976-2005
Spinal injury claims due to rugby in Accident Compensation Corporation database Note: Mandatory education program for rugby players started in 2001.

No details

No details

Rugby:
100% (n=77)

Prevalence:
Per 100,000 players/year

Scrum related:
1.4 (1996-2000)
0.2 (2001-2005)

Other related
1.3 (1996-2000)
1.1 (2001-2005)

Rotem et al. 1998

N=115

New South Wales (NSW), Australia

1984-1996
Admission to 2 SCI units in Sydney with cervical spinal injuries from rugby union and league football.
Exclusion Criteria: Patients transferred from outside NSW

Males = 100%
Median age = 22 (14-37) years
Mortality=2 (2%)

Complete tetraplegia: 26 (46%)
C2-3=1
C3-4=2
C4-5=14
C5-6=6
C6-7=3

Rugby Union:
48.7% (n=56)

Prevalence: Tetraplegia/
10,000/player/year
1.2 (1984-87)
0.3 (1988-91)
0.5 (1992-96)

Complete tetraplegia: 23 (39%)
C3-4=2
C4-5=8
C5-6=6
C6-7=6
Unknown level=1

Rugby League:
51.3% (n=59)

Prevalence:
Tetraplegia/
10,000/player/year
0.2 (1984-87)
0.2 (1988-91)
0.1 (1992-96)

Carmody et al. 2005
N=52

Australia

1997-2002
All acute, Football related SCI (lasting) from 6 SCI units that were major referral centers for SCI

Males = 100%
45 adults, 7 schoolboys. Average age at injury=24.4 (RU), 25.9 (RL), 23.4 (ARF), 26.0 (soccer)

Frankel grade A n=12
Frankel grade B n=1
Frankel grade C n=2
Frankel grade D n=24
Frankel grade E n=11

Rugby:
66% (n=34)

Australian Football
26% (n=14)

Soccer
8% (n=4)

 

Prevalence:
Per 100,000 players:
Rugby: 4.7

8.7 cases per year of football-related SCI

Berry et al. 2006
N=54

New South Wales, Australia

1986-2003 rugby seasons
Acute cervical spinal cord injury resulting
in tetraplegia and admission to NSW spinal units
Australian Spinal Cord Injury Register (ASCIR)

Males=100% 89% adults
Median age 24 (range 15-38) years

Complete tetra (n=24, 44%)
Incomplete tetra (n=30, 56%)

Rugby Union: 57.4% (n=31):

Prevalence:
Per 100,000 players:
9.2 from 1986-1991
6.8 from 1995-2003

Rugby League: 42.6% (n=23)

Prevalence:
Per 100,000 players:
2.3 from 1986-1991
1.7 from 1995-2003

Ring et al. 1986
N=202

New South Wales, Australia

1977-1978
Admissions to New South Wales hospitals with spinal injury; death certificates that involved spinal injury. 99% of cases had neurological involvement.

Males=81%
≤1 years=2 (1%)
2-14 years=13 (6%)
15-24 years=84 (42%)
25-44 years=58 (29%)
45-64 years=30 (15%)
≥65 years=15 (7%)
Mortality=69 (39%)

Glasgow Outcome Scale:
Severe disability=98(49%)
Moderate disability=19(9%)
Good recovery=13(6%)
Not recorded=3(1%)

Diving/
Swimming:
9.4%
(n=19)

Roe et al. 2003
N=34

New South Wales, Australia

1976-1996
Admissions to 2 SCI units in Sydney due to horse riding.

Males=62%
Mean age= 39.3±18.4 years
Mean years of riding experience=
25.7±21.8

Cervical=15 (44%) Thoracic=8 (24%)
Lumbro-sacral=11 (32%)
Complete=13 (38%) Incomplete=21 (62%)

Horse riding:
100%
(n=34)

Dixon et al. 1993
N=164

New Zealand

1988
SCI cases in Health Services Statistics files.

Males=73.2%
Males aged 15-29 years=46%

C1-C4=49 (30%)
C5-C7=30 (18%)
T1-T6=19 (12%)
T7-T12-19 (12%)

Sports:
11%
(n=18)

Maharaj 1996
N=75

Fiji

1985-1994
Medical records of spinal cord paralysis patients admitted to the Medical Rehabilitation Unit at Tamavua Hospital

Males = 87%
Mean age=38.3 (6-76) years
10 (13%) female
45 (60%) Fijian
26 (35%) Indian

Tetraplegia = 53% (n=40)
Paraplegia=47% (n= 35)
Complete = 61% (n= 46)
Incomplete=39% (n= 29)

Sports:
20%
(n=15)

Gee & Singha 1982
N=36

Papua New Guinea

1978-1981
Traumatic injury
Patients that stayed in Port Moresby, Lae and Manding hospitals

Male = 88%
Mean age = 26years
(range 16-41 years)

Cervical = 22%
Upper thoracic
= 11%
Thoraco-lumbar
= 28%
Lumbar = 39%

 

Sports:
6%
(n=2)

Ring et al. 1986
N=202

New South Wales, Australia

1977-1978
Admissions to New South Wales hospitals with spinal injury; death certificates that involved spinal injury. 99% of cases had neurological involvement.

Males=81%
15-24 years=84 (42%)
25-44 years=58 (29%)
45-64 years=30 (15%)
≥65 years=15 (7%)
Mortality=69 (39%)

Glasgow Outcome Scale:
Severe disability =98(49%)
Moderate disability =19(9%)
Good recovery =13(6%)
Not recorded =3(1%)

Sports (excluding diving):
9.4%
(n=19)

O'Connor, P 2002
N=265

Australia

1998-1999
Australian Spinal Cord Injury Register (ASCIR) for persons 15 years and older. All adult SCI cases are reported to the ASCIR Transient neural deficits were excluded.

76 % male
No other demographics given

C4 n=47
C5 n=45
C6 n=22
L1 n=30
T12 n=17
Incomplete tetraplegia n=101
Incomplete paraplegia n=64
Complete tetraplegia n=51
Complete paraplegia n=48

Sports:
5%
(n=13)