Use of Mouthguards and Association With Concussion Rates in Rugby: A Critically Appraised Topic

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Jenna Ratka Temple University

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Jamie Mansell Temple University

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Anne Russ Temple University

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Clinical Question: In rugby players, does using a mouthguard reduce the risk of concussion? Clinical Bottom Line: After examining the three studies included in this critical appraisal, results are inconclusive. This translates to limited evidence to support the use of a mouthguard to decrease concussion incidence in the sport of rugby

Jenna Ratka, Jamie Mansell, and Anne Russ are with the Department of Kinesiology, Temple University, Philadelphia, PA.

Address author correspondence to Anne Russ at anne.russ@temple.edu.
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  • 1.

    Kemp SPT, Hudson Z, Brooks JHM, Fuller CW. The epidemiology of head injuries in English professional rugby union. Clin J Sport Med. 2008;18(3):227234. PubMed ID: 18469563 doi:10.1097/JSM.0b013e31816a1c9a

    • Search Google Scholar
    • Export Citation
  • 2.

    Prien A, Grafe A, Rössler R, Junge A, Verhagen E. Epidemiology of head injuries focusing on concussions in team contact sports: A systematic review. Sports Med. 2018;48:953969. PubMed ID: 29349651 doi:10.1007/s40279-017-0854-4

    • Search Google Scholar
    • Export Citation
  • 3.

    McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Vos PE. Consensus statement on concussion in sport-The 5th International Conference on Concussion in Sport held in Berlin, October 2016. Br J Sports Med. 2017;51:838847. PubMed ID: 28446457 doi:10.1136/bjsports-2017-097699

    • Search Google Scholar
    • Export Citation
  • 4.

    Benson BW, Hamilton GM, Meeuwisse WH, McCrory P, Dvorak J. Is protective equipment useful in preventing concussion? A systematic review of the literature. Br J Sports Med. 2009;43(1):5667. PubMed ID: 19433427 doi:10.1136/bjsm.2009.058271

    • Search Google Scholar
    • Export Citation
  • 5.

    Marshall SW, Loomis DP, Waller AE, Chalmers DJ, Bird YN, Quarrie KL, Feehan M. Evaluation of protective equipment for prevention of injuries in rugby union. Int J Epidemiol. 2004;34:113118. PubMed ID: 15561749 doi:10.1093/ije/dyh346

    • Search Google Scholar
    • Export Citation
  • 6.

    Barbic D, Pater J, Brison RJ. Comparison of mouth guard designs and concussion prevention in contact sports. Clin J Sport Med. 2005;15(5):294298. PubMed ID: 16162986 doi:10.1097/01.jsm.0000171883.74056.21

    • Search Google Scholar
    • Export Citation
  • 7.

    USA Rugby. Protective Equipment and Clothing Guidelines. 2015; Lafayette, Colorado: Author.

  • 8.

    Benson BW, Rose MS, Meeuwisse WH. The impact of face shield use on concussions in ice hockey: A multivariate analysis. Br J Sports Med. 2002;36:2732. PubMed ID: 11867489 doi:10.1136/bjsm.36.1.27

    • Search Google Scholar
    • Export Citation
  • 9.

    Labella CR, Smith BW, Sigurdsson A. Effect of mouthguards on dental injuries and concussions in college basketball. Med Sci Sports Exerc. 2002;34:4144. PubMed ID: 11782645 doi:10.1097/00005768-200201000-00007

    • Search Google Scholar
    • Export Citation
  • 10.

    Mastrangelo FH. Eye and face injuries in high school hockey: cutting down the risks. In: Castaldi CR, Hoerner EF, eds. Safety in Ice Hockey. 1989; Philadelphia, PA: ASTM.

    • Search Google Scholar
    • Export Citation
  • 11.

    Blignaut JB, Carstens IL, Lombard CJ. Injuries sustained in rugby by wearers and non-wearers of mouthguards. Br J Sports Med. 1987;21(2):57. PubMed ID: 3620805 doi:10.1136/bjsm.21.2.5

    • Search Google Scholar
    • Export Citation
  • 12.

    Szumilas M. Explaining odds ratios. J Can Child Adolesc Psychiatry. 2010;19(3):227235. PubMed ID: 20842279 doi:10.1007/s00787-010-0087-7

    • Search Google Scholar
    • Export Citation
  • 13.

    Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): A patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548556. PubMed ID: 14971837

    • Search Google Scholar
    • Export Citation
  • 14.

    Gould TE, Piland SG, Caswell SV, et al. National Athletic Trainers’ Association Position Statement: Preventing and managing sport-related dental and oral injuries. J Athl Train. 2016;51(10):821839. PubMed ID: 27875057 doi:10.4085/1062-6050-51.8.01

    • Search Google Scholar
    • Export Citation
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