What keeps male amateur rugby union players committed to the game despite high risk of injury? A qualitative study.

ObjectivesRugby Union is a popular sport worldwide characterised by high intensity full contact match play. Injuries are common during matches and training. While musculoskeletal injury is expected in such a sport, there is emerging research evidence and increased public awareness of neurodegenerative disease risks. The objectives of the present study are to explore reasons for continued participation despite high risk of injury, gain understanding of perceived importance of participation and insight into why players may play with chronic injury. Design10 male amateur rugby union players in Gloucestershire and Yorkshire aged 30{+/-}5.75 with 20{+/-}6.93 years of playing experience participated in semi-structured interviews with subsequent thematic analysis of transcripts. Results4 major themes of identity, community, risk acceptance, and uniqueness of rugby were identified. None of the players reported plans to reduce participation in rugby. ConclusionsDespite risks of injury there were no plans to reduce participation amongst players interviewed. Benefits gained from rugby are abundant and meaningful to players. Understanding these beliefs is helpful for medical staff supporting players, especially through injury. Overall, commitment to amateur rugby union remains strong despite new knowledge of the long-term risks involved. The findings show that amateur rugby union remains a popular sport with benefits extending beyond physical activity. HighlightsO_LIThere are 4 key themes regarding commitment to participation in male amateur rugby union despite risk of injury, regardless of new insights of potential long term injury risk and available injury epidemiology data C_LIO_LICurrent players remain firmly committed to playing citing more benefits than negatives. C_LIO_LIKnowledge of risks is limited in the playing population recruited. This is significant as it highlights an issue that needs to be addressed regarding players ability to make an informed choice about their involvement in the game. C_LI