Finding a higher prevalence of brain disorders in elite male rugby players, as per a recent study.
In a significant move for the sport, New Zealand Rugby (NZR), alongside the New Zealand Rugby Players' Association (NZRPA) and the New Zealand Rugby Foundation, launched an enhanced Brain Health and Concussion Risk Management Plan in March 2025. This plan, built upon previous commitments, focuses on long-term wellbeing, informed care, and culturally responsive approaches.
The initiative, named Kumanu Tāngata: The Aftermatch Project, is a collaborative effort funded and coordinated by World Rugby, the New Zealand Rugby Foundation, NZR, Statistics New Zealand, and the University of Auckland Public Policy Institute.
The project stemmed from a comprehensive study led by the University of Auckland, which examined the long-term brain health of former high-level male rugby players in New Zealand. The research analyzed the health records of 12,861 men who played at provincial level or higher between 1950 and 2000.
The study, published in Sports Medicine, found higher rates of neurodegenerative disease compared to the general population. Specifically, about five in every 100 men in the general population had developed a neurodegenerative disease by the end of the research follow-up period. This rate was closer to six in 100 for former provincial rugby players and eight in 100 for former international players.
Notably, the risks were higher for backline players, those with longer careers, and those who played more matches. However, the research found no evidence of these conditions appearing earlier in life. Players who developed them typically showed symptoms between the ages of 70 and 79.
In response to these findings, NZR chief executive Mark Robinson stated that the research was a vital step forward in the organization's ongoing player welfare work, particularly around brain health and concussion. He expressed concern about the death of former player Shane Christie and called for rugby to do more to look after its athletes.
Key elements of the Brain Health and Concussion Risk Management Plan include law changes to reduce high-impact contact, improved Head Injury Assessment (HIA) protocols, and better access to specialist medical support. Concussion awareness programmes are being rolled out across all levels of the game.
Scotty Stevenson, writing for Stuff, noted that it's well past time for a long-term plan to be made for players who have suffered for their sport. He emphasized the importance of considering the wellbeing of players beyond their time on the field, a sentiment echoed by New Zealand Rugby Foundation chief executive Lisa Kingi-Bon, who said Kumanu Tāngata reflects its ongoing commitment to supporting players in this way.
The project also includes future research exploring broader health outcomes and the long-term benefits of playing rugby. As rugby continues to evolve, so too will its approach to player welfare, ensuring a safer and healthier future for all involved.
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