Thesis (M Sport Sc)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Stress and recovery plays an important role in the performance of semi-professional rugby players. Physiological and psychological markers have been established as reliable indicators of the recovery-stress state in athletes. Monitoring changes in the recovery-stress state enables the coaching staff to adapt training sessions to enhance performance. The aim of this study was to monitor changes in stress and recovery states among U-20 rugby union players during a training year. Relationships regarding monitoring variables and differences in stress and recovery between playing positions were examined. 55 Players between the ages of 18 and 20 were monitored for 27 weeks, over a training year. The training year was divided into 5 training phases: Developing phase (week 1 – 7), Transitional phase (week 8 - 11), Early Competition phase (week 12 - 17), Performance phase (week 18 – 24), and High Performance phase (week 25 - 27). Ratings of Perceived Exertion (RPE) for sessions were reported on a daily basis. The Heart-rate Interval Monitoring System (HIMS) test was run every week. The Stellenbosch Mood Scale (STEMS) and Self-Report questionnaires were completed on a weekly basis, and the Recovery-Stress Questionnaire (RESTQ-76-Sport) was completed once a month. Backline players physically recovered better and faster than the forwards throughout the training year, while the forwards exhibited better psychological coping methods. The backline players had significant higher scores for the Depression (p = 0.03), Anger (p = 0.009), and Confusion (p = 0.01) scales of the STEMS. The Total Mood Disturbance scores were also significantly higher (p = 0.03) for the backline players than the forwards during the Performance phase. The backline players experienced increased stress and decreased feelings of well-being during the competitive phases when compared to the forwards. The backline players had better physical recovery than the forwards after the high intensity and high volume Developing phase. Correlations were evident between the HIMS test and the RESTQ-76-Sport questionnaire. Additional correlations were found between training load, as well as training monotony and training strain, and scales of the RESTQ-76-Sport and STEMS questionnaires. Lack of psychological skills-training might also have resulted in the players not knowing how to properly handle stressful situations and how to regulate their stress and recovery states. The lack of an educational system regarding recovery strategies, and the reinforcement thereof, especially during the Developing phases might play a role in the later increased fatigue and injury rates among the players. / AFRIKAANSE OPSOMMING: Stres en herstel speel 'n groot rol in die prestasie van semi-professionele rugby spelers. Fisiologiese en sielkundige merkers is vasgestel as betroubare aanwysers ten opsigte van die stress-herstel toestand van atlete. Die monitoring van veranderinge in hierdie toestand kan die afrigtings-personeel help om die oefensessies aan te pas om optimale prestasie te verseker. Die doel van hierdie navorsingstudie was om veranderinge in stres en herstel toestande in O/20 rugby unie spelers, oor 'n oefenjaar, te moniteer. Verhoudinge in monitering veranderlikes en moontlike verskille in die stress en herstel toestand tussen die voorspelers en agterspelers is ondersoek. 55 Spelers tussen die ouderdomme van 18 en 20 is vir 27 weke, oor 'n oefenjaar, gemonitor. Die oefenjaar was onderverdeel in vyf oefenfases nl. die Ontwikkelingsfase (week 1 – 7), die Oorskakelingsfase (week 8 – 11), die Vroeë Kompetisiefase (week 12 – 17), die Prestasiefase (week 18 – 25), en laastens die Hoë Prestasiefase (week 25 – 27). Spelers het daagliks hul “Rate of Perceived Exertion‟s” aangedui vir elke oefensessie. Die “Heart-rate Interval System” toets (HIMS) was een keer 'n week gehardloop. Die “Stellenbosch Mood States” (STEMS) en Selfrapporteringsvraelyste was op 'n weeklikse basis ingevul en die “Recovery-Stress Questionnaire-Sport” (RESTQ-76-Sport) was een keer 'n maand ingevul. Agterspelers het deur die jaar fisies beter en vinniger as die voorspeler herstel, terwyl die voorspelers beter sielkundige beheer getoon het. Die agterlyn se tellings vir die Depressie (p = 0.03), Woede (p = 0.009), en Vervanging (p = 0.01) skale van die STEMS was betekenisvol hoër as die telling van die voorspelers. Die Totale Gemoedsversteuringstellings was ook betekenisvol hoër vir die agterlyn as die voorspelers tydens die Prestasiefase (p = 0.03). Die agterspelers het toenemende stres tydens die kompetitisie fases ervaar, sowel as 'n afname in die gevoel van Welsyn. Die agterlyn het beter fisiese herstel na die hoë intensiteit en hoë volume Ontwikkelingsfase as die voorspelers getoon. Korrelasies is gevind tussen die HIMS en die RESTQ-76-Sport. Verdere korrelasies is ook tussen “training load”, sowel as “training monotony” en “training strain”, en sekere skale van die RESTQ-76-Sport en STEMS vraelyste gevind. Die tekort aan sielkundige tegniek-ontwikkeling kon bydrae tot die spelers se verwardheid rondom die hantering van stresvolle situasies en hoe om hul stres en herstel toestande te reguleer. Die afwesigheid van „n opvoedkundige sisteem rondom herstel strategieë, en die toepassing daarvan, veral tydens die Ontwikkelingsfases, mag moontlik 'n rol speel in latere toenames in vermoeienis en getal beserings onder die spelers.

Context: Concussion is a major sports medicine concern that is currently under scrutinisation worldwide. Well-publicised cases of careers ending due to multiple concussions, and the potential for permanent, disabling neurocognitive deficits have raised concerns and encouraged further research to take place. Objectives: This study aimed to investigate subjects exposed to mild head injuries with the aim of determining if neuro logical sequelae are detectable. The objectives of this study were to evaluate changes in neuropsychological performance over a period of playing rugby for one full season, which extended over nine months. This study investigated the relationship between concussion history and neuropsychological performance relating to the possible cumulative effects of concussion. Neuropsychological functioning in recently concussed athletes was compared with that of non-injured (control) athletes to detect whether neurological sequelae were present. Investigation into the relationship between post-concussion symptoms and neuropsychological performance was evaluated. The position of play was analysed to see if there were any measurable differences m neuropsychological performance present between forward and backline players. Design, Setting, and Participants: 35 club rugby players and 35 non-contact sports athletes were assessed over a period of 9 months. Both groups underwent pre-season baseline testing and post-season testing. A comprehensive battery of reliable and valid neuropsychological tests was used to assess these subjects, with particular focus on the following 5 areas of cognition: planning, visuo spatial and constructional ability; attention and concentration; memory; verbal fluency and speed of information processing. Results: The data showed that significant differences occurred in rugby players participating regularly in the sport over one full season in terms of changes in neuropsychological test performance in a range of cognitive domains, including planning, visual spatial and constructional ability, attention and concentration, memory and verbal fluency. Numerous significant relationships were found between certain Post Concussion Symptom Scale (PCSS) scores and poor neuropsychological performance, which were considered indicative of subtle effects of sub-concussive injuries and mild head injury (MHI). Surprisingly, following the assessment of concussed players during the season, the data did not show any reliable significant declines in cognitive performance compared to their baseline testing. However, mean scores of the concussed group did show a trend of decreased neuropsychological performance in almost every cognitive domain following the concussive injury. The data did not show any significant relationship between a history of three or more previous concussions and neuropsychological performance. Furthermore, no significant differences in neuropsychological performance between backline and forward players were evident. Conclusion: This research demonstrates that concussion can present serious consequences for athletes and warrants the attention it has received. This present study gives a clear description of the potential negative consequences of playing rugby, which are evident by looking at the change in scores between pre- and post-season testing and poorer performance in most neuropsychological measures following a concussive injury. Although this study dealt mainly with 'normal' players, the results shown here are a cause for concern. What has become evident is that the player need not be exposed to severe concussion in order to experience some form of cognitive impairments. Even if these impairments are minimal, they are however still present and have the potential of accumulating, which could lead to disastrous permanent deficits. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2008

Epidemiological studies consistently report that muscular strains are a primary injury type in rugby union with the majority of the strains occurring to the quadricep and hamstring musculature. Recently it has been suggested that poor eccentric muscular strength is a precursor to hamstring and quadriceps strains during intermittent sports that require rapid acceleration and deceleration. Despite the high incidence of these muscle injuries in Rugby Union there has been little research into the possible mechanisms involved. Thus, the purpose of this study was to measure the physiological and perceptual responses during a simulated Rugby Union laboratory protocol and further, to identify changes in muscle recruitment patterns and muscle strength over time by comparing this protocol to a continuous, constant load protocol covering the same distance. The experimental condition (EXP) required university level players to perform 80 minutes of simulated rugby union play in a laboratory setting (on a walkway of 22m) which was compared to that of a control condition (CON) which involved subjects covering the same distance, at a constant speed of 4.2km.h-1 on a treadmill. Physiological, biophysical and perceptual responses were measured pre-, at half-time and post-protocol. Heart rate was significantly (p<0.01) greater as a result of EXP in comparison to the CON. Electromyography (EMG) of the vastus medialis was significantly (p<0.01) greater during the CON protocol. The EXP condition elicited higher iEMG activity in the hamstring musculature at all time intervals. In addition the iEMG of the semitendinosus decreased significantly (p<0.01) as a result of the EXP protocol. Peak eccentric knee extensors (EXT) (-13.19%) and flexors (FLEX) (-12.81%) torque decreased significantly during the experimental protocol. After passive half-time (236.67 + 56.27Nm (EXT) and 173.89 + 33.3NM (FLEX)) and at the end of the protocol (220.39 + 55.16Nm and 162.89 + 30.66Nm) reduced relative to pre protocol (253.89 + 54.54Nm and 186.83 + 33.3Nm). Peak eccentric knee extensors did not change during the control protocol. „Central‟ and ‟Local” Rating of Perceived Exertion values were significantly (P<0.01) greater during the EXP protocol with an increased incidence of hamstring discomfort and perceived pain (5 out of 10). The EXP protocol resulted in significantly (p<0.01) increased incidence of delayed onset muscle soreness (DOMS). In conclusion, a stop-start laboratory protocol elicited increased heart rate, negatively impacted on muscle activity of the hamstrings, decreased eccentric strength in the lower limb musculature, resulted in increased ratings of „Central‟ and „Local‟ exertion and increased pain perception and increased incidence of DOMS. Thus, a stop-start rugby specific laboratory protocol has a negative impact on performance. Due to the specificity of the protocol being designed to match the demands of competitive match play it is expected that these changes in heart rate, muscle activity and strength, particularly eccentric strength, will impact negativity on performance during rugby match play and increase the likelihood of injury

Sports law in South Africa is a field requiring exciting and intensive research. With so many sporting codes changing their status to professional sport, intensive research on the legal implications pertaining to each professional sporting code has also become necessary. Professional rugby in South Africa has grown into a multimillion rand industry. It is an industry whose role players need specialized legal advice on a multitude of issues. This dissertation addresses the legal issues arising out of the situation where a professional player is injured, during practice or a game, due to the intentional or negligent action of another. The medico-legal aspects of rugby, relating to causation and proof of injuries are an indispensable element of proving liability where rugby injuries are concerned. These aspects are crucial in assessing the criminal and delictual liability of players, coaches, referees, team physicians and even the union concerned. The problem of rugby violence, causing injury, is addressed by both the criminal law and the law of delict with the issue of consent being central to this discussion. Furthermore, the labour law implications can be far-reaching for both the player and the employer union due to the unique features of sport as an industry. All role players in professional rugby will have to cooperate with the legal community to ensure that a practical body of law is established in order to make rugby a safer sport for all concerned and to protect the professional player from unnecessary, incapacitating injury.

A study was conducted on the self-reported symptoms of Mild Traumatic Brain Injury sustained in Rugby Union at the pre- and post-season stages. A full sample of 30 rugby players at Rhodes University was compared to 27 non-contact sport controls. A reduced sample of 20 rugby players and 9 control participants provided improved control for education and IQ and was compared. Measures included the WAIS-III Vocabulary and Picture Completion Sub-tests to estimate IQ level, the symptom checklist on a widely used computer-based program (ImPACT), and a paper and pencil self-report 31-Item Post-Concussion Symptom Questionnaire. Independent and Dependent T-Test comparisons were conducted on the full and reduced samples. The symptoms reported by the rugby group appeared to be more pronounced on both the ImPACT Symptom Scale and the 31-Item Post-Concussion Symptom Questionnaire when compared to the control group at both the pre-and post-season stages. It was concluded that the rugby players demonstrated evidence to support the hypothesis of having sustained more previous concussions and reporting more symptoms at the pre-season stage when compared to comtrol participants. No prevalent changes for either the rugby or control groups were seen in dependent comparisons from pre-to post-season.

Neurocognitive and symptom profiles of concussed and nonconcussed adult provincial rugby union players were investigated over one rugby season, including early season (baseline), intermittent postconcussion, and end of season testing. In a non-equivalent quasi-experimental design, nonconcussed (n = 54) and concussed (n = 17) rugby groups were compared with demographically equivalent noncontact sport controls (n = 37, and n = 17, respectively). Measures included the ImPACT cognitive and symptom composites, and the WMS-III Visual Reproduction and Verbal Paired Associates subtests. The independent and dependent comparative analyses in respect of both nonconcussed and concussed groups, provided cross-validation of poorer acute and/or chronic neuropsychological outcomes for the rugby groups on the ImPACT Reaction Time, Visual Motor Speed, Impulse Control and Symptom composites, and the WMS-III Verbal Paired Associates. The finding of significantly poorer scores on Verbal Paired Associates up to 24 days post concussion for the rugby players versus controls, was longer than the 7 – 10 day recovery period frequently cited in the literature. The overall implication of the study is that even in a group with high cognitive reserve such as these provincial level athletes, there may be prolonged acute recovery, as well as permanent deleterious neuropsychological consequences of cumulative concussive injury in association with a sport such as rugby. Accordingly, the move towards careful individualised postconcussion monitoring of neurocognitive functioning is endorsed, including early identification of any significant permanent reductions in cognitive reserve. Sensitivity of the ImPACT test might be enhanced via inclusion of a verbal associate learning task.