The objective of the study was to investigate the cumulative neurocognitive effects of repetitive concussive and subconcussive events in club level Rugby Union (hereafter rugby) during the course of one rugby season, in a combined group and individualized case-based approach. Amateur adult club level rugby players (n = 20) were compared with a non-contact control group (n = 22) of equivalent age, years of education and estimated IQ (p = > .05, in all instances), although the two groups were clearly differentiated on the basis of a history of reported concussions (p = < .05). Video analyses documented the tackling maneuvers observed amongst the players during all matches across the rugby season revealing a sobering average of more than a thousand tackles per player, excluding any contact practice sessions. Five rugby players (n = 5) who were observed to have a head jarring event were also isolated for individualized postconcussive follow-up analysis of their neurocognitive profiles. Measures included the ImPACT Verbal and Visual Memory, Visual Motor Speed and Reaction Time composites and the Purdue Pegboard. Independent and dependent statistical analyses were employed to compare the rugby versus control group neurocognitive test profiles at and between the three test intervals. Correlational analyses explored the association between concussion, tackling and neurocognitive test outcomes. Descriptive comparisons of individual neurocognitive test scores with normative data were employed for the case analyses. Taken together, the results implicated vulnerability amongst club rugby players on the motor and speeded tasks, with less robust indications on the memory tasks. While limited in terms of its small sample size, it is considered that the outcome of the study was rendered more robust by virtue of being methodologically multifaceted with heuristic implications for future research studies in the area. The novel inclusion of tackling data as well as fine-tuned case analyses, were of particular relevance in that regard. The results add to a growing body of literature that implicates deleterious neurocognitive effects in participants of a sport such as rugby due to repetitive head jarring incidents that are intrinsic to the game.

There has been much debate about whether shallow water diving , in the absence of neurological insult , can lead to cognitive deficits. The aim of this study was to investigate possible neuropsychological effects on two groups of divers , without any known history of decompression illness, who represent opposite ends of the spectrum of diving practice (rescue divers and sport divers) , and to compare them with a non-diving control group. 17 rescue divers , 17 non-diving controls and 15 sport divers were recruited. The groups were matched for age, but not for education. The two diving groups were comparable in terms of diving history. Results of neuropsychological testing indicated that the rescue diving group was not significantly different from the control group, suggesting that rescue diving under controlled conditions is comparatively safe. The sport diver group performed significantly worse than controls on a test of verbal reasoning (Comprehension, SAWAIS-R) and on a measure of word fluency (Controlled Oral Word Initiation Test), suggesting the possibility that risky diving practices may lead to decrements in frontal lobe functioning. Another possibility is that global decrements occur, but that the tests of frontal lobe functioning were more sensitive to mild deficits in functioning. This contention is tentative, and further research into frontal lobe functioning of divers should be conducted. Sport divers are recommended to follow safe diving practices and use dive profiles that avoid bubbling in order to prevent cognitive damage. VI / Thesis (M.A.)-University of Natal, Pietermaritzburg, 2002.

The study investigated the long-term neuropsychological effects of repetitive mild traumatic brain injury (MTBI) due to participation in a contact sport amongst South African final year male high school athletes (N=189). The sample was divided by sports affiliation (Contact n = 115; Non-Contact n = 74) and concussion history (2+ Concussion n = 43; 0 Concussion n = 108). Comparative subgroups were statistically equivalent for age, education and estimated IQ (P > 0.05), with the Contact sport groups having markedly higher incidences of concussion than controls (p < 0.000). Measures included the ImPACT Verbal and Visual Memory, Visuomotor Speed and Reaction Time Composites, Digit Symbol Substitution and Digit Symbol Incidental Recall (immediate and delayed), the ImPACT Symptom Scale and a Post-concussion Symptom (PCS) questionnaire. Independent t-tests on cognitive measures at pre-and post-season revealed a predominant trend of Contact and 2+ Concussion groups performing worse, although only ImPACT Reaction Time at pre-season reached significance (p = 0.014). PCS comparisons revealed an overwhelming tendency of enhanced symptoms for Contact and 2+ Concussion groups with total scores being significantly different in most instances at pre-and post-season. Fatigue and aggression were the symptoms most pervasively high for the Contact and 2+ Concussion groups. Dependent t-test analyses at pre- versus post-season, revealed significant practice effects for the Contact group, not in evidence for controls on ImPACT Visual Motor Speed and Digit Symbol Incidental Recall-Delayed. Overall the results imply the possible presence of lingering neurocognitive and symptomatic concussion sequelae amongst South African final year high school participants of a contact sport. The indications gain potency when understood against the background of (i) Brain Reserve Capacity threshold theory, and (ii) the known risk of Type II error in group MTBI research, that might result in under-emphasis of subtle effects and miscalculation of cost-benefit risks. Clinical implications, and the need for prospective case-based research to ratify the results of this predominantly cross-sectional study, are discussed.

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.

The purpose of this study was to explore whether a previous gymnastic or tumbling injury influences gymnasts' and tumblers' self-efficacy, motivation, competition anxiety, and fears of pain and injury. Participants (N = 105) completed survey packets during practice which contained demographic questions and questionnaires that measure self-efficacy for physical abilities and exercise, self-motivation, risk of injury, pain catastrophizing, and sport anxiety. Results of a one-way ANOVA indicated that gymnasts and tumblers who experienced a previous injury were significantly different than those who had not experienced an injury on their self-efficacy for physical abilities (p = .007), self-motivation (p = .007), and perceived risk of reinjury (p = .018). Specifically, these findings indicate that gymnasts and tumblers with previous injuries experience higher levels of self-efficacy for physical abilities, self-motivation, and perceived risk of reinjury. Implications for coaches, gymnasts, and tumblers include: creating an open and comfortable environment to discuss pain and injury, developing strategies to break the negative cycle of fear of injury, and fostering a positive rehabilitation process. In the future, researchers should examine the influence that gender and type of competition has on self-efficacy, self-motivation, perceived risk of reinjury, pain perceptions, and competition anxiety of those who have experienced sport-related injuries, as compared to those who have not experienced these types of injuries. Researchers should also examine how the type of injury, whether it is a first time injury versus a reinjury, influences perceptions of pain and fears directly following the injury.

Sport and dance injuries have increased despite improvements in coaching techniques and medical care. Other factors, including psychological ones, were therefore thought to play a role in injury vulnerability. Most of the attempts to explain how psychological variables can affect an athlete's predisposition to injury have been based on anxiety or stress concepts. In this survey type study an interactive approach to stress has been adopted with the goal of finding a relationship between stress and injury in a group of professional ballet dancers. No simple direct relationship was found. Multiple regression analysis was performed and a more complicated relationship between stress indicators and injury was found. When an attempt was made to investigate the significant interaction, no significant correlations were found. However, the correlations were found to be large and negative. This could indicate that if the sample size had been larger significant correlations may have been found. / Psychology / M.A. (Psychology)

Sport and dance injuries have increased despite improvements in coaching techniques and medical care. Other factors, including psychological ones, were therefore thought to play a role in injury vulnerability. Most of the attempts to explain how psychological variables can affect an athlete's predisposition to injury have been based on anxiety or stress concepts. In this survey type study an interactive approach to stress has been adopted with the goal of finding a relationship between stress and injury in a group of professional ballet dancers. No simple direct relationship was found. Multiple regression analysis was performed and a more complicated relationship between stress indicators and injury was found. When an attempt was made to investigate the significant interaction, no significant correlations were found. However, the correlations were found to be large and negative. This could indicate that if the sample size had been larger significant correlations may have been found. / Psychology / M.A. (Psychology)