Thesis (MScPhysio)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Introduction: Groin injuries are among the top six injuries in contact sports and may lead to career ending chronic pain. Research on the role of knee kinematics in developing chronic groin pain in sport is scarce. Objective: The purpose of this study was to determine if there are differences in knee kinematics during a single-leg drop-landing in sports participants with chronic groin pain compared to asymptomatic controls. Methodology: A descriptive study was conducted. Twenty active sports’ participants were recruited from soccer and rugby clubs situated around the Cape Peninsula area, Western Cape, South Africa. The three-dimensional (3D) knee kinematics of ten cases with chronic groin pain and ten asymptomatic controls was analysed. Knee kinematics was analysed in the FNB-3D Vicon Laboratory at Stellenbosch University, using an eight camera Vicon system. A positive adductor squeeze test was used as a diagnostic test to include cases with chronic groin pain. Each participant performed six single-leg drop landings. The main outcome measure was 3D knee kinematics at initial foot contact and at the lowest vertical position of the drop landing. The following sub-groups were analysed: seven unilateral groin pain cases compared to their seven matched controls; three bilateral groin pain cases where their most painful leg and least painful leg were compared to their matched controls, respectively. Descriptive statistical techniques were used for all outcome measures; means and standard deviations (SD) were calculated, followed by a Student’s t-test to determine significant differences between the cases and controls. For all outcomes with p-values equal to or below 0.05, the effect size was calculated using the Cohen’s D. Results: The findings of this study indicated a significant difference (p=0.0001) between cases with unilateral groin pain having less knee internal rotation compared to the controls at the lowest vertical position of the drop landing in the transverse plane. Significantly less internal rotation (p<0.0001), was also noted in the cases with bilateral groin pain (in the most painful leg and the less painful leg), although this was noted at foot contact. Cases with bilateral groin pain also had significantly (p<0.001) more knee varus (adduction) during the landing phase. Conclusion: Differences in knee kinematics between sports participants with chronic groin pain and asymptomatic controls were found. These findings imply that the knee joint should be included during assessment and rehabilitation of individuals suffering with chronic groin pain. Due to the cross-sectional study design of the current study, it cannot be stated for certain whether the knee kinematics noted in the groin pain group are causative or as a result of groin pain. Future prospective studies are thus recommended; these studies should focus on the effect of contralateral knee kinematics on the hip adductors and may include exploration of the muscular components during a single-leg drop landing. / AFRIKAANSE OPSOMMING: Inleiding: Lies beserings is een van die top ses beserings in kontak sport en kan lei tot chroniese lies pyn en selfs die be-eindigging van ‘n sportloopbaan. Navorsing oor die rol van knie kinematika in die ontwikkeling van chroniese liesbeserings in sport is skaars. Doelwit: Die doel van hierdie studie was om te bepaal of daar verskille in die knie kinematika is tydens 'n enkel been val landing in sport deelnemers met chroniese lies pyn in vergelyking met gesonde kontroles. Metode: 'n Beskrywende studie was uitgevoer. Twintig aktiewe sport deelnemers is gewerf van rugby en sokker sportklubs geleë rondom die Kaapse Skiereiland, Wes-Kaap, Suid-Afrika. Die 3D knie kinematika van tien gevalle met chroniese lies pyn en tien asimptomatiese bypassende kontroles is ontleed. Knie kinematika was ontleed in die FNB-3D Vicon Laboratorium by die Universiteit van Stellenbosch, met behulp van 'n agt-kamera Vicon stelsel. 'n Positiewe Adduktor druk toets was gebruik as 'n diagnostiese toets om gevalle met chroniese lies pyn in te sluit. Om die knie kinematika te analiseer, het elke deelnemer ses enkel been val landings uitgevoer . Die belangrikste uitkomsmeting was 3D knie kinematika by die aanvanklike voet kontak en by die laagste vertikale posisie van die enkel-been val landing. Die volgende sub-groepe was ontleed: sewe unilaterale lies pyn gevalle in vergelyking met hul sewe bypassende kontroles; drie bilaterale lies pyn gevalle waar hul mees pynlike been, sowel as minder pynlike been onderskeidelik vergelyk was met hul bypassende kontroles. Beskrywende statistiese tegnieke was gebruik vir alle uitkoms maatreëls; gemiddeldes en standaardafwykings (SA) was bereken, gevolg deur 'n Studente’s t-toets om beduidende verskille tussen die gevalle en kontroles te bepaal. Vir al die uitkomste met p-waardes gelyk of onder 0.05, is die effekgrootte bereken deur die Cohen’s D. Resultate: Die bevindings van hierdie studie dui op 'n beduidende verskil (p=0,0001) tussen gevalle met unilaterale lies pyn met minder interne knie rotasie in vergelyking met die kontroles by die laagste vertikale posisie van die val landing in die dwars vlak. Aansienlik minder interne rotasie (p<0,0001), is ook opgemerk in gevalle met bilaterale lies pyn (in die mees pynlike been en die minder pynlik been), alhoewel tydens voet kontak. Gevalle met bilaterale lies pyn het ook betekenisvol (p <0.001) meer knie varus (adduksie) tydens die landingsfase gehad. Gevolgtrekking: Verskille bestaan in die knie kinematika tussen sport deelnemers met chroniese liesbesering pyn en gesonde kontroles. Hierdie bevindinge impliseer dat die knie behoort ingesluit te word tydens die assessering en rehabilitasie van individue met chroniese lies pyn. As gevolg van die deursnee-studie ontwerp van hierdie studie, kan dit nie bevestig word of die knie kinematika die oorsaak van die chroniese pyn is nie. Toekomstige voornemende studies word dus aanbeveel, hierdie studies moet fokus op die effek van die kinematika van die kontralaterale knie op die heup adduktore en kan moontlik die ondersoek van die spier kinetika tydens hierdie aktiwiteit insluit.

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.

Being involved in soccer in Rwanda at both national and international level exposes soccer players to the risk of injury. The aim of this study was to identify common soccer injuries among the 1st and 2nd division soccer teams in Rwanda and to establish the need for physiotherapy intervention. This deals with the first two stages of injury prevention, which included identification and description of the extent of the problem and the identification of factors and mechanisms that play a part in the occurrence of injuries.

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

Being involved in soccer in Rwanda at both national and international level exposes soccer players to the risk of injury. The aim of this study was to identify common soccer injuries among the 1st and 2nd division soccer teams in Rwanda and to establish the need for physiotherapy intervention. This deals with the first two stages of injury prevention, which included identification and description of the extent of the problem and the identification of factors and mechanisms that play a part in the occurrence of injuries.

Thesis (M.A.)--Miami University, Dept. of Speech Pathology and Audiology, 2004. / Title from first page of PDF document. Includes bibliographical references (p. 54-59).

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.

There is now and may always be a difference of opinion on the advisability of contact sports for the younger and usually more immature boys. It is said by some that the many and varied experiences and attitudes gained through early participation in team contact sports greatly over-balances any detrimental effects which might occur. The other point of view expresses the opinion that anything which is gained at this younger age can and will be better accepted. when there is less chance or physical, mental, and social strain or damage. The age groups considered ln this study are usually exempted from the above discussion. High school boys, with some limitations, are felt to be mature enough to compete in these activities. However, the maturity of many ninth and tenth grade boys can be questioned. In any case, competitive athletics for all high school boys is a firm part of the school program and continuous effort should be made to improve the conditions which surround it. It was the purpose of this study to show the physical affects of the contact team sport of football on two classes of boys. The comparison was made between ninth and tenth grade boys and eleventh and twelfth grade boys, all of whose injuries were obtained during practice for or actual participation in interscholastic competition in high school football.

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.