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- Volume 22, Issue 4, 2010
South African Journal of Sports Medicine - Volume 22, Issue 4, 2010
Volumes & issues
Volume 22, Issue 4, 2010
Author Mike LambertSource: South African Journal of Sports Medicine 22 (2010)More Less
I have just finished reading a book titled Samaritan of South African Rugby, written by Pat Tebbutt. It is an historical account of the Chris Burger/Petro Jackson Players' Fund which was established to support rugby players who have sustained serious injuries. The story starts in August 1980, the day Western Province played the Free State in Bloemfontein. Following a robust loose scrum, all the players involved got to their feet except Chris Burger of Western Province, who lay motionless on the ground with a broken neck. By 4 am the following morning he had died. This tragic event inspired his colleagues, led by the Western Province captain Morné du Plessis, to create the Chris Burger Players' Fund to raise money to support injured players. Thirty years later over 400 seriously injured players have been assisted by the fund at a cost of more than 30 million rand.
Recreational scuba divers' knowledge regarding the audiological consequences of the sport : original researchSource: South African Journal of Sports Medicine 22, pp 80 –83 (2010)More Less
Background: The sport of scuba diving may be associated with possible injuries, especially those concerning the auditory system. Research available focuses on the implications of recreational scuba diving on the auditory system. However, there is a lack of information regarding the knowledge of recreational scuba divers with regard to the audiological consequences of this sport.
Method: The aim of this study was to determine whether scuba divers have knowledge pertaining to the consequences of the sport on the auditory system. Thirty-five participants were purposefully selected; their qualifications ranged from an open water diver to a course director. A mixed-method design was implemented in this study with the use of a questionnaire.
Results: Forty per cent of the participants were given only the basic medical clearance form to complete; the full medical pack was not made available. However, 97% of the participants signed the medical clearance. One participant did not know that a medical clearance form was required. There were 82% of the participants who had audiological complications subsequent to diving; these individuals did not seek help from an audiologist and continued to dive.
Conclusion: There is a need for awareness regarding the effects of diving on the auditory system as participants in this study were not fully aware of the risks of the sport in relation to the ear. The results suggest that participants who experience ear difficulties after dives,do not have sufficient knowledge regarding the ear and the professional who is qualified to assess and manage the difficulties.
Source: South African Journal of Sports Medicine 22, pp 84 –86 (2010)More Less
Paget-Schroetter syndrome or effort thrombosis is a rare condition with potentially severe consequences, affecting young and otherwise healthy athletes. Its classic clinical presentation should be rapidly identified to promote early diagnosis and treatment. This prevents recurrences and long-term complications such as persistent swelling of the affected arm. In a 1-year period we saw two young male athletes with this condition. One was treated conservatively and the other surgically, with vastly different outcomes. We therefore present their cases as well as a review of relevant literature to emphasise treatment of this rare condition.
Source: South African Journal of Sports Medicine 22, pp 88 –94 (2010)More Less
Guidelines for returning a concussed player to sport had been somewhat controversial and nebulous until the emergence of a series of international consensus meetings and statements initiated in 2001. The Vienna (2001), Prague (2004) and Zurich (2009) statements as well as the American National Athletic Trainers Association (2004) and the American College of Sports Medicine (2005) position stands have given all clinicians better guidance that is more evidence-based than the somewhat subjective guidelines of the latter 20th century. Some impetus to research and the re-evaluation of assessment and management guidelines has been provided by the emergence of computerised neuropsychological test batteries as a useful barometer of cognitive recovery. However, the clinical evaluation of a concussed player remains the cornerstone of management and should incorporate a thorough symptom analysis, general, cognitive and neurological examination, and balance testing. The Sports Concussion Assessment Tool (SCAT) 2 card is a clinical evaluation tool intended to summarise the most significant aspects of clinical assessment. In addition, and as an essential 'final stress' test, the athlete must be subjected to a series of graded exercise sessions, increasing in severity, before being returned to contact or collision sport. A structured clinical evaluation is particularly important in the South African context, where computerised testing may not be accessible to many. This article serves to collate and highlight the evidence-based and consensus data available for management of the concussed rugby player in 2010.
Popular physical therapy modalities in the management of whiplash-associated disorders : original researchSource: South African Journal of Sports Medicine 22, pp 95 –98 (2010)More Less
Objectives. The aim of this study was to determine current physiotherapy practice in private clinics across the UK in the management of whiplash-associated disorder (WAD) injuries.
Design. All treatment reports provided to a private health care company between January 2008 and July 2010 (N=365) were included and analysed to determine the following: the treatments favoured in the management of whiplash; the number of sessions used on average; and the main reasons for discharge.
Results. Joint mobilisations, stretches and mobility exercises were favoured in the management of acute whiplash treatment and were used in 74%, 68% and 61% of cases, respectively. The most popular treatments in chronic whiplash, in order of preference, were: stretches (73%), joint mobilisations (69%) and soft-tissue massage (63%). On average, physiotherapists used 4.46 sessions and 7.21 modalities per patient. Although the outcome measures were limited to reason for discharge, the majority of patients were discharged because of 'treatment complete / self management sufficient', which may be assumed to be a favourable recovery for 79% of patients.
Conclusion. This study found that physical therapists across the UK generally use evidence-based modalities in the treatment of whiplash. However, there remains a need to emphasise and embrace a more educational and active approach to the management of these injuries. The study recommends a protocol for treating WAD that includes supplementing therapeutic modalities with an exercise component, and routinely providing information and advice to 'act as usual'.
Source: South African Journal of Sports Medicine 22, pp 99 –105 (2010)More Less
Objective. In this work, whether a two-bout protocol can be used to make an objective, immediately available distinction between non-functional over reaching (NFO) and overtraining syndrome (OTS) was studied.
Design. Underperforming athletes who were diagnosed with the suspicion of NFO or OTS were included in the study. Recovery of the athletes was monitored by a sports physician to retrospectively distinguish NFO from OTS.
Setting. Sports medicine laboratory. Participants. The protocol was started and completed by 10 underperforming athletes. NFO was retrospectively diagnosed in five athletes, and OTS was diagnosed in five athletes.
Interventions. A two-bout maximal exercise protocol was used to measure physical performance and stress induced hormonal reactions.
Main outcome measurements. Exercise duration, heart rate and blood lactate concentration were measured at the end of both exercise tests. Venous concentrations cortisol, adrenocorticotrophic hormone (ACTH), prolactin and growth hormone were measured both before and after both exercise tests.
Results. Maximal blood lactate concentration was lower in OTS compared with NFO, while resting concentrations of cortisol, ACTH and prolactin concentrations were higher. However, sensitivity of these measures was low. The ACTH and prolactin reactions to the second exercise bout were much higher in NFO athletes compared with OTS and showed the highest sensitivity for making the distinction.
Source: South African Journal of Sports Medicine 22, pp 106 –107 (2010)More Less
Objectives. This paper reviews South Africa's performance in the Delhi 2010 Commonwealth Games relative to predicted medal success.
Methods. Forecasts based on the nation's previous success are compared against medals won in Delhi.
Results. Actual performance is in line with predicted performance in terms of gold medals but total medals won are below expectations.
Conclusion. The findings are of potential value to relevant sports authorities and follow up research is proposed.