Knee Joint Competence Post Anterior Cruciate Ligament Reconstruction in Amateur South Western Districts Rugby Players
- Potgieter, Quinten Christiaan
- Authors: Potgieter, Quinten Christiaan
- Date: 2022-12
- Subjects: Neuromuscular depolarizing agents , Knee--Wounds and injuries -- South Western Districts , Rugby Players
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60266 , vital:64289
- Description: Background: Globally, literature has shown that rugby players struggle to return to the same level of performance post anterior cruciate ligament (ACL) reconstruction. This phenomenon is further exacerbated amongst South African Rugby players, compounded by the ranking of the national team amongst the top ten rugby teams worldwide. Paired with the psychosocial aspect of return to play, the physical and physiological competence of the knee joint is of pivotal importance. Purpose: To compare relative dynamic stability scores paired with electromyography (EMG) scores between the injured and uninjured legs, thereby enabling an explorative, descriptive report on dynamic proprioceptive abilities post ACL reconstruction (ACLR). The study findings therefore aim to inform rehabilitative practice in a rugby player who underwent ACLR. Study Design: A quantitative, explorative and descriptive design was used, with a purposive sampling strategy. Methods: Biographical and anthropometrical data was measured upon inception. Muscular activation was measured using electromyography (EMG) placements on quadriceps muscles which included the vastus medialis obliques (VMO), and vastus lateralis (VL). Dynamic proprioception was measured using the star excursion balance test (SEBT) and normalised to leg length. A neuromuscular fatigue protocol was used to measure the impact of neuromuscular fatigue on dynamic stability, and muscle activation between the injured and uninjured lower limbs. Results: A sample of 15 participants from the South Western Districts (SWD) rugby team, fitting the inclusion criteria, were included in the study. The average age was 27±2.7 years. The results indicated that fatigue did not significantly affect the SEBT scores between the injured and uninjured lower limbs. However, the VMO muscle activation showed a statistically significant difference in muscle firing in a pre-fatigue state. This difference was evident in two of the eight directions namely anteromedial direction (p = 0.041), and in the lateral direction (p = 0.047). Furthermore, these result differences were favoured in the uninjured limb. No significant differences between the injured and uninjured lower limbs were found in respect to VMO and VL muscle activation, in a fatigued state. vi Conclusion: Practically translated, the study results showed that the injured lower limb, showed no significant differences in dynamic stability during both the non-fatigued and the fatigued SEBT. Therefore, the finding of this study is a steppingstone towards informing return to play criteria for adequate dynamic knee stability and proprioception. It should be noted that further research is necessary to refine return to play criteria and thereby decrease the risk for re-injury. Keywords: anterior cruciate ligament; dynamic stability; neuro-muscular fatigue; reconstruction; re-injury; return-to-sport; rugby. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Potgieter, Quinten Christiaan
- Date: 2022-12
- Subjects: Neuromuscular depolarizing agents , Knee--Wounds and injuries -- South Western Districts , Rugby Players
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60266 , vital:64289
- Description: Background: Globally, literature has shown that rugby players struggle to return to the same level of performance post anterior cruciate ligament (ACL) reconstruction. This phenomenon is further exacerbated amongst South African Rugby players, compounded by the ranking of the national team amongst the top ten rugby teams worldwide. Paired with the psychosocial aspect of return to play, the physical and physiological competence of the knee joint is of pivotal importance. Purpose: To compare relative dynamic stability scores paired with electromyography (EMG) scores between the injured and uninjured legs, thereby enabling an explorative, descriptive report on dynamic proprioceptive abilities post ACL reconstruction (ACLR). The study findings therefore aim to inform rehabilitative practice in a rugby player who underwent ACLR. Study Design: A quantitative, explorative and descriptive design was used, with a purposive sampling strategy. Methods: Biographical and anthropometrical data was measured upon inception. Muscular activation was measured using electromyography (EMG) placements on quadriceps muscles which included the vastus medialis obliques (VMO), and vastus lateralis (VL). Dynamic proprioception was measured using the star excursion balance test (SEBT) and normalised to leg length. A neuromuscular fatigue protocol was used to measure the impact of neuromuscular fatigue on dynamic stability, and muscle activation between the injured and uninjured lower limbs. Results: A sample of 15 participants from the South Western Districts (SWD) rugby team, fitting the inclusion criteria, were included in the study. The average age was 27±2.7 years. The results indicated that fatigue did not significantly affect the SEBT scores between the injured and uninjured lower limbs. However, the VMO muscle activation showed a statistically significant difference in muscle firing in a pre-fatigue state. This difference was evident in two of the eight directions namely anteromedial direction (p = 0.041), and in the lateral direction (p = 0.047). Furthermore, these result differences were favoured in the uninjured limb. No significant differences between the injured and uninjured lower limbs were found in respect to VMO and VL muscle activation, in a fatigued state. vi Conclusion: Practically translated, the study results showed that the injured lower limb, showed no significant differences in dynamic stability during both the non-fatigued and the fatigued SEBT. Therefore, the finding of this study is a steppingstone towards informing return to play criteria for adequate dynamic knee stability and proprioception. It should be noted that further research is necessary to refine return to play criteria and thereby decrease the risk for re-injury. Keywords: anterior cruciate ligament; dynamic stability; neuro-muscular fatigue; reconstruction; re-injury; return-to-sport; rugby. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
Coaches perspective on the positional demands of school boy (u18/u19) rugby players during a 70-minute match
- Authors: Barnard, Devon Vernon
- Date: 2021-10
- Subjects: Rugby football coaches South Africa , Rugby Union football players South Africa , Rugby football injuries South Africa , School sports South Africa , School sports Coaching South Africa , School sports Physiological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/190089 , vital:44962
- Description: INTRODUCTION: Rugby union has been one of the team sports that has grown over the last few years, and the margin between success and failure for teams has become narrower as the years have gone by. The game consists of players going through different movements such as sprints and/or collisions, that vary in intensity. The demands that face schoolboy rugby players are not well understood, and the lack of research in this area leads to a potential lack of understanding of the perceptions that coaches have about the demands that schoolboys are faced with during a match. OBJECTIVE: Therefore, the purpose of this study was to determine the perceptions that the schoolboy rugby coaches had surrounding the demands that their players are faced with during a 70-minute match. There were a few secondary purposes of the study, such as determining which school, government or private, had a better understanding or perception of the demands, as well as comparing strength and conditioning coaches’ perceptions to regular coaches’ perceptions. METHODS: This was a cross-sectional, descriptive study to determine the coach’s perceptions. These perceptions were collected through an online questionnaire, which consisted of ten sections and 74 questions. The questionnaire was piloted on a subject group with different types of experience. Coaches from the top 100 schools list were contacted through their school website. RESULTS: The questionnaire had a 72% response rate: 41 responses from 51 emails. The 41 responses consisted of 23 government schools and 18 private schools, which included 11 of the top 20 rugby schools in South Africa, with most responses coming from the Eastern Cape (41.5%). Results indicated that a government school’s coaches had significantly (p<0.05) more experience than private schools’ coaches, and that they had significantly (p<0.05) better academic qualifications than private schools. However, strength and conditioning coaches had significantly (p<0.01) better academic qualifications than coach, whereas coaches had significantly (p<0.01) better coaching qualifications than strength and conditioning coaches. CONCLUSION: “Experience has been shown to be a potential reason for what is described as a good coach”. This is also another potential reason why government schools are a dominant force in schoolboy rugby in South Africa. However, this is also coupled with better qualifications showing the dual importance of both experience and education. This study has shown that coaches, within a South African cohort, overall had good general perception of the demands of school level rugby matches. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2021
- Full Text:
- Date Issued: 2021-10
- Authors: Barnard, Devon Vernon
- Date: 2021-10
- Subjects: Rugby football coaches South Africa , Rugby Union football players South Africa , Rugby football injuries South Africa , School sports South Africa , School sports Coaching South Africa , School sports Physiological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/190089 , vital:44962
- Description: INTRODUCTION: Rugby union has been one of the team sports that has grown over the last few years, and the margin between success and failure for teams has become narrower as the years have gone by. The game consists of players going through different movements such as sprints and/or collisions, that vary in intensity. The demands that face schoolboy rugby players are not well understood, and the lack of research in this area leads to a potential lack of understanding of the perceptions that coaches have about the demands that schoolboys are faced with during a match. OBJECTIVE: Therefore, the purpose of this study was to determine the perceptions that the schoolboy rugby coaches had surrounding the demands that their players are faced with during a 70-minute match. There were a few secondary purposes of the study, such as determining which school, government or private, had a better understanding or perception of the demands, as well as comparing strength and conditioning coaches’ perceptions to regular coaches’ perceptions. METHODS: This was a cross-sectional, descriptive study to determine the coach’s perceptions. These perceptions were collected through an online questionnaire, which consisted of ten sections and 74 questions. The questionnaire was piloted on a subject group with different types of experience. Coaches from the top 100 schools list were contacted through their school website. RESULTS: The questionnaire had a 72% response rate: 41 responses from 51 emails. The 41 responses consisted of 23 government schools and 18 private schools, which included 11 of the top 20 rugby schools in South Africa, with most responses coming from the Eastern Cape (41.5%). Results indicated that a government school’s coaches had significantly (p<0.05) more experience than private schools’ coaches, and that they had significantly (p<0.05) better academic qualifications than private schools. However, strength and conditioning coaches had significantly (p<0.01) better academic qualifications than coach, whereas coaches had significantly (p<0.01) better coaching qualifications than strength and conditioning coaches. CONCLUSION: “Experience has been shown to be a potential reason for what is described as a good coach”. This is also another potential reason why government schools are a dominant force in schoolboy rugby in South Africa. However, this is also coupled with better qualifications showing the dual importance of both experience and education. This study has shown that coaches, within a South African cohort, overall had good general perception of the demands of school level rugby matches. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2021
- Full Text:
- Date Issued: 2021-10
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