Long-term player development in rugby – how are we doing in South Africa?

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Differences in muscle pain and plasma creatine kinase activity after \'up\' and \'down\' Comrades marathons

Objective. The aim of this study was to compare the acute changes in muscle pain and plasma creatine kinase (CK) activity following the ‘up' and ‘down' Comrades marathon. Design. This was a quasi-experimental design. Eleven male runners (39.7±9.3 years) completed the ‘up' Comrades marathon, and 11 male runners (41.0±8.4 years) completed the ‘down' Comrades marathon the following year. Maximum oxygen consumption and peak treadmill running speed were measured 2 weeks before the race. Daily measurements of muscle pain and plasma creatine kinase (CK) activity were recorded 1 day before, and for 7 days after the race. Results. Muscle pain remained significantly elevated for up to 7 days after the Comrades marathon, compared with pre-race values (

Travel fatigue and home ground advantage in South African Super 12 rugby teams

Objectives. Studies have shown the existence of a significant home ground advantage in a range of sports. The aim of this study was to determine whether home performances of the South African teams during the 1996 - 2005 seasons were different before touring to Australia and New Zealand, compared with the home matches played after the 4 - 5-week tour. The question was relevant because this competition places unusual demands on the players. For example, the duration of the tournament is 12 weeks, during which time the South African teams travel across 37.3 ± 2.5 time zones as they play 11 matches. Therefore, any home ground advantage may be negated by travel fatigue. Outcome measures. The mean points difference was calculated for home fixtures for four South African teams both prior to and following touring during the competitions from 1996 to 2005. Play&#8209;off matches were excluded from analysis. Performance was defined as a positive points difference (points difference = points ‘for' minus points ‘against'). Results. The first finding of the study was that a home ground advantage did indeed exist for all the teams during the tournament (points difference of 6.6 ± 17.4 (N = 664 matches) home vs. -6.8 ± 17.3 points away (N = 656 matches) (p < 0.05). There was no difference between the mean ‘home' points difference for all the South African rugby teams either before (1.9 points, N = 96 matches) or after (2.3 points, N = 107 matches) touring overseas in the Super 12 competition. South African Journal of Sports Medicine Vol. 19 (1) 2007: pp. 20-2

Contemporary perspectives of core stability training for dynamic athletic performance: a survey of athletes, coaches, sports science and sports medicine practitioners.

BACKGROUND: Core stability training has grown in popularity over 25 years, initially for back pain prevention or therapy. Subsequently, it developed as a mode of exercise training for health, fitness and sport. The scientific basis for traditional core stability exercise has recently been questioned and challenged, especially in relation to dynamic athletic performance. Reviews have called for clarity on what constitutes anatomy and function of the core, especially in healthy and uninjured people. Clinical research suggests that traditional core stability training is inappropriate for development of fitness for heath and sports performance. However, commonly used methods of measuring core stability in research do not reflect functional nature of core stability in uninjured, healthy and athletic populations. Recent reviews have proposed a more dynamic, whole body approach to training core stabilization, and research has begun to measure and report efficacy of these modes training. The purpose of this study was to assess extent to which these developments have informed people currently working and participating in sport. METHODS: An online survey questionnaire was developed around common themes on core stability training as defined in the current scientific literature and circulated to a sample population of people working and participating in sport. Survey results were assessed against key elements of the current scientific debate. RESULTS: Perceptions on anatomy and function of the core were gathered from a representative cohort of athletes, coaches, sports science and sports medicine practitioners (n = 241), along with their views on effectiveness of various current and traditional exercise training modes. Most popular method of testing and measuring core function was subjective assessment through observation (43%), while a quarter (22%) believed there was no effective method of measurement. Perceptions of people in sport reflect the scientific debate, and practitioners have adopted a more functional approach to core stability training. There was strong support for loaded, compound exercises performed upright, compared to moderate support for traditional core stability exercises. Half of the participants (50%) in the survey, however, still support a traditional isolation core stability training. CONCLUSION: Perceptions in applied practice on core stability training for dynamic athletic performance are aligned to a large extent to the scientific literature

Metabolic consequences of exercise-induced muscle damage.

Exercise-induced muscle damage (EIMD) is commonly experienced following either a bout of unaccustomed physical activity or following physical activity of greater than normal duration or intensity. The mechanistic factor responsible for the initiation of EIMD is not known; however, it is hypothesised to be either mechanical or metabolic in nature. The mechanical stress hypothesis states that EIMD is the result of physical stress upon the muscle fibre. In contrast, the metabolic stress model predicts that EIMD is the result of metabolic deficiencies, possibly through the decreased action of Ca(2+)-adenosine triphosphatase. Irrespective of the cause of the damage, EIMD has a number of profound metabolic effects. The most notable metabolic effects of EIMD are decreased insulin sensitivity, prolonged glycogen depletion and an increase in metabolic rate both at rest and during exercise. Based on current knowledge regarding the effects that various types of damaging exercise have on muscle metabolism, a new model for the initiation of EIMD is proposed. This model states that damage initiation may be either metabolic or mechanical, or a combination of both, depending on the mode, intensity and duration of exercise and the training status of the individual

Trunk muscle activation in the back and hack squat at the same relative loads.

The hack squat (HS) is likely to produce a greater 1 repetition maximum (1RM) compared to the back squat (BS). This can be attributed to the support of the trunk during the HS compared to no support during BS. This support however, may compromise trunk muscle activation (TMA), therefore producing different training adaptations. Accordingly, the purpose of this study was to compare 1RM in BS and HS and TMA at 4 relative loads, 65, 75, 85 and 95% of maximal system mass. Ten males completed 3 test sessions:1) BS and HS 1RM, 2) HS & BS neuromuscular test familiarization, and, 3) Neuromuscular test for 3 reps at 4 loads for BS and HS. BS TMA was significantly greater (p<0.05) than HS for all muscles and phases except rectus abdominus in concentric phase. TMA increased (p<0.05) with load in all muscles for both exercises and phases apart from lumbar sacral erector spinae in HS eccentric phase. Mean HS 1RM and submaximal loads were significantly (p<0.0001) higher than the equivalent BS loads. Duration of the eccentric phase was higher (p<0.01) in HS than BS but not different in concentric phase. Duration increased significantly (p<0.01) with load in both exercises and both phases. Despite higher absolute tests loads in HS, TMA was higher in BS. TMA is sensitive to load in both exercises. BS is more effective than HS in activating the muscles of the trunk and therefore arguably more effective in developing trunk strength and stability for dynamic athletic performance

Increased strength is associated with lower trunk muscle activation during loaded back squats and dynamic body weight jumps

This study measured how back squat strength (1RM) affected trunk muscle activation in performing squats, squat jump (SJ), and countermovement jump (CMJ). Fifty males, completed two test sessions. Squat 1RM was tested first. Participants were assigned to three groups: (a) strong group (SG), (b) middle group (MG), or (c) weak group (WG), based on relative squat 1RM. Test 2: EMG data were collected for four trunk muscle sites; rectus abdominus, external oblique, lumbar sacral erector spinae, and upper lumbar erector spinae while performing (3 reps) SJ, CMJ, and squats at 65%, 75%, and 95% 1RM. Squat and jump phases were determined from a linear transducer and 30° tertiles for each phase, from a knee goniometer. Normalized root mean square RMS increased significantly with load for each muscle site in both squat phases. Trunk muscle activation was significantly lower in SG vs WG in eccentric and concentric squat phases. Concentric and flight phase RMS in both jumps was lower in SG vs WG. RMS increased significantly for each eccentric tertile and first concentric tertile. Greater squat strength is associated with lower trunk muscle activation in squats and jumps and trunk muscle activation was highest in the two deepest 30° squat segments. In conclusion, back squat strength training to parallel, where top of thighs are horizontal, is an effective method of developing dynamic trunk stability

Chitosan-Genipin Microspheres for the Controlled Release of Drugs: Clarithromycin, Tramadol and Heparin

The aim of this study was to first evaluate whether the chitosan hydrochloride-genipin crosslinking reaction is influenced by factors such as time, and polymer/genipin concentration, and second, to develop crosslinked drug loaded microspheres to improve the control over drug release. Once the crosslinking process was characterized as a function of the factors mentioned above, drug loaded hydrochloride chitosan microspheres with different degrees of crosslinking were obtained. Microspheres were characterized in terms of size, morphology, drug content, surface charge and capacity to control in vitro drug release. Clarithromycin, tramadol hydrochloride, and low molecular weight heparin (LMWH) were used as model drugs. The obtained particles were spherical, positively charged, with a diameter of 1–10 μm. X-Ray diffraction showed that there was an interaction of genipin and each drug with chitosan in the microspheres. In relation to the release profiles, a higher degree of crosslinking led to more control of drug release in the case of clarithromycin and tramadol. For these drugs, optimal release profiles were obtained for microspheres crosslinked with 1 mM genipin at 50 ºC for 5 h and with 5 mM genipin at 50 ºC for 5 h, respectively. In LMWH microspheres, the best release profile corresponded to 0.5 mM genipin, 50 ºC, 5 h. In conclusion, genipin showed to be eligible as a chemical-crosslinking agent delaying the outflow of drugs from the microspheres. However, more studies in vitro and in vivo must be carried out to determine adequate crosslinking conditions for different drugs

Travel fatigue and home ground advantage in South African Super 12 rugby teams

Objectives. Studies have shown the existence of a significant home ground advantage in a range of sports. The aim of this study was to determine whether home performances of the South African teams during the 1996 - 2005 seasons were different before touring to Australia and New Zealand, compared with the home matches played after the 4 - 5-week tour. The question was relevant because this competition places unusual demands on the players. For example, the duration of the tournament is 12 weeks, during which time the South African teams travel across 37.3 ± 2.5 time zones as they play 11 matches. Therefore, any home ground advantage may be negated by travel fatigue. Outcome measures. The mean points difference was calculated for home fixtures for four South African teams both prior to and following touring during the competitions from 1996 to 2005. Play&#8209;off matches were excluded from analysis. Performance was defined as a positive points difference (points difference = points ‘for' minus points ‘against'). Results. The first finding of the study was that a home ground advantage did indeed exist for all the teams during the tournament (points difference of 6.6 ± 17.4 (N = 664 matches) home vs. -6.8 ± 17.3 points away (N = 656 matches) (p < 0.05). There was no difference between the mean ‘home' points difference for all the South African rugby teams either before (1.9 points, N = 96 matches) or after (2.3 points, N = 107 matches) touring overseas in the Super 12 competition. South African Journal of Sports Medicine Vol. 19 (1) 2007: pp. 20-2

Modeling the effectiveness of One Health interventions against the zoonotic hookworm Ancylostoma ceylanicum

Hookworm disease is a major global public health concern, annually affecting 500-700 million of the world's poorest people. The World Health Organization is targeting the elimination of hookworm as a public health problem by 2030 using a strategy of mass drug administration (MDA) to at-risk human populations. However, in Southeast Asia and the Pacific the zoonotic hookworm species, Ancylostoma ceylanicum, is endemic in dogs and commonly infects people. This presents a potential impediment to the effectiveness of MDA that targets only humans. Here, we develop a novel multi-host (dog and human) transmission model of A. ceylanicum and compare the effectiveness of human-only and "One Health" (human plus dog) MDA strategies under a range of eco-epidemiological assumptions. We show that One Health interventions-targeting both dogs and humans-could suppress prevalence in humans to ≤ 1% by the end of 2030, even with only modest coverage (25-50%) of the animal reservoir. With increasing coverage, One Health interventions may even interrupt transmission. We discuss key unresolved questions on the eco-epidemiology of A. ceylanicum, the challenges of delivering MDA to animal reservoirs, and the growing importance of One Health interventions to human public health