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In response to the COVID-19 pandemic, the South African government enforced a strict lockdown during March and April 2020. Strategies to assist people with maintaining physical activity (PA) became important, and online fitness communities (OFC) offered virtual assistance. This study aimed to investigate the benefits of participating in OFC on physical and mental health during lockdown level 5 in South Africa. The study utilised an online survey which included the Godin Leisure-Time Questionnaire. Participants maintained PA before and during lockdown (n=335; p=0.5). However, significant declines in PA were reported for those who did not find an OFC helpful in achieving exercise goals (p=0.004), nor motivating in pursuing fitness (p=0.001), and not helpful in alleviating perceived feelings of depression and/or anxiety (p=0.001). Participants who indicated that lockdown positively impacted motivation and that OFC were motivating in achieving fitness goals showed a significant improvement in PA (p=0.003). The proven effectiveness of OFC should encourage all health and fitness practitioners to integrate them for current and future use. [ABSTRACT FROM AUTHOR]

Cannabidiol (CBD) and Tetrahydrocannabinol (THC) have become easily available to athletes over the years. Using these substances may inadvertently expose an athlete to the possibility of an adverse analytical finding (a ”positive” test) and a sanction. Athletes need to understand the risk of an antidoping rule violation or adverse analytical finding should these products be used, especially if no therapeutic use exemption exists. This position statement attempts to clarify the use of CBD and THC and their associated risks with Anti-Doping Rule Violations (ADRV) in the athletic population. The South African Sports Medicine Association supports this position statement. [ABSTRACT FROM AUTHOR]

Sudden cardiac adverse events remain an area of concern in sport. The precise risk for netball athletes is unknown but the annual incidence of sudden cardiac death in sports is reported at 0.5-2 cases in 100 000 young competitive athletes between the ages of 12-35 years. Cardiac screening in the sport and exercise medicine context aims at identifying pathologies associated with catastrophic events when combined with physical activity. There is an ongoing debate relating to the standardisation of the pre-participatory medical assessment (PPMA). World Netball (WN) commissioned a cardiac screening policy (13 March 2022). The minimum PPMA recommended by World Netball is a history, physical examination, and a resting 12-lead electrocardiogram (ECG). ECGs should be interpreted in accordance with athletespecific ECG interpretation criteria. Expansion of sports cardiology experience and infrastructure, in combination with universal emergency response planning for sudden cardiac arrest, is intended to safeguard athlete health and player welfare in WN. [ABSTRACT FROM AUTHOR]

Background: Coaches are pivotal in the management of concussed players. Assessing the knowledge of high school rugby coaches with regard to concussion management will enable relevant future education on this topic to be covered. Objectives: To investigate the knowledge of South African high school rugby coaches on concussion symptom recognition, knowledge and stepwise return-to-play (RTP) protocols. Methods: A cross-sectional descriptive study involving 143 first team, high school rugby coaches was completed via an electronic questionnaire. Independent variables included coach demographics, qualifications, experience, BokSmart accreditation, and school size. Dependent variables included knowledge scores on concussion symptoms, general concussion knowledge, stepwise RTP and Maddocks questions. Relationships between total scores for different demographic groupings were established using non-parametric techniques. Results: The coaches had high general, symptom and overall concussion knowledge scores (77% - 80%) in contrast with low RTP scores (62%) and very low Maddocks questions knowledge scores (26%). The 35-44-year age group received top scores for symptom recognition (p=0.034) and total concussion knowledge (p=0.041). Larger category school coaches (p=0.008) and BokSmart accredited coaches (p=0.041) outperformed all other coaches in general concussion knowledge and total knowledge, respectively. However, respondents were not familiar with emotional symptoms or the importance of cognitive rest after a concussion. Educational programmes were the most popular knowledge source for coaches. Conclusion: In general, coaches presented with good general concussion knowledge but lesser expertise on emotional symptoms, cognitive rest and RTP management. Modifiable predictors of knowledge included the expansion of BokSmart accreditation, focussing information sessions on smaller rugby size schools and the education of coaches younger than 35 years or older than 45 years of age. [ABSTRACT FROM AUTHOR]

The ~3.22 Ga Moodies Group, Barberton Greenstone Belt (BGB), South Africa, provides a unique window into Archaean sedimentary, magmatic and ecological processes. In the central BGB, a regional mafic complex, consisting of a genetically related major mafic sill, a peperitic dyke stockwork, and extensive basaltic lava flows affected thick quartzose sandstones of the Moodies Group. We argue that epithermal hydrothermalism associated with this magmatic event occurred, at least in part, syndepositionally and in places destroyed, in other places preserved the abundant benthic microbial mats in terrestrial- and coastal-facies sandstone of this unit. We differentiate four principal types of hydrothermal alteration: (1) Sericitization resulted from ubiquitous feldspar breakdown; (2) iron-oxide alteration replaced the original matrix by fine-grained iron oxide; (3) silicification replaced matrix and most nonsilica grains by microcrystalline silica and locally preserved kerogenous microbial mats; and (4) hydraulic fracturing at shallow depth brecciated consolidated Moodies Group sandstone and created closely spaced, randomly oriented fractures and quartz-filled veins. Because stockwork intrusion locally interacted with unconsolidated water-saturated sediment and because the dykes connect the sill with the mafic lava but also follow zones of structural weakness, we suggest that hydrothermalism associated with this magmatic event occurred syndepositionally but was also - within the resolution of radiometric age data - contemporaneous with tight regional folding. We conclude that microbial organisms in Paleoarchaean coastal (tidal, estuarine) environments may have been formerly widespread, possibly even abundant, but are nearly nowhere preserved because they were easily degradable. Preservation of Early Archaean microbial mats in a thermal aureole in the central BGB was controlled by the "just right" degree of heating and very early hydrothermal silicification. [ABSTRACT FROM AUTHOR]

Background: Amateur cyclists use a wide variety of supplements and nutritional substances to increase performance in addition to their training. Objectives: The intended nutritional supplement use, carbohydrate (CHO) use and hydration practices of amateur cyclists before, during and after endurance cycling were analysed. Evidence of ignorance regarding the use of sports supplements and CHO, as well as the disregard of hydration strategy was hypothesised. Methods: Amateur cyclists, of all age and sex groups, were requested to complete an online survey anonymously on the 2013 Momentum 94.7 Cycle Challenge website, a few days before the event. Results: Responses were received from 2 550 out of 30 640 race entrants (8%); representing a distribution of 75% males, 25% females, with the majority between 25 to 45 years old. Nutritional supplements were used by 59% of respondents, with 77% dose adherence, and 29% with supplement ingredient knowledge. Half of the respondents (48%) planned to carbo-load two-three days before the event, while only five percent used professional advice to scientifically calculate their carbo-loading requirements. CHO were consumed by 81% during the event. Hydration preferences during the race were sports drinks (59%) and water (22%); and after the race 45% preferred a sports drink and 40% water. Ingredients, taste, colour, and temperature were criteria used to choose a sports drink. Only 18% of respondents knew to use both colour of urine and thirstiness to determine post-race fluid requirements. Conclusion: The authors concluded that amateur cyclists had insufficient knowledge regarding nutritional supplement ingredients and usage, CHO requirements and carbo-loading practices, and hydration strategies before, during and after the event. [ABSTRACT FROM AUTHOR]

Corticosteroids act as potent anti-inflammatory drugs and have been used in various sport settings for the treatment of both acute and chronic injuries. Basic physiology and mechanisms of action for gluco- and mineralocorticoids are discussed. Methods of administration, the action on the inflammatory response, and potential short and long-term side effects of corticosteroid use are also deliberated. More specifically, corticosteroid use in the treatment and management of sport-related injuries are discussed, elucidating on the ethical boundaries and anti-doping regulations pertaining to corticosteroid use in sports, as well as putting forth suggestions for the use of local steroid injections and their contraindications. In conclusion, it was found that, despite some controversy in the use of corticosteroid treatment in the sports environment, little empirical evidence exists that could conclusively rule for or against its use. It is however clear that, if clinically justified, there is a significant role for corticosteroid treatment in the realm of sports injury and notably with a relatively low risk profile, if administered correctly. [ABSTRACT FROM AUTHOR]

Background: Athletes need to recover fully to maximise performance in competitive sport. Athletes who replenish more quickly and more efficiently are able to train harder and more intensely. Elite athletes subjectively report positive results using lower body negative pressure (LBNP) treatment as an alternate method for rapid recovery, restoring and improving their impaired physical state. Objective data on the efficacy are lacking. Objectives: To investigate the effect of intermittent vacuum therapy on accelerating acute recovery following an athlete's normal daily training schedule of strenuous exercise. Objective measurements of biological markers of muscular fatigue were used to assess recovery. Methods: Twenty-two male cricket players in a randomised cross-over study were divided into a treatment and control group respectively. Following a one-hour high-intensity gym session, the treatment group received three 30-minute LBNP exposure sessions over three consecutive days (0, 24 and 48 hours). Blood lactate and creatine kinase biomarkers were collected to measure the recovery process. After 14 days groups were crossed over and the trial repeated. Results: Heart rate and blood pressure decreased noticeably during treatment, reverting to baseline levels after treatment. Lactate concentrations decreased in both groups after exercise termination; significantly more in the treatment (0.57±0.23 mmol/l) than control group (0.78±0.22 mmol/l), p<0.001). Creatine kinase (CK) was similar in both groups. Athletes' subjective assessments of recovery rated moderately high. Conclusion: LBNP therapy applied as treatment during routine schedule may have a systemic effect in lowering serum lactate levels, but not CK levels. Enhanced recovery of athletes is still unconfirmed. [ABSTRACT FROM AUTHOR]

Background. Non-traumatic bicycle injuries are common. However, research available on non-traumatic injuries in amateur cyclists is more than a decade old, and most of the research on this topic has been done in Europe and America on professional cyclists in multi-day cycling events. An understanding of the common injuries may lead to appropriate prevention intervention. Objective. To determine the incidence of overuse injuries in amateur cyclists preparing for participation in a 1-day cycle challenge. Methods. A questionnaire was emailed to participants of the 2012 Momentum 94.7 Cycle Challenge, which amateur participants ⩾18 years old were invited to complete. Data on demographics, training habits and the participants' injury profile in the preceding year were collected. Results. Of the 3 300 respondents, 75% were male and 59% were between 30 and 50 years old. Non-traumatic injury, pain or neurological symptoms were reported by 88% of the respondents. The percentages of all respondents who experienced problems in the following anatomical areas were as follows: neck 34%, back 41%, hand/wrist 41%, buttock/perineum 41%, hip 7%, knee 33% and foot/ankle 24%. Knee pain was responsible for the need to stop training for the largest percentage of respondents. Neurological complaints were common in respondents who experienced neck, back, hand/wrist, buttock/perineum and foot/ankle problems. Conclusion. Non-traumatic injuries in amateur cyclists are common, with back, hand/wrist and buttock/perineal symptoms the most frequent problems. Knee problems caused the greatest need to stop training and seek medical help. [ABSTRACT FROM AUTHOR]

Objective. To determine whether a relationship exists between the functional movement analysis (FMA) score and lower-body injury rates in high-performance adolescent female football players. Method. Observations included a baseline FMA score and medical injury reports. Data were collected from 24 players' injury and illness records over a 38-week training period. All football injuries requiring medical attention (including stiffness, strains, contusions and sprains) and/or the removal from a session, leading to training restriction, were included in the study. Off-season weeks were excluded. Pearson's product-moment correlation coefficient was calculated to assess the strength of the linear relationship between the FMA score and the number of medical visits, and between the number of medical visits and the number of training-restriction days. Results. There was no evidence of a relationship between the FMA score and injury risk in teenage female football players (r=0.016; p=0.940). A strong indication of a cyclical season in the training schedule was noticed over the 38-week study period. A substantive negative correlation (r=-0.911; p=0.032) was seen in the number of medical visits compared with the training-restriction days. Injuries during two peak periods could have resulted from overuse, increased training load, stress and overtraining. Conclusion. It could not be shown that a high FMA score was associated with a lower risk of injury. The ultimate goal is thus to reduce recurrent injury in players with a high FMA count. The regular medical visits observed suggest that player condition is maintained by means of reducing injury and managing training-restriction days. Our findings are in accordance with previous studies in terms of the lower limb being the most frequent region of injury, specifically the knee. This study supports previous suggestions that it is essential to develop a prevention strategy to measure trauma and recovery. [ABSTRACT FROM AUTHOR]