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Samuel K Lubega Best medical care practices in sport: investigating the barriers to the implementation in the developing countries. Uganda as a case study Thesis presented for the Degree of DOCTOR OF PHILOSOPHY in the Department of Human Biology Faculty of Healthf Sciences Cape Town UNIVERSITY OF CAPE TOWN SAMUEL K. LUBEGA LBGSAM001 UniversitySupervisor: Prof oMike Ian Lambert Cape Town, Western Cape 2019 1 The copyright of this thesis vests in the author. No quotation from it or information derived from it is to be published without full acknowledgement of the source. The thesis is to be used for private study or non- commercial research purposes only. Published by the University of Cape Town (UCT) in terms of the non-exclusive license granted to UCT by the author. University of Cape Town DECLARATION PhD THESIS TITLE: Best medical care practices in sport: investigating the barriers to the implementation process in the developing countries. Uganda as a case study I, Samuel Lubega, I hereby declare that the work on which this dissertation is based is my original work (except where acknowledgements are indicated otherwise) and that neither the whole work nor any part of it has been, is being, or is to be submitted for another degree in this or any other University. Portions of this thesis have however been published in form of articles in sports medicine journals or presented at sports medicine conferences both locally and internationally. I authorize the University to reproduce for the purpose of research either the whole or any portion of the contents in any matter so forth. Signature 12 February 2020 ……………………………………… …………………………. Samuel Lubega Date 2 TABLE OF CONTENTS Table of Contents DECLARATION .................................................................................................................................... 2 TABLE OF CONTENTS ........................................................................................................................ 3 ACKNOWLEDGEMENT ...................................................................................................................... 8 CONFERENCE PROCEEDINGS ASSOCIATED WITH THE THESIS ........................................... 10 THE PUBLICATIONS ASSOCIATED WITH THE THESIS ............................................................ 11 A LIST OF APPENDICES ................................................................................................................... 12 A LIST OF FIGURES .......................................................................................................................... 13 A LIST OF TABLES ............................................................................................................................ 14 THE ABSTRACT ................................................................................................................................. 17 CHAPTER 1 ......................................................................................................................................... 19 1.1 BACKGROUND ........................................................................................................................ 19 1.2 THE RESEARCH FOCUS OF THIS THESIS ........................................................................... 20 1.3 STATEMENT OF THE PROBLEM .......................................................................................... 21 1.4 AIM OF THE THESIS ............................................................................................................... 22 1.5 QUESTIONS OF THE THESIS ................................................................................................. 22 1.6 THE OBJECTIVES OF THE THESIS WERE: ......................................................................... 23 THESIS STRUCTURE ......................................................................................................................... 24 CHAPTER 2 ......................................................................................................................................... 25 LITERATURE REVIEW: SPORTS BODIES, ATHLETES‘ WELL-BEING AND BEST PRACTICE PRINCIPLES. ....................................................................................................................................... 25 2.1 INTRODUCTION ...................................................................................................................... 25 2.2 SPORTS CODES ........................................................................................................................ 27 2.2.1 Athletics ............................................................................................................................... 27 2.1.2 Basketball ............................................................................................................................. 28 2.1.3 Football (soccer) .................................................................................................................. 30 2.1.4 Rugby ................................................................................................................................... 31 2.1.5 Summary of the literature: International sports codes and bodies ....................................... 33 2.2 WELL-BEING OF ATHLETES ................................................................................................. 33 3 2.2.1 Coaches and coaching .......................................................................................................... 35 2.2.2 Sports performance .............................................................................................................. 35 2.2.3 Mental health in sports ......................................................................................................... 36 2.2.4 Doping in sports ................................................................................................................... 37 2.2.5 Nutrition in sports ................................................................................................................ 38 2.2.6 Injuries ................................................................................................................................. 39 2.2.7 Concussion ........................................................................................................................... 45 2.2.8 Cardiac arrests ...................................................................................................................... 46 2.3 Summary of athlete‘s well-being and injury risk in sports ......................................................... 47 2.4 BEST MEDICAL CARE PRACTICES ..................................................................................... 47 2.4.1 Introduction and background ............................................................................................... 47 2.4.2 Phases of best medical care practices in sports .................................................................... 48 2.4.3 Preventive care phase ........................................................................................................... 49 2.4.4 Sports related emergence care .............................................................................................. 65 2.4.5 Intermediate care .................................................................................................................. 66 2.4.6 Rehabilitation ....................................................................................................................... 68 2.4.7 Return-to-sports ................................................................................................................... 69 2.5 UGANDA ................................................................................................................................... 70 2.5.1 Location and brief description of Uganda ............................................................................ 70 2.5.2 Country‘s global economic levels ........................................................................................ 71 2.5.3 Education and sports development....................................................................................... 72 2.5.4 Sports governance in Uganda .............................................................................................. 73 CHAPTER 3: ........................................................................................................................................ 75 MANAGEMENT OF SPORTS INJURIES IN UGANDA .................................................................. 75 3.1 INTRODUCTION AND BACKGROUND ................................................................................ 75 3.2 RESEARCH QUESTION ........................................................................................................... 75 3.2.1 Specific objective ................................................................................................................. 75 3.3 METHODOLOGY ..................................................................................................................... 75 3.3.1 Research setting ................................................................................................................... 75 3.3.2 Population of the study ........................................................................................................ 78 3.3.3 Design and methodology ....................................................................................................
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