One-to-One Support With a Professional Rugby League Player: A Case for Referral?

This article presents a reflective case study of an applied consultancy experience with a 22-year-old professional rugby league player. The primary aim of the intervention was to provide the client a confidential space where he could discuss his experiences in and outside of a sporting context while also exploring and challenging his core values and beliefs. The consultancy process lasted for 12 mo, leading to the development of a strong relationship. During this time, the client experienced multiple critical moments such as deselection from the first-team squad and contract negotiations, which at times led to reductions in his well-being and forced the trainee sport and exercise psychologist to consider his scope of practice in relation to mental health and depression. Reflections are provided that explore the possibility of referral during these moments. The case study also provides insight into the trainee sport and exercise psychologist’s philosophy of practice and how influential this can be when considering referral of a client. The importance of supervisor support during uncertain moments is highlighted, and the case study concludes with reflections from the client, trainee practitioner, and peer supervisor regarding the efficacy of the intervention and the decision not to refer.

Exploring Forms of Life in Player Development Pathways: The Case of British Rugby League

Social, cultural, and historical constraints can influence attitudes towards learning, developing, and performing in sport. A recent conceptualization of these environmental constraints in athlete development pathways is a form of life, which describes the values, beliefs, traditions, customs, and behaviors that contribute to an athlete’s development. Although a form of life can have a powerful influence on athlete development, research exploring this relationship is limited. In this article we explore the form of life in British rugby league football player development contexts to clarify how social, cultural, and historical constraints influence the development of rugby league players in the United Kingdom. Twenty-four coaches were interviewed through individual semi-structured interviews to collect the data. Findings show how forms of life in rugby league player development pathways are established and maintained by the complex interactions between the microsystem, mesosystem, exosystem, and macrosystem that shape and guide the development of players. We recommend that player development pathways in sport underpin practice with a theoretical framework of the learning process to protect athletes from social, cultural, and historical constraints that are not conducive to their development.

Arthroscopic Surgical Technique for an Acute Talar Dome Osteochondral Lesion in a Professional Rugby League Player

Background. Talar osteochondral lesions represent challenging clinical entities, particularly in high-demand athletes. Surgical treatment of large lesions often requires a 2-step procedure, or the use of osteotomy in the case of autologous osteochondral transfer, which can delay return to sport. Methods. A professional rugby league player underwent surgery for a complex injury to the ankle. A talar osteochondral lesion with a maximal diameter of 15 mm was treated in an arthroscopic fashion using the cartilage taken from the completely displaced osteochondral fragment. Cartilage was cut into chips and combined with bone graft product containing platelet-derived growth factor and a porous collagen scaffold. Autologous cartilage was then reimplanted arthroscopically. The patient was allowed full ankle motion from 2 weeks postoperatively, and weightbearing was commenced at 6 weeks. Follow-up imaging and functional outcomes, including return to sport, were assessed at regular intervals. Results. The patient was able to return to professional rugby league by 23 weeks postoperatively. Magnetic resonance imaging at 16 months postoperatively showed restoration of the subchondral plate and osseous infill. At final follow-up, the patient remained pain free and was playing at preinjury level. Conclusion. This report describes good outcomes using a novel, 1-step cartilage repair technique to treat a large talar osteochondral lesion in a professional athlete. Levels of Evidence: Level V: Expert opinion