Evaluation of Motivation in Patients with Coronary Heart Disease Who Participate in Different Rehabilitation Programs

ABSTRACT

The purpose of this study was to evaluate “motivation in patients
with coronary heart disease, who participated in different rehabilitation
programs and those who did not participate.” Fifty-one (n=51) male patients
suffering from coronary heart disease participated in the present study.
Fifteen participated in a rehabilitation program in a gym; eighteen participated
in a swimming program and eighteen consisted of the control group. The
mean age of the participants was 60.83 (SD=±3.3). Participants completed
the Sport Motivation Scale (SMS). According to the results, patients who
participated in the gym program had statistically higher levels in IM
to knowledge, to stimulation, to accomplishment and EM to interjected
regulation. On the contrary, the control group had statistically higher
levels in EM to external regulation and motivation.

INTRODUCTION

Atherosclerotic cardiovascular diseases are the major cause of death
in middle-aged and older-adults in Europe and United States (BC Ministry
of Health and Ministry Responsible for Seniors, 1996; Giannuzzi et al.,
2003; Sarafino, 1990).

Cardiac Rehabilitation programs were first developed in the 1960s when
the benefits of ambulation during prolonged hospitalization for coronary
events had been documented. Exercise was the primary component of these
programs (Giannuzzi et al., 2003). Over the past 4 decades, numerous scientific
reports have examined the relationships between physical activity, physical
fitness and cardiovascular health (Cerubini, Lowenthal, Williams &
Aging Clinical and Experimental Research, 1997; Fletcher, Balady &
Amsterdam, 2001; Oldridge, et al., 1993; Pate et al., 1995). Randomized
clinical trials of exercise training showed improvement in coronary risk
factors such as blood pressure, body composition, fitness, lipid and lipoprotein
profiles (Dunn et al., 1997; European Hear Failure Training Group, 1998;
EUROASPIRE II Study Group, 2001; Myers, 2003; Rockhill, Willet & Manson,
2001). Swimming and exercise in a gym are included in the so-called coronary
sport groups; as endurance sports with training effects suitable for rehabilitation
(Lins et al., 2003).

Although exercise is considered to be the easiest type of rehabilitation
for patients with coronary heart disease (CHD), their maintenance into
exercise programs is difficult most of the times (Harlan et al., 1995).
Reported rates of uptake of cardiac rehabilitation range from 15% to 59%
(Gattiker, Goins & Dennis, 1992; Pell, Pell & Morrison, 1996).
Approximately 20-25% of patients dropout of exercise programs within the
first three months and about 40-50% within 6 to 12 months (Song et al.,
2000; Oldridge, 1998; Oldridge, 1982).

Psychosocial variables that were found to influence the entrance and
completion of a CR program include motivation, mood states, and social
support (Myers, 2003). Motivation consistently has been shown to be a
strong indicator of initiation and maintenance of participation in a CR
program. It was found that the people that seem to have lower levels of
motivation perceive more barriers or problems associated with their exercise
programs. (Dishman & Ickes, 1981; Evenson & Fleury, 2000). The
literature on physical rehabilitation frequently refers to patient motivation
in explaining differences in outcome among patient groups with similar
pathologies (King, Taylor & Haskel, 1993; Maclean, & Pound, 2000).
Several studies have lent empirical support to the hypothesis that patient
motivation is a determinant of rehabilitation outcome (Clark & Smith,
1997; King & Barrowclough, 1989; Oldridge & Stoedefalke, 1984;
Wolf, 1969).

In general, motivation expresses the needs and the wishes that regulate
the direction, the intensity and the continuation of a specific behavior
(Deci & Ryan, 1985). Deci and Ryan (1985) explained intrinsic and
extrinsic motivators and their influence on self-determination in their
theory of self-determination. Self-determination is a quality of human
functioning that involves the experience of a choice. An important distinction
concerning motivation in exercise and sports is the one between intrinsic
and extrinsic motivated behavior for participation (Ryan et al., 1984).
Intrinsic motivation (IM) refers to an individual who participates in
an activity simply for the satisfaction of doing so (Fortier, et al.,
1995). Intrinsic motivation has been postulated to have three separate
categories: IM to know, to accomplish things and to stimulation (Vallerand
& Losier, 1999; Vallerand, et al., 1989; Vallerand &Bissonnette,
1992).

Extrinsic Motivation (EM), on the other hand, is related to external
factors, such as rewards and punishment (Vallerand & Perrault, 1999;
Ryan & Deci, 2000). The three types of extrinsic motivation, from
the least self-determined to the most self-determined, are external regulation,
interjected regulation and identification (Ryan et al., 1990).

The third type of motivation, amotivation, is characterized by
the thought that actions have no control over outcomes (Deci & Ryan,
1985). In other words, amotivated individuals believe that forces out
of their control determine behaviors.

The specific purpose of this study was to examine the differences in
motivation between patients, who participated in different cardiac rehabilitation
programs and patients who did not participated.

METHOD

Sample

A sample of 51 male patients suffering from coronary heart disease was
selected and divided into 3 groups. Fifteen (n=15) participated in a rehabilitation
program in a gym, eighteen (n=18) participated in a swimming program and
eighteen (n=18) patients consisted of the control group. The participants
couldn’t choose the type of activity and all of them followed a
phase III cardiac rehabilitation program. The mean age of patients was
(mean±S.D. 60.83 ± 3.3).

Procedures

The sampling procedure required that the prospective subjects met the
following criteria: (1) having undergone cardiac-related procedures such
as coronary artery bypass graft surgery (CABG) or percutaneous transluminal
coronary angioplasty (PTCA); (2) able to participate in the cardiac rehabilitation
programs for more than 15 weeks (for the exercise groups) with an attendance
rate of more than 70%. Exclusion criteria were clinically unstable heart
failure, unstable arrhythmias and other exercise limiting concurrent condition
as skeletal or muscular disorders. All exercise patients followed the
routine 3 times per week for 45-90 minutes per session at an intensity
of 60-85% of the maximum heart rate (MHR).

The duration of the rehabilitation programs was 20 weeks. During the
20-week period, the type and intensity of exercise and heart rate and
blood pressure before, during and after exercise were recorded for all
subjects in the exercise groups. Exercise patients did not participate
in any other physical training.

Each training-session in the gym rehabilitation program consisted of
walking, cycling or running on an ergometer. It consisted of 10 minutes
warm–up, 10 minutes stretching and flexibility exercises, of 25
minutes endurance training with heart rate (HR) maintained on 60% – 85%
of the maximum heart rate (MHR) and 10 minutes cool–down.

The swimming exercise program included 10 minutes warm-up, 10 minutes
stretching and flexibility exercises in the pool, 12 minutes walking in
the pool with kickboards and barbell and 12 minutes running or walking
in the pool with alternative intensity in a distance of about 200-250m,
with heart rate (HR) maintained on 60% – 85% of the maximum heart rate
(MHR) and 10 minutes cool-down.

Permission to conduct the investigation was received from the local athletic
association and the individual coaches. Each participant took 10-15 minutes
to complete the questionnaire and responses to the instrument were kept
anonymous. The participants were advised to ask for help if confused about
either the instructions or the clarity of any particular item. No problems
were encountered in completing either of the inventories or understanding
the nature of the questions.

Questionnaire

Patients completed the Sport Motivation Scale (SMS) developed by Pelletier,
Fortier, Vallerand and Tuson (1995). The SMS consists of seven sub-scales
that measure the three types of motivation: intrinsic, extrinsic, and
amotivation. There are four items per sub-scale, thus there are a total
of 28 items being assessed. Each item represents a possible reason why
patients with coronary heart disease participated in an exercise rehabilitation
program. Subjects must rate the extent to which each item corresponds
to one of their participation motives on a seven-point Likert scale, ranging
from “not at all” (1) to “exactly” (7). The English
questionnaire is valid, consistent, and reliable. Pelletier et al. (1995)
found that the English translation of the questionnaire had a satisfactory
level of internal consistency. Additionally, correlations between the
subscales and confirmatory factor analysis have confirmed the determination
continuum and the construct validity of the scale (Pelletier, et al. 1995).

Statistical Analysis

The data was analyzed in two steps. First, internal consistency of subscales
was assessed using Cronbach alphas (Cronbach, 1951). Secondly, a one –way
MANOVA was used to determine if significant differences existed among
patients exercise groups and control group across the seven SMS subscales.
When the results of the one –way MANOVA were statistically significant,
Post hoc Scheffe analysis were conducted to determine which specific patient-group
means were significantly different from one another. The level of significance
was 0.5.

RESULTS

The internal consistency of the Sport Motivation subscales was determined
by calculating Cronbach’s Coefficient Alpha. The seven subscales
of SMS demonstrated acceptable internal reliability (IM to know =. 70,
IM to stimulation =. 80, IM to accomplishment =. 75, EM to external regulation
=. 69, EM to interjected regulation =. 66, EM to identified regulation
=. 75 and amotivation =. 70). These findings are supported by previous
study (Papageorgiou, 2001).

A one – way MANOVA indicated significant differences between the three
patients groups across the seven SMS subscale, Wilk’s Lambda=. 113,
(F7,14=9.892, P<0.05, eta squared=0.664).

Univariate ANOVA results indicated a significant difference only for
the six dependent variables. Statistically significant differences were
found for IM to know (F2,41=13.485, P<0.05, eta squared=0.397),
IM to stimulation (F2,41=43.581, P<0.05, eta squared=0.680),
IM to accomplishment (F2,41=6.581, P<0.05, eta squared=0,243),
EM to external regulation (F2,41=6.548, P<0.05, eta squared=0.242),
EM to interjected regulation (F2,41=22.913, P<0.05, eta
squared=0.528) and amotivation (F2,41=5.707, P<0.05, eta
squared=0.218). Scheffe post hock analysis indicated that patients who
participated in the gym rehabilitation program had statistically higher
levels in IM to know, to stimulation. to accomplishment and EM to interjected
regulation. Additionally, the control group had statistically higher levels
in EM to external regulation and Amotivation. Table 1 provides the means
and standard deviations for these dependent variables.

Table 1 Means and Standard Deviations of Motivation Variables by Group

Variables Gym Group Swimming Group Control Group
M±SD M±SD M±SD
IM to know 4.56±0.798 3.73±0.504 3.44±0.455
IM to stimulation 4.64±0.432 4.18±0.175 3.39±0.433
IM to accomplishment 4.41±0.701 3.75±0.365 3.98±0.358
EM to external regulation 4.10±0.991 3.76±0.240 4.5±0.342
EM to introjected regulation 3.79±0.729 3.46±0.311 2.69±0.286
Amotivation 1.47±0.588 1.63±0.208 2.0±0.450

DISCUSSION AND CONCLUSION

This study explored the influence of two specific types, frequency and
duration of exercise cardiac rehabilitation programs in-patient motivations.

Findings from this study indicated that patients who participated in
the gym rehabilitation program had statistically higher levels in IM to
know, to stimulation, to accomplishment and EM to interjected regulation,
than patients who participated in the swimming rehabilitation program
and patients who did not participate in any program (control group). One
of the possible reasons for the differences between the two exercise patient
groups may be due to the fact that swimming is not very much allowed for
cardiac patients, despite the valuable advantages as an overall physical
conditioning and leisure avocation (Kawahatsu et al., 1986). According
Ebbeck, Gibbons and Loken-Dahle (1995) the differences in reasons for
participating depend on the type of physical activity in which the individual
is involved.

Specifically, patients who participated in a gym program to fulfill intimacy
or acceptance needs were motivated intrinsically to participate in order
to gain knowledge, to experience stimulation and accomplishment (Stults,
2001). According to previous studies, personal satisfaction, knowledge
and pleasure (IM) constitute the main reasons of adult’s participation
in exercise programs (Ebeck et al., 1995; Eix, 2001; Brodkin & Weiss,
1990). These findings are consistent with the findings of previous studies
that suggest effects of the type of rehabilitation in-patients motivation
(Papageorgiou, 2001).

However, the gym exercise group differs significantly from the swimming
and control group in EM to introjected regulation. Introjection is related
to the internal pressures that the patient may put on himself. The guilt
that they feel when they fail to complete a health task or a training
session, will motivate them so as to make it up (Vlachopoulos, Karageorghis
& Terry, 2000). According to Brodkin & Weiss (1990) health reasons
were rated highest by older adults for participating in exercise programs.
Additionally control group had statistically higher levels in EM to external
regulation and Amotivation.

Given the study findings, further research is suggested. A research design
for assessing long-term adherence is recommended. Previous studies indicated
that the dropout rate for an exercise program remains high until 12 months,
with an average attrition rate of 50% (Comoss, 1988; Oldridge, 1979; Song
et al., 2001). It is imperative to assess adherence changes over a long-term
period, focusing on the motivation related variables influencing participation
in rehabilitation programs.

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Consumer Experience Tourism and Brand Bonding: A Look at Sport-Related Marketers

ABSTRACT

This manuscript reviews the growing use of manufacturing plant tours,
company museums, and company visitor centers by sport-related marketers
(equipment manufacturers, venues, etc) to cultivate relationships with
existing and potential consumers. Consumer Experience Tourism provides
the user (i.e., the consumer) with an experience regarding a product,
its operation, production process, history, and historical significance.
Such brand bonding may contribute to higher levels of involvement with
a product/brand and brand loyalty. Ultimately, the bond between consumers
and brands may be strengthened by the availability of such consumer experiences.
Such tourism opportunities provided by sport-related firms are profiled.

INTRODUCTION

The National Sporting Goods Association tracks the annual sales of sports
equipment, footwear, clothing, and recreational transportation (such as
bicycles, pleasure boats, RVs, and snowmobiles). For 2003, it is estimated
these four product categories combined for almost $80 billion in sales
(sports equipment, $22.2 billion; footwear, $14.4 billion; clothing, $10.1
billion; and recreational transportation, $40 billion (please see nsga.org).

The Relationship Marketing orientation has prompted brand managers to
seek new and innovative ways of creating long-lasting, mutually-beneficial
relationships (or bonds) with a most important asset; namely, their customers.
Increasingly, brand managers are recognizing the opportunity to showcase
a product’s creation and/or evolution as an important catalyst for
forging stronger bonds with consumers. So, interested consumers/tourists
can witness the production of such items as Calloway Golf Clubs, Fleetwood
RVs, Louisville Slugger Baseball Bats, Trek Bicycles, and Harley-Davidson
Motorcycles.

The purpose of this manuscript is to evaluate the growing use of manufacturing
plant tours, company museums, and company visitor centers by sport-related
markets to cultivate stronger relationships with consumers and to (hopefully)
stimulate greater brand loyalty. First, the concept of Consumer Experience
Tourism is defined. Second, the underlying interest in this type of tourism
activity is reviewed. Third, the target consumers for such tourism venues
are examined. Next, existing Consumer Experience Tourism efforts of sport-related
marketers are profiled. Finally, the desired outcomes of these efforts
are discussed.

CONSUMER EXPERIENCE TOURISM

Manufacturing plant tours, company museums, and company visitor centers
represent a segment of tourism known by different names: manufacturing
tourism, industrial attractions, industrial tourism, and industrial heritage
tourism. The shared desire of such facilities is to establish a bond between
a consumer and brand as the consumer learns about the brand, its operation,
production process, history, and historical significance. The term “Consumer
Experience Tourism” represents a unifying theme for this segment
of the tourism industry. This term captures the consumer’s ability
to discover more about the brands they consume while manufacturers can
forge closer relationships with those consumers during the 30-120 minutes
of time spent as the facility’s guests (Mitchell and Mitchell 2000,
2001, 2002; Mitchell and Orwig 2002). (The abbreviation CET will be used
throughout the manuscript to represent Consumer Experience Tourism.)

Involvement With a Brand

Brand managers seek to address consumer needs at three levels: functional
(providing solutions to consumer problems); symbolic (providing satisfaction
of psychological desires); and experiential (providing sensory pleasure,
variety, and cognitive stimulation) (Park, Jaworski, and MacInnis, 1986).
CET can strengthen the bond between consumers and brands by providing
a visual presentation of the brand, its operation, production process,
history, and historical significance. Such a bond may be viewed as an
increased level of personal involvement with the brand and (assumedly)
translates into greater brand loyalty. For example, a parent seeking to
cultivate a child’s interest in baseball can take that child to
the Louisville Slugger tour (Louisville, KY).

Cognitive involvement reflects a consumer’s interest in thinking
(or learning more) about a product (Park and Young, 1986). CET may increase
the consumer’s level of cognitive involvement by stimulating thinking
about the brand and its production processes. So, an active golfer may
appreciate witnessing the manufacturing processes used by Karsten Manufacturing
(i.e., Ping) (Phoenix, AZ) or Calloway (Carlsbad, CA). Further, the positive
word-of-mouth communication stimulated by satisfied visitors may be deemed
more credible than other paid forms of promotion.

INTEREST IN CONSUMER EXPERIENCE TOURISM

Many people think of manufacturing plant tours, company museums, and
company visitor centers as low-cost entertainment (and educational) options
for parents with children because such tours are typically free or require
only a nominal fee (Lukas, 1998). While this is a key target market and
a benefit the consumer may seek, the root cause of this fascination runs
much deeper.

Harris (1989) and Prentice (1993) point out that factories and mines
have historically employed a large percentage of the American workforce.
The shift to a service economy takes individuals out of the factories.
This removes people spatially and culturally from the manufacturing sector
providing less contact and little first-hand knowledge of industrial work.
The plant tour creates a novel and nostalgic view of industrial work,
which in turn feeds tourist interest in manufacturing processes. Harris
and Prentice further note that many younger workers’ lack of factory
work experience progresses naturally toward an increasing curiosity about
the topic.

Older employees may relish the experience of “returning to their
roots”. Rudd and Davis (1998) identify the industrial revolution
as a defining event in American history with company plant tours providing
users a look at our collective past. Richards (1996) notes the industrial
revolution created an era where the transition from modern to obsolete
occurs more rapidly. As such, products of older technology are considered
cultural and historical artifacts creating feelings of nostalgia among
society. Company museums or visitor centers capitalize on these emotions
by providing a sentimental, bonding experience between buyer and brand.

The “Retro Example”

The current interest in retro sports clothing is a manifestation of
this interest, even fascination, with the past. All four major North American
sports leagues are aggressively pursuing this growing market (Finney 2003).
Throwback jerseys and other merchandise have become a $1 billion global
industry. The National Basketball Association (or, NBA) sold over $400
million worth of its Hardwood Classics in 2002. The National Hockey League
(or, NHL) is approaching $250 million in vintage merchandise sales. It
is interesting to note that many of these jerseys, ball caps, and other
items represent teams that no longer exist (i.e., Winnipeg Jets or Quebec
Nordiques) or former stars (i.e., Bobby Clarke) (Westhead 2003). The Negro
Leagued Baseball Museum (Kansas City, MO) considers such merchandising
initiatives an opportunity to educate younger fans about an important
part of American and sport history (Spellman 2003).

Sports venues designed as “retro” or “throw-back”
facilities are another interesting manifestation of this interest in the
game’s history. While Wrigley Field, Fenway Park, and Yankee Stadium
continue to be held in high regard for their historic value, newer ballparks
have been designed to capture the old ambiance of a day at the park while
enhancing customer comfort. Such parks as PNC Park (Pittsburgh Pirates),
Jacobs Field (Cleveland Indians), Camden Yards (Baltimore Orioles), Comerica
Park (Detroit Tigers), or Conseco Fieldhouse (Indiana Pacers) have embraced
the past while enhancing fan (and player) comfort.

TARGET CONSUMERS FOR CONSUMER EXPERIENCE TOURISM

A manufacturer can use its physical facilities to establish (or strengthen)
the bond with a variety of parties. The target consumers for CET
can be divided into three categories: current and potential consumers,
business partners, and community stakeholders.

Bonding With Consumers

Manufacturing plant tours, company museums, and company visitor centers
have become a low-cost entertainment option for families, community groups,
business travelers, and others. They provide a day trip option for local
residents. Schools also benefit through field trips for area students
and teachers. Business travelers become aware of best practices from firms
in both related and unrelated industries (Axelrod and Brumberg 1997).
Prentice (1993) notes that areas with large numbers of business travelers
are particularly fertile for the development of such a tourism venue as
travelers can invest a small amount of time and have a valuable experience
with a brand. So, a salesperson can spend approximately 1 hour at the
BMW Zentrum in Greer, SC as they travel the Greenville-Spartanburg area
or as they shuttle from Charlotte to Atlanta.

Bonding With Business Partners

Though business associates are also frequently users of a brand, their
interests are typically more professional than personal. Lucas (1998)
suggests, “museums create the specter of the Wizard of Oz, but factory
tours provide a glimpse of the man behind the curtain.” Business
relationships enhanced by CET include corporate managers, future employees,
new sales agents, industrial suppliers, shareholders, and others. Plant
tours provide corporate managers with an enhanced understanding of how
manufacturing capabilities contribute to a company’s strength in the marketplace.

The plant tour may also be an effective means of identifying and recruiting
future employees by creating interest in the company’s manufacturing
processes (Day, 1990). Upton (1997) suggests that everyone who interacts
with a manufacturing plant (i.e., buyers, suppliers, managers, employees,
and so on) benefits from a comprehensive look at the manufacturing process.

Bonding With Community Stakeholders

Plant tours may be an effective means of communicating with regulatory
agencies and/or public interest groups. For instance, Nike commissioned
a panel to review its operations in China, Indonesia, and Vietnam to counter
perceptions of unfair labor practices and working conditions. The review
process included on-site plant tours and visits with local employees.
The company received a favorable review with respect to this volatile
public relations issue (Neuborne, 1997). Conducting tours of new facilities
during grand openings is commonly practiced, with target consumers including
shareholders, politicians, dignitaries and reporters. While target audiences
may have individual motivations for taking such a tour and may seek different
outcomes from it, it is certain that people are interested in the work
of others.

CONSUMER EXPERIENCE TOURISM EFFORTS BY SPORT MARKETERS

Currently, a number of sport marketers provide manufacturing plant tours,
company museums, and company visitor centers to support their products.
These firms compete in such diverse product categories as baseball/softball
equipment, golf clubs, fishing equipment, boats, and others (see Table
One
).

Table One
Consumer Experience Tourism Offerings of Sport Equipment Manufacturers

Company Name Location Product Category
Karsten Manufacturing (Ping) Phoenix, AZ Golf Equipment
Calloway Golf Carlsbad, CA Golf Equipment
Correct Craft (Ski Nautiques water-ski boats) Orlando, FL Boats
Coachman RVs Middlebury, IN RVs
Jayco RVs Middlebury, IN RVs
Hillerich and Bradsby
(Louisville Slugger, PowerBilt)
Louisville, KY Baseball Equipment
Golf Equipment
Arctco (Arctic Cat) Thief River Falls, MN Snowmobiles
Christian Brothers Warroad, MN Hockey Sticks
Polaris Roseau, MN Snowmobiles
Airstream Jackson Center, OH RVs
Goodyear Akron, OH Tires
Wooden Touch Putters (Oregon Connection) Coos Bay, OR Golf Equipment
Luhr-Jensen Lures Hood River, OR Fishing Equipment
Harley-Davidson York, PA Motorcycles
Vanguard Racing Sailboats Bristol, RI Boats
Worth Tullahoma, TN Baseball and Softball Equipment
Nocona Athletic Nocona, TX Baseball and Football Equipment
K2 Vashon, WA Skiing Equipment
Trek Waterloo, WI Bicycles

Source: Axelrod, K. and B. Brumberg (1997), Watch
It Made in the U.S.A
., Sante Fe, NM: John Muir Publications.

A list of automotive-related tours is separated and presented in Table
Two
.

Table Two
Consumer Experience Tourism Offerings of Automobile Manufacturers

Company Name Location Product Category
Mercedes Benz Vance, AL Automobiles
Mitsubishi Automobile Normal, IL Automobiles
Corvette Bowling Green, KY Automobiles
Ford Louisville, KYEdison, NJ Automobiles
Toyota Georgetown, KY Automobiles
General Motors Flint, MIJanesville, WI Automobiles
Goodyear Akron, OH Tires
Honda Marysville, OH AutomobilesMotorcycles
BMW Greer, SC Automobiles
Nissan Smyrna, TN Automobiles
Saturn Spring Hill, TN Automobiles

Source: Axelrod, K. and B. Brumberg (1997), Watch
It Made in the U.S.A
., Sante
Fe, NM: John Muir Publications.

It should be noted that NASCAR drivers/owners have been particularly
active in embracing CET for their use. NASCAR fans can visit the working
garage of their favorite drivers and witness the preparation of the very
cars they will watch later at the track. The most popular destinations
for NASCAR fans include Joe Gibbs Racing, Hendrick Motor Sports, Dale
Earnhardt Incorporated, Petty Enterprises, and others. The majority of
such facilities are located in close proximity to Charlotte, NC. Additionally,
most larger racetracks provide tours of their facilities including garage
areas, pits, and grandstands. An example list (not exhaustive) of these
tracks is presented in Table Three.

Table Three
Example Motor Sport Tracks Offering Public Tours

Name of Track Location
Atlanta Motor Speedway Atlanta, GA
Las Vegas Motorspeedway Las Vegas, NV
Lowe’s Motor Speedway Concord, NC
Daytona International Speedway Daytona, FL
Texas Motor Speedway Fort Worth, TX
Indianapolis Motor Speedway Speedway, IN
Talladega Superspeedway Talladega, AL
Kentucky Speedway Sparta, KY
Kansas Speedway Kansas City, KS

Source: Original constructed from information gained
from nascar.com.

As new stadiums have been built for professional teams, their owners
have identified the value of opening their facilities to the general public
for tours. Fans can now tour such venues as Lincoln Financial Field (Philadelphia
Eagles, NFL), Invesco Field at Mile High (Denver Broncos, NFL), PNC Park
(Pittsburgh Pirates, MLB), Camden Yards (Baltimore Orioles, MLB), and
the American Airlines Center (Dallas Mavericks, NBA and Dallas Stars,
NHL). And, some older ballparks continue to welcome guests to take nostalgic
tours of their facilities, including Wrigley Field (Chicago Cubs, MLB),
Fenway Park (Boston Red Sox, MLB), Yankee Stadium (New York Yankees, MLB),
New Orleans Superdome (New Orleans Saints, NFL), and others.

Table Four
Additional Sport Halls of Fame

Name Location
Bowling Hall of Fame and Museum St. Louis, MO
United States Golf Association Museum and Library Far Hills, NJ
International Tennis Hall of Fame and Museum Newport, RI
U.S. Bicycling Hall of Fame Somerville, NJ
Lacrosse Hall of Fame Baltimore, MD
World Figure Skating Museum and Hall of Fame Colorado Springs, CO
America’s Cup Hall of Fame Bristol, RI
Negro Leagues Baseball Museum Kansas City, MO
United States Slo-Pitch Softball Hall of Fame Petersburg, VA
Weightlifting Hall of Fame York, PA

Source: Arany, L. and A. Hobson (1998), Little
Museums: Over 1,000 Small (And Not-So-Small) American Showplaces
,
Henry Holt, New York.

DESIRED OUTCOMES FROM CONSUMER EXPERIENCE TOURISM

Involvement theory suggests that consumers who have witnessed a product’s
production may become more brand loyal as a result of their identification
with the product, their familiarity with the production process, their
first-hand interaction with employees, first-hand witness to their quality
assurance processes, and other internal needs. As such, business outcomes
such as growth in buyer loyalty, sales, profitability, and market share
are some of the outcomes sought by companies that provide manufacturing
plant tours, company museums, and company visitor centers. It would be
myopic, however, to suggest CET is solely driven by the desire to increase
sales, profitability, or market share. Other outcomes sought focus on
company image, education, and open communication.

Company Image

Plant tours provide firms the opportunity to build a relationship with
local residents. This can be particularly important if the product or
production processes are perceived to pose environmental concerns (i.e.,
a car plant that produces air emissions). When public funds are used to
build sports arenas, owners may seek to enhance their image by showcasing
what the public has received for their investment.

Education

Plant tours provide a multi-sense experience for consumers, employees,
shareholders, suppliers, and other stakeholders. Consumers can bond with
brands. Company employees can visualize the larger manufacturing process
and appreciate the contribution their particular function or sub-routine
makes to the finished good. As noted earlier, the licensing of retro sports
images by the Negro League Museum (Baseball) allows younger consumers
(often African-Americans) to learn more about the historical significance
of the league and its players.

Salespeople, as well as external sales agents, can study the manufacturing
processes to be better prepared to answer (and anticipate) buyer questions.
For example, a sporting goods sales representative can better appreciate
the manufacturing processes used by Worth to produce its line of baseball
and softball equipment. This representative then carries this knowledge
into the marketplace. A firm’s shareholders (for example, Calloway
Golf, Ford, Goodyear, Harley-Davidson) can witness the processes used
by the firms in which they have an equity position. Finally, some academic
and professional associations include plant tours on their meeting agendas
for continuing education.

Open Communication

An open manufacturing process conveys to others an open communication
style of an organization (i.e., we’ve got nothing to hide). Positive word-of-mouth
communication is stimulated among satisfied on-lookers. Campers having
witnessed the manufacturing of their Jayco or Coachman RVs may be more
likely to share their confidence in their units with fellow campers. News
media may provide “free press” given the novelty of the open
approach to manufacturing (such as the wooden head golf putters produced
by Oregon Connection. While some argue the opportunity for “true”
benchmarking may be overstated, one key outcome of industrial tourism
programs for managers is the openness of communication and the ability
to learn from others (Hinton, 1996).

SUMMARY STATEMENTS

Consumer experience tourism provides the consumer with a bonding experience
regarding a brand, its operation, production process, history, and historical
significance. A consumer witnessing the production of their favorite brand
of golf equipment, snowmobiles, fishing equipment, or softball bats may
become a more brand loyal user as their level of involvement with the
brand intensifies. Such an experience may increase the buyer’s cognitive
involvement with the brand while addressing the buyer’s need for
experiential learning. Further, the aura of the manufacturing process
or historical evolution of the brand may become an integral part of brand’s
image (e.g., as mechanics create race cars in NASCAR garages). Finally,
this same tourist may become a credible spokesperson for the firm as s/he
shares with others the excitement of watching their hockey sticks, baseball
bat or skis actually being produced. Toward this end, CET can become an
integral part of a firm’s integrated marketing communications program.

As the U.S. economy continues its progression from a manufacturing-driven
economy to one driven by services and information, the interest in “how
things work” or “how’d they make that” intensifies. The
separation from the manufacturing process feeds the growing interest in
CET. Further, citizens studying current processes used to produce familiar
brands can celebrate the industrial heritage of their nation. Ultimately,
the bond between consumers and brands may be strengthened by the availability
of manufacturing plant tours, company museums, and company visitor centers.
The relative importance of these outreach efforts, in addition to their
availability, will likely increase as the competition for sports equipment
and entertainment further intensifies.

REFERENCES

  1. Arany, L. and A. Hobson (1998), Little Museums: Over 1,000 Small
    (And Not-So-Small) American Showplaces
    , Henry Holt, New York.
  2. Axelrod, K. and B. Brumberg (1997), Watch it Made in the U.S.A.:
    A Visitor’s Guide to the Companies That Make Your Favorite Products
    (2nd Edition)
    ,
    John Muir Publications, Sante Fe,
    NM.
  3. Day, C. R. (1990), “Strut Your Stuff,” Industry Week,
    Vol 239 No 19, p. 5.
  4. Finney, D. P. (2003), “Back to the Future,” St. Louis
    Post-Dispatch
    , July 21, p. E1.
  5. Harris, F. (1989), “From the Industrial Revolution to the Heritage
    Industry,” Geographical Magazine, Vol 61, pp. 38-42.
  6. Hinton, J. (1996), “Rivals Club Together,” Accountancy,
    Vol 117 No 1, pp. 36-37.
  7. Lukas, P. (1998), “Working Vacation,” Money, Vol
    27 No 9, pp. 170-171.
  8. Mitchell, M. and S. Mitchell (2002), “Consumer Experience Tourism:
    A Powerful Tool for Food and Beverage Producers,” Journal of
    Food Products Marketing,
    Vol 6 No 3, pp. 1-16.
  9. Mitchell, M. and S. Mitchell (2001), “Showing Off What You Do
    (And How You Do It),” Journal of Hospitality and Leisure Marketing,
    Vol 7 No 4, pp. 61-77.
  10. Mitchell, M. and S. Mitchell (2002), “Consumer Experience Tourism
    in the Nonprofit & Public Sectors,” Journal of Nonprofit
    & Public Sector Marketing
    , Vol 9 No 3, pp. 21-34.
  11. Mitchell, M. and R. Orwig (2002), “Consumer Experience Tourism:
    Brand Bonding,” Journal of Product and Brand Management,
    Vol 11 No. 1, pp. 30-41.
  12. nascar.com (National Association of Stock Car Racing)
  13. nsga.org (National Sporting Goods Association).
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    Tour,” USA Today, June 25, Section B, p. 5.
  15. Park, C.W. and S.M. Young (1986), “Consumer Response to Television
    Commercials: The Impact of Involvement and Background Music on Brand
    Attitude Formation, Journal of Marketing Research, Vol 24 No
    1, pp. 11-24.
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    Brand Concept – Image Management,” Journal of Marketing,
    Vol 50 October, p. 136.
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    Routledge Kegan Paul, New York.
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    Cultural Tourism,” Annals of Tourism Research, Vol 23, pp.
    261-283.
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    at the Bingham Canyon Copper Mine,” Journal of Travel Research,
    Vol 36 No 3, pp. 85-89.
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    Available,” Chicago Daily Herald, July 14, p. 10.
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2015-03-20T08:35:48-05:00March 6th, 2004|Contemporary Sports Issues, Sports Exercise Science, Sports Management, Sports Studies and Sports Psychology|Comments Off on Consumer Experience Tourism and Brand Bonding: A Look at Sport-Related Marketers

The Study of Physiological Factors and Performance in Welterweight Taekwondo Athletes

Abstract

The purpose of this research was to investigate the variation in heart rate, oxygen consumption and blood lactic acid for taekwondo athletes during training and competition. Ten taekwondo athletes from a Division I university volunteered for the research. The average age of the subjects was 19.5±0.5 .4 yr, the height was 174.6±2.8 cm, the weight was 63.6±1.4 kg, the black belt rank was 2.5±0.5, and the average training period was 6.4±1.0 years. The competition was of university class. During the experiment, each subject rode the bicycle ergometer until complete exhaustion at a speed of 60 RPM and power of 120W that increased by 30W every two minutes. The investigation focused mainly on the variations during the rest period and the three recovery periods after exercise (5th, 30th and 60th minute). Wireless heart recorder (POLAR), Vmax29 gas analyzer, YSI2300 lactic acid analyzer and DAIICHI analyzer were used to analyze heart rate, oxygen consumption, blood lactic acid and urobilinogen. According to the statistical analysis on one-way ANOVA with Repeated Measures and a Scheffe Post Hoc test, the results showed that:

1.There was no difference at the cardiac respiratory functioning between training and competition period. The players can’t recovery quickly for sixty minutes.
2. There was a significant difference at the BLA on the competition period higher than training period (7.0±1.3 vs. 6.3±1.2 mmol/l, p<.05).
3.There was no difference at the URO between training and competition period in the post-exercise 60 minute and rest.4. There was a difference on the output power at training period higher than competition period (232.7±14.5 vs. 226.5±14.7 watt, p< .05).

To recover the rest state more time and improve intensive training in the blood lactic acid system and power output. It’s a benefit and helpful for the players and coaches to investigate the reference during the contest and sport science training.

I. Introduction

According to the theory of Periodization of Strength, gains in muscular strength (M*S) during the M*S phase should be transformed into either muscular endurance (M-E) or P during the conversion phase so athletes acquire the best possible sport-specific strength and are equipped with the physiological capabilities necessary for good performance during the competitive phase. To maintain good performance throughout the competitive phase, this physiological base must be maintained (Bompa, 1999). The determination of physiological variables such as the anaerobic threshold (AT) and maximal oxygen uptake (VO2max) through incremental exercise testing, and relevance of these variables to endurance performance, is a major requirement for coaches and athletes (Bentley, Mcnaughton, Thompson, & Batterhan, 2001).

According to the theory of Periodization of Strength, gains in muscular strength (M*S) during the M*S phase should be transformed into either muscular endurance (M-E) or P during the conversion phase so athletes acquire the best possible sport-specific strength and are equipped with the physiological capabilities necessary for good performance during the competitive phase. To maintain good performance throughout the competitive phase, this physiological base must be maintained (Bompa, 1999). The determination of physiological variables such as the anaerobic threshold (AT) and maximal oxygen uptake (VO2max) through incremental exercise testing, and relevance of these variables to endurance performance, is a major requirement for coaches and athletes (Bentley, Mcnaughton, Thompson, & Batterhan, 2001).

Heller, et al. (1998) pointed out that Taekwondo could not only improve human cardio respiratory endurance but also enhance practitioners’ martial arts spirit, and form good exercise and self-defense exercise. It also is classified as a high-strength anaerobic capacity exercise. Shin (1993) reported that excellent international Taekwondo athletes must have high speed and power for them to win the international games. The energy system of anaerobic power and anaerobic capacity mainly comes from ATP and Glycolsis system. Taekwondo practice had positive impact on the improvement of human cardio respiratory and physical ability (Pieter et al., 1990).

Heller et al (1998) found that the maximum oxygen consumption volume was 57.0 ml/kg/min in Spanish international Taekwondo athletes and 53.8 ml/kg/min in Czech international athletes. The maximum oxygen uptake in Taekwondo black-belt athletes is 44.0 ml/kg/min (Drobni et al., 1995). Bompa (1999) investigated boxing and martial arts, a quick and powerful start of an offensive skill prevents an opponent from using an effective action. The elastic, reactive component of muscle is of vital important for delivering quick action and powerful starts.

The purpose of this study is to investigate the change of heart rate, oxygen consumption, blood lactate, and urine urobilinogen in resting phase, and in post exercise recovering phase at 5 min, 30 min and 60 min after a total 10-week period including training and competition phases.

II. Study Methods and Procedures

Selection of the Subjects

Ten male TaekwonDo athletes were recruited as volunteer subjects in this study. The mean age, body height, weight, rank, and training experience of these subjects were 19.3±0.5 years, 174.6±2.8 cm, 63.6±1.4 kg, 2.5±0.5, and 6.4±1.0 years, respectively.

Time and Venue

The whole study was completed in the Sports Physiology Lab of Chinese Culture
University, Taiwan. The research of training phase was done from May 11 to 12, 2002. The research of peak phase was done from May 25 to 26, 2002.

Study Methods and Procedures

According to the training content completely controlled by the coach, the training duration is 10 weeks, once every morning for 1.5 hours and every afternoon for 2 hours. The research method was to arrange the subjects to pedal on a bicycle to exhaustion at cycling rate 60 RPM and initial workload 120 W with 30 W increase every 2 minutes. The post-exercise physical changes (heart rate, oxygen consumption, blood lactate, and urine urobilinogen value) were measured in baseline phase, training phase and competition phase, collecting 3 samples in each phase.

(1) Informed consent forms were obtained after the study procedures and potential effects were explained to the subjects, and were understood by the subjects. The status of subjects’ general health was also recorded.

(2) Subjects who were in a bad mood and not in good physical condition were not allowed to perform the test, and were scheduled to return at another time.

(3) 30 minutes before the experiment, the experimental equipment started to warm up, and experimental material was prepared. The subjects were arranged on a bicycle to start pedaling to exhaustion at cycling rate 60 RPM and initial workload 120 W with 30 W increase every 2 minutes. The physical changes (heart rate, oxygen uptake, blood lactate, urine urobilinogen value)were measured at 1. Resting phase 2. First minute of post exercise recovering phase 3. 5th minute of post exercise recovering phase 4. 30th minute of post exercise recovering phase 5. 60th minute of post exercise recovering phase.

(4) During the experiment, the research staff recorded the information obtained from the instruments. When the first experiment ended, the subject would be informed of the time of next experiment.

(5) Study Equipment and Instruments: The following items were utilized in this research:

  1. SENSOR MEDICS Vmax29 Gas Meter
  2. YSI2300 PLUS Lactate Analyzer
  3. DAIICHI 701 Analyzer
  4. 586 PIII computer and Laser printer
  5. (POLAR) Mobile heart rate recorder
  6. Stopwatch
  7. Hygrometer

Data Management

(1) All data collected from the study were analyzed using 3 statistical software programs: Microsoft Excel 8.0, SPSS/PC 10.0, and SPSS for Windows.

(2) Multiple variants were analyzed by ONE-WAY ANOVA and subsequent Scheffe’ way for post-hoc analysis.

(3) Significant difference was set at α=. 05.

III. Results and Discussion

1.Assessment of Cardio respiratory function

(1)The result of heart rate measurements. There were no statistically significant differences for heart rate between training and competition period(188.7±2.8 vs. 189..6±1.6 bpm , p>.05) (Table 3-1)(Figure3-1). The results showed no overstraining of the heart rate between training and competition period. Arja & Uustitalo(2001) reported overstraining syndrome as a serious problem marked by decreased performance, increased fatigue, persistent muscle soreness, mood disturbances, and feeling ‘burn out ‘ or stale.

Lin & Kuo (2000) found Tae-kwon-Do competition with 3 runs (3 min per run), and 1-min break in every game, the score decides who is the winner. During a game, their heart rates would increase to 165 time/min. Some may reach 192 time/min. It shows that Tae-kwon-Do is a high-intensity exercise, which has greater impact on circulation and respiratory systems. Related to this study, the athletes in different grades of technique and body weight have different fitness physical conditions. Guidetti, Musulin, & Baldari (2002) reported eight elite amateur boxers’ HRmax at 195±7 bpm. The measurement of maximum heart rate is important because it is often used to determine the intensity of cardiovascular training zone. In reality, a larger size athlete would tend to have a lower HRmax value than the predicted value (McArdle et al., 2001). Melhim (2001) et al. found that Tae-kwon-Do exercise could improve children’s cardio respiratory function, improve practitioners’ attack and defense skills and enhance self-health adjusting ability. The result shows that the resting heart rate did not have significant difference after aerobic power training; Anaerobic power and anaerobic capacity had a significant difference, 28% and 61.5% increase respectively; Before and after the training, there was no significant difference in resting heart rate (80.0±6.0 vs. 77.0±9.0 time/min, p>. 05) and in maximum oxygen uptake (VO2 max ) (36.3±9.2 vs. 38.2±7.8 ml/kg/min, p>.05). In 80-second Tae-kwon-Do competition, VO2max is 68/ml/kg/min. There was no difference at the heart rate in the training period between post-exercise 60 minute and rest (73.6±3.7 vs. 67.6±3.2 bpm , p>.05). There was no difference at the heart rate in the competition period between post-exercise 60 minute and rest (72.9±3.7 vs. 67.0±2 .0 bpm , p>.05).

Table 3-1 Heart rate comparisons between training and competition n=10 (unit: bpm)

Rest Hrmax post-5 p-30 p-60
Training 67.6±3.2 188.7±2.8 121.3±7.0 84.2±3.2 73.6±3.7
Competition 67.0±2.0 189.6±1.6 115.7±13.2 80.4±5.8 72.9±3.7

* means significant different between training and competition

The elite athlete can recover quickly to a rest state and have low a heart rate. Heart rates of general athletes at rest, before and after exercise, were 71, 59, 36 time/min, and their maximum heart rates were 185, 183, 174 time/min, respectively(Jack & David, 1999). The results showed the athletes didn’t recover to the rest period for sixty minutes in the post-exercise between training and competition period. Maybe the players need more time to improve the recovery state. It’s important for the coach and players to improve the recovery system on time because the players have to keep peak performance to success. Prevention is still the best treatment, and certain subjective and objective parameters can be taken by athletes and coaches to prevent over training between practice and competition periods.

Zen-Pin Figure 1

Figure 3-1 Heart rate comparisons between training and competition

(2)The result of VO2max There was no difference at the VO2max between training and competition period (49.6±3.3 vs. 50.3±3.0 ml/kg/min, p>.05)(Table3-2)(Figure3-2). Drobnic(1995)discussed recreational Tae-kwon-do athletes had a mean VO2max about 44.0 ml/kg/min; however, the VO2max values for elite athletes would be significantly higher than the athletes of recreational level. The National Taekwando Team of China had an average of VO2max of 57.57 ml/kg/min. The mean VO2max value of the Korean National Team, the perennial dominant power of this event, was about 59.56 ml/kg/min (Hong, 1997).Heller et al(1998) reported the average VO2max of the black-belt athletes on the Spanish national squad was 57.0 ml/kg/min, and as for the Czech Republic Team, the value was 53.8 ml/kg/min. Based on the results of previous research, it was suggested that male and female contestants with VO2max of 65 ml/kg/min and 55 ml/kg/min respectively, had a better chance to win Olympic medals. Intensive aerobic training could improve the physiological functions of highly trained sport contestants (Cooke et al., 1997).

Macdougall, Wenger & Green(1990)found ranges of VO2max reported for international athletes in male wrestling, soccer, basketball, and untrained. Their result were 50-70 ml/kg/min, 50-70 ml/kg/min, 40-60 ml/kg/min, 38-52 ml/kg/min. Guidetti, Musulin, & Baldari (2002) examined the physiological characteristics of the middleweight class boxers. Their VO2max at the individual anaerobic threshold was about 46.0±4.2ml/kg/min and their VO2max was 57.5±4.7 ml/kg/min. In addition, their hand-grip strengths and wrist girths were measured and compared to other combat-sports athletes.

In a competitive Olympic (non-professional) boxing match, boxers must fight for a total of 11 minutes. The fight is structured for three 3-minute rounds with a 1-min rest interval between each round. An athlete must have a high anaerobic threshold level and aerobic power level to meet the demand of this sport (Guidetti et al., 2002). Zabukovec & Tiidus(1995) investigated the physiological characteristics of kickboxers .Professional male middleweight (73-77 kg) and welterweight (63-67 kg) kickboxers were determined to have relatively higher aerobic capacities (VO2max, 54-69 ml/kg/min) than previously reported for many other power or combat athletes.

Table 3-2 Oxygen consumption comparisons between training and competition n=10 (unit: ml/kg/min)

Rest VO2max post-5 p-30 p-60
Training 3.9±0.3 49.6±3.3 20.8±1.1 5.9±0.3 4.3±0.1
Competition 3.8±0.4 50.3±3.0 20.7±0.9 5.9±0.3 4.2±0.1

*means significant different between training and competition

The results showed lower VO2max than elite players. Therefore, to monitor the phenomena of physiological characteristics to improve the efficiency in the sport science, there was no difference at the VO2max in the training period between post-exercise 60 minute and rest (4.3±0.1 vs. 3.9±0.3 bpm, p>.05). There was no difference at the VO2max in the competition period between post-exercise 60 minute and rest (4.2±0.1 vs. 3.8±0.4 ml/kg/min, p>.05). The result showed similarly between post-exercise 60 minute and rest in the training and competition period , but need more time to recovery in the rest period.

Zen-Pin Figure 2

Figure 3-2 Oxygen consumption comparisons between training and competition

2. The result of blood lactic acid measurement. There was difference at the BLA on the competition period higher than training period (7.0±1.3 vs. 6.3±1.2 mmol/l, p<.05)(Table 3-3)(Figure 3-3). Heller et al (1998) reported that in male and female international TKD competitions, peak blood lactate after 143 seconds could reach the highest, 11.4 mmol/l. The change in the blood lactate has a close relationship with the TKD competition intensity and competition performance (Hultman & Sahlin, 1980). The result showed lowered blood lactic acid than others to improve the intensive training to the player between training and competition period. Hetzler et al (1989) pointed out that excellent martial players should have the characteristics of very good physical ability, high speed and great strength, blood lactate ranging from 1.51-3.23 mol/100 ml, and blood pH value decreasing from 7.39 to 7.34 mg/dl. TKD players not only must have anaerobic metabolism with greater explosive power, but also have very good aerobic endurance; therefore, TKD athletes must have very good anaerobic ability and demand for higher aerobic metabolism capacity (Ho, 1997).

Table 3-3 Blood lactic Acid comparisons between training and competition n=10 (unit: mmol/l)

Rest post-5 p-30 p-60
Training 0.8±0.0 6.3±1.2 3.6±1.1 1.2±0.2
Competition 0.8±0.0 7.0±1.3 * 3.3±0.7 0.9±0.1

* means significant different between training and competition

Jack & David (1999) found that the resting blood lactate are 1.0 mmo/l、1.0 mmol/l、1.0mmol/l respectively for ordinary athletes, and international athletes before and after exercise; maximum blood lactate are 7.5、8.5、9.0 mmo/l respectively.

Ho., Chiang & Tsai(1998) found that in 1998 Asia Games, having 4 TKD athletes participate in the winning competition in the training team, the results showed that their maximum blood lactate was 6.74 mmol/l, and BUN tended to increase gradually after competition. From these results, we know although the time of TKD games is short, it may cause the damage in muscle fiber. To excellent athletes, if the quality and quantity of training intensity, cardio respiratory function, energy consumption, and blood lactate system during training can be well controlled, furthermore to well control their body weight and physical ability, the athletes can elaborate their potential and maintain peak performance. It is very important to coaches and athletes (Hiroyuki et al., 1999).

Zen-Pin Figure 3

Figure 3-3. Blood lactic Acid comparisons between training and competition

3. The result of URO There was no difference at the URO between training and competition period (92.0±91.1 vs. 195.0±158.4 mg/dl ,p>.05).(Table3-4)(Figure3-4). Urine biochemistry tests can be the evaluation index of nutrition assessment and test exercise intensity (Robert & David, 1993). There was no difference at the URO in the training period between post-exercise 60 minute and rest (36.5±37.2 vs. 15.8±10.4 mg/dl, p>.05).There was no difference at the URO in the training period between post-exercise 60 minute and rest (43.5±35.5 vs. 25.0±12.6 mg/dl , p>.05). The greater the fatigue, the greater the negative training aftereffects such as low rate of recovery, decreased coordination, and diminished power output (Bampa,1999). Related to this study, probably 10-week peak phase of training over-exhausts the physical function and elevates urine protein level that will take longer to recover. Lin(1996)discussed that the factors affecting exercise urine protein included: 1.urine protein and physical function.2.quantity and intensity of training.3.age and environments.4.the effect of emotion on urine protein.

Table 3-4 URO comparisons between training and competition n=10(unit:mg/dl)

Rest post-5 p-30 p-60\
Training 15.8±10.4 92.0±91.1 105.0±126.1 36.5±37.2
Competition 25.0±12.6 195.0±158.4 120.0±73.3 43.5±35.5

* means significant different between training and competition

This finding can be an objective reference factor for contestants in the training and competition. It is possible that nine weeks of training may increase the urine protein level. Urine protein and exercise intensity have strong relationship. Competitive games and high intensity training make urine protein increase. The stronger the exercise intensity, the more the urine protein.

Zen-Pin Figure 4

Figure 3-3 URO comparisons between training and competition

4.The difference of PO(power output) There was difference at the power out at competition period greater than training period (232.7±14.5 vs. 226.5±14.7 watt ,p<.05) (Table3-4) (Figure3-4). It could be training for 10th week to promotion the muscle of power output. Zabukovec & Tiidus (1995) investigated professional male middleweight (73-77 kg) and welterweight (63-67 kg) kickboxers. The results showed relatively anaerobic capacities (8.2-11.2 Watt/Kg) than previously reported for many other power or combat athletes. The results showed lower than Kickboxers’ anaerobic capacities. Hoffman & Kang (2002) investigated a major concern of many of these studies focused on the applicability of a cycle ergo meter test for anaerobic power in athletes that perform primarily sprinting activities. To find the peak power of the football, basketball, wrestlers, male physical education students were 16.8±5.2 w/kg, 21.8±5.0, 18.5±2.7, 18.8±5.6 W/kg. Female group of the soccer and physical education students in peak power is 15.7±4.2 and 12.9±3.0 W/kg. However, the results showed lowered power output than others to improve the athlete’s muscle power to promote the physical state.

Bompa (1999) investigated strength training has become widely accepted as a determinant element in athletic performance. Thus, the main objective of the conversion phase is to synthesize those physiological foundations for advancements in athletic performance during the competitive phase. The determining factors in success of the conversion phase are its duration and the specific methods used to transform M*S gain into sport-specific strength.The power value measured by the simple product of the applied force and the speed developed remains inferior to the real power performed by the subjects since the forces of friction and inertia are not taken into account (Arsac et al.,1996).Thus other factors, such as metabolic and structural properties of taekwon-do players’ muscles, should be considered.

Therefore, martial arts and boxers must be able to react quickly and powerfully to an opponent’s attack. Both aerobic and anaerobic energy is used during a bout. Reactive strength and agility are necessary to respond to an opponent’s strategy. Limiting factors: Power endurance P-E), reactive power, M-E (muscle endurance)medium or long(professional boxer (Bompa,1999).

Taekwon-do exercises the need for stronger power including speed and velocity. Power is the ability of the neuromuscular system to produce the greatest possible force in the shortest amount of time. Power is simply the product of muscle force (F) multiplied by the velocity (v) of movement: P=F*V for athletic purpose, any increase in power must be the result of improvements in either strength, speed, or a combination of the two (Bompa, 1999).

Table 3-4 Power Output comparisons between training and competition n=10 (unit: watt) ; average power: AP

Power Output
Training 226.5±14.7 *
Competition 232.7±14.5

*means significant different between training and competition

The advantage of explosive, high-velocity power training is that it “trains” the nervous system. Increase in performance can be based on neural changes the help the individual muscles achieve greater performance capability (Scale,1986). This is accomplished by shorting the time of motor unit recruitment, especially FT fibers, and increasing the tolerance of the motor neurons to increased innervations frequencies (Hakkinen, 1986; Hakkinen & Komi,1983). The other way, it’s important technology for the coach and player to improve the starting power because it is an essential and often determinant ability in sports where the initial speed of action dictates the final outcome (boxing, karate, fencing, the start in sprinting, or the beginning of an aggressive acceleration from standing in team sports). The athlete’s ability to recruit the highest possible number of FT fibers to start the motion explosively is the fundamental physiological characteristic necessary for successful performance (Bompa,1999).

Zen-Pin Figure 5

Figure 3-4 Power Output comparisons between training and competition

IV. Conclusion

  1. There was no difference of the cardiac respiratory functioning between training and competition period. The players can’t recovery quickly for sixty minutes.
  2. There was a difference at the BLA at the competition period higher than training period. To improve the intensive training to the player between training and competition period.
  3. There was no difference at the URO between the training and competition period in the post-exercise 60 minute and rest.

The competition period was greater than training at the power out, but less than elite athletes in the professional period. Athletes are constantly exposed to various types of training loads, some of which exceed their tolerance threshold. When athletes drive themselves beyond their physiological limits, they risk fatigue (Bompa,1999). Thus, to monitor the physiological characteristics between training and competition period. It’s benefit for the player and coach to manage the peak performance and avoid the over training. To recover quickly and keep a steady state is important for the coach and player.

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2016-10-14T10:29:57-05:00March 5th, 2004|Contemporary Sports Issues, Sports Exercise Science, Sports Facilities, Sports Studies and Sports Psychology|Comments Off on The Study of Physiological Factors and Performance in Welterweight Taekwondo Athletes

Practical and Critical Legal Concerns for Sport Physicians and Athletic Trainers

Abstract

In order to help sport physicians and athletic trainers understand the
legal principles that may be applicable to injury treatment, the writers
examined the areas of liability that physicians and trainers may face
in their delivery of care. Major topics which were covered by this article
included: (1) informed consent and participation risks, (2) physician-patient
relationship, (3) immunity issues, and (4) risk management. In conclusion,
seven protective strategies were recommended for sport physicians and
athletic trainers to insure acceptable service standards. They were: (a)
maintaining a good physician-client relationship with athletes; (b) obtaining
informed consent and insist on a written contract; (c) educating the athletes,
parents and coaches concerning issues of drug abuse, assumption of risks,
confidentiality; (d) performing physical examinations carefully, and be
cautious on issuing medical clearance; (e) formulating a risk management
plan and properly document hazards and records; (f) participating in continuing
education and recognize your qualifications; and (g) maintaining insurance
coverage.

Introduction

The special legal duties and liabilities team physicians have are rapidly
developing areas of law (Collum, 2001). Since 1990, there has been a significant
increase in sports medicine related litigation (Gallup, 1995). The increasing
economic benefits of playing sports, such as college scholarships or multi-million
dollar professional contracts, have inspired injured athletes to seek
compensation for injuries resulting from negligent medical care (Herbert,
1991). As a result, today, many sport physicians and athletic trainers
recognize they need a general understanding of certain legal principles
in order to further protect themselves and their institutions from litigation
(Gieck, Lowe, & Kenna, 1984). Sport physicians and athletic trainers
must become familiar with the acts and policies that regulate the profession.
Physicians and trainers must realize that acquiring the basic knowledge
of legal principles can help improve their professional practice. In order
to help sport physicians and athletic trainers understand the legal principles
that may be applicable to injury treatments and prevention, the writers
examines several areas of liability physicians and trainers may face.
These areas include: (a) informed consent and participation risks, (b)
the physician-patient relationship, (c) immunity issues, and (d) risk
management.

Informed Consent and Participation Risks

A widely recognized legal principle is that the team physician must have
an athlete’s informed consent before providing any medical treatment
(Gallup, 1995; Ray, 2000; Mitten, 2002). Informed consent is a legal doctrine
that requires a sport physician to obtain consent for rendering treatment,
performing an operation, or using many diagnostic procedures after their
clients being furnished with all the known relevant facts (Gallup, 1995;
Briggs, 2001). This requirement is based on the principle of individual
autonomy, meaning a competent adult has the legal right to decide what
to do with his body (Heinemann, 1997).

Consent forms are especially important in the high school setting because
most of these injured student- athletes are minors. No lawsuit has been
successfully tried based on a lack of parental consent, where the treatment
of the minor was non-negligent (Gallup, 1995; Ray, 2000). Recently, many
courts have begun to follow the mature minor rule allowing the young person
(an age of 14-16) to validly consent to the physicians’ treatment
(Holder, 1978). Consent may be implied under the circumstances, such as
when an athlete has been rendered unconscious during play and needs emergency
medical treatment (Mitten, 2002; Hecht, 2002). In these cases, the law
generally assumes that if the injured athlete had been aware of his/her
condition and was mentally competent, then he/she would consent to the
treatment. Based on several experts’ comments (Rosoff, 1991; Gallup,
1995; Briggs, 2001; Mitten, 2002; Sports Medicine Digest, 2002), the authors
have summarized the key points in the consent, which should be disclosed
to athletes:

  1. Physicians and trainers must adhere to customary or accepted sports
    medicine practice in diagnosing athletes’ injuries.
  2. An athlete must understand the kind of treatment to which he is consenting.
  3. A physician must disclose relevant information since his/her failure
    to do so may subject him/her to liability for fraudulent concealment.
  4. Physicians and trainers should propose possible alternative treatments.
  5. Keep in mind that the clients have the “right of refusal.”
  6. Physicians and trainers should explain the cost of the proposed treatment.

It is difficult to judge how far a sport physician should go in determining
whether an athlete actually understand what he/she has consented to or
not. In the 1987 California case of Krueger v. San Francisco 49ers, the
49ers were found guilty of fraudulent concealment, because the team physicians
failed to inform Krueger about the full extent of his injuries, the potential
consequences of the anesthetic steroid injections, and the long-term implications
of playing professional football with a badly damaged knee. If a physician
wishes to avoid the liability of negligence or fraud, he/she must show
that approving athletic participation is not medically unreasonable and
the athlete actually understands the risks.

“Assumption of risk” is a legal defense that attempts to
claim that an injured plaintiff understood the risk of an activity and
freely chose to undertake the activity regardless of the hazards associated
with it (Ray, 2000). It is one of the most common defenses that educational
institutions, athletic trainers and sport physicians may employ to avoid
legal liability. Two conditions must be met in order to establish the
defense of “assumption of risk” (Scott, 1990). (a) The athlete
must fully appreciate and understand the type and magnitude of the risk
involved in participation. (b) The athlete must also “knowingly,
voluntarily, and unequivocally” choose to participate. In interscholastic
sport settings, school districts often use a consent form to prove an
implied assumption of risk. In some cases, courts also have found that
consent forms prove the minor and parents did understand the risks inherent
in the sport and agree to assume them (Vendrell v. School District No
26c Malheur County).

Today, athletes and their parents frequently challenge the return-to-play
decision of the sport physicians and demand their right to participate
(Ray, 2000). In this case, one approach sport physicians or athletic trainers
may take is to request athletes (and their parents in the case of minors)
to sign exculpatory waivers. An “exculpatory waiver” or “risk
release” is a contract signed by a participant, which relieves the
school, university, or team physician from any liability to the individual
who executes the release (Gallup, 1995). It acts as an “express
assumption of risk” indicating that the participant fully understands
and voluntarily chooses to encounter the risk. The participant further
agrees in advance not to hold the defendant liable for the consequences
of conduct that would ordinarily amount to negligence (Keeton, Dobbs,
Keeton, & Owen, 1987). Some courts uphold releases of liability from
future negligence, but not culpable conduct such as intentional, reckless,
or grossly negligent torts (Keeton et al, 1987; Cotten, 2001; Mitten,
2002). However, courts have also invalidated contracts releasing physicians
from liability for negligent medical care of their patient, because such
contracts violates public policy (Tunkl v. Regents of University of California,
1963; Ray, 2000). In general, a waiver signed by the minor alone will
not be enforced (Cotten, 2001). Even if an exculpatory waiver is established,
the court may evaluate its validity individually.

In general, if an injured athlete is found to be contributory negligent,
he/she may not be able to successfully sue a team physician or an athletic
trainer (Hebert, 2002; Gallup, 1995). In the past, plaintiffs might lose
the case due to their contributory negligence, because the court’s
decision was determined on an “all or nothing” basis (Hoffman
v. Jones, 1973). However, this type of ruling is not a dominant trend
anymore. In Perez v. McConkey, a plaintiff’s contributory negligence
no longer was a “complete bar to recovery”; rather, it was
to be considered in “apportioning damages only” (Wanat, 2001).
Today, the courts often use the doctrine of comparative negligence to
determine if the liability should be divided between the plaintiff and
the defendant(s) (Ray, 2000; Gallup, 1995). In most states, plaintiffs
can collect damages only if their comparative culpability is less than
50% (Ray, 2000). Physicians and trainers may compensate their patients
in proportion to their fault.

Physician-patient Relationship

When a university or a professional sports team hires the team physicians,
a duty is created not only between the physicians and the athletes, but
also to the hiring entity. Although the well-being of athletes should
be the most important concern of physicians and trainers who render medical
service, it is not always easy for physicians and trainers to make their
decisions based on this principle due to the intense pressure from the
coaches, management, the press, and even the motivated athletes themselves.
In general, if physicians who are hired by professional teams act in a
negligent manner and cause their patients (athletes) to lose a contract,
scholarship, or future earnings, they may ultimately be found liable for
those damages (Gallup, 1995). Under the doctrine of “vicarious liability”,
a university or professional team may also be liable for the actions of
the team physician who it hired (Berry & Wong, 1986). However, if
the physician is an independent contractor, the entity may not be held
liable for the physician’s negligence (Cramer v. Hoffman, 1968).
The key factor to determine whether the physician is an independent contractor
or not is relying on the amount of control the hiring entity exercises
over the independent judgment of physician (Berry & Wong, 1986).

The issue of confidentiality is often a complicated problem in professional
and collegiate sports. Releasing an athlete’s medical condition
to third parties (i.e., media) violates a physician’s ethical obligation
to maintain confidentiality (Mitten, 2002). However, it may seem appropriate
for physicians or trainers to discuss athletes’ condition with the
management of collegiate or professional teams, because they have the
access to athletes’ medical records anyway (Berry & Wong, 1986).
Collegiate and professional physicians and trainers must remember that
they owe athletes confidentiality, and should be careful about releasing
information to the press. In Chuy v. Philadelphia Eagles Football Club
(1979), the defendant, Chuy, sought the compensation from the Philadelphia
Eagles because the team physician released his medical condition to the
press without his consent. Based on the impact of this case, it is ideal
for the physician to obtain the athlete’s permission (a publicity
waiver form) before disclosing any medical information to team officials
or press. An essential act that physicians must apply is informing the
athletes that they are acting on behalf of the team (Mitten, 2002). Readers
may refer to the Health Insurance Portability and Accountability Act from
official website of the Department of United States Health and Human Services
(2003) for more information concerning standards for protecting the privacy
of personal health information.

Immunity Issues

In some instances, physicians may be immune from legal liability for
malpractice claims brought by athletes (Mitten, 1995). Several states
have enacted legal statutes immunizing volunteer sport physicians from
negligence liability for rendering emergency medical care to athletes
(Mitten, 2002). In addition, some states have expended their Good Samaritan
laws to specify immunity for those who provide medical services at athletic
events (Gallup, 1995; Todaro, 1986). However, statutory immunity only
covered physicians or trainers who provide emergency care to an athlete
with an apparent life-threatening condition in good faith, not with wanton
emergency treatment or gross negligence (Todaro, 1986).

As shown in the case of Sorey v. Kellett (1988), it was found that sport
physicians employed by public universities might be protected by state
law immunity. Furthermore, state workers’ compensation laws may
also bar claims of professional athletes against team physicians for negligent
medical care (Mitten, 2002; Gallup, 1995). Other than the Good Samaritan
laws, the workers’ compensation laws are other legal statues that
preclude professional athletes suing team physicians or trainers for negligence.
In Hendy v. Losse (1991), the court interpreted that workers’ compensation
law bar tort suits between co-employees for injuries caused within the
scope of employment. One must keeps in mind that workers’ compensation
laws are not uniform, and may vary from state to state (Gallup, 1995).

Risk management

Risk management is the key for preventing lawsuits in sports medicine.
As sport physicians and athletic trainers have involved more managerial
responsibilities along with their clinical duties, the broader construct
of risk management became more important. Risk management is a process
intended to prevent financial, physical, property, and time loss for an
organization (Culp, Goemaere, & Miller, 1985; Ray, 2000; Streator
& Buckley, 2001). According to Gallup (1995), a well-designed risk
management program should cover four essential elements; compassion, communication,
competence and charting. Sports physicians and athletic trainers must
demonstrate a deep concern for athletes and build a good rapport with
athletes. Maintaining clinical competence and keeping accurate medical
records are other important means to avoid liability for malpractice.
In fact, studies show that 70% of the medical litigations are due to poor
communication and attitude problems presented by physicians or trainers
(Gallup, 1995).

To apply appropriate techniques and management principles for reducing
the likelihood of risk, the Department of Sport and Recreation of Australia
(2003) provided some guidelines for handling the potential risks. Those
guidelines included: (a) establishing the context of a risk management
program (objectives, resources, and assessment criteria, etc.), (b) risk
identification, (c) risk assessment, (d) treatment and control, and (e)
monitoring and review. While applying the above principles in the sport
medicine field, Rankin and Ingersoll’s (1995) recommendation can
further help to control risk. In terms of risk identification and assessment,
physicians and trainers can administer pre-participation physical exams,
monitor fitness levels, assess activity areas, monitor environmental conditions,
maintain equipment, use proper instructional techniques, and provide adequate
work-rest intervals. Advice for treatment and control include: (a) have
a physician supervise all medical aspects of the program; (b) evaluate
and treat injuries correctly and promptly; and (c) supervise student athletic
trainers or intern physicians.

Effective documentation is vital for sport physicians and athletic trainers
because 35% to 40% of all medical malpractice suits are rendered indefensible
by problems with the medical record (Michigan Medicine, 1983). Sport physicians
should record their activities for the following reasons (Ray, 2000; Briggs,
2001; Streator & Buckley, 2001): (a) personal use; especially for
personal protection in the event of litigation; (b) legal, ethical and
professional requirements; (c) statistical records; (d) educational, research
and insurance purposes; (e) information for further planning, treatment,
rehabilitation and training; (f) aids for assisting other practitioners
taking over/involved in treatment (i.e. a multidisciplinary approach);
and (g) information for techniques and standards involved in treatment/rehabilitation.

In general, sport physicians and athletic trainers should file two types
of records properly, medical records and program administration records
(Ray, 2000). Medical records are cumulative documentation of a patient’s
medical history and health care interventions. The administration records
may include physical examination forms, injury evaluation and treatment
forms, reports of special procedures, emergency information, permission
for medical treatment forms, release of medical information, insurance
information and communication from other professionals (Ray, 2000; Streator
& Buckley, 2001).

Conclusion

The authors examined the variety, complexity, and importance of legal
issues, which sport physicians and athletic trainers may encounter. Many
of the legal outcomes are strongly influenced by advances in medicine,
medical evidence, and reviews of legal precedents (Gallup, 1995; Opie,
2002). The authors attempted to synthesize opinions of experts and information
derived from some lawsuits to propose practical guidelines for the physicians
and trainers. As Ray (2000) mentioned, the best legal defense against
malpractice lawsuits is still to provide high-quality medical services
consistent with the standard of care. The concepts and suggestions, which
were illustrated in this article, might not be interpreted as absolute
legal principles; rather, they should be treated as aids to help physicians
and trainers prevent negligence lawsuits. The following protective strategies
were suggested to insure the acceptable service standard (Graham, 1985;
Ray, 2000; Gallup; Opie, 2002; Mitten, 2002).

  1. Maintain a good physician-client relationship with athletes.
  2. Obtain informed consent and insist on a written contract.
  3. Educate the athletes, parents and coaches concerning issues of drug
    abuse, assumption of risks, confidentiality.
  4. Perform physical examinations carefully, and be cautious on issuing
    medical clearances.
  5. Formulate a risk management plan and properly document hazards and
    records.
  6. Participate in continuing education and recognize your qualifications.
  7. Maintain insurance coverage.

References

  1. Berry, R., & Wong, G. (1986). Application of legal principles
    to persons involved in Sports. In R. Berry & G. Wong, Law and
    business of the sports industries: Common issues in amateur and professional
    sports
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2016-10-12T14:43:37-05:00March 4th, 2004|Contemporary Sports Issues, Sports Coaching, Sports Exercise Science, Sports Facilities, Sports Management, Sports Studies and Sports Psychology|Comments Off on Practical and Critical Legal Concerns for Sport Physicians and Athletic Trainers

Sports Development in Botswana, Africa

Abstract

The Botswana flag has never been raised nor has its national anthem been
heard at the medal ceremonies of any major international sports competition.
The aim of this paper is to critically analyze problems of sports development
in developing countries, taking Botswana, Africa as an example. This paper
is based on material collected from a number of documents on sport in
developing countries, newspapers and material from the Internet. E-mail
correspondence was exchanged with a number of officials employed by the
key providers of sports development in Botswana. An interview was conducted
with a Botswana international athlete who was resident in the United Kingdom.
The results of the research showed that Botswana has made great strides
in the administration and organization of sport since independence, but
the economic advances that have been made are being threatened by the
HIV/AIDS pandemic that has become the most devastating emergency in the
nation’s history.

Introduction

The republic of Botswana is situated in Southern Africa; it extends for
1100 kilometers from north to south and 960 kilometers from east to west,
and is the same size as France or Kenya, or slightly smaller than the
state of Texas in the United States (US). It is landlocked being bordered
by South Africa, Namibia, Zambia and Zimbabwe (Republic of Botswana, 2003;
Corlett & Mokgwathi, 1989; Mokgwathi, 1999). Despite its size, the
population of Botswana is only 1.47 million in 2004, 79.8 per cent of
whom claim Tswana heritage (a Bantu group). It has one of the highest
birth rates in the world, as the average Botswana woman will have five
children.

Since independence in 1966, the national life expectancy increased from
49 to 69 years, but by 2004 it has been reduced by 25 years to 44 years.
Alarmingly, more recent research projected that the life expectancy could
fall as low as 29 years if the spread of the HIV/AIDS virus was not slowed
or reversed. In 2001 there were 330,000 people living with HIV/AIDS, which
is 38.8 per cent of the population. The virus is also expected to halve
the population growth by 2006. This will have an enormous economic and
social impact especially as the HIV/AIDS rate among certain groups of
the working population is approximately 25 per cent (Political Profile,
2004). Botswana has the world’s highest incidence of HIV/AIDS; 85
people per day become infected with HIV and will develop AIDS, and die
within a decade without affordable treatment. One-half of the natural
deaths are linked to the disease, and 1 in 8 children are infected with
the virus at birth (McIntyre, 2003).

The relatively small population, and the concentration of the population
into the southeast corner is due to the harsh physical and climatic terrain
of Botswana. Most of the country lies at an average elevation of 1000
meters, and covering 85 per cent of Botswana is the Kalahari Desert; in
the northwest is the Okavango Delta, and in the northeast is the clay
desert of the Makgadikgadi Pans. Such features and the limited number
of urban communities make communication and travel difficult, thus presenting
logistical difficulties with travel over long distances in order to participate
in sport. Softball, for example, is very popular, but there are a limited
number of softball teams in Botswana. Due to problems with traveling vast
distances in the country, play is geographically divided between north
and south to minimize costs, and a national tournament is held annually,
at the National Softball Diamond Stadium in Gaborone.

Economy. Botswana has one of the world’s highest rates
of economic growth estimated to be between 11-13 per cent annually (Botswana:
Africa’s Freest Economy, 2004; Toriola, 2001). In 1998, the per
capita gross national product in Botswana was US $3070, which is high
by African standards. The wealth of the country may be important as research
by Nevill & Stead (2002) indicated a 0.71 correlation between the
GNP of the country measured in US$ and success in the Olympic Games in
Sydney, Australia. So Botswana, with a high GNP by African standards,
is in a better position to succeed in international sport than many other
African countries.

Through fiscal discipline and sound management, Botswana has transformed
itself from one of the poorest countries in the world to a middle-income
country. The performance of the economy has enabled the government to
increase resources for education, health, food, housing, and social welfare
programs including sport.

Success in international sport. It is still the case that “The
Botswana flag has never been raised nor has its national anthem ever been
heard at the medal ceremonies of any major international competition”
(Corlett & Mokgwathi, 1989, p. 223), although according to Mokgwathi
(1999, p. 136) “the BNSC has a vision which includes Botswana at
the medal awards ceremonies of world class competitions.” Botswana
did not win any medals at the 2000 Olympic Games in Sydney, Australia,
and only won 3 medals at the 2002 Commonwealth Games in Manchester, England.
Botswana was more successful at the All-Africa Games in Abuja, Nigeria
in 2003 when they won 6 medals. A Commonwealth Games medallist from Botswana
informed me:

“As a nation, our view for sport has mainly been for fun and enjoyment…
we had not taken it to demonstrate or put our mark…but things
have moved on and its just a matter of time, let me assure you that
a medal is coming within 2 years…even at the Olympics this year.”

Concluding evaluation. Botswana’s elevation to a middle-income
country reflects its record of political and social stability, economic
growth, and prudent economic management. (Botswana Economy: Facts and
Figures, 2004; The World Bank Factbook: Botswana, 2004). I was told that:

“The party that is in power now has been in power since independence
and it seems that Botswanans are happy with the way Mogae (the President)
runs the economy and the way he runs the country. We are fortunate and
I salute all those guys working around the clock in shaping Botswana
to be who she is today.”

The high rate of unemployment that officially is 21 per cent, although
unofficial estimates are closer to 41 per cent in 2001, and the HIV/AIDS
pandemic threaten Botswana’s economic gains (McIntyre, 2003).

Further, Botswana suffers from a widely scattered population, as there
are vast distances between centers of population, although most of the
urban population lives in the southeast corner of the country. The GNP
is high by African standards, and its population remains small. But as
in many African countries there is migration from rural to urban areas
that have resulted in the creation of shantytowns, homelessness, unemployment
and crime.

Despite these problems, Botswana has achieved sustainable economic growth;
it is a peaceful democratic country despite being surrounded by countries
in which there is economic and political turbulence. Botswana is a positive
role model for other African countries, south of the Sahara, and it is
in this context that the role of sport in Botswana will be examined.

Theoretical framework. All of the countries in Africa including
Botswana, with the interesting exception of South Africa, may be described
as developing countries. For Giddens (2001) the distinguishing features
of developing countries is that their political systems are modeled on
systems established in societies in the West; most of the populations
live in rural areas, but there is a rapid growth in the cities; agriculture
export remains the main economic activity; western industrialism has undermined
more traditional systems; and, they form distinct political communities
or nation-states. The concept of development is addressed by reference
to statistical data of the demographic conditions of the population, the
quality of public communications, the achieved technological standards,
life expectancy, the nutritional situation of the inhabitants, and the
distribution of wealth. More specifically in relation to sport, Coghlan
(1992, p. 1) defines developing countries as, “a range of sovereign
states that are to a greater or lesser extent in a process of social change
needing co-operation and assistance from those that are better placed.”
A distinction is thus made between developed and developing countries.
This definition of developing countries implies that there are many similarities
in the socio-economic and political composition of such countries, but
they also all differ in their traditions and histories, and in their stages
of development. Coghlan’s (1992) definition of developing countries
is used as a template for the purpose of this examination of sport in
Botswana.

The Problems of Sports Development

Sports organizations. In his detailed analysis of the patterns
of government involvement in Australia, Canada, Ireland and the United
Kingdom, Houlihan (1997) maintains that in order to understand the development
of sport and sporting issues in different countries, it is necessary to
have an “appreciation of the development and organization of sport
and the dominant pattern of policy-making” (p. 22). Hence, in order
to understand the problems of sports development in Botswana, the key
sports providers will be examined.

In Botswana, the Ministry of Labour and Home Affairs (MLHA) (Corlett
& Mokgwathi, 1989; Mokgwathi, 1999; Toriola, 2001) govern sports administration.
Within the Ministry is the Department of Sport and Recreation (DSR) which
serves as the “legislative arm of government which co-ordinates
and provides overall leadership for sport development in Botswana”
(Toriola, 2001, p. 10). I was informed that:

“The objective of the Department of Sport and Recreation is to
create an environment in which all Botswana, whether rural or urban,
disabled or not, can participate in sports either for fun, health, fitness
or recreation. This would mean that those who have potential to excel
would be provided with the facilities and environment to reach their
full potential. It would also mean promoting active living behaviors
through sports and recreational programs.”

The Botswana National Sports Council (BNSC) deals directly with the various
sports associations delivering competitive sport in the country, and therefore
serves as an intermediary between the government and the national sports
associations (Mokgwathi, 1999; Toriola, 2001). The BNSC comprises representatives
of all of the sports organizations in Botswana, and according to Corlett
& Mokgwathi (1989) “it has substantial power” (p. 218)
mainly because the chairperson of the BNSC is appointed directly by the
MLHA (Mokgwathi, 1999). An athlete informed me that, “The BNSC
reports to the Government through the Ministry of Labour and Home Affairs
(MLHA), and its overall responsibility is policy formulation for sports
development.” The BNSC allocates funds to sports organizations,
but evidently this process has not always taken place in an equitable
fashion, as the BNSC fails to represent the interests of all of its members.
The BNSC reports to the DSR, which due to its weak position in the MLHA,
is unable to offer significant financial assistance, and other resources
to implement major capital projects and policies planned by the BNSC (Corlett
& Mokgwathi, 1989). For example, the Botswana Softball Association
team had to raise significant funds independently to compete in the World
Championships in Michigan in the US in 2004, thus indicating a scarcity
of funds for representative international sports teams.

The National Softball League is, in fact, one of the few national leagues
to be sponsored as Shell Oil Botswana has sponsored the league for the
past eight years. However, this sponsorship is not without conflicts,
as at the 2003 Shell softball prize giving in Gaborone, conflicts arose
between the players and sponsors as not all of the players conformed to
the request to wear clothing supplied by the sponsors. For Marumo Morule,
the President of the Botswana Softball Association (BSA), this indicated
a lack of professionalism by the players. He said that the “sports
codes must do what the sponsors want,” thus raising issues in relation
to the organization of sport, the governing bodies of sport and the demands
of the sponsors (Teams ‘soil’ Shell Oil Ceremony, 2003).

The BNSC is funded by an annual grant from government through the MLHA
which is distributed to operate various national sports associations affiliated
to BNSC based on their sport development needs (Toriola, 2001). As with
all such organizations, both in the developed and developing world, government
funding is deemed to be inadequate despite an increase in the annual grant
between 1985-98 in order to meet the demands of sports development programs.
Much of the money is used by the national sports associations to meet
international sports engagements, but the lack of qualified coaches, good
facilities and funding has resulted in athletes being poorly prepared
for international sports events such as the Olympic and Commonwealth Games
(Toriola, 2001).

There is indeed increasing evidence that the government is taking a more
active role in the development of sport and recreation in Botswana by
increasing to P22 million ($5 million) the annual grant to the BNSC, and
providing moral support to its athletes. When asked if the government
is involved in sports development, a Botswana athlete informed me, “There
is a Department of Sports and Recreation and if I recall well, there was
a total of five stadiums to be completed around the country last year.
The Vice President of Botswana was in Manchester cheering for me…
yes the government is deeply involved.”

The Assistant Minister of Labour and Home Affairs, Major Gene Pheto said
that the increase in the grant and “the construction of sport facilities
in various villages throughout the country is testimony of government
commitment to sport” (Government Committed to Sport-Pheto, 2003).
He further stated that the money would be used by the BNSC to fund the
31 sports under their jurisdiction, and to ensure that the national team
participates in international competitions. In order to improve performances,
the BNSC has also introduced cash incentives to national athletes and
teams. But Toriola (2001) still feels that sports development is hindered
by poor sport structures and inadequate facilities that are typical problems
in a developing country such as Botswana.

There is more recent evidence of the BNSC becoming increasingly involved
with the promotion of sport at a local level. For example, Tebro Onkabetse,
a member of the Botswana Football Association (BFA) speaking to the Bobirwa
Sports Festival in Mmadinare, noted how the BNSC was helping to organize
district sports festivals. He also noted that the government was committed
to providing a conducive environment for the development of sport and
recreation, and that there had been acceleration in the provision of integrated
sports facilities throughout the country.

Aid from the international community. Botswana competed as an
independent country for the first time in the 1980 Moscow Olympic Games.
Despite a demand by the US for all African countries to boycott the Games
due to the Soviet Union’s invasion of Afghanistan, Botswana felt
obligated to participate. This was mainly due to the close association
Botswana had with the Soviet Union who provided technical assistance in
sports development since independence.

There has been significant Soviet influence on the structure and organization
of sport in Africa. This influence expanded in the 1980s and took many
forms. By 1982 over 200 Soviet sports specialists worked in more than
30 African countries. They provided material aid, sports equipment, and
literature, organized sports exhibitions, and constructed sports facilities.
Athletes were encouraged to participate in joint training sessions with
Soviets. In 1981, there were 49 sports specialists from 32 developing
countries studying in the Moscow State Higher Institute of Physical Education.
As part of the Soviet propaganda effort to foster goodwill towards the
USSR, and develop positive attitudes toward the Soviet state and its policy,
statements expressing support for the USSR were also made (Chappell &
Seifu, 2000). Ironically, the US has also been involved in the development
of sport in Botswana. In 1981 Mal Whitfield an American Olympic gold medallist
visited Botswana and recommended a framework for sports development, and
his recommendations were a major factor in determining future policies
and decisions in the country (Toriola, 2001).

Botswana still has a close association with the USSR’s former ally,
Cuba who provides coaches to train Botswana sportsmen and women in athletics
(track & field), boxing and volleyball (Toriola, 2001). An athlete
informed me,

“I think they started working in Botswana around 1996 if I recall
well…and they work on a contract basis…. say two or more
years depending on how they are doing. The current one in athletics
has been there since 1998 and is doing a great job and will do much
more if he is allowed to do his job properly!”

Khumiso Ikopoling, a boxer from Botswana trains in Cuba under this scheme
of co-operation as he maintains that “Cuba has good boxers and good
training equipment compared with Botswana” (Boxers Promise Fireworks,
2004).

As in many other developing countries, the BNOC is a recipient of funds
from Olympic Solidarity, and this is used in order to fund sports development
schemes and coaching courses. With the support of these funds, an international
volleyball course was organized by the Botswana Volleyball Federation
(BVF) sponsored by the BNSC in conjunction with the BNOC between 27th
December 2003 and 10th January 2004, and was staffed by a coach
from Egypt (Roberts tops Olympic Solidarity Coaches Course, 2004).

Funding sports organizations. The development of sport in Africa
has been plagued by a number of problems. In the first place, extreme
poverty is the most serious obstacle to the development of sport, as funds
are needed to alleviate more immediate social problems. In soccer, the
Fėdėration Internationale de Football Association (FIFA) offers
financial assistance to promote the game, and is mainly used to develop
football (soccer) for the masses, and not to fund representative international
matches that are, to a certain extent, self-funded. However, the lack
of finances has limited participation in international competitions. For
example, in the qualifying stages of the 1994 World Cup, over 20 African
nations failed to complete their games due to the lack of resources and
civil unrest, and similarly, 16 countries dropped out of the qualifying
stages of the African Cup of Nations in 1996.

More recently, media attention in Botswana has focused upon qualification
for the 2006 World Cup in Germany. Botswana (nicknamed the ‘Zebras’)
have been drawn against Morocco, Tunisia, Kenya, Malawi and Guinea in
their Group Five World Cup qualifying matches. The winners of the competition
will proceed to the finals in Germany in 2006, while the top three will
qualify for the African Cup of Nations to be held in Egypt in the same
year. A tough competition is expected especially from Tunisia and Morocco,
both of whom hope to do well in order to enhance their bid to host the
World Cup Finals in 2010. Optimism within the BFA is high as they have
moved eight places from 36 to 28 in the African FIFA rankings (116 in
the FIFA world rankings in October 2003) so they hope to make an impact
on the qualifying group (Zebras Brace for World Cup 2006 Qualifiers, 2004;
Zebras to Face Harsh Realities of World Cup, 2003). Football in Botswana
has become an important focus in which the population may identify proudly
with a local, national or international team. Support for the national
team in World Cup qualifying matches represents the opportunity for the
expression of national pride and identity.

Participation in the World Cup qualifying matches, however, has raised
the issue of a lack of finances as the BFA need to raise approximately
P7 million ($2 million) in order for Botswana to participate in the 2006
World Cup and the African Cup of Nations qualifying rounds. The BFA chief
executive, Falcon Sedimo announced that they were in dire financial trouble
and there was a likelihood that they might fail to honor some of their
fixtures if funds could not be secured in time. This might have been a
strategic ploy to secure additional funding from government sources, but
it does highlight problems encountered by some national associations when
participating in international sports events such as the World Cup (Zebras
to Face Harsh Realities of World Cup, 2003).

Similar financial problems have confronted the national softball team
who competed in the International Softball Federation (ISF) XI Men’s
World Softball Championships in Christchurch, New Zealand between 29th
January and 8th February 2004. (Botswana Softball Team for
New Zealand, 2003; BSA Names Players for Men’s World Championships,
2003). Participation in the World Championships indicates the commitment
of the national association to play softball at international level, and
the availability of some funds to support such ventures. But the team’s
participation was thrown into uncertainty when the BSC pleaded that it
had insufficient funds to participate, so appealed to the BNSC for assistance.
The BSA had to raise one-half of the P300,000 ($1million) required to
participate, and the remainder was given by the BNSC. All finances were
eventually secured just prior to departure and Botswana’s participation
was confirmed by the International Softball Federation (ISF) (Softball
Men for New Zealand Championships, 2004).

Boxers from Botswana have achieved some success at international competitions,
and most national teams at international sports events such as the Olympic
Games, Commonwealth Games and the All-Africa Games include several boxers;
they won bronze medals at the All-Africa Games in Egypt in 1991, and in
Zimbabwe in 1995, the Commonwealth Games in Manchester, England in 2002,
but winning medals at the Olympic Games has been more elusive. Boxing,
as with other sports, is hampered by a severe a lack of funds that is
restricting the ability of boxers from Botswana to compete in international
competitions. Botswana was only able to send five boxers instead of an
allocated 10 to the Olympic qualifying tournament in Casablanca, Morocco
between 15-22January 2004. Further problems arose when two of the boxers,
Lechedzani ‘Master’ Luza and Lesley Sekotswe were refused
permission to leave their jobs as teachers by the Ministry of Education.
The BABA representative promptly called into question governmental support
for sport as the government refused permission for its own employees to
compete in the Olympic qualifying competition. The BABA maintained that
this action was not in line with the Ministry’s vision of Botswana
becoming a competitive sporting nation. Discussions between the BNSC,
the DSR, and the Ministry of Education did not secure the boxers’ release.
The three remaining boxers who did compete in Morocco failed to impress
as one was eliminated in the preliminary round, and the other two were
beaten during the quarterfinal stages (Botswana Boxers Fail to Impress,
2004; We are not to blame-BNSC, 2004). Further financial problems were
highlighted by the inability of the BABA to replace the old electronic
scoring system that is required to determine the results of boxing matches.
However, this situation was rectified by the International Boxing Association
(AIBA) as the African Boxing Championships were held in Botswana between
15-23 March 2004 and therefore supplied the new equipment (Cash-strapped
BABA to send Four Boxers to the Olympics, 2003).

Fledgling organizations. There have been a number of problems
recently that are typical of a fledgling organization trying to make an
impact in African and World sport. These problems are an indication of
instability in organizations that sometimes are not completely democratic.
In March 2001, for example, the Botswana part-time football coach David
Bright resigned following the 1-0 home defeat by Malawi in the first round
of the Confederation of Southern African Football Association (COSAFA)
Cup. He had only just been appointed coach before this game in order to
replace the veteran German coach, Heinz Marotske. Marotske was appointed
in January 2001, but mysteriously “walked-out” from the position
one week before the game with Malawi.

In response to this situation, the Sports Minister D.K.Kwelagobe became
involved by saying that the Botswana government would help to pay the
salary of a full-time coach in order to improve the results of the national
team (Jelusu Veselin from Yugoslavia was eventually appointed). The intervention
of the government calls into question the independence of the BFA that
is a feature of the organization of sport in democratic societies (Botswana
Search for ‘Big Name’ Coach, 2001). Further administrative
problems arose in January 2004 when Falcon Sedino, the chief executive
officer of the BFA resigned his post without disclosing the reasons for
his resignation (Sedimo Quits BFA Hot Seat, 2004). Similar problems have
arisen with ‘in-fighting’ within the Botswana Amateur Boxing
Association (BABA) over the appointment of coaches and managers for international
tournaments.

In softball, steps are being taken in Southern Africa to re-address the
lack of an adequate international structure. Representatives from Botswana,
Lesotha, South Africa and Zimbabwe met in Gaborone on 28th
November 2003 to establish a Supreme Council for Sport in Africa (SCSA)
Zone VI Softball Confederation. Delegates maintain that the absence of
an adequate international structure was highlighted by the absence of
women’s softball at the All-African Games (AAG) in Abuja, Nigeria
in October 2003. This was because a Zone VI tournament held as a qualification
tournament was not affiliated to the SCSA. In relation to the formation
of the confederation, Maumo Morule maintained that “it means we
will be eligible for all of the competitions sanctioned by the SCSA, we
will be eligible for support from the government, and it will strengthen
softball in the region” (Regional Softball on the Cards,”
2003).

Sport in schools. A lack of suitable organizations is highlighted
in the structure of sport in schools, and this is significant as most
children get their sports experience through schools. The Botswana Institutions
Sport Association (BISA) organizes sports competitions for junior and
secondary schools, and is affiliated to the BNSC and based in the Ministry
of Education. The BISA organizes sports competitions on a school-term
basis, that is athletics between January-May and ball games between May–August
(Toriola, 2001). It also organizes international competitions between
the smaller countries of Southern Africa. When asked about the structure
of athletics in schools in Botswana, I was told that:

Yes, there is an adequate structure, which is quite competitive because
those who became champions go on to compete with schools in Southern Africa
(it used to involve 6 countries including South Africa, Zimbabwe, Swaziland
etc during my time: 1996-1998). The only problem is that there is no effective
and efficient structure in place to support those outside school, but
I have heard that something is coming up…or has started as of last
year.

Despite having the BISA organizing competitive sport in school Mokgwathi
(1999, p. 128) still argues that “the major problem in secondary
schools is the lack of adequate facilities, equipment, trained personnel,
proper and safe transportation of the student athletes.” However,
no such organization exists to co-ordinate the development of sport at
the primary school level. This weakness in the structure of school sport
was addressed by the former director of the DSR, Shaw Kgathi who called
upon an umbrella organization similar to the BISA to co-ordinate the development
of sport in primary schools. He also recommended that funding sport in
the primary school level should also be increased (Kgathi for More Sport
Funding, 2003).

Mismanagement within organizations. Many new states seek to gain
membership of international sports bodies in order to give their country
status, legitimacy and publicity value (Houlihan, 1991, 1994, 2000). Membership
of most organizations is dominated by a small number of predominantly
Western European and North American democracies, therefore access is difficult.
European and North American members, for example, dominate the International
Olympic Committee (IOC), and it is also a problem with many international
sports federations “in which Western and European functionaries
still dominate” (Eichberg, 1984, p. 97). Many countries in Africa
seek membership of other smaller organizations, such as the Commonwealth
Games Federation, in order to have access to decision-making processes.
These organizations tend not to be dominated by the major powers, are
more concerned with policy decisions rather than exercising political
power, and are more democratic, thus allowing greater equality in decision
making (Houlihan, 1994).

The development of the football in Africa has also been undermined by
the lack of democratic processes within the administration of the sport.
For example, Ismail Bhamjee from Botswana was optimistic of becoming President
of the Confederation of African Football (CAF) at the elections on 22nd
January 2004. Bhamjee says that although voting is by secret ballot, he
was assured of support from 7 out of 15 West African countries, 3 out
of 9 from central African countries and 11 out of 13 South African countries.
In other democratic organizations it would be inconceivable to know the
outcome of a vote prior to it taking place, thus raising issues with regard
to CAF presidential elections being completely democratic (Bhamjee Optimistic
of Winning CAF Top Post, 2004). Further, some government officials often
interfere in the organization and administration of football that destabilizes
African football, and limits some country’s advancement in international
competition.

Concluding Comments

Corlett & Mokgwathi (1989) have argued that sport is a small part
in Botswana’s culture. They further argue that in a fragile economy,
to succeed at sport would require resources to be taken from other sectors
of the economy. Quite rightly they maintain that in this situation the
development of sport might not be a priority. The impressive economic
advances that Botswana has made since independence are being threatened
by the HIV/AIDS pandemic that has become the most devastating emergency
in the nation’s history. Botswana has the highest infection rate
in the world, and consequently household incomes are being reallocated
to assist AIDS patients within families. The pandemic is also compromising
children’s ability to stay at school thus reducing their opportunity
to participate in physical education and sport. The greatest impact is
on girls in Botswana who become infected at an earlier age and are at
least four times more likely to become infected than boys.

As most deaths from AIDS occur in adults of childbearing age, these parents
have left an estimated 78,000-orphaned children. This number of orphaned
children is likely to overstress the government’s capacity to offer
better delivery of social services including sport. If this trend continues,
an unprecedented number of children will be left without parental care,
and the traditional methods of caring for orphans will not be able to
cope. This again will reduce the resources available for developing sport
(At a Glance: Botswana, 2004).

Botswana has made great strides in the organization of sport since gaining
independence. The country is politically stable at least compared with
some of its African neighbors. Relevant bodies to administrate sport in
Botswana, that is the BNSC, and the BNOC, have been established, as has
their terms of reference. Botswana has been represented recently in the
finals of the Olympic Games, the Commonwealth Games and the All-African
Games. Indeed taking into account the small population (1.47 million)
and the vastness of the country that makes traveling problematic, Botswana
has done remarkably well in international sport. But the BNSC ought to
encourage more of the population to participate in sport. The BNSC also
needs to address the problem of transparency, especially in financial
matters in sports organizations.

In 1999, in order to develop elite athletes and coaches, the BNSC in
conjunction with the United States Sport Academy initiated plans for a
national Sports Academy (Toriola, 2001), and this is an example of the
type of co-operation that needs to be undertaken. But more needs to be
done, and therefore Botswana needs to strengthen its agreements with countries
such as Cuba who can help to promote and develop sport for all in Botswana.
Further, Botswana needs to take advantage of the schemes organized by
the Olympic Solidarity Fund and those organized by federations such as
the IAAF and the Fėdėration Internationale de Football Association
(FIFA).

 

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