Scielo RSS <![CDATA[South African Journal of Sports Medicine]]> http://www.scielo.org.za/rss.php?pid=1015-516320190001&lang= vol. 31 num. 1 lang. <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>The state of the South African Journal of Sports Medicine, 2019</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1015-51632019000100001&lng=&nrm=iso&tlng= <![CDATA[<b>A tale of two sit-bones: The cyclist's ischial hygroma (Perineal nodular induration)</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1015-51632019000100002&lng=&nrm=iso&tlng= The ischial hygroma, also known as a perineal nodular induration, is a relatively rare and mostly cycling-specific injury that is often incorrectly diagnosed and managed. Here two cases with divergent managements are described to highlight the spectrum of treatment available to manage this condition. The presentation, assessment and management of two cases of perineal nodular induration are discussed. The management options, namely surgical excision vs conservative management, with saddle pressure mapping highlight that there is no single optimal method and that a multidisciplinary approach should be applied to treat these injuries successfully. Perineal nodular induration should be investigated appropriately to exclude less benign causes of perineal masses. Conservative management and surgical excision can both be successful. Clinicians should be familiar with the assessment and management of this relatively rare but debilitating condition in competitive cyclists. <![CDATA[<b>Negative self-appraisal mediates the relationship between mindfulness and confidence among adolescent female provincial hockey players in South Africa</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1015-51632019000100003&lng=&nrm=iso&tlng= BACKGROUND: Mounting evidence suggests that mindfulness is positively related to athletic performance and athlete wellbeing. However, few attempts have been made to explore the psychological processes by which mindfulness might impact performance. OBJECTIVE: To determine whether negative self-appraisal mediates the relationship between dispositional mindfulness and the confidence component of mental toughness among provincial adolescent female hockey players in South Africa. METHODS: Provincial adolescent female hockey players (n=486) completed measures of dispositional mindfulness, mental toughness-related confidence and negative self-appraisal. Correlation coefficients were calculated between all variables included in the study. An ordinary least-squares regression analysis was performed to test the indirect effect of negative self-appraisal on the relationship between dispositional mindfulness and confidence. RESULTS: Negative self-appraisal exhibited an indirect effect on the relationship between dispositional mindfulness and the confidence component of mental toughness (β = .06, SE = .0, CI95 = .04, .09). A subsequent Soble test confirmed that negative self-appraisal served as a statistically significant mediator (β= .06, SE = .01, Z = 5.76, p = .001) in the model. Furthermore, 78.3% of the variance in the effect of dispositional mindfulness on the confidence component of mental toughness was accounted for by negative self-appraisal. CONCLUSION: The effect of dispositional mindfulness on the confidence component of mental toughness among adolescent athletes is mediated by negative self-appraisal. Based on the current findings, dispositional mindfulness may foster confidence by lessening the impact of rigid negative appraisals of one's performance and worth as an athlete.