Author Archives: Caroline Heaney

Inspiring Women @ FELS: Lessons from sport psychology

Below is a copy of the PowerPoint slides used by Caroline Heaney in the ‘Lessons from sport psychology: How to be confident and achieve your goals!’ segment of the Inspiring Women @ FELS session held on Tuesday 24th November 2015.

CH Inspiring Women in FELS Session

The performance profiling and confidence building activity sheet below may also be useful to those who attended the session.

Confidence Building Tips

I hope you enjoyed the session. Please free to leave any feedback comments below.

 

Why watch Chasing Perfection?

In a previous blog post we told you about an exciting new TV programme, Chasing Perfection, co-produced by The Open University and presented by Michael Johnson. In the video below, Ben Oakley, one of the academic consultants on the programme, tells us a little more about Chasing Perfection and how it links to a new module (E314 Exploring contemporary issues in sport and exercise) we are developing for our BSc (Hons) Sport, Fitness and Coaching qualification.

Chasing Perfection will be screened on Channel 4 on Sunday 15th November and Sunday 22nd November 2015 at 7.05am. It will also be available to watch on demand on All 4.

For more information visit:

http://www.open.edu/openlearn/chasingperfection
http://www.channel4.com/programmes/chasing-perfection
http://www.channel4.com/programmes/chasing-perfection/articles/all/insights-from-chasing-perfection

Chasing Perfection

This weekend sees the start of a fascinating new TV programme co-produced by The Open University and presented by multiple Olympic Champion and 400m world record holder Michael Johnson. The programme, called Chasing Perfection, looks at the science behind sporting success. Two members of the sport and fitness team, Ben Oakley and Candice Lingam-Willgoss, were academic consultants on the programme.

The first episode will be screened on Sunday 15th November 2015 at 7.05am on Channel 4. That’s pretty early for a Sunday so make sure you get up early or record it! It will also be available to watch on demand on All 4. Here’s a little sneak preview to keep you going until Sunday…

 

For more information visit:

http://www.open.edu/openlearn/chasingperfection

http://www.channel4.com/programmes/chasing-perfection

http://www.channel4.com/programmes/chasing-perfection/articles/all/insights-from-chasing-perfection

Snooze you don’t lose: Is sleep the secret ingredient of World Cup success?

By Caroline Heaney

With the Rugby World Cup final taking place this weekend both teams will be looking for the small gains in their preparation that could mean the difference between success and failure. One such area that has received a lot of attention in recent times is sleep. As I’ve discussed in a previous post, recovery is an important part of competing in a major tournament. Both New Zealand and Australia have played six matches on their way to the final, which could take its toll, therefore, how they recover from that demand is vitally important to their chances of success. Sleep is perhaps the ultimate recovery strategy, but why is it considered to be so important?

Image courtesy of artur84 at FreeDigitalPhotos.net

Image courtesy of artur84 at FreeDigitalPhotos.net

What is sleep?

Sleep can be defined as a complex state with both physiological and behavioural components where the individual is temporarily disengaged and unresponsive to the environment (Halson, 2013). There are two key stages of sleep – rapid eye movement (REM) and non-REM. It is NREM sleep that contains deep sleep (known as slow wave sleep). This is the period that is thought to be particularly important for recovery in sports people.

Why is sleep important for sports people?

Outside of sport a lack of sleep is often considered to have detrimental effect on performance. For example, we are advised not to drive or operate heavy machinery whilst tired. It therefore seems logical to assume that tired athletes are likely to underperform. Anecdotally there are many accounts of sleep, or a lack of it, having a detrimental effect on sporting performance. Whilst the purpose of sleep is not fully understood it is generally accepted that it is required to facilitate recovery and preparation for functioning (both physiological and cognitive) in the next waking period (Fullagar et al., 2015; Halson, 2014). Therefore the sleep an athlete has the night before and in the days leading up to a competition (e.g. Rugby World Cup final) is important. The challenge here is that athletes often report sleeping difficulties the night before an important competition due to pre-competition anxiety or excitement (Juliff, Halson, & Peiffer, 2015). Additionally, the sleep patterns and sleep quality of travelling athletes can be negatively affected by factors such as jet lag, change of routine and unfamiliar surroundings. This is particularly important when the 2015 Rugby World Cup final is to be played by two southern hemisphere teams in a northern hemisphere location. That said, both teams have been in the UK for a while and will have likely established sleeping routines. It would be very surprising if this is not an aspect of recovery that both teams have put strategies in place to address.

What does the research say?

Previous research has suggested that sports performers may be vulnerable to sleep disturbances due to a variety of reasons including early training sessions, poor sleep habits, caffeine use, travel, and pre-competition anxiety. Whilst sleep is a broadly researched area, the body of research examining sleep amongst sports performers is relatively small (Halson, 2014). Research that has examined the relationship between sleep and sports performance has explored the effects of sleep deprivation, partial sleep deprivation/sleep restriction, sleep extension and napping. In their review of the literature Fullagar et al. (2015) concluded that there is evidence to suggest that sleep deprivation has a significant impact on sports performance.

Circadian cycle

The time of day that the World Cup final is held could also have an impact on performance. The World Cup final will be played at 4pm, but Australian fans reportedly requested a change to 8pm. It seems that everyone has an optimal time of day that they perform at their best, dictated by their body clock or circadian cycle. The video below gives a simple explanation of this, splitting athletes into ‘larks’ and ‘owls’. It would appear that a 4pm kick-off favours intermediate types (peak performance around 16:00) rather than pure ‘larks’ (peak performance before 12:00) or ‘owls’ (peak performance around 20:00), whilst the change favoured by Australian fans would favour ‘owls’. However, this simple analogy does not take into account the experience, preparation and complex sleep patterns of the two travelling teams.

Conclusion

Who will win the Rugby World Cup remains to be seen, but it is possible that sleep could be a contributing factor. Sleep appears to be an important part of the athlete’s recovery and preparation and can potentially influence performance, so in order to get a top quality final tomorrow let’s hope that both Australia and New Zealand get a good night’s sleep tonight!

References

Fullagar, H. H. K., Skorski, S., Duffield, R., Hammes, D., Coutts, A. J., & Meyer, T. (2015). Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitve responses to exercise. Sports Medicine, 45, 161-186.

Halson, S. (2013). Sleep and the elite athlete. Sports Science Exchange, 26(113), 1-4.

Halson, S. (2014). Sleep in elite athletes and nutritional interventions to enhance sleep. Sports Medicine, 44, S13-S23.

Juliff, L. E., Halson, S. L., & Peiffer, J. J. (2015). Understanding sleep disturbance in athletes prior to important competitions. Journal of Science & Medicine in Sport, 18(1), 13-18.

Paralympians makes waves on the world stage but disability reform is badly needed

By Helen Owton

When I was at the Paralympic Games in 2012, I saw a person walk up to a woman in a wheelchair wheeling herself up a slope, grab the handles of her chair and start pushing her up the hill, much to the annoyance and surprise of the woman in the wheelchair. My friend brushed it off as someone only wanting to help, but I saw it as ignorance and a lack of respect, displayed in a venue where we were supposed to be widening our horizons about what disabled athletes can achieve.

Despite progress, negative public attitudes, ignorance and awkwardness about
disability prevail. According to a report by Scope, 67% of the British public feel uncomfortable talking to disabled people and 36% of people tend to think of disabled people as not as productive as everyone else. These attitudes affect every aspect of disabled people’s lives – in the playground, at work, in shops, on the street.

After the London 2012 Games, former Paralympian Tanni Grey-Thomson said it was important to remember how everyone felt in the euphoria of Britain’s success in the Paralympics, but that they are not everyday reality.

While there appeared to be progression on people’s attitudes towards disability at the time, she argued that “more still needs to be done to shift perceptions towards disabled people”. Grey-Thomson points out that disabled people are portrayed as Paralympian superheroes, “benefit scroungers” or victims – but not all three together.

The IPC World Championships in Qatar is an opportunity for these attitudes to be challenged again.

Athletes such as Stef “the blade stunner” Reid from Leicestershire are stretching the boundaries of what is expected of disabled people. She is not only a Paralympian, but also a model who became the first Paralympian amputee to be part of London Fashion week.

Earlier this year, Great Britain’s David Weir won silver in the London Marathon wheelchair race and will compete in the 1,500m and 5,000m against his rival Marcel Hug, “the Swiss Silver Bullet”, in Doha.

The first day of the IPC Athletic World Championships saw six world records smashed; one of these was Great Britain’s Sophie Hahn who won the women’s 100m long jump. Aled Davies also won gold in the shot put where he threw a championship record of 14.95m.

These stories stand in stark contrast to the lives of many disabled people living in the country she is representing on the world stage.

The UK welfare state that was developed as a way of supporting those who were sick, unemployed or who suffered injury is being eroded. We’ve seen a great deal of change to all of these benefits in recent years which has had a detrimental impact; 2,380 people have died after undergoing a work capability assessment (WCA) between 2011-2014 after being told they were “fit for work”.

As Grey-Thomson argues, we should be linking up politics, education, sport, and health and developing more NHS programmes, such as My Voice, My Wheelchair, My Life, which can transform wheelchair services for users and their families.

While athletes might be role models and provide inspiration to others, they can’t be the sole driver behind the need to change attitudes; they can only be part of the change towards a more equitable society. David Weir argues that the momentum has been lost since 2012 and 2013 but let’s hope there is sufficient media coverage so that we are well informed leading into Rio 2016.

The Conversation

Helen Owton, Lecturer in Sport & Fitness, The Open University

This article was originally published on The Conversation. Read the original article.

Raising the profile of The OU Sport & Fitness Team – Please RT!

By Caroline Heaney & Helen Owton


At the FELS Learning and Teaching conference in October 2015, Caroline Heaney and Helen Owton gave a presentation on “Using social media to raise your profile”. The aim of the presentation was to share the Open University (OU) Sport and Fitness Team’s experience of using social media and consider whether this had worked in raising the profile of the qualification area. This article provides a summary of the key metrics discussed in the presentation.

IDidntKnowSport and fitness qualifications have been available at the OU since 2008, yet anecdotally knowledge of the availability of these did not appear widespread. Using social media was identified as a low-budget strategy for raising the profile of the qualification. The social media strategy adopted by the Sport and Fitness team primarily involves the use of three media – Twitter, team blog and The Conversation.

Twitter

TwitterThe OU Sport and Fitness Twitter account was launched in October 2012 and has created 1,316 tweets collecting 640 followers to date which consists of students, Associate Lecturers, Open University accounts and others. This is mainly used to share relevant articles, engage with students and direct traffic to the blog. The @OU_Sport Twitter account currently has a ‘Klout score’ (measure of online impact) of 45, which is slightly above the average of 40.

Blog

BlogThe OU Sport and Fitness team blog was started in February 2014. It was initially only active during major sporting events (e.g. Winter Olympics/Paralympics, Commonwealth Games), but has been active all year round since May 2015. To date, there have been 85 posts (mean: 5 posts/month) written by all 8 members of the academic team team. Engagement from the entire team is key to the success of the blog. The articles posted on the blog are also sometimes posted in other locations (e.g. OpenLearn, The Conversation), and are publicised through Twitter and the Faculty Facebook page.  Data collected since May 2015 shows that the blog receives an average of 1,173 page views per month (range 707-1,819), with a high percentage of new visitors (mean = 85%). The blog is predominantly viewed by UK audiences, but does have a worldwide audience.

The Conversation

ConversationThe Conversation is “a collaboration between editors and academics to provide informed news analysis and commentary that’s free to read and republish”. It therefore provides a platform for academics to disseminate academic knowledge in an accessible format. The Sport and Fitness team have published 21 articles in The Conversation to date. The Conversation has a wide reach and at 17th September 2015 articles written by the team had received 63,354 views, which equates to a mean of 3,017 views per article (20 articles) and a range of 640-17,239 views per article.

Is it worth it?

The team believe that engaging with social media has been highly effective in raising the external profile of Sport and Fitness at The Open University. Additionally, the team have derived further benefits through engaging with social medial such as being able to communicate with students, developing a sport and fitness community, and disseminating research findings more widely.

Thank you to everyone who has followed, supported and re-tweeted us.

 

Twitter https://twitter.com/OU_Sport

Blog https://www.open.ac.uk/blogs/OU-Sport

The Conversation https://theconversation.com/uk

 

 

Recovery at the Rugby World Cup

By Caroline Heaney

Image courtesy of nenetus at FreeDigitalPhotos.net

Image courtesy of nenetus at FreeDigitalPhotos.net

Recovery has reportedly become a ‘hot topic’ at the 2015 Rugby World Cup. Competing in a major tournament such as the Rugby World Cup can take its toll on the body. Rugby is a physically demanding sport that fatigues the body, so it’s important for players to be able to recover effectively and bounce back ready for the next match. Teams that reach the final of the Rugby World Cup will have played seven matches and that can be tough for the body to cope with, even amongst elite athletes. Although both teams in the final will have played the same number of games, they may not have had the same experience. One team, for example, will have an extra day of rest since the two semi-finals are played on consecutive days. Additionally, one team may have a more gruelling semi-final than the other which could give their opposition an advantage. How well they recover from that gruelling match could make all the difference to the result. A lack of adequate recovery was reported to be an influencing factor in Japan’s defeat at the hands of Scotland after such a spectacular opening match against South Africa. Consequently sports performers often employ recovery strategies to speed up and maximise their recovery between matches. In this article we will review three commonly used strategies: cryotherapy, compression clothing and massage.

Cryotherapy

Cryotherapy can be defined as the lowering of tissue temperature in order to achieve a therapeutic objective (in this case to enhance recovery). There are various modes of cryotherapy, but ice baths were traditionally the most common mode used by athletes, however increasingly whole body cryotherapy is being used. Whole body cryotherapy (WBC) is where athletes are exposed to very low temperature rooms or chambers. Cryotherapy is openly used by elite rugby players. The Wales team, for example, were using cryotherapy in preparation for last World Cup in 2011 and reportedly stepped into a cryotherapy chamber soon after their victory over England on 26th September.

Cryotherapy is thought to reduce some of the negative symptoms associated with intensive exercise such as muscle soreness and inflammation, and increase waste transportation, but what evidence is there to support this? It would appear not a huge amount. A recent review found only limited evidence to support WBC as a recovery tool and concluded that it may make no difference to muscle soreness or even make the pain worse. Interestingly, when questioned on this a spokesperson from Welsh Rugby stated that despite the lack of evidence they continue to use it because they “think it works”. This indicates the importance of belief in a treatment and the potential for the placebo effect to influence recovery when using cryotherapy.

Compression clothing

Compression garments are the items of tight clothing worn by athletes that have highly elastic properties which provide compression. These garments have become commonplace in rugby, but what is the theory behind them and why are they thought to aid recovery? It is logical to assume that compression is beneficial to recovery due to some of its other uses e.g. in the treatment of sports injuries or the use of flight socks to avoid developing deep vein thrombosis. Compression garments are suggested to enhance recovery by reducing the swelling and inflammation that occurs in response to intensive exercise. The theory is that the compression creates an external pressure gradient thus minimising the space available for swelling, but what does the research evidence show?

In their meta-analysis of 12 compression garment studies Hill et al. (2014) concluded that there is evidence that compression garments are moderately effective in enhancing recovery from exercise induced muscle damage. So it would seem that there is some value to using compression garments to aid recovery.

Massage

Massage is commonly used by rugby players to enhance their recovery between matches, for example, the England rugby team use massage as an integral part of their recovery and match preparation. Whilst massage is a well established recovery strategy, there is a surprising lack of scientific evidence to support its use. Brummitt (2008) in his review of the literature concluded that the research has failed to show that massage has a significant impact on delayed onset muscle soreness (DOMS) or other measures of recovery. More recently, after reviewing the literature, Nelson (2013) concluded that massage has a promising role to play in reducing DOMS, but urged caution due to the variability in study methodology. This identifies one of the key issues that has stunted massage research – individual differences. Each massage therapist develops their own individual massage style, making comparisons between therapists problematic. Additionally, factors such as the depth of pressure applied, muscle groups involved, ambient temperature, and time of day may all affect the impact of a massage. Consequently, it appears that what is lacking from the body of research evidence is guidance on what techniques, timings and dosages are optimal for recovery.

Conclusion

It is likely that players in the Rugby World Cup will be engaging in a wide variety of recovery strategies during the tournament, including, but not limited those outlined in this article. While the scientific evidence to support these strategies is still relatively limited, they are widely adopted by players and players appear to believe that they are effective. This is perhaps the most important factor of all – if an athlete believes that a strategy will help them recover, they will feel more confident going into their next game and that can only be a good thing.

 

The science behind recovery strategies in sport will be covered in a new OU Sport and Fitness level 3 module coming soon.

For more Rugby World Cup related articles, visit the OpenLearn Rugby World Cup Hub.

Rugby: A sport for sampling or specialisation?

By Jessica Pinchbeck

With the World Cup now upon us my household is at fever pitch and my six year old son is mesmerised by the strength, skill and speed of the players. He is a keen rugby player himself and has been attending training at the local club since he was four. However despite his passion for the sport he is yet to define himself as ‘a rugby player’ as he also participates in a range of other sports including football, swimming and golf.  This is similar to most of his rugby teammates who also take part in a range of sports from ballet to ice-hockey. However the majority of his football teammates tend to only play football, football and more football. So what is the best approach? Should my son choose to focus on rugby, the sport he excels at the most, and forget the rest? Would that make him a better rugby player and increase his chances of reaching elite level? What are the benefits and risks of such early specialisation?

Kelsey E ] via Flickr Creative Commons https://www.flickr.com/photos/kelseye/786999279

Kelsey E via Flickr Creative Commons https://www.flickr.com/photos/kelseye/786999279

Early Specialisation

Early specialisation is a hot topic at the moment with youth sports becoming more and more susceptible to commercial pressures and parents and coaches often encouraging children to participate in intensive training and highly competitive events in their specialised sport at a young age. There are various definitions for early specialisation however typically it involves continual year-round training in a single sport between the ages of 6 and 12 years with a specific focus on development in that sport. One of the main arguments for endorsing early specialisation is the positive relationship between the amounts of time spent in deliberate practice i.e. highly effortful and structured activity, and the level of achievement attained. Therefore in theory, the earlier you start practicing the earlier it is that you are likely to ‘make it’ to the top level. However this is a very simple outlook and this linear approach has been questioned in relation to sports performance. Although deliberate practice is considered important the exact requirements of the type and amount of such practice remains in question.

Currently the general consensus is that sampling a range of sports throughout childhood provides the best grounding for both progressing onto a higher level in a chosen sport as well as for continued participation into adulthood. Sampling allows for the transfer of cognitive skills and physiological conditioning to different sports. There is also strong evidence that in sports where peak performance is reached into adulthood specialisation does not need to occur before the age of 13. So how does this apply to rugby?

Rugby is a sport where peak performance is typically achieved later into adulthood. This corresponds to statistics from the previous World Cup winners where the RFU calculated average team ages of 27 (Australia), 28 (England), 27 (South Africa) and 28 (New Zealand). In their 2015 squad New Zealand have opted for experience including four players who have played in four world cups and France have just one player under the age of 25 with an average age of 29.1. Rugby players are thought to benefit from late specialisation whereby players sample different sporting activities to develop physical, psychological and sociological skills that benefit their rugby performance.

‘Rugby is a late maturation sport, further complicated by the different maturation rates that tend to apply to the different positions. There is also a wide consensus based on statistical evidence that selection for elite training and specialisation would be more effective if delayed until after maturation, that period of maximum growth and change. In practice, almost all sports begin such selection rather earlier. So the RFU and the Regional Academies must continue to encourage both early engagement and late specialisation in the sport.’ (England Rugby, 2013)

However according to rugby journalist Stephen Jones this is not happening within English rugby with Rugby Schools dominating and the quest for talent forcing children to specialise and be identified earlier. Interestingly in the England 2015 World Cup Squad Stuart Lancaster has eighteen players aged under 27 including youngsters Luke Cowan-Dickie (20), Elliot Daly (22), Maro Itoje (20) and Henry Slade (22) who have progressed through the player development pathway, which would suggest that the system is working to some extent. It would be interesting to know if these players were early specialisers. However one could also argue that the current system encourages early talent identification and specialisation which can often fail to distinguish between potential and performance and so for those players such as Cowan-Dickie and Itoje that make it to the top level many potentially elite youngsters have been disregarded. There is also evidence to suggest that early specialisation poses risks to the young athletes.

What are the risks of early specialisation?

Evidence suggests that early specialisation can lead to negative consequences, both physically and mentally. Early sport specialisation may increase rates of overuse injury and sport burnout, showing higher training volumes to be a factor in injury with injuries more likely to occur during the adolescent growth spurt. Evidence also suggests that athletes who had early specialised training withdrew from their sport either due to injury or burnout from the sport. This is particularly important for contact sports such as rugby.

As well as the physical risk of injury the main psycho-social risks of early specialisation include decreased sport enjoyment, low intrinsic motivation, compromised social development, social isolation, dropout, psychological burnout, and even the potential to lead to eating disorders in some sports. In contrast early sampling is thought to lead to sport expertise because of the intrinsic motivation that stems from the fun, enjoyment, and competence children experience through their sporting involvement (Côté & Hay, 2002).

What is the answer?

With early specialisation becoming more prominent despite the evidence documenting the risks the IOC have issued a consensus statement with a range of recommendations for those involved in youth sport. For example acknowledging that each child will develop at different rates due to varying responses to training. Developing children holistically, to provide a foundation that will help them be successful in life as well as in sport and ensuring steps are taken to prevent injury. In addition the IOC challenge governing bodies to embrace the recommendations which are based on academic evidence to ensure youth sport is healthier, inclusive, sustainable and long-term. Johnny Wilkinson is a good example of this ideal:

‘I have always loved rugby but have also been fortunate to play a whole host of different sports from a young age. I hope that all children have similar enjoyable opportunities to play and keep active throughout their lives’.

Evidence suggests that in a sport such as rugby there is no place for early specialisation and in fact participating in a range of different sports would provide a better foundation for performance as well as continued participation. So to answer my earlier question I will continue to support my son in his rugby but also encourage him to continue sampling a range of activities to promote a positive sports experience that hopefully continues into adulthood.

Doping in rugby union: a case of papering over the cracks?

By Gavin Williams

Image courtesy of sscreations at FreeDigitalPhotos.net

Image courtesy of sscreations at FreeDigitalPhotos.net

An average of 7.8 million viewers tuned in to watch events at Twickenham on Friday 18th September as the self-proclaimed third largest sporting event in the world, the Rugby World Cup, began.

In the lead-up to the event – and amidst the current turmoil surrounding other elite sports such as athletics and cycling – World Rugby’s Anti-Doping Compliance manager, David Ho, has boldly claimed that the sport’s anti-doping programme is the envy of sports around the world.

Ho cites numerous reasons for this including an increased budget, the introduction of the athlete biological passport in 2014, and mandatory anti-doping education for players from under-20 level. The results appear to support Ho’s claim with only four positive tests from 2,100 elite samples taken in 2014 – less than one percent.

This however does not tell the full story. The timing of Ho’s proclamation coincided with the news that the 22-cap South Africa hooker, ‘Chiliboy’ Ralepelle, had been suspended for two years after testing positive for drostanolone, an anabolic steroid. And of course, some may argue that the lack of positive results simply indicates that elite athletes who choose to cheat are merely one step ahead.

While this positive test may be one of only a small number of exceptions at the elite level, further investigation of the sport closer to home reveals a slightly more disturbing picture.

Inspection of the UK Anti-Doping list reveals that of the 50 athletes and coaches currently serving bans for an Anti-Doping Rule Violation (ADRV), 16 are rugby union players. If we include rugby league, this figures rises to 29. The vast majority of sanctions are for the use of anabolic agents but the more surprising statistic is they are predominantly issued to players at lower levels of the sport. So what are the potential reasons for this?

Research evidence indicates that during the 20th century the stature and weight of rugby union players increased significantly, with body mass increases far exceeding those in the general population of young males during the same timeframe. Since the game turned professional in 1995 this trend has continued. Evidence from 2002- 2011 shows that the average height and weight for elite players in England increased for almost all positions, with significant differences in weight evident for fly half and back-row forwards (Fuller et al., 2013).

An interesting case comparison to demonstrate this is the New Zealand World Cup winning squad of 1987 and the squad of 2015 – favourites to retain the title. In 1987, the average weight was 99.5kg and 79kg for the forwards and backs respectively compared to 113kg and 95kg in 2015.

When accounting for the importance of size, strength and power it is perhaps slightly less surprising that the majority of doping bans are issued to those players attempting to gain entry to the elite levels of the game. The pressures faced by young people aspiring to ‘make it’ to the pinnacle of the sport – including the need for players to become bigger and stronger along with the benefits and rewards – can lead some to take short cuts. These pressures are the precise reasons cited by Sam Chalmers, son of former Scotland and British & Irish Lions fly-half Craig, who received a 2 year ban after testing positive for two anabolic steroids at a Scotland under-20 training session in 2013.

So, in returning to David Ho’s comments, one factor above all else is clear: while there may or may not be a problem at the elite level of the game, alongside rigorous testing procedures, sanctions and campaigns, education must begin at the junior level for all players so that they are aware of the inherent dangers and consequences of doping in the sport. Only then perhaps can rugby address the issue of doping at all levels.