Current sports medicine reports最新文献

Abstract: Sport-related concussions are a common type of brain injury, and the best treatment is prevention. Recently, external jugular vein compression collars have been worn by National Football League players, but the current evidence is limited. To the best of the authors' knowledge, this is the first comprehensive, up-to-date systematic review addressing the use of jugular vein compression collars for decreasing concussion incidence in high-impact sports and activities. Overall, when compared to control, the results indicated that jugular vein compression collars resulted in significantly reduced white matter alteration, improved short-term neurocognitive outcomes, increased internal jugular vein cross-sectional area, decreased internal carotid artery cross-sectional area, and moderating effects on peak pulse pressure. There was no significant difference in concussion incidence rate between groups. While promising, these findings warrant future research to assess jugular vein compression collar's role in concussion prevention, brain injury, and long-term neurocognitive outcomes. The authors are hopeful for the role jugular vein compression collars will play in the future.

Abstract: Equestrian sports are associated with high rates of major injury compared to collision and powered two-wheel sports. Advancements in rider and horse safety equipment and the implementation of comprehensive emergency action planning standards may help mitigate injuries, particularly in regard to the Olympic disciplines of dressage, show jumping, and three-day eventing covered in this review. Personal safety equipment to consider includes helmets, safety and air vests, and horse tack including safety stirrups, acoustic dampeners, and breakaway reins. Equestrian event medical coverage requires emergency action planning, partnership with local emergency medical services, and cooperation of interprofessional teams. Safety coordinators and medical providers may be tasked with providing first aid to spectators in addition to stabilizing and triaging crush trauma, traumatic brain injuries or spinal injuries, or fractures in competitors. Stationary and mobile medical units, proper medical equipment, acute spine stabilization protocols, and communication systems are critical components of equestrian medical coverage.

Abstract: Sports play a major role in the secondary school experience, with injuries also being part of these experiences. Healthcare access is a complex topic impacted by where someone lives, among other social determinants of health. Using a survey sent to Virginia-based middle school and high school athletic directors and athletic trainers, this study investigated the differences in sports medicine access comparing rural and nonrural communities. Findings suggest rural communities in Virginia have less access to an athletic trainer during practices and competitions and have a greater length of time before an injured athlete is seen by a sports medicine specialist when follow-up care is required. Narrowing the gap in medical access between rural and nonrural communities is important for athlete's well-being and for building more equitable healthcare systems.

Abstract: Organized sports are among one of the most widespread activities in youth. The purpose of this study was to assess the associations between youth perceptions of their participation in organized sports and mental health from the perspective of youth and their parents. Participants were 208 children ages 5 to 12 years. Children who endorsed elevated depressive symptoms scored significantly higher on the YES-S Negative Experiences Scale (mean = 19.00) compared to children who did not endorse elevated depressive symptoms (mean = 14.94; P < 0.01; d = 0.63). After controlling for the number of mental health diagnoses, there was a significant positive association between the YES-S Negative Experiences Scale and child self-reported depressive symptoms (standardized beta coefficient = 0.40; P < 0.001). Our findings underscore the importance of creating positive environments for organized youth sports and highlight the value of assessing both child and parent perspectives of child depressive symptoms in the context of organized sports participation.

Abstract: Individuals with intellectual and developmental disability face several barriers to participation in sports and physical activity. Fortunately, there are opportunities for athletes with intellectual and developmental disability to participate in sport. Special Olympics continues to be the most prominent opportunity. Unfortunately, many physicians and other health care providers may feel underprepared to evaluate and treat athletes with intellectual and developmental disability. While national and international events often have a large number of resources available, access to medical care for athletes at local, regional, and state events can be variable. This paper will review medical coverage for state and regional Special Olympics events, including preevent preparation, preparticipation examination, common medical conditions among athletes with intellectual and developmental disability, and common injuries evaluated at local and state events.