Current sports medicine reports最新文献

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.

Abstract: Physical activity is an essential component to overall health and wellness. Disparities and barriers to equitable access to physical activity exist and are more common in urban, under resourced and minority communities. Health care providers play an essential role in supporting patients to reach ideal physical activity goals. Movement Clinic was established to address these concerns and work toward optimal wellness for all patients.

Abstract: According to a 2024 report from the World Health Organization, substance use disorders have contributed to more than 3 million annual deaths worldwide. Combining outdoor fitness equipment in persistent traumatic stress environments can lead to a reduction of accidental drug overdoses. Individuals who experience complex post-traumatic stress disorders are susceptible to substance use disorders. Weight training has been shown to be effective at healing trauma. The development of self-efficacy from exercise can aid in abstinence from substance use and result in sustained remission.

Abstract: Exertional leg pain is a relatively common condition that can negatively impact athletic performance and may pose a diagnostic and management challenge for the sports medicine physician. A comprehensive clinical evaluation is important to narrow the broad differential associated with exertional leg pain and focus the selection of the most appropriate diagnostic tests and treatment modalities in the care of these individuals. This article will provide an update on recent literature regarding the etiologies, pathophysiology, clinical presentation, workup/diagnosis, and treatment of exertional leg pain in athletes with a focus on vascular etiologies, chronic exertional compartment syndrome, and bone stress injury.

Abstract: This review article explores the multifaceted aspects of early specialization in diving, focusing on its implications for injury prevalence, performance, and mental health. It highlights the increasing trend of early specialization driven by ambitions for collegiate and Olympic success, despite recommendations advocating for diversification. Divers are at risk for acute and overuse injuries, particularly during high-velocity water entries; however, data on injury patterns, especially among elite divers and early specializers, remains scarce. Recent data suggest a correlation between early specialization and reduced rates of certain injuries among youth divers, but distinguishing between acute and overuse injuries is crucial. Additionally, early specialization may pose mental health risks, with divers facing pressures related to performance, body image, and parental expectations. This article underscores the need for tailored guidelines to mitigate injury risks and promote holistic well-being among youth divers, recognizing the complex interplay between physical and psychological factors in sports specialization.

Abstract: Use of prohibited substances and methods (doping) by elite athletes is a complex and multifactorial behavior. Understanding the factors associated with doping behavior is crucial to identifying potential intervention targets to reduce doping among this group. However, there are limited data on the prevalence and correlations of self-reported prohibited substance use among Brazilian Olympic athletes. We present data from a cross-sectional, self-reported online survey. Participants were elite Brazilian athletes who participated in the 2020 Olympic and Paralympic Games. A total of 209 athletes (52.6% females) from both Brazilian delegations were surveyed. The self-reported doping use of prohibited substances or methods was found to be 7.2%. Receiving a recommendation from a medical doctor, even knowing that the substance is prohibited, was associated with an increased risk of self-reported doping use (OR = 17.474; 95% CI = 4.664-65.470, P < 0.001). Nearly 1 in 10 athletes reported use in their careers. Medical recommendation to use substances was the only factor associated with an increased risk of doping among elite athletes.