Current sports medicine reports最新文献

Abstract: Sleep is a critical component of quality of life, recovery, and performance both physically and cognitively. Tracking sleep with wearables is increasingly prevalent among individuals; the data that are retrieved from these wearables, however, is of unclear relevance. To update this space, literature was reviewed to examine the implications for good and bad sleepers, the current shortcomings of wearables, their current status usage and literature reports in sports medicine, and the future benefits that these devices may have for athletes and nonathletes alike. Wearables have good performance in detecting sleep but have greater difficulty in discerning between quiet wakefulness and early stages of sleep. The use of summative scores in consumer wearables is opaque, which should make sports medicine providers skeptical of their clinical utility. There is ample opportunity for wearables to be clinically useful and research opportunities to better explore the bidirectional relationship between daytime athletic performance and sleep.

Abstract: Developing a fitness routine in the postpartum period can be challenging for many reasons, including uncertainty with when and where to begin, lack of support, managing any medical or postoperative concerns, and being overwhelmed with responsibilities of a new baby. There is limited evidence and guidance for postpartum women and clinicians looking to support these women. Many existing resources are vague and often leave women unsure of how to proceed after being cleared to resume fitness activities following pregnancy. This article will provide an update on the most recent literature regarding return to physical activity for the postpartum athlete and a practical list of important considerations for this population.

Abstract: Rib bone stress injury (BSI) occurs most commonly in athletes performing repetitive upper body movements and results in significant time lost from training and competition. These injuries are seen in rowing, baseball, swimming, golf, weightlifting, and other throwing sports. Similar to BSI at other anatomical locations, a rib BSI often results from multiple factors including both thoracic/upper extremity biomechanics and metabolic factors affecting bone health. Although some rib BSIs are easier to detect, other injuries may present with vague rib or shoulder pain that can be misdiagnosed and result in delayed management. Our narrative review describes biomechanical and other health factors that contribute to a rib BSI. We describe an approach to evaluation including diagnostic imaging and management strategies to guide return to sport. This includes discussion of prevention/mitigation of underlying modifiable factors, including training load monitoring, addressing biomechanical factors, and correction of nutritional/hormonal deficiencies.

Abstract: It is evident that vibration therapy, massage, and compression garments are increasingly common recovery modalities among amateur and elite athletes. We performed a literature review via PubMed examining the effect of these modalities on measures of sports performance and recovery. We identified 29 eligible articles for vibration therapy, 31 eligible articles for compression garments, and 25 eligible articles for massage. Our review revealed varying degrees of support for each of the recovery modalities. However, our review also highlighted a need for standardized protocols in future studies to better understand how the modalities help athletes recover as to define optimal duration and frequency for maximal effects. Overall, all modalities reviewed seem safe to use and likely would not hinder sports performance or prolong recovery. It is a matter of how much benefit an athlete can gain when recovering from training.

Abstract: Despite popularity of gymnastics, there is no independent medical organization/subspecialty group to investigate injuries and prevention, and to make the sport safer for all. Thus, a new sports medicine subspecialty is proposed: Gymnastics Medicine. Gymnastics injury rates are higher compared to other sports. Common injuries occurring in gymnastics include gymnast wrist, grip lock, osteochondritis dissecans of the elbow, knee, and ankle, shoulder overuse injuries, mechanical low back pain, spondylolysis, pelvic apophysitis, anterior cruciate ligament tears, ankle instability/ankle sprains, symptomatic accessory navicular, os trigonum/posterior ankle impingement, and calcaneal apophysitis. Gymnastics Medicine will help medical clinicians understand injury patterns, return to play protocols, nutritional needs, and the mental aspects of gymnastics. Gymnastics Medicine is a needed subspecialty. There are many medical subspecialties involved with the care of gymnasts who would benefit from a concentrated field, and this field allows those clinicians to collaborate, enhance research, and most importantly, improve the safety and health of athletes in gymnastics.

Abstract: The Team Physician Consensus Statement delineates qualifications, duties, and responsibilities of the team physician and provides guidelines to individuals and organizations in selecting team physicians. These delineations and guidelines provide a foundation for best practices in the medical care of athletes and teams. The team physician's education, training, and experience uniquely qualify them to provide the best medical care for the athlete.This document is not intended as a standard of care and should not be interpreted as such. It is only a guide and, as such, is of a general nature, consistent with the reasonable, objective practice of the healthcare profession. Adequate insurance should be in place to help protect the physician, the athlete, and the sponsoring organization. This document was originally developed as the first in the team physician consensus series, representing an ongoing project-based alliance of the major professional associations concerned about clinical sports medicine issues. The organizations are as follows: American Academy of Family Physicians, American Academy of Orthopedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine.