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Distal Radius Morphometry in the Saudi Population 沙特人口的桡骨远端形态测量
Pub Date : 2024-01-29 DOI: 10.29011/2576-9596.100200
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引用次数: 0
Evaluation, Diagnosis and Management of Persisting Pain Post Sportsman’s Groin Repair 运动员腹股沟修复术后持续疼痛的评估、诊断和处理
Pub Date : 2023-11-20 DOI: 10.29011/2576-9596.100199
A. Sheen, Sheen AJ.Sports, Injr Med
Aim: This article is aimed as a guide to a clinician who sees a patient representing with persistent groin pain after they have undergone a sports hernia repair. Methods & Results : Groin pain related to a repetitive strain injury better known as either inguinal disruption, athletic pubalgia or more commonly the sportsman’s groin is discussed. Once a diagnosis of the loss of the inguinal canal integrity or a posterior wall weakness is diagnosed and then surgically treated by any technique, any further recurrence or persistence of groin pain requires evaluation for the other possible causes of groin pain. Diagnoses such as an adductor tendinopathy, rectus abdominis origin tear, femoroacetabular impingement, pubic bone oedema or even the presence of a true hernia must again be re-evaluated. Any specific management will subsequently be aimed at the other cause (s). Discussion : Understanding of the complexity of the groin both anatomically, as well as physiologically, will help diagnose and treat persistent and recurrent groin pain, with a multi-disciplinary approach key to a successful outcome.
目的:本文旨在为接受过运动性疝气修补术后出现持续腹股沟疼痛的临床医生提供指导。方法与结果:本文讨论了与重复性劳损有关的腹股沟疼痛,这些损伤通常被称为腹股沟断裂、运动性耻骨痛或更常见的运动员腹股沟。一旦诊断出腹股沟管完整性丧失或后壁薄弱,并通过任何技术进行手术治疗后,腹股沟疼痛如果再次复发或持续存在,就需要对腹股沟疼痛的其他可能原因进行评估。诸如内收肌腱病、腹直肌源性撕裂、股骨髋臼撞击、耻骨水肿,甚至是否存在真正的疝气等诊断结果都必须重新评估。任何具体的治疗方法都将针对其他病因。讨论:了解腹股沟在解剖学和生理学上的复杂性有助于诊断和治疗顽固性和复发性腹股沟疼痛,多学科方法是取得成功的关键。
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引用次数: 0
Variations of The Bilateral Barbell Squat: A Brief Review 两侧杠铃深蹲的变化:简要回顾
Pub Date : 2023-06-23 DOI: 10.29011/2576-9596.100196
Gabriel Illmeier, Nachwuchsleistungssportzentrum Steiermark, Illmeier G. Sports, Injr Med
The three most fundamental variations of the barbell squat with the bar placed on the shoulders are the high-bar back squat (HBBS), the low-bar back squat (LBBS), and the front squat (FS). There are significant kinematic, kinetic, and biomechanical distinctions between these variations that should be considered in the exercise selection. In comparison to the high-bar variations, the LBBS results in a greater hip joint torque and greater activation of the hip extensor muscles. In contrast, during the FS, the m. quadriceps is utilized more compared to the other two variations due to an increased torque in the knee joint. Regarding the relation between hip and knee joint torques, the HBBS is an intermediate and more balanced exercise variation than the LBBS and the FS. The HBBS is a fundamental exercise in athletic conditioning and a suitable starting point for novices, whereas the LBBS is preferred when the primary objective is to maximize weightlifting performance. The FS is crucial for athletes performing the clean and its derivates since it trains the required body position for a successful catch and might be the biomechanically advantageous variation if the goal is to target the knee extensor muscles. However, the differences in terms of knee extensor demands, muscle activation and kinematics between the HBBS and FS seem to be minimal, as the literature indicates similar results when comparing the FS to the HBBS. As far as analysis methods are concerned, even though 3D movement analysis is regarded as the gold standard for motion capture and analyzing kinematics, 2D models seem to serve as a valid initial guide in order to understand the kinematics and biomechanics of different squat variations.
杠铃深蹲的三个最基本的变化是高杠后蹲(HBBS),低杠后蹲(LBBS)和前蹲(FS)。这些变化在运动选择中应考虑到重要的运动学、动力学和生物力学差异。与高杠训练相比,LBBS会产生更大的髋关节扭矩和更大的髋关节伸肌激活。相反,在FS中,由于膝关节的扭矩增加,股四头肌比其他两种变型被更多地利用。关于髋关节和膝关节扭矩的关系,HBBS是一种中间的,比LBBS和FS更平衡的运动变化。HBBS是一项基本的运动训练,适合初学者,而LBBS是首选的,当主要目标是最大限度地提高举重成绩。FS对于运动员进行清洁动作及其衍生动作是至关重要的,因为它训练了成功接球所需的身体位置,如果目标是膝关节伸肌,它可能是生物力学上有利的变化。然而,HBBS和FS在膝关节伸肌需求、肌肉激活和运动学方面的差异似乎很小,因为文献表明,将FS与HBBS进行比较时,结果相似。就分析方法而言,尽管3D运动分析被认为是运动捕捉和运动学分析的黄金标准,但为了理解不同深蹲变化的运动学和生物力学,2D模型似乎可以作为有效的初始指导。
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引用次数: 0
Cricket Scotland Women’s Twenty-20 International Cricket Council World Cup Qualifier: A Pilot Prospective Cohort Injury Study 板球苏格兰女子2022年国际板球理事会世界杯预选赛:一项试点前瞻性队列损伤研究
Pub Date : 2023-06-19 DOI: 10.29011/2576-9596.100195
Jim Scanlan, Silver Accreditation, Scotland, Scanlan J. Sports, Injr Med
Background: Cricket is the world’s second most popular spectator sport with the Twenty-20 form emerging as one of the most popular match formats for male and female players. Little research has been conducted into the injury profile of Women’s Twenty-20 cricket. As a first step toward implementing injury reduction and prevention strategies, injury surveillance was conducted for Cricket Scotland during the Women’s Twenty-20 International Cricket Council World Cup Qualifier (held from 29th August-07th September 2019). Objectives: To describe the incidence, nature, anatomical location and mechanisms of new medical attention injuries sustained by Cricket Scotland Women’s Twenty-20 Team during the Women’s Twenty-20 International Cricket Council World Cup Qualifier in order to best inform appropriate stakeholders regarding future injury reduction and prevention strategies. Design: Prospective cohort study. Methods : Injury data was collected prospectively by the team physiotherapist during the period 28th August-07th September 2019 for Cricket Scotland Women’s Twenty-20 Team during the Women’s Twenty-20 International Cricket Council World Cup Qualifier
背景:板球是世界上第二大最受欢迎的观赏性运动,20 -20形式正在成为男女球员最受欢迎的比赛形式之一。对女子20 -20板球的伤病情况进行的研究很少。作为实施减少伤害和预防战略的第一步,在女子国际板球理事会世界杯预选赛(2019年8月29日至9月7日举行)期间,对苏格兰板球进行了伤害监测。目的:描述苏格兰板球女队在2020年国际板球理事会世界杯预选赛期间遭受的新的医疗损伤的发生率、性质、解剖位置和机制,以便最好地告知有关利益相关者未来减少伤害和预防策略。设计:前瞻性队列研究。方法:在2019年8月28日至9月7日期间,在女子2020年国际板球理事会世界杯预选赛期间,由球队物理治疗师前瞻性地收集苏格兰板球女子2020队的损伤数据
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引用次数: 0
Psychometric Properties of a Greek Version of Athlete Burnout Questionnaire 希腊版运动员倦怠问卷的心理测量特征
Pub Date : 2023-05-06 DOI: 10.29011/2576-9596.100194
A. Markati, Maria Psychountaki, K. Karteroliotis, N. Apostolidis, T. Raedeke
The present study aims to investigate the psychometric properties of a Greek version of the Athlete Burnout Questionnaire [1] from a sample of 405 Greek athletes of varied sports. The original scale was developed to assess sport-specific burnout and includes three subscales consisting of fifteen items: (a) emotional/physical exhaustion (b) reduced sense of accomplishment and (c) sport devaluation. Initially, exploratory factor analysis had the GR-ABQ consisted of three factors consisting of 13 items that matched the hypothesized factor structure. Subsequently, confirmatory factor analysis results indicated a 1st order three factor model provided a very good fit to the data compared to alternative models. Also, moderate correlations between the ABQ subscales and anxiety, motivation, mood state, and self-confidence provided concurrent validity evidence. These findings provide evidence of the validity and reliability of GR-ABQ and an initial understanding of burnout in Greek athlete population.
本研究旨在调查希腊版运动员倦怠问卷[1]的心理测量特性,该问卷来自405名希腊不同运动项目的运动员。最初的量表是为了评估运动倦怠而开发的,包括三个由15个项目组成的子量表:(a)情绪/身体疲惫(b)成就感降低和(c)运动贬值。最初,探索性因子分析使GR-ABQ由3个因子组成,共13个项目,与假设的因子结构相匹配。随后,验证性因子分析结果表明,与其他模型相比,一阶三因子模型提供了非常好的拟合数据。此外,ABQ量表与焦虑、动机、情绪状态和自信之间存在适度的相关性,提供了并行的效度证据。这些发现为GR-ABQ的有效性和可靠性提供了证据,并初步了解了希腊运动员人群的倦怠。
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引用次数: 0
Impact of Acute Exercise on Baseline Concussion Measures 急性运动对基线脑震荡测量的影响
Pub Date : 2022-10-31 DOI: 10.29011/2576-9596.100191
Jamie McAllister-Deitrick, E. Beidler, Jessica Wallace, K. M. Singleton, R. Moran, al. Sports, Injr Med
Concussions present with a myriad of symptoms and deficits related to balance, cognition, and vestibular/ocular motor assessments. To increase accuracy in concussion diagnosis and management, baseline assessments are recommended to provide individualized, pre-injury assessment measures. While symptom reduction and recovery may be aided by physical activity postconcussion, further information is needed to understand the potential influence of post- exercise symptoms in healthy athletes. Therefore, the purpose of this study was to compare the effects of acute exercise on baseline measures of concussion including the SCAT5, KD, ImPACT, BESS, and VOMS. We completed a cross-sectional, laboratory study with 1 independent variable group (exercise, control). Subjects were matched on sex, age, and sport- related concussion (SRC) history and then randomly allocated into the exercise or control group prior to data collection. The dependent variables were comprised of outcome scores from the ImPACT, SCAT5, BESS, VOMS, and K-D test. A total of 93 recreationally active college students (age range = 18-24 years; physical exertion n = 47, control n = 46) were recruited to participate in this study. The exercise group engaged in a one-time, 15-minute exercise protocol before completing the SRC assessments, while the control group completed the SRC assessment protocol in a rested state. Significant differences were noticed between groups on SCAT total number of symptoms and symptom severity, as well as ImPACT symptom severity score, with the control group scoring higher in all categories. For future practice, sports medicine professionals should consider the effect exercise may have on baseline measurements of concussions, specifically symptoms. It may be beneficial to conduct baseline measurements after practice or conditioning, for a better indication of the athlete’s true baseline. Additionally, it is important that clinicians and sports medicine professionals continue to use a multimodal approach when treating concussions, as symptoms alone may not be a good indication.
脑震荡表现出与平衡、认知和前庭/眼运动评估相关的无数症状和缺陷。为了提高脑震荡诊断和管理的准确性,建议基线评估提供个性化的损伤前评估措施。虽然脑震荡后的身体活动可能有助于症状的减轻和恢复,但需要进一步的信息来了解运动后症状对健康运动员的潜在影响。因此,本研究的目的是比较急性运动对脑震荡基线测量的影响,包括SCAT5、KD、ImPACT、BESS和VOMS。我们完成了一项有1个自变量组(运动组,对照组)的横断面实验室研究。受试者在性别、年龄和运动相关脑震荡(SRC)病史上进行匹配,然后在数据收集之前随机分配到运动组或对照组。因变量由ImPACT、SCAT5、BESS、VOMS和K-D测试的结果分数组成。共93名从事娱乐活动的大学生(年龄18-24岁;体力消耗组n = 47,对照组n = 46)参与本研究。运动组在完成SRC评估前进行一次性15分钟的运动方案,对照组在休息状态下完成SRC评估方案。各组间SCAT总症状数、症状严重程度及ImPACT症状严重程度评分均有显著差异,对照组各类别得分均较高。在未来的实践中,运动医学专业人员应该考虑运动可能对脑震荡基线测量的影响,特别是症状。在训练或训练后进行基线测量可能是有益的,可以更好地指示运动员的真实基线。此外,临床医生和运动医学专业人员在治疗脑震荡时继续使用多模式方法是很重要的,因为单独的症状可能不是一个很好的指示。
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引用次数: 0
Reconstruction of the PCL Posterior Cruciate Ligament by Single Posterolateral Access to the Knee Reproduced Surgical Technique 单后外侧膝关节再造术重建PCL后交叉韧带
Pub Date : 2022-10-11 DOI: 10.29011/2576-9596.100190
M. Ramos, Edmilson Barbosa Filho, Márcio Tannure, João, Gabriel Villardi, Eliane Santos da Luz, Gabriel da Rocha Vieira, Mark de Melo, Ramos, Igor de Melo Ramos
Introduction: The objective of this study is to present an anatomotographic description of a new surgical approach, making possible the combined reconstruction of injuries of the Posterior Cruciate Ligament (PCL) and the Posterolateral Complex (PLC) of the Knee, using the arthroscopic approach, combined with the technique of direct visualization. of the tibial bed (INLAY), performed through a single extended posterolateral access. Methods: ten cadaver knees were studied, simulating a videoarthroscopic stage and the proposed lateral approach. The parameters evaluated: (1) anatomical structures involved in the expansion of access (2) topographic analysis of the relationship between popliteal muscle and popliteal artery; (3) identification of the quadrilateral tibial zone for fixation under direct visualization (INLAY) (4) preservation of the posterior joint capsule (5) identification of lacerations to the vasculonervous bundle of the popliteal fossa. The analyzes were complemented through subsequent dissections, in order to obtain visualization of the results in different perspectives, and thus guarantee a better interpretation of the evaluated parameters. Results: in all dissections we demonstrated the feasibility of expanding the lateral access, using the topography of the popliteus muscle, its repair and posterior retraction allowed the creation of space necessary for the construction of the tibial tunnel in the quadrilateral area, in addition to functioning as an additional protection barrier the neurovascular structures. The preservation of the posterior joint capsule supports this hypothesis. No neurovascular lacerations were observed. Conclusion: the approach described presented reproducibility for reconstructions in combined lesions, allowing the performance of all stages of these procedures using a single access, in addition to combining all the advantages of a classic INLAY technique, obtaining an adequate area for positioning the tibial tunnel and adequate tensioning of the graft, thus minimizing failure and loosening rates. The study also establishes safety guidelines, minimizing the risks of iatrogenic injuries to the neurovascular structures of the popliteal fossa. in addition to combining all the advantages of a classic INLAY technique, obtaining an adequate area for the positioning of the tibial tunnel and adequate tensioning of the graft, thus minimizing the rates of failure and loosening. The study also establishes safety guidelines, minimizing the risks of iatrogenic injuries to the neurovascular structures of the popliteal fossa. in addition to combining all the advantages of a classic INLAY technique, obtaining an adequate area for the positioning of the tibial tunnel and adequate tensioning of the graft, thus minimizing the rates of failure and loosening. The study also establishes safety guidelines, minimizing the risks of iatrogenic injuries to the neurovascular structures of the popliteal fossa.
简介:本研究的目的是介绍一种新的手术入路的解剖学描述,该入路采用关节镜入路,结合直接可视化技术,使膝关节后交叉韧带(PCL)和后外侧复合体(PLC)损伤的联合重建成为可能。胫骨床(INLAY),通过单次延长后外侧通路进行。方法:对10具尸体的膝关节进行研究,模拟关节镜阶段和提出的外侧入路。评估的参数包括:(1)通道扩张涉及的解剖结构;(2)腘肌与腘动脉关系的地形分析;(3)识别在直视下固定的胫骨四边区(INLAY)(4)保存后关节囊(5)识别腘窝血管神经束的撕裂。通过随后的解剖来补充分析,以便从不同角度获得结果的可视化,从而保证更好地解释评估的参数。结果:在所有的解剖中,我们证明了扩大外侧通路的可行性,利用腘肌的地形,其修复和后缩回允许在四边形区域为胫骨隧道的建设创造必要的空间,除了作为神经血管结构的额外保护屏障之外。后关节囊的保存支持了这一假设。未见神经血管撕裂。结论:所描述的方法在合并病变的重建中具有可重复性,除了结合经典INLAY技术的所有优点外,还允许使用单一通道执行这些手术的所有阶段,获得足够的区域来定位胫骨隧道和适当的移植物张力,从而最大限度地减少失败和松动率。该研究还建立了安全指南,将腘窝神经血管结构医源性损伤的风险降至最低。除了结合经典INLAY技术的所有优点外,还可以获得足够的胫骨隧道定位面积和足够的移植物张力,从而最大限度地减少失败和松动的几率。该研究还建立了安全指南,将腘窝神经血管结构医源性损伤的风险降至最低。除了结合经典INLAY技术的所有优点外,还可以获得足够的胫骨隧道定位面积和足够的移植物张力,从而最大限度地减少失败和松动的几率。该研究还建立了安全指南,将腘窝神经血管结构医源性损伤的风险降至最低。
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引用次数: 0
Physiological Principles of Cardiopulmonary Exercise Testing 心肺运动试验的生理原理
Pub Date : 2022-09-30 DOI: 10.29011/2576-9596.100189
T. Glaab, C. Taube
Of all currently available exercise tests, cardiopulmonary exercise testing (CPET) represents the gold standard that provides the most accurate and objective measure of cardiorespiratory fitness. This is achieved through a comprehensive evaluation of the pulmonary, cardiovascular, hematopoetic, neuropsychological, skeletal muscular and cellular oxidative systems involved in the (patho)physiological response to exercise. Therefore, CPET is ideally suited to quantify exercise tolerance and evaluate the underlying mechanism(s) of exertional dyspnea and exercise limitation in many clinical conditions. CPET can be seen a complex test that requires specific knowledge of exercise physiology and gas exchange. The physiological principles required for understanding CPET are typically complex to teach, and comprehensive presentations may be initially considered too impractical. In this mini review we briefly describe the basics of exercise physiology and the key parameters that are vital for the understanding and interpretation of CPET.
在目前所有可用的运动测试中,心肺运动测试(CPET)代表了提供最准确和客观的心肺健康测量的金标准。这是通过对参与运动(病理)生理反应的肺、心血管、造血、神经心理、骨骼肌和细胞氧化系统的综合评估来实现的。因此,在许多临床条件下,CPET非常适合量化运动耐量和评估运动性呼吸困难和运动限制的潜在机制。CPET可以看作是一项复杂的测试,需要特定的运动生理学和气体交换知识。理解CPET所需要的生理原理通常很难教授,而全面的陈述最初可能被认为太不切实际。在这篇简短的综述中,我们简要地描述了运动生理学的基础知识和对CPET的理解和解释至关重要的关键参数。
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引用次数: 0
Wrist Support Does Not Prevent Wrist Injury or Pain but May be Therapeutic for Existing Wrist Pain in Female Gymnasts 腕部支架不能预防腕部损伤或疼痛,但可能对女性体操运动员现有的腕部疼痛有治疗作用
Pub Date : 2022-08-18 DOI: 10.29011/2576-9596.100185
S. Choo, J. Cook
Objective: To determine effects of wrist support use by female gymnasts based on self-reported wrist support use, wrist pain, and wrist injury to provide foundational data for designing subsequent prospective studies aimed at optimizing use of wrist support in gymnastics. Methods: A survey was distributed to current and former female gymnasts. Data collection was carried out using a commercially available electronic platform with de-identified data collected from participants. Descriptive statistics were calculated and comparisons for statistically significant (p<0.05) differences among variables of interest were determined. Results: In total, 343 female gymnasts (149 current and 194 former athletes) completed the questionnaire. Overall, 81.9% reported wrist injury/pain (mean number of 2.6 wrist injuries per injured athlete). Also, 61% of athletes reported using wrist support and 78.7% reported less pain with wrist support use; 39.3% reported needing to adjust the pre-designed wrist brace with additional tape/inserts to provide adequate support. In addition, 93% of former athletes experienced wrist pain/injury (mean number of 1.9 wrist injuries per injured athlete). A significantly higher proportion of former athletes used wrist support compared to current athletes (p=0.0017). Further, 91% of former gymnasts noted wrist injury and/or pain despite wrist support use, and 39.4% of athletes modified their supports in attempt to improve their symptoms. Conclusion: Results of the study support previous data denoting high incidence of wrist injuries and wrist pain in female gymnasts and suggest that wrist braces and/or taping was not associated with prevention of wrist injuries or pain but did mitigate existing wrist pain.
目的:通过自述腕部支撑使用情况、腕部疼痛和腕部损伤情况来确定女性体操运动员腕部支撑使用的影响,为设计后续旨在优化腕部支撑在体操运动中的使用的前瞻性研究提供基础数据。方法:对现役和退役女子体操运动员进行问卷调查。数据收集是使用商业上可用的电子平台进行的,从参与者那里收集了去识别的数据。计算描述性统计数据,比较感兴趣的变量之间的差异是否有统计学意义(p<0.05)。结果:共有343名女体操运动员(现役运动员149人,退役运动员194人)完成问卷调查。总体而言,81.9%报告手腕受伤/疼痛(平均每名受伤运动员2.6次手腕受伤)。此外,61%的运动员报告使用手腕支撑,78.7%的运动员报告使用手腕支撑减轻了疼痛;39.3%的人表示需要用额外的胶带/插入物来调整预先设计的腕带以提供足够的支撑。此外,93%的退役运动员经历过手腕疼痛/损伤(平均每名受伤运动员1.9次手腕损伤)。退役运动员使用腕部支架的比例明显高于现役运动员(p=0.0017)。此外,91%的前体操运动员在使用腕部支架的情况下仍有手腕损伤和/或疼痛,39.4%的运动员修改了他们的支架,试图改善他们的症状。结论:研究结果支持先前的数据,即女性体操运动员腕部损伤和腕部疼痛的发生率较高,并表明腕部支架和/或胶带与预防腕部损伤或疼痛无关,但确实减轻了现有的腕部疼痛。
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引用次数: 1
A Novel Framework for Analysis of Lower Limb Movements: Integration of Augmented Reality and Sensor-based Systems 下肢运动分析的新框架:增强现实和基于传感器系统的集成
Pub Date : 2022-07-27 DOI: 10.29011/2576-9596.100183
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引用次数: 1
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Sports Injuries &amp; Medicine
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