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Kinetics of recovery and normalization of running biomechanics following aerobic-based exercise-induced muscle damage in recreational male runners.
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-10 DOI: 10.1016/j.jsams.2025.01.002
Irit Markus, Adi Arutiunian, Evyatar Ohayon, Maria Holodov, David Peled, Roi Yavetz, Noam Ben-Eliezer, Antonio Dello Iacono, Yftach Gepner

Objectives: The study aimed to examine the effects of exercise-induced muscle damage on running kinetics.

Design: Twenty-six adult recreational male runners performed 60 min of downhill running (-10 %) at 65 % of maximal heart rate. Running gait changes, systemic and localized muscle damage markers were assessed pre - and post-exercise induced muscle damage protocol.

Methods: Running gait was analyzed using a 3D treadmill at baseline, immediately post, 24 h, and 48 h to determine changes in running pressure sway and vertical ground reaction forces. Blood markers, subjective pain perception, and magnetic resonance imaging utilizing T2 relaxation time of the thigh muscles assessed systemic and localized damage. Linear mixed-effects models examined changes over time.

Results: Significant decreases were found in the left leg's first (-454.0 to -396.1, P < 0.05) and second (-532.8 to -498.2, P < 0.05) VGRF peaks across all time points compared to baseline. The right leg showed reductions in the first vertical ground reaction forced peak at immediately post (-348.4, P = 0.036) and the second peak at immediately post and 24 h (-467.4 and -396.8, P < 0.05). Creatine kinase increased significantly (P < 0.001) at 24 h and 48 h compared to baseline. The anterior thigh muscle compartment showed significant (P < 0.05) increases in mean T2 values 1 h following exercise protocol remained elevated up to 48 h. Negative correlations were identified between running biomechanics to local and systemic muscle damage markers.

Conclusions: Running biomechanics remained impaired for up to 48 h following exercise induced muscle damage and correlated with markers of muscle damage using magnetic resonance imaging.

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引用次数: 0
Frequency of polycystic ovarian morphology and other ultrasonographic findings in Iranian female athletes. 伊朗女运动员多囊卵巢形态及其他超声检查的频率。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-02 DOI: 10.1016/j.jsams.2024.12.016
Laleh Hakemi, Gholamerza Norouzi, Aida Bakhshi, Ezat Kazerouninejad, Maral Goldoozian

Objectives: Polycystic ovary morphology and ovarian cysts are frequent and usually asymptomatic in young female individuals. The present study is the first to examine ovarian sonographic findings in asymptomatic female athletes from Iran. This study aimed to evaluate the frequency of such sonographic findings in healthy female athletes on a screening basis.

Methods: In this cross-sectional observational study, 455 females from 16 provinces of Iran were evaluated by trans-abdominal sonography during their routine pre-participation medical evaluation.

Results: The mean age of participants was 21.8 years (SD 5.3). The mean age at the beginning of exercise was 14.20 years (SD = 4.25). Menarche occurred at 11-20 years with a mean of 13.5 years (SD 1.5). Judokas had the lowest (12.1 years), and football players had the highest menarche age (14.6 years; as compared to 12.8 years in the Iranian female population). In 87.5 % of participants, the sonographic findings were within normal limits. 4.8 % of all examinations revealed polycystic ovary morphology (PCOM), 5.7 % of participants had a simple cyst(s), and 20.8 % of cysts had diameters >49 mm. In those athletes who began regular performance-oriented training before menarche, PCOM was found in only 2.4 %. There was a significant positive linear association between BMI groups and PCOM (p = 0.003), but not for simple cysts. Frequency of PCOM (p < 0.001) as well as ovarian cysts (p = 0.012) were significantly different among studied sport types. There was a significant positive correlation between delayed menarche status and PCOM (p = 0.017). However, no such relationship was found for simple cysts.

Conclusions: Maintaining a healthy body mass index and beginning regular exercise before menarche may have a preventative effect for polycystic ovary morphology in female athletes.

目的:多囊卵巢形态和卵巢囊肿在年轻女性个体中是常见且通常无症状的。本研究首次对伊朗无症状女运动员进行卵巢超声检查。本研究旨在以筛查为基础,评估健康女运动员超声检查结果的频率。方法:在这项横断面观察性研究中,来自伊朗16个省的455名女性在常规参与前医学评估期间接受了经腹超声检查。结果:参与者的平均年龄为21.8 岁(SD 5.3)。运动开始时的平均年龄为14.20 岁(SD = 4.25)。初潮发生在11 ~ 20 年,平均13.5 年(SD 1.5)。柔道运动员初潮年龄最低(12.1 岁),足球运动员初潮年龄最高(14.6 岁;而伊朗女性人口的年龄为12.8 岁)。在87.5 %的参与者中,超声检查结果在正常范围内。4.8% %的检查显示多囊卵巢形态(PCOM), 5.7% %的参与者有单纯性囊肿(s), 20.8% %的囊肿直径为bbb49 mm。在月经初潮前开始定期训练的运动员中,PCOM的发生率仅为2.4% %。BMI组与PCOM有显著的线性正相关(p = 0.003),但单纯性囊肿无显著的线性正相关。结论:在月经初潮前保持健康的身体质量指数和开始规律的运动可能对女运动员多囊卵巢形态有预防作用。
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引用次数: 0
The effect of assessor expertise on reliability of analysis of video signs associated with concussion in Australian football 评估者的专业知识对分析澳大利亚足球运动中与脑震荡有关的视频迹象的可靠性的影响。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.08.200
James R.M. McLaren , Michael Makdissi , Stephen J.C. Hearps , Gavin A. Davis

Objectives

To determine whether spotters with medical training and experience in managing concussion have higher inter-rater reliability and accuracy than non-medical personnel when identifying video signs associated with concussion in Australian football.

Design

Retrospective cohort study.

Methods

Video clips were collected of all impacts potentially resulting in concussion during 2012 and 2013 Australian Football League (AFL) seasons. Raters were divided into medical doctors and a non-medical group comprising allied health practitioners (physiotherapists) and non-medical/non-allied health personnel (performance analysts). Raters assessed 102 randomly selected videos for signs of concussion. The inter-rater reliability was calculated. Sensitivity, specificity, positive and negative predictive values were calculated by comparing the rater responses to the consensus opinion from two highly experienced clinicians with expertise in concussion.

Results

No statistically significant difference in inter-rater reliability was observed between the medical doctors and the non-medical group. Both groups demonstrated good to excellent agreement for slow to get up, clutching at head/face and facial injury. Both groups displayed intra-class coefficient > 0.55 for no protective action-floppy, loss of responsiveness, and motor incoordination, and displayed lowest agreement for no protective action-tonic posturing, impact seizure and blank/vacant look. No statistically significant difference was found between the groups for sensitivity, specificity, positive and negative predictive values for correctly classifying video signs compared to the expert consensus opinion.

Conclusions

After completing sufficient standardised training and testing, medical and non-medical personnel demonstrate comparable reliability in identifying video signs of concussion in professional Australian football and may be suitable for the role of video spotter.
目的确定在识别澳大利亚足球比赛中与脑震荡有关的视频迹象时,受过医疗培训并具有脑震荡处理经验的观测员是否比非医务人员具有更高的互评可靠性和准确性:设计:回顾性队列研究:方法: 收集 2012 年和 2013 年澳大利亚足球联赛 (AFL) 赛季中可能导致脑震荡的所有撞击的视频剪辑。评分者分为医生和非医疗组,非医疗组包括专职医疗人员(物理治疗师)和非医疗/非专职医疗人员(表现分析师)。评分员对随机抽取的 102 段视频进行了脑震荡迹象评估。计算了评分者之间的可靠性。将评分者的回答与两名经验丰富的脑震荡专业临床医师的一致意见进行比较,计算出敏感性、特异性、阳性预测值和阴性预测值:结果:医生组和非医生组之间的评分者间可靠性没有明显的统计学差异。两组在起立缓慢、紧抓头部/脸部和面部损伤方面的一致性都很好甚至非常好。两组在无保护动作--软弱无力、反应迟钝和运动不协调方面的级内系数均大于 0.55,而在无保护动作--强直姿势、冲击性抽搐和茫然/空洞眼神方面的一致性最低。与专家共识意见相比,各组在正确分类视频征兆的灵敏度、特异性、阳性预测值和阴性预测值方面均无统计学差异:在完成充分的标准化培训和测试后,医务人员和非医务人员在识别澳大利亚职业足球比赛中脑震荡视频征兆方面表现出相当的可靠性,可能适合担任视频观测员。
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引用次数: 0
Survival and longevity among male Australian elite athletes: A retrospective cohort study 澳大利亚男性精英运动员的存活率和寿命:回顾性队列研究
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.09.005
Reidar P. Lystad, Satya Vedantam

Objectives

To quantify and compare survival and longevity in three populations of male Australian elite athletes, relative to sex- and age-matched referents from the general population.

Design

Retrospective cohort study.

Methods

This study comprised a census of three populations of male Australian elite athletes (i.e. N = 10,502 Australian Football League players, N = 803 national team rugby union players, and N = 1527 Olympic athletes) who debuted from 1-JAN-1921 to 31-DEC-2023. Nonparametric relative survival analysis was conducted using the Kaplan–Meier estimator to generate survival curves, the Pohar Perme method and a log-rank type test to estimate and compare net survival, and the life years difference measure to estimate longevity gains or losses.

Results

Olympic athletes had a continuous gain in net survival post-debut, with an average life years difference of 3.40 (95 % confidence interval 2.30 to 4.49) years at the maximum follow-up time. Australian football and rugby union players initially had modest gains in net survival post-debut, followed by a gradual decline in net survival, with average life years differences of 0.31 (95 % confidence interval −0.03 to 0.65) and −0.67 (95 % confidence interval −1.87 to 0.53) years at the maximum follow-up time, respectively. Net survival was significantly different across the three cohorts (test statistic 21.8; degrees of freedom = 2; p < 0.001).

Conclusions

Expected survival benefits were offset in elite male Australian football and rugby union players. Further research examining cause-specific mortality is warranted to elucidate the underlying reasons for the observed lack of expected survival benefit in Australian football and rugby union players.
目标:量化并比较澳大利亚三个男性精英运动员群体的存活率和寿命:量化并比较三个澳大利亚男性精英运动员群体与性别和年龄匹配的普通人群参照者的存活率和寿命:设计:回顾性队列研究:本研究对 1921 年 1 月 1 日至 2023 年 12 月 31 日期间出道的三个澳大利亚男性精英运动员群体(即 N = 10,502 名澳大利亚足球联赛运动员、N = 803 名国家队橄榄球联盟运动员和 N = 1527 名奥运会运动员)进行了普查。使用卡普兰-梅耶估计器生成生存曲线,使用波哈尔-佩尔梅法和对数秩类型检验估算和比较净生存率,并使用生命年数差异测量法估算长寿增减,从而进行了非参数相对生存分析:结果:奥林匹克运动员在退役后的净存活率持续上升,在最长随访时间内,平均寿命差异为 3.40 岁(95 % 置信区间为 2.30 至 4.49 岁)。澳式足球和橄榄球联盟运动员在退役后的净存活率最初略有提高,随后净存活率逐渐下降,在最长随访时间内的平均寿命年数差异分别为 0.31(95 % 置信区间-0.03 至 0.65)年和-0.67(95 % 置信区间-1.87 至 0.53)年。三个组群的净存活率存在明显差异(检验统计量 21.8;自由度 = 2;P 结论:在精英男子中,预期的存活率优势被抵消了:澳式足球和橄榄球联盟精英男子运动员的预期生存率被抵消。有必要对特定病因死亡率进行进一步研究,以阐明澳式足球和橄榄球联盟运动员缺乏预期生存益处的根本原因。
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引用次数: 0
Exercise in cancer care for people with lung cancer: A narrative synthesis 肺癌患者癌症护理中的运动:叙述性综述。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.08.002
Kellie Toohey , David Mizrahi , Nicolas H. Hart , Ben Singh , Pedro Lopez , Maddison Hunter , Robert U. Newton , Kathryn H. Schmitz , Diana Adams , Lara Edbrooke , Sandi Hayes

Objectives

Lung cancer is the second most common cancer diagnosed worldwide, resulting in significant physical and psychological consequences. In this narrative review, we explore the role of exercise as an adjunct therapy to counteract health issues experienced by people before, during and after treatment for lung cancer, and offer recommendations for exercise prescription and future research.

Design

Narrative cornerstone review.

Methods

A narrative review was conducted to explore the role of exercise in cancer care for people diagnosed with lung cancer.

Results

Improvements in fitness, strength and quality of life have been demonstrated in people with lung cancer following participation in exercise programmes before, during and post treatment. Whilst combined aerobic (50–100 % heart rate maximum) and resistance (50–85 % of 1 repetition maximum) training, 2–5 times per week across the cancer continuum is typically prescribed, few people with lung cancer currently access exercise services. ‘Optimal’ exercise prescription is unclear, although is likely individual-specific. The immediate priority is to identify a tolerable starting exercise dosage, with the side effects of lung cancer and its treatment on the respiratory system, particularly shortness of breath (dyspnoea), likely driving the initial maximum threshold for session mode, duration and intensity. To date, exercise safety for people with lung cancer has been poorly evaluated and reported — few trials report it, but those that do report small numbers of serious adverse events.

Conclusions

Recommendations for health professionals prescribing exercise therapy to people with lung cancer are provided, with consideration of the strengths and limitations of the current evidence base.
目的:肺癌是全球第二大常见癌症,对患者的身体和心理造成严重影响。在这篇叙事性综述中,我们探讨了运动作为一种辅助疗法,在肺癌治疗前、治疗期间和治疗后对人们的健康问题所起的作用,并对运动处方和未来研究提出了建议:设计:叙事性基石综述:方法:进行叙述性综述,探讨运动在癌症治疗中对确诊肺癌患者的作用:结果:肺癌患者在治疗前、治疗中和治疗后参加运动项目后,体能、力量和生活质量均有改善。虽然在整个癌症治疗过程中,每周进行 2-5 次有氧(50%-100% 最大心率)和阻力(50%-85% 最大单次重复次数)综合训练是典型的处方,但目前很少有肺癌患者能够获得运动服务。最佳 "运动处方尚不明确,但很可能因人而异。当务之急是确定可耐受的起始运动量,肺癌及其治疗对呼吸系统的副作用,尤其是气短(呼吸困难),很可能会影响运动模式、持续时间和强度的初始最大阈值。迄今为止,对肺癌患者运动安全性的评估和报告很少,只有少数试验报告了运动安全性,但报告了运动安全性的试验也只报告了少量严重不良事件:结论:考虑到现有证据基础的优势和局限性,本文为医护人员在为肺癌患者开具运动疗法处方时提供了建议。
{"title":"Exercise in cancer care for people with lung cancer: A narrative synthesis","authors":"Kellie Toohey ,&nbsp;David Mizrahi ,&nbsp;Nicolas H. Hart ,&nbsp;Ben Singh ,&nbsp;Pedro Lopez ,&nbsp;Maddison Hunter ,&nbsp;Robert U. Newton ,&nbsp;Kathryn H. Schmitz ,&nbsp;Diana Adams ,&nbsp;Lara Edbrooke ,&nbsp;Sandi Hayes","doi":"10.1016/j.jsams.2024.08.002","DOIUrl":"10.1016/j.jsams.2024.08.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Lung cancer is the second most common cancer diagnosed worldwide, resulting in significant physical and psychological consequences. In this narrative review, we explore the role of exercise as an adjunct therapy to counteract health issues experienced by people before, during and after treatment for lung cancer, and offer recommendations for exercise prescription and future research.</div></div><div><h3>Design</h3><div>Narrative cornerstone review.</div></div><div><h3>Methods</h3><div>A narrative review was conducted to explore the role of exercise in cancer care for people diagnosed with lung cancer.</div></div><div><h3>Results</h3><div>Improvements in fitness, strength and quality of life have been demonstrated in people with lung cancer following participation in exercise programmes before, during and post treatment. Whilst combined aerobic (50–100 % heart rate maximum) and resistance (50–85 % of 1 repetition maximum) training, 2–5 times per week across the cancer continuum is typically prescribed, few people with lung cancer currently access exercise services. ‘Optimal’ exercise prescription is unclear, although is likely individual-specific. The immediate priority is to identify a tolerable starting exercise dosage, with the side effects of lung cancer and its treatment on the respiratory system, particularly shortness of breath (dyspnoea), likely driving the initial maximum threshold for session mode, duration and intensity. To date, exercise safety for people with lung cancer has been poorly evaluated and reported — few trials report it, but those that do report small numbers of serious adverse events.</div></div><div><h3>Conclusions</h3><div>Recommendations for health professionals prescribing exercise therapy to people with lung cancer are provided, with consideration of the strengths and limitations of the current evidence base.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 16-25"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical activity and planetary health: A scoping review 体育活动与行星健康:范围审查
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.07.012
Lluis Capdevila , Josep-Maria Losilla , Carla Alfonso , Tony Estrella , Jaume F. Lalanza

Objectives

The behaviors and attitudes associated with event attendance and engagement in physical and sporting activities exert a significant impact on planetary health. This scoping review aims to scrutinize existing literature, elucidate concepts, investigate methodologies, and identify knowledge gaps pertaining to physical activity behavior within the context of planetary health.

Design & Methods

A systematic search across PsycINFO (Psychological Information), Web of Science, and Scopus, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis Guidelines for Scoping Reviews (PRISMA-ScR) guidelines, yielded 62 relevant studies. These studies substantiate the designation of this research domain as “Planetary Health Physical Activity” and/or “Planetary Health Sport”.

Results

Results delineate four primary investigation areas: i) individuals' attitudes toward the environment and nature, ii) promotion of active lifestyles, including active commuting, iii) event organization, and iv) direct consequences of physical activity and sports on the natural world. Findings indicate that adopting an active lifestyle contributes to reducing air pollution, but engaging in physical activity and sports in natural settings may have adverse effects on ecosystems.

Conclusions

Results underscore the urgency for more experimental designs to establish causal relationships between physical activity and its ecological consequences on planetary health. This research contributes valuable insights to the emerging field of “Planetary Health Physical Activity”, shedding light on the intricate interplay between human activities and the health of the planet.
{"title":"Physical activity and planetary health: A scoping review","authors":"Lluis Capdevila ,&nbsp;Josep-Maria Losilla ,&nbsp;Carla Alfonso ,&nbsp;Tony Estrella ,&nbsp;Jaume F. Lalanza","doi":"10.1016/j.jsams.2024.07.012","DOIUrl":"10.1016/j.jsams.2024.07.012","url":null,"abstract":"<div><h3>Objectives</h3><div>The behaviors and attitudes associated with event attendance and engagement in physical and sporting activities exert a significant impact on planetary health. This scoping review aims to scrutinize existing literature, elucidate concepts, investigate methodologies, and identify knowledge gaps pertaining to physical activity behavior within the context of planetary health.</div></div><div><h3>Design &amp; Methods</h3><div>A systematic search across PsycINFO (Psychological Information), Web of Science, and Scopus, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis Guidelines for Scoping Reviews (PRISMA-ScR) guidelines, yielded 62 relevant studies. These studies substantiate the designation of this research domain as “Planetary Health Physical Activity” and/or “Planetary Health Sport”.</div></div><div><h3>Results</h3><div>Results delineate four primary investigation areas: i) individuals' attitudes toward the environment and nature, ii) promotion of active lifestyles, including active commuting, iii) event organization, and iv) direct consequences of physical activity and sports on the natural world. Findings indicate that adopting an active lifestyle contributes to reducing air pollution, but engaging in physical activity and sports in natural settings may have adverse effects on ecosystems.</div></div><div><h3>Conclusions</h3><div>Results underscore the urgency for more experimental designs to establish causal relationships between physical activity and its ecological consequences on planetary health. This research contributes valuable insights to the emerging field of “Planetary Health Physical Activity”, shedding light on the intricate interplay between human activities and the health of the planet.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 56-68"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Classification of myo-connective tissue injuries for severity grading and return to play prediction: A scoping review 肌结缔组织损伤的严重程度分级和重返赛场预测:范围综述。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.07.016
Vincent Fontanier , Arnaud Bruchard , Mathieu Tremblay , Riaz Mohammed , Sophia da Silva-Oolup , Minisha Suri-Chilana , Mégane Pasquier , Sarah Hachem , Anne-Laure Meyer , Margaux Honoré , Grégory Vigne , Stéphane Bermon , Kent Murnaghan , Nadège Lemeunier

Objectives

To conduct a systematic literature search to identify currently used classifications of acute non-contact muscle injuries in sporting adults.

Designs

Scoping review.

Methods

A systematic literature search from January 1, 2010 to April 19, 2022 of Medline and SPORTDiscus yielded 13,426 articles that were screened for eligibility. Findings from included studies were qualitatively synthesized. Classifications and their grading, as well as outcomes and definitions were extracted.

Results

Twenty-four classifications were identified from the 37 included studies, most of which had low evidence study designs. Majority (57 %) of classifications were published after 2009 and were mostly developed for hamstring or other lower limb injuries. The six most cited classifications accounted for 70 % of the reports (BAMIC, modified Peetrons, Munich, Cohen, Chan and MLG-R). Outcome reporting was sparse, making it difficult to draw conclusions. Still, significant relationships between grading and time to return to play were reported for the BAMIC, modified Peetrons, Munich and Cohen classifications. Other classifications either had a very low number of reported associations, reported no associations, reported inconclusive associations, or did not report an assessment of the association. Other outcomes were poorly investigated.

Conclusions

There is no agreed-upon use of muscle classification, and no consensus on definitions and terminology. As a result, reported outcomes and their relationship to severity grading are inconsistent across studies. There is a need to improve the generalizability and applicability of existing classifications and to refine their prognostic value. High-level evidence studies are needed to resolve these inconsistencies.
目的进行系统性文献检索,确定目前使用的成人运动中急性非接触性肌肉损伤的分类方法:方法:系统性文献检索:从 2010 年 1 月 1 日至 2022 年 4 月 19 日对 Medline 和 SPORTDiscus 进行系统性文献检索,筛选出 13,426 篇合格文章。对纳入研究的结果进行了定性综合。结果:结果:从纳入的 37 项研究中确定了 24 个分类,其中大部分研究的设计证据不足。大多数分类(57%)是在 2009 年之后发布的,而且大多是针对腿筋或其他下肢损伤制定的。被引用最多的六种分类占报告总数的 70%(BAMIC、修订版 Peetrons、慕尼黑、Cohen、Chan 和 MLG-R)。结果报告很少,因此很难得出结论。不过,BAMIC、改良 Peetrons、Munich 和 Cohen 分类的分级与恢复比赛时间之间的关系还是很明显的。其他分级要么报告的相关性极少,要么报告没有相关性,要么报告不确定的相关性,要么没有报告对相关性的评估。对其他结果的调查也不充分:结论:对肌肉分类的使用尚未达成一致,对定义和术语也未达成共识。因此,各研究报告的结果及其与严重程度分级的关系并不一致。有必要提高现有分类的普遍性和适用性,并完善其预后价值。要解决这些不一致问题,需要进行高级别证据研究。
{"title":"Classification of myo-connective tissue injuries for severity grading and return to play prediction: A scoping review","authors":"Vincent Fontanier ,&nbsp;Arnaud Bruchard ,&nbsp;Mathieu Tremblay ,&nbsp;Riaz Mohammed ,&nbsp;Sophia da Silva-Oolup ,&nbsp;Minisha Suri-Chilana ,&nbsp;Mégane Pasquier ,&nbsp;Sarah Hachem ,&nbsp;Anne-Laure Meyer ,&nbsp;Margaux Honoré ,&nbsp;Grégory Vigne ,&nbsp;Stéphane Bermon ,&nbsp;Kent Murnaghan ,&nbsp;Nadège Lemeunier","doi":"10.1016/j.jsams.2024.07.016","DOIUrl":"10.1016/j.jsams.2024.07.016","url":null,"abstract":"<div><h3>Objectives</h3><div>To conduct a systematic literature search to identify currently used classifications of acute non-contact muscle injuries in sporting adults.</div></div><div><h3>Designs</h3><div>Scoping review.</div></div><div><h3>Methods</h3><div>A systematic literature search from January 1, 2010 to April 19, 2022 of Medline and SPORTDiscus yielded 13,426 articles that were screened for eligibility. Findings from included studies were qualitatively synthesized. Classifications and their grading, as well as outcomes and definitions were extracted.</div></div><div><h3>Results</h3><div>Twenty-four classifications were identified from the 37 included studies, most of which had low evidence study designs. Majority (57 %) of classifications were published after 2009 and were mostly developed for hamstring or other lower limb injuries. The six most cited classifications accounted for 70 % of the reports (BAMIC, modified Peetrons, Munich, Cohen, Chan and MLG-R). Outcome reporting was sparse, making it difficult to draw conclusions. Still, significant relationships between grading and time to return to play were reported for the BAMIC, modified Peetrons, Munich and Cohen classifications. Other classifications either had a very low number of reported associations, reported no associations, reported inconclusive associations, or did not report an assessment of the association. Other outcomes were poorly investigated.</div></div><div><h3>Conclusions</h3><div>There is no agreed-upon use of muscle classification, and no consensus on definitions and terminology. As a result, reported outcomes and their relationship to severity grading are inconsistent across studies. There is a need to improve the generalizability and applicability of existing classifications and to refine their prognostic value. High-level evidence studies are needed to resolve these inconsistencies.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 46-55"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More emphasis on exercise therapy 更多关注运动疗法。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.12.007
Tim Meyer
{"title":"More emphasis on exercise therapy","authors":"Tim Meyer","doi":"10.1016/j.jsams.2024.12.007","DOIUrl":"10.1016/j.jsams.2024.12.007","url":null,"abstract":"","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 1-2"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of injuries on sports-related analgesic use in Danish youth elite athletes: A 4-week prospective cohort study 丹麦青少年精英运动员受伤对运动相关镇痛药使用的影响:一项为期四周的前瞻性队列研究。
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.08.201
Anders Christer Larsen , Julie Rønne Pedersen , Merete Møller , Louise Kamuk Storm , Bart Koes , Jonas Bloch Thorlund

Objectives

Investigate the association between injury severity and sports-related analgesic use, and explore the types and reasons for analgesic use in Danish youth elite athletes.

Design

4-week prospective cohort study.

Methods

713 youth elite athletes (44 % female) aged 15–20 years provided information on demographics, sports specific questions, and injury severity. We categorized injury severity based on the amount of impact on sports participation: 1) no injury (reference), 2) injury not affecting sports participation, 3) injury causing modifications in sports participation, and 4) injury causing complete absence from sport. Participants were asked weekly over 4 weeks about the number of days with sports-related analgesic use, types, and reasons for use. Mixed-effects regression models were used to assess the association between injury severity and prevalence (yes/no) and frequency (days/week) of analgesic use.

Results

Analgesic use at least once during the four weeks was reported by 224 athletes (31 %), with a mean weekly prevalence of 13 %. The odds of analgesic use increased with injury severity compared with the reference group; injury not affecting sports participation: OR 2.6 (95 % CI 1.6–4.2), injury causing modifications in sports participation: OR 3.2 (95 % CI 2.0–5.2), injury causing complete absence from sport: OR 3.6 (95 % CI 1.5-8.7) (test for trend; p = < 0.001). The rate (frequency) of analgesic use also increased with injury severity (test for trend; p = 0.003). Athletes most commonly used analgesics to treat pain/injury after sports participation (62 %), and paracetamol was most frequently used (84 %).

Conclusions

Injury severity was associated with increased odds and rate of analgesic use.
目标:调查受伤严重程度与运动相关镇痛药使用之间的关系,探索丹麦青少年精英运动员使用镇痛药的类型和原因:调查丹麦青少年精英运动员受伤严重程度与运动相关镇痛药使用之间的关系,并探讨使用镇痛药的类型和原因。设计:为期 4 周的前瞻性队列研究。方法:713 名 15-20 岁的青少年精英运动员(44% 为女性)提供了有关人口统计学、运动特定问题和受伤严重程度的信息。我们根据对运动参与的影响程度对受伤严重程度进行了分类:1)没有受伤(参考);2)受伤不影响运动参与;3)受伤导致运动参与有所改变;4)受伤导致完全退出运动。在 4 周内,每周都会询问参与者与运动相关的镇痛剂使用天数、类型和使用原因。混合效应回归模型用于评估受伤严重程度与使用镇痛剂的普遍程度(是/否)和频率(天/周)之间的关系:有 224 名运动员(31%)报告在四周内至少使用过一次镇痛剂,平均每周使用率为 13%。与参照组相比,使用镇痛药的几率随着受伤严重程度的增加而增加;受伤不影响运动参与:不影响运动的损伤:OR 2.6(95 % CI 1.6-4.2),影响运动的损伤:OR 3.2(95 % CI 1.6-4.2):OR 3.2 (95 % CI 2.0-5.2),受伤导致完全缺席运动:OR 3.6(95 % CI 1.5-8.7)(趋势检验;P = 结论:受伤严重程度与使用镇痛剂的几率和比例增加有关。
{"title":"The impact of injuries on sports-related analgesic use in Danish youth elite athletes: A 4-week prospective cohort study","authors":"Anders Christer Larsen ,&nbsp;Julie Rønne Pedersen ,&nbsp;Merete Møller ,&nbsp;Louise Kamuk Storm ,&nbsp;Bart Koes ,&nbsp;Jonas Bloch Thorlund","doi":"10.1016/j.jsams.2024.08.201","DOIUrl":"10.1016/j.jsams.2024.08.201","url":null,"abstract":"<div><h3>Objectives</h3><div>Investigate the association between injury severity and sports-related analgesic use, and explore the types and reasons for analgesic use in Danish youth elite athletes.</div></div><div><h3>Design</h3><div>4-week prospective cohort study.</div></div><div><h3>Methods</h3><div>713 youth elite athletes (44 % female) aged 15–20 years provided information on demographics, sports specific questions, and injury severity. We categorized injury severity based on the amount of impact on sports participation: 1) no injury (reference), 2) injury not affecting sports participation, 3) injury causing modifications in sports participation, and 4) injury causing complete absence from sport. Participants were asked weekly over 4 weeks about the number of days with sports-related analgesic use, types, and reasons for use. Mixed-effects regression models were used to assess the association between injury severity and prevalence (yes/no) and frequency (days/week) of analgesic use.</div></div><div><h3>Results</h3><div>Analgesic use at least once during the four weeks was reported by 224 athletes (31 %), with a mean weekly prevalence of 13 %. The odds of analgesic use increased with injury severity compared with the reference group; injury not affecting sports participation: OR 2.6 (95 % CI 1.6–4.2), injury causing modifications in sports participation: OR 3.2 (95 % CI 2.0–5.2), injury causing complete absence from sport: OR 3.6 (95 % CI 1.5-8.7) (test for trend; p = &lt;<!--> <!-->0.001). The rate (frequency) of analgesic use also increased with injury severity (test for trend; p = 0.003). Athletes most commonly used analgesics to treat pain/injury after sports participation (62 %), and paracetamol was most frequently used (84 %).</div></div><div><h3>Conclusions</h3><div>Injury severity was associated with increased odds and rate of analgesic use.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 39-45"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The kinetics of cardiac troponin T release during and after 1- and 6-h maximal cycling trials 心肌肌钙蛋白 T 在 1 小时和 6 小时最大骑行试验期间和之后的释放动力学
IF 3 2区 医学 Q1 SPORT SCIENCES Pub Date : 2025-01-01 DOI: 10.1016/j.jsams.2024.08.207
Alejandro Legaz-Arrese , Sebastian Sitko , Rafel Cirer-Sastre , Carmen Mayolas-Pi , Romario Rivelino Jiménez-Gaytán , Ricardo Navarro Orocio , Ricardo Lopez García , Pedro Gualberto Morales Corral , Joaquín Reverter-Masia , Keith George , Luis Enrique Carranza-García

Objectives

In this study, the effects of short-duration high-intensity exercise and long-duration exercise on high-sensitivity cardiac troponin T (hs-cTnT) levels were compared.

Methods

Twelve male amateur cyclists performed 1- and 6-h cycling trials. In both exercise trials, hs-cTnT was assessed at rest, immediately postexercise and at 1, 3, 6, 12, and 24 h postexercise. Additionally, hs-cTnT levels were assessed every hour during the 6-h trial.

Results

Exercise resulted in an increase in hs-cTnT levels in all subjects. Circulating hs-cTnT levels increased in both exercise trials (p < 0.001), with higher peak values occurring after the 1-h trial compared with those of the 6-h trial (p = 0.023). The upper reference limit (URL) exceeded 83 % of the participants in the 1-h trial and 42 % of the participants in the 6-h trial. There was substantial individual variability in peak hs-cTnT in both trials. Values of hs-cTnT were greater after exercise than during exercise for the 6-h trial. For both exercise trials, the maximum postexercise hs-cTnT values correlated with the %HRMAX (r = 0.906 for the 1-h trial, r = 0.735 for the 6-h trial). For the 1-h trial, the maximum postexercise hs-cTnT values were observed at 3 h in all subjects. No significant difference in the hs-cTnT values was observed for the 6-h trial during the first 12 h postexercise.

Conclusions

Our results demonstrated greater hs-cTnT levels in young male participants after a 1-h cycling trial than after a 6-h cycling trial, despite a substantially greater energy expenditure and total external work completed in the 6-h trial. Postexercise hs-cTnT values are associated with relative exercise intensity.
本研究比较了短时高强度运动和长时间运动对高敏心肌肌钙蛋白 T(hs-cTnT)水平的影响。12 名男性业余自行车运动员分别进行了 1 小时和 6 小时的自行车试验。在这两项运动试验中,hs-cTnT 均在休息时、运动后立即以及运动后 1、3、6、12 和 24 小时进行评估。此外,在 6 小时的试验中,每隔一小时对 hs-cTnT 水平进行一次评估。运动导致所有受试者的 hs-cTnT 水平升高。在两次运动试验中,循环中的 hs-cTnT 水平都有所上升(< 0.001),与 6 小时试验相比,1 小时试验后的峰值更高(= 0.023)。83%的 1 小时试验参与者和 42% 的 6 小时试验参与者超过了参考上限(URL)。在两次试验中,hs-cTnT 峰值的个体差异都很大。在 6 小时试验中,运动后的 hs-cTnT 值高于运动时的值。在这两项运动试验中,运动后 hs-cTnT 最大值与心率%相关(1 小时试验 = 0.906,6 小时试验 = 0.735)。在 1 小时试验中,所有受试者运动后 hs-cTnT 最大值均出现在 3 小时后。在运动后的前 12 小时内,6 小时试验的 hs-cTnT 值无明显差异。我们的研究结果表明,年轻男性参与者在 1 小时自行车运动后的 hs-cTnT 水平高于 6 小时自行车运动后的 hs-cTnT 水平,尽管 6 小时运动的能量消耗和完成的外部总工作量要大得多。运动后 hs-cTnT 值与相对运动强度有关。
{"title":"The kinetics of cardiac troponin T release during and after 1- and 6-h maximal cycling trials","authors":"Alejandro Legaz-Arrese ,&nbsp;Sebastian Sitko ,&nbsp;Rafel Cirer-Sastre ,&nbsp;Carmen Mayolas-Pi ,&nbsp;Romario Rivelino Jiménez-Gaytán ,&nbsp;Ricardo Navarro Orocio ,&nbsp;Ricardo Lopez García ,&nbsp;Pedro Gualberto Morales Corral ,&nbsp;Joaquín Reverter-Masia ,&nbsp;Keith George ,&nbsp;Luis Enrique Carranza-García","doi":"10.1016/j.jsams.2024.08.207","DOIUrl":"10.1016/j.jsams.2024.08.207","url":null,"abstract":"<div><h3>Objectives</h3><div>In this study, the effects of short-duration high-intensity exercise and long-duration exercise on high-sensitivity cardiac troponin T (hs-cTnT) levels were compared.</div></div><div><h3>Methods</h3><div>Twelve male amateur cyclists performed 1- and 6-h cycling trials. In both exercise trials, hs-cTnT was assessed at rest, immediately postexercise and at 1, 3, 6, 12, and 24 h postexercise. Additionally, hs-cTnT levels were assessed every hour during the 6-h trial.</div></div><div><h3>Results</h3><div>Exercise resulted in an increase in hs-cTnT levels in all subjects. Circulating hs-cTnT levels increased in both exercise trials (<em>p</em> &lt; 0.001), with higher peak values occurring after the 1-h trial compared with those of the 6-h trial (<em>p</em> = 0.023). The upper reference limit (URL) exceeded 83 % of the participants in the 1-h trial and 42 % of the participants in the 6-h trial. There was substantial individual variability in peak hs-cTnT in both trials. Values of hs-cTnT were greater after exercise than during exercise for the 6-h trial. For both exercise trials, the maximum postexercise hs-cTnT values correlated with the %HR<sub>MAX</sub> (<em>r</em> = 0.906 for the 1-h trial, <em>r</em> = 0.735 for the 6-h trial). For the 1-h trial, the maximum postexercise hs-cTnT values were observed at 3 h in all subjects. No significant difference in the hs-cTnT values was observed for the 6-h trial during the first 12 h postexercise.</div></div><div><h3>Conclusions</h3><div>Our results demonstrated greater hs-cTnT levels in young male participants after a 1-h cycling trial than after a 6-h cycling trial, despite a substantially greater energy expenditure and total external work completed in the 6-h trial. Postexercise hs-cTnT values are associated with relative exercise intensity.</div></div>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":"28 1","pages":"Pages 3-8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of science and medicine in sport
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