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Stature and Its Estimation Utilizing Length of Hand Measurements of Both Gender Adolescents from Western region of Kosovo 科索沃西部地区男女青少年的身高及其手长测量估算
Pub Date : 2021-12-20 DOI: 10.29011/2576-9596.100171
Memishi Sh
The purpose of this study was to examine the standing height of adolescents from district of Peja western region of Kosovo, as well relationship between the length of the hand and standing height from both gender adolescents. A total measured subject participated in this research was 457 students from high school graduates (232 boys and 225 girls) girls average of age is 18.21 ± 0.41 years old [range 18-20 years] and for boys 18.26 ± 0.46 years old (range 18-20 years). Measurements of standing height and the length of the hand were performed with reference to the ISAK protocol. The results for standing height and length of the hand were analyzed by means of the arithmetic mean (SD) and a simple correlation coefficient, while T-test analysis was used for differences between the two genders and linear regressive analysis assessed standing height based on length of hand measurements. The results obtained in this paper have shown that standing height can be estimated from the length of the hand, which reliably predicts standing height for both genders. Sports Injuries & Medicine Arifi F, et al. Sports Injr Med: 5: 171. www.doi.org/10.29011/2576-9596.100071 www.gavinpublishers.com
本研究旨在探讨科索沃西部佩贾地区青少年的站立高度,以及男女青少年的手长与站立高度之间的关系。参与本研究的被测对象共457名高中毕业生,其中男生232名,女生225名,女生平均年龄18.21±0.41岁(18-20岁),男生平均年龄18.26±0.46岁(18-20岁)。参照ISAK方案测量站立高度和手的长度。站立高度和手长分别采用算术平均值(SD)和简单相关系数进行分析,性别差异采用t检验分析,以手长评价站立高度采用线性回归分析。本文的结果表明,站立高度可以从手的长度估计出来,这对男女的站立高度都是可靠的预测。运动损伤与医学。体育与医学:5:17 1。www.doi.org/10.29011/2576 - 9596.100071 www.gavinpublishers.com
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引用次数: 1
Cannabidiol (CBD) in the Management of Sports-Related Traumatic Brain Injury: Research and Efficacy 大麻二酚(CBD)在运动相关创伤性脑损伤管理中的作用:研究和疗效
Pub Date : 2019-10-30 DOI: 10.29011/2576-9596.100058
M. Reillo, I. Levin
The pandemic of sports-related traumatic brain injury and the associated development of chronic traumatic encephalopathy has prompted an interest within the medical community in the role of the endocannabinoid system and the use of Cannabidiol (CBD) to reduce acute and chronic cerebral inflammation among athletes. The purpose of this medical research review is to examine sportsrelated traumatic brain injury and the preventative and therapeutic use of cannabidiol among athletes. Given the high morbidity and mortality rate associated with postconcussion syndrome and chronic traumatic encephalopathy, and the critical role of the endocannabinoid system in health maintenance and cerebral injury recovery, examination of the administration of Cannabidiol (CBD) is warranted.
运动相关创伤性脑损伤的流行和慢性创伤性脑病的相关发展引起了医学界对内源性大麻素系统和使用大麻二酚(CBD)减少运动员急性和慢性脑炎的作用的兴趣。本医学研究综述的目的是检查运动相关的创伤性脑损伤和运动员中大麻二酚的预防和治疗使用。鉴于脑震荡后综合征和慢性创伤性脑病的高发病率和死亡率,以及内源性大麻素系统在健康维持和脑损伤恢复中的关键作用,有必要对大麻二酚(CBD)的给药进行研究。
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引用次数: 0
Plication of The Medial Patellofemoral Ligament for The Treatment of Chronic Patella Dislocations and Refractory Patellofemoral Syndrome. A Retrospective Case Series and Review 髌股内侧韧带应用治疗慢性髌骨脱位及难治性髌股综合征。回顾性病例系列和回顾
Pub Date : 2019-08-28 DOI: 10.29011/2576-9596.100055
Victor Hoang, Ben Moyer, Mehdi Talle, C. Vanier, T. Watson, Randa A. Bascharon, Daniel Lee, Nick Liu
Background: Anterior knee pain accounts for 25-40% of knee pain visits in sports medicine clinics. Refractory Patellofemoral Syndrome (RPS) and Chronic Patella Dislocations are often multifactorial but commonly the pain originates from impaired patellar tracking and increased lateral patellar tilt. The compression of the subchondral bone has been correlated to the pain as well as from the synovium, retinaculum, and associated neuromuscular structures. The plication of the Medial Patellofemoral Ligament (MPFL) counteracts these compressive and tilting forces improving symptoms of RPS and recurrent patella dislocations. The goal of this project was to evaluate the outcomes associated with MPFL plication. Study Design: Case Series; Level IV Methods: A retrospective analysis of patients with recurrent patella dislocations, Refractory Patellofemoral Syndrome (RPS) or Patellofemoral Pain Syndrome (PFPS) treated with plication of the MPFL between 2009 2018 with minimum four month follow up. The primary outcome variable was patient overall satisfaction, Visual Analogue Scale for Pain (VAS) and Kujala (Anterior Knee Pain) Score. Results: Seven patients met the inclusion criteria. Their demographic and pre-surgery details are in Table 1. A large majority of patients (85.7%) were satisfied, and VAS pain scale ratings were four or less. Only one of the seven patients was not satisfied (Table 2), and that individual also had the lowest Kujala score. The VAS pain scale and the Kujala score were not correlated (Spearman rank correlation, rho=-0.218, P=0.638; Figure 1), nor was there a clear relationship between time since surgery and Kujala score (rho=0.607, P=0.167; Figure 2). Conclusion: Plication of the MPFL has a high success in improving both Kujala (Anterior Knee Pain) Score and Visual Analogue Scale (VAS) as well as return to regular activities. We believe this is a safe and effective technique in improving chronic patella dislocations and Refractory Patellofemoral Syndrome with minimal perioperative morbidity. Introduction Patella Instability/ Patella Dislocation Patella instability and dislocation are not covered under the umbrella of RPS or PFPS, however it can be a source of anterior knee pain, especially in younger female patients ages 10-17 [1]. The average incidence of primary patellar dislocation is roughly 5.8 per 100,000 cases [1]. Causes of patella instability/subluxation and dislocation include trauma, general lateral ligamentous laxity, Citation: Hoang V, Moyer B, Talle M, Vanier C, Watson T, Bascharon, R, Lee, D, Liu, N (2019) Plication of The Medial Patellofemoral Ligament for The Treatment of Chronic Patella Dislocations and Refractory Patellofemoral Syndrome. A Retrospective Case Series and Review. Sports Injr Med 5: 155. DOI: 10.29011/25769596.100055 2 Volume 5; Issue 01 Sports Injr Med, an open access journal ISSN: 2576-9596 lateralized Q-angle, recurvatum, tibial external rotation, vastus medialis weakness, trochlear dysplasia, and/or
背景:膝关节前侧疼痛占运动医学诊所膝关节疼痛就诊的25-40%。难治性髌股综合征(RPS)和慢性髌骨脱位通常是多因素的,但通常疼痛源于髌骨追踪受损和外侧髌骨倾斜增加。软骨下骨的压迫与疼痛以及滑膜、视网膜带和相关的神经肌肉结构有关。髌股内侧韧带(MPFL)的应用抵消了这些压缩和倾斜力,改善了RPS和复发性髌骨脱位的症状。这个项目的目的是评估与MPFL应用相关的结果。研究设计:案例系列;IV级方法:回顾性分析2009年至2018年期间接受MPFL应用治疗的复发性髌骨脱位,难治性髌骨综合征(RPS)或髌骨疼痛综合征(PFPS)患者,随访至少4个月。主要结局变量为患者总体满意度、疼痛视觉模拟量表(VAS)和Kujala(膝关节前侧疼痛)评分。结果:7例患者符合纳入标准。他们的人口统计和术前细节见表1。绝大多数患者(85.7%)满意,VAS疼痛评分在4分以下。7例患者中只有1例不满意(表2),且该患者的Kujala评分最低。VAS疼痛评分与Kujala评分不相关(Spearman秩相关,rho=-0.218, P=0.638;图1),术后时间与Kujala评分之间也没有明确的关系(rho=0.607, P=0.167;图2)结论:应用MPFL在改善Kujala(前膝关节疼痛)评分和视觉模拟评分(VAS)以及恢复正常活动方面取得了很高的成功。我们相信这是一种安全有效的技术,可改善慢性髌骨脱位和难治性髌骨股骨综合征,且围手术期发病率最低。髌骨不稳定/髌骨脱位髌骨不稳定和脱位不在RPS或PFPS的范围内,但它可能是膝关节前侧疼痛的一个来源,特别是在10-17岁的年轻女性患者中[1]。原发性髌骨脱位的平均发生率约为每10万例5.8例[1]。髌骨不稳定/半脱位和脱位的原因包括创伤,一般外侧韧带松弛,引用本文:Hoang V, Moyer B, Talle M, Vanier C, Watson T, Bascharon, R, Lee, D, Liu, N(2019)应用髌股内侧韧带治疗慢性髌骨脱位和难治性髌股综合征。回顾性病例系列和回顾。体育与医学杂志5:155。DOI: 10.29011/25769596.100055 2卷5;开放期刊《运动医学》第01期,ISSN: 2576-9596。半脱位时无槽移位、半脱位时无槽移位、胫骨外旋、股内侧肌无力、滑车发育不良和/或膝外翻[2-4]。半脱位时过度的侧向倾斜和滑动会使力量沿髌骨关节面重新分布,引起疼痛和不稳定感。脱位也是疼痛的一个来源,通常涉及外侧的完全移位,但在极少数情况下可发生内侧和上部[2,3,5,6]。研究表明,脱位可导致复发性不稳定、活动减少、软骨损伤、骨折和骨关节炎进展[1,7-10]。为了减轻疼痛,保护关节和恢复生物力学,保守或手术干预都是有益的。髌骨脱位保守治疗缺乏广泛的长期临床研究。然而,Maenpaa和Lehto的一项研究发现,与未固定的患者相比,原发性脱位后膝关节伸展固定6周可使继发性脱位的风险降低3倍[7]。这可能为MPFL在治疗前愈合或其他结构收紧提供了足够的机会,但这一领域还需要更多的研究[3]。髌骨不稳定和脱位的患者发生脱位的风险较高,即使经过保守治疗,复发率仍为15-44%[1,3,7]。这些患者可能受益于手术干预。然而,这仍然存在争议。根据Jain等人(2011)的一项研究综述,没有足够的证据支持在首次脱位后立即进行髌骨手术稳定,只有在第二次脱位后才应考虑手术稳定,因为后续脱位的风险增加在外侧半脱位和重复脱位的患者中,MPFL可能受损或拉伸,需要修复。 不幸的是,相关研究关注的是短期结果和长期影响
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引用次数: 0
Injury Rate in Beach Handball – Comparison Between Two Tournaments of the European Beach Tour (EBT) 沙滩手球伤病率——两届欧洲沙滩巡回赛(EBT)比较
Pub Date : 2019-07-17 DOI: 10.29011/2576-9596.100053
Efthymios Papasoulis, D. Hatzimanouil, I. Terzidis, N. Stavropoulos
Beach handball is a team sport, similar to team handball, played on sand. Despite the growing popularity of the sport, there is a lack of scientific studies on injuries in beach handball. The aim of the present study, was to compare the findings from two tournaments of European Beach Tour (EBT), in order to identify injury rates and patterns in this sport. One hundred and twenty-two athletes (50 men and 72 women) in 2014 and 121 athletes (60 men and 61 women) in 2016 replied to a self-reported anonymous questionnaire concerning their injuries while playing beach handball. The overall incidence was 9.7 injuries/1000h of game exposure, and 3.1 injuries/1000h of training. Injuries occurred more often during games (63.6%). Ligament injuries were the most common type of injuries (45.2%), followed by muscle injuries (36.5%). Most injuries occurred in the lower limb (51.5%), while 37.9% occurred in the upper limb. Collision with the opponent was the most common mechanism of injury (44.8%). Female athletes had a higher probability of injuries of small severity (0-1 weeks RtP) than male athletes . Comparison between the two competitions revealed an overall decrease in the injury rate in a statistically significant degree in both genders ( for males, for females). Larger epidemiologic studies will provide us with further information on the injury characteristics of beach handball.
沙滩手球是一项团队运动,类似于团队手球,在沙滩上进行。尽管这项运动越来越受欢迎,但缺乏对沙滩手球受伤的科学研究。本研究的目的是比较欧洲海滩巡回赛(EBT)两场比赛的结果,以确定这项运动的受伤率和模式。2014年的122名运动员(50名男性和72名女性)和2016年的121名运动员(60名男性和61名女性)回答了一份关于他们在玩沙滩手球时受伤的自我报告匿名问卷。总体发生率为9.7人/1000h的游戏暴露,3.1人/1000h的训练。受伤更常发生在比赛期间(63.6%)。韧带损伤是最常见的损伤类型(45.2%),其次是肌肉损伤(36.5%)。损伤以下肢为主(51.5%),上肢为37.9%。与对手碰撞是最常见的损伤机制(44.8%)。与男性运动员相比,女性运动员发生轻度损伤(0-1周RtP)的可能性更高。两项比赛之间的比较显示,男女(男性和女性)受伤率总体上都有统计学上显著的下降。更大规模的流行病学研究将为我们提供关于沙滩手球损伤特征的进一步信息。
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引用次数: 0
Long-Term Effects of ACL Transection on the Gastrocnemius Muscle in Rats 前交叉韧带横断对大鼠腓肠肌的远期影响
Pub Date : 2019-06-19 DOI: 10.29011/2576-9596.100052
Takashi Kotani, K. Goto, Mahiro Ohno, Y. Ogura, M. Kurosaka, K. Yatabe, T. Kumai, H. Niki, H. Fujiya
We investigated long-term changes in the morphological and contractile properties of the gastrocnemius muscle in a rat Anterior Cruciate Ligament (ACL) tear model. The experimental animals were 8-week-old male Wistar rats in which the right ACL was transected. The gastrocnemius muscle in the affected limb and the same muscle in the contralateral limb were harvested 4 and 48 weeks after ACL transection. We created serial frozen sections of the tissues and performed immunohistochemical staining. In results, at 4 weeks, the muscle wet weight-to-body weight ratio and the Cross-Sectional Area (CSA) of type I and IIb muscle fiber in the deep portion of the muscle were both significantly smaller on the transection-affected side than on the contralateral side (p < 0.05, respectively). In addition, at 48 weeks, the CSA of type I muscle fibers in the deep portion was significantly smaller on the affected side than on the contralateral side (p < 0.05). We surmise that the changes were due mainly to modulation of muscle activity as a result of physical joint instability and functional failure of proprioception, which both occurred as a result of the ACL transection. We showed that these morphological changes may persist over the long term, particularly in the case of type I fibers. Results of this study suggest that long-term rehabilitation for not only the thigh but also the leg is necessary when ACL injuries are encountered clinically.
我们研究了大鼠前交叉韧带(ACL)撕裂模型中腓肠肌形态学和收缩特性的长期变化。实验动物为8周龄雄性Wistar大鼠,右前交叉韧带横切。在前交叉韧带横断后4周和48周分别切除患肢腓肠肌和对侧肢腓肠肌。我们制作了连续的组织冷冻切片,并进行了免疫组织化学染色。结果,在4周时,患横断的一侧肌肉湿重比和肌肉深部I型和IIb型肌纤维的横截面积(CSA)均显著小于对侧(p < 0.05)。48周时,患侧深部I型肌纤维CSA明显小于对侧(p < 0.05)。我们推测,这些变化主要是由于物理关节不稳定和本体感觉功能失败导致的肌肉活动调节,这两者都是ACL横断的结果。我们发现这些形态变化可能会持续很长时间,特别是在I型纤维的情况下。本研究结果提示,临床上出现前交叉韧带损伤时,不仅需要对大腿进行长期康复治疗,还需要对腿部进行长期康复治疗。
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引用次数: 0
The Effect of Mortality of Diabetes Tuberculosis Patients Using Meta-Analysis 糖尿病结核患者死亡率的meta分析
Pub Date : 2019-05-30 DOI: 10.29011/2576-9596.100050
Yun Yu, Willie Sai Ho Chan
Objective: To study the mortality of tuberculosis patients with diabetes, compared to tuberculosis patients without diabetes. Design: We searched papers, including the prospective studies and retrospective studies from 1998 to 2009. All papers must relate to the studies of the mortality of tuberculosis patients with diabetes or without diabetes. Data sources: We electronically searched the register of the mortality, tuberculosis, and diabetes group from several journals. Selection of studies: More than 1000 articles we searched, including prospective studies and retrospectives studies. Only 21 papers are related to our subject. After fully screen the data of these papers, 14 papers are completely fit the conditions of our requirements. Main outcome measures: We meta-analysis the odds ratio of mortality of DMTB patients, compare to TB patients without DM. We selected random affects model to show the results of odds ratio. Results: This study shows significantly higher mortality in DMTB group. The entire odds ratio is 2.18. 95% CI= [1.50, 3.16], Z=4.09 (p<0.0001), I2=63.0% (Figure 1). Conclusion: Diabetes is one of the risk effects to the tuberculosis patients. Patients who got tuberculosis with diabetes have significantly higher mortality than tuberculosis patients without diabetes. To take care of tuberculosis patients with diabetes is much more critical.
目的:比较合并糖尿病肺结核患者与非糖尿病肺结核患者的死亡率。设计:检索1998 - 2009年的前瞻性研究和回顾性研究。所有论文必须与结核病合并糖尿病或非糖尿病患者死亡率的研究有关。数据来源:我们从几个期刊上电子检索了死亡率、结核病和糖尿病组的登记。研究选择:我们检索了1000多篇文章,包括前瞻性研究和回顾性研究。只有21篇论文与我们的主题有关。经过对这些论文数据的全面筛选,有14篇论文完全符合我们的要求。主要结局指标:我们荟萃分析DMTB患者死亡率的优势比,与非DM的TB患者进行比较。我们选择随机影响模型来显示优势比的结果。结果:本研究显示DMTB组死亡率明显高于对照组。整个比值比是2.18。95% CI= [1.50, 3.16], Z=4.09 (p<0.0001), I2=63.0%(图1)。结论:糖尿病是肺结核患者的危险因素之一。合并糖尿病的肺结核患者的死亡率明显高于没有糖尿病的肺结核患者。照顾合并糖尿病的肺结核患者更为关键。
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引用次数: 0
Positive Effects of Training for Expectant Mothers- Physical Activity for The Prevention of Pregnancy Related Diseases 准妈妈训练的积极作用——体育活动预防与怀孕有关的疾病
Pub Date : 2019-04-09 DOI: 10.29011/2576-9596.100048
E. V. Rottkay, Ruth Broermann, U. Nöth, J. Reichert
Pregnancy is associated with significant physical and psychological changes for expectant mothers, which have many effects on their fitness and physical performance. However, the benefits of regular training outweigh the risks and reduce the likelihood of suffering from pregnancy-induced diseases. Physical activity during pregnancy causes many positive effects. Reduced risk of premature birth, caesarean section and also a positive influence on the risk of gestational hypertensive disorders, gestational diabetes, excessive weight gain are among those positive effects. The American College of Obstetricians and Gynecologists (ACOG) recommends in its guidelines a regular physical activity of about thirty minutes on most days of the week. An energy consumption of 28 MET (Metabolic Equivalent of Task) per week should be aimed for Especially sports such as jogging, cycling and swimming are suitable. Moreover, strength training with free weights and weight machines can be recommended. Sports with a high risk of injury and body contact are not suitable and should be avoid. With the beginning of their second trimester, it is recommended that even un-athletic women start light physical activity. The intensity should be controlled via the heart rate reserve or with a simple scale such as the Borg scale. Physical activity can be continued throughout the pregnancy and re-intensified four weeks after delivery. On this occasion, an increased attention should be paid to the training of the pelvic floor and the abdominal muscles.
怀孕与准妈妈的身体和心理发生重大变化有关,这些变化对她们的健康和身体表现有许多影响。然而,定期培训的好处大于风险,并减少患妊娠引起的疾病的可能性。怀孕期间的体育锻炼有许多积极的影响。减少早产、剖腹产的风险,对妊娠期高血压疾病、妊娠期糖尿病、体重过度增加的风险也有积极影响,这些都是积极影响。美国妇产科医师学会(ACOG)在其指导方针中建议,一周中大部分时间要有规律地进行约30分钟的体育活动。每周的能量消耗应达到28 MET(任务代谢当量),尤其是慢跑、骑自行车和游泳等运动。此外,可以推荐使用自由举重和举重器械进行力量训练。不适合进行有高受伤风险和身体接触的运动,应避免。随着中期妊娠的开始,即使是不运动的女性也被建议开始轻度的体育活动。强度应通过心率储备或简单的量表(如博格量表)来控制。身体活动可以在整个怀孕期间继续进行,并在分娩后四周重新加强。在这种情况下,应更加注意盆底和腹肌的训练。
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引用次数: 1
Construction of A Case Management Practice Model for Subjective Experience and Needs of Perioperative Patients with Lung Cancer 肺癌围手术期患者主观体验与需求的病例管理实践模式构建
Pub Date : 2019-01-08 DOI: 10.29011/2576-9596.100043
Z. Yanping, Liu Xiuzhu, Luo Yu, K. Wei, Zhang Hong, Zhimin Chen
Objective: To establish a “Case Management Practice Standard for Perioperative Patients of Lung Cancer” by collecting subjective experiences and needs of patients. Methods: Pre-selected 100 lung cancer patients around the stage, by knowing their different periods of subjective experience and needs, propose appropriate interventions to improve the existing case management program. In the later period, another 100 patients were selected, and the improved program was applied to clinical practice. Finally, compare the subjective experience and needs of the two groups of patients, as well as whether there is a difference in the satisfaction of nursing services. Result: Were compared in patients undergoing surgery at different times of the subjective experience and needs, the differences were statistically significant (P <0 05.); Care satisfaction scores, the differences were statistically significant (P <0 05.). Conclusion: By collecting the subjective experience and needs of perioperative patients with lung cancer, the existing case management plan is continuously improved, and the “Case Management Practice Standard for Perioperative Patients of Lung Cancer” is finally formed for clinical use.
目的:通过收集患者的主观经验和需求,建立《肺癌围手术期患者病例管理实践标准》。方法:预选100例不同分期的肺癌患者,通过了解其不同时期的主观经历和需求,提出相应的干预措施,改进现有病例管理方案。后期再选取100例患者,将改进后的方案应用于临床。最后比较两组患者的主观体验和需求,以及对护理服务的满意度是否存在差异。结果:比较不同手术时间患者的主观体验和需求,差异均有统计学意义(P < 0.05);护理满意度得分,差异均有统计学意义(P < 0.05)。结论:通过收集肺癌围手术期患者的主观经验和需求,不断完善现有病例管理方案,最终形成《肺癌围手术期患者病例管理规范》供临床使用。
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引用次数: 0
Short-and Long-Term Effects of Sclerotherapy on Chronic Tendinosis with Neovascularizationamong Sportsmen and Athletes 硬化疗法对运动员和运动员慢性腱鞘病伴新血管形成的短期和长期影响
Pub Date : 2019-01-07 DOI: 10.29011/2576-9596.100042
Z. Pascal, Bubloz Marie, Gremion Gerald, Gremeaux Vincent
When neovascularization is present in chronic tendinosis, sclerotherapy may be useful. This study’s objective was to evaluate the shortand long-term clinical efficacy of sclerotherapy and estimate the evolution of Achilles and patellar tendinosis among athletes using ultrasound. All the patients who underwent sclerotherapy in our department from 2008 to 2017 were reevaluated. Twelve patients met these inclusion criteria (15 tendons, 32 ± 21 years old, training 8.8 ± 12 h/week, symptom duration 38 ± 37.8 months). At week six, there was a significant mean reduction in exercise pain (visual analogue scale: from 7.7 ± 1.8 to 3.2 ± 2.3, p = 0.0001) with a resumption of sports by 12/15 patients, 6 at their previous level. At the long-term follow-up (45.5 ± 31 months), 12/15 had a clinically relevant decrease in exercise pain, with 6 partially resuming sports and 4 more resuming at their previous level (two with sclerotherapy alone). Vascularization scores objectivized by ultrasound decreased significantly from 3.38 ± 0.51 to 2.31 ± 1.23 (p < 0.001). Vessels only disappeared in 4/12 tendons, allowing 3 athletes to resume sports at their previous level. In conclusion, sclerotherapy appears to induce good short-term effects on pain and function. Long-term clinical effect is less obvious. Total disappearance of new vessels seems to be associated with a higher resumption of sports.
当慢性肌腱病出现新生血管时,硬化治疗可能有用。本研究的目的是利用超声评估硬化疗法的短期和长期临床疗效,并评估运动员跟腱和髌骨肌腱病的演变。对2008年至2017年在我科接受硬化治疗的所有患者进行重新评估。12例患者符合入选标准(15根肌腱,32±21岁,训练8.8±12小时/周,症状持续时间38±37.8个月)。在第六周,有12/15的患者恢复运动,运动疼痛平均显著减少(视觉模拟评分:从7.7±1.8降至3.2±2.3,p = 0.0001),其中6例恢复到以前的水平。在长期随访(45.5±31个月)中,12/15的运动疼痛有临床相关的减轻,6人部分恢复运动,4人恢复到以前的水平(2人单独使用硬化疗法)。超声客观化血管化评分由3.38±0.51降至2.31±1.23 (p < 0.001)。只有4/12的肌腱血管消失,使3名运动员恢复到以前的水平。总之,硬化疗法似乎对疼痛和功能有良好的短期效果。长期临床效果不明显。新血管的完全消失似乎与体育运动的高恢复有关。
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引用次数: 0
Injuries in Young Professional Soccer Players: Epidemiological and Prevention Topics 青少年职业足球运动员的伤害:流行病学和预防主题
Pub Date : 2018-11-07 DOI: 10.29011/2576-9596.100041
L. Monestier, Fabrizio Borri Damiano Salvato, P. Cherubino, F. D. Angelo
Soccer is the most popular sport worldwide and is known to be correlated to high risk of of injuries, which negatively influence the performance of the single player and team: higher positions in league or cup standings are achieved by clubs with injury-prevention programs. Prevention is fundamental for athletes allowing them to play at the highest level in complete safety: however, only a few studies reported the effectiveness of preventive programs especially in young players. The aim of this study is twofold: firstly, reporting season injuries in young professional footballers and assessing their risk factors; secondly, demonstrating how a specific prevention program reduce injuries incidence. 32 professional footballers («Primavera» under-19 Italian league 2014/2015) were included and compared with the previous season («Allievi» under-17 Italian league 2013/2014) because of 95% of the team was formed by the same players. An injury-prevention program was introduced: core training, active warm-up, static stretching and cryotherapy were inserted into a program of football technical, tactical and physical exercises, co-operated by technical and medical staff. For each injury we collected: type, days of absence, severity, body segment, match or training features, pathogenesis, recurrence, therapy. Therefore, incidence, burden injury and availability were calculated. Analysis was made by MedCalc® (P-value <0,05). We collected 45 injuries: 5 contusions, 9 overexertion-related disorders, 10 sprains, 6 tendonitis, 8 muscle tears, 1 knee ligament strain, 5 bone fractures and 1 skin wound. Injuries mostly occurred during training (60.00%) than matches (33.33%) and 3 extra-soccer activities (6.67%). Incidence was 5,6/1000hs, burden injury of 72.92 days of absence/1000hs and average availibility 87%. Prevention program was significantly effective: injuries were similar (46 vs 45) in the two consecutive seasons even though a doubled-time sport performance (3847.40hs vs 8050.18) (p=0.01). Injuries prevention is relevant for footballers. Our proposals resulted very effective, decreasing predictable injuries.
足球是世界上最受欢迎的运动,众所周知,它与受伤的高风险有关,这对单个球员和团队的表现产生了负面影响:在联赛或杯赛上排名较高的俱乐部都有伤害预防计划。预防是运动员在完全安全的情况下发挥最高水平的基础:然而,只有少数研究报告了预防计划的有效性,特别是在年轻球员中。本研究的目的是双重的:首先,报告赛季受伤的年轻职业足球运动员和评估他们的危险因素;其次,展示具体的预防方案如何减少伤害发生率。32名职业足球运动员(«Primavera»u19意大利联赛2014/2015)被包括在内,并与上一个赛季(«Allievi»u17意大利联赛2013/2014)进行比较,因为95%的球队由相同的球员组成。在足球技战术和体能训练项目中加入核心训练、主动热身、静态拉伸和冷冻疗法,由技术人员和医务人员配合进行损伤预防。对于我们收集的每一个损伤:类型、缺勤天数、严重程度、身体部位、比赛或训练特征、发病机制、复发、治疗。因此,计算了发病率、负担伤害和可得性。采用MedCalc®进行分析(p值< 0.05)。我们收集了45例损伤:5例挫伤,9例过度劳累相关疾病,10例扭伤,6例肌腱炎,8例肌肉撕裂,1例膝关节韧带拉伤,5例骨折和1例皮肤损伤。损伤主要发生在训练中(60.00%),其次是比赛(33.33%)和3次课外活动(6.67%)。发病率为5.6 /1000hs,负伤率为72.92天/1000hs,平均利用率为87%。预防方案显著有效:连续两个赛季,即使运动时间增加一倍(3847.40h vs 8050.18 h),受伤情况相似(46 vs 45) (p=0.01)。预防伤病与足球运动员息息相关。我们的建议非常有效,减少了可预见的伤害。
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Sports Injuries & Medicine
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