Research in Sports Medicine最新文献

This case report details the management of a 23-year-old professional footballer who sustained a rupture of the proximal adductor longus (AL) tendon. Following surgical reattachment of the tendon, the player completed an eleven-phase return to performance (RTP_erf) pathway designed to ensure a rapid and safe return to play (RTP_lay). The pathway uses distinct phases that incorporate clinical, performance, and sport-specific criteria to guide decision-making throughout the process. This case report outlines the phases and criteria used in conjunction with shared decision-making by the interdisciplinary team (IDT) to ensure a successful RTP_lay. The effectiveness of this pathway was demonstrated by the player's return to competitive play 12 weeks post-surgery.

The prevalence of anterior cruciate ligament injury in female soccer players has been attributed to hormonal fluctuations during the menstrual cycle (MC), with injury incidence greatest during the follicular phase. Eight, eumenorrheic, collegiate soccer players (19.5 ± 0.75 years, 1.62 ± 4.90 cm, 61.12 ± 7.6 kg mean ± SD) completed eccentric knee flexor and concentric knee extensor trials at 60 and 240°·s^-1 during the follicular, ovulation and luteal phases of their MC. Peak torque and corresponding angle of peak torque were maintained across all phases of the MC, irrespective of testing modality and speed (p ≥ 0.149). Strength ratios defined using peak torque were also not sensitive to MC phase (p ≥ 0.933). However, Functional Range in eccentric knee flexion was significantly lower during the follicular phase (p = 0.017), at both testing speeds. This supports epidemiological observations but highlights the importance of analysing isokinetic data beyond the peak of the strength curve. Interpretation of isokinetic data should therefore focus on points of "weakness" as opposed to maximum strength, whilst (p)rehabilitative strategies should consider strength through range of motion, and at different speeds. Eccentric hamstring strength was observed to decrease significantly at the higher speed, contrary to observations in elite male players, and potentially reflecting a differential training adaptation.

Sport-related concussions (SRCs) are prevalent in high school (HS) sports, though the determinants of, and relationships between concussion symptoms in this population remain relatively unknown. We analysed SRC data captured within the HS RIO injury surveillance system during 2014/15-2018/19. We used Generalized Estimating Equations to simultaneously assess covariate predictors of symptom presentations and identify pairwise symptom associations and employed multivariable ordinal logistic regressions to determine symptom resolution time (SRT) predictors. Among the 8,969 concussions assessed, headaches (94.3%) and dizziness (73.3%) were the most prevalently reported symptoms. In 5,953 boys' concussion assessed, class year, event type and injury mechanism emerged as determinants of various concussion symptoms, while in 3,016 girls' concussions assessed, class year, event type, injury mechanism, and sport type emerged as significant symptom determinants. In both groups, difficulty concentrating, sensitivity to light, sensitivity to noise, and disorientation were symptoms with the strongest associations with other symptoms. Odds of longer SRT were higher with greater endorsement (i.e. counts) of the subset of symptoms with strongest cross-domain associations (OR_adj. = 1.35; 95% CI = [1.30, 1.40]). Our findings provide valuable information for informing sideline and follow-up clinical concussion assessment algorithms in high school athletes.

The objective of this study is to investigate the beneficial effects of resistance training (RT) on individuals suffering from knee osteoarthritis (KOA). In order to gather relevant studies from the beginning of various databases until January 2023, a comprehensive search was conducted on PubMed, Embase, Scopus, Web of Science, and The Cochrane Library. Additionally, manual searches were performed on the reference lists. The association between RT and KOA was analysed using a random-effects model. The results indicated that patients with KOA who underwent RT experienced a significant reduction in the WOMAC (Western Ontario and McMaster Universities Osteoarthritis) Pain index (WMD = -2.441; 95% CI = -3.610 to -1.273; p < 0.01), the WOMAC Stiffness index (WMD = -1.018; 95% CI = -1.744 to -0.293; p < 0.01), the WOMAC Function index (WMD = -7.208; 95% CI = -10.412 to -4.004; p < 0.01), and the VAS (Visual Analogue Scale) index (WMD = -5.721; 95% CI = -9.320 to -2.121; p < 0.01). These improvements were observed when compared to the control group. However, no significant difference was found in the 6-MWT (6-Minute Walk Test) index between the two groups (WMD = 2.659; 95% CI= -16.741 to 22.058; p = 0.788). Consequently, RT has the potential to positively enhance pain, stiffness, and function in patients with KOA, while the 6-MWT index may not exhibit significant improvement.

This study examined the effect of a 40-min nap (N40) the day after a night session of the Loughborough Intermittent Shuttle Test (LIST), before, during and after Ramadan. In a randomized crossover design, fifteen male soccer players completed the LIST in the evening (2100h), followed by either a N40 or no nap (N0) the next day, at 1400h. Performance on the 5-m shuttle run test (5mSRT), digit cancellation test (DCT), and subjective measures (i.e., sleepiness, rating of perceived exertion, and muscle soreness) were assessed at 1700h. During Ramadan, 5mSRT and DCT performance decreased compared to before Ramadan in the N0 condition (p<0.05). However, N40 improved 5mSRT and DCT performance across all periods compared to N0 (p<0.05). In conclusion, a 40-min of nap opportunity is an effective strategy for improving physical and cognitive performance during and following Ramadan after a bout of exercise the previous night.    .

Relationship between ability to perform the deep squat test (DST) and floating toes among baseball players with disabled throwing shoulder/elbow was retrospectively investigated. Players performed the DST by fully squatting while having their arms crossed in front of their chest without lifting the heel off the floor or falling backwards. Floating toes were evaluated if all the toes were in contact with the mat or not. The relationship between ability to perform the DST and prevalence of floating toes was statistically analysed. Sixty-three players (69.2%) were unable to perform the DST. Floating toes were observed in 74 players (81.3%). Players with inability to perform the DST had significantly higher prevalence of floating toes (58 players, 92.1%), compared with those who were able to perform the test (16 players, 57.1%) (p < 0.001). Floating toes may relate with inability to perform the DST among baseball players with disabled throwing shoulder/elbow.

This study aimed to evaluate the muscle activation ratio of hip and knee during hip-focused exercises. Eleven active university students performed 13 hip-focused exercises frequently used in the treatment of knee disorders. The average sEMG amplitude of tensor fasciae latae (TFL), gluteus medius (GMed), gluteus maximus (GMax), adductor longus (AL), vastus medialis (VM), vastus lateralis (VL), and GMed/AL, GMax/AL, and VL/VM ratios were determined. Repeated-measures analyses of variance were performed to determine if there were differences in muscle activation while performing each of the 13 exercises. Sidelying clam-shell had the highest GMax/AL ratio of all the exercises examined. The hip hike exercise (5.36) had the highest GMed/AL ratio. The VL/VM ratio ranged from 0.77 to 1.16. Based on these results, sidelying clam-shell had the highest GMax/AL ratio. The hip hike exercise had a higher GMed/AL ratio compared to other hip-focused exercises. Additionally, forward lunge, squat, and single-leg squat with resistance band around the knee had the highest activity VL/VM ratio among exercises.

This retrospective study aimed to examine the incidence, types, and patterns of injuries and illnesses among female cricketers in the first-class cricket of Bangladesh between 2015 and 2021. The study was conducted with 250 female cricket players aged 14-28 who had experienced injuries. Participants completed a structured questionnaire that gathered information on injury type, frequency, recurrence, treatment methods, and post-injury performance. Logistic regression analysis was employed to assess the relationship between injury risk and key variables, including playing position (batter, bowler, or fielder), weekly workload (hours spent in training/competition), and injury context (occurring during matches or practice). Descriptive statistics were used to summarize injury patterns and recovery outcomes, while odds ratios (OR) with 95% confidence intervals (CI) were calculated to identify significant predictors of injury risk. Of the participants, 75.2% experienced new injuries, while 24.8% reported chronic injuries. The most common injury sites were the knee/leg (24%) and shoulder (20%). Recurrence was high, with 56% experiencing 5-6 injury recurrences, and 68% reported multiple injuries over their careers. Physiotherapy was the primary treatment, used by 52% of participants, and 76% of players returned to competition post-injury. However, only 8% regained their pre-injury performance levels. Logistic regression revealed that bowlers had a significantly higher injury risk (OR = 2.12, p = 0.055), while high workloads (21+ hours/week) were also associated with increased injury risk (OR = 1.42, p = 0.112), though not statistically significant. The findings highlight the prevalence of injuries in female cricket, particularly in bowlers and those with high workloads. Physiotherapy was effective in promoting recovery, but a significant portion of athletes did not regain their pre-injury performance levels. Comprehensive injury prevention programs, tailored rehabilitation, and ongoing education on injury management are essential to mitigate risks and enhance player recovery.

The present scoping review aims to describe the available criteria to determine Return-To-Play (RTP), propose methodological considerations and new research questions, and provide information to help practitioners in professional football make informed decisions regarding RTP following a hamstring strain injury (HSI) in professional male football. The following electronic databases were searched: PubMed, MEDLINE, web of science and SPORTDiscus using keywords related to HSI in elite football. All types of studies in English reporting at least one RTP criterion for professional football players who sustained an HSI were included. In total, 19 studies met the inclusion criteria. RTP criteria were divided into three categories: clinical, strength and performance criteria. Clinical criteria were also divided into sub-categories: absence of pain, hamstring flexibility, medical staff clearance, psychological readiness, surgeon's opinion and imaging. Practitioners working in professional male football could benefit from using a combination of criteria in their RTP battery of tests.

This study aimed to examine the effects of 6-week vibration (VFR) and non-vibration foam rolling (FR) on muscle strength, hamstrings-to-quadriceps (H:Q) ratio, flexibility, and dynamic balance in soccer players. Thirty-six players were included in the study. The players were randomly assigned to either VFR (n=12), FR (n=12), or control group (CG) (n=12). The players in VFR and FR groups performed VFR or FR thrice per week for 6 weeks. The CG did not receive any intervention. Pre- and post-test assessment included muscle strength, H:Q ratio, flexibility, and dynamic balance. Dominant extremity knee flexor and non-dominant extremity knee flexor and extensor muscle strength improved in VFR and FR groups (p<0.05). Flexibility and dynamic balance improved in VFR group (p<0.05). Both 6-week VFR and FR increased muscle strength without affecting H:Q ratio. VFR was more effective than FR for improving flexibility and dynamic balance. The results can be stunning for performance enhancement.