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Mechanism of hamstring strain injuries in sports: A narrative review 运动中腘绳肌腱拉伤的机制:述评
Pub Date : 2021-05-01 DOI: 10.4103/sjsm.sjsm_21_21
Haifa Al Mansoof, M. Almusallam, S. Nuhmani
Hamstring strain injury (HSI) is one of the most frequent injuries among athletes in several sports. The high rate of recurrence of this injury advocates that our current understanding of HSI and the risk of its recurrence is incomplete. HSIs are multifaceted and have numerous mechanisms. Having an insight into the injury mechanisms helps determine the severity of the injury, validate clinical practice, manage progress, and prevent occurrence and recurrence of injuries. Hamstring muscles are essential in generating force and controlling the body during running and sprinting activities. It is the force generator in propulsion, swinging leg decelerator, and shock-absorber when impacting the ground. The HIS mechanisms are several, but highlighting the important interaction between different parts (the core and extremities) and systems (the neuromuscular and musculoskeletal) of the body and the effect of having such interaction impaired. The HIS recurrence mechanisms highlight the impact of the residual and persistent risk factors and their ways to help the HIS to reoccur.
腿筋拉伤(HSI)是运动员在多项运动中最常见的损伤之一。这种损伤的高复发率表明,我们目前对HSI及其复发风险的理解是不完整的。hsi是多方面的,有许多机制。深入了解损伤机制有助于确定损伤的严重程度,验证临床实践,管理进展,防止损伤的发生和复发。在跑步和短跑活动中,腿筋肌肉在产生力量和控制身体方面是必不可少的。它是推进力的产生器、摆腿减速器和撞击地面时的减震器。HIS机制有几种,但突出强调了身体不同部位(核心和四肢)和系统(神经肌肉和肌肉骨骼)之间的重要相互作用,以及这种相互作用受损的影响。其复发机制强调了残留和持续危险因素的影响,以及它们如何帮助HIS再次发生。
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引用次数: 0
Comparison of short-term training effects of two neuromuscular electrical stimulation modalities on muscle functions and mass 两种神经肌肉电刺激方式对肌肉功能和质量的短期训练效果比较
Pub Date : 2021-05-01 DOI: 10.4103/sjsm.sjsm_15_21
Abdulaziz M. Aldayel, Saad Aljaloud, S. Aljaloud
Purpose: The present study thus aimed to compare the effects of neuromuscular electrical stimulation (NMES) training, using alternating current (AC) and pulsed current (PC), on muscle function and muscle mass. Methods: Twenty-thee healthy male university students (age: 22.68 ± 3.7) were enrolled in this study and divided into two groups (AC = 12, PC = 11) to receive NMES training in both legs simultaneously. Each group underwent a 20-min NMES session using AC or PC, 2 days a week for 5 weeks. AC was delivered at 2.5 kHz (burst frequency: 75 Hz and pulse duration: 400 μs) for the knee extensors of both legs, and PC was delivered at 75 Hz (pulse duration: 400 μs), inducing 60 isometric contractions (on–off ratio: 5–15 s) at a knee joint angle of 100° (0° = full extension). Muscle strength, power, and mass were assessed 1 week before and 1 and 6 weeks after the training program. Results: Findings show a significant increase in vertical jump height after both NMES training, although no torque gain was detected regardless of the type of modality. A significant increase in the region fat-free mass (trained legs) in both NMES currents without a difference between them was observed in the function of the trained muscles. Conclusion: Short-term training (5 weeks) using AC or PC could be insufficient to detect an improvement in muscle functions such as torque gain. However, the short-term training using AC may improve physical performance and body composition.
目的:本研究旨在比较交流电流(AC)和脉冲电流(PC)神经肌肉电刺激(NMES)训练对肌肉功能和肌肉质量的影响。方法:选取年龄22.68±3.7岁的健康男大学生23名,分为两组(AC = 12, PC = 11),同时进行双下肢NMES训练。每组使用AC或PC进行20分钟的NMES,每周2天,持续5周。以2.5 kHz(脉冲频率:75 Hz,脉冲持续时间:400 μs)给膝关节伸肌施加AC, 75 Hz(脉冲持续时间:400 μs)给PC,在膝关节角度为100°(0°=完全伸展)处诱导60次等距收缩(开关比:5-15 s)。肌肉力量、力量和质量分别在训练前1周和训练后1周和6周进行评估。结果:研究结果显示,在两种NMES训练后,垂直跳跃高度都有显著增加,尽管与模式类型无关,没有检测到扭矩增加。在两种NMES电流下,无脂肪区(训练腿)显著增加,而训练肌肉的功能没有差异。结论:短期训练(5周)使用AC或PC可能不足以检测肌肉功能的改善,如扭矩增益。然而,使用AC的短期训练可能会改善身体表现和身体成分。
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引用次数: 1
Posterior cruciate ligament avulsion fracture in skeletally immature patient 骨未成熟患者后交叉韧带撕脱骨折
Pub Date : 2021-05-01 DOI: 10.4103/sjsm.sjsm_8_21
Mohammad Ali Karbouji, Talal Alamri, A. Akram, Alaa Shams, Abdulmuhsen N. Alshammari
Posterior cruciate ligament (PCL) avulsion fractures occurred less frequently in children than in adults. A low threshold of suspicion is required to avoid delaying or even missing the diagnosis due to the rare presentation of these cases. This report represents a rare case of a skeletally immature patient with PCL avulsion fracture from tibial attachment, which was treated surgically. Along with a case report, we also provide a review of other studies.
儿童后交叉韧带撕脱骨折的发生率低于成人。由于这些病例的罕见表现,需要较低的怀疑阈值,以避免延误甚至错过诊断。本报告报告一例罕见的骨骼未成熟患者胫骨附着处PCL撕脱性骨折,手术治疗。除了病例报告外,我们还提供了其他研究的回顾。
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引用次数: 0
Injury rate among CrossFit participants and its associated risk factors in Riyadh: A cross-sectional study 利雅得CrossFit参与者的受伤率及其相关危险因素:一项横断面研究
Pub Date : 2021-05-01 DOI: 10.4103/sjsm.sjsm_11_21
Wassim Aldebeyan, Bader Aljadaan, A. Dous, Mohammad K Almashouq, Noura Abouammoh, A. Alsubaie, A. Alshahrani, Hind Alghamdi, Muath A Alsoliman
Background: CrossFit is a form of exercise that incorporates rapid and successive high-intensity movements. This study assesses the rate and risk factors of CrossFit injuries. Materials and Methods: This is an analytical, cross-sectional study that was conducted in four CrossFit affiliates (two for males and two for females) in Riyadh, Saudi Arabia. A validated questionnaire was used to collect the data from CrossFit athletes between January and April 2018. Data collected were incidence, severity, number of injuries, and potential risk factors for injury in the preceding 6 months. Using the SPSS software, data were analyzed using the t-test, Chi-square test, and multivariate logistic regression. Results: Among the 255 participants, 31.37% had an injury during the last 6 months' period. The incidence rate of injury was 3.33/1000 athlete hours. Participants who did not include cool down in their CrossFit workout were significantly more likely to be injured (41.58% vs. 24.68%, P = 0.004). Injured participants reported higher weekly athlete training hours (5.73 ± 3.89 vs. 4.55 ± 2.94, P = 0.008). Most of the participants' injuries were acute and required medical attention (51%). Conclusion: Injury rate among CrossFit athletes in Saudi Arabia is relatively high, especially among those who train regularly and those who do not incorporate cool-down in their CrossFit regimen. Cooling-down after CrossFit activities might help in reducing the rate of injury.
背景:混合健身是一种结合快速和连续高强度运动的锻炼形式。本研究评估了混合健身损伤的发生率和危险因素。材料和方法:这是一项分析性横断面研究,在沙特阿拉伯利雅得的四个CrossFit分支机构(两个男性和两个女性)中进行。2018年1月至4月期间,一份经过验证的问卷被用于收集混合健身运动员的数据。收集的数据包括前6个月的发生率、严重程度、受伤数量和潜在的受伤危险因素。采用SPSS软件对数据进行t检验、卡方检验和多元logistic回归分析。结果:255名参与者中,31.37%的人在最近6个月内受伤。损伤发生率为3.33/1000运动员小时。在混合健身锻炼中不包括冷却的参与者更容易受伤(41.58% vs. 24.68%, P = 0.004)。受伤的参与者报告了更高的每周运动员训练时间(5.73±3.89比4.55±2.94,P = 0.008)。大多数参与者的伤害是急性的,需要医疗护理(51%)。结论:沙特阿拉伯CrossFit运动员的受伤率相对较高,特别是那些经常训练和没有在CrossFit方案中加入冷却的运动员。混合健身运动后的降温运动可能有助于降低受伤的几率。
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引用次数: 1
Immediate effects of physical activity on motor cognitive function in healthy young adults: A pre-test post-test quasi experimental study 体育活动对健康年轻人运动认知功能的直接影响:一项前测后测准实验研究
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_2_21
Sohel Ahmed, Rahemun Akter
Background: Physical activity influences cognitive function which is already established by several literatures. Exercise increases attention and performance on cognitive tasks, but the immediate effect of exercise on motor-cognitive function is unknown. Aim: Our aim was to find out the immediate effect of physical activity on motor-cognitive function in healthy adults. Materials and Methods: Twenty-five young males and females aged between 18 and 25 years were recruited by convenient sampling technique. Anthropometric measurement was obtained from the consented participants. For measuring the motor-cognitive function, memory cognitive skill game, an android-based mobile application, was used. The normality of the data was established by Shapiro–Wilk test. As the data follow normal distribution, the descriptive statistics were expressed in mean ± standard deviation and paired t-test was used to report pre- and postchange scores. Results: The mean age, height, weight, and body mass index of students were 22.48 ± 2.24 years, 163.25 ± 9.32 cm, 61.56 ± 9.32 kg, and 23.14 ± 3.6 kg/m2, respectively. Overall, the mean pre- and postphysical activity scores were 44.54 ± 12.43 and 48.71 ± 12.40, respectively, with a significant difference (P = 0.005) between them. Gender-wise analysis revealed a significant change among the female participants (P = 0.002) but not among the male participants (P = 0.266). Conclusion: This study concluded that motor-cognitive function improves immediately after exercise.
背景:体育活动对认知功能的影响已经被一些文献所证实。运动可以提高认知任务的注意力和表现,但运动对运动-认知功能的直接影响尚不清楚。目的:我们的目的是找出身体活动对健康成人运动认知功能的直接影响。材料与方法:采用方便抽样方法,招募年龄在18 ~ 25岁的青年男女25人。从同意的参与者处获得人体测量数据。采用基于android的移动应用程序“记忆认知技能游戏”测量运动认知功能。夏皮罗-威尔克检验证实了数据的正态性。由于数据服从正态分布,描述性统计以均数±标准差表示,采用配对t检验报告变化前后的得分。结果:学生平均年龄22.48±2.24岁,身高163.25±9.32 cm,体重61.56±9.32 kg,体质指数23.14±3.6 kg/m2。总体而言,运动前后平均得分分别为44.54±12.43分和48.71±12.40分,差异有统计学意义(P = 0.005)。性别分析显示,女性参与者之间有显著变化(P = 0.002),而男性参与者之间无显著变化(P = 0.266)。结论:运动后运动认知功能立即得到改善。
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引用次数: 0
Ankle arthroscopy: Indications, patterns of admissions, surgical outcomes, and associated complications among Saudi Patients at King Abdul-Aziz Medical City in Riyadh 踝关节镜检查:利雅得阿卜杜勒-阿齐兹国王医疗城沙特患者的适应症、入院模式、手术结果和相关并发症
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_3_21
M. Alaqil, M. Almalki, K. Alwusaidi, Lama Almutairi, Nader S. Alkenani
Background: Despite the frequent usage of ankle arthroscopy, there is limited medical literature regarding its indications, patterns of admissions, surgical outcomes, and associated complicated at Saudi Arabia. Hence, this study would highlight the surgical outcomes of such surgical approach that will assist orthopedic surgeons to detect which surgical procedure needs to be done as well as to help them regarding their diagnostic workups. Methods: At the Orthopedic Division of King Abdul-Aziz Medical City in Riyadh and through a cross-sectional design and convenient sampling techniques, the present study had recruited 20 subjects who fulfill the inclusion and exclusion criteria between 2016 and 2018. Data collection was carried out by a questionnaire designed and revised by an expert panel of health professionals. Results: Twenty patients were reviewed (11M and 9F) with an average age of 40.1 ± 12.2. Only 30% of the patients (5M, 1F) have no comorbidity, but 70% of patients (7M, 8F) were having at least one comorbidity. The most common indications were osteochondritis dissecans (n = 7, 35%), ankle fracture without dislocation (n = 4, 20%), and tibiotalar impingement (n = 3, 15%). Patients recorded pain in all cases (100%). The top four symptoms after pain were instability (30%, n = 6), muscle weakness (15%, n = 3) swelling (15%, n = 3), and stiffness (5%, n = 1). Two-third of cases reached to their full healthy status and toe-touch weight-bearing was seen in two patients (10%). Conclusion: Ankle arthroscopy improved the rehabilitation rates in our tertiary care center. In addition, the surgical outcomes are favorable in our hospital since it has a very short length of stay, unexpended surgery, and fewest physiotherapy sessions.
背景:尽管经常使用踝关节镜检查,但在沙特阿拉伯,关于其适应症、入院模式、手术结果和相关并发症的医学文献有限。因此,本研究将强调这种手术方法的手术结果,这将有助于骨科医生确定需要进行哪些手术,并帮助他们进行诊断工作。方法:本研究在利雅得阿卜杜勒-阿齐兹国王医疗城骨科,通过横断面设计和方便抽样技术,于2016年至2018年招募了20名符合纳入和排除标准的受试者。数据收集是通过一个由卫生专业人员组成的专家小组设计和修订的问卷进行的。结果:共纳入患者20例(m 11例,f 9例),平均年龄40.1±12.2岁。只有30%的患者(5M, 1F)无合并症,但70%的患者(7M, 8F)至少有一种合并症。最常见的适应症是夹层性骨软骨炎(n = 7, 35%)、踝关节无脱位骨折(n = 4, 20%)和胫距撞击(n = 3, 15%)。所有病例均有疼痛记录(100%)。疼痛后的前四个症状是不稳定(30%,n = 6)、肌肉无力(15%,n = 3)、肿胀(15%,n = 3)和僵硬(5%,n = 1)。三分之二的病例达到完全健康状态,2例患者(10%)出现足趾承重。结论:踝关节镜治疗可提高三级保健中心患者的康复率。此外,我院住院时间短,手术费用低,物理治疗次数少,手术效果好。
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引用次数: 0
Rehabilitation for cardiovascular endurance in COVID-19 patient COVID-19患者心血管耐力康复
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_41_20
Lasya Datla, Z. Siddiqui, S. Mani
In recent times, pneumonia associated with a novel coronavirus named severe acute respiratory syndrome coronavirus 2 has engulfed majority of the world population. Despite the fact reported that children and young adults are at lower risk from the infection of the COVID-19 than the population of other age groups, young-aged individuals have chances of getting infected which may lead to several complications either in mild or moderate or severe forms. It shows an effect on cardiovascular endurance along with many adverse effects even in a previously healthy young individual. Necessity of assessing the cardiac endurance in post-COVID-19–affected patients is at most as this makes them analyze their cardiac fitness. Here, we report a case of a 30-year-old COVID-19 recovery patient who had faced cardiovascular endurance problems. Cardiac rehabilitation and self-cardiovascular endurance evaluation were coached. After 2 weeks, the patient reported moderate improvement regarding cardiovascular endurance.
最近,与一种名为“严重急性呼吸系统综合征冠状病毒2”的新型冠状病毒相关的肺炎席卷了世界大多数人口。尽管据报告,儿童和青壮年感染COVID-19的风险低于其他年龄组,但年轻人有机会受到感染,这可能导致轻度、中度或严重形式的几种并发症。它显示出对心血管耐力的影响以及许多不利影响,即使在以前健康的年轻人身上也是如此。对新冠肺炎后患者进行心脏耐力评估的必要性最多,因为这是为了分析自己的心脏健康状况。在这里,我们报告了一例30岁的COVID-19康复患者,他面临心血管耐力问题。指导心脏康复和自我心血管耐力评价。2周后,患者报告心血管耐力有中度改善。
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引用次数: 0
Low 2D: 4D may reduce the use of doping in sports 低2D: 4D可能会减少体育运动中兴奋剂的使用
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_9_21
Muhammad Islam
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引用次数: 1
Movement behaviors, cardiorespiratory fitness, and cardiovascular disease risk factors in children from the gulf cooperation council countries: A narrative review 海湾合作委员会国家儿童的运动行为、心肺健康和心血管疾病危险因素:叙述性综述
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_35_20
Mohummed H Alkhraiji, A. Barker, C. Williams
Movement behaviors inclusive of physical activity (PA), sedentary behavior (SB), and sleep time (ST), and cardiorespiratory fitness (CRF) are associated with cardiovascular disease (CVD) risk factors in children. The aim of this narrative review is to synthesize data on movement behaviors (PA, SB, and ST) and CRF in relation to CVD risk factors in children from the Gulf Cooperation Council (GCC). Three online databases were searched up until August 2019. Movement behaviour studies were included if cut-offs were ≥60 min/day for PA, ≤2 or ≤≤3 h/day for SB (screen time), and ≥≥8 or ≥9 h/day for ST. Laboratory- and field-based CRF measures were included. Thirty-five studies were included in the review. Participants were aged 8–19 years old. Seven studies were on males and one study on female-only participants. PA was reported in 13 studies, with 28% considered physically active. SB was reported in 13 studies and 56% met the guidelines. Only one study measured ST, with 23% meeting the recommendation. Eight studies measured CRF, and in six of these studies, the mean maximal oxygen uptake (VO2 max) was 42 and 36 mL/kg/min for males and females, respectively. Two studies used the one-mile walk/run test on male participants, with a mean performance time of 10 min. One study investigated multiple CVD risk factors in relation to CRF, and four studies with body mass index (BMI) only. One study on PA and SB was examined in relation to BMI. Overall, weak correlations were found between movement behaviors and CRF in relation to CVD risk factors. The prevalence of meeting PA and ST guidelines among children from GCC is low. On average, CRF is slightly above the proposed healthy cut off points for both genders. Future prospective research is needed on children from the GCC to comprehensively examine the relationship between movement behaviors, CRF and CVD risk.
运动行为包括身体活动(PA)、久坐行为(SB)、睡眠时间(ST)和心肺适能(CRF)与儿童心血管疾病(CVD)危险因素相关。本综述旨在综合海湾合作委员会(GCC)儿童运动行为(PA、SB和ST)和CRF与心血管疾病危险因素的相关数据。截至2019年8月,对三个在线数据库进行了搜索。如果截断值为PA≥60分钟/天,SB≤2或≤3小时/天(屏幕时间),st≥≥8或≥9小时/天,则纳入运动行为研究。该综述纳入了35项研究。参与者年龄在8-19岁之间。七项研究是针对男性的,一项研究是针对女性的。13项研究报告了PA,其中28%被认为是身体活动。13项研究报告了SB,其中56%符合指南。只有一项研究测量了ST, 23%的人符合建议。8项研究测量了CRF,在其中6项研究中,男性和女性的平均最大摄氧量(VO2 max)分别为42和36 mL/kg/min。两项研究对男性参与者进行了一英里步行/跑步测试,平均运动时间为10分钟。一项研究调查了与CRF相关的多种心血管疾病风险因素,四项研究仅调查了体重指数(BMI)。其中一项研究对PA和SB与BMI的关系进行了研究。总体而言,运动行为与CRF与心血管疾病危险因素之间存在弱相关性。GCC国家儿童符合PA和ST指南的患病率很低。平均而言,男女的CRF都略高于建议的健康临界值。未来需要对GCC儿童进行前瞻性研究,以全面检查运动行为、CRF和CVD风险之间的关系。
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引用次数: 0
Efficacy of proprioceptive neuromuscular facilitation on dynamic stability, athletic performance, and range of motion of the lower limb – A narrative review 本体感觉神经肌肉促进对动态稳定性、运动表现和下肢活动范围的影响
Pub Date : 2021-01-01 DOI: 10.4103/sjsm.sjsm_6_21
Jabir Alsulaie, Mohammed S Alghamdi
The proprioceptive neuromuscular facilitation (PNF) techniques such as contract-relax-antagonist-contract and contract-relax have been adopted by many researchers in the sports fields to investigate their effects on athletes and amateurs, either alone or by comparing these techniques with other modalities. The researchers to date have been published considerable controversial amounts of literature about the effectiveness of PNF techniques on the athletes' range of motion (ROM), dynamic stability, and performance. This review article aims to analyze the various effects of PNF stretching techniques and how they could be effective for athletes' ROM, dynamic stability, and performance-based on recent scientific evidence. After critically analyzing the published literature, the PNF techniques can increase the muscle flexibility in athletes as well as might be a reasonable method to enhance medial-lateral dynamic stability. However, its effectiveness on athletic performance is still questionable, and further high-quality studies are required.
本体感觉神经肌肉促进(PNF)技术,如收缩-放松-拮抗剂-收缩和收缩-放松,已被许多体育领域的研究人员采用,以研究它们对运动员和业余爱好者的影响,无论是单独使用还是与其他技术进行比较。迄今为止,研究人员已经发表了大量关于PNF技术对运动员运动范围(ROM)、动态稳定性和表现的有效性的有争议的文献。这篇综述文章旨在分析PNF拉伸技术的各种影响,以及它们如何根据最近的科学证据对运动员的ROM、动态稳定性和表现有效。经过对已发表文献的批判性分析,PNF技术可以增加运动员的肌肉柔韧性,并且可能是一种合理的方法来增强中外侧动力稳定性。然而,它对运动表现的有效性仍然值得怀疑,需要进一步的高质量研究。
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引用次数: 0
期刊
Saudi Journal of Sports Medicine
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