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Editorial 3-2023 编辑3 - 2023
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.34045/sems/2023/21
The SEMS Journal and the SEMS Education Committee have decided to publish an annual “Special Continuing Education Issue”. These issues are based on the contents of the individual SEMS postgraduate education courses and intend to serve as a reference body of work. We are honoured to have been offered the chance to premiere this series. Chronologically, we start with the younger athletes, children and adolescents, since this is the focus of the Abtwil SEMS course: pediatric sports medicine.
SEMS期刊和SEMS教育委员会决定每年出版一期“持续教育特刊”。这些问题是基于个别SEMS研究生教育课程的内容,并打算作为一个参考机构的工作。我们很荣幸有机会首演这部剧。按时间顺序,我们从年轻的运动员,儿童和青少年开始,因为这是Abtwil SEMS课程的重点:儿童运动医学。
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引用次数: 0
Efficacy of whole body resistance band training on physical parameters in male cricketers: RCT Study 全身阻力带训练对男子板球运动员身体参数的影响:随机对照研究
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.34045/sems/2023/33
Introduction: Cricket is a widely played sport, characterized by intermittent movement efforts of varying intensities such as bowling and batting. The study aimed to assess the effects of whole-body resistance band training on physical components of cricketers. Methods: Twenty state-level cricket players aged 18-25 years were included and randomly allocated into two groups. In control group (n=10), only regular cricket training was given, while in experimental group (n=10) resistance band training was given along with regular cricket training, 3 times/week for 6 weeks. The outcome measures: upper and lower abdominal strength, endurance, coordination, power, and balance of upper extremities were assessed at baseline and after 6 weeks. Results: The results suggested a statistically significant improvement in control group for upper & lower abdominal strength, power and balance of the upper extremity (p<0.05). In experimental group, all outcome measures showed statistically significant improvement (p<0.05). Between groups comparison indicated statistically significant difference for all outcome measures (p<0.05) except for upper abdominal strength (p=0.470) and upper body coordination (p= 0.146), suggesting more progress in experimental group than control group. Conclusions: The resistance band training along with regular cricket training improved the physical performance of cricketers, which may enhance overall performance and prevent injuries in cricketers.
板球是一项广泛参与的运动,其特点是间歇性的运动努力不同强度,如保龄球和击球。该研究旨在评估全身阻力带训练对板球运动员身体成分的影响。方法:选取20名18 ~ 25岁的国家级板球运动员,随机分为两组。对照组(n=10)只进行常规板球训练,实验组(n=10)在进行常规板球训练的同时进行抗阻带训练,每周3次,持续6周。结果测量:上腹和下腹力量、耐力、协调性、力量和上肢平衡在基线和6周后进行评估。结果:结果显示,对照组的上肢和下肢有统计学意义的改善;下腹部力量、力量和上肢平衡(p<0.05)。实验组各项转归指标均有显著改善(p < 0.05)。组间比较显示,除上腹部力量(p=0.470)和上肢协调性(p= 0.146)外,其余指标差异均有统计学意义(p < 0.05),实验组进展大于对照组。结论:在常规板球训练的基础上进行抗阻带训练,可以提高板球运动员的身体机能,提高板球运动员的整体表现,预防板球运动员受伤。
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引用次数: 0
Notfälle in der pädiatrischen Sportmedizin 小儿科医生的紧急状况
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.34045/sems/2023/30
Acute medical emergencies also occur in children and adolescents who participate in sports. Should a life-threatening situation arise, it is important that supporting supervisors are familiar with the correct application of resuscitation measures and regularly update their knowledge. Due to anatomical and physiological characteristics, children and adolescents sometimes show various injury patterns than adults and react differently to medical interventions. Knowledge of these differences helps in diagnosis as well as in therapy.
参加体育运动的儿童和青少年也会出现急性医疗紧急情况。如果出现危及生命的情况,重要的是支持主管熟悉复苏措施的正确应用,并定期更新他们的知识。由于解剖和生理特点,儿童和青少年有时表现出与成人不同的伤害模式,对医疗干预的反应也不同。了解这些差异有助于诊断和治疗。
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引用次数: 0
Menstrual cycle and performance sports – an update 月经周期和运动表现-更新
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.34045/sems/2023/24
Top sporting performances are achieved by women and men. However, the performance of organs and metabolic processes varies due to different genetic and hormonal conditions. There is currently a considerable need for more research in this area. Sports science studies have mainly been carried out on male athletes and the data obtained is often not applicable to female athletes in the same way. The following article presents the current state of knowledge on physiological differences, the menstrual cycle, contraceptive methods and energy deficit in relation to athletic performance and training. This knowledge helps to provide comprehensive care and advice to female athletes in sports medicine practice.
男女都能取得最高的体育成绩。然而,器官和代谢过程的表现因不同的遗传和激素条件而异。目前,在这一领域进行更多的研究是非常必要的。运动科学的研究主要是针对男性运动员进行的,所获得的数据往往不适用于女性运动员。下面的文章介绍了生理差异、月经周期、避孕方法和能量不足与运动表现和训练之间的关系。这些知识有助于在运动医学实践中为女运动员提供全面的护理和建议。
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引用次数: 0
Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program 执行健康计划中的心血管健康和相关合并症
Q4 Health Professions Pub Date : 2022-07-04 DOI: 10.26644/em.2022.005
O. Sanchez, A. Hesse, M. Betker, C. Lundstrom, W. Conroy, Zan Gao
Objectives: Low cardiorespiratory fitness, defined as a VO2 max below the 25th percentile for age and sex, is associated with greater body mass index (BMI), blood pressure, and plasma cholesterol values and is an independent risk factor for cardiovascular and metabolic diseases. Given that sedentarism has substantially increased in the U.S. population in the last 20 years and that office workers have the lowest cardiorespiratory fitness of the workforce, we aimed to assess the prevalence of low cardiorespiratory fitness in an corporate wellness program and determine its relationship with associated comorbidities.Methods: For this retrospective observational analysis demographics, height, weight, blood pressure at rest, plasma glucose, lipids, comorbidities, and VO2 max data was extracted from the medical records of 199 participants attending the Executive Health Program at M Health Fairview of the University of Minnesota. Participants were predominantly white, middle-aged men with near-optimal blood pressure values.Results: Participants with low cardiorespiratory fitness had a VO2 max [mean (range) of 28 (19.4 - 36.1) mL/kg/min], and was observed in 33% of all participants. Participants with low cardiorespiratory fitness were more likely to have higher BMI, dyslipidemia and hypertension than those in the excellent to superior category of cardiorespiratory fitness, VO2 max [mean (range) 45.6 (31.8 - 61.2) mL/kg/min]. Prevalence of obesity (17%) was lower than in the general U.S. population, and those who were obese were more likely to be of low cardiorespiratory fitness. Those with low cardiorespiratory fitness had a four fold relative risk of belonging to the group at high risk of cardiovascular and metabolic diseases when compared to those with a fair to superior cardiorespiratory fitness.Conclusions: Low cardiorespiratory fitness identified in a third of all participants, is a modifiable risk factor associated with risk for cardiovascular and metabolic disease, should be evaluated in executive health programs.
低心肺适能(定义为最大摄氧量低于年龄和性别的第25百分位数)与较高的身体质量指数(BMI)、血压和血浆胆固醇值相关,是心血管和代谢疾病的独立危险因素。鉴于在过去的20年里,久坐不动在美国人口中大幅增加,而办公室工作人员的心肺健康水平是劳动力中最低的,我们旨在评估企业健康计划中心肺健康水平低的患病率,并确定其与相关合并症的关系。方法:回顾性观察分析人口统计学、身高、体重、静息时血压、血糖、血脂、合并症和最大摄氧量数据,提取自参加明尼苏达大学M Health Fairview行政健康项目的199名参与者的医疗记录。参与者主要是白人中年男性,血压接近最佳值。结果:低心肺适能的参与者的最大摄氧量[平均值(范围)为28 (19.4 - 36.1)mL/kg/min],在所有参与者中有33%出现这种情况。较低心肺适能的参与者比心肺适能优异至优异类别的参与者更有可能出现较高的BMI、血脂异常和高血压,VO2 max[平均(范围)45.6 (31.8 - 61.2)mL/kg/min]。肥胖的患病率(17%)低于美国一般人群,而那些肥胖的人更有可能是低心肺健康。与心肺健康水平较高的人相比,那些心肺健康水平较低的人属于心血管和代谢疾病高危人群的相对风险是后者的四倍。结论:在三分之一的参与者中发现了低心肺适能,这是一个与心血管和代谢疾病风险相关的可改变的危险因素,应在执行健康计划中进行评估。
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引用次数: 0
Children with Cardiomyopathy have Active Lifestyles Despite Reporting Disease-Specific Barriers to Physical Activity: A Mixed-Methods Study 患有心肌病的儿童尽管报告了疾病特有的身体活动障碍,但仍有积极的生活方式:一项混合方法研究
Q4 Health Professions Pub Date : 2022-05-23 DOI: 10.26644/em.2022.004
K. Moncion, L. Gardin, J. Lougheed, K. Adamo, P. Longmuir
Objectives: This exploratory mixed-methods study explored the barriers to physical activity, daily physical activity and submaximal exercise capacity among children with and at risk for cardiomyopathy and children with atrial septal defects.Methods: The study followed a convergent parallel mixed methodology design. Semi-structured interviews explored physical activity barriers. Seven-day accelerometry assessed moderate-to-vigorous physical activity, and an intermittent cardiopulmonary exercise test measured submaximal exercise capacity.Results: Twenty children, including 5 with cardiomyopathy (n=2 females, 14.2 ± 2.7 years old), 7 who were genotype-positive phenotype-negative for cardiomyopathy (n=5 females, 10.6 ± 3.3 years old) and 8 with atrial septal defects (n=4 females, 9.4 ± 3.8 years old) were recruited. Children with cardiomyopathy reported disease-specific physical activity barriers, while children who were genotype-positive phenotype-negative perceived barriers related to lack of time, parent support or activity motivation. The average daily moderate-to-vigorous physical activity was less than the recommended 60-minutes/day (n=20, mean 48.1 ± 18.0 minutes). Children with cardiomyopathy participated a median of 141.2 [interquartile range (IQR): 98.8) minutes of light-intensity physical activity and a median of 55.6 (IQR: 34.6) minutes of moderate-to-vigorous physical activity. The average submaximal exercise capacity was low (n=16, 25.2 ± 5.7 mL/kg/min). Estimated submaximal exercise capacity, including metabolic equivalent (4.5 ± 3.1 METs), respiratory exchange ratio (median = 1.0, IQR: 0.09) and ratings of perceived exertion (median = 7, IQR: 5) at peak exercise suggest that children with cardiomyopathy appear to have the exercise capacity to participate in low-to-moderate intensity activities.Conclusions: These novel data suggest that a diagnosis of cardiomyopathy may not preclude children from participating in a healthy, active lifestyle. However, they perceive disease-specific physical activity barriers and may require support to optimize their level of participation for optimal health.
目的:这项探索性混合方法研究探讨了患有心肌病和房间隔缺损儿童及高危儿童的体育活动、日常体育活动和亚最大运动能力的障碍。方法:采用收敛平行混合方法学设计。半结构化访谈探讨了身体活动障碍。7天加速度计评估中度至剧烈的身体活动,间歇心肺运动测试测量次最大运动能力。结果:共纳入20例患儿,其中心肌病患儿5例(女2例,年龄14.2±2.7岁),心肌病基因型阳性表型阴性患儿7例(女5例,年龄10.6±3.3岁),房间隔缺损患儿8例(女4例,年龄9.4±3.8岁)。患有心肌病的儿童报告了疾病特异性的身体活动障碍,而基因型阳性表型阴性的儿童认为障碍与缺乏时间、父母支持或活动动机有关。平均每日中高强度体力活动少于推荐的60分钟/天(n=20,平均48.1±18.0分钟)。患有心肌病的儿童参加的中位数为141.2[四分位数间距(IQR): 98.8]分钟的轻强度体力活动和中位数55.6 (IQR: 34.6)分钟的中位数体力活动。平均亚最大运动能力较低(n=16, 25.2±5.7 mL/kg/min)。估计的亚最大运动能力,包括代谢当量(4.5±3.1 METs),呼吸交换比(中位数= 1.0,IQR: 0.09)和运动高峰时的感知运动评分(中位数= 7,IQR: 5),表明心肌病患儿似乎具有参加低至中等强度活动的运动能力。结论:这些新数据表明,心肌病的诊断可能不会妨碍儿童参与健康,积极的生活方式。然而,他们认为特定疾病的身体活动障碍,可能需要支持,以优化他们的参与水平,以获得最佳健康。
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引用次数: 1
Association of Sports Participation and Training Frequency with Injury in Japanese Students Majoring in Physical Education: A Retrospective Analysis 日本体育专业学生运动参与和训练频率与损伤的关系:回顾性分析
Q4 Health Professions Pub Date : 2022-04-06 DOI: 10.26644/em.2022.003
Kana Kon, Y. Nagano, Takashi Oyama
Objectives: This study evaluated prior sports participation and training frequency during elementary to high school and their association with acute and overuse injuries in Japanese college students currently majoring in physical education.Methods: This retrospective study included 292 students who completed questionnaires that assessed their type of sport participation (single sport or multiple sports), training frequency (number of days per week), and injury history (acute and overuse) during the elementary, junior high, and high school periods.Results: In total, 47.9% (95% confidence interval [CI]: 38.2–57.7) of elementary school-aged athletes played multiple sports; this decreased to 22.3% (95% CI: 14.1–30.4) in junior high school and 5.5% (95% CI: 1.0–9.9) in high school. There was a significant difference in the training frequency between those who had overuse injuries and not in elementary (p < 0.05), and junior high school (p < 0.05).Conclusions: The results of this study suggest that participating in multiple sports through junior high school may lead to improved sports levels (i.e., participation in higher levels of competition). In addition, appropriate management of training frequency may help reduce the incidence of overuse injuries.
目的:本研究以日本大学体育专业学生为研究对象,评估其小学至高中阶段的运动参与、训练频率及其与急性和过度使用损伤的关系。方法:这项回顾性研究包括292名学生,他们完成了问卷调查,评估了他们在小学、初中和高中时期的运动参与类型(单一运动或多种运动)、训练频率(每周天数)和损伤史(急性和过度使用)。结果:47.9%(95%可信区间[CI]: 38.2 ~ 57.7)的小学生运动员参加多项运动;这一比例在初中降至22.3% (95% CI: 14.1-30.4),在高中降至5.5% (95% CI: 1.0-9.9)。有过劳损者与未发生过劳损者的训练频次在小学(p < 0.05)和初中(p < 0.05)有显著性差异。结论:本研究的结果表明,在初中阶段参加多种体育运动可能会提高体育水平(即参加更高水平的比赛)。此外,适当的训练频率管理可能有助于减少过度使用损伤的发生率。
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引用次数: 0
Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation 6分钟步行试验对基于运动的心脏康复的影响
Q4 Health Professions Pub Date : 2022-03-28 DOI: 10.26644/em.2022.002
J. Wicks, Grant T. Turner, S. Leslie, R. Jayasinghe
Objectives: The six-minute walk test (6MWT) is widely used in exercise based cardiac rehabilitation (EBCR) for assessment of functional capacity. The purpose of this study was to assess the effect of structured exercise in an EBCR program on 6MWT change and to determine the significance of age, gender, body mass index (BMI), pathology and exercise attendance on influencing this outcome.Methods: Data from a single centre 6-week (twice weekly exercise and education of one-hour duration) exercise-based cardiac rehabilitation program were analysed. Between 2006 and 2019, 2524 patients (males 1923, females 601, mean age 63.5 ± 11.2 years) with cardiovascular disease completed a pre and post 6MWT. Analysis included the effect of age, gender, pathology, BMI and exercise attendance on 6MWT outcome.Results: The group mean improvement in the 6MWT was 21.8% (pre 6MWT 432 ± 83, post 6MWT 527 ± 102 metres). The age-related improvement showed that both males and females achieved a post 6MWT results equivalent to the pre 6MWT result of patients two decades younger with improvement in the 6MWT unrelated to exercise attendance.Conclusions: The 6MWT provides simple safe method for assessment of functional capacity in an out-of-hospital environment being suitable for all ages. The post EBCR 6MWT results showed a group mean improvement in excess of 20% for both sexes. The decline per decade in 6MWT distance is less than 20 metres up to the sixth decade with a more marked decline from the sixth to the eighth decade, the decline being approximately 40-metres for both sexes in the eighth decade.
目的:6分钟步行试验(6MWT)在运动基础心脏康复(EBCR)中广泛用于评估功能能力。本研究的目的是评估EBCR项目中结构化运动对6MWT改变的影响,并确定年龄、性别、体重指数(BMI)、病理和运动参与对这一结果的影响。方法:对单中心6周(每周2次运动和1小时持续教育)运动心脏康复计划的数据进行分析。2006年至2019年间,2524例心血管疾病患者(男性1923例,女性601例,平均年龄63.5±11.2岁)完成了6MWT术前和术后检查。分析包括年龄、性别、病理、BMI和运动参与对6MWT结果的影响。结果:组平均6MWT改善21.8% (6MWT前432±83米,6MWT后527±102米)。与年龄相关的改善表明,男性和女性在6MWT后的结果与年轻20岁的患者在6MWT前的结果相当,而6MWT的改善与参加运动无关。结论:6MWT为院外环境下的功能能力评估提供了一种简单安全的方法,适用于所有年龄段。EBCR 6MWT后的结果显示,两种性别的组平均改善超过20%。6MWT距离每10年的下降幅度在第6个10年之前小于20米,从第6个10年到第8个10年的下降幅度更为明显,第8个10年男女的下降幅度约为40米。
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引用次数: 1
Effectiveness of a Warm-up Program with Dynamic Stretching in Preventing Sports Injuries 动态拉伸的热身计划在预防运动损伤中的有效性
Q4 Health Professions Pub Date : 2022-03-27 DOI: 10.26644/em.2022.001
Yuta Sudo, Kazuki Kubo, Toshihiko Shinohara, K. Nakagawa
Objectives: This study aimed to conduct a warm-up (W-up) program incorporating movement preparation (MP) and clarify its effect on sports injury prevention.Methods: The subjects of the study were 55 first- to third-year students (age: 15.9 ± 1.0 years, height: 168.5 ± 5.2 cm, weight: 57.4 ± 5.3 kg) belonging to a high school boys' soccer team. The first two months were the control period (CP), and the next two months were the intervention period (IP). The CP was a conventional W-up and the IP was a W-up with MP. The effects of each W-up were compared in terms of the incidence of sports injuries and disabilities during both periods and the incidence of sports injuries and disabilities by cause. Other measurements were compared for a total of seven items, including flexibility, balance, and performance.Results: During the IP, the incidence of sports injuries during practice and the incidence of non-contact sports injuries were reduced, whereas flexibility, balance, and performance improved.Conclusions: W-up incorporating MP showed improvement in flexibility and related balance, which may have led to the reduction of sports injuries.
目的:本研究旨在开展一项结合运动准备(MP)的热身(W-up)计划,并阐明其对运动损伤预防的作用。方法:选取某高中男子足球队一至三年级学生55名,年龄15.9±1.0岁,身高168.5±5.2 cm,体重57.4±5.3 kg。前两个月为对照期(CP),后两个月为干预期(IP)。CP为常规W-up, IP为伴MP的W-up。根据两个时期运动损伤和残疾的发生率以及运动损伤和残疾的发生率,比较了每个W-up的效果。其他的衡量标准在七个项目上进行了比较,包括灵活性、平衡性和表现。结果:在训练过程中,运动损伤的发生率和非接触性运动损伤的发生率均有所降低,柔韧性、平衡性和运动成绩均有提高。结论:加入MP的W-up显示出灵活性和相关平衡的改善,这可能导致运动损伤的减少。
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引用次数: 0
Influence of Counter Movement Jump Session with Different Rest Intervals on Muscle Damage and Soreness 不同休息间隔的反动作跳跃对肌肉损伤和酸痛的影响
Q4 Health Professions Pub Date : 2021-11-30 DOI: 10.26644/em.2021.003
Lara E. Silva, V. C. Rodrigues, Gisele R Vicente, M. Machado
Objectives: Plyometrics has been used in sports training and many aspects of this modality are poorly understood. This study measures the magnitude of variations of serum creatine kinase (CK) activity and perceived muscle soreness after one session of Countermovement Jump (CMJ) session and compares 1 and 3 minutes rest intervals between each sets.Methods: A group of 30 young male was dividing in two groups and performed ten sets of ten CMJ with 1 or 3 minutes rest interval between sets. Before and after session (24, 48, and 72-h) they informed the muscle soreness perception and blood samples were collected for dosage of serum CK activity. Two (time) x Two (treatment) ANOVA was used to test differences in serum CK activity and muscle soreness. The alpha level was set at 0.05.Results: Serum CK activity measured 48 h after session augments ~2 and ~1.5 times in 1 min and 3 min rest interval respectively. No significant difference between groups that rests 1 or 3 minutes between sets was found. Muscle soreness rises 24 h after session without significant differences between groups.Conclusions: The findings show that the CMJ increases perceived muscle soreness and increases the serum CK activity, and the intervals of rest do not modulate these variables.
目的:增强训练已被应用于运动训练中,但人们对这种训练方式的许多方面了解甚少。本研究测量了一组反动作跳跃(CMJ)后血清肌酸激酶(CK)活性和感知肌肉酸痛的变化幅度,并比较了每组之间1分钟和3分钟的休息时间。方法:青年男性30人,分为两组,做10组10个CMJ,每组间休息1 ~ 3分钟。在治疗前后(24,48和72小时),他们告知肌肉酸痛感觉,并收集血样测定血清CK活性的剂量。采用2(时间)x 2(治疗)方差分析来检验血清CK活性和肌肉酸痛的差异。α水平设为0.05。结果:运动48 h后血清CK活性在休息1 min和3 min时分别提高了2倍和1.5倍。在两组之间休息1分钟或3分钟没有发现显著差异。运动24小时后肌肉酸痛加重,组间无显著差异。结论:研究结果表明,CMJ增加了肌肉酸痛感和血清CK活性,而休息时间不调节这些变量。
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引用次数: 0
期刊
Swiss Sports and Exercise Medicine
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