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The use of medication and supplements during the international rugby league World Cup 2021 2021 年国际橄榄球世界杯期间药物和补充剂的使用情况
IF 0.6 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-01 DOI: 10.23736/s0025-7826.23.04356-9
N. Dikić, M. Andjelkovic, Ivan Nikolić, Tamara Stojmenovic, Ivana Nedeljkovic, Danny Kazandijan
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引用次数: 0
Confronto tra diversi regimi di esercizio sugli indicatori di salute mentale durante la pandemia di COVID-19 在 COVID-19 大流行期间不同锻炼方法对心理健康指标的影响比较
IF 0.6 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-01 DOI: 10.23736/s0025-7826.23.04249-7
Hak K. Kim, Yeon S. Kim, Soungyob Rhi, Dongheon Kang
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引用次数: 0
Tecnica e coordinazione della bracciata a stile libero nel nuoto 游泳自由泳的技术和协调
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04353-3
Sabrina DEMARIE, Flavia GUIDOTTI, Carlo MINGANTI, Andrea PASSERINI, Giovanni NAGNI
BACKGROUND: The link between asymmetries and swimming performance has been highlighted. Propulsion asymmetries may also increase injury rates. Aim of the present study was to assess upper limb asymmetries in the front crawl stroke of elite and youth competitive male and female swimmers.METHODS: Participants were 20 competitive swimmers (10 male and 10 female) of elite (G1) and youth categories (G2). The tests consisted of three 25.m freestyle trials at maximum speed with no lateral breathing. Two trials were completed with one arm only, the third one with both arms. Speed, stroke frequency, length and duration of the strokes were evaluated using video footage. Acceleration was recorded by an inertial sensor placed on the head.RESULTS: Stroke length was statistically greater and the stroke frequency lower in G1 than G2. Stroke length resulted statistically shorter in female swimmers. G1 speed resulted statistically higher and the number of strokes lower than G2. Males speed was statistically higher and the number of strokes lower than females. Speed in swimming with the dominant limb was statistically higher then with the non-dominant limb for all subjects. Accelerations measured through the inertial sensor resulted non statistically different between G1 and G2, dominant and non-dominant limb, or males and females.CONCLUSIONS: The detection of significantly different propulsions between the dominant and the non-dominant limb could indicate that the analysis of the swimming technique should take into a greater account the analysis of the symmetry of the stroke to improve both performance and well-being of the athletes.
背景:不对称和游泳成绩之间的联系已经被强调。推进不对称也可能增加受伤率。本研究的目的是评估优秀和青少年竞技男女游泳运动员在爬泳动作中上肢不对称。方法:选取精英组(G1)和青少年组(G2) 20名竞技游泳运动员(男、女各10名)。测试由三个部分组成。在无侧呼吸的情况下,以最高速度进行自由泳试验。两项试验只用一只手臂完成,第三项试验用两只手臂完成。通过录像来评估笔划的速度、频率、长度和持续时间。加速度由放置在头部的惯性传感器记录。结果:G1组脑卒中长度大于G2组,卒中频次小于G2组。统计结果显示,女性游泳运动员的泳姿长度较短。G1组速度显著高于G2组,卒中次数显著低于G2组。男性的速度在统计学上高于女性,而中风次数则低于女性。所有被试的优势肢游泳速度均高于非优势肢游泳速度。通过惯性传感器测量的加速度在G1和G2、优势肢和非优势肢、男性和女性之间无统计学差异。结论:优势肢与非优势肢推进力的显著差异表明,游泳技术分析应更多地考虑对划水对称性的分析,以提高运动员的成绩和幸福感。
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引用次数: 0
Gli effetti dell'infezione da SARS-CoV-2 sulla variabilità della frequenza cardiaca negli atleti sars - cov2感染对运动员心率变化的影响
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04330-2
Fabrizio SOLLAZZO, Lorenzo MORRA, Andrea ZANOTTO, Riccardo MONTI, Massimiliano BIANCO, Gloria MODICA, Vincenzo M. PENZA, Omer SKITTEL, Paolo ZEPPILLI, Vincenzo PALMIERI
BACKGROUND: Sars-CoV-2 infection may lead to clinical manifestation, occasionally related to changes in the autonomic nervous system (ANS). One of the most widely used methods to assess the ANS and the sympatho-vagal balance in the clinical setting is heart rate variability (HRV). In athletes, it is useful for diagnosing impairments in performance, in recovery after acute exertion and/or a state of chronic overtraining. The aim of the study was to test for changes in HRV a population of athletes with recent Sars-CoV-2 infection and no evidence of long-COVID syndrome.METHODS: A retrospective cohort of competitive athletes who had undergone a 24-hour ambulatory ECG monitoring (Holter) prior to Sars-CoV-2 infection, on indication for competitive sport clearance (usually arrhythmias), and who repeated HOLTER after infection. No one showed signs of cardiovascular pathology or clinical evidence of Long-COVID. HOLTER registration was performed within 60 days after COVID-test positivity (swab). The main HRV parameters were collected and analyzed (in both time and frequency domain), over the 24 hours and over 5-minute intervals of relevance: during night rest (2 hours before awakening), during a standardized training session and after the start of recovery (after training).RESULTS: The cohort consisted of 21 competitive athletes (age 19.1±8.3, M:F 3:1); 8 (38.1%) with asymptomatic COVID course and 13 (61.9%) paucisymptomatic. In both the time and frequency domains, there were no statistically significant differences between the various HRV parameters measured before and after infection, either in the total cohort or in the subgroups (paucisymptomatic/asymptomatic). Furthermore, no difference in the main HRV parameters related to vagal hypertone was identified.CONCLUSIONS: HRV did not appear to be impaired in athletes after an asymptomatic or paucisymptomatic SARS-CoV-2 infection. Young athletes without long-COVID symptoms did not manifest nor an altered sympatho-vagal balance neither a predominant vagal tone after infection.
背景:Sars-CoV-2感染可能导致临床表现,偶尔与自主神经系统(ANS)的改变有关。在临床上评估ANS和交感迷走神经平衡最常用的方法之一是心率变异性(HRV)。在运动员中,它有助于诊断运动表现的损伤,急性运动后的恢复和/或长期过度训练的状态。该研究的目的是检测最近感染Sars-CoV-2且没有长covid综合征证据的运动员人群的HRV变化。方法:对竞技运动员进行回顾性队列研究,这些运动员在感染Sars-CoV-2之前接受过24小时动态心电图监测(Holter),有竞技运动清除适应症(通常是心律失常),感染后再次进行Holter。没有人表现出心血管病理迹象或长期covid的临床证据。在covid - 19检测阳性(拭子)后60天内进行HOLTER登记。在24小时和5分钟的相关间隔内收集和分析主要HRV参数(时域和频域):夜间休息期间(醒来前2小时),标准化训练期间和开始恢复后(训练后)。结果:该队列包括21名竞技运动员(年龄19.1±8.3岁,男:女3:1);无症状感染者8例(38.1%),无症状感染者13例(61.9%)。在时域和频域,在感染前后测量的各种HRV参数之间,无论是在总队列中还是在亚组中(无症状/无症状),都没有统计学上的显著差异。此外,与迷走神经张力升高相关的主要HRV参数没有差异。结论:在无症状或无症状的SARS-CoV-2感染后,运动员的HRV似乎没有受损。没有长期covid症状的年轻运动员在感染后没有表现出交感神经-迷走神经平衡的改变,也没有明显的迷走神经张力。
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引用次数: 0
Attività sportiva e artrosi precoce del ginocchio: revisione della letteratura su fattori di rischio, diagnosi, classificazione e trattamento 膝盖运动和早期关节病:回顾关于危险因素、诊断、分类和治疗的文献
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04329-6
Sebastiano VASTA, Elena MANNACIO, Giuseppe MASSAZZA, Ugo RIBA, Federica FAGNANI, Chiara FOSSATI, Rocco PAPALIA, Fabio PIGOZZI, Arrigo GIOMBINI
Osteoarthritis (OA) is a very common condition affecting the knee joint and compromising patients’ quality of life because of disabling pain and progressive loss of function. In recent years a special interest has been developed in the early stage of OA, in order to identify the patients at risk of disease progression and to initiate early interventions trying to slow-down the evolution of the disease. In addition, early OA in young and former athletes represents a growing problem with about one-third of cases involving the knee joint, especially considering the rising prevalence of high-intensity sports practice among the general population. In this review, we aim to provide an overview of the most up-to-date available information on diagnosing and managing early knee OA, especially in former athletes, which often show the features of an imminent OA. The definition and the classification, the risk factors, and the role of sports activities both as a predisposing factor and as a treatment have been thoroughly reported, together with the latest evidence on conservative and surgical options to manage early knee OA.
骨关节炎(OA)是一种非常常见的影响膝关节的疾病,由于致残性疼痛和进行性功能丧失,影响患者的生活质量。近年来,人们对骨关节炎的早期阶段产生了特别的兴趣,以便确定有疾病进展风险的患者,并启动早期干预措施,试图减缓疾病的发展。此外,年轻和退役运动员的早期骨性关节炎是一个日益严重的问题,约有三分之一的病例涉及膝关节,特别是考虑到普通人群中高强度运动练习的日益流行。在这篇综述中,我们的目的是提供关于诊断和治疗早期膝关节OA的最新信息的概述,特别是在前运动员中,这通常表现出即将发生的OA的特征。定义和分类,危险因素,以及体育活动作为易感因素和治疗的作用已经被全面报道,以及最新的保守和手术治疗早期膝关节OA的证据。
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引用次数: 0
Low speed isokinetic knee extensors and flexors strength of soccer players is not predicting non-contact ACL injury 足球运动员的低速等速膝伸肌和屈肌力量不能预测非接触性前交叉韧带损伤
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04333-8
Mikola MISJUK
BACKGROUND: The ACL injury is a very serious injury and there are not many studies on how the muscle strength and strength asymmetry of the knee extensors and flexors affects it. The aim of the study was to analyse how maximum isokinetic strength and the strength balance of the knee extensors and flexors affect first-time, non-contact ACL injuries among male soccer players.METHODS: One hundred and six male professional soccer players participated in this study. The peak moment of the knee extensors and flexors was measured concentrically and eccentrically at an angular velocity of 60°/s before the beginning of the season. All the injuries experienced by players during the season were recorded by the medical staff of the teams. A Firth logistic regression for rare events was used to analyse how the strength parameters affected the probability of first-time, non-contact ACL injury.RESULTS: About 3.8% of players had a first-time, non-contact ACL injury during the season, and 80% of them in total suffered some sort of injury. Maximum muscle strength and strength asymmetry had no statistically significant effect on first-time, non-contact ACL injuries (P<0.05).CONCLUSIONS: Traditional indicators for the maximum strength of the isokinetic knee extensors and flexors do not predict the probability of a non-contact ACL injury.
背景:前交叉韧带损伤是一种非常严重的损伤,关于膝关节伸屈肌肌力及力量不对称对其影响的研究并不多。该研究的目的是分析最大等速力量和膝关节伸屈肌的力量平衡如何影响男性足球运动员首次非接触性前交叉韧带损伤。方法:106名男性职业足球运动员参与本研究。在赛季开始前,以60°/s的角速度同心和偏心测量膝关节伸肌和屈肌的峰值力矩。球员在赛季中所经历的所有伤病都被球队的医务人员记录了下来。采用罕见事件的第五逻辑回归来分析强度参数如何影响首次非接触性ACL损伤的概率。结果:约3.8%的球员在赛季中首次出现非接触性前交叉韧带损伤,其中80%的球员遭受过某种程度的损伤。最大肌力和力量不对称对首次非接触性ACL损伤的影响无统计学意义(P<0.05)。结论:传统的等速膝关节伸屈肌最大强度指标不能预测非接触性前交叉韧带损伤的概率。
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引用次数: 0
Increase of high sensitivity cardiac troponin I and NT-proBNP in competitive athletes after a 50-km ultramarathon race: physiological adaptation or myocardial injury? 竞技运动员在50公里超级马拉松比赛后高敏感性心肌肌钙蛋白I和NT-proBNP升高:生理适应还是心肌损伤?
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04354-5
Marco A. PERRONE, Massimo PIERI, Matteo MINNUCCI, Chiara SALIMEI, Emanuela CIMINELLI, Sergio BERNARDINI, Ferdinando IELLAMO
BACKGROUND: High-sensitivity cardiac troponins I (hs-cTnI) and T (hs-cTnT) and natriuretic peptides (BNP and NT-proBNP) are universally recognized as reference cardiac biomarkers in patients with acute coronary syndromes and heart failure, respectively. Recent studies have shown that these biomarkers can be increased even in healthy competitive athletes after intense and prolonged physical exercise. However, it is not yet clear whether the increase in these cardiac-specific biomarkers should be considered a normal physiological adaptation to physical exercise or a real myocardial injury. The aim of this study was to evaluate hs-cTnI and NT-proBNP levels in healthy competitive athletes before and after a 50-km ultramarathon.METHODS: We enrolled 16 competitive male athletes with an average age of 32 years who participated in a 50-km ultramarathon race. Before the race, all athletes underwent cardiovascular tests in accordance with national regulations for competitive sports. The study protocol involved collecting blood samples 1 hour before the start of the race (T0) and 30 minutes after the end of the race.RESULTS: No athlete had any adverse cardiac events or angina or other symptoms during or after the race. At T0 hs-cTnI and NT-proBNP values were within the reference ranges in all athletes. Data analysis showed that hs-cTnI significantly increased from 4.93±1.12 ng/L (T0) to 28.75±11.45 ng/L after the race (T1) (P<0.001). Among these athletes, 5 (31.25%) had hs-cTnI values above the 99th percentile URL of 34 ng/L. On the other hand, NT-proBNP also significantly increased from 26.81±8.77 ng/L (T0) to 98.5±38.87 ng/L after the race (T1) (P>0.001). Among these athletes, 4 (25%) had NT-proBNP values above the 99th percentile URL of 125 ng/L.CONCLUSIONS: Our data demonstrated a significant increase in both cardio-specific biomarkers, sometimes with values beyond URL, after a 50-km ultramarathon race in competitive athletes with previous normal cardiac examinations.
背景:高敏感性心肌肌钙蛋白I (hs-cTnI)和T (hs-cTnT)以及利钠肽(BNP和NT-proBNP)分别被普遍认为是急性冠状动脉综合征和心力衰竭患者的参考心脏生物标志物。最近的研究表明,即使在健康的竞技运动员中,经过长时间的高强度体育锻炼后,这些生物标志物也会增加。然而,目前尚不清楚这些心脏特异性生物标志物的增加是否应被视为对体育锻炼的正常生理适应或真正的心肌损伤。本研究的目的是评估健康竞技运动员在50公里超级马拉松比赛前后的hs-cTnI和NT-proBNP水平。方法:我们招募了16名平均年龄32岁的男性竞技运动员,他们参加了50公里的超级马拉松比赛。比赛前,所有运动员都按照国家竞技体育规定进行了心血管检查。研究方案包括在比赛开始前1小时(T0)和比赛结束后30分钟采集血液样本。结果:没有运动员在比赛期间或比赛后出现任何不良的心脏事件或心绞痛或其他症状。0岁时,所有运动员的hs-cTnI和NT-proBNP值均在参考范围内。数据分析显示,hs-cTnI从比赛结束后的4.93±1.12 ng/L (T1)显著升高至比赛结束后的28.75±11.45 ng/L (P0.001)。在这些运动员中,4人(25%)的NT-proBNP值高于125 ng/L的第99百分位。结论:我们的数据显示,在之前心脏检查正常的竞技运动员参加50公里的超级马拉松比赛后,两种心脏特异性生物标志物均显着增加,有时其值超过URL。
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引用次数: 0
Effectiveness of the FIFA11+ Referees Injury Prevention Program in improving athletic performance in male professional soccer referees 国际足联11+裁判员伤害预防项目在提高男性职业足球裁判员运动成绩方面的效果
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04247-3
Stefano PALERMI, Marco VECCHIATO, Alessandro SPINELLI, Carlo M. GALLINORO, Giada ANNARUMMA, Ada DI GREGORIO, Francesco NUCCIO, Mariano DI SALVATORE, Andrea COZZOLINO, Manuel TUZI, Felice SIRICO
BACKGROUND: Football refereeing requires physical and tactical skills that imply risks of injuries. The Fédération International de Football Association (FIFA) 11+ Referees Injury Prevention Program (FIFA11+ for Referees) is a complete warm-up package based on the specific injury profile of referees and on the “FIFA11+” injury prevention program for players. It consists of three parts: part 1 - running part; part 2 - plyometric and balance exercises; part 3 - high-speed and change-of-direction running. This study aimed to investigate if different components of the FIFA11+ for Referees program separately could positively affect the acute athletic performance of referees.METHODS: Twenty-nine young male referees were randomly assigned to control group (N.=10), FIFA 1-2-3 group (N.=10), and FIFA 1-3 group (N.=9). Participants underwent anthropometric assessment and fitness tests before and after the intervention: single long jump (SLJ), five long jumps (5LJ), Illinois Agility Test (IA), and handgrip test (HGS). The Borg Scale of perceived exertion was used to monitor referee fatigue during the tests.RESULTS: Subjects in FIFA 1-3 gained better results in SLJ and 5LJ tests compared to the control group and subjects in the FIFA 1-2-3 group. Regarding agility skills, subjects in the FIFA1-3 group completed the IA in a lesser time than the other groups. There is a decrease in the HGS test for the FIFA 1-2-3 group compared to the FIFA1-3 group. The Borg scale showed that subjects in the FIFA 1-3 group experienced lesser fatigue compared to the other groups.CONCLUSIONS: The FIFA11+ for Referees program, especially the combination of parts 1 and 3, can be a suitable pre-match warm-up training. It is easy to perform, short, and can lead to significant performance gains in the short term.
背景:足球裁判需要身体和战术技能,这意味着受伤的风险。国际足联(FIFA) 11+裁判伤害预防计划(FIFA11+ for refees)是一个完整的热身包,基于裁判的特定伤害概况和“FIFA11+”球员伤害预防计划。全文由三部分组成:第一部分,运行部分;第2部分-增强式和平衡练习;第3部分-高速和改变方向的运行。本研究旨在探讨国际足联11+裁判员计划的不同组成部分是否会分别对裁判员的急性运动表现产生积极影响。方法:29名年轻男性裁判随机分为对照组(n =10)、FIFA 1-2-3组(n =10)和FIFA 1-3组(n =9)。受试者在干预前后分别进行了人体测量学评估和体能测试:单次跳远(SLJ)、五次跳远(5LJ)、伊利诺伊敏捷性测试(IA)和握力测试(HGS)。在测试过程中,我们使用博格疲劳量表来监测裁判的疲劳程度。结果:FIFA 1-3组受试者在SLJ和5LJ测试中的成绩优于对照组和FIFA 1-2-3组受试者。在敏捷技能方面,FIFA1-3组的受试者完成IA的时间比其他组短。与FIFA1-3组相比,FIFA 1-2-3组的HGS测试有所下降。博格量表显示,与其他组相比,FIFA 1-3组的受试者疲劳程度较低。结论:FIFA11+ for裁判员项目,特别是第1部分和第3部分的结合,可以作为一种合适的赛前热身训练。它易于执行,时间短,并且可以在短期内显著提高性能。
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引用次数: 0
Normative values of the range of motion of movements at the wrist joint for hockey players: a cross-sectional study 曲棍球运动员手腕关节运动范围的规范值:一项横断面研究
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04334-x
Nitesh VERMA, Vandana ESHT, Pooja MEHRA, Mohammed M. ALSHEHRI, Faizan Z. KASHOO, Abdur R. KHAN, Mohammad A. SHAPHE, Masood KHAN, Ahmad H. ALGHADIR
BACKGROUND: Wrist range of motion (ROM) is used to objectively evaluate treatment outcomes for wrist interventions . Wrist kinetics and kinematics are critical for diagnosing and treating traumatic or degenerative abnormalities in the wrist joint. In field hockey, wrist motions are crucial for selecting excellent shots like hockey wrist shots, snap shots, slap shots
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引用次数: 0
The effects of specialized strength training and Olympic weightlifting training on wrestlers 专业力量训练和奥林匹克举重训练对摔跤运动员的影响
4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-01 DOI: 10.23736/s0025-7826.23.04267-9
Li CHEN, Nan GU, Yao SHANG, Ming-Jia WENG, Qi-Peng WANG
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引用次数: 0
期刊
Medicina Dello Sport
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