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Sex-based differences in pediatric lateral ankle avulsion fractures: males are more likely to sustain avulsion fractures. 儿童踝关节外侧撕脱骨折的性别差异:男性更容易发生撕脱骨折。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2026-01-27 DOI: 10.1080/00913847.2026.2620362
Lauren T Reese, Cassidy M Schultz, Robert L Van Pelt, Katherine Lampe, Jane S Chung, Shane M Miller, Charles W Wyatt, Henry B Ellis, Philip L Wilson, Jacob C Jones

Objective: To assess sex-based differences in the frequency and characteristics of pediatric lateral ankle avulsion fractures.

Methods: This prospective observational cohort study (Level II) was conducted at a tertiary sports medicine clinic between July 2022 and March 2025. This study included a total of 132 patients with 133 injuries aged 5-12 years presenting within 30 days of a first-time lateral ankle injury (67.4% female and 32.6% male). Injuries were categorized as avulsion or non-avulsion using ultrasound as the reference standard. Demographics, injury type and mechanism, sport type, and validated patient-reported measures were analyzed by sex using chi-squared and Mann-Whitney U tests.

Results: Males were found to be significantly more likely to sustain lateral ankle avulsion fractures than their female counterparts (50.0% vs. 24.1%, p < 0.01). There were no statistically significant differences between the avulsion and non-avulsion groups for age, race, ethnicity, BMI, or days to presentation. Sport during injury did vary by sex (p = 0.02), but the cause of injury did not. Pain, mobility, anxiety, and Pedi-FABS scores did not vary between sexes at presentation, regardless of their avulsion status.

Conclusions: Our study demonstrated that males with lateral ankle injuries were more likely to sustain avulsion fractures than females in this pediatric population. Despite these differences in injury type, both sexes reported similar levels of function, anxiety, pain, and activity at initial presentation. Understanding early sex-based differences in lateral ankle fracture patterns may inform diagnostic evaluation and management in pediatric patients.

目的:探讨儿童踝关节外侧撕脱性骨折发生频率和特点的性别差异。方法:这项前瞻性观察队列研究(二级)于2022年7月至2025年3月在一家三级运动医学诊所进行。本研究共纳入132例患者133例损伤,年龄5 - 12岁,首次踝关节外侧损伤后30天内出现(67.4%为女性,32.6%为男性)。以超声作为参考标准,将损伤分为撕脱伤和非撕脱伤。采用卡方检验和Mann-Whitney U检验,按性别分析人口统计学、损伤类型和机制、运动类型和有效的患者报告措施。结果:男性发生踝关节外侧撕脱性骨折的可能性明显高于女性(50.0% vs 24.1%, p p = 0.02),但损伤原因没有差异。疼痛、活动能力、焦虑和Pedi-FABS评分在呈现时没有性别差异,无论撕脱状态如何。结论:我们的研究表明,在这一儿科人群中,踝关节外侧损伤的男性比女性更容易发生撕脱性骨折。尽管在损伤类型上存在这些差异,但在初次出现时,两性报告的功能、焦虑、疼痛和活动水平相似。了解早期基于性别的踝关节外侧骨折模式的差异可以为儿科患者的诊断评估和治疗提供信息。
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引用次数: 0
Physical activity and caloric expenditure after adolescent concussion: a comparison with uninjured controls. 青少年脑震荡后的身体活动和热量消耗:与未受伤对照的比较。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2026-01-15 DOI: 10.1080/00913847.2026.2617854
Katherine L Smulligan, Aubrey M Armento, Mathew J Wingerson, Madison L Brna, Shannon Nagle, William P Meehan, Julie C Wilson, David R Howell

Purpose: Concussion-induced pathophysiology creates an energetic imbalance within the brain. Though physical activity (PA) is recommended to facilitate recovery, individualized factors such as symptom severity and/or energy availability may be barriers to PA engagement and may need to be considered to promote concussion recovery. Our purpose was to compare PA over a one-week period between adolescents with and without a recent concussion.

Methods: Adolescent athletes within 3 weeks of concussion and uninjured athletes wore wrist-worn actigraphy devices for one week to quantify three outcomes: PA (steps/day), caloric expenditure, and resting heart rate (RHR). We used linear mixed models with random slopes and random intercepts for participants to examine between-group differences for each outcome over the monitoring period, adjusting for variables that differed between groups.

Results: We enrolled and followed 149 adolescents for one week: 85 with concussion (starting at 9.2 ± 3.5 days post-injury, age = 15.3 ± 1.8 years, 52% female) and 64 uninjured controls (age = 15.4 ± 1.5 years, 61% female). After adjusting for covariates, the concussion group took fewer steps/day (β = -4837 steps/day; 95%CI: -6266, -3409; p < 0.001) and expended fewer calories (β = -338 calories; 95%CI: -512, -164; p = 0.001) than controls during the monitoring period. RHR was similar between groups (β = 0.74 beats/min; 95%CI: -2.41, 3.88; p = 0.65).

Conclusion: Adolescents after recent concussion demonstrated lower PA and expended fewer calories than uninjured controls, indicating that it may take several weeks after concussion to resume PA levels similar to uninjured peers. Our results may reflect participants following concussion guidelines/physician guidance to gradually increase PA during concussion recovery as tolerated without symptom exacerbation, leading to less PA engagement compared to controls. Further research into energy needs after concussion may inform therapeutic targets to facilitate recovery.

目的:脑震荡引起的病理生理在大脑内造成能量不平衡。虽然体育活动(PA)被推荐用于促进恢复,但个体因素,如症状严重程度和/或能量可用性可能是参与PA的障碍,可能需要考虑促进脑震荡的恢复。我们的目的是比较最近有和没有脑震荡的青少年在一周内的PA。方法:脑震荡3周内的青少年运动员和未受伤的运动员佩戴腕带活动记录仪一周,量化三个结果:PA(步数/天)、热量消耗和静息心率(RHR)。我们对参与者使用随机斜率和随机截距的线性混合模型来检查监测期间每个结果的组间差异,并调整组间差异的变量。结果:我们对149名青少年进行了为期一周的随访:85名脑震荡患者(受伤后9.2±3.5天开始,年龄= 15.3±1.8岁,52%为女性)和64名未受伤的对照组(年龄= 15.4±1.5岁,61%为女性)。调整协变量后,在监测期间,脑震荡组每天的步数少于对照组(β = -4837步/天;95%CI: -6266, -3409; p = 0.001)。两组RHR相似(β = 0.74次/分钟;95%CI: -2.41, 3.88; p = 0.65)。结论:最近脑震荡后的青少年表现出较低的PA,比未受伤的对照组消耗更少的卡路里,这表明脑震荡后可能需要几周的时间才能恢复与未受伤同龄人相似的PA水平。我们的结果可能反映了参与者遵循脑震荡指南/医生指导,在脑震荡恢复期间逐渐增加PA,这是可以容忍的,没有症状恶化,导致与对照组相比,PA的使用减少。对脑震荡后能量需求的进一步研究可能会为治疗目标提供信息,以促进康复。
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引用次数: 0
Fluid-balance challenges in Para judo athletes with visual impairment despite adequate hydration knowledge. 尽管有足够的水合知识,视力受损的柔道运动员的体液平衡挑战。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2026-01-06 DOI: 10.1080/00913847.2025.2612466
Bayram Ceylan, Hasan Basri Taşkın, İlknur Kobaş Tepe, Şükrü Serdar Balcı

Objectives: Although it has been well documented that judo athletes from different competitive levels often exhibit inadequate hydration status, studies investigating the hydration habits of Paralympic judo athletes with visual impairment are scarce. Thus, this study examined urine-based hydration indicators and hydration-related behaviors of para judo athletes.

Methods: Twelve judo athletes (6 women and 6 men) with visual impairment from the national Paralympic judo team voluntarily participated in the study. Athletes' hydration status was assessed through urine specific gravity (USG), urine color (UC), and body weight (BW) changes over 24 hours, monitored at six time points. Additionally, athletes' hydration knowledge, attitudes, and behaviors were evaluated using a hydration survey administered in an accessible format.

Results: At rest, USG remained stable across measurement points (F3,33 = 1.11; p = 0.36), while urine color increased following both training sessions. The evening judo training session induced a significant increase in USG (p = 0.009), whereas morning training had no effect. Body weight decreased significantly after both training sessions (p < 0.001), but overall 24-hour body mass remained stable (p > 0.05). Athletes demonstrated high levels of hydration knowledge (68.5%) and attitudes (70.2%), but only moderate hydration behaviors (62.2%). No significant associations were observed between survey scores and urine-based hydration markers (p > 0.05).

Conclusions: These findings indicate that Para judo athletes with visual impairment experience persistent challenges in maintaining day-to-day fluid balance despite adequate theoretical knowledge. Therefore, accessible, behavior-oriented hydration strategies and structured monitoring approaches should be developed for this underrepresented group, with active involvement of coaches and nutrition professionals.

尽管已有文献表明,不同竞技水平的柔道运动员经常表现出水分不足的状态,但调查视力受损的残奥会柔道运动员补水习惯的研究很少。因此,本研究考察了以尿液为基础的水化指标和辅助柔道运动员的水化相关行为。来自国家残奥柔道队的12名视力受损的柔道运动员(男女各6名)自愿参加了本研究。通过24小时内尿液比重(USG)、尿液颜色(UC)和体重(BW)变化来评估运动员的水合状态,并在6个时间点进行监测。此外,运动员的水合知识,态度和行为进行评估使用水合调查管理在一个可访问的格式。休息时,USG在测量点上保持稳定(F₃,₃= 1.11;p = 0.36),而两次训练后尿液颜色都增加了。晚上的柔道训练导致USG显著增加(p = 0.009),而早晨的柔道训练没有影响。两组训练后体重均显著下降(p < 0.05)。运动员的补水知识(68.5%)和态度(70.2%)水平较高,但补水行为(62.2%)水平较低。调查得分与尿水化指标之间无显著相关性(p < 0.05)。这些发现表明,尽管有足够的理论知识,视障的柔道运动员在维持日常体液平衡方面仍面临持续的挑战。因此,在教练和营养专业人员的积极参与下,应该为这一代表性不足的群体制定可访问的、以行为为导向的补水策略和结构化的监测方法。
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引用次数: 0
Does bone mineral mass affect medial elbow injuries in young baseball players?: evaluation using bioelectric impedance analysis. 骨矿物质是否影响年轻棒球运动员肘部内侧损伤?:生物电阻抗分析评价。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-09 DOI: 10.1080/00913847.2025.2597176
Kion Clucas, Akira Saito

Background: Medial elbow injuries occur in approximately one-third of all young baseball players and are characterized by injuries to the bone and cartilaginous growth plates. Bone mineral mass, a representative of bone strength, may show individual differences during growth, and the bone strength can temporarily decrease depending on the stage of bone development. However, the relationship between bone mineral mass and medial elbow injuries in young baseball players has not yet been investigated.

Hypothesis: The bone mineral mass would be lower in players with medial elbow injuries, causing lower bone strength and increased susceptibility to injury.

Study design: Cross-sectional study.

Methods: We recruited 215 baseball players aged 9-12 years; the players completed a questionnaire regarding their age, height, weight, practice duration and frequency, baseball experience, and number of pitches per day. The injury and control groups were determined by ultrasonographic evaluation of the medial aspect of the elbow joint, and bone mineral mass was measured by bioelectric impedance analysis. The hip and shoulder ranges of motion were measured. Each variable was compared between the injury and control groups using the Student's t-test. Simultaneous multivariate logistic regression analysis was subsequently performed to identify the factors associated with medial elbow injuries.

Results: Bone mineral mass was significantly higher in the injury group than in the control group (2.02 ± 0.30 kg vs. 1.91 ± 0.26 kg, p = 0.003). However, it was not significantly associated with medial elbow injuries in multivariate logistic analysis. Baseball experience (OR, 1.03; 95% CI, 1.01-1.06; p = 0.009) were significantly associated with medial elbow injury.

Conclusion: Contrary to our hypothesis, bone mineral mass was higher in players with medial elbow injuries, but was not significantly associated with them. A one-time measurement of bone mineral mass is probably not specific enough to analyze the condition of the medial epicondyle. Baseball experience has been identified as a possible factor associated with medial elbow injuries in young players, and increases in experience should be used as an indicator to assess elbow joint health.

背景:肘部内侧损伤发生在大约三分之一的年轻棒球运动员中,其特征是骨骼和软骨生长板损伤。骨矿物质量是骨强度的代表,在生长过程中可能表现出个体差异,骨强度可能会因骨发育阶段的不同而暂时下降。然而,骨矿物质量与年轻棒球运动员肘部内侧损伤之间的关系尚未被调查。假设:肘部内侧受伤的球员骨矿物质含量较低,导致骨强度降低,易受伤。研究设计:横断面研究。方法:招募215名9 ~ 12岁的棒球运动员;这些球员完成了一份关于他们的年龄、身高、体重、练习时间和频率、棒球经验和每天投球数的问卷调查。损伤组和对照组采用肘关节内侧超声评价,骨量采用生物电阻抗法测定。测量了髋关节和肩部的活动范围。使用学生t检验比较损伤组和对照组之间的每个变量。随后进行多因素logistic回归分析,以确定与肘部内侧损伤相关的因素。结果:损伤组骨矿物质质量明显高于对照组(2.02±0.30 kg比1.91±0.26 kg, p = 0.003)。然而,在多变量logistic分析中,它与肘关节内侧损伤没有显著相关。棒球经历(OR, 1.03; 95% CI, 1.01-1.06; p = 0.009)与肘部内侧损伤显著相关。结论:与我们的假设相反,肘部内侧损伤的球员骨矿物质量更高,但与之没有显著相关性。骨矿物质量的一次性测量可能不足以分析内上髁的情况。棒球经验已被确定为与年轻球员内侧肘部损伤相关的可能因素,经验的增加应作为评估肘关节健康的指标。关于这个问题的了解:年轻的棒球运动员在他们的职业生涯开始时,骨矿物质含量很低,即使在他们的成长迅速之后,与同龄人相比,他们的骨矿物质含量也会继续很低。因此,这些球员可能更容易受到骨损伤,尽管所有球员都可能在体内经历类似程度的机械应力。这项研究补充了现有的知识:尽管骨矿物质量在肘部内侧损伤的人群中较高,但它并没有作为一个独立因素与年轻棒球运动员肘部内侧损伤的患病率显著相关。棒球经验可能是年轻棒球运动员肘关节内侧损伤的相关因素,经验的增加应作为评估肘关节健康的指标。
{"title":"Does bone mineral mass affect medial elbow injuries in young baseball players?: evaluation using bioelectric impedance analysis.","authors":"Kion Clucas, Akira Saito","doi":"10.1080/00913847.2025.2597176","DOIUrl":"10.1080/00913847.2025.2597176","url":null,"abstract":"<p><strong>Background: </strong>Medial elbow injuries occur in approximately one-third of all young baseball players and are characterized by injuries to the bone and cartilaginous growth plates. Bone mineral mass, a representative of bone strength, may show individual differences during growth, and the bone strength can temporarily decrease depending on the stage of bone development. However, the relationship between bone mineral mass and medial elbow injuries in young baseball players has not yet been investigated.</p><p><strong>Hypothesis: </strong>The bone mineral mass would be lower in players with medial elbow injuries, causing lower bone strength and increased susceptibility to injury.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>We recruited 215 baseball players aged 9-12 years; the players completed a questionnaire regarding their age, height, weight, practice duration and frequency, baseball experience, and number of pitches per day. The injury and control groups were determined by ultrasonographic evaluation of the medial aspect of the elbow joint, and bone mineral mass was measured by bioelectric impedance analysis. The hip and shoulder ranges of motion were measured. Each variable was compared between the injury and control groups using the Student's t-test. Simultaneous multivariate logistic regression analysis was subsequently performed to identify the factors associated with medial elbow injuries.</p><p><strong>Results: </strong>Bone mineral mass was significantly higher in the injury group than in the control group (2.02 ± 0.30 kg vs. 1.91 ± 0.26 kg, <i>p</i> = 0.003). However, it was not significantly associated with medial elbow injuries in multivariate logistic analysis. Baseball experience (OR, 1.03; 95% CI, 1.01-1.06; <i>p</i> = 0.009) were significantly associated with medial elbow injury.</p><p><strong>Conclusion: </strong>Contrary to our hypothesis, bone mineral mass was higher in players with medial elbow injuries, but was not significantly associated with them. A one-time measurement of bone mineral mass is probably not specific enough to analyze the condition of the medial epicondyle. Baseball experience has been identified as a possible factor associated with medial elbow injuries in young players, and increases in experience should be used as an indicator to assess elbow joint health.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electric scooter injuries in the pediatric population are increasing: an analysis of national injury trends and mechanisms between 2014 and 2023. 儿科人群中的电动滑板车伤害正在增加:2014年至2023年国家伤害趋势和机制分析。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-04 DOI: 10.1080/00913847.2025.2598225
Doria L Weiss, Christian K Law, Avanish Yendluri, Kyle K Obana, Nikan K Namiri, Michael J Danaher, Bryan M Saltzman, Robert L Parisien, David P Trofa

Introduction: The use of electric scooters (e-scooters) has surged over the past decade, leading to a notable rise in e-scooter related injuries presenting to emergency departments. This study aims to analyze trends and mechanisms of e-scooter injuries in the United States pediatric population. We hypothesized that there would be a significant increase in pediatric e-scooter injuries from 2014 to 2023, and particularly since the COVID-19 pandemic from 2020 to 2023, with many patients sustaining fractures.

Methods: The National Electronic Injury Surveillance System (NEISS) was queried for pediatric (age ≤18) electric scooter injuries presenting to US emergency departments between 1 January 2014 and 31 December 2023. Patient demographics, injury location, discharge disposition, and diagnosis were extracted. The mechanisms of injury were categorized based on the injury narrative. Injury trends were analyzed using linear regression analysis.

Results: A total of 2,231 pediatric e-scooter injuries (NE = 63,527) were included. The mean age was 11.9 ± 4.0 years old and 63.3% of patients were male. There was a statistically significant increase in pediatric e-scooter injuries from 2014 to 2023 (p = 0.002). Additionally, we identified a 2.4 fold increase in annual post-COVID (2021-2023) average injuries compared to pre-COVID (2014-2019). The most common diagnosis was fractures (NE = 18103, 28.5%). The most common body part injured was the head (NE = 11258, 17.7%). Collisions with other moving vehicles comprised 10.8% of all injuries (NE = 6840). The most common mechanisms of injury were falling off of the e-scooter (NE = 43889, 69.1%). Out of the 432 (19.4%) narratives that reported helmet usage, 72.6% indicated that the patient was not wearing a helmet.

Conclusion: Pediatric e-scooter injuries have increased significantly in the past decade, particularly since the COVID-19 pandemic. As e-scooter usage continues to rise, these findings underscore the need for targeted safety measures to protect young riders from fractures and head injuries.

导读:在过去的十年里,电动滑板车(e-scooters)的使用激增,导致急诊部门的电动滑板车相关伤害显著增加。本研究旨在分析美国儿科人群中电动滑板车伤害的趋势和机制。我们假设,从2014年到2023年,特别是自2020年至2023年COVID-19大流行以来,儿童电动滑板车受伤的人数将显著增加,许多患者会出现骨折。方法:通过国家电子伤害监测系统(NEISS)查询2014年1月1日至2023年12月31日期间美国急诊科的儿童(年龄≤18岁)电动滑板车伤害。提取患者人口统计资料、损伤部位、出院处置和诊断。根据损伤叙述对损伤机制进行分类。采用线性回归分析损伤趋势。结果:共纳入2231例儿童电动滑板车损伤(NE = 63527)。平均年龄11.9±4.0岁,男性占63.3%。从2014年到2023年,儿童电动滑板车的伤害有统计学意义的增加(p = 0.002)。此外,我们发现,与新冠肺炎前(2014-2019)相比,新冠肺炎后(2021-2023)的年平均受伤人数增加了2.4倍。最常见的诊断是骨折(NE = 18103, 28.5%)。最常见的身体部位是头部(NE = 11258, 17.7%)。与其他移动车辆的碰撞占所有伤害的10.8% (NE = 6840)。最常见的损伤机制为从电动滑板车上摔下(NE = 43889, 69.1%)。在报告使用头盔的432例(19.4%)中,72.6%的患者表示未戴头盔。结论:儿童电动滑板车伤害在过去十年中显着增加,特别是自COVID-19大流行以来。随着电动滑板车使用率的持续上升,这些研究结果强调了有针对性的安全措施的必要性,以保护年轻车手免受骨折和头部受伤。
{"title":"Electric scooter injuries in the pediatric population are increasing: an analysis of national injury trends and mechanisms between 2014 and 2023.","authors":"Doria L Weiss, Christian K Law, Avanish Yendluri, Kyle K Obana, Nikan K Namiri, Michael J Danaher, Bryan M Saltzman, Robert L Parisien, David P Trofa","doi":"10.1080/00913847.2025.2598225","DOIUrl":"10.1080/00913847.2025.2598225","url":null,"abstract":"<p><strong>Introduction: </strong>The use of electric scooters (e-scooters) has surged over the past decade, leading to a notable rise in e-scooter related injuries presenting to emergency departments. This study aims to analyze trends and mechanisms of e-scooter injuries in the United States pediatric population. We hypothesized that there would be a significant increase in pediatric e-scooter injuries from 2014 to 2023, and particularly since the COVID-19 pandemic from 2020 to 2023, with many patients sustaining fractures.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for pediatric (age ≤18) electric scooter injuries presenting to US emergency departments between 1 January 2014 and 31 December 2023. Patient demographics, injury location, discharge disposition, and diagnosis were extracted. The mechanisms of injury were categorized based on the injury narrative. Injury trends were analyzed using linear regression analysis.</p><p><strong>Results: </strong>A total of 2,231 pediatric e-scooter injuries (NE = 63,527) were included. The mean age was 11.9 ± 4.0 years old and 63.3% of patients were male. There was a statistically significant increase in pediatric e-scooter injuries from 2014 to 2023 (<i>p</i> = 0.002). Additionally, we identified a 2.4 fold increase in annual post-COVID (2021-2023) average injuries compared to pre-COVID (2014-2019). The most common diagnosis was fractures (NE = 18103, 28.5%). The most common body part injured was the head (NE = 11258, 17.7%). Collisions with other moving vehicles comprised 10.8% of all injuries (NE = 6840). The most common mechanisms of injury were falling off of the e-scooter (NE = 43889, 69.1%). Out of the 432 (19.4%) narratives that reported helmet usage, 72.6% indicated that the patient was not wearing a helmet.</p><p><strong>Conclusion: </strong>Pediatric e-scooter injuries have increased significantly in the past decade, particularly since the COVID-19 pandemic. As e-scooter usage continues to rise, these findings underscore the need for targeted safety measures to protect young riders from fractures and head injuries.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of eating disorder, body image dissatisfaction and musculoskeletal complaints among former spanish rhythmic gymnasts: a retrospective study. 前艺术体操运动员中饮食失调、身体形象不满和肌肉骨骼疾病的患病率:一项回顾性研究。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-04 DOI: 10.1080/00913847.2025.2597180
Belén Portas-Núñez, Nerea Blanco-Martínez, Miguel Adriano Sánchez-Lastra, José Carlos Diz-Gómez, Carlos Ayán-Pérez

Objectives: Retired athletes from aesthetic sports such as rhythmic gymnastics may experience issues related to eating disorders (EDs), body image and musculoskeletal injuries. However, quantitative studies on the long-term effects of participation in retired rhythmic gymnasts are scarce. This study aims to assess the prevalence of EDs, body dissatisfaction, and injuries in former Spanish rhythmic gymnasts, considering years of practice and the competitive level achieved.

Methods: A total of 216 former rhythmic gymnasts were recruited through social media and sports clubs. Data were collected via online questionnaires, including the Eating Attitudes Test (EAT-26), the Stunkard Figure Rating Scale to measure body dissatisfaction, and the Nordic Musculoskeletal Questionnaire (NMQ) to assess musculoskeletal injuries.

Results: The sample had a mean age of 26.3 ± 8.4 years and an average of 11.7 ± 3.2 years of practice. A total of 10.6% of participants scored above the threshold on the EAT-26, while 68.1% reported body dissatisfaction. Participants with higher body mass index (BMI) was identified as a predictive factor for showing body dissatisfaction. Lower back pain was the most prevalent musculoskeletal symptom, affecting 83.3% of participants, followed by neck pain (74.5%).

Conclusion: The findings suggest that although the prevalence of EDs is relatively low in this sample, body dissatisfaction remains a significant concern, particularly among individuals with higher BMI. Furthermore, lower back pain is highly prevalent among former gymnasts. These results highlight the need for injury prevention strategies and psychological support following athletic retirement.

目的:从艺术体操等审美运动中退役的运动员可能会遇到与饮食失调(EDs)、身体形象和肌肉骨骼损伤相关的问题。然而,关于艺术体操退役运动员参加体育锻炼的长期影响的定量研究却很少。本研究旨在评估前西班牙艺术体操运动员的EDs患病率、身体不满和伤害,考虑到多年的练习和竞技水平。方法:通过社交媒体和体育俱乐部招募216名前艺术体操运动员。数据通过在线问卷收集,包括饮食态度测试(EAT-26),测量身体不满意度的Stunkard身材评定量表,以及评估肌肉骨骼损伤的北欧肌肉骨骼问卷(NMQ)。结果:本组患者平均年龄26.3±8.4岁,平均执业时间11.7±3.2年。共有10.6%的参与者在EAT-26测试中得分高于阈值,而68.1%的人对自己的身体不满意。身体质量指数(BMI)较高的参与者被确定为对身体不满意的预测因素。下背部疼痛是最常见的肌肉骨骼症状,影响83.3%的参与者,其次是颈部疼痛(74.5%)。结论:研究结果表明,尽管该样本中ed患病率相对较低,但身体不满仍然是一个值得关注的问题,特别是在BMI较高的个体中。此外,腰痛在前体操运动员中非常普遍。这些结果强调了运动员退役后伤害预防策略和心理支持的必要性。
{"title":"Prevalence of eating disorder, body image dissatisfaction and musculoskeletal complaints among former spanish rhythmic gymnasts: a retrospective study.","authors":"Belén Portas-Núñez, Nerea Blanco-Martínez, Miguel Adriano Sánchez-Lastra, José Carlos Diz-Gómez, Carlos Ayán-Pérez","doi":"10.1080/00913847.2025.2597180","DOIUrl":"10.1080/00913847.2025.2597180","url":null,"abstract":"<p><strong>Objectives: </strong>Retired athletes from aesthetic sports such as rhythmic gymnastics may experience issues related to eating disorders (EDs), body image and musculoskeletal injuries. However, quantitative studies on the long-term effects of participation in retired rhythmic gymnasts are scarce. This study aims to assess the prevalence of EDs, body dissatisfaction, and injuries in former Spanish rhythmic gymnasts, considering years of practice and the competitive level achieved.</p><p><strong>Methods: </strong>A total of 216 former rhythmic gymnasts were recruited through social media and sports clubs. Data were collected via online questionnaires, including the Eating Attitudes Test (EAT-26), the Stunkard Figure Rating Scale to measure body dissatisfaction, and the Nordic Musculoskeletal Questionnaire (NMQ) to assess musculoskeletal injuries.</p><p><strong>Results: </strong>The sample had a mean age of 26.3 ± 8.4 years and an average of 11.7 ± 3.2 years of practice. A total of 10.6% of participants scored above the threshold on the EAT-26, while 68.1% reported body dissatisfaction. Participants with higher body mass index (BMI) was identified as a predictive factor for showing body dissatisfaction. Lower back pain was the most prevalent musculoskeletal symptom, affecting 83.3% of participants, followed by neck pain (74.5%).</p><p><strong>Conclusion: </strong>The findings suggest that although the prevalence of EDs is relatively low in this sample, body dissatisfaction remains a significant concern, particularly among individuals with higher BMI. Furthermore, lower back pain is highly prevalent among former gymnasts. These results highlight the need for injury prevention strategies and psychological support following athletic retirement.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Injury epidemiology in the Türkiye Open 2025 taekwondo tournament: a study of 2068 athletes from 60 countries. 2025年跆拳道公开赛中受伤流行病学:来自60个国家的2068名运动员的研究。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1080/00913847.2025.2597175
Hüseyin Günaydın, Beyza Uğurlu, Ümit Kahraman, Tuğba Kocahan

Objective: The aim of this retrospective study was to determine the injury incidences, types, locations, mechanisms, and results after injuries during the Türkiye Open 2025 Taekwondo Tournament and to identify differences between competition categories.

Methods: The tournament occurred in Antalya from February 8-16, 2025. A total of 2068 athletes from 60 countries participated in para taekwondo (PT), seniors (SC), juniors (JC), and cadets (CC) categories, with 1919 matches held. Injuries encountered by athletes were recorded by two sports medicine physicians using the International Olympic Committee (IOC) 'Daily Medical Report on Injuries and Illnesses' form. We defined an injury as an injury that occurs when the referee stops play and calls the medical team to the field. Injury incidence rates (IRs) were calculated per 1000 matches, per 1000 athlete-exposures (AEs), per 100 athletes (clinical incidence). Injury incidence rate ratios (IRRs) with 95% confidence intervals were calculated and compared regarding categories.

Results: A total of 147 injuries occurred during the matches: 18 in PT Kyorugi (K44), 39 in SC, 47 in JC, and 43 in CC. The IRs were as follows: PT K44: 211.7/1,000 matches, 19.14/100 athletes, 105,88/1000 AEs; SC: 84.4/1,000 matches, 8.2/100 athletes, 42,57/1000 AEs; JC: 63.8/1,000 matches, 6.21/100 athletes, 31,92/1000 AEs; CC: 67.6/1,000 matches, 6.28/100 athletes, 30,28/1000 AEs. PT had a significantly higher IRs compared to other categories. There were statistically significant differences between the genders of the injured athletes when the four categories were compared. Contusion was the most common type of injury across all categories, and the most frequent injury mechanism was contact with another athlete. In all categories, athletes continued to compete in the majority of injuries.

Conclusion: The findings of this study provide valuable insights into the injury epidemiology observed in international PT and taekwondo matches. Notably, the IRs was highest in the PT compared to other categories. These results may contribute to the enhancement of protective equipment design and the development of targeted injury prevention strategies aimed at reducing injury rates across all competitive levels especially in para taekwondo athletes.

目的:本回顾性研究的目的是确定2025年跆拳道公开赛期间受伤的发生率、类型、部位、机制和结果,并确定比赛类别之间的差异。方法:比赛于2025年2月8-16日在安塔利亚举行。来自60个国家的2068名运动员参加了残疾人跆拳道(PT)、成人跆拳道(SC)、青少年跆拳道(JC)、青少年跆拳道(CC)等项目,共进行了1919场比赛。两名运动医学医生使用国际奥林匹克委员会(IOC)的“受伤和疾病每日医疗报告”表格记录了运动员所遭受的伤害。我们将受伤定义为当裁判停止比赛并叫医疗队进场时发生的伤害。计算每1000场比赛、每1000名运动员暴露(ae)、每100名运动员(临床发病率)的损伤发生率(IRs)。计算损伤发生率比(IRRs),并对其进行95%置信区间的分类比较。结果:比赛中共发生损伤147例,其中K44损伤18例,SC损伤39例,JC损伤47例,CC损伤43例,分别为:K44损伤211.7/ 1000场,19.14/100名运动员,105例,88例;SC: 84.4/ 1000场比赛,8.2/100名运动员,42,57/1000名ae;JC: 63.8/ 1000场比赛,6.21/100名运动员,31,92/1000名运动员;CC: 67.6/ 1000场比赛,6.28/100名运动员,30,28/1000名运动员。与其他类别相比,PT具有明显更高的IRs。四类受伤运动员的性别差异有统计学意义。挫伤是所有类别中最常见的损伤类型,最常见的损伤机制是与另一名运动员接触。在所有类别中,运动员在大多数受伤情况下继续比赛。结论:本研究结果对国际PT和跆拳道比赛中观察到的损伤流行病学提供了有价值的见解。值得注意的是,与其他类别相比,PT的IRs最高。这些结果可能有助于加强防护装备的设计和有针对性的伤害预防策略的发展,旨在降低所有竞技水平的受伤率,特别是跆拳道运动员。
{"title":"Injury epidemiology in the Türkiye Open 2025 taekwondo tournament: a study of 2068 athletes from 60 countries.","authors":"Hüseyin Günaydın, Beyza Uğurlu, Ümit Kahraman, Tuğba Kocahan","doi":"10.1080/00913847.2025.2597175","DOIUrl":"10.1080/00913847.2025.2597175","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this retrospective study was to determine the injury incidences, types, locations, mechanisms, and results after injuries during the Türkiye Open 2025 Taekwondo Tournament and to identify differences between competition categories.</p><p><strong>Methods: </strong>The tournament occurred in Antalya from February 8-16, 2025. A total of 2068 athletes from 60 countries participated in para taekwondo (PT), seniors (SC), juniors (JC), and cadets (CC) categories, with 1919 matches held. Injuries encountered by athletes were recorded by two sports medicine physicians using the International Olympic Committee (IOC) 'Daily Medical Report on Injuries and Illnesses' form. We defined an injury as an injury that occurs when the referee stops play and calls the medical team to the field. Injury incidence rates (IRs) were calculated per 1000 matches, per 1000 athlete-exposures (AEs), per 100 athletes (clinical incidence). Injury incidence rate ratios (IRRs) with 95% confidence intervals were calculated and compared regarding categories.</p><p><strong>Results: </strong>A total of 147 injuries occurred during the matches: 18 in PT Kyorugi (K44), 39 in SC, 47 in JC, and 43 in CC. The IRs were as follows: PT K44: 211.7/1,000 matches, 19.14/100 athletes, 105,88/1000 AEs; SC: 84.4/1,000 matches, 8.2/100 athletes, 42,57/1000 AEs; JC: 63.8/1,000 matches, 6.21/100 athletes, 31,92/1000 AEs; CC: 67.6/1,000 matches, 6.28/100 athletes, 30,28/1000 AEs. PT had a significantly higher IRs compared to other categories. There were statistically significant differences between the genders of the injured athletes when the four categories were compared. Contusion was the most common type of injury across all categories, and the most frequent injury mechanism was contact with another athlete. In all categories, athletes continued to compete in the majority of injuries.</p><p><strong>Conclusion: </strong>The findings of this study provide valuable insights into the injury epidemiology observed in international PT and taekwondo matches. Notably, the IRs was highest in the PT compared to other categories. These results may contribute to the enhancement of protective equipment design and the development of targeted injury prevention strategies aimed at reducing injury rates across all competitive levels especially in para taekwondo athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement of specific shoulder joint distances with handheld and conventional ultrasound: a reliability and agreement study. 用手持式和传统超声测量特定肩关节距离:可靠性和一致性研究。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-02 DOI: 10.1080/00913847.2025.2597177
Gokhan Buyukluoglu, Tugba Cavis, Buse Ataoglu, Sabriye Ercan, Aydan Orscelik, Ferhat Cuce, Tugba Kocahan

Objectives: Ultrasonography is a widely accepted imaging method for evaluating anatomical structures around the shoulder joint. However, the consistency of measurements across different devices and operators remains a critical issue for clinical and research validity. The aim of this study is to assess the inter-device and intra-operator reliability of ultrasound-based measurements of four key anatomical shoulder distances and to establish normative reference values in a healthy population.

Methods: A total of 195 healthy volunteers (390 shoulders) underwent ultrasonographic evaluation of the acromioclavicular distance (AC), coracoclavicular distance (CC), acromiohumeral distance (AH), and coracohumeral distance (CH). Two physicians, TC (radiologist) and GB (sports medicine), performed the measurements independently using two different ultrasound machines: Siemens S3000 and C10X, respectively. To assess intra-rater temporal reliability, all measurements were repeated on the same participants after two weeks. Stratified sex-matched randomization was applied during participant recruitment.

Results: AC, AH, and CH ultrasound measurements showed intra- and inter-rater reliability with minimal bias and acceptable limits of agreement, indicating good consistency and interchangeability. In contrast, CC measurements exhibited significant inter-rater differences (p = 0.034 and p = 0.023) and wide limits of agreement, reflecting greater variability and limited interchangeability.

Conclusion: Given their consistent performance across statistical methods, AC, AH, and CH measurements may be used interchangeably across different raters or sessions, particularly in clinical or research settings where reliable reproducibility is essential. However, due to its high inter-rater variability and broad limits of agreement, CC measurements are not recommended for interchangeable use between evaluators or devices.

目的:超声是一种被广泛接受的评估肩关节周围解剖结构的成像方法。然而,不同设备和操作人员测量的一致性仍然是临床和研究有效性的关键问题。本研究的目的是评估基于超声测量四个关键解剖肩部距离的设备间和操作人员内的可靠性,并在健康人群中建立规范的参考值。方法:对195名健康志愿者(390肩)进行了肩锁距离(AC)、喙锁距离(CC)、肩肱骨距离(AH)和喙肱骨距离(CH)的超声评价。两位医生,TC(放射科医生)和GB(运动医学),分别使用西门子S3000和C10X两种不同的超声仪进行了测量。为了评估相对内时间可靠性,两周后对同一参与者重复所有测量。在参与者招募过程中采用分层性别匹配随机化。结果:AC、AH和CH超声测量结果显示了内部和内部的可靠性,偏差最小,一致性可接受,表明了良好的一致性和互换性。相比之下,CC测量结果显示出显著的比率间差异(p = 0.034和p = 0.023)和广泛的一致限制,反映出更大的可变性和有限的互换性。结论:考虑到它们在各种统计方法中的一致表现,AC、AH和CH测量可以在不同的评分者或会话中互换使用,特别是在临床或研究环境中,可靠的可重复性是必不可少的。然而,由于其高变异性和广泛的一致性限制,CC测量不建议在评估器或设备之间互换使用。
{"title":"Measurement of specific shoulder joint distances with handheld and conventional ultrasound: a reliability and agreement study.","authors":"Gokhan Buyukluoglu, Tugba Cavis, Buse Ataoglu, Sabriye Ercan, Aydan Orscelik, Ferhat Cuce, Tugba Kocahan","doi":"10.1080/00913847.2025.2597177","DOIUrl":"10.1080/00913847.2025.2597177","url":null,"abstract":"<p><strong>Objectives: </strong>Ultrasonography is a widely accepted imaging method for evaluating anatomical structures around the shoulder joint. However, the consistency of measurements across different devices and operators remains a critical issue for clinical and research validity. The aim of this study is to assess the inter-device and intra-operator reliability of ultrasound-based measurements of four key anatomical shoulder distances and to establish normative reference values in a healthy population.</p><p><strong>Methods: </strong>A total of 195 healthy volunteers (390 shoulders) underwent ultrasonographic evaluation of the acromioclavicular distance (AC), coracoclavicular distance (CC), acromiohumeral distance (AH), and coracohumeral distance (CH). Two physicians, TC (radiologist) and GB (sports medicine), performed the measurements independently using two different ultrasound machines: Siemens S3000 and C10X, respectively. To assess intra-rater temporal reliability, all measurements were repeated on the same participants after two weeks. Stratified sex-matched randomization was applied during participant recruitment.</p><p><strong>Results: </strong>AC, AH, and CH ultrasound measurements showed intra- and inter-rater reliability with minimal bias and acceptable limits of agreement, indicating good consistency and interchangeability. In contrast, CC measurements exhibited significant inter-rater differences (<i>p</i> = 0.034 and <i>p</i> = 0.023) and wide limits of agreement, reflecting greater variability and limited interchangeability.</p><p><strong>Conclusion: </strong>Given their consistent performance across statistical methods, AC, AH, and CH measurements may be used interchangeably across different raters or sessions, particularly in clinical or research settings where reliable reproducibility is essential. However, due to its high inter-rater variability and broad limits of agreement, CC measurements are not recommended for interchangeable use between evaluators or devices.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Youth and adolescent male ice hockey players at increased risk of fractures: a 20-year analysis of national injury data. 青少年男性冰球运动员骨折风险增加:对国家伤病数据的20年分析。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1080/00913847.2025.2597178
Luca M Valdivia, Charu Jain, Uma Balachandran, Niklas H Koehne, Jennifer Yu, Christopher A White, Salvatore Capotosto, Bradford O Parsons, David A Forsh, Robert L Parisien

Objectives: Ice hockey is a high-impact sport that can put athletes in high-risk situations for injuries. While the game has shifted toward speed over physicality, fractures remain a major concern. Therefore, it would be valuable to observe whether this had an effect on fracture rates in men's ice hockey. The purpose of this study was to examine the frequency and trends of fractures sustained in men's ice hockey in the United States.

Methods: All men's ice hockey-related fractures presented to United States EDs from 1 January 2004 to 31 December 2023 were queried using the National Electronic Injury Surveillance System (NEISS). For each fracture, patient disposition, demographics, and injury site were recorded. National estimates (NE) were calculated using the NEISS statistical sample weight. Injury trends were evaluated by linear regression modeling.

Results: A NE of 58,910 ice hockey-related fractures occurred among male players between 2004 and 2023. There was a qualitative decrease in annual fractures (p = 0.208) from 2004 to 2023. There was a significant decrease from 2004 to 2019 (p = 0.001) followed by a 172.6% increase to a record high number of fractures in 2022 (NE = 3,953). The hand was the most commonly fractured part of the body (NE = 17,400, 29.5%). All body regions, except the leg, saw increases in annual injury frequency, including record highs for head, trunk, and shoulder fractures. Adolescents (ages 13-19 years) had the highest fracture rates (56.6%) amongst age groups. Fracture hospitalization rate was 5.5% overall (NE = 3,264).

Conclusions: While the overall number of fractures amongst male ice hockey players decreased yearly until the COVID-19 pandemic, a sharp increase in fractures was observed, reaching a record high in 2022. Additionally, the hand was the most commonly fractured part of the body, and adolescents have the highest risk of fractures from ice hockey.

目的:冰球是一项高强度的运动,可以使运动员处于受伤的高风险状态。虽然比赛已经转向速度而不是身体,但骨折仍然是一个主要问题。因此,观察这是否对男子冰球的骨折率有影响是有价值的。本研究的目的是调查美国男子冰球运动员骨折的频率和趋势。方法:使用国家电子损伤监测系统(NEISS)对2004年1月1日至2023年12月31日期间美国急诊科收治的所有男子冰球相关骨折患者进行查询。对于每一次骨折,记录了患者的性格、人口统计学和损伤部位。使用NEISS统计样本权重计算国家估计值(NE)。采用线性回归模型评估损伤趋势。结果:2004年至2023年间,男性冰球运动员发生了58,910例与冰球相关的骨折。从2004年到2023年,每年骨折的数量有质的减少(p = 0.208)。从2004年到2019年,骨折数量显著下降(p = 0.001),随后在2022年增加了172.6%,达到创纪录的骨折数量(NE = 3,953)。手部是最常见的骨折部位(NE = 17,400, 29.5%)。除腿部外,所有身体部位的年受伤频率都有所增加,包括头部、躯干和肩部骨折的创历史新高。青少年(13-19岁)骨折发生率最高(56.6%)。骨折住院率为5.5% (NE = 3,264)。结论:在2019冠状病毒病大流行之前,男性冰球运动员的骨折总数每年都在下降,但骨折数量急剧增加,在2022年达到历史新高。此外,手是身体最常见的骨折部位,青少年在冰球比赛中骨折的风险最高。
{"title":"Youth and adolescent male ice hockey players at increased risk of fractures: a 20-year analysis of national injury data.","authors":"Luca M Valdivia, Charu Jain, Uma Balachandran, Niklas H Koehne, Jennifer Yu, Christopher A White, Salvatore Capotosto, Bradford O Parsons, David A Forsh, Robert L Parisien","doi":"10.1080/00913847.2025.2597178","DOIUrl":"10.1080/00913847.2025.2597178","url":null,"abstract":"<p><strong>Objectives: </strong>Ice hockey is a high-impact sport that can put athletes in high-risk situations for injuries. While the game has shifted toward speed over physicality, fractures remain a major concern. Therefore, it would be valuable to observe whether this had an effect on fracture rates in men's ice hockey. The purpose of this study was to examine the frequency and trends of fractures sustained in men's ice hockey in the United States.</p><p><strong>Methods: </strong>All men's ice hockey-related fractures presented to United States EDs from 1 January 2004 to 31 December 2023 were queried using the National Electronic Injury Surveillance System (NEISS). For each fracture, patient disposition, demographics, and injury site were recorded. National estimates (NE) were calculated using the NEISS statistical sample weight. Injury trends were evaluated by linear regression modeling.</p><p><strong>Results: </strong>A NE of 58,910 ice hockey-related fractures occurred among male players between 2004 and 2023. There was a qualitative decrease in annual fractures (<i>p</i> = 0.208) from 2004 to 2023. There was a significant decrease from 2004 to 2019 (<i>p</i> = 0.001) followed by a 172.6% increase to a record high number of fractures in 2022 (NE = 3,953). The hand was the most commonly fractured part of the body (NE = 17,400, 29.5%). All body regions, except the leg, saw increases in annual injury frequency, including record highs for head, trunk, and shoulder fractures. Adolescents (ages 13-19 years) had the highest fracture rates (56.6%) amongst age groups. Fracture hospitalization rate was 5.5% overall (NE = 3,264).</p><p><strong>Conclusions: </strong>While the overall number of fractures amongst male ice hockey players decreased yearly until the COVID-19 pandemic, a sharp increase in fractures was observed, reaching a record high in 2022. Additionally, the hand was the most commonly fractured part of the body, and adolescents have the highest risk of fractures from ice hockey.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating online video platforms for dynamic balance exercises: a focus on YouTube. 评估动态平衡练习的在线视频平台:以YouTube为重点。
IF 1.8 4区 医学 Q2 ORTHOPEDICS Pub Date : 2025-12-01 DOI: 10.1080/00913847.2025.2597183
Ali Zorlular, Rabia Zorlular

Objectives: The objective of this study was to evaluate the content, reliability and quality of YouTube® videos related to dynamic balance exercise training.

Methods: 'Dynamic balance exercises' was searched on YouTube in English in August 2025, and a total of 91 videos were watched. The videos were categorized based on their content features and source of upload. The reliability of the information was assessed using the modified DISCERN (mDISCERN) tool, while video quality was evaluated through the Global Quality Scale (GQS) and the JAMA benchmark criteria. Two physiotherapists with expertise in sports rehabilitation independently reviewed each video. In cases of discrepancy, a third independent evaluator provided the final judgment to ensure objectivity. (ClinicalTrials.gov Identifier NCT07117734).

Results: The findings indicate that among the 91 exercise videos focusing on dynamic balance exercises, 69 (76%) were classified as useful, while 22 (24%) contained inaccurate information. mDISCERN, GQS and JAMA scores exhibited statistically significant differences based on the source of the video (p = 0.001, p = 0.001 and p = 0.001 respectively). It was observed that videos uploaded by healthcare providers demonstrated greater quality and reliability. Additionally, the linear regression analysis revealed no significant associations between the GQS, mDISCERN, and JAMA scores and the Video Power Index (VPI). Inter-rater reliability, assessed using Cohen's kappa, showed moderate agreement for mDISCERN (0.503), GQS (0.549), and JAMA (0.528).

Conclusion: While the majority of videos were useful, a portion still contained misleading information. Commonly used metrics such as VPI and view ratio do not necessarily reflect content accuracy. Therefore, paying attention to the credentials or professional background of video creators may help users access higher-quality and more reliable content.

目的:本研究的目的是评估YouTube®动态平衡运动训练相关视频的内容、可靠性和质量。方法:于2025年8月在YouTube上搜索英文“动态平衡练习”,共观看视频91段。这些视频根据内容特征和上传来源进行了分类。使用改进的DISCERN (mDISCERN)工具评估信息的可靠性,而通过全球质量量表(GQS)和JAMA基准标准评估视频质量。两名具有运动康复专业知识的物理治疗师独立审查了每个视频。在出现差异的情况下,由第三个独立评价者提供最后判断,以确保客观性。(ClinicalTrials.gov识别码NCT07117734)。结果:研究结果表明,在91个专注于动态平衡练习的运动视频中,69个(76%)被归类为有用的,而22个(24%)包含不准确的信息。mDISCERN、GQS和JAMA评分根据视频来源的不同表现出统计学上的显著差异(p = 0.001、p = 0.001和p = 0.001)。据观察,由医疗保健提供者上传的视频显示出更高的质量和可靠性。此外,线性回归分析显示,GQS、mDISCERN和JAMA评分与视频能力指数(VPI)之间没有显著关联。评估者间信度,采用Cohen's kappa评估,显示mDISCERN(0.503)、GQS(0.549)和JAMA(0.528)的一致性中等。结论:虽然大多数视频是有用的,但仍有一部分包含误导性信息。常用的指标如VPI和观看率并不一定反映内容的准确性。因此,关注视频创作者的资质或专业背景,可以帮助用户获得更高质量、更可靠的内容。
{"title":"Evaluating online video platforms for dynamic balance exercises: a focus on YouTube.","authors":"Ali Zorlular, Rabia Zorlular","doi":"10.1080/00913847.2025.2597183","DOIUrl":"10.1080/00913847.2025.2597183","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to evaluate the content, reliability and quality of YouTube® videos related to dynamic balance exercise training.</p><p><strong>Methods: </strong>'Dynamic balance exercises' was searched on YouTube in English in August 2025, and a total of 91 videos were watched. The videos were categorized based on their content features and source of upload. The reliability of the information was assessed using the modified DISCERN (mDISCERN) tool, while video quality was evaluated through the Global Quality Scale (GQS) and the JAMA benchmark criteria. Two physiotherapists with expertise in sports rehabilitation independently reviewed each video. In cases of discrepancy, a third independent evaluator provided the final judgment to ensure objectivity. (ClinicalTrials.gov Identifier NCT07117734).</p><p><strong>Results: </strong>The findings indicate that among the 91 exercise videos focusing on dynamic balance exercises, 69 (76%) were classified as useful, while 22 (24%) contained inaccurate information. mDISCERN, GQS and JAMA scores exhibited statistically significant differences based on the source of the video (<i>p</i> = 0.001, <i>p</i> = 0.001 and <i>p</i> = 0.001 respectively). It was observed that videos uploaded by healthcare providers demonstrated greater quality and reliability. Additionally, the linear regression analysis revealed no significant associations between the GQS, mDISCERN, and JAMA scores and the Video Power Index (VPI). Inter-rater reliability, assessed using Cohen's kappa, showed moderate agreement for mDISCERN (0.503), GQS (0.549), and JAMA (0.528).</p><p><strong>Conclusion: </strong>While the majority of videos were useful, a portion still contained misleading information. Commonly used metrics such as VPI and view ratio do not necessarily reflect content accuracy. Therefore, paying attention to the credentials or professional background of video creators may help users access higher-quality and more reliable content.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Physician and Sportsmedicine
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