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Changes in peak oxygen uptake (VO2peak) following renal transplant: Results after 3‐year follow‐up 肾移植后峰值摄氧量(VO2peak)的变化:3年随访后的结果
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.288
S. Angadi, Cody M. Bushroe, H. Chakkera
Peak oxygen uptake (VO2peak) is an important predictor of cardiovascular and all‐cause mortality in patients with renal disease. VO2peak worsens in patients with chronic renal disease and has been reported to improve in the short term (6‐month time period) following renal transplant. However, long‐term changes in VO2peak following renal transplant remain uncharacterized. We examined changes in VO2peak over ~3 years of follow‐up after renal transplant in 18 patients (age—56.2 ± 2.5 years, BMI—29.7 ± 6). VO2peak was quantified using a treadmill ramp test prior to and following renal transplantation. Subjects were classified as stable vs adverse responders based on changes in VO2peak on follow‐up. Relative VO2peak declined significantly from 15.2 ± 0.8 mL/kg/min to 12.2 ± 0.4 mL/kg/min (~20% reduction) in the entire cohort principally driven by reductions in the adverse response group (n = 10; pre—16.5 ± 1.1, post—11.9 ± 0.5 mL/kg/min) that had greater reductions in VO2peak compared with the stable group (n = 8; pre—13.7 ± 0.7, post—12.5 ± 0.7 mL/kg/min). There were significantly greater hospitalizations in the adverse response group as well. The trends demonstrated in our exploratory study of 18 patients need to be examined and validated in larger cohorts.
峰值摄氧量(VO2peak)是肾脏疾病患者心血管和全因死亡率的重要预测指标。VO2峰值在慢性肾脏疾病患者中恶化,据报道在肾移植后的短期(6个月)内有所改善。然而,肾移植后VO2峰值的长期变化仍不典型。我们检测了18名患者(年龄56.2±2.5岁,BMI 29.7±6)在肾移植后约3年的随访中VO2峰值的变化。在肾移植之前和之后,使用跑步机斜坡试验对VO2峰值进行量化。根据随访中VO2峰值的变化,将受试者分为稳定反应者和不良反应者。在整个队列中,相对VO2峰值从15.2±0.8 mL/kg/min显著下降到12.2±0.4 mL/kg/mn(下降约20%),主要是由于不良反应组(n=10;前-16.5±1.1,后-11.9±0.5 mL/kg/m)的减少,与稳定组(n=8;前-13.7±0.7,后-12.5±0.7 mL/kg/min.)相比,其VO2峰值的减少更大。不良反应组的住院人数也明显增加。在我们对18名患者的探索性研究中显示的趋势需要在更大的队列中进行检查和验证。
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引用次数: 0
Different training responses in elderly men and women following a prolonged muscle resistance training intervention 老年男性和女性在长期肌肉阻力训练干预后的不同训练反应
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.293
Anne Theil Gates, K. Mertz, Mads Bloch-Ibenfeldt, E. Garde, Maria Baekgaard, R. Svensson, M. Kjaer
Resistance training is an effective strategy to counteract the age‐related loss of muscle mass and strength in elderly, but whether the benefits of training differ between sexes is unclear. A total of 297 elderly men and women were randomized to 1 year of heavy resistance training (HRT) or control (CON). Changes in muscle function and body composition were compared between sexes and groups. Improvements in muscle strength, body fat, muscle mass and size were observed, but the absolute improvements in muscle strength (23 Nm ± 2.3 vs 11 Nm ± 2.2, P < .01) and visceral fat content (−215 g ± 50 vs −60 g ± 21, P < .01) were greater in men. Also, the relative decrease in body fat % (−6.8% ± 1.1 vs −2.7% ± 0.7, P < .05) and fat mass (−7.9% ± 1.4 vs −2.7% ± 1.0, P < .05) was more pronounced in men. Heavy resistance training improved more than CON in most muscular and body composition parameters with greater increase in muscle strength and decrease in body fat in men. Consequently, resistance training is recommendable to counteract age‐related losses of muscle mass and strength and to reduce body fat in elderly, however, with a small advantage for men in parameters that predict metabolic risk factors.
阻力训练是一种有效的策略,可以抵消老年人与年龄相关的肌肉质量和力量损失,但训练的益处是否因性别而异尚不清楚。共有297名老年男性和女性被随机分配到为期1年的高阻力训练(HRT)或对照组(CON)。比较不同性别和组间肌肉功能和身体成分的变化。观察到肌肉力量、体脂、肌肉质量和大小的改善,但男性肌肉力量(23 Nm±2.3 vs 11 Nm±2.2,P<0.01)和内脏脂肪含量(−215 g±50 vs−60 g±21,P<0.01)的绝对改善更大。此外,男性的体脂%(−6.8%±1.1 vs−2.7%±0.7,P<0.05)和脂肪量(−7.9%±1.4 vs−2.7%±1.0,P<.05)的相对下降更为明显。大阻力训练在大多数肌肉和身体成分参数上都比CON改善得更多,男性的肌肉力量增加得更多,体脂减少得更多。因此,建议进行阻力训练,以抵消与年龄相关的肌肉质量和力量损失,并减少老年人的体脂,然而,在预测代谢风险因素的参数方面,男性的优势很小。
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引用次数: 1
Quadriceps muscle size changes following exercise in anterior cruciate ligament reconstructed limbs: A systematic review 前交叉韧带重建肢体运动后四头肌大小的变化:系统回顾
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.290
B. Dutaillis, R. Timmins, T. Lathlean
Anterior cruciate ligament (ACL) injury and reconstructive surgery is known to cause long‐term negative impacts on quadriceps muscle size. With the known link between reduced muscle size and the health and functioning of the knee joint, it is important rehabilitation programs aim to restore quadriceps mass as safely and quickly as possible. However, a comprehensive review of interventions investigating the impact of training interventions on quadriceps muscle size in ACL‐reconstructed individuals has yet to be undertaken. Therefore, this article systematically reviews the evidence investigating training interventions that aim to improve quadriceps size in ACL‐reconstructed individuals. A literature search was performed in MEDLINE, SPORTDiscus, CINAHL, and Web of Science. Observational and experimental studies investigating training interventions impact on quadriceps muscle size in ACL‐reconstructed individuals were included. Risk‐of‐bias assessment (Downs and Black) was completed on included studies, data was extracted, and a best evidence synthesis was undertaken. 718 articles were returned in the initial search; following screening, six articles were included in this review. Results from the best evidence synthesis suggest there is moderate evidence for eccentrically biased training to increase quadriceps size. Both traditional resistance training and blood flow restriction training showed conflicting results for improving quadriceps size. However, the results for traditional resistance training and blood flow restriction training may have been limited by differing imaging methods across included studies. This review highlights the positive changes in quadriceps size seen following traditional, eccentrically biased and blood flow restriction exercise interventions in ACL‐reconstructed limbs, despite the limited number of studies. Further work is needed to identify and optimize the best practice for hypertrophic training in these individuals.
众所周知,前交叉韧带(ACL)损伤和重建手术会对股四头肌的大小产生长期的负面影响。众所周知,肌肉大小的减少与膝关节的健康和功能之间存在联系,因此,旨在安全、快速地恢复股四头肌质量的康复计划非常重要。然而,对前交叉韧带重建患者进行训练干预对股四头肌大小影响的综合评估尚未开展。因此,本文系统地回顾了旨在改善ACL重建患者股四头肌大小的训练干预的证据。在MEDLINE、SPORTDiscus、CINAHL和Web of Science中进行文献检索。观察性和实验性研究调查了训练干预对前交叉韧带重建个体股四头肌大小的影响。对纳入的研究完成了偏倚风险评估(Downs和Black),提取了数据,并进行了最佳证据合成。在最初的搜索中返回了718篇文章;经过筛选,本综述纳入了6篇文章。最佳证据综合的结果表明,有中度证据表明偏心训练可以增加股四头肌的大小。传统的阻力训练和血流限制训练在改善股四头肌大小方面显示出相互矛盾的结果。然而,传统阻力训练和血流限制训练的结果可能受到纳入研究中不同成像方法的限制。尽管研究数量有限,但这篇综述强调了在ACL重建肢体中,传统的、偏心的和血流限制运动干预后,股四头肌大小的积极变化。需要进一步的工作来确定和优化这些个体的肥厚训练的最佳实践。
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引用次数: 1
Neuromuscular training warm‐up in the prevention of overuse lower extremity injuries in children's football: A cluster‐randomized controlled trial 神经肌肉训练热身在预防儿童足球过度使用下肢损伤中的作用:一项随机对照试验
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.289
Matias Hilska, M. Leppänen, T. Vasankari, B. Clarsen, S. Aaltonen, R. Bahr, H. Haapasalo, J. Parkkari, P. Kannus, K. Pasanen
The objective of this study was to examine the effect of a neuromuscular training (NMT) warm‐up on the prevalence of overuse lower extremity (LE) injuries in children's football. Twenty Finnish U11‐U14 youth football clubs (n = 1409 players; females 280, males 1129; age range 9‐14) were randomized into intervention and control groups containing 10 clubs each (intervention: 44 teams, n = 676 players; control: 48 teams, n = 733 players). The intervention group performed a structured NMT warm‐up operated by team coaches for 20 weeks. The main outcome measure was the prevalence of football‐related overuse LE injuries and injuries were tracked via weekly text messages. The average weekly prevalence of overuse LE injuries was 11.6% (95% CI: 11.0%‐12.2%) in the intervention group and 11.3% (10.7%‐11.9%) in the control group. The most common anatomical locations were the knee (weekly prevalence 6.0% in the intervention group and 5.7% in the control group) and heel (2.4% and 2.6%). There was no difference in the prevalence of overuse LE injuries between the groups: odds ratio (OR) 1.01 (95% CI: 0.99‐1.03). In conclusion, NMT warm‐up was equal to standard practice warm‐up in preventing overuse LE injuries in children's football during a follow‐up of 20 weeks.
本研究的目的是研究神经肌肉训练(NMT)热身对儿童足球运动中下肢过度损伤发生率的影响。20个芬兰U11 - U14青少年足球俱乐部(n = 1409名球员;女性280人,男性1129人;年龄范围9 ~ 14岁)被随机分为干预组和对照组,每组10个俱乐部(干预组:44支球队,n = 676名球员;对照组:48支球队,n = 733名球员)。干预组在团队教练的指导下进行了为期20周的结构化NMT热身。主要结果测量是与足球相关的过度使用LE损伤的流行程度,并通过每周短信跟踪损伤情况。干预组的平均每周过度使用LE损伤发生率为11.6% (95% CI: 11.0%‐12.2%),对照组为11.3%(10.7%‐11.9%)。最常见的解剖位置是膝关节(干预组每周患病率为6.0%,对照组为5.7%)和脚跟(2.4%和2.6%)。两组间过度使用LE损伤的发生率无差异:优势比(OR) 1.01 (95% CI: 0.99‐1.03)。总之,在20周的随访期间,NMT热身与标准练习热身在防止儿童足球过度使用LE损伤方面是相同的。
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引用次数: 2
Pain medication use in youth athletes: A cross‐sectional study of 466 youth handball players 青少年运动员使用止痛药:对466名青少年手球运动员的横断面研究
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.295
Dilara Merve Sari, Julie Rønne Pedersen, J. Bloch Thorlund, Ulla Ramer Mikkelsen, M. Møller
The aim of this study was to determine the 4‐week prevalence of pain medication use in youth athletes, the type of medication used, the reasons for use, and from where the athletes obtained the medication. 466 handball players (aged 14‐18) were surveyed about their pain medication use within the preceding 4 weeks. The questionnaire consisted of 3 parts: type of pain medication used (if any; non‐steroidal anti‐inflammatory drugs (NSAIDs), acetaminophen/paracetamol, and acetylsalicylic acid (ASA)), the reasons for use, and from where it was obtained. 190 players (41% [95% CI 36%‐45%]) reported pain medication use within the last 4 weeks. Paracetamol was the most reported type (n = 157, 83% [95% CI 77%‐88%]), followed by NSAIDs (n = 98, 52% [95% CI 44%‐59%]); 67 reported “injury‐related reasons” for their use, and most participants reported to obtain the pain medication via “from home or bought over‐the‐counter (OTC)” (n = 167, 88% [95% CI 82%‐92%]). Pain medication use in youth handball players is common, particularly among female players, and a substantial proportion of the overall use is due to injury‐related reasons. The vast majority of the players got their pain medication from home or purchased it OTC. Further research is needed to comprehend these patterns of use, including the long‐term use.
本研究的目的是确定青年运动员使用止痛药的4周患病率、使用的药物类型、使用原因以及运动员从哪里获得药物。466名手球运动员(14-18岁)在过去4周内接受了止痛药使用情况的调查。问卷由3部分组成:使用的止痛药类型(如有;非甾体抗炎药(NSAIDs)、对乙酰氨基酚/扑热息痛和乙酰水杨酸(ASA))、使用原因以及从何处获得。190名球员(41%[95%CI 36%-45%])报告在过去4周内使用了止痛药。对乙酰氨基酚是报告最多的类型(n=157,83%[95%CI 77%-88%]),其次是非甾体抗炎药(n=98,52%[95%CI 44%-59%]);67名参与者报告了其使用的“伤害相关原因”,大多数参与者报告通过“在家或非处方药”获得止痛药(n=167,88%[95%CI 82%-92%])。青少年手球运动员使用止痛药的情况很常见,尤其是在女性球员中,总体使用中有很大一部分是由于受伤相关的原因。绝大多数球员都是从家里拿到止痛药,或者购买非处方药。需要进一步的研究来理解这些使用模式,包括长期使用。
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引用次数: 2
Musculoskeletal sports medicine injuries in special operations forces soldiers 特种作战部队士兵肌肉骨骼运动医学损伤
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.291
Marius Sartvin Lendal, M. Kjaer
Musculoskeletal injuries (MSI) normally related to sports occur to a large degree during physical activity in soldiers from special operations forces (SOF) and are the leading course for disability in military personnel. Efforts to prevent these injuries have been initiated through human performance optimization programs in several SOF´s. However, to provide the best conditions for the development of such strategies initially a comprehensive description of the injury epidemiology in this very unique population is required. Overall, studies indicate that more than half of SOF Operators—who have training amounts similar to elite athletes—experience one sports‐related injury per year, and the most common sites of injury are the shoulder, lumbar spine, and knee. Around half the injuries are acute, and the other 50% are chronic injuries. Although the type of injury is mapped, there is a lack of data regarding causes, mechanisms, and severity of injuries.
肌肉骨骼损伤(MSI)通常与运动有关,在很大程度上发生在特种作战部队(SOF)士兵的身体活动中,是军事人员残疾的主要原因。为了防止这些伤害,一些特种部队已经启动了人员性能优化项目。然而,为了提供最好的条件来发展这种策略,首先需要对这一非常独特的人群的损伤流行病学进行全面的描述。总的来说,研究表明,超过一半的特种作战人员(训练量与精英运动员相似)每年都会经历一次与运动相关的损伤,最常见的损伤部位是肩膀、腰椎和膝盖。大约一半的伤害是急性的,另外50%是慢性伤害。虽然损伤类型被绘制出来,但缺乏关于损伤的原因、机制和严重程度的数据。
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引用次数: 0
Effects of training load and non‐training stress on injury risk in collegiate ice hockey players 训练负荷和非训练压力对高校冰球运动员损伤风险的影响
Q3 SPORT SCIENCES Pub Date : 2021-11-01 DOI: 10.1002/tsm2.297
Christian K. W. Mustapich, M. Koehle
This prospective cohort study investigated the relationships between cumulative training loads measured in arbitrary units (AU), non‐training stress levels, and athletic injury risk in one team of male collegiate ice hockey players. Measures of athlete training load and non‐training stress were recorded each on‐ice session over one season. Daily load and stress sums were calculated for the two‐day and two‐week periods preceding each on‐ice session. Athletic injuries were also recorded, and odds ratio analyses were used to determine relationships between training load and injury risk, as well as non‐training stress and injury risk. Athletes who exerted training loads of 360 AU‐540 AU and of 540 AU‐1380 AU over 2 days experienced significantly greater odds of injury compared to athletes who exerted training loads <360 AU and <540 AU, respectively. This study concluded that as two‐day training load increases, so do the odds of injury in this sample. In an effort to reduce the odds of athletic injury, the monitoring of individual two‐day cumulative training load should be incorporated into the training programs of elite ice hockey players.
这项前瞻性队列研究调查了一组男性大学冰球运动员中以任意单位测量的累积训练负荷(AU)、非训练压力水平和运动损伤风险之间的关系。在一个赛季的每次冰上训练中,记录运动员训练负荷和非训练压力的测量结果。计算每次冰上训练前两天和两周的每日负荷和应力总和。还记录了运动损伤,并使用比值比分析来确定训练负荷和损伤风险之间的关系,以及非训练压力和损伤风险。与分别施加<360 AU和<540 AU训练负荷的运动员相比,在2天内施加360 AU‐540 AU和540 AU‐1380 AU训练载荷的运动员受伤的几率明显更高。这项研究得出的结论是,随着两天训练负荷的增加,该样本受伤的几率也会增加。为了降低运动损伤的几率,应将个人两天累计训练负荷的监测纳入精英冰球运动员的训练计划中。
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引用次数: 2
The effect of structured aerobic exercise on adherence, body mass index, hemoglobin A1c, and quality of life in type 1 and type 2 diabetes mellitus 有组织的有氧运动对1型和2型糖尿病患者的依从性、体重指数、血红蛋白A1c和生活质量的影响
Q3 SPORT SCIENCES Pub Date : 2021-10-28 DOI: 10.1002/tsm2.286
Max Golka, Mark Spiller, N. Schmidt, Anna Turnowsky, Martin Grauduszus, J. Matthes, C. Joisten
Cardiovascular mortality risk is significantly increased by inactivity. Nevertheless, most patients with diabetes fail to achieve the recommended amount of weekly physical activity. Thus, strategies to establish and maintain an active lifestyle are required.
不活动会显著增加心血管死亡风险。然而,大多数糖尿病患者未能达到建议的每周体育活动量。因此,需要制定和保持积极生活方式的策略。
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引用次数: 0
Association between training load, intensity, and overuse problems during pre‐season in Icelandic male handball 冰岛男子手球季前训练负荷、强度和过度使用问题之间的关系
Q3 SPORT SCIENCES Pub Date : 2021-10-21 DOI: 10.1002/tsm2.287
E. T. Rafnsson, G. Myklebust, Ö. Valdimarsson, A. Arnason
In this prospective cohort study, the aim was to examine any association between pre‐season training load and overuse problems (OP) in low back, knee, and shoulder in Icelandic elite male handball players. A total of 139 players participated, answering the OSTRC overuse questionnaire weekly during a 6‐week period. The training volume and intensity were registered by the coaches. The average weekly OP prevalence for shoulder was 40% (95% CI 36% to 44%), for knee 33% (95% CI 28% to 38%), and for low back 31% (95% CI 26% to 36%). Substantial overuse problems (SOP) were 14% (95% CI 11% to 17%) for shoulder, 11% (95% CI 10% to 12%) for knee, and 6% (95% CI 4% to 8%) for low back. The knee was most susceptible for OP with weekly number of training and training hours associated with OP and SOP. For individual training factors, running (OP; OR = 1.30, SOP; OR = 1.59), and shooting practice (OP; OR = 1.82, SOP; OR = 3.22) had the highest associations for knee problems. Jumping was associated with OP in low back (OR = 4.55). Handball players are most susceptible for OP in knees during their pre‐season. Every week, 30% participated with (SOP), affecting their performance and participation.
在这项前瞻性队列研究中,目的是研究冰岛优秀男子手球运动员季前训练负荷与腰背、膝盖和肩部过度使用问题(OP)之间的关系。总共有139名球员参与,在6周的时间里每周回答一次“过度使用问卷”。训练量和强度由教练员登记。肩关节的平均每周OP患病率为40% (95% CI 36% - 44%),膝关节为33% (95% CI 28% - 38%),腰背部为31% (95% CI 26% - 36%)。严重过度使用问题(SOP)肩部为14% (95% CI为11%至17%),膝关节为11% (95% CI为10%至12%),腰背部为6% (95% CI为4%至8%)。与OP和SOP相关的每周训练次数和训练时间,膝关节最容易发生OP。对于个人训练因素,跑步(OP;或= 1.30,sop;OR = 1.59)和射击练习(OP;Or = 1.82, sop;OR = 3.22)与膝关节问题的相关性最高。跳跃与下背部OP相关(OR = 4.55)。手球运动员在季前赛中最容易出现膝盖OP。每周有30%的员工参加SOP,影响了他们的工作表现和参与度。
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引用次数: 1
Prevalence and factors associated with low back pain in retired Great Britain’s Olympians: A cross‐sectional study 英国退役奥运会运动员腰痛的患病率及相关因素:一项横断面研究
Q3 SPORT SCIENCES Pub Date : 2021-10-06 DOI: 10.1002/tsm2.284
Dale J. Cooper, M. Batt, M. O’Hanlon, D. Palmer
This study determined the point prevalence and factors associated with low back pain (LBP) in retired Great Britain's (GB) Olympians. Six hundred and thirteen retired athletes completed a cross‐sectional survey. Prevalence of LBP (pain on most days in the past 4‐weeks) was 32.1%. LBP was associated with a prior significant low back injury [aOR 2.51; 95% CI, 1.60‐ 3.92, P < .001] and a change from a healthy to a high BMI [aOR 2.21; 95% CI, 1.46‐3.34, P < .001]. Fewer cases of LBP were reported in those with a moderate training volume [aOR 0.29; 95% CI, 0.18‐0.48, P < .001] and those aged 75 years and older [aOR 0.51; 95% CI, 0.29‐0.91, P = .022]. Chronic LBP (symptoms past ≥12‐weeks) was associated with a higher pain severity [aOR 1.18; 95% CI, 1.02‐1.37. P = .031], widespread pain [aOR 2.62; 95% CI, 1.15‐5.99, P = .022], anxiety (aOR 2.99; 95% CI, 1.14‐7.80, P = .025), and depression [aOR 2.47; 95% CI, 1.08‐5.63, P = .031]. LBP is common in retired GB Olympians. Chronic symptoms were associated with features of central sensitization and imply that different pain mechanisms are involved in those with persistent symptoms. Strategies to promote health among retired athletes should consider the importance of psychological factors in the management of back pain.
本研究确定了英国(GB)退役奥运会运动员腰痛(LBP)的点患病率和相关因素。613名退役运动员完成了一项横断面调查。腰痛(过去4周内大部分时间疼痛)的患病率为32.1%。腰痛与先前显著的腰背部损伤相关[aOR 2.51;95% CI, 1.60‐3.92,P < .001]和从健康到高BMI的变化[aOR 2.21;95% ci, 1.46‐3.34,p < 0.001]。中等训练量的患者报告的LBP病例较少[aOR 0.29;95% CI, 0.18‐0.48,P < .001]和75岁及以上患者[aOR 0.51;95% ci, 0.29‐0.91,p = 0.022]。慢性腰痛(症状持续≥12周)与较高的疼痛严重程度相关[aOR 1.18;95% ci, 1.02‐1.37。P = 0.031],广泛性疼痛[aOR 2.62;(95% CI, 1.15‐5.99,P = 0.022),焦虑(aOR 2.99;95% CI, 1.14‐7.80,P = 0.025)和抑郁[aOR 2.47;95% ci, 1.08‐5.63,p = 0.031]。LBP在退役的英国奥运选手中很常见。慢性症状与中枢致敏的特征相关,这意味着持续症状涉及不同的疼痛机制。促进退役运动员健康的策略应考虑心理因素在背痛管理中的重要性。
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引用次数: 0
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Translational sports medicine
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