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Q3 Medicine Pub Date : 2021-07-01 DOI: 10.1002/tsm2.268
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引用次数: 0
The effects of knee and hip joint angles on patellar tendon loading during quadriceps neuromuscular electrical stimulation 膝关节和髋关节角度对股四头肌神经肌肉电刺激过程中髌腱负荷的影响
Q3 Medicine Pub Date : 2021-06-07 DOI: 10.1002/tsm2.260
J. Cavalcante, R. C. Marqueti, P. Corrigan, Alessandra Martins Melo Sousa, M. Bottaro, N. Babault, J. M. Geremia, K. Silbernagel, J. Durigan
Quadriceps neuromuscular electrical stimulation (NMES) may stimulate patellar tendon remodeling and recovery, but it is unclear if hip and knee joint angles during NMES affect patellar tendon loading. Therefore, the purpose of this study was to evaluate the effects of hip and knee joint angles on patellar tendon properties during quadriceps NMES. Twenty healthy men performed quadriceps NMES in supine with 60º of knee flexion (SUP60), seated with 60º of knee flexion (SIT60), supine with 20º of knee flexion (SUP20), and seated with 20º of knee flexion (SIT20). Patellar tendon mechanical and material properties were determined during maximum quadriceps evoked contraction. Patellar tendon force, stress, and stiffness were greater for SUP60 and SIT60 compared to SUP20 and SIT20. Young's modulus was greater for SUP60 and SIT60 compared to SIT20. Tendon elongation, strain, resting length, and average CSA were not different between conditions. In conclusion, during quadriceps NMES, the patellar tendon is loaded more when the knee is flexed to 60º compared to 20º. These findings suggest that clinicians should favor 60º of knee flexion over 20º during NMES when the goal is to load the patellar tendon. Further research is needed to determine optimal positioning for maximal patellar tendon loading.
股四头肌神经肌肉电刺激(NMES)可能刺激髌腱重建和恢复,但尚不清楚NMES期间髋关节和膝关节角度是否影响髌腱负荷。因此,本研究的目的是评估髋关节和膝关节角度对股四头肌NMES过程中髌腱特性的影响。20名健康男性在仰卧位进行了股四头肌NMES,膝关节屈曲60º(SUP60),坐位进行了膝关节屈曲60º(SIT60),仰卧位进行膝关节屈曲20º(SUP20),坐座进行膝关节弯曲20º(SIT20)。在股四头肌引起的最大收缩过程中测定髌腱的力学和材料特性。与SUP20和SIT20相比,SUP60和SIT60的髌腱力、应力和刚度更大。与SIT20相比,SUP60和SIT60的杨氏模量更大。肌腱伸长率、应变、静止长度和平均CSA在不同条件下没有差异。总之,在股四头肌NMES过程中,当膝盖弯曲到60º时,髌腱的负荷比20º时更大。这些发现表明,当目标是加载髌腱时,临床医生应该在NMES期间支持60º的膝关节屈曲而不是20º。需要进一步的研究来确定最大髌腱负荷的最佳位置。
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引用次数: 4
Plantar pressure analysis: Identifying risk of foot and ankle injury in soccer players 足底压力分析:确定足球运动员足部和踝关节损伤的风险
Q3 Medicine Pub Date : 2021-05-24 DOI: 10.1002/tsm2.253
Anne-Laure Ménard, M. Begon, Justin Barrette, Benjamin A Green, L. Ballaz, M. Nault
The aim of this study was to determine whether risk factors for foot or ankle injuries could be identified using quantitative foot measurements. Male and female soccer players of all levels from 9 to 40 years old were included in this cross‐sectional study. Soccer history, foot and ankle function and injury history were investigated. Foot symmetry, length and arch height flexibility and plantar pressure captured with a mat were measured. All variables showing a significant correlation (P ≤ .05) and the presence of at least one foot or ankle injury were integrated into a multivariate logistic regression model using forward stepwise selection. We recruited 277 players (196 males), and 79 participants had sustained at least one foot or ankle soccer‐related injury. The significant variables were as follows: age, gender, pressure on the lateral heel and on the fourth and fifth metatarsals. Based on the model, the area under the ROC curve was 81.2%. To achieve a specificity of 80%, the corresponding sensitivity was 72.2%. Plantar pressure measurements can objectively assess foot alignment. Increased pressure on the lateral heel and fourth and fifth metatarsal cavovarus foot type represent a risk factor for foot and ankle injuries in soccer. Level of evidence: IV.
这项研究的目的是确定是否可以通过定量的足部测量来确定足部或脚踝受伤的风险因素。这项横断面研究包括9至40岁的各级男女足球运动员。调查足球史、足踝功能及损伤史。测量了用垫子捕捉的足部对称性、长度和足弓高度灵活性以及足底压力。所有显示出显著相关性(P≤.05)的变量和至少一次足部或脚踝损伤的存在都被整合到一个使用正向逐步选择的多变量逻辑回归模型中。我们招募了277名球员(196名男性),79名参与者至少有一只脚或脚踝因足球受伤。显著变量如下:年龄、性别、外侧足跟以及第四和第五跖骨的压力。基于该模型,ROC曲线下的面积为81.2%。为了达到80%的特异性,相应的灵敏度为72.2%。足底压力测量可以客观地评估足部对齐。在足球比赛中,外侧足跟和第四和第五跖骨腔足型的压力增加是脚部和脚踝受伤的风险因素。证据级别:四。
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引用次数: 4
The effect of fear of reinjury on joint power distribution during a drop countermovement jump two years after an Achilles tendon rupture 在跟腱断裂两年后,担心再次受伤对跌落反动作跳跃中关节力量分配的影响
Q3 Medicine Pub Date : 2021-05-19 DOI: 10.1002/tsm2.261
U. Jónsdóttir, K. Briem, R. Tranberg, A. Brorsson
The incidence of Achilles tendon rupture (ATR) is increasing and at least 20% do not return to preinjury activity. The aim of the study was to evaluate biomechanical differences between those assigned to a Fear group and No‐Fear group based on fear of reinjury during activity after ATR, by evaluating a drop countermovement jump. Twenty‐five participants were evaluated 23.5 months after ATR. Peak values for eccentric and concentric joint power were identified for ankles, knees, and hips. Participants were assigned to Fear group or No‐Fear group depending on their answers to a question regarding fear of reinjury during activities. Interlimb peak power was compared between groups for landing and push‐off with a mixed model ANOVA. Compared to the No‐fear group, the Fear group presented significant decreased power in the ankle (P < .001) but increased power in the knee (P < .001) in involved limb during both phases. A 3‐way interaction was found between group, side, and phase for frontal plane hip power (P < .001). Our findings indicate that those who are afraid of reinjury demonstrate higher interlimb differences compared to those who are not. They also compensate for ankle deficits with greater knee and hip power.
跟腱断裂(ATR)的发生率正在增加,至少20%的患者不能恢复损伤前的活动。该研究的目的是通过评估一次跌落反动作跳跃,来评估恐惧组和无恐惧组在ATR后活动中对再损伤的恐惧程度的生物力学差异。25名参与者在ATR后23.5个月进行评估。踝关节、膝关节和髋关节的偏心和同心关节力量峰值被确定。参与者被分配到恐惧组或无恐惧组,这取决于他们在活动中对再次受伤的恐惧的回答。用混合模型方差分析比较两组间着陆和推离的肢间峰值功率。与无恐惧组相比,恐惧组在两个阶段中踝关节的力量显著降低(P < 0.001),但膝关节的力量增加(P < 0.001)。正面髋关节功率在组、侧位和相位之间存在3向相互作用(P < 0.001)。我们的研究结果表明,那些害怕再受伤的人与那些不害怕再受伤的人相比,表现出更高的肢间差异。他们也用更大的膝盖和臀部力量来弥补脚踝的缺陷。
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引用次数: 1
Eucapnic voluntary hyperpnea challenge can support management of exercise‐induced bronchoconstriction in elite swimmers 优觉性自主呼吸亢进挑战可以支持优秀游泳运动员运动诱导的支气管收缩的管理
Q3 Medicine Pub Date : 2021-05-08 DOI: 10.1002/tsm2.258
W. Gowers, G. Evans, Jane Carré, Matt Ashman, A. Jackson, J. Hopker, J. Dickinson
This study investigated the use of eucapnic voluntary hyperpnea (EVH) to monitor efficacy of pharmacological therapy in elite swimmers with exercise‐induced bronchoconstriction (EIB). Secondly, it evaluated the long‐term test‐retest repeatability of EVH in this population.
本研究探讨了运动诱导支气管缩窄(EIB)的优秀游泳运动员,使用主动呼吸亢进(EVH)来监测药物治疗的疗效。其次,它评估了EVH在该人群中的长期检测-再检测的可重复性。
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引用次数: 4
Comparisons of countermovement jump force profiles in youth athletes 青年运动员反动作跳跃力分布的比较
Q3 Medicine Pub Date : 2021-05-08 DOI: 10.1002/tsm2.257
Zachary M. Gillen, M. McHugh, Marni E. Shoemaker, J. Cramer
The purposes of this study were to determine whether countermovement jump (CMJ) force profiles differ for jumps in which peak force occurred at the low position of the countermovement (LP) compared to jumps in which peak force did not occur at the low position of the countermovement (NLP), and compare relationships among CMJ and isokinetic metrics between groups. Thirty‐nine male and female youth athletes between 9‐ and 17‐year‐old participated. Participants completed CMJs and isokinetic knee extensions from 60 to 300°·s−1. Ground reaction forces were collected during CMJs to quantify unweighting, braking, propulsive, and performance metrics. Torque and power were quantified during all isokinetic knee extensions. Forty‐one percent of participants had LP force profiles, while 59% of participants had NLP force profiles. The LP group had more efficient unweighting and braking phase metrics than the NLP group, while the NLP group had greater isokinetic torque and power, and greater relationships between CMJ and isokinetic metrics, than the LP group. CMJs from the LP group represent more biomechanically efficient jumps than CMJs from the NLP group. Additionally, the NLP group may be more reliant on concentric force production during the CMJ, while the LP group may have more efficient storage and utilization of elastic energy.
本研究的目的是确定峰值力发生在反向运动(LP)的低位的跳跃与峰值力不发生在反向移动(NLP)的低位处的跳跃相比,反向运动跳跃(CMJ)力分布是否不同,并比较各组之间CMJ和等速指标之间的关系。39名9岁至17岁的男女青年运动员参加了比赛。参与者完成了60°至300°·s−1的CMJ和等速膝关节伸展。在CMJ期间收集地面反作用力,以量化未称重、制动、推进和性能指标。在所有等速膝关节伸展过程中对扭矩和功率进行量化。41%的参与者具有LP力谱,而59%的参与者具有NLP力谱。LP组比NLP组有更有效的未加权和制动阶段指标,而NLP组比LP组有更大的等速扭矩和功率,CMJ和等速指标之间的关系也更大。LP组的CMJ比NLP组的CMJs表现出更有效的生物力学跳跃。此外,在CMJ期间,NLP组可能更依赖于同心力的产生,而LP组可能具有更有效的弹性能量的存储和利用。
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引用次数: 4
A retrospective analysis of injury risk in physical education teacher education students between 2000‐2014 2000-2004年体育师范生伤害风险的回顾性分析
Q3 Medicine Pub Date : 2021-05-04 DOI: 10.1002/tsm2.256
M. Barendrecht, C. Barten, B. Smits-Engelsman, W. Mechelen, E. Verhagen
To identify primary target groups for injury prevention in physical education teacher education (PETE) students, risk differences between subgroups by sex and curriculum years were compared in a retrospective cohort study (2000‐2014). Injuries recorded by healthcare professionals at the medical facility of a Dutch PETE college were used to calculate overall, intra‐ and extracurricular injury prevalence per sex, curriculum years, and semesters and to compare these by logistic regression analyses. Of 1083 PETE students, 599 (55.3%) reported at least one injury during their curriculum (60.0% intracurricular). Female students had a higher risk for overall (OR 2.29, 95%CI 1.77‐2.96) and for intracurricular injuries (OR 3.12, 95%CI 2.41‐4.03), but not for extracurricular injuries. Compared to the freshman year, injury risk dropped during the consecutive years (OR 0.56, 95%CI 0.46‐0.67; OR 0.33, 95%CI 0.27‐0.41; OR 0.04, 95%CI 0.03‐0.07, respectively). The first semesters of the freshman and second year showed higher injury prevalence compared to two out of three consecutive semesters (P < .006). Primary target groups for injury preventive measures are freshman and female PETE students. Factors contributing to the predominantly higher intracurricular injury risks, most notably in female students, need to be investigated in prospective cohort studies, regardless of sex.
为了确定体育教师教育(PETE)学生伤害预防的主要目标群体,在一项回顾性队列研究(2000-2014)中比较了按性别和课程年限划分的亚组之间的风险差异。荷兰皮特学院医疗机构的医疗专业人员记录的伤害被用于计算每个性别、课程年限和学期的总体、校内和课外伤害发生率,并通过逻辑回归分析进行比较。在1083名PETE学生中,599名(55.3%)报告在课程中至少有一次受伤(60.0%为校内受伤)。女生的总体风险(OR 2.29,95%CI 1.77‐2.96)和心内损伤风险(OR 3.12,95%CI 2.41‐4.03)较高,但课外损伤风险不高。与大一相比,受伤风险在连续几年下降(OR分别为0.56,95%CI 0.46‐0.67;OR分别为0.33,95%CI 0.27‐0.41;OR分别是0.04,95%CI 0.03‐0.07)。与连续三个学期中的两个相比,大一和大二的第一个学期显示出更高的伤害发生率(P<.006)。伤害预防措施的主要目标群体是大一和女性PETE学生。无论性别如何,都需要在前瞻性队列研究中调查导致主要较高的囊内损伤风险的因素,尤其是在女学生中。
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引用次数: 2
In vitro evaluation of the response of human tendon-derived stromal cells to a novel electrospun suture for tendon repair. 体外评价人肌腱源性基质细胞对新型电纺丝肌腱修复缝线的反应。
Q3 Medicine Pub Date : 2021-05-01 DOI: 10.1002/tsm2.233
Andrey Nezhentsev, Roxanna E Abhari, Mathew J Baldwin, Jolet Y Mimpen, Edyta Augustyniak, Mark Isaacs, Pierre-Alexis Mouthuy, Andrew J Carr, Sarah J B Snelling

Recurrent tears after surgical tendon repair remain common. Repair failures can be partly attributed to the use of sutures not designed for the tendon cellular niche nor for the promotion of repair processes. Synthetic electrospun materials can mechanically support the tendon whilst providing topographical cues that regulate cell behaviour. Here, a novel electrospun suture made from twisted polydioxanone (PDO) polymer filaments is compared to PDS II, a clinically-used PDO suture currently utilised in tendon repair. We evaluated the ability of these sutures to support the attachment and proliferation of human tendon-derived stromal cells using PrestoBlue and Scanning Electron Microscopy. Suture surface chemistry was analysed using X-ray Photoelectron Spectroscopy. Bulk RNA-Seq interrogated the transcriptional response of primary tendon-derived stromal cells to sutures after 14 days. Electrospun suture showed increased initial cell attachment and a stronger transcriptional response compared to PDS II, with relative enrichment of pathways including mTorc1 signalling and depletion of epithelial mesenchymal transition. Neither suture induced transcriptional upregulation of inflammatory pathways compared to baseline. Twisted electrospun sutures therefore show promise in improving outcomes in surgical tendon repair by allowing increased cell attachment whilst maintaining an appropriate tissue response.

肌腱修复手术后复发性撕裂仍然很常见。修复失败可部分归因于使用的缝合线不是为肌腱细胞生态位设计的,也不是为了促进修复过程。合成静电纺丝材料可以机械地支撑肌腱,同时提供调节细胞行为的地形线索。本文将一种由扭曲聚二氧环酮(PDO)聚合物细丝制成的新型电纺丝缝合线与PDS II进行比较,PDS II是目前用于肌腱修复的临床使用的PDO缝合线。我们使用PrestoBlue和扫描电镜评估了这些缝合线支持人肌腱源性基质细胞附着和增殖的能力。用x射线光电子能谱分析缝合线表面化学性质。Bulk RNA-Seq询问了14天后原代肌腱源性基质细胞对缝合线的转录反应。与PDS II相比,电纺丝缝合显示出初始细胞附着增加和更强的转录反应,包括mTorc1信号通路的相对富集和上皮间质转化的缺失。与基线相比,两组缝合均未诱导炎症通路的转录上调。因此,通过增加细胞附着,同时保持适当的组织反应,扭曲电纺线在外科肌腱修复中显示出改善结果的希望。
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引用次数: 7
Dual vs single force plate analysis of human drop jumping 人跌落跳跃的双力板与单力板分析
Q3 Medicine Pub Date : 2021-05-01 DOI: 10.1002/tsm2.255
S. Jørgensen, J. Bojsen-Møller, Thue Skalgard, H. B. Olsen, P. Aagaard
The aim was to develop a Drop Jump (DJ) protocol on dual force plate recordings (Dual Force Plate method: DFPM) to assess lower limb power production and quantify impact loading, and range of body center of mass (BCM) excursion during human DJ, and to examine if single‐plate analysis (Reverse Integration Method: RIM) was a valid alternative. Nineteen male subjects performed DJs from an elevated platform (48 cm). Kinematic (BCM displacement and velocity, rebound jump height) and kinetic (BCM power, work, rate of force development (RFD), lower limb stiffness (LLS)) variables were obtained by force plate recording during the drop take‐off phase (DFPM) and rebound phase (RIM, DFPM). DFPM and RIM did not differ at the group level for any outcome parameter. However, large intra‐individual differences in BCM displacement were observed between DFPM and RIM (CV 9‐10%) as well as for rebound jump height, LLS, and work performed on BCM (CV 9.8‐14%). A majority of the remaining variables demonstrated low intra‐individual variability between the two methods (r= 0.73‐0.96, CV 1‐5%). In conclusion, No systematic differences were revealed between DFPM and RIM, suggesting that RIM is a valid approach for assessing DJ performance. Substantial between‐method intra‐individual variability was noted for key outcome parameters.
目的是在双力板记录(双力板法:DFPM)上开发一种Drop - Jump (DJ)协议,以评估人类DJ期间下肢力量产生和量化冲击负荷,以及身体重心(BCM)偏移范围,并检查单板分析(反向积分法:RIM)是否是一种有效的替代方案。19名男性受试者在一个升高的平台(48厘米)上表演dj。在起落阶段(DFPM)和反弹阶段(RIM, DFPM),通过力板记录获得了运动学(BCM位移和速度,回跳高度)和动力学(BCM功率,功,力发展率(RFD),下肢刚度(LLS))变量。DFPM和RIM在组水平上没有任何结果参数的差异。然而,在DFPM和RIM之间观察到BCM位移的巨大个体内差异(CV 9‐10%),以及反弹跳跃高度、LLS和BCM工作(CV 9.8‐14%)。其余大多数变量在两种方法之间表现出较低的个体内变异性(r= 0.73 - 0.96, CV为1 - 5%)。综上所述,DFPM和RIM之间没有系统性差异,表明RIM是评估DJ表现的有效方法。关键结果参数存在显著的方法间个体差异性。
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引用次数: 2
Issue Information 问题信息
Q3 Medicine Pub Date : 2021-05-01 DOI: 10.1002/tsm2.259
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引用次数: 0
期刊
Translational sports medicine
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