Pub Date : 2021-10-31DOI: 10.23937/2469-5718/1510202
Muonwe Chidile, Nwobi Samuel Chidiebere, Alumona Chiedozie James, Okeke Chukwuebuka, Nwanne Chiamaka Ann, Nwosu Ifeoma Blessing, Amaechi Ifeoma Adaigwe, Okonkwo Christian Arinze, Umeonwuka Ogochukwu, Ekediegwu Ezinne Chika, Akobundu Uzoamaka Nwakaego, Maduagwu Stanley M
Background: Weightlifters are prone to musculoskeletal injury. However, studies on the prevalence and pattern of musculoskeletal injuries among weightlifters in Nigeria are not available. Therefore, this study investigated the prevalence and pattern of musculoskeletal injury among recreational weightlifters in Nnewi, Nigeria and explored the association between the prevalence of injury and sociodemographic, and training characteristic variables. Method: Ninety-one recreational weightlifters participated in this cross-sectional survey. An adapted, content-validated and pilot-tested self-administered questionnaire which captured information on participants’ socio-demographics, training characteristics, injury prevalence and patterns during weightlifting in the past 6 months was used. Data were summarized using descriptive statistics and analyzed using Chi-square with alpha level at 0.05. Results: The prevalence of musculoskeletal injury was 47.3% and the most injured body part was the shoulder (41.8%). There was significant association between the prevalence of injury and lack of supervision (p = 0.01), and between the prevalence of injury and training multiple times a day (p = 0.03). Conclusion: Musculoskeletal injury is quite prevalent among recreational weightlifters with the shoulder being the most injured body parts. Training multiple times a day and lack of supervision were associated with the prevalence of injury.
{"title":"Prevalence and Pattern of Musculoskeletal Injuries among Recreational Wightlifters in Nnewi, Nigeria","authors":"Muonwe Chidile, Nwobi Samuel Chidiebere, Alumona Chiedozie James, Okeke Chukwuebuka, Nwanne Chiamaka Ann, Nwosu Ifeoma Blessing, Amaechi Ifeoma Adaigwe, Okonkwo Christian Arinze, Umeonwuka Ogochukwu, Ekediegwu Ezinne Chika, Akobundu Uzoamaka Nwakaego, Maduagwu Stanley M","doi":"10.23937/2469-5718/1510202","DOIUrl":"https://doi.org/10.23937/2469-5718/1510202","url":null,"abstract":"Background: Weightlifters are prone to musculoskeletal injury. However, studies on the prevalence and pattern of musculoskeletal injuries among weightlifters in Nigeria are not available. Therefore, this study investigated the prevalence and pattern of musculoskeletal injury among recreational weightlifters in Nnewi, Nigeria and explored the association between the prevalence of injury and sociodemographic, and training characteristic variables. Method: Ninety-one recreational weightlifters participated in this cross-sectional survey. An adapted, content-validated and pilot-tested self-administered questionnaire which captured information on participants’ socio-demographics, training characteristics, injury prevalence and patterns during weightlifting in the past 6 months was used. Data were summarized using descriptive statistics and analyzed using Chi-square with alpha level at 0.05. Results: The prevalence of musculoskeletal injury was 47.3% and the most injured body part was the shoulder (41.8%). There was significant association between the prevalence of injury and lack of supervision (p = 0.01), and between the prevalence of injury and training multiple times a day (p = 0.03). Conclusion: Musculoskeletal injury is quite prevalent among recreational weightlifters with the shoulder being the most injured body parts. Training multiple times a day and lack of supervision were associated with the prevalence of injury.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88020114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.23937/2469-5718/1510201
Kahraman Yeliz
Objectives: Postural muscle force leads to a increase in functional movement and associated ability of strength. The author examined changes in shoulder and humerus strength, maximum isometric joint angular degree force after functional upper strength training in volleyball players. They evaluated isometric joint angular force degree as predictors of functional strength. Materials and methods: Twenty four participant (average to 19.03 ± 1.54 age) were randomized to a 4-wk upper compartment functional strength program or control group. Results: Functional strength group increased significantly (p < 0.05) for all angular strength. Compared with controls, to functional strength led to greater at 45° angular strength (p = 0.011) dominant hand, non-dominant hand angular strength (p = 0.001), greater 90° angular strength (p = 0.014) dominant hand, non-dominant hand angular strength (p = 0.001). Shoulder and humerus muscle-tendon isometric strength were good predictors of functional strength. Conclusion: The authors concluded functional strength training in strength development is a important factor for shoulder-humerus postural force and a key target for upper compartment functional interventions.
{"title":"Progressive Upper Compartment Functional Strength Training on Postural Muscle Force: In Volleyball Players","authors":"Kahraman Yeliz","doi":"10.23937/2469-5718/1510201","DOIUrl":"https://doi.org/10.23937/2469-5718/1510201","url":null,"abstract":"Objectives: Postural muscle force leads to a increase in functional movement and associated ability of strength. The author examined changes in shoulder and humerus strength, maximum isometric joint angular degree force after functional upper strength training in volleyball players. They evaluated isometric joint angular force degree as predictors of functional strength. Materials and methods: Twenty four participant (average to 19.03 ± 1.54 age) were randomized to a 4-wk upper compartment functional strength program or control group. Results: Functional strength group increased significantly (p < 0.05) for all angular strength. Compared with controls, to functional strength led to greater at 45° angular strength (p = 0.011) dominant hand, non-dominant hand angular strength (p = 0.001), greater 90° angular strength (p = 0.014) dominant hand, non-dominant hand angular strength (p = 0.001). Shoulder and humerus muscle-tendon isometric strength were good predictors of functional strength. Conclusion: The authors concluded functional strength training in strength development is a important factor for shoulder-humerus postural force and a key target for upper compartment functional interventions.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80498105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.23937/2469-5718/1510203
Kyriakides Jonathon, K. Aria, K. Rahul
Serum Creatinine Kinase (CK) is used as a diagnostic and prognostic marker in rhabdomyolysis. We present 32-year-old male with exertional rhabdomyolysis following a spin cycling class, with a peak serum CK level of 332,200 U/L. He was admitted for intravenous fluid therapy and then followed-up in the outpatient setting; renal function remained stable throughout. We review the literatures and explain why a combination of patient and environmental factors are important in the pathogenesis of exertional rhabdomyolysis. Despite a markedly elevated level of serum CK, and a correlation between serum CK and the risk of renal dysfunction being well-documented in the literature, normal renal function was noted in our case throughout. Although there is no clear consensus as to whether an elevated serum CK in the absence of renal failure warrants inpatient management, we propose that there could be a cohort of patients who could be managed in the outpatient setting with follow-up.
{"title":"Exertional Rhabdomyolysis: A Case Report of an Exceptionally Elevated Serum Creatine Kinase (CK) Level","authors":"Kyriakides Jonathon, K. Aria, K. Rahul","doi":"10.23937/2469-5718/1510203","DOIUrl":"https://doi.org/10.23937/2469-5718/1510203","url":null,"abstract":"Serum Creatinine Kinase (CK) is used as a diagnostic and prognostic marker in rhabdomyolysis. We present 32-year-old male with exertional rhabdomyolysis following a spin cycling class, with a peak serum CK level of 332,200 U/L. He was admitted for intravenous fluid therapy and then followed-up in the outpatient setting; renal function remained stable throughout. We review the literatures and explain why a combination of patient and environmental factors are important in the pathogenesis of exertional rhabdomyolysis. Despite a markedly elevated level of serum CK, and a correlation between serum CK and the risk of renal dysfunction being well-documented in the literature, normal renal function was noted in our case throughout. Although there is no clear consensus as to whether an elevated serum CK in the absence of renal failure warrants inpatient management, we propose that there could be a cohort of patients who could be managed in the outpatient setting with follow-up.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86883846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
High Intensity Interval Training (HIIT) has become a mainstream, frequently investigated form of exercise training and has been used as a modality for physical activity in cancer patients. The objective of this study was to determine the feasibility of advanced Non-Small Cell Lung Cancer (NSCLC) patients performing a program of HIIT. To our knowledge, this is the first study to investigate a HIIT program for these patients. Ten participants were recruited for this study. Five were controls and five were in the intervention group. The HIIT program took place twice a week for six weeks. Measurements of physical fitness were determined at baseline and six weeks (six-minute walk test, musculoskeletal tests and a balance test). HIIT was performed on an ergocycle. Training consisted of a five-minute warm up, followed by repeated intervals of 10 seconds of high intensity and 60 seconds of low intensity, ending with a three-minute cool down. Rating of Perceived Exertion (RPE) was measured using the Borg scale. During HIIT, participants progressed in the number of intervals performed. Intensity as measured in watts more than doubled during the program. The RPE did not significantly change. Advanced NSCLC patients are able to do HIIT. They show progression in intensity and number of intervals. RPE was maintained, suggesting that participants were capable of maintaining an elevated exercise intensity at every training session. Results show that HIIT produces physiological improvements. Thus, HIIT is feasible and is well received as a training modality by advanced NSCLC patients. It is safe with good compliance, and more interestingly demonstrated muscle power improvement in a short six-week period of intervention.
{"title":"Feasibility of a Six Week High Intensity Interval Training Program in Patients with Non- Small Cell Lung Cancer: A Randomized Pilot Study","authors":"Walsh Emily, Hajj-Boutros Guy, Bastarache Guillaume, Faust Andréa, Comtois Alain-Steve","doi":"10.23937/2469-5718/1510200","DOIUrl":"https://doi.org/10.23937/2469-5718/1510200","url":null,"abstract":"High Intensity Interval Training (HIIT) has become a mainstream, frequently investigated form of exercise training and has been used as a modality for physical activity in cancer patients. The objective of this study was to determine the feasibility of advanced Non-Small Cell Lung Cancer (NSCLC) patients performing a program of HIIT. To our knowledge, this is the first study to investigate a HIIT program for these patients. Ten participants were recruited for this study. Five were controls and five were in the intervention group. The HIIT program took place twice a week for six weeks. Measurements of physical fitness were determined at baseline and six weeks (six-minute walk test, musculoskeletal tests and a balance test). HIIT was performed on an ergocycle. Training consisted of a five-minute warm up, followed by repeated intervals of 10 seconds of high intensity and 60 seconds of low intensity, ending with a three-minute cool down. Rating of Perceived Exertion (RPE) was measured using the Borg scale. During HIIT, participants progressed in the number of intervals performed. Intensity as measured in watts more than doubled during the program. The RPE did not significantly change. Advanced NSCLC patients are able to do HIIT. They show progression in intensity and number of intervals. RPE was maintained, suggesting that participants were capable of maintaining an elevated exercise intensity at every training session. Results show that HIIT produces physiological improvements. Thus, HIIT is feasible and is well received as a training modality by advanced NSCLC patients. It is safe with good compliance, and more interestingly demonstrated muscle power improvement in a short six-week period of intervention.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78034568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-05DOI: 10.23937/2469-5718/1510193
Allen Thomas Wesley
The first rib is well situated to be fully protected from external trauma as it is surrounded by soft tissue, muscles, and bony structures. It is rarely fractured by external trauma. However, two reports of non-traumatic first rib fractures have recently been reported: One in a basketball player and the other in a cheerleader. We present a third case of a non-traumatic first rib fracture, one that occurred in a collegiate wrestler secondary to cervical muscle contraction.
{"title":"Non-Traumatic First Rib Fracture in University Wrestler","authors":"Allen Thomas Wesley","doi":"10.23937/2469-5718/1510193","DOIUrl":"https://doi.org/10.23937/2469-5718/1510193","url":null,"abstract":"The first rib is well situated to be fully protected from external trauma as it is surrounded by soft tissue, muscles, and bony structures. It is rarely fractured by external trauma. However, two reports of non-traumatic first rib fractures have recently been reported: One in a basketball player and the other in a cheerleader. We present a third case of a non-traumatic first rib fracture, one that occurred in a collegiate wrestler secondary to cervical muscle contraction.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87233778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-05DOI: 10.23937/2469-5718/1510192
Silva Caio Augusto de Ávila, Monteiro Gabriel Dias, Freitas Gustavo Pereira, Oliveira João Vitor Coppola, Abdalla Douglas Reis
{"title":"Influence of Physical Activity in Patients with Prostate Cancer Undergoing Radiotherapy and/or Hormonal Deprivation Therapy: Integrative Literature Review","authors":"Silva Caio Augusto de Ávila, Monteiro Gabriel Dias, Freitas Gustavo Pereira, Oliveira João Vitor Coppola, Abdalla Douglas Reis","doi":"10.23937/2469-5718/1510192","DOIUrl":"https://doi.org/10.23937/2469-5718/1510192","url":null,"abstract":"","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87058162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.23937/2469-5718/1510199
L. Stowers, J. R. Fernández
Background: Previous research has shown that following a structured training plan can result in significant changes in body composition in elite football players. However, the effect on body composition changes after athletes complete the same training plan remotely with limited resources needs further investigation. Aim: The purpose of this study is to determine if body composition changes in collegiate football players differ after training remotely during COVID-19 quarantine compared to training on campus during a routine off-season training period. Methods: This study was conducted as a secondary analysis of routine data collection in a southeastern collegiate athletic department. Body composition data was collected during off-season training in two separate groups of collegiate football players. Group 1 data was collected before and after the COVID-19 quarantine forced athletes to replicate their training remotely. Group 2 data was collected before and after a typical off-season training program on campus. Changes in body composition over the training period were calculated for each group and analyzed for statistical differences. Results: Anova was used to analyze the changes in weight, body fat, muscle mass, and BMI changes between groups. Results showed a significant change in muscle mass between groups 1 and 2 (F = 2.53, p = 0.0012). Conclusion: These results suggest that training remotely may not be as effective in building muscle mass when compared to traditional on campus training. Additionally, on campus resources such as coaches, support staff, nutrition, and community training may influence training results.
背景:先前的研究表明,遵循结构化的训练计划可以导致精英足球运动员身体成分的显著变化。然而,在资源有限的情况下,运动员远程完成相同的训练计划对身体成分变化的影响还需要进一步研究。目的:本研究的目的是确定大学橄榄球运动员在COVID-19隔离期间远程训练后的身体成分变化与常规休赛期校园训练相比是否有所不同。方法:本研究对东南某大学体育系的日常资料收集进行二次分析。在休赛期训练期间收集了两组独立的大学橄榄球运动员的身体成分数据。第一组数据是在COVID-19隔离迫使运动员远程复制训练之前和之后收集的。第二组的数据是在一个典型的校园淡季训练项目之前和之后收集的。计算各组在训练期间身体成分的变化,并分析统计差异。结果:采用方差分析分析组间体重、体脂、肌肉质量和BMI变化。结果显示,1组和2组肌肉质量变化显著(F = 2.53, p = 0.0012)。结论:这些结果表明,与传统的校园训练相比,远程训练在增强肌肉质量方面可能没有那么有效。此外,校园资源,如教练、支持人员、营养和社区培训可能会影响培训结果。
{"title":"The Effect of Remote Training during Covid-19 Quarantine on Body Composition Changes in Collegiate Football Players","authors":"L. Stowers, J. R. Fernández","doi":"10.23937/2469-5718/1510199","DOIUrl":"https://doi.org/10.23937/2469-5718/1510199","url":null,"abstract":"Background: Previous research has shown that following a structured training plan can result in significant changes in body composition in elite football players. However, the effect on body composition changes after athletes complete the same training plan remotely with limited resources needs further investigation. Aim: The purpose of this study is to determine if body composition changes in collegiate football players differ after training remotely during COVID-19 quarantine compared to training on campus during a routine off-season training period. Methods: This study was conducted as a secondary analysis of routine data collection in a southeastern collegiate athletic department. Body composition data was collected during off-season training in two separate groups of collegiate football players. Group 1 data was collected before and after the COVID-19 quarantine forced athletes to replicate their training remotely. Group 2 data was collected before and after a typical off-season training program on campus. Changes in body composition over the training period were calculated for each group and analyzed for statistical differences. Results: Anova was used to analyze the changes in weight, body fat, muscle mass, and BMI changes between groups. Results showed a significant change in muscle mass between groups 1 and 2 (F = 2.53, p = 0.0012). Conclusion: These results suggest that training remotely may not be as effective in building muscle mass when compared to traditional on campus training. Additionally, on campus resources such as coaches, support staff, nutrition, and community training may influence training results.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84507202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Are called concurrent training programs that combine strength training and aerobic endurance in the same training session. This study aimed to verify the behavior of blood pressure during and after a training session competitor. We studied 10 subjects aged 30.8 ± 12.8 (19 to 53 years) (4 hypertensive and normotensive 6) of both genders (5 men and 5 women). The statistical analysis was performed using software (Primer for Windows, version 4.0.0.0, McGraw-Hill, USA) using paired t-test, giving the significance level of p < 0.05 for SBP and DBP. The results obtained in this study indicate HPE for 60 minutes when performed concurrent training in question and suggests a reduction in BP similar to aerobic training, but with a slightly greater reduction in DBP.
称为并行训练计划,将力量训练和有氧耐力训练结合在一起。本研究旨在验证运动员训练期间和训练后的血压变化。我们研究了10例年龄30.8±12.8(19 ~ 53岁)的男女(5男5女),其中高血压4例,正常6例。统计学分析采用Primer for Windows, version 4.0.0.0, McGraw-Hill, USA)软件,采用配对t检验,收缩压和舒张压的显著性水平p < 0.05。本研究获得的结果表明,当进行相关的同时训练时,HPE持续60分钟,并且表明血压的降低与有氧训练相似,但舒张压的降低略大。
{"title":"Analysis of Blood Pressure after and of Exercise Training Competitor","authors":"Rubem Machado Filho, Leonardo Amado Sohr Cardoso, Fábio de Albuquerque Gonçalves","doi":"10.23937/2469-5718/1510198","DOIUrl":"https://doi.org/10.23937/2469-5718/1510198","url":null,"abstract":"Are called concurrent training programs that combine strength training and aerobic endurance in the same training session. This study aimed to verify the behavior of blood pressure during and after a training session competitor. We studied 10 subjects aged 30.8 ± 12.8 (19 to 53 years) (4 hypertensive and normotensive 6) of both genders (5 men and 5 women). The statistical analysis was performed using software (Primer for Windows, version 4.0.0.0, McGraw-Hill, USA) using paired t-test, giving the significance level of p < 0.05 for SBP and DBP. The results obtained in this study indicate HPE for 60 minutes when performed concurrent training in question and suggests a reduction in BP similar to aerobic training, but with a slightly greater reduction in DBP.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87312655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.23937/2469-5718/1510196
R. Edward, Cracchiolo Allison, Keating Patrick, Hefferan Kate, Chaoyang Chen, Lemos Stephen
Background: The competency in orthopaedic surgery and sports medicine has been reported as a deficiency. Sports medicine clinical rotations may improve both medical students’ and residents’ musculoskeletal knowledge, but none have evaluated the knowledge and skills a resident may gain during the rotation in sports medicine. Objective: The purpose of this study is to determine (1) The knowledge gained by residents at varying levels after rotating within our sports medicine program and (2) The performance of residents in a standardized sports medicine test at the start and end of each resident’s rotation in sports medicine. Methods: Total of 136 residents and fellows participated in this study following the Model Curriculum and Guidelines for Orthopaedic Surgery Sports Medicine Fellowship Training created by the American Orthopaedic Society for Sports Medicine Accreditation Council of Graduate Medical Education. Multiple modalities training program were administered, including clinical rotation, laboratory research project, covering professional sport team training, and conference presentation. Their performances were assessed and compared by preand post-rotation tests with statistical analysis to determine the improvement of their orthopaedic knowledge. Results: The residents at the fifth of Post-Graduate-Year (PGY 5) scored the highest followed by fellows. PGY5 had the lowest percent change between preand post-test. PGY 2 and PGY3 residents scored the lowest overall while having the largest percent change before and after the rotation thereby showing the most improvement. Conclusions: Multiple modalities training program improved residents and fellows’ performance and knowledge in sports medicine. Introduction The musculoskeletal complaint is one of the most common reasons for visiting a physician and accounts for 92.1 million cases annually [1] with approximately 30% of visits to primary care physicians and 20% of visits to the Emergency Department (ED) [2,3]. Despite the prevalence of musculoskeletal disorders, competency in musculoskeletal medicine including sports medicine has still been reported as a deficiency in medical education in the USA [4-9]. This deficiency is well documented through studies at both the undergraduate and graduate medical education levels [7,8,10-12]. This deficiency is noted even among orthopedic surgery residents [12]. Residents have failed to demonstrate basic competency in musculoskeletal medicine, revealing medical school preparation regarding this topic is inadequate. Because of this deficiency of knowledge and skills at all levels of medical education, more than half of residents did not feel they had adequate training in musculoskeletal medicine [13]. It has been reported that sports medicine clinical rotations improve both medical students’ and residents’ musculoskeletal knowledge [7,14-17] but none have tried to evaluate the knowledge and skills a resident may gain during his/her rotation in sports medicine.
{"title":"Evaluation of Educational Advancement following a Sports Medicine Rotation","authors":"R. Edward, Cracchiolo Allison, Keating Patrick, Hefferan Kate, Chaoyang Chen, Lemos Stephen","doi":"10.23937/2469-5718/1510196","DOIUrl":"https://doi.org/10.23937/2469-5718/1510196","url":null,"abstract":"Background: The competency in orthopaedic surgery and sports medicine has been reported as a deficiency. Sports medicine clinical rotations may improve both medical students’ and residents’ musculoskeletal knowledge, but none have evaluated the knowledge and skills a resident may gain during the rotation in sports medicine. Objective: The purpose of this study is to determine (1) The knowledge gained by residents at varying levels after rotating within our sports medicine program and (2) The performance of residents in a standardized sports medicine test at the start and end of each resident’s rotation in sports medicine. Methods: Total of 136 residents and fellows participated in this study following the Model Curriculum and Guidelines for Orthopaedic Surgery Sports Medicine Fellowship Training created by the American Orthopaedic Society for Sports Medicine Accreditation Council of Graduate Medical Education. Multiple modalities training program were administered, including clinical rotation, laboratory research project, covering professional sport team training, and conference presentation. Their performances were assessed and compared by preand post-rotation tests with statistical analysis to determine the improvement of their orthopaedic knowledge. Results: The residents at the fifth of Post-Graduate-Year (PGY 5) scored the highest followed by fellows. PGY5 had the lowest percent change between preand post-test. PGY 2 and PGY3 residents scored the lowest overall while having the largest percent change before and after the rotation thereby showing the most improvement. Conclusions: Multiple modalities training program improved residents and fellows’ performance and knowledge in sports medicine. Introduction The musculoskeletal complaint is one of the most common reasons for visiting a physician and accounts for 92.1 million cases annually [1] with approximately 30% of visits to primary care physicians and 20% of visits to the Emergency Department (ED) [2,3]. Despite the prevalence of musculoskeletal disorders, competency in musculoskeletal medicine including sports medicine has still been reported as a deficiency in medical education in the USA [4-9]. This deficiency is well documented through studies at both the undergraduate and graduate medical education levels [7,8,10-12]. This deficiency is noted even among orthopedic surgery residents [12]. Residents have failed to demonstrate basic competency in musculoskeletal medicine, revealing medical school preparation regarding this topic is inadequate. Because of this deficiency of knowledge and skills at all levels of medical education, more than half of residents did not feel they had adequate training in musculoskeletal medicine [13]. It has been reported that sports medicine clinical rotations improve both medical students’ and residents’ musculoskeletal knowledge [7,14-17] but none have tried to evaluate the knowledge and skills a resident may gain during his/her rotation in sports medicine.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82621734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.23937/2469-5718/1510189
Hasley Ike B., Gruner Marc P., Soma David B., Sellon Jacob L.
Clay shoveler’s fracture is an avulsion fracture of the lower cervical or upper thoracic spinous processes. This injury can be seen in trauma and sports-related activity, and usually responds to rest from painful activity. Patients with persistent pain may be treated with surgical excision of the avulsion fragment. We describe the case of a 14 year-old competitive swimmer whose desire to return to sport after failed initial treatment led to pursuit of an ultrasound-guided anesthetic/corticosteroid injection of the avulsion fracture interval. This led to rapid symptom relief and return to sport. Such an injection may be useful for diagnostic and potentially therapeutic purposes prior to surgical excision in the cases of delayed union or non-union clay shoveler’s fractures.
{"title":"Persistent Pain after Clay Shoveler's Fracture Delayed Union: The Role for Ultrasound-Guided Corticosteroid Injection","authors":"Hasley Ike B., Gruner Marc P., Soma David B., Sellon Jacob L.","doi":"10.23937/2469-5718/1510189","DOIUrl":"https://doi.org/10.23937/2469-5718/1510189","url":null,"abstract":"Clay shoveler’s fracture is an avulsion fracture of the lower cervical or upper thoracic spinous processes. This injury can be seen in trauma and sports-related activity, and usually responds to rest from painful activity. Patients with persistent pain may be treated with surgical excision of the avulsion fragment. We describe the case of a 14 year-old competitive swimmer whose desire to return to sport after failed initial treatment led to pursuit of an ultrasound-guided anesthetic/corticosteroid injection of the avulsion fracture interval. This led to rapid symptom relief and return to sport. Such an injection may be useful for diagnostic and potentially therapeutic purposes prior to surgical excision in the cases of delayed union or non-union clay shoveler’s fractures.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87793233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}