Medical management of musculoskeletal pain in professional wheelchair basketball players: an evidence-based guide.

IF 1.5 Q4 CLINICAL NEUROLOGY
Pain management Pub Date : 2025-10-01 Epub Date: 2025-08-18 DOI:10.1080/17581869.2025.2549242
Giacomo Farì, Danilo Donati, Roberto Tedeschi, Scheila Bellito, Giuseppe Palaia, Marco Filipponi, Giuseppe Rollo, Francesco Quarta, Andrea Bernetti
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引用次数: 0

Abstract

Wheelchair basketball (WB) has evolved from a recreational activity to an internationally recognized sport. It is useful in enhancing psychophysical well-being in athletes with disabilities. However, WB professional players' medical management, especially regarding musculoskeletal pain (MSP), poses unique challenges and the related scientific literature still seems fragmentary. An extensive review of the PubMed, Cochrane, and Embase databases was performed to identify the available evidence regarding the medical management of WB players MSP. It emerges that WB players often face musculoskeletal injuries due to repetitive movements and game-specific actions. The management of these injuries requires a multidisciplinary approach. Firstly, the use of pharmacological treatments like Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) is common, though care must be taken to comply with World Anti-Doping Agency (WADA) regulations. Then, preventive strategies, including tailored rehabilitation and strength conditioning, are essential. Moreover, the use of dietary supplements, while popular for enhancing recovery and performance, carries risks, particularly contamination with prohibited substances. Therefore, medical staff must exercise caution when recommending supplements. Finally, this review highlights that WB players' MSP management requires balancing effective treatment with adherence to anti-doping rules, limiting the use of traditional drugs where possible and improving the clinical application of non-pharmacological treatments, such as physical and rehabilitation medicine approaches.

专业轮椅篮球运动员肌肉骨骼疼痛的医学管理:循证指南。
轮椅篮球已经从一项娱乐活动发展成为一项国际公认的运动。它有助于提高残疾运动员的身心健康。然而,WB职业球员的医疗管理,特别是关于肌肉骨骼疼痛(MSP),提出了独特的挑战,相关的科学文献似乎仍然是零碎的。我们对PubMed、Cochrane和Embase数据库进行了广泛的回顾,以确定有关WB球员MSP医疗管理的现有证据。由于重复的动作和特定的游戏动作,WB玩家经常面临肌肉骨骼损伤。这些损伤的处理需要多学科的方法。首先,使用非甾体抗炎药(NSAIDs)等药物治疗是常见的,但必须注意遵守世界反兴奋剂机构(WADA)的规定。然后,预防策略,包括量身定制的康复和力量调节,是必不可少的。此外,膳食补充剂的使用虽然在增强恢复和表现方面很受欢迎,但也存在风险,特别是被禁用物质污染。因此,医务人员在推荐补充剂时必须谨慎。最后,本综述强调,运动员的MSP管理需要在有效治疗和遵守反兴奋剂规则之间取得平衡,在可能的情况下限制传统药物的使用,并改善非药物治疗的临床应用,如物理和康复医学方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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