Clinical Journal of Sport Medicine最新文献

{"title":"Plyometric Training in Musculoskeletal Disorders: A Scoping Review.","authors":"Simone Ballerini, Alessandro Schneebeli, Karl New","doi":"10.1097/JSM.0000000000001375","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001375","url":null,"abstract":"<p><strong>Objective: </strong>Plyometric training (PT) uses the stretch-shortening cycle to enhance force production, commonly used in athletic training and increasingly explored in musculoskeletal (MSK) rehabilitation. However, consensus on its efficacy in MSK rehabilitation remains elusive. The aim of this scoping review is to synthesize current evidence and identify research gaps.</p><p><strong>Data sources: </strong>A systematic search was conducted until July 2023 using the Population-Concept-Context model through EMBASE, Medline (PubMed), Cochrane Central, CINHAL, Scopus, PEDro, and SportDiscus. A 5-step scoping review model was used, including defining the research question, identifying and selecting relevant studies, data synthesis, and reporting. Two authors independently screened titles and full texts. Data extraction categorized studies for analysis. The Preferred Reporting Items for Systematic Reviews guidelines ensured methodological transparency.</p><p><strong>Main results: </strong>The search yielded 25 relevant studies out of 4069 potentially eligible ones, including 16 primary studies, 5 reviews, and 4 clinical commentaries. Positive outcomes were noted in primary studies addressing lower and upper extremity MSK issues through supervised interventions. Reviews highlighted PT's efficacy in conditions such as shoulder multidirectional instability, anterior cruciate ligament (ACL) reconstruction, and ankle sprains. However, 1 study reported no significant benefits from PT in ACL injury rehabilitation.</p><p><strong>Conclusions: </strong>This review indicates potential benefits of PT in MSK disorder rehabilitation, while highlighting the need for methodologically rigorous primary research.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influences of Age, Sex, and Heart Rate on Corrected QT Interval Values Calculated by Using Bazett and Fridericia Formulas in Children and Young Adolescent Athletes.","authors":"Uxua Idiazabal-Ayesa, Fernando de la Guía-Galipienso, María Sanz-de la Garza, Robinson Ramírez-Vélez, Patricia Martínez-Olorón, Diego Reyero-Díez, Fabian Sanchis-Gomar","doi":"10.1097/JSM.0000000000001374","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001374","url":null,"abstract":"<p><strong>Objective: </strong>To analyze QT characteristics in children and adolescent athletes (11-16 years) using the Bazett and Fridericia formulas and compare the results by age, sex, and heart rate (HR).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Sports federations in the Spanish autonomous community of La Rioja.</p><p><strong>Participants: </strong>3672 federated athletes aged 11 to 16 years.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measures: </strong>We analyzed the 12-lead resting ECGs performed as part of the baseline screening program of sports federations. Mean corrected QT (QTc) values and percentiles were calculated using the Bazett (QTcB = QT/RR1/2) and Fridericia formulas (QTcF = QT/RR1/3). These values were compared according to age, sex, and HR.</p><p><strong>Results: </strong>Most athletes (99%) showed a normal QTc. Only four adolescent boys had values above 460 ms (with Bazett >455 ms) using the Fridericia formula. One athlete had a significantly prolonged QTc with both formulas. Using the Bazett formula, significant differences in QTc were observed by sex (longer in adolescent girls), age (longer in 11-12 year olds), and HR (increases with higher HR). Still, with the Fridericia formula, no significant differences were observed in this age group, but differences were observed by sex. For HR, substantial differences were observed when comparing the 60 to 90 bpm range with the low and high intervals, with no differences found between bradycardia and tachycardia subgroups.</p><p><strong>Conclusions: </strong>Our study shows that using the Bazett and Fridericia formula to measure QTc is recommended for cardiovascular screening in young athletic populations. The values obtained can serve as a reference for the early detection of long QT syndrome in ECGs performed in this population.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports Medicine Physicians' Comfort and Confidence in Caring for Adaptive Athletes: A Mixed-Methods Exploratory Study.","authors":"Victoria Heasley, Melinda Earnest-Stanley, Chalee Engelhard, Annie Haley, Taryn Johnson, Wei-Wen Hsu, Renee Loftspring","doi":"10.1097/JSM.0000000000001372","DOIUrl":"10.1097/JSM.0000000000001372","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to explore the perceived ability of sports medicine physicians to effectively treat and manage the preventative and rehabilitative care of adaptive athletes.</p><p><strong>Design: </strong>Exploratory mixed-methods, survey-based study.</p><p><strong>Setting: </strong>Online, United States.</p><p><strong>Participants: </strong>The survey was conducted using a sample of 2728 physicians. A total of 286 responded to the invitation and the response rate was 10% (286 of 2728). One hundred thirty (45.5%) of 286 physicians completed the survey.</p><p><strong>Interventions: </strong>Survey.</p><p><strong>Main outcome measures: </strong>Knowledge of adaptive athlete care and perceived confidence.</p><p><strong>Results: </strong>Most respondents were willing to accept adaptive athletes into their clinical practice, and there were no significant associations between their willingness and if (χ 2 = 5.487, P = 0.139) or at what point (χ 2 = 4.463, P = 0.878) they received education about adaptive athletes. Those who received education about adaptive athletes during training reported feeling moderately to very confident in caring for adaptive athletes in an outpatient setting (χ 2 = 36.906, P < 0.001). When considering the areas of knowledge lacking to appropriately manage a competitive adaptive athlete, multiple areas named as deficits were identified. Themes centered on increasing hands-on experience, understanding of the adaptive athlete's disability and its impact on participation in adaptive sports, the physical demand of adaptive sports, and equipment.</p><p><strong>Conclusions: </strong>Our results indicate that most physicians are willing to accept adaptive athletes into their practice; however, they acknowledge more education and training is needed to feel comfortable and confident when working with this population. Further educational interventions are needed to ensure equitable care for adaptive athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of the Subjective Evaluation of Patient Biomechanics and Motor Control During an Anterior Cruciate Ligament Return-to-Sport Assessment.","authors":"Michael G Doran, Tyler D Bolley, Jessica A Kellum, Darlene Yao, Carol A Janney, John A Grant","doi":"10.1097/JSM.0000000000001376","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001376","url":null,"abstract":"<p><strong>Objective: </strong>To determine the inter- and intrarater reliability of physical therapists and athletic trainers to rate the subjective biomechanical and motor control risk factors exhibited by patients undergoing a structured postoperative anterior cruciate ligament (ACL) return-to-sport (RTS) assessment.</p><p><strong>Design: </strong>Interrater and intrarater reliability.</p><p><strong>Setting: </strong>University sports medicine clinic.</p><p><strong>Patients: </strong>Thirty adult patients with ACL reconstruction who underwent a standardized ACL RTS assessment.</p><p><strong>Intervention: </strong>Video data demonstrating the performance of the ACL RTS assessments were distributed to 4 skilled raters. The limb performance of each test was evaluated for hip/pelvic stability, knee flexion, varus/valgus, shock absorption, trunk stability, power, and body control on a 3-point scale. For each patient, the scores (1-3) for each subjective component were added to attain a total subjective score for each of the 17 tests.</p><p><strong>Main outcome measures: </strong>Total scores for each of the tests were used to calculate interrater and intrarater reliability for all 4 raters.</p><p><strong>Results: </strong>Most of the tests demonstrated substantial agreement across the 4 raters with interclass coefficients ranging from 0.61 to 0.77. The posteromedial and posterolateral components of the Y Balance test had lower coefficients (0.57-0.61). Although the leg press had near perfect agreement (0.81-0.86), hamstrings and hip abduction strength had moderate agreement (0.33-0.68).</p><p><strong>Conclusions: </strong>This study has demonstrated the substantial agreement of a subjective rating system to evaluate the biomechanical and motor control risk patterns of patients after ACL reconstruction undergoing a standardized return-to-sport assessment. Multiple raters were able to substantially agree on the patients' risk profile across 14 of the 17 different tests of physical function. Further work is required to improve the interrater reliability of the Y balance test and hamstrings/hip strength evaluations.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strength and Flexibility Self-Assessment and Subsequent Training Injuries Among Runners of the New York City Marathon.","authors":"Brett G Toresdahl, Polly De Mille, Jamie Egbert, Pamela Geisel, Jordan D Metzl, Mark A Fontana","doi":"10.1097/JSM.0000000000001370","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001370","url":null,"abstract":"<p><strong>Objective: </strong>To identify strength and flexibility measures that are associated with the risk of running-related overuse injuries.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Setting: </strong>Secondary analysis of a previously reported cohort of runners.</p><p><strong>Participants: </strong>Runners registered for the 2019 New York City Marathon.</p><p><strong>Independent variables: </strong>Participants were asked to complete a baseline strength and flexibility self-assessment 16 weeks before the marathon date.</p><p><strong>Main outcome measure: </strong>Participants were asked to respond to surveys on running-related injuries occurring within 4-week \"training quarters\" at 16, 8, 4, and 1 week(s) before the marathon date.</p><p><strong>Results: </strong>Of the n = 867 runners included in our final analytic sample, 36.1% sustained a running-related overuse injury while preparing for the marathon. The only significant difference in odds and/or hazard of injury was found in the single-leg glute bridge test. Participants who reported that they could hold a single-leg glute bridge on their weaker side for 20 to 29 seconds had 64% lower risk of running-related overuse injury (aHR: 0.36; 95% CI, 0.18-0.72; P = 0.0036) than those who could only hold for 0 to 9 seconds on their weaker side. In addition, participants who reported that they could hold a single-leg glute bridge on their weaker side for 30 seconds or more had 49% lower risk of running-related overuse injury (aHR: 0.51; 95% CI, 0.29-0.92; P = 0.0245).</p><p><strong>Conclusions: </strong>Strength training programs, particularly targeting hip abductors and related muscle groups, may provide benefits for distance runners, though more rigorous research is needed.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Surgery to Sports Career: The Long-Term Fate of Athletes With Discoid Meniscus.","authors":"Tunay Erden, Muzaffer Agir, Jotyar Ali, Berkin Toker, Omer Taser","doi":"10.1097/JSM.0000000000001369","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001369","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the long-term effectiveness of different surgical techniques for discoid meniscus in athletes.</p><p><strong>Design: </strong>This retrospective cohort study included 44 athletes (51 knees) who underwent arthroscopic surgery for symptomatic discoid meniscus between 1996 and 2019.</p><p><strong>Setting: </strong>The study was conducted at a tertiary-level sports medicine center.</p><p><strong>Patients: </strong>Athletes aged 15 to 35 years with symptomatic discoid meniscus confirmed by magnetic resonance imaging and requiring surgical treatment were included. Exclusion criteria were cartilage injuries (Outerbridge grades 3-4), concomitant ligament injuries requiring surgery, osteochondritis dissecans, and prior knee surgery.</p><p><strong>Interventions: </strong>Patients underwent arthroscopic partial, subtotal, or total meniscectomy, with or without meniscus repair.</p><p><strong>Main outcome measures: </strong>Functional outcomes were assessed using Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lysholm scores. Osteoarthritis progression was evaluated using the Kellgren-Lawrence classification. Return to sports time and total career duration were also recorded and compared between the surgical groups.</p><p><strong>Results: </strong>The mean follow-up was 13.5 ± 6.2 years (range: 5-27 years). At the final follow-up, 72% of the meniscus-preserving group (partial meniscectomy and repair) had KL grade 0 osteoarthritis, whereas 38% of the subtotal/total meniscectomy group developed KL grades 3 to 4 osteoarthritis (P < 0.001). All groups showed significant postoperative functional improvements (P < 0.001), but career duration and return to play time were significantly longer in the meniscus-preserving group (P = 0.004, P < 0.001, respectively).</p><p><strong>Conclusions: </strong>Subtotal/total meniscectomy significantly accelerates osteoarthritis progression. Meniscus-preserving techniques provide better long-term outcomes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Squatting Biomechanics After Femoroacetabular Impingement Surgery: A Systematic Review and Meta-analysis.","authors":"Talissa O Generoso, Alexandre R M Pelegrinelli, Felipe F Gonzalez, Lucas V Pallone, Renato Locks, Eliane C Guadagnin, Jorge Chahla, Jonathan A Gustafson, Leonardo Metsavaht, Gustavo Leporace","doi":"10.1097/JSM.0000000000001371","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001371","url":null,"abstract":"<p><strong>Objective: </strong>Femoroacetabular impingement syndrome (FAIS) is a prevalent cause of hip pain, characterized by distinctive motion patterns. However, the impact of surgical intervention on squatting biomechanics remains underexplored. This review aims to evaluate the effects of surgical treatment on biomechanical outcomes during squatting in patients with FAIS.</p><p><strong>Data sources: </strong>A comprehensive search was conducted across multiple databases following PRISMA guidelines (Prospero registration number CRD42023473974). Data of longitudinal, prospective/retrospective cohorts, case-control, and clinical trial studies with 3-dimensional motion analysis describing kinematics and/or kinetics for any joint during squatting in patients with FAIS comparing presurgical to postsurgical biomechanical data on the same patients were included. Quality assessment was performed using MINORS criteria. Both qualitative and quantitative analyses were performed.</p><p><strong>Main results: </strong>Six studies met the inclusion criteria for qualitative review and 5 were suitable for meta-analysis. The overall quality of the studies was moderate based on MINORS criteria. The postsurgical motion analysis was performed between 6 and 32 months postoperatively. Although most studies reported no significant changes in kinematic or kinetic variables postsurgery, individual studies reported specific increases in squat depth, pelvic sagittal range of motion, anterior pelvic tilt, hip and knee flexion, and ankle dorsiflexion angles. Meta-analysis revealed no significant differences in the kinematic parameters analyzed.</p><p><strong>Conclusions: </strong>These findings underscore the multifaceted nature of FAIS, suggesting that bone deformities alone do not account for the biomechanical limitations observed during squatting in these patients. This highlights the need for further biomechanical investigations.</p><p><strong>Level of evidence: </strong>Systematic Review of Level II-III studies.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex and Sport-Specific Differences on Baseline Concussion Balance Test Performance in Division-I Collegiate Athletes.","authors":"Carolina P Quintana, Nathan Morelli, Morgan L Andrews, Madison A Kelly, Nicholas R Heebner, Matthew C Hoch","doi":"10.1097/JSM.0000000000001368","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001368","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify factors affecting baseline performance in collegiate athletes using the Concussion Balance Test (COBALT©).</p><p><strong>Design: </strong>Cross-sectional study design.</p><p><strong>Setting: </strong>Sports medicine research laboratory.</p><p><strong>Participants: </strong>NCAA Division-I collegiate athletes (n = 127; 77 male, 50 female).</p><p><strong>Independent variables: </strong>Sport, sex, history of concussion, and time since last concussion.</p><p><strong>Main outcome measures: </strong>Postural sway and the number of errors across 4 COBALT conditions.</p><p><strong>Results: </strong>Significant differences in postural sway and errors were observed based on sex. Female athletes demonstrated higher postural sway (0.34 degrees/s; P < 0.001) and more errors (1.69 errors; P < 0.001) on Condition 7 than male athletes. Concussion history and time since last concussion had no significant effect on postural sway or errors (P > 0.05). Differences between sports were identified, with cheerleaders demonstrating more errors than football players (Conditions 3, 7, 8; errors; P < 0.05) and soccer players (Conditions 3, 7, 8; P < 0.05), and soccer athletes demonstrating more errors than football players on Condition 7 (1.47 errors; P < 0.05).</p><p><strong>Conclusions: </strong>Our findings suggest that the COBALT is a useful tool for measuring balance performance, offering insights into baseline performance that may influence concussion management. Differences in performance based on sex and sport, but not concussion history, were observed, highlighting the importance of considering individual factors when interpreting baseline test results.</p><p><strong>Clinical relevance: </strong>Based on the data presented and results of this investigation, clinicians should consider an athlete's sex, sport, and concussion history when interpreting COBALT performance at baseline. Further research is needed to explore the impact of these factors on postinjury performance.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasciotomy for Chronic Exertional Compartment Syndrome of the Deep Posterior Lower Leg Compartment: A Prospective Study.","authors":"Chris van den Heuvel-Weiss, Sari Goossens, Loes Janssen, Percy van Eerten, Rob de Bie, Marc Scheltinga","doi":"10.1097/JSM.0000000000001298","DOIUrl":"10.1097/JSM.0000000000001298","url":null,"abstract":"<p><strong>Objective: </strong>Patients with lower leg deep posterior chronic exertional compartment syndrome (dp-CECS) experience exercise-induced calf pain and tightness. Retrospective studies suggest that outcome after a fasciotomy is suboptimal. This prospective case series determined success rates of a fasciotomy and identified factors predicting outcome.</p><p><strong>Design: </strong>Severity and intensity of pain and tightness were scored at baseline (BL) and 3 and 12 months postoperatively (follow-up [FU]3, FU12). Outcome measures were symptoms, return to sports, and patient-reported success.</p><p><strong>Patients: </strong>Data of patients with dp-CECS (n = 74, 51% males, age 28 ± 12 years) operated between 2013 and 2022 in a single center were analyzed.</p><p><strong>Results: </strong>Pain scores during rest and during exercise were greatly attenuated (rest BL: 8 ± 1, FU3: 4 ± 1, FU12: 3 ± 0; exercise BL: 20 ± 1, FU3: 8 ± 1, FU12: 8 ± 1; both P < 0.001). At FU3, rates of success and return to sports were 56% and 63%, respectively. At FU12, success was maintained in 48% and 80% had returned to sports. Length of symptom duration and not opening the flexor hallucis compartment were related to a lower chance of return to sports ( P < 0.05).</p><p><strong>Conclusions: </strong>Outcome after a fasciotomy for lower leg dp-CECS is successful in approximately half of patients. Long duration of symptoms and not opening the flexor hallucis compartment are risk factors for failure.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"252-258"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports Medicine Physician Confidence in Concussion Assessments for Postconcussion Return-to-Play Decisions.","authors":"Jacob J Miller, Kelsey Hansen, Jason Dorman, Katie Jensen, Aarabhi Gurumoorthy, Josefine Combs","doi":"10.1097/JSM.0000000000001321","DOIUrl":"10.1097/JSM.0000000000001321","url":null,"abstract":"<p><strong>Objective: </strong>To identify sport-related concussion (SRC) assessments sports medicine physicians perform and in which they place confidence when making return-to-play (RTP) decisions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Active members of the American Medical Society for Sports Medicine (AMSSM) at the fellowship level or higher making RTP decisions following concussion within the last year.</p><p><strong>Interventions: </strong>An electronic REDCap survey gathering demographic and practice information and responses to clinical scenarios was sent to AMSSM members.</p><p><strong>Main outcome measures: </strong>The primary outcome was the SRC assessment(s) in which physicians expressed the most confidence for RTP decisions.</p><p><strong>Results: </strong>Four hundred thirty AMSSM members responded to the survey, 392 of which met inclusion criteria. The graded symptom checklist was rated the most useful test for making return-to-play decisions, and respondents felt most confident starting the RTP process if the graded symptom checklist was normal. An assessment was considered most useful if it closely reflected resolution of SRC's pathological processes. Computerized neurocognitive testing was most likely to be ignored if abnormal. An abnormal neurological examination made physicians feel least confident SRC had resolved.</p><p><strong>Conclusions: </strong>Sports medicine physicians view the graded symptom checklist as a useful tool for making RTP decisions. Physicians expressed less confidence in computerized neurocognitive testing to determine RTP readiness. This study uncovered reliance on symptom reporting by sports medicine physicians and an opportunity for the creation of concussion clinical decision tools.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"269-277"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}