Clinical Journal of Sport Medicine最新文献

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Increased Prevalence of Concussion in Collegiate Water Polo Goalkeepers. 大学水球守门员脑震荡发生率增加。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-14 DOI: 10.1097/JSM.0000000000001365
Madison C Lee, Nicole S Pham, Leina'ala Song, Calvin E Hwang
{"title":"Increased Prevalence of Concussion in Collegiate Water Polo Goalkeepers.","authors":"Madison C Lee, Nicole S Pham, Leina'ala Song, Calvin E Hwang","doi":"10.1097/JSM.0000000000001365","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001365","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the epidemiology of sport-related concussion in collegiate water polo players and compare the risk of concussion between goalkeepers and field players.</p><p><strong>Design: </strong>Retrospective chart review using injury surveillance data from July 2016 and June 2022. Descriptive statistics, χ2 and Fisher exact tests, and pairwise comparisons using false discovery rate-adjusted P-values were used for statistical analysis.</p><p><strong>Setting: </strong>Pac-12 conference collegiate water polo teams.</p><p><strong>Participants: </strong>Ninety-six Pac-12 athletes from 4 men's and 5 women's water polo teams, with a total of 124 identified concussions.</p><p><strong>Independent variable: </strong>Player position (goalkeeper vs field player) and location of injury (practice vs competition vs not sport related).</p><p><strong>Main outcome measures: </strong>Prevalence of sport-related concussion by player position and location of injury.</p><p><strong>Results: </strong>Goalkeepers experienced a significantly higher proportion of sport-related concussions than field players (26.2% vs 16.0%, P = 0.005). Most concussions in goalkeepers occurred from ball-to-head contact while most field player concussions were because of contact with another player. There was no significant difference in the number of concussions suffered in practice compared with competition.</p><p><strong>Conclusions: </strong>Collegiate water polo goalkeepers face a higher risk of concussion than field players, particularly from ball-to-head contact. Current safety protocols may be inadequate for goalkeepers. Future research should examine the effectiveness of protective headgear and modified practice equipment in mitigating concussion risk, potentially leading to rule changes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968282","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}
引用次数: 0
Pulling the Flag: The Physical and Mental Health Effects of High School Flag Football Among Female Adolescents. 拔旗:高中橄榄球运动对女青少年身心健康的影响
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-11 DOI: 10.1097/JSM.0000000000001362
Madison L Brna, Emily A Sweeney, Gregory A Walker, Aubrey M Armento, David R Howell
{"title":"Pulling the Flag: The Physical and Mental Health Effects of High School Flag Football Among Female Adolescents.","authors":"Madison L Brna, Emily A Sweeney, Gregory A Walker, Aubrey M Armento, David R Howell","doi":"10.1097/JSM.0000000000001362","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001362","url":null,"abstract":"<p><strong>Objective: </strong>The purposes of this study were to (1) describe the physical effects (injuries) and associated risk factors during flag football season and (2) evaluate in-season mental health of female flag football athletes.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Participants: </strong>We conducted a 4-month longitudinal pilot study of female adolescents participating in a season of high school flag football and nonathlete controls.</p><p><strong>Setting: </strong>Preseason/in-season questionnaires.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Participants completed preseason and weekly in-season questionnaires assessing physical activity (PA), injuries, stress, mood, and energy. We calculated sport-related injury rates and used a multivariable Cox proportional hazards model to assess factors associated with injuries sustained.</p><p><strong>Results: </strong>Nintey-eight participants (n = 83 flag football) participated (mean age = 16.3 ± 1.1 years): 23 sport-related injuries were reported. The injury rate was 7.25 injuries/1000 exposure hours. There were no significant predictors of injury risk. Flag football athletes reported significantly greater in-season physical activity than nonathletes (9.6 ± 4.7 vs 4.5 ± 6.4 h/wk; P < 0.001) but physical activity level was not associated with energy level, mood, or stress. After adjusting for physical activity level and school year, flag football participation was associated with significantly higher energy levels during the season relative to nonathletes (β = 0.94; 95% confidence interval, 0.13-1.76; P = 0.02).</p><p><strong>Conclusions: </strong>The injury rate was 7.25 injuries/1000 exposure hours, and no variables were associated with injury risk. The complex nature of injury makes prediction challenging. Physical activity was not associated with mental health outcomes. Flag football participation was associated with significantly higher energy levels. Flag football may provide some benefit to athlete mental health independent of physical activity.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981070","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}
引用次数: 0
Successful Retention of Transplants After Infection With Bacillus cereus After Anterior Cruciate Ligament Reconstruction Surgery. 前交叉韧带重建术后蜡样芽孢杆菌感染后移植物的成功保留。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-11 DOI: 10.1097/JSM.0000000000001363
Dongping Zhu, Fang Tan, Ran Lu, Chaolun Liang
{"title":"Successful Retention of Transplants After Infection With Bacillus cereus After Anterior Cruciate Ligament Reconstruction Surgery.","authors":"Dongping Zhu, Fang Tan, Ran Lu, Chaolun Liang","doi":"10.1097/JSM.0000000000001363","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001363","url":null,"abstract":"<p><strong>Abstract: </strong>Infections after anterior cruciate ligament (ACL) reconstruction surgery pose a significant challenge in orthopedics, potentially jeopardizing the integrity and function of the graft. Among these, infections caused by Bacillus cereus are exceedingly rare. Bacillus cereus , a Gram-positive, aerobic, and facultative anaerobic bacillus, is predominantly recognized in soil, vegetation, and the gastrointestinal tract of humans and other animals. Despite its ubiquity in the environment, extraintestinal infections due to B. cereus are exceptionally uncommon in individuals with intact immune systems. By detailing our experience with this atypical infection, we aim to provide references to managing rare bacterial complications after ACL reconstruction.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962219","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}
引用次数: 0
Comparing the Impact of High-Intensity Exercise on Vestibular-Oculomotor Function Between Sex, Sport, and Activity Level. 比较高强度运动对性别、运动和运动水平的前庭-动眼肌功能的影响。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-09 DOI: 10.1097/JSM.0000000000001358
Theo Farley, Christopher Jukes, Kolade Awobowale, Saif Jizawi, Hasan Iqbal, Marios Panagi, Kosta Ikonomou, Worthington Shane, Ambre McGee, Richard Sylvester, Akbar De Medici, Mathew Wilson
{"title":"Comparing the Impact of High-Intensity Exercise on Vestibular-Oculomotor Function Between Sex, Sport, and Activity Level.","authors":"Theo Farley, Christopher Jukes, Kolade Awobowale, Saif Jizawi, Hasan Iqbal, Marios Panagi, Kosta Ikonomou, Worthington Shane, Ambre McGee, Richard Sylvester, Akbar De Medici, Mathew Wilson","doi":"10.1097/JSM.0000000000001358","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001358","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of high-intensity exercise on the vestibular and oculomotor systems in a group of sedentary and active males and females.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Setting: </strong>Performance laboratory; Institute of Sport, Exercise and Health, London.</p><p><strong>Participants: </strong>Forty-five collegiate athletes and 30 age-matched sedentary participants.</p><p><strong>Interventions: </strong>A baseline Vestibular and Oculomotor Screening (VOMS) test was performed on all participants before undertaking a self-paced 5-minute treadmill run maintaining an intensity of 17/20 on the Borg scale. Post-run, participants were tested using the VOMS tool a further 3 times with each test 30 seconds apart.</p><p><strong>Main outcome measures: </strong>Symptom provocation on testing of the VOMS tool.</p><p><strong>Results: </strong>At baseline testing, 25.3% of participants had 1 or more positive VOMS domains although there was no significant differences between sex, sport, or activity level. At postrun testing, 62.5% of participants had 1 or more positive VOMS domains; this was a significant change from baseline with large effect size (Z = 6.12, r = 0.72, P < 0.001).</p><p><strong>Conclusions: </strong>High-intensity exercise has a deleterious impact on vestibular and oculomotor function. This change in function is consistent across all groups when considering activity level, sex, and sporting participation. These findings have implications when considering the timing of VOMS in relation to sporting participation and clinical testing that involves exercise.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810712","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}
引用次数: 0
Differences Between Olympic and National Athletes: Training and Experience Are the Keys to Success. 奥运会和国家运动员的区别:训练和经验是成功的关键。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-08 DOI: 10.1097/JSM.0000000000001359
Giuseppe Di Gioia, Viviana Maestrini, Sara Monosilio, Maria Rosaria Squeo, Erika Lemme, Davide Ortolina, Antonio Nenna, Antonio Pelliccia
{"title":"Differences Between Olympic and National Athletes: Training and Experience Are the Keys to Success.","authors":"Giuseppe Di Gioia, Viviana Maestrini, Sara Monosilio, Maria Rosaria Squeo, Erika Lemme, Davide Ortolina, Antonio Nenna, Antonio Pelliccia","doi":"10.1097/JSM.0000000000001359","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001359","url":null,"abstract":"<p><strong>Objective: </strong>Olympic athletes (OAs) represent a unique subset of highly trained subjects achieving extraordinary performance. Differences between OAs and elite/national athletes (EAs), defined as athletes not qualified for the Olympics, are not investigated.</p><p><strong>Design: </strong>Therefore, we compared OAs with EAs enrolling 1472 athletes (63.6% OAs; 56.9%, men, mean age 25.8 ± 5.1 years) of power (24.7%), skills (12.5%), endurance (20.8%), and mixed (37.4%) disciplines performing clinical, anthropometric, echocardiographic, exercise stress, and blood test analysis.</p><p><strong>Results: </strong>Olympic athletes were older (power: 25.9 ± 4.6 vs 24.1 ± 4.7, P = 0.0002; skills: 28.6 ± 6.5 vs 25.2 ± 6.5, P = 0.0003; endurance: 27.2 ± 4.5 vs 23.7 ± 3.9, P = 0.001; mixed: 27.9 ± 4.7 vs 22.8 ± 4.4, P = 0.001) and trained for more hours (power: 26.1 ± 10.9 vs 19.9 ± 7.5, P < 0.0001; skills: 29.1 ± 9.4 vs 21 ± 9.4, P = 0.0004; endurance: 26.4 ± 8.7 vs 19.4 ± 8.5, P = 0.001; mixed: 28.4 ± 9.5 vs 22.2 ± 9.2, P = 0.001) compared with EAs. No morphological cardiac differences were observed. At the exercise test, the maximum watt reached was similar (except that in power, P = 0.004). Olympic athletes showed statistically significant lower serum calcium, lower thyroid stimulating hormone, and relatively higher total and low-density lipoprotein cholesterol.</p><p><strong>Conclusions: </strong>Olympic athletes are older, have a larger body mass, and can sustain a larger training volume than elite athletes. However, no major differences in cardiac remodeling or clinical and laboratory parameters differentiate these 2 groups. Expertise and volume of training appear to represent the critical factors to translate from the national to the Olympic level.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802763","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}
引用次数: 0
Elite Cross-Country Skiers Who Report Low Back Pain Have More Disk Degeneration Than Their Nonsymptomatic Peers. 报告腰痛的优秀越野滑雪运动员比无症状的同龄人有更多的椎间盘退变。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-08 DOI: 10.1097/JSM.0000000000001360
Anni Aavikko, Janne Pesonen, Leena Ristolainen, Niko Murto, Hannu Kautiainen, Teija Lund
{"title":"Elite Cross-Country Skiers Who Report Low Back Pain Have More Disk Degeneration Than Their Nonsymptomatic Peers.","authors":"Anni Aavikko, Janne Pesonen, Leena Ristolainen, Niko Murto, Hannu Kautiainen, Teija Lund","doi":"10.1097/JSM.0000000000001360","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001360","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of low back pain (LBP) and disk degeneration (DD) and the relationship of DD with LBP among elite cross-country skiers.</p><p><strong>Design: </strong>A cross-sectional study of elite cross-country skiers.</p><p><strong>Setting: </strong>Study participants were recruited during autumn 2022 among elite cross-country skiers and collegiate skiers who were selected to national teams' training groups.</p><p><strong>Participants: </strong>The original study group consisted of 44 skiers (16 national team skiers and 28 sports academy skiers).</p><p><strong>Interventions: </strong>The study protocol included a 1.5T lumbar spine MRI, a clinical examination, and an interview with questions about general health and training as well as selected patient-reported outcomes. The morphology of intervertebral disks from T12/L1 to L5/S1 on sagittal T2-weighted midline images was visually assessed using the Pfirrmann classification with a grade 3 or higher considered degenerated in this age group.</p><p><strong>Main outcome measures: </strong>Cross-sectional occurrence of DD on MRI and self-reported LBP.</p><p><strong>Results: </strong>Low back pain was reported by 33 (75%) skiers. Half of the skiers had at least 1 disk of ≥grade 3 in the Pfirrmann classification. At least 1 disk grade ≥3 in the Pfirrmann classification was found in 61% (20 of 33) of skiers with LBP and 18% (2 of 11) of skiers without LBP (P = 0.034).</p><p><strong>Conclusions: </strong>The most important findings in our study were the high prevalence of self-reported LBP and a statistically significant difference in the occurrence of at least 1 degenerated disk in the Pfirrmann classification between skiers who reported LBP compared with those who did not.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794718","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}
引用次数: 0
Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians. 搏击运动中的血源性感染预防:拳击医生协会的立场声明。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-08 DOI: 10.1097/JSM.0000000000001350
Richard A Giovane, Kevin deWeber, Uziel Sauceda, Davide Bianchi
{"title":"Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.","authors":"Richard A Giovane, Kevin deWeber, Uziel Sauceda, Davide Bianchi","doi":"10.1097/JSM.0000000000001350","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001350","url":null,"abstract":"<p><strong>Abstract: </strong>The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed during competition, should undergo testing for HIV, hepatitis B (HBV), and hepatitis C (HCV). Testing should be conducted using serum samples, because rapid tests are not considered acceptable for accurate results. Testing for HBV, HCV, and HIV should optimally be done within 3 months of competition, but within 6 months is acceptable. Athletes whose tests suggest active HBV, HCV, or HIV infection should be disqualified from competition in sports where blood is common and allowed. Athletes with cured prior HCV infection may be cleared for competition in all combat sports. Athletes with prior HBV infection and no detectable HBV DNA in blood can be cleared for competition in all combat sports. Athletes with latent HBV infection with detectable HBV DNA in blood have a small risk of disease reactivation, so they should not be cleared.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802762","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}
引用次数: 0
Ultrasound-Guided High-Volume Pressure Hydrodilatation for Postoperative Adhesive Capsulitis of the Hip: Case Report and Literature Review. 超声引导下高容积压力水扩张术治疗髋关节术后粘连性囊炎一例报告及文献复习。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-02 DOI: 10.1097/JSM.0000000000001352
Rebecca Cox, Robert L Bowers, Stephen Wright, Zoe Koechling, Thomas H Wuerz, Erek Latzka, Kristen Mitchell, Walter I Sussman
{"title":"Ultrasound-Guided High-Volume Pressure Hydrodilatation for Postoperative Adhesive Capsulitis of the Hip: Case Report and Literature Review.","authors":"Rebecca Cox, Robert L Bowers, Stephen Wright, Zoe Koechling, Thomas H Wuerz, Erek Latzka, Kristen Mitchell, Walter I Sussman","doi":"10.1097/JSM.0000000000001352","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001352","url":null,"abstract":"<p><strong>Abstract: </strong>Adhesive capsulitis (AC) is a pathologic process in which excessive collagen depositions form across a joint leading to stiffness, pain, and limited joint mobility. Our case is a 48-year-old man who presented with right hip pain. Approximately 5 months after arthroscopic labral repair, he reported recurrence of the pain and limited range of motion in the hip. A therapeutic hip hydrodilatation was performed using ultrasound-guidance and an anterior approach. One month after the hydrodilatation, ported resolution of the pain and hip internal rotation was symmetric. Most patients with AC of the hip can be managed nonsurgically with anti-inflammatory drugs, corticosteroid injections, and physical therapy. However, patients with persistent pain and limited range of motion after these treatment options typically are only left with the option of surgery. There is a lack of data on pressure hydrodilatation or distention for AC of the hip. In this case report, the patient developed AC after labral surgery and was successfully treated with pressure hydrodilatation. Resolution of the patient's symptoms suggests that this procedure can potentially be performed in postsurgical AC without adverse events.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763150","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}
引用次数: 0
Effect of Mild and Moderate Exertion on the Sideline Assessment of Concussion: A Randomized Controlled Trial. 轻度和中度运动对脑震荡副业评估的影响:一项随机对照试验。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-04-01 DOI: 10.1097/JSM.0000000000001356
Rajiv K Jain, Kendall A Marshall, John J Leddy, Jason M Matuszak, Anthony F Surace, Griffin T Spatorico, Mohammad N Haider
{"title":"Effect of Mild and Moderate Exertion on the Sideline Assessment of Concussion: A Randomized Controlled Trial.","authors":"Rajiv K Jain, Kendall A Marshall, John J Leddy, Jason M Matuszak, Anthony F Surace, Griffin T Spatorico, Mohammad N Haider","doi":"10.1097/JSM.0000000000001356","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001356","url":null,"abstract":"<p><strong>Objective: </strong>Identify the effect size of mild and moderate levels of exertion on common sideline concussion assessment tool scores in healthy adolescent athletes.</p><p><strong>Design: </strong>Three arm randomized controlled trial.</p><p><strong>Setting: </strong>High school training rooms.</p><p><strong>Participants: </strong>Forty-seven healthy adolescents who participate in school sports and have not had a concussion within the past month.</p><p><strong>Interventions: </strong>Participants performed the Sport Concussion Assessment Tool 5 (SCAT5) and Vestibular Ocular Motor Screen (VOMS) at rest. Participants were randomized to perform No Exertion (n = 16, 15-minute seated rest), Mild Exertion [n = 16, 50%-55% of heart rate (HR) max for 15 minutes on a treadmill], or Moderate Exertion (n = 15, 70%-75% of HR max). Participants then repeated the SCAT5 and VOMS immediately after a 2-minute cool down.</p><p><strong>Main outcome measures: </strong>Effect size of change after exertion.</p><p><strong>Results: </strong>Few differences were seen after mild and moderate levels of exertion. In the combined sample, there was a small increase in the number of modified balance error scoring system errors [d = -0.17 (-0.52, 0.19)], a medium degree of improvement in symptoms [d = 0.38 (0.01, 0.74)], and a small degree of improvement in cognitive scores [d = 0.20 (-0.16, 0.55)] after exercise. No differences on VOMS testing were observed.</p><p><strong>Conclusions: </strong>The SCAT5 and VOMS seem to be consistent measures even after mild and moderate levels of exertion (HR <75% of age-appropriate maximum). A future study should aim to identify the effect of maximal exertion.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750961","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}
引用次数: 0
Percussive Massage Improved Quadriceps Pain Intensity, Fatigue, and Perceived Recovery After Habitual Running but had No Effect on Vertical Jump: Randomized Trial. 冲击按摩改善股四头肌疼痛强度、疲劳和习惯性跑步后的知觉恢复,但对垂直跳跃没有影响:随机试验。
IF 2.1 3区 医学
Clinical Journal of Sport Medicine Pub Date : 2025-03-26 DOI: 10.1097/JSM.0000000000001355
Bruno Soares Alves, Larissa Oliveira Barbieri Coutinho, Raphael Oliveira Caetano, Fernanda de Oliveira Lauria, Diogo Simões Fonseca, Diogo Carvalho Felício
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