Clinical Journal of Sport Medicine最新文献

{"title":"Substantiating the Use of Tendotonometry for the Assessment of Achilles and Patellar Tendon Stiffness: A Systematic Review.","authors":"Lotte van Dam, Rosanne Fischer, Mireille Baart, Johannes Zwerver","doi":"10.1097/JSM.0000000000001267","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001267","url":null,"abstract":"<p><strong>Objective: </strong>To systematically describe the next relevant aspects of tendotonometry in (1) its validity and reliability, (2) differences between populations, (3) the effect of interventions, and (4) differences between healthy and symptomatic Achilles tendon (AT) and patellar tendon (PT).</p><p><strong>Data sources: </strong>Three online databases (PubMed, Embase, and EBSCOhost) were systematically searched on the 10th of October 2023. All scientific literature concerning the use of tendotonometry in assessing tendon stiffness was collected. Articles were eligible if tendotonometry with a myotonometer digital palpation device was used to assess PT or AT stiffness in adults.</p><p><strong>Main results: </strong>Thirty-four studies were included, which were categorized into studies regarding the (1a) reliability and (1b) validity of tendotonometry, (2) differences in stiffness between populations, (3) changes in stiffness due to interventions, (4) stiffness of healthy compared with injured tendons, and (5) other observational studies. The inter-rater and intrarater reliability of tendotonometry appeared to be good in assessing AT and PT stiffness, with only moderate evidence for the AT and inconclusive evidence for the PT. There is high certainty evidence that tendotonometry can detect differences in AT and PT stiffness after training interventions. Inconsistent results were found for the adequacy of tendotonometry to detect differences in AT and PT stiffness between populations.</p><p><strong>Conclusions: </strong>This review shows a potential role for tendotonometry in measuring tendon stiffness. However, more research is needed for validating the use of tendotonometry in AT and PT and its exact clinical interpretation.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003764","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":"Endoscopic Shelf Acetabuloplasty Combined With Hip Arthroscopic Labral Repair, Cam Osteoplasty, and Capsular Plication Enables Elite Athletes With Acetabular Dysplasia to Return to Sport: A Case Series.","authors":"Kenta Shimizu, Yoichi Murata, Manabu Tsukamoto, Yoshiaki Yamanaka, Patrick Quinn, Akinori Sakai, Soshi Uchida","doi":"10.1097/JSM.0000000000001268","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001268","url":null,"abstract":"<p><strong>Objective: </strong>To investigate clinical outcomes and return to sport timeline for athletes with acetabular dysplasia after endoscopic shelf acetabuloplasty (ESA).</p><p><strong>Design: </strong>A retrospective review.</p><p><strong>Setting: </strong>Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan between 2012 and 2019.</p><p><strong>Patients: </strong>Fifteen elite athletes (median age: 20 years) of 253 patients undergoing ESA, arthroscopic labral repair/reconstruction, cam osteochondroplasty, and capsular plication. The mean follow-up period was 27.8 months after surgery.</p><p><strong>Main outcome measures: </strong>Patient-reported outcome scales (PROSs), including the modified Harris Hip Score, Nonarthritic Hip Score, International Hip Outcome Tool 12, Hip Outcome Score-Sports, and Vail Hip Score.</p><p><strong>Results: </strong>After ESA, all 15 elite athletes were able to return to sport effectively and compete at a preoperative level. The mean time between the operation and the first practice was 6.5 months, while the mean time between the ESA procedure and the first game was 9.6 months. Approximately 27.8 months after surgery, PROS outcomes improved significantly with no hips requiring emergency revision surgery at the final follow-up. At a mean of 47.1 months after surgery, 7 athletes decided to retire from their sport. Up to 71.1 months after surgery, the additional 8 patients continued to compete in their sport at an elite level.</p><p><strong>Conclusions: </strong>ESA enables elite athletes with acetabular dysplasia to return to competition at a mean of 9.6 months postsurgery. The ESA procedure is an effective and promising method of treating elite athletes with acetabular dysplasia.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003763","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":"Effect of Two Hydration Strategies on CapillarySodium Concentrations in Runners Participating in 170-km Trail Race: The 2015 UltraTrail du Mont-Blanc Experience.","authors":"Rémy Coulomb, Patrick Basset, Myriam Mezzarobba, Christophe Masseguin, Jean-Yves Lefrant, Thibault Mura, Jason A Roberts, Olivier Mares","doi":"10.1097/JSM.0000000000001266","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001266","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the impact of 2 hydration strategies on capillary sodium concentrations during Ultra-Trail du Mont-Blanc (UTMB) 2015.</p><p><strong>Design: </strong>Prospective exposed/nonexposed cohort study.</p><p><strong>Setting: </strong>Ultra-Trail du Mont Blanc 2015 (170 km).</p><p><strong>Participants: </strong>Thousand five hundred sixty-three registered runners of UTMB 2015 asked to predefine their hydration strategy as either \"drinking to thirst\" or any other mode (\"not drinking to thirst\").</p><p><strong>Intervention: </strong>One hundred \"drinking to thirst\" participants were randomly selected and paired (sex and age) with 96 \"not drinking to thirst\" participants. Participant weight and capillary sodium concentrations were measured before and after the race.</p><p><strong>Main outcome measures: </strong>Variations of capillary sodium concentrations and weight during the trail according to predefine hydration strategy as either \"drinking to thirst\" or \"not drinking to thirst.\" Adverse events were recorded. P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Among 196 participants, 88 (62 finishers) \"drinking to thirst\" and 87 (64 finishers) \"nondrinking to thirst\" participants were analyzed, respectively. There was no difference in the change in capillary sodium concentrations prerace to postrace between the groups (1.5 ± 4.4 vs 1.5 ± 4.7 mEq/L, P = 0.98). The change in participant weight was also not different (P = 0.3877). Hypernatremia or hyponatremia were reported in 19 of 88 (21.6%) and 24 of 87 (27.6%) in \"drinking to thirst\" and \"non-drinking to thirst\" participants, respectively (P = 0.20). The incidence of adverse events was not different between the groups.</p><p><strong>Conclusion: </strong>This study observed no impact of hydration strategy on the change in capillary sodium concentrations before and after UTMB 2015.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999501","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":"The Antigravity Treadmill as a Postoperative and Injury Rehabilitation Tool: Reduction in Contact Forces and Muscle Activity With Reduced Weight Running.","authors":"Sergei O Alexeev, Rishi Trikha, Steven Short, Kenneth J Hunt","doi":"10.1097/JSM.0000000000001264","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001264","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of reduced weight running on the antigravity (AG) treadmill on maintenance of normal muscle activation and reduction of plantar forces in healthy subjects.</p><p><strong>Design: </strong>Descriptive laboratory study.</p><p><strong>Setting: </strong>Clinical sports medicine center.</p><p><strong>Participants: </strong>Twenty healthy subjects (10 male and 10 female) aged 18 to 29 years.</p><p><strong>Independent variables: </strong>Subjects running at 6.5 miles per hour on a standard treadmill and on the AG treadmill at 100%, 90%, 80%, 70%, 60%, and 50% of bodyweight levels.</p><p><strong>Main outcome measures: </strong>Dynamic plantar loading data were recorded using pressure insoles. Surface electromyography electrodes with imbedded accelerometers were used to estimate timing and magnitude of muscle activity, stride length, and cadence.</p><p><strong>Results: </strong>There was a significant, sequential reduction in peak pressure, maximum force, and force time integral (FTI) with decreasing bodyweight. A 50% bodyweight reduction resulted in a 51% reduction in maximum force and a 59% reduction in FTI in the heel, as compared with 19% to 28% at the metatarsal heads. There was reduced contact area in the heel and midfoot at and below 70% BW. Lower limb muscle activity decreases with reduced bodyweight while maintain normal muscle recruitment timing.</p><p><strong>Conclusions: </strong>The AG treadmill provides a reduction in loading forces while maintaining normal muscle recruitment patterns. Decreased BW running preferentially unloads the hindfoot. The AG treadmill can be an effective rehabilitation tool following foot or ankle injury and may prove superior to other limited weight-bearing methods.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916285","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":"Exploring Psychosocial Factors Influencing Concussion Recovery in Adolescent Ice Hockey Players: Implications and International Perspectives.","authors":"Lien-Chung Wei, Hsien-Jane Chiu","doi":"10.1097/JSM.0000000000001262","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001262","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916284","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":"Analysis of the Characteristics of Patients Visiting the Tokyo 2020 Olympics Polyclinic.","authors":"Yuka Tsukahara, Margo Mountjoy, Yuji Takazawa, Kazuyoshi Yagishita, Hiroshi Ohuchi, Ryuichiro Akagi, Masaki Katayose, Sayaka Fujiwara, Lars Engebretsen","doi":"10.1097/JSM.0000000000001265","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001265","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the characteristics of patients who visited the Polyclinic during the Tokyo 2020 Olympics and analyze geographical and economic correlations with the number of clinic visits.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Polyclinic during the Tokyo 2020 Olympics.</p><p><strong>Participants: </strong>Patients who visited the Polyclinic.</p><p><strong>Intervention: </strong>Data from the electronic medical record system of the Polyclinic were extracted.</p><p><strong>Main outcome measures: </strong>The number of visits for each athlete or team official was calculated by country. Relationship between number of visits per patient and total number of team members, total health expenditure per capita, density of medical doctors, life expectancy at birth, and education expenditure per gross domestic product (GDP) were investigated. Independent variables related to medal tables were also investigated.</p><p><strong>Results: </strong>The average number of visits per athlete was 0.67, and it was higher in athletes from non-high-income countries compared with high-income countries for both male and female athletes. Number of visits per athlete was higher in countries with low life expectancy at birth (95% CI, -0.16 to -0.02, P = 0.012) and education expenditure per GDP (95% CI, -0.17 to -0.04, P = 0.003).</p><p><strong>Conclusions: </strong>During the Tokyo 2020 Olympics, the number of visits to the Polyclinic per athlete was higher in countries with low life expectancy at birth and education expenditure per GDP.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906090","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":"New-Onset Gaze Palsy in a Sports-Related Concussion.","authors":"Hilary Howard, P Patrick Mularoni","doi":"10.1097/JSM.0000000000001259","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001259","url":null,"abstract":"<p><strong>Abstract: </strong>Concussions are a common injury in pediatric sports medicine clinics. Occasionally, a patient presenting for concussion will demonstrate abnormal neurologic findings, but in this case, a gaze palsy was witnessed during the initial 2 weeks following closed head injury with subsequent complete resolution of symptoms. There are limited available studies or case reports demonstrating this atypical presentation; thus, this case study aims to provide sports medicine physicians a reference for future similar atypical presentations.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874299","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":"The Practical Management of Rhinitis in Athletes.","authors":"Hesham Khalid, Joanna E Tait, Alexander S North, Raj Lakhani","doi":"10.1097/JSM.0000000000001263","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001263","url":null,"abstract":"<p><strong>Objective: </strong>Exercise-induced rhinitis (EIR) is a poorly understood condition that can have a massive impact within elite sport. This was epitomized in 2019 when British cyclist and Tour de France winner Chris Froome lost control of his bike at 37 mph while wiping his nose, resulting in an admission to intensive care. We aim to produce a comprehensive resource to guide the assessment and management of rhinitis in athletes.</p><p><strong>Design: </strong>Rhinitis is a common condition which can be broadly divided into allergic rhinitis (AR) and non-AR (NAR), a subset of which is known as vasomotor rhinitis. Exercise-induced rhinitis is an important but understudied subcategory of NAR. The pathophysiology of the disease is broadly believed to be an imbalance of the sympathetic and parasympathetic nervous systems, leading to symptoms of watery rhinorrhea, nasal congestion, and paroxysmal sneezing. Up to 50% of people suffer from some degree of EIR, which impedes their nasal breathing and affects performance. The assessment of the athlete with rhinitis requires consideration of both allergic and vasomotor contributions to ensure optimal management is introduced. There is no clear guidance for the management of EIR, with uncertainty regarding the most effective pharmaceuticals and optimizing the timing of treatment to enable peak performance.</p><p><strong>Setting: </strong>N/A.</p><p><strong>Patients/participants: </strong>N/A.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>N/A.</p><p><strong>Results and conclusions: </strong>Based on expert clinical experience in a busy ear, nose, and throat center and a systematic review of current literature, this article proposes a step-wise, incremental approach to the management of EIR symptoms. In an industry where marginal gains give athletes a competitive edge, optimal management of EIR is crucial.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792084","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":"Multilevel Spontaneous Spinal Epidural Hematomas in a Recreational Weight Lifter.","authors":"Wonjae Sung","doi":"10.1097/JSM.0000000000001261","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001261","url":null,"abstract":"<p><p>Spontaneous spinal epidural hematoma (SSEH) is a nontraumatic condition that potentially compresses the spinal cord by accumulating blood in the epidural space. We report a case of multilevel SSEH in a 27-year-old male recreational weight lifter, presenting with acute lower back pain and bilateral leg weakness after deadlifts. Initial magnetic resonance imaging (MRI) showed subacute epidural hematomas with distinct signal intensities. The hematomas spanned multiple thoracic and lumbar levels without any predisposing medical conditions. Conservative management, including strict bed rest and pain management, led to marked improvement, with follow-up MRI indicating reduced hematoma size and expanded dural sac dimension. This case highlights the rare possibility of long-extending SSEH from weight lifting in individuals without risk factors and underscores the effectiveness of conservative treatment for multilevel spinal epidural hematomas.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792127","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":"Comparison of Pain With Ultrasound-Guided Intra-Articular Hip Injections With and Without Prior Subcutaneous Local Anesthesia.","authors":"Rondy Michael Lazaro, Joshua M Smith, Nicholas Bender, Ankit Punreddy, Nathan Barford, Jennifer H Paul","doi":"10.1097/JSM.0000000000001260","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001260","url":null,"abstract":"<p><strong>Objective: </strong>To compare pain levels of intra-articular hip steroid injections performed with and without prior subcutaneous local anesthesia (LA) injection.</p><p><strong>Design: </strong>Randomized prospective study.</p><p><strong>Setting: </strong>University-based musculoskeletal clinic.</p><p><strong>Participants: </strong>Forty-one adult patients undergoing a first-time ultrasound-guided unilateral intra-articular hip steroid injection.</p><p><strong>Interventions: </strong>Subjects were randomized into 1 of 2 groups: intra-articular hip injection with prior subcutaneous LA with 2 mL of lidocaine 1% (With LA) or hip injection without prior subcutaneous LA (Without LA). Visual analog scale (VAS) pain scores (0-100) were collected before and after each injection.</p><p><strong>Main outcome measures: </strong>Visual analog scale pain score for the intra-articular hip injection.</p><p><strong>Results: </strong>Of the 41 total subjects, 18 were randomized to the Without LA group and 23 to the With LA group. There was no significant difference in baseline (preprocedure) VAS scores between the Without LA (mean ± SD = 39.2 ± 27.2) and With LA (41.2 ± 24.0) groups (P = 0.864). The mean ± SD VAS score for the subcutaneous LA injection in the With LA group was 20.4 ± 16.1. There was no significant difference in VAS scores for the intra-articular hip injection between the Without LA (48.5 ± 27.7) and With LA (39.5 ± 25.7) groups (P = 0.232).</p><p><strong>Conclusions: </strong>Subcutaneous injection of lidocaine before an intra-articular hip injection did not significantly decrease pain from the intra-articular hip injection. Providers may perform intra-articular hip injections with a 22-gauge 3.5-inch spinal needle without the need for an extra subcutaneous LA injection.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751271","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}