Clinical Journal of Sport Medicine最新文献

{"title":"What Psychological Factors Affect Return to Sports After Shoulder Stabilization Surgery? A Scoping Review.","authors":"Ausberto Velasquez Garcia, Gabriel Caballero, Grace K Chaney, Katina Marinakis, Alejandro Orizola","doi":"10.1097/JSM.0000000000001280","DOIUrl":"10.1097/JSM.0000000000001280","url":null,"abstract":"<p><strong>Objective: </strong>Despite excellent functional outcomes after shoulder stabilization surgery, a substantial number of patients fail to return to sports (RTS) at the preinjury level. The psychological factors affecting RTS postsurgery have been underexplored. This scoping review aimed to identify and analyze potential psychological factors influencing the decision to RTS after shoulder stabilization surgery.</p><p><strong>Data sources: </strong>We reviewed the EBSCOhost/SPORTDiscus, PubMed/Medline, Scopus, EMBASE, and Cochrane Library databases for studies on patients with anterior glenohumeral instability who underwent stabilization surgery. We included studies that reported on RTS and considered the psychological factors influencing the decision to return.</p><p><strong>Main results: </strong>Our analysis comprised 21 articles involving 2073 patients. Psychological factors influencing RTS after surgery were categorized within the framework of transactional stress and coping model. Primary appraisal factors, such as fear of reinjury, kinesiophobia, and anxiety, emerged as significant influencers. In addition, we explored factors related to social support, self-determination, motivation, competing interests, and advanced age. Assessment tools were used to evaluate the psychological readiness for RTS.</p><p><strong>Conclusions: </strong>This scoping review identified fear of reinjury and kinesiophobia as important psychological barriers to returning to sports after shoulder stabilization surgery. The limited use of psychological assessment tools and lack of comparative studies have restricted robust conclusions.</p><p><strong>Level of evidence: </strong>Level IV, Scoping review.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"224-234"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892668","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 Relationship Between Psychopathology, Personality Traits, and a History of Traumatic Brain Injury.","authors":"David B Sarwer, Jacqueline C Spitzer, Jingwei Wu, Caitlin LaGrotte, Caitlin Griffiths, Rebecca L Ashare, Jane McDevitt, Dianne Langford, Servio H Ramirez","doi":"10.1097/JSM.0000000000001313","DOIUrl":"10.1097/JSM.0000000000001313","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether history of traumatic brain injury (TBI) is associated with psychopathology, and, in particular, substance use disorder (SUD) in young adults with a history of athletic participation.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>University in the northeastern United States.</p><p><strong>Participants: </strong>A large (n = 534) and mixed sex (57% female) sample of varsity and club sport athletes older than 18 years.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measure: </strong>The Ohio State University Traumatic Brain Injury ID assessment and the Structured Clinical Interview for the diagnostic and statistical manual of mental disorders, fifth edition.</p><p><strong>Results: </strong>Twenty-five percent of participants reported no history of head injuries, 32% reported 1 head injury, and 43% reported more than 1 head injury. Thirty-eight percent of participants had been diagnosed with 1 or more concussions. Twenty-eight percent of participants had a current psychiatric diagnosis and 49% had at least 1 lifetime diagnosis. Head injuries and concussions were significantly associated with the presence of lifetime psychiatric diagnosis and symptoms or diagnosis of alcohol or SUD. More head injuries were associated with symptoms of post-traumatic stress disorder.</p><p><strong>Conclusions: </strong>Higher number of self-reported head injuries and diagnosed concussions were associated with a lifetime history of psychopathology, and specifically, with alcohol and substance use disorders. These relationships are similar to those seen in the general population of adults. The relationships also raise several interesting questions about recovery from head injuries in young adult athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"145-151"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766656","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":"Relationship Between the Pain Intensity at the Time of the Hamstring Muscle Injury and the Hyperintense T2 Weighted Volume of the Hamstring Muscle Lesion Measured by MRI.","authors":"Sylvain Grange, Ronan Plancher, Gustaav Reurink, Pierre Croisille, Pascal Edouard","doi":"10.1097/JSM.0000000000001306","DOIUrl":"10.1097/JSM.0000000000001306","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study was to analyze the correlation between the pain experienced at the time of a hamstring muscle injury and the hyperintense T2 weighted volume of the lesion measured on MRI. The secondary objectives were to analyze the differences in this pain with the lesion grade and the hamstring muscle head involved.</p><p><strong>Design: </strong>We performed a retrospective analysis of the data collected in a prospective, multicenter, noninterventional cohort study (HAMMER).</p><p><strong>Patients: </strong>A total of 61 patients were included in this analysis.</p><p><strong>Interventions: </strong>Patients with suspected hamstring muscle injury had an MRI after the injury.</p><p><strong>Main outcomes measures: </strong>They were evaluated for their pain intensity experienced at the time of injury with a Numeric Pain Rating Scale (NPRS) from 0 to 10.</p><p><strong>Results: </strong>There was a significant but weak correlation between the pain experienced at the time of hamstring muscle injury and the hyperintense T2 weighted volume (r = 0.287; P = 0.025). There were no significant differences in the pain according to the lesion grade (F(3,57) = 0.982; P = 0.408) nor according to the muscle involved (F(3,57) = 1.013; P = 0.394).</p><p><strong>Conclusions: </strong>Pain at the time of injury seemed to be weakly correlated with the extent of muscle lesion at medical imaging. Pain at the time of injury alone seems not enough to give us a clinical meaningful indication of the MRI hyperintense T2 weighted volume.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"113-118"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881396","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":"Time to Ring in the Body Checking, Head Contact, and Suspected Injury Rates in Youth Ringette: A Video-Analysis Study in Youth Ringette and Female Ice Hockey.","authors":"Emily E Heming, Ash T Kolstad, Stephen W West, Rylen A Williamson, Alexandra J Sobry, Alexis L Cairo, Brooke Dennett, Kelly Russell, Claude Goulet, Carolyn A Emery","doi":"10.1097/JSM.0000000000001293","DOIUrl":"10.1097/JSM.0000000000001293","url":null,"abstract":"<p><strong>Objective: </strong>To compare physical contacts (PCs), including head contacts (HCs), suspected concussion, and nonconcussion injury incidence rates between youth ringette and female ice hockey.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Alberta ice arenas.</p><p><strong>Participants: </strong>Players participating in 8 U16AA (ages 14-15 years) ringette and 8 U15AA (ages 13-14 years) female ice hockey games during the 2021 to 2022 season.</p><p><strong>Assessment of risk factors: </strong>Dartfish video-analysis software was used to analyze video recordings.</p><p><strong>Main outcome measures: </strong>Univariate Poisson regression analyses (adjusted for cluster by team-game, offset by game minutes) were used to estimate PCs (including HCs) and suspected injury (concussion and nonconcussion) and concussion-specific IRs and incidence rate ratios (IRRs) to compare sports. Proportions of all PCs that were body checks (level 4-5 trunk PC) and direct HCs (HC 1 ) penalized were reported.</p><p><strong>Results: </strong>Ringette had a 2.6-fold higher rate of body checking compared with hockey (IRR = 2.63, 95% CI: 1.59-4.37). Ringette also had a 2-fold higher rate of HC 1 compared with hockey (IRR = 2.08, 95% CI: 1.37-3.16). A 3.4-fold higher rate of suspected injury was found in ringette (IRR = 3.37, 95% CI: 1.40-8.15). There was no significant difference in suspected concussion IRs in ringette compared with hockey (IRR = 1.93, 95% CI: 0.43-8.74). Despite being prohibited in both sports, only a small proportion of body checks (Ringette = 18%; Hockey = 17%) and HC 1 (Ringette = 6%; Hockey = 6%) were penalized.</p><p><strong>Conclusions: </strong>Higher rates of body checking, HC 1 , and suspected injuries were found in ringette compared with female ice hockey. Body checking and HC 1 were rarely penalized, despite rules disallowing them in both sports. Future research should consider other youth age groups.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"184-190"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544109","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 Effect of the Nordic Hamstring Exercise on Hamstring Muscle Activity Distribution During High-Speed Running Estimated Using Multichannel Electromyography: A Pragmatic Randomized Controlled Trial.","authors":"Jozef J M Suskens, Huub Maas, Jaap H van Dieën, Gino M M J Kerkhoffs, Johannes L Tol, Gustaaf Reurink","doi":"10.1097/JSM.0000000000001291","DOIUrl":"10.1097/JSM.0000000000001291","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of the Nordic hamstring exercise on normalized muscle activity and relative contribution of the biceps femoris long head, semitendinosus, and semimembranosus through multichannel electromyography in the late-swing phase of high-speed running.</p><p><strong>Design: </strong>A pragmatic, 2-arm, single-center randomized controlled trial. Participants were randomly assigned to a Nordic group or control group.</p><p><strong>Setting: </strong>Dutch male basketball.</p><p><strong>Participants: </strong>Twenty injury-free players (mean age 18 ± 3 years).</p><p><strong>Intervention: </strong>A 12-week Nordic hamstring exercise intervention.</p><p><strong>Main outcome measures: </strong>Level of normalized muscle activity (percentage maximal voluntary isometric contraction [%MVIC]) and relative contribution (%con) of hamstring muscles for 12 weeks.</p><p><strong>Results: </strong>The Nordic hamstring exercise intervention did not result in significant changes for 12 weeks. For normalized muscle activity, between-group differences (compared with the control group) for 12 weeks were 11.4 %MVIC (95% confidence interval [95% CI]: -11.0, 33.8) for the biceps femoris long head, -9.4 %MVIC (95% CI: -23.3, 5.2) for the semitendinosus, and -2.7 %MVIC (95% CI: -15.8, 10.3) for the semimembranosus, P = 0.151. For relative contribution, between-group differences for 12 weeks were -6.1 %con (95% CI: -2.4, 14.6) for the biceps femoris long head, -7.0 %con (95% CI: -13.6, -0.4) for the semitendinosus, and 0.9 %con (95% CI: -9.2, 11.0) for the semimembranosus P = 0.187. Positive values are in favor of the Nordic group.</p><p><strong>Conclusions: </strong>A 12-week Nordic hamstring exercise intervention did not affect the level of muscle activity and relative contribution of hamstring muscles in the late-swing phase of high-speed running. Because of the low amount of data sets, results should be interpreted cautiously.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"103-112"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616074","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":"Can Trabecular Bone Score Enhance Fracture Risk Assessment in Long-Distance Runners With Bone Stress Injuries?","authors":"Rashad Madi, Sarem Khan, Chamith S Rajapakse, Amna N Khan, Kate Temme","doi":"10.1097/JSM.0000000000001279","DOIUrl":"10.1097/JSM.0000000000001279","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the trabecular bone score (TBS) Z scores in long-distance runners with bone stress injuries (BSIs) in whom the bone mineral density (BMD) Z score is more than -1.0 (Aim 1) and whether the number of runners with abnormal TBS Z scores would be higher in those with BSI in trabecular-rich sites as compared with cortical-rich sites (Aim 2).</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Institutional sports medicine center.</p><p><strong>Patients: </strong>We analyzed Z scores derived from the TBS and BMD in 44 long-distance runners aged 18 to 40 years who had sustained BSIs between 2017 and 2023 and undergone a dual-energy x-ray absorptiometry scan with reported TBS measurements within 1 year before or 2 years after their injuries.</p><p><strong>Independent variables: </strong>Bone mineral density and TBS Z scores.</p><p><strong>Main outcome measures: </strong>Evaluation of BMD and TBS Z scores in long-distance runners with BSIs, further stratified according to cortical-rich and trabecular-rich BSIs.</p><p><strong>Results: </strong>Bone mineral density assessments revealed an average Z score of -0.96 ± 0.99. In this cohort of 44 runners, 55% (n = 24) of runners were reported to have BMD Z score more than -1.0. Within this subgroup, 54% (n = 13) displayed abnormal TBS. Stratifying BSIs by trabecular- (n = 23) and cortical-rich (n = 19) sites, we found no significant difference in sex, mean BMD, or the number of runners with abnormal TBS between the 2 groups.</p><p><strong>Conclusions: </strong>Trabecular bone score Z scores in sports medicine may provide complementary information to BMD in long-distance runners with BSI, particularly when the BMD Z scores are more than -1.0. However, further research is needed to validate the usefulness of TBS Z scores in this context.</p><p><strong>Study design: </strong>Cohort study.</p><p><strong>Level of evidence: </strong>Retrospective Case Series, IV.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"127-131"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892664","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":"Association of Cognitive Symptoms and Abnormal Oculomotor Signs With Recovery in Adolescents After Sport-Related Concussion.","authors":"Christopher J Stavisky, Jeffrey C Miecznikowski, Mohammad N Haider, Haley M Chizuk, Muhammad S Z Nazir, Matthew F Grady, Jacob I McPherson, Andrew S Nowak, Barry S Willer, Christina L Master, John J Leddy","doi":"10.1097/JSM.0000000000001322","DOIUrl":"10.1097/JSM.0000000000001322","url":null,"abstract":"<p><strong>Objective: </strong>Sport-related concussion (SRC) affects cognitive and oculomotor function. We evaluated recovery from SRC in athletes with cognitive symptoms and/or oculomotor impairments who were prescribed early aerobic exercise treatment.</p><p><strong>Design: </strong>Secondary exploratory analysis of a randomized controlled trial.</p><p><strong>Setting: </strong>Outpatient sports medicine clinics.</p><p><strong>Participants: </strong>Male and female adolescents (13-18 years) within 10 days of SRC who were prescribed aerobic exercise and who reported either a low (<12 points) or high (≥12 points) burden of cognitive symptom scores on the Post-Concussion Symptom Inventory at initial assessment.</p><p><strong>Interventions: </strong>Early aerobic exercise treatment.</p><p><strong>Main outcome measures: </strong>Recovery time and incidence of persisting postconcussive symptoms beyond 1 month.</p><p><strong>Results: </strong>Adolescents with a high burden of cognitive symptoms (n = 24, 16.0 ± 1.3 years old, 50% male, 5.3 ± 2.4 days since injury) took longer to recover (34.4 ± 37.1 vs 15.3 ± 7.6 days) than adolescents with a low burden (n = 32, 14.9 ± 1.4 years old, 69% male, 6.1 ± 2.3 days since injury) and had 6-fold higher odds of developing persisting postconcussive symptoms (odds ratio = 6.17 [1.15-33.15]). Abnormal repetitive saccades and vestibular ocular reflex were independently associated with longer recovery after controlling for multiple comparisons ( P < 0.0125), but only abnormal smooth pursuits were a significant effect modifier for the association between cognitive symptoms and recovery (interaction term hazard ratio = 0.133 [0.035-0.504], P = 0.003).</p><p><strong>Conclusions: </strong>Individuals with impaired ability to smoothly track a moving target and whose cognitive symptoms are a significant burden are at substantial risk for delayed recovery from SRC. Early initiation of oculomotor rehabilitation may facilitate recovery in these patients.</p><p><strong>Trials registration: </strong>Clinicaltrials.gov ID NCT02959216.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"138-144"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845875","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":"Exertional Compartment Syndrome Strategies for Evaluation and Management.","authors":"Michael Strauss, Katherine Wilson, Sammy Xian, Adam Chan","doi":"10.1097/JSM.0000000000001329","DOIUrl":"10.1097/JSM.0000000000001329","url":null,"abstract":"<p><strong>Objective: </strong>The exertional compartment syndrome (ECS) is often a delayed diagnosis. Compartment pressure measurements (CPM) confirm the diagnosis. Herein we present our algorithm for the evaluation and management (E&M) of ECS. It avoids multiple CPM and shows the importance of the history and examination for E&M of the ECS.</p><p><strong>Design: </strong>A literature review showed that limb abnormalities are hardly ever mentioned. Subsequently we show how the history, examination (for recognizing abnormalities), and CPM integrate with our algorithm for E&M of the ECS.</p><p><strong>Setting: </strong>Our algorithm evolved for a 32-year interval and approximately 150 ECS evaluations.</p><p><strong>Patients: </strong>Our E&M method was used for the above complement of patients.</p><p><strong>Interventions: </strong>The symptomatic muscle compartment(s) and the severity of pain during the inciting activity are ascertained. The examination detects abnormalities and tautness of muscle compartments. This information integrated into our ECS algorithm establishes which compartments need CPM.</p><p><strong>Main outcome measures: </strong>Pain severity is quantified on a 0- to 10-point scale. This information is integrated with history, examination findings, and CPMs to guide E&M for a range of ECS presentations.</p><p><strong>Results: </strong>Abnormalities detected on the examination often explain why ECS occurs. This information is valued by the patient, minimizes CPM, and offers sound advice for E&M.</p><p><strong>Conclusions: </strong>Our article heightens awareness of the ECS diagnosis for all levels of care providers. It objectifies pain severity, shows the importance of the examination, and minimizes ECM in giving advice to the referral sources.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"235-241"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001348","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":"Helmetless Tackling Training Intervention and Preseason Self-efficacy Effects on Head Impacts in Hawai'i High School Football.","authors":"Ivet Lloansi Rodriguez, Bret Freemyer, Kumiko Hashida, Kaori Tamura, Nathan Murata, Troy Furutani, Gerald Gioia, Jay Myers, Erik Swartz","doi":"10.1097/JSM.0000000000001246","DOIUrl":"10.1097/JSM.0000000000001246","url":null,"abstract":"<p><strong>Objective: </strong>To determine how football head impacts are influenced by self-efficacy (SE), helmetless tackling intervention participation (IP), and years of experience (YE) playing football.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Three high schools.</p><p><strong>Participants: </strong>120 (male; n = 118, female; n = 2, 15.57 ± 1.23 years) participants were recruited from 5 high school teams (3 varsity and 2 junior-varsity).</p><p><strong>Independent variables: </strong>SE, days of IP, and YE playing tackle football.</p><p><strong>Main outcome measures: </strong>SE was measured using a 53-question survey and categorized into 5 subscales. The accumulation of total head impacts (THI) was measured using Riddell InSite Speedflex helmets (Elyria, OH) throughout the season. Head impact exposure (HIE) was standardized as a ratio of impacts per session (games, scrimmages, and practices). Multiple regression analyses tested the relationship between THI or HIE with the predictor variables.</p><p><strong>Results: </strong>For THI, 22.1% was explained by the predictors (r = 0.470, r 2 = 0.221). Intervention participation had a negative correlation (B = -4.480, P = 0.019), whereas confidence in performing proper tackling and blocking (SE1) (B = 3.133, P = 0.010) and >8 YE (B = 135.9, P = 0.009) positively correlated with THI. For HIE, 25.4% was explained by the predictors (r = 0.504, r 2 = 0.254). Intervention participation negatively correlated (B = -0.077, P = 0.007), whereas SE1 (B = 3.133, P = 0.010) and >8 YE (B = 2.735, P ≤ 0.001) correlated positively with HIE.</p><p><strong>Conclusions: </strong>Increased head impacts were associated with less helmetless tackling participation, more than 8 YE, and more self-confidence in tackling ability. Increasing the amount of time athletes spend practicing proper tackling and blocking techniques to reduce head first and risky play is warranted to reduce the amount of head impacts received over time.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"132-137"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554328","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":"Moving More: Physical Activity and Its Positive Effects on Depression and Anxiety in Children and Young People.","authors":"Emma Bevan, Craig Sheridan, Sam Botchey, Paul Kelly, Hamish Reid","doi":"10.1097/JSM.0000000000001311","DOIUrl":"10.1097/JSM.0000000000001311","url":null,"abstract":"<p><strong>Objective: </strong>This project has 2 aims: First, to identify and summarize the most clinically important aspects of the published evidence on physical activity and sport in children and young people for the treatment or prevention of depression, anxiety, or symptoms of these conditions. Second, this study aims to funnel and develop this evidence to create clinically meaningful summaries on the Moving Medicine website and to guide clinicians on the day-to-day conversations clinicians have with children and young people about the benefits of physical activity for mental health.</p><p><strong>Design: </strong>This mixed methods study combines a scoping review with expert clinical review using the knowledge creation funnel component of the KTA framework.</p><p><strong>Data sources: </strong>We searched Pubmed, OvidSp, Cochrane, OvidEmbase, OvidEmcare and AMED databases using the following search strategy, which included appropriate truncation symbols to account for variations of the search terms and maximize searches: Depression OR depressed OR anxiety OR \"generalised anxiety disorder\" OR anxious* OR \"low mood\" OR \"Mood disorder\" AND Children OR Child OR adolescen* OR teenager OR \"young people*\" OR \"young person*\" AND Exercise OR \"physical activ*\" OR sport OR \"Physically activ*\".</p><p><strong>Results: </strong>Sixty-eight studies were included in this review, and evidence suggested that interventions of varying intensity can reduce symptoms of depression and anxiety in children and young people. The effects of physical activity on other mental health outcomes were also encouraging. The available evidence suggests that physical activity is a promising strategy to improve mental health in children and young people.</p><p><strong>Conclusions: </strong>The literature overwhelmingly supports the benefits of regular physical activity both in the prevention of mental health issues for children and young people and in reduction of symptoms for those with already established symptoms. This review has translated this knowledge into accessible and relevant resources for healthcare professionals to use in their practice.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"206-223"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405612","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}