Clinical Journal of Sport Medicine最新文献

{"title":"Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?","authors":"Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas","doi":"10.1097/JSM.0000000000001254","DOIUrl":"10.1097/JSM.0000000000001254","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate access to optimal concussion care based on a pediatric patients' geography; the hypothesis is that differential access across the Unites States exists.</p><p><strong>Design: </strong>Employed a novel strategy using internet searches to find local care, mimicking what families might do in different parts of the country.</p><p><strong>Setting: </strong>Virtual internet searches.</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Independent variable: </strong>Various metropolitan and rural geographic regions within each state in the United States.</p><p><strong>Main outcome measures: </strong>Evaluate access (defined as distance to clinic and ability to see pediatric patients) and optimal care (defined as self-referral process and presence of multidisciplinary care).</p><p><strong>Results: </strong>Search strategy yielded 490 results. Overall ∼60% were within 50 miles of searched locations with significant differences in access based on rural versus metropolitan areas ( P < 0.0001); in rural areas, only ∼22% of results were within 50 miles. Only about one-third of the results (n = 157) saw pediatric patient with no differences between regions. There was significant regional and geographic variation for optimal care regarding both self-referral processes and access to multidisciplinary care. A diverse group of specialists was represented in search results for concussion care.</p><p><strong>Conclusions: </strong>Nationwide, there is an overall lack of access to multidisciplinary concussion care for pediatric patients. Additionally, those in rural communities face more limitations related to access to facilities with increased distances from closest clinic sites.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"425-429"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554329","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":"Performance-Based Outcomes after Revision Ulnar Collateral Ligament Surgery in Professional Pitchers.","authors":"Ajith Malige, Carlos Uquillas","doi":"10.1097/JSM.0000000000001206","DOIUrl":"10.1097/JSM.0000000000001206","url":null,"abstract":"<p><strong>Objective: </strong>To compare performance in baseball pitchers before and after revision ulnar collateral ligament (UCL) surgery using performance metrics.</p><p><strong>Design: </strong>Case series.</p><p><strong>Setting: </strong>Public online database.</p><p><strong>Patients or participants: </strong>Players who underwent revision UCL surgery between 2015 and 2021 were identified. Players were included if they were Minor League (MiLB) or Major League (Major League baseball [MLB]) pitchers. Players were excluded if they were not pitchers, if they underwent their revision surgery as an amateur, or if there is no record of their primary reconstruction surgery.</p><p><strong>Interventions: </strong>Revision UCL surgery (repair or reconstruction).</p><p><strong>Main outcome measures: </strong>Return to sport (RTS) rate, RTS time, pitch velocity, and pitch spin rate.</p><p><strong>Results: </strong>Sixty-five pitchers underwent revision UCL surgery. MiLB pitchers had a shorter RTS time after their primary surgery (15.62 vs 20.77 months, P < 0.01) compared with MLB pitchers but similar RTS times after their revision reconstruction (19.64 vs 18.48 months, P = 0.44). There was also no difference in return to play (RTP) rate overall after primary versus revision reconstruction ( P = 1.00). Major League baseball pitchers also had decreased RTS time after primary compared with revision reconstruction (15.62 vs 19.64 months, P < 0.01) but similar RTP rates ( P = 0.28). Finally, MLB pitchers had similar pitch breakdowns, velocities, and spin rates before and after their primary and revision repair or reconstruction.</p><p><strong>Conclusions: </strong>Both revision UCL repair and reconstruction can return pitchers to preinjury performance levels. Pitchers and teams should be properly counseled on realistic RTP times and postsurgery performance when discussing revision UCL surgeries.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"454-461"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721881","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":"Acute Eye-Tracking Changes Correlated With Vestibular Symptom Provocation Following Mild Traumatic Brain Injury.","authors":"Caroline Uyeno, Rachel Zhang, Jordan Cornwell, Masaru Teramoto, Marie Boo, Angela Lumba-Brown","doi":"10.1097/JSM.0000000000001223","DOIUrl":"10.1097/JSM.0000000000001223","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify norms and changes in eye-tracking proficiency, and determine vestibular symptom correlations in varsity college athletes following acute mild traumatic brain injury (mTBI). We hypothesized that mTBI impacts central coordination between the vestibular and oculomotor systems with resultant changes in eye-tracking proficiency that are correlated with vestibular symptom provocation.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Sports medicine care at a single institution.</p><p><strong>Patients: </strong>One hundred and nineteen college athletes diagnosed with mTBI by a physician between 2013 and 2019.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Standard deviation of tangential error, standard deviation of radian error, mean phase error, and horizontal gain from virtual reality-based, circular eye-tracking goggles used at baseline and within 72 hours post-mTBI. Headache, dizziness, nausea, and fogginess provocation after the Vestibular Ocular Motor Screening (VOMS) smooth pursuits subtest compared with pretest baseline, assessed within 72 hours post-mTBI.</p><p><strong>Results: </strong>One hundred and nineteen college athletes (N = 56 women and 63 men) aged 18 to 24 years sustained a total of 177 mTBI. Forty-four percent of athletes displayed abnormal eye-tracking on at least 1 eye-tracking measure following acute mTBI compared with their baseline. From the VOMS, horizontal gain showed medium-sized to large-sized positive correlations with headache ( r = 0.34) and dizziness ( r = 0.54), respectively. Mean phase error showed a medium-sized negative correlation with nausea ( r = -0.32) on the VOMS.</p><p><strong>Conclusions: </strong>Eye-tracking proficiency was impaired and correlated with vestibular symptom provocation following acute mTBI in college athletes. Future research should examine eye-tracking proficiency testing in other acute care settings to support mTBI diagnosis.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"411-416"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863114","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":"Examining Acute Symptoms After Sport-Related Concussion in Collegiate Athletes With Preinjury Migraines.","authors":"Jacob Jo, Paul D Berkner, Katie Stephenson, Bruce A Maxwell, Grant L Iverson, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001233","DOIUrl":"10.1097/JSM.0000000000001233","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether a personal history of migraines is associated with worse acute symptom burden after sport-related concussion (SRC).</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>National Collegiate Athletic Association Division III collegiate programs.</p><p><strong>Participants: </strong>Collegiate athletes from a prospective concussion surveillance system between 09, 2014, and 01, 2023.</p><p><strong>Intervention: </strong>Preinjury migraines (yes/no) were self-reported by athletes.</p><p><strong>Main outcome measures: </strong>Post-Concussion Symptom Scale (PCSS) were collected within 3 days postinjury. Mann-Whitney U tests compared total PCSS scores and individual symptom scores between athletes with and without preinjury migraines. Chi-squared tests were used to compare proportions of athletes endorsing individual symptoms (ie, item score ≥1) between 2 groups. Multivariable regression analyzed potential predictors of PCSS scores.</p><p><strong>Results: </strong>Of 1190 athletes with SRC, 93 (7.8%) reported a preinjury history of migraines. No significant difference in total PCSS scores was found between athletes with and without preinjury migraines (22.0 ± 16.4 vs 20.5 ± 15.8, U = 48 719.0, P = 0.471). Athletes with preinjury migraines reported greater severity of \"sensitivity to light\" (1.59 ± 1.59 vs 1.23 ± 1.41, P = 0.040) and \"feeling more emotional\" (0.91 ± 1.27 vs 0.70 ± 1.30; P = 0.008) and were more likely to endorse \"feeling more emotional\" (45.2% vs 29.5%, P = 0.002). No differences were found across all other symptoms, including headaches (migraine = 87.1% vs no migraine = 86.3%, P = 0.835). In a multivariable model, a history of migraine was not a significant predictor of acute PCSS scores, but those with a history of psychological disorders (β = 0.12, P <0 .001) and greater number of days to symptom evaluation (β = 0.08, P = 0.005) had higher PCSS scores.</p><p><strong>Conclusions: </strong>Collegiate athletes with a pre-existing history of migraines did not have higher acute symptom burden after SRC.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"404-410"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080816","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":"Paget-Schroetter Syndrome in a Patient With Posterior Shoulder Subluxation: A Case Report.","authors":"David Röthlisberger, Mustafa S Rashid, Peter Ruijs, Matthias A Zumstein","doi":"10.1097/JSM.0000000000001227","DOIUrl":"10.1097/JSM.0000000000001227","url":null,"abstract":"<p><strong>Abstract: </strong>Paget-Schroetter syndrome describes a primary thrombosis of the subclavian vein induced by effort. In most cases, the clinical presentation includes painful swelling, discoloration, and visible collateral circulation in the arm. Paget-Schroetter syndrome is treated with anticoagulation, rest, and physical therapy. In certain cases, invasive treatment such as thrombolysis and decompression surgery (first rib resection) may be necessary. We present the case of a 28-year-old healthy male patient with effort-induced deep vein thrombosis of the upper extremity after posterior shoulder subluxation. Anticoagulation, rest, and physical therapy were used to treat the patient, who became asymptomatic and was able to resume normal activities without restriction. To our knowledge, this is the first case of effort-induced upper extremity deep vein thrombosis after posterior shoulder subluxation. Paget-Schroetter syndrome is rare diagnosis that requires vigilance during musculoskeletal assessment for shoulder pain and swelling. The early detection, radiological confirmation, and prompt initiation of treatment are essential to successful management of Paget-Schroetter syndrome. The impact of associated posterior shoulder subluxation remains unclear.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"503-505"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141173898","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":"A New Measuring Approach in Assessing Hamstring Flexibility: Reliability, Validity, and Applicability of Isolated Hamstring Flexibility Test.","authors":"Yasin Talu, Aysenur Tuncer, Burcu Talu","doi":"10.1097/JSM.0000000000001235","DOIUrl":"10.1097/JSM.0000000000001235","url":null,"abstract":"<p><strong>Objective: </strong>This study was planned to determine the reliability, validity, and applicability of the isolated hamstring flexibility test (IHFT).</p><p><strong>Design: </strong>A cohort study (diagnosis); level of evidence, 2.</p><p><strong>Setting: </strong>It was performed in the research and application laboratory.</p><p><strong>Participants: </strong>Seventy-five individuals aged 18 to 25 years, selected through simple probability random sampling, with a normal Beighton Horan and Joint Mobility Index scores, and who volunteered to participate, were included for evaluation.</p><p><strong>Interventions: </strong>On then first and third days, participants underwent muscle strength, sit-and-reach test, active knee extension test, IHFT for validity and reliability. Stretching exercises were prescribed as a home program for 31 patients with limited knee extension, and measurements were repeated at the end of the eighth week.</p><p><strong>Main outcome measures: </strong>Sit-and-reach test, active knee extension test, IHFT.</p><p><strong>Results: </strong>The test-retest reliability was high (intraclass correlation coefficient, 0.993). Our test demonstrated validity when compared in terms of flexibility gained. A significant difference was found between pre-post stretching exercise training in all 3 tests ( P < 0.05).</p><p><strong>Conclusion: </strong>It was observed that the IHFT is reliable and applicable in determining hamstring flexibility. Given the absence of another test specifically measuring hamstring flexibility in isolation, its indirect validity was established through analysis with other tests using the gold standard for assessing gains in hamstring flexibility.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"430-435"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300141","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":"Epidemiology of Hamstring Tears in National Collegiate Athletic Association Athletes: Findings From the National Collegiate Athletic Association Injury Surveillance Program Between 2014/2015 and 2018/2019.","authors":"Adrian J Boltz, Nicholas Hooper, James Satalich, Seth Cheatham, Robert O'Connell, Neel Rao, Reagan E Garcia, Christy L Collins, Avinash Chandran","doi":"10.1097/JSM.0000000000001240","DOIUrl":"10.1097/JSM.0000000000001240","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiology of hamstring tears in National Collegiate Athletic Association (NCAA) sports.</p><p><strong>Design: </strong>Descriptive epidemiology study. Athletic trainers from NCAA schools reported injuries to the NCAA Injury Surveillance Program.</p><p><strong>Setting: </strong>A convenience sample of NCAA hamstring tear injuries during the 2014/2015 through 2018/2019 academic years.</p><p><strong>Patients or participants: </strong>NCAA student-athletes.</p><p><strong>Independent variables: </strong>Sport, sex, event type, season segment, injury history, and activity at the time of injury.</p><p><strong>Main outcome measures: </strong>Injury counts, rates, and proportions were used.</p><p><strong>Results: </strong>Two thousand ninety-six hamstring tears from 8 474 400 athlete-exposures (AEs) were reported (2.47 per 10 000 AEs). Rates were highest in Men's Soccer (5.97 per 10 000 AEs) and Women's Soccer (3.13 per 10 000 AEs), among all Men's and Women's sports, respectively. Competition-related rates in Men's and Women's sports were highest in 2015 to 2016 then followed a decreasing pattern across the remainder of the study period. Among sex-comparable sports, rates were higher in men's (compared with women's) Baseball/Softball, Soccer, and Track and Field. The prevalence of recurrent injuries was comparable among men's (14.8%) and women's (11.5%) sports. Time loss hamstring tears were more prevalent in Men's sports than Women's sports [injury proportion ratio = 1.33; 95% confidence interval, (1.21, 1.47)].</p><p><strong>Conclusions: </strong>Overall, hamstring tear rates were higher across all Men's sports compared with Women's sports. Rates across event type were comparable in several sports; and so, adjustments to practice are needed considering that practice environments are more modifiable than competitions. Indeed, improving hamstring tear prevention programs to reduce the burden of this injury in NCAA athletes remains critical.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"444-453"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426481","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":"An Exploratory Analysis of Physical Examination Subtypes in Pediatric Athletes With Concussion.","authors":"Jacob I McPherson, Amanda C Marsh, Adam Cunningham, John J Leddy, Cathlyn Corrado, Zaheerud D Cheema, Muhammad S Z Nazir, Andrew S Nowak, Osman Farooq, Barry S Willer, Mohammad N Haider","doi":"10.1097/JSM.0000000000001207","DOIUrl":"10.1097/JSM.0000000000001207","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric athletes with concussion present with a variety of impairments on clinical assessment and require individualized treatment. The Buffalo Concussion Physical Examination is a brief, pertinent clinical assessment for individuals with concussion. The purpose of this study was to identify physical examination subtypes in pediatric athletes with concussion within 2 weeks of injury that are relevant to diagnosis and treatment.</p><p><strong>Design: </strong>Secondary analysis of a published cohort study and clinician consensus.</p><p><strong>Setting: </strong>Three university-affiliated sports medicine centers.</p><p><strong>Participants: </strong>Two hundred seventy children (14.9 ± 1.9 years).</p><p><strong>Independent variables: </strong>Orthostatic intolerance, horizontal and vertical saccades, smooth pursuits, vestibulo-ocular reflex, near-point convergence, complex tandem gait, neck range of motion, neck tenderness, and neck spasm.</p><p><strong>Main outcome measures: </strong>Correlations between independent variables were calculated, and network graphs were made. k -means and hierarchical clustering were used to identify clusters of impairments. Optimal number of clusters was assessed. Results were reviewed by experienced clinicians and consensus was reached on proposed subtypes.</p><p><strong>Results: </strong>Physical examination clusters overlapped with each other, and no optimal number of clusters was identified. Clinician consensus suggested 3 possible subtypes: (1) visio-vestibular (horizontal and vertical saccades, smooth pursuits, and vestibulo-ocular reflex), (2) cervicogenic (neck range of motion and spasm), and (3) autonomic/balance (orthostatic intolerance and complex tandem gait).</p><p><strong>Conclusions: </strong>Although we identified 3 physical examination subtypes, it seemed that physical examination findings alone are not enough to define subtypes that are both statistically supported and clinically relevant, likely because they do not include symptoms, assessment of mood or cognitive problems, or graded exertion testing.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"417-424"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702094","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":"Acute Compartment Syndrome and Rhabdomyolysis Caused by a Single Electrical Muscle Stimulation in a 46-Year-Old Female Professional Athlete With Fibromyalgia, Chronic Fatigue Syndrome, and Myofascial Disorder: A Case Report.","authors":"Karen M von Deneen, Dereje Gobena Alemayehu, Ajit Khosla","doi":"10.1097/JSM.0000000000001216","DOIUrl":"10.1097/JSM.0000000000001216","url":null,"abstract":"<p><strong>Abstract: </strong>Electrical muscle stimulation (EMS) training has been recognized as an effective modality for improving body composition, enhancing body strength, and facilitating injury recovery. However, individuals who are new to EMS training and those with certain chronic diseases should exercise caution due to the increased risk of rhabdomyolysis. This case report describes the occurrence of rhabdomyolysis and gluteal compartment syndrome following a single session of EMS training in a 46-year-old Caucasian female professional athlete. The patient was successfully managed with intensive intravenous fluid therapy and sodium bicarbonate supplementation, along with close monitoring of electrolytes and renal function. Electrical muscle stimulation training poses an increased risk of severe complications in individuals with chronic diseases and myopathy. Therefore, careful subject selection is required for EMS training in individuals with chronic diseases and myopathy to prevent common side effects. For individuals trying EMS training for the first time, it is recommended to avoid high-frequency EMS exercises.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"506-508"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140058795","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":"Avoiding the Edge Before It Is Too Late: When Is Pain a Sign of Injury in Athletes?","authors":"Nicole C Rickerby, Paul W Hodges, Manuela Besomi, Mark R Hutchinson, Melissa A Day","doi":"10.1097/JSM.0000000000001237","DOIUrl":"10.1097/JSM.0000000000001237","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"401-403"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431516","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}