Clinical Journal of Sport Medicine最新文献

{"title":"Delayed Presentation of a Pseudocyst After Endoscopic Lumbar Discectomy and Its Recurrence in a Professional Biathlon Athlete: A Case Report and Literature Review.","authors":"Henri d'Astorg, Sunil N Reddy, Thais Dutra Vieira, Xavier Castel, Vincent Fière, Marc Szadkowski","doi":"10.1097/JSM.0000000000001314","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001314","url":null,"abstract":"<p><strong>Abstract: </strong>In this case report, we encountered a pseudocyst as a complication of endoscopic lumbar discectomy in a high-level athlete within 3 months, which is atypical according to the literature. The recurrence of this pathology is even rarer, in this case, the patient presented a recurrence of the pseudocyst after resection. This case report outlines a review of the patient's clinical report, imaging, operative procedure, and complications, together with a literature review on pseudocysts after endoscopic lumbar discectomy.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766907","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":"Sleep Disturbances and Risk of Sports Injury Among Collegiate Student-Athletes.","authors":"Brett A Messman, Kyla A Petrie, E Whitney G Moore, Trent A Petrie","doi":"10.1097/JSM.0000000000001278","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001278","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the relationship between collegiate student-athletes' sleep and injury status.</p><p><strong>Design: </strong>This study was a secondary analysis of observational survey data of student-athletes collected across 2 time periods, October 2020 and January 2021.</p><p><strong>Setting: </strong>Data were collected as part of an ongoing national (USA) longitudinal survey investigating student-athletes' well-being in the aftermath of the COVID-19 pandemic.</p><p><strong>Participants: </strong>Participants were made-up of a subsample of participants from the parent study. Data from 89 exact matched pairs (across 5 demographics) of injured and noninjured student-athletes (68.5% NCAA Division I, 82.0% women) were assessed.</p><p><strong>Independent variables: </strong>Student-athletes' sleep disturbance levels were the primary independent variable of interest. Analytic models also covaried for gender, racial, and ethnic identities, sport in-seasons, and previous injury status.</p><p><strong>Main outcome measures: </strong>Participant endorsed injury status was the main outcome measure of interest. Hypotheses were formulated during the data collection of the parent study.</p><p><strong>Results: </strong>Student-athletes injured in January 2021 reported higher average sleep disturbances in both October 2020 and January 2021 than noninjured student-athletes but not student-athletes injured in October. In addition, October 2020 sleep disturbances were a significant predictor (P = 0.007) of injury, such that odds of student-athletes being injured increased 1.07 times for each unit increase in their sleep disturbances controlling for their identities, sport in-season, and previous injury status.</p><p><strong>Conclusions: </strong>Findings signal support for the screening and targeting of student-athletes' sleep problems to reduce potential occurrences of sports-related injuries in student-athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766188","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":"Identifying Preferences for Exercise and Sport in Australians With Mild Multiple Sclerosis: Looking Beyond Clinical Characteristics when Implementing Exercise Interventions.","authors":"Shavaughn L Baynton, Georgios Mavropalias, Kaur Inderpreet, Fleur van Rens, Yvonne C Learmonth","doi":"10.1097/JSM.0000000000001310","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001310","url":null,"abstract":"<p><strong>Objective: </strong>Exercise is a salient component in delaying disability progression in multiple sclerosis (MS). This study considers personal preferences regarding exercise program prescription and the resources needed to facilitate exercise.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Community online, Australia.</p><p><strong>Participants: </strong>Adults with MS.</p><p><strong>Independent variables: </strong>Participants completed online questionnaires on current exercise and sport, and preferences toward exercise prescription variables, facilitative resource needs, and delivery method.</p><p><strong>Main outcomes: </strong>We established preference responses for the entire sample, and separately, we used logistic regression and analysis of variance to compare preferences between participants stratified according to (1) geographical rurality (ie, metro vs rural and remote) and (2) current exercise engagement (ie, active, moderately active, and insufficiently active).</p><p><strong>Results: </strong>Fifty people with a diagnosis of MS completed the survey. Participants had mild disability; most were metro-dwelling (74%) and physically active (58%). Preferences included a program of at least 6 months (70%), where exercise sessions are performed 5 d/wk (38%) at a moderate intensity (50%). Half (50%) of responders wanted to participate in sports for exercise. There was a significant difference in the preference toward higher-intensity exercise in active persons compared with inactive persons. Facilitative resources selected included a behavioral exercise coach (80%) who provides MS-specific information (46%) and behavioral change strategies (41%).</p><p><strong>Conclusions: </strong>Persons with mild MS are interested in participating in various exercises and sports. Encouraging participation will have long-term benefits. We recommend that HCPs and researchers consider individual social factors, in addition to patient symptoms and disability, when designing exercise programs for an Australian MS population.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142726581","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 Systematic Review of Sports-Related Concussion Education Programs: Design, Outcomes, and Recommendations.","authors":"Abid Hussain, Dominic Malcolm, Muhammad Tausif","doi":"10.1097/JSM.0000000000001309","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001309","url":null,"abstract":"<p><strong>Objective: </strong>This systematic literature review was undertaken to identify the main design features of sport-related concussion (SRC) education programs, examine their outcomes, and consider the relationship between design and effectiveness.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Main outcome measures: </strong>Studies which report on educational interventions (a dedicated in-person or online teaching session) that purport to change knowledge, attitudes, and/or behavior toward sports-related concussion. Searches were performed across 5 databases.</p><p><strong>Results: </strong>Out of the 9192 records that were initially screened, 28 retrieved studies were identified. The review found considerable diversity in the content, mode of delivery, and aims of SRC education programs. Sport-related concussion programs were largely successful in increasing recipients' knowledge, but these gains were often transitory, and stronger among adults than among children. There was little evidence of a tangible impact on behavior.</p><p><strong>Conclusions: </strong>We recommend that future research should (1) seek to clarify what constitutes achievable goals for education programs, (2) move toward better intervention standardization through greater consolidation and coordination of the field, (3) feature explicit attempts to tailor interventions to specific target audiences, and (4) ensure the greater involvement of participants in the creation and design of SRC educational interventions.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945782","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":"Factor Structure and Measurement Invariance Across Sex of the Sport Concussion Assessment Tool Symptom Inventory.","authors":"Bernadette A D'Alonzo, Ian J Barnett, Christina L Master, Roy H Hamilton, Douglas J Wiebe, Andrea L C Schneider","doi":"10.1097/JSM.0000000000001301","DOIUrl":"10.1097/JSM.0000000000001301","url":null,"abstract":"<p><strong>Objective: </strong>Describe the factor structure of the 22-symptom Sport Concussion Assessment Tool (SCAT), using confirmatory factor analysis (CFA) for a priori hypothesized symptom domains.</p><p><strong>Study design: </strong>Prospective observational study.</p><p><strong>Setting/participants: </strong>Collegiate student-athletes with concussion.</p><p><strong>Independent variables: </strong>Symptoms were collected via the SCAT symptom checklist.</p><p><strong>Outcome measures: </strong>We created symptom domains based on previous literature, guided by clinical expertise. To determine which symptom grouping best represent the data, we used CFA and compared a single-domain model to 3- and 6-domains. We examined fit statistics to assess relative and absolute model fit. Motivated by differences in the prevalence of some individual symptoms by sex in our study, we also examined model invariance by sex to determine if symptoms were being measured as part of the same underlying construct(s).</p><p><strong>Results: </strong>Among 1160 concussions (male, n = 667; female, n = 493) between 2015 and 2020, all 3 symptom structures seemed to fit the data well, with 3- and 6-domains fitting better than 1-domain. The 6-domain structure fit the data best with the following domains: headache, vestibulo-ocular, sensory, cognitive, sleep, and affective. All 3 structures showed configural and metric invariance by sex.</p><p><strong>Conclusions: </strong>We demonstrate that the SCAT symptom structure is best represented through 6 specific factors; however, the 3-factor model also demonstrated good fit. Key differences between the 3- and 6-domain models may make 1 model more appropriate than the other depending on the research question being addressed. Symptom structures were configurally and metrically invariant by sex, meaning that symptom measures represent symptom domain factors in the same way across sex.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142726579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasciotomy for Chronic Exertional Compartment Syndrome of the Deep Posterior Lower Leg Compartment: A Prospective Study.","authors":"Chris van den Heuvel-Weiss, Sari Goossens, Loes Janssen, Percy van Eerten, Rob de Bie, Marc Scheltinga","doi":"10.1097/JSM.0000000000001298","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001298","url":null,"abstract":"<p><strong>Objective: </strong>Patients with lower leg deep posterior chronic exertional compartment syndrome (dp-CECS) experience exercise-induced calf pain and tightness. Retrospective studies suggest that outcome after a fasciotomy is suboptimal. This prospective case series determined success rates of a fasciotomy and identified factors predicting outcome.</p><p><strong>Design: </strong>Severity and intensity of pain and tightness were scored at baseline (BL) and 3 and 12 months postoperatively (follow-up [FU]3, FU12). Outcome measures were symptoms, return to sports, and patient-reported success.</p><p><strong>Patients: </strong>Data of patients with dp-CECS (n = 74, 51% males, age 28 ± 12 years) operated between 2013 and 2022 in a single center were analyzed.</p><p><strong>Results: </strong>Pain scores during rest and during exercise were greatly attenuated (rest BL: 8 ± 1, FU3: 4 ± 1, FU12: 3 ± 0; exercise BL: 20 ± 1, FU3: 8 ± 1, FU12: 8 ± 1; both P < 0.001). At FU3, rates of success and return to sports were 56% and 63%, respectively. At FU12, success was maintained in 48% and 80% had returned to sports. Length of symptom duration and not opening the flexor hallucis compartment were related to a lower chance of return to sports (P < 0.05).</p><p><strong>Conclusions: </strong>Outcome after a fasciotomy for lower leg dp-CECS is successful in approximately half of patients. Long duration of symptoms and not opening the flexor hallucis compartment are risk factors for failure.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platelet-Poor Plasma for the Treatment of Acute Hamstring Muscle Injuries in Collegiate Football Athletes: A Cohort Study.","authors":"Ryan C Kruse, Elena Volfson","doi":"10.1097/JSM.0000000000001305","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001305","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of platelet-poor plasma injections for the treatment of acute hamstring muscle strains.</p><p><strong>Design: </strong>Cohort study.</p><p><strong>Setting: </strong>Outpatient Sports Medicine Clinic.</p><p><strong>Participants: </strong>Twenty consecutive patients with an acute hamstring muscle injury from 2021 to 2022 were included.</p><p><strong>Interventions: </strong>Platelet-poor plasma injection into the hamstring muscle strain.</p><p><strong>Main outcome measures: </strong>Time (days) until return to full unrestricted participation in sport.</p><p><strong>Results: </strong>All patients were male collegiate football athletes, with an average age of 20 (±1.6) years old. The most commonly injured muscle was the semitendinosus (65%). After treatment with platelet-poor plasma, patients on average returned to full, unrestricted participation in sport at 29.4 (±7.2) days postinjury, with a statistically significant improvement in pain as early as 2 weeks postinjection. No recurrent injuries to the affected hamstring muscles were seen within 12 months.</p><p><strong>Conclusions: </strong>PPP may be a safe and effective treatment for acute hamstring muscle strains and may potentially expedite time to return to play.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686085","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":"Sport-Related Cutaneous Infections: A Narrative Review.","authors":"Breanna N Santoso, Abraham M Korman, Mark A Bechtel, Michael R Baria","doi":"10.1097/JSM.0000000000001308","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001308","url":null,"abstract":"<p><strong>Abstract: </strong>Bacterial and viral cutaneous infections pose a great risk of serious complications in combat athletes and contribute to a significant amount of time lost in practice and competition. Although these infections can be treated with standard antimicrobials, the rise in resistance of Staphylococcus aureus and dermatophytes calls for updated treatment recommendations. Methicillin-resistant S. aureus (MRSA) is becoming a highly prevalent culprit of impetigo, folliculitis, and cellulitis and must be managed correctly to eradicate infection effectively. In addition, the increased prevalence of tinea incognito and terbinafine-resistant Trichophyton tonsurans makes dermatophyte infections difficult to handle. Limited studies provide evidence for a nuanced approach when treating athletes who engage in weight cycling or rapid weight loss, but adjusted dosing and treatment guidelines remain important.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945783","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":"Musculoskeletal Soreness Location and Intensity in Soccer Athletes Across Multiple Seasons.","authors":"Brett S Pexa, Malia N M Blue, Nikki E Barczak-Scarboro, Jeffrey B Taylor, Christopher D Johnston, Kevin R Ford","doi":"10.1097/JSM.0000000000001294","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001294","url":null,"abstract":"<p><strong>Objective: </strong>To compare soreness location and intensity between male and female soccer athletes across 2 competitive seasons.</p><p><strong>Design: </strong>Descriptive Cohort Study.</p><p><strong>Setting: </strong>Collegiate Sports Medicine Facility.</p><p><strong>Participants: </strong>Forty male and 42 female collegiate soccer athletes.</p><p><strong>Intervention: </strong>Season-long soccer trainings and games.</p><p><strong>Main outcome measures: </strong>Athletes reported perceived soreness location and intensity daily. χ2 analysis and linear mixed effect models were used to compare soreness locations and intensities by sex.</p><p><strong>Results: </strong>Male and female soccer athletes reported similar number of soreness instances, but male soccer athletes reported soreness more frequently at the ankle, foot, hip, pelvis, and posterior thigh. Female soccer athletes reported soreness more frequently at the anterior leg, anterior thigh, and knee. There was no significant difference in soreness intensity between sexes at any body location (P = 0.86). When collapsed across sex, the frequency of anterior thigh soreness was higher at preseason (7.49%, CI: 5.46-9.52) than at midseason (4.55%, CI: 2.52-6.57; t = -2.94, P = 0.023) and at postseason (3.00%, CI: 0.76-5.23; t = -3.74, P < 0.001). There was also a significant difference in hip soreness frequency between the preseason (2.35%, CI: 1.32-3.33) and the postseason time points (0.52%, CI: -0.73% to 1.67%; t = -2.68, P = 0.023).</p><p><strong>Conclusions: </strong>Male and female athletes differ in the locations of their lower extremity soreness. However, lower extremity soreness intensity does not differ between sexes. Soccer athletes report soreness more frequently during the preseason and midseason than during the postseason. With tools to measure daily soreness location and intensity, clinicians could create targeted interventions to reduce soreness and limit its negative affect.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675340","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":"Social Demographic and Clinical Predictors of Time to Clinic Presentation After a Sport-Related Concussion.","authors":"Amad Amedy, Kristen Williams, Olivia L Prosak, Trevor Anesi, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001290","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001290","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the associations between clinical risk factors, social demographic and time to concussion clinic presentation after sports-related concussion in young athletes.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Multidisciplinary regional concussion center.</p><p><strong>Patients: </strong>Athletes ages 12 to 18 years who sustained a SRC from November 2017 to April 2022.</p><p><strong>Independent variables: </strong>Independent variables included social demographic factors (ie, race, ethnicity, public vs private school, public vs private insurance), patient medical history, family medical history, acute concussion characteristics, and initial presentation elsewhere.</p><p><strong>Main outcome measures: </strong>Descriptive statistics were employed to assess for group differences. Mann-Whitney U tests, Spearman rank order correlations, and linear regressions were performed to explore associations between each independent variable and the main outcome, days to concussion clinic presentation.</p><p><strong>Results: </strong>A total of 945 athletes we included (age 15.8 ± 1.61, 33.7% female). Hispanic/Latino background, (P = 0.009), public insurance status (U = 47 377.0, P = 0.002), amnesia (U = 57 738.0, P = 0.002) at time of injury, family psychiatric (U = 35 091.0, P < 0.001) or migraine (U = 59 594.5, P < 0.001) histories, and personal psychiatric (U = 30 798.0, P = 0.004) or migraine (U = 34 133.5, P = 0.011) histories were associated with longer time to concussion clinic presentation. A multivariable linear regression found that initial presentation elsewhere (β = 0.37, P < 0.001), family migraine history (β = 0.18, P < 0.001), public insurance status (β = 0.09, P = 0.024), and history of learning disability (β = 0.09, P = 0.032) were the only predictors of longer time to concussion clinic presentation.</p><p><strong>Conclusions: </strong>Variables that predicted longer time to concussion clinic presentation included initial presentation elsewhere, public insurance status, positive family migraine history, and history of learning disability. Further research is needed to elucidate these findings and determine how they impact concussion seeking behavior.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616072","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}