Journal of science and medicine in sport最新文献

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Does involvement of the anterior syndesmosis affect the functional outcome of acute ligamentous ankle injuries? 前韧带联合受累是否影响急性踝关节韧带损伤的功能结局?
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-22 DOI: 10.1016/j.jsams.2024.11.007
Thomas P A Baltes, Omar Al-Sayrafi, Maryam R Al-Naimi, Mirna Anadani, Mohsen Abassi, Rod Whiteley, Pieter D'Hooghe, Gino M M J Kerkhoffs, Johannes L Tol
{"title":"Does involvement of the anterior syndesmosis affect the functional outcome of acute ligamentous ankle injuries?","authors":"Thomas P A Baltes, Omar Al-Sayrafi, Maryam R Al-Naimi, Mirna Anadani, Mohsen Abassi, Rod Whiteley, Pieter D'Hooghe, Gino M M J Kerkhoffs, Johannes L Tol","doi":"10.1016/j.jsams.2024.11.007","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.11.007","url":null,"abstract":"<p><strong>Purpose: </strong>To compare patient-reported outcomes between acute ligamentous ankle injuries 1) without anterior syndesmosis involvement and 2) with anterior syndesmosis involvement (without clinical instability).</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Methods: </strong>Between September 2016 and December 2020 all athletes (≥18) with an acute ankle injury presenting within 7 days post-injury were screened for eligibility. Athletes were excluded if imaging demonstrated a frank fracture or 3T magnetic resonance imaging could not be acquired within 10 days post-injury. Athletes with unstable syndesmosis injuries or athletes who underwent surgery within 1-year post-injury were excluded. Athletes underwent criteria-based rehabilitation and functional outcomes (Karlsson & Peterson score, Foot and Ankle Outcome Score) were assessed at 6 weeks, 6 months, and 1 year.</p><p><strong>Results: </strong>A total of 94 athletes were included. In 28 athletes (30 %) the anterior syndesmosis was injured. In the first six weeks post-injury, median Karlsson & Peterson score improved from 37 (interquartile range 20.5-49) to 80 (interquartile range 70-90) for the group without involvement versus 35 (interquartile range 25-62) to 82 (interquartile range 72-87) for the group with involvement. FAOS sports improved similarly in both groups. No statistically significant between group differences in functional outcome scores were observed at six weeks, six months and 1 year follow-up.</p><p><strong>Conclusions: </strong>In athletes, acute ligamentous ankle injuries with involvement of the anterior syndesmosis ligament (without clinical instability) are not associated with worse functional outcome at 6 weeks, 6 months, and 1-year post-injury compared to acute ligamentous ankle injuries without involvement.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An exploration of the acute response of the asymptomatic Achilles tendon to exercise using diagnostic ultrasound. A systematic review of cohort studies. 探讨无症状跟腱对运动的急性反应诊断超声。队列研究的系统回顾。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-19 DOI: 10.1016/j.jsams.2024.11.005
Harry J Roesch, Helen Banwell, Mark Jones, Steve Saunders, Steve Milanese
{"title":"An exploration of the acute response of the asymptomatic Achilles tendon to exercise using diagnostic ultrasound. A systematic review of cohort studies.","authors":"Harry J Roesch, Helen Banwell, Mark Jones, Steve Saunders, Steve Milanese","doi":"10.1016/j.jsams.2024.11.005","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.11.005","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the acute effects of exercise on the morphology, mechanical properties and blood flow of the Achilles tendon, as measured with ultrasound.</p><p><strong>Design: </strong>Systematic review of cohort studies.</p><p><strong>Methods: </strong>Seven electronic research databases were systematically searched for exercise intervention-based studies reporting morphology, mechanical properties and blood flow of the Achilles tendon, as measured with ultrasound.</p><p><strong>Results: </strong>Searches revealed 2460 possible articles and 35 satisfied the inclusion criteria. There is evidence that eccentric heel drops resulted in a reduction in the diameter and cross-sectional area of the tendon whilst running/stretch-shortening cycle activities did not result in a change. The latter did not affect tendon mechanical properties. Tendon blood flow was consistently increased in response to exercise.</p><p><strong>Conclusions: </strong>The acute response of the Achilles tendon to exercise showed an increase in blood flow and a reduction in diameter following heel drop exercises. Exercise modes were relevant since eccentric and isometric loading resulted in a greater response in the tendon. Activities like running and hopping placing specific demands on the tendon's spring function resulted in a minimal change in tendon morphology and no change in mechanical properties.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute acetaminophen ingestion improves the recovery of neuromuscular fatigue following simulated soccer match-play. 急性对乙酰氨基酚摄入可改善模拟足球比赛后神经肌肉疲劳的恢复。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-07 DOI: 10.1016/j.jsams.2024.11.002
Mustapha Bouchiba, Mouna Turki, Slim Zarzissi, Firas Zghal, Omar Trabelsi, Haithem Rebai, Mohamed Amine Bouzid
{"title":"Acute acetaminophen ingestion improves the recovery of neuromuscular fatigue following simulated soccer match-play.","authors":"Mustapha Bouchiba, Mouna Turki, Slim Zarzissi, Firas Zghal, Omar Trabelsi, Haithem Rebai, Mohamed Amine Bouzid","doi":"10.1016/j.jsams.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.11.002","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the impact of acute acetaminophen ingestion on the responses of neuromuscular function, biomarkers of muscle damage, and physical performance during the 72-hour recovery period following simulated soccer match-play.</p><p><strong>Design: </strong>The study followed a crossover randomized, double-blind, placebo-controlled trial design.</p><p><strong>Methods: </strong>During the two experimental sessions, thirteen semi-professional male soccer players completed a 90-minute simulated soccer match, 60 min after oral ingestion of 1 g acetaminophen or placebo. Maximal voluntary contraction and twitch responses of the knee extensor muscles, elicited through electrical femoral nerve stimulation, were utilized to evaluate both peripheral fatigue (potentiated twitch force, Q<sub>tw,pot</sub>) and central fatigue (voluntary activation). Performance was assessed through countermovement jump and 20 m sprint tests. Creatine kinase and lactate dehydrogenase were also measured.</p><p><strong>Results: </strong>Smaller reductions were observed in maximal voluntary contraction (-13.3 ± 7.5 % vs. -24.7 ± 11.1 %) and voluntary activation (-3.8 ± 4.4 % vs. -12.9 ± 5.4 %) in the acetaminophen compared to the placebo condition immediately after simulated soccer match-play (p < 0.05). Afterward, these parameters were recovered 24 h earlier in the acetaminophen session compared to the placebo session. Furthermore, the 20 m sprint performance was significantly better throughout the recovery period in the acetaminophen session compared to the placebo session.</p><p><strong>Conclusions: </strong>The findings of this study showed that acute ingestion of 1 g of acetaminophen (1 h before exercise) attenuated the decrease in maximal voluntary contraction and voluntary activation levels after exercise, as well as improved 20 m sprint performance.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early vestibular rehabilitation initiation is associated with faster recovery after sport related concussion. 尽早开始前庭康复训练与运动相关脑震荡后的快速康复有关。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-07 DOI: 10.1016/j.jsams.2024.11.001
Morgan Anderson, Megan McCorkle, Kendall Hammonds, Erin Reynolds, Taylor Gilliland, Kayla Covert, Simon Driver
{"title":"Early vestibular rehabilitation initiation is associated with faster recovery after sport related concussion.","authors":"Morgan Anderson, Megan McCorkle, Kendall Hammonds, Erin Reynolds, Taylor Gilliland, Kayla Covert, Simon Driver","doi":"10.1016/j.jsams.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.11.001","url":null,"abstract":"<p><strong>Objectives: </strong>Vestibular rehabilitation is a recommended treatment after sport related concussion (SRC), but the optimal timing is not fully understood. This research examined the association between the timing of vestibular rehabilitation initiation and recovery time in adolescent patients with SRC.</p><p><strong>Design: </strong>Retrospective cross-sectional.</p><p><strong>Methods: </strong>112 patients with SRC were referred to vestibular rehabilitation at a specialty concussion clinic. Vestibular rehabilitation initiation was defined as days from date of injury to date of first vestibular rehabilitation assessment. Patients were dichotomized by vestibular rehabilitation initiation: EARLY (8-10 days) and LATE (>10 days). Recovery time was defined as days between injury and medical clearance from the clinic.</p><p><strong>Results: </strong>60 (average age 15.22 ± 1.61 years; 51.7 % male) patients were in the EARLY group and 52 (average age 15.37 ± 1.31 years, 28.9 % male) patients were in the LATE group. There were more female patients in the LATE group (p = 0.01) and the LATE group had their first clinic visit later than the EARLY group (p < 0.02). The EARLY group had shorter recovery time (median 26, IQR [21, 32.5] days) compared to the LATE group (median 31, IQR [23.5, 52.5] days; p = 0.02). After controlling for confounding variables, the LATE group had recovery times that were 1.39 times as long as the EARLY group (p < 0.01).</p><p><strong>Conclusions: </strong>For patients with vestibular issues after SRC, early vestibular rehabilitation initiation is associated with faster recovery time after SRC. The current study provides clarity on the optimal timing of vestibular rehabilitation after SRC.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patients follow four clusters of participation in physical exercise after an ACL injury. Results from the NACOX cohort study. 前交叉韧带损伤后参加体育锻炼的患者分为四组。NACOX队列研究的结果。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-06 DOI: 10.1016/j.jsams.2024.10.010
Melanie Svensson, Örjan Dahlström, Marita L Harringe, Joanna Kvist
{"title":"Patients follow four clusters of participation in physical exercise after an ACL injury. Results from the NACOX cohort study.","authors":"Melanie Svensson, Örjan Dahlström, Marita L Harringe, Joanna Kvist","doi":"10.1016/j.jsams.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.010","url":null,"abstract":"<p><strong>Objectives: </strong>To explore how participation in physical exercise (PE) changes over time after an anterior cruciate ligament (ACL) injury. Additionally, to identify factors associated with participation in PE by analyzing longitudinal data.</p><p><strong>Design: </strong>An explorative analysis of the NACOX study, a prospective multicenter cohort study.</p><p><strong>Methods: </strong>Patients with an acute ACL injury aged 15-40 years were followed for three years. The patients regularly reported participation in PE, knee function, new injuries, and surgeries. State sequence analysis and Hierarchical Cluster Analysis were used to analyze participation in PE. Clusters were compared using an analysis of variances, the Chi-square test, and Fischer's exact test.</p><p><strong>Results: </strong>The study included 275 patients, 52 % female, with a mean age of 25 years. Four clusters were identified, varying from low to high participation in PE after an ACL injury. Clusters differed regarding the number of ACL reconstructions (ACLR) (p = 0.03); time from injury to ACLR (p = 0.03); patient-reported knee function at the follow-ups at 3 months (p = 0.02), 6 months (p = 0.02), and 12 months (p = 0.02) after injury; PE level before injury (p < 0.001); and number of new injuries and surgeries (other than ACLR) (p = 0.001).</p><p><strong>Conclusions: </strong>Four clusters, varying from low to high participation in PE after an ACL injury were identified. The results provide valuable insight into factors associated with different levels of participation in PE, which can be helpful for healthcare personnel working with ACL rehabilitation.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Movement boosts memory: Investigating the effects of acute exercise on episodic long-term memory. 运动增强记忆研究急性运动对情节性长期记忆的影响。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-11-05 DOI: 10.1016/j.jsams.2024.10.011
Noriteru Morita, Toru Ishihara, Charles H Hillman, Keita Kamijo
{"title":"Movement boosts memory: Investigating the effects of acute exercise on episodic long-term memory.","authors":"Noriteru Morita, Toru Ishihara, Charles H Hillman, Keita Kamijo","doi":"10.1016/j.jsams.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.011","url":null,"abstract":"<p><p>Long-term memory is important for cognitive health across the lifespan. Previously research has indicated that a bout of exercise improves memory retention for approximately one week; however, its prolonged effects are unknown. This study investigated the effects of acute moderate-intensity exercise on long-term memory for 11 months. Participants engaged in the exercise intervention and seated rest control condition, followed by a word encoding memory task. Word retention in the exercise intervention was better than in the control condition at 6- and 8-weeks post-encoding. These findings suggest that exercise before encoding enhances long-term episodic memory recall for at least eight weeks.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A threshold model to determine the association between race rides and fall risk for early career (apprentice) jockeys. 采用阈值模型确定早期职业(学徒)骑师的比赛骑乘与跌倒风险之间的关系。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-10-31 DOI: 10.1016/j.jsams.2024.10.009
Kylie A Legg, Darryl J Cochrane, Erica K Gee, Chris W Rogers
{"title":"A threshold model to determine the association between race rides and fall risk for early career (apprentice) jockeys.","authors":"Kylie A Legg, Darryl J Cochrane, Erica K Gee, Chris W Rogers","doi":"10.1016/j.jsams.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.009","url":null,"abstract":"<p><strong>Objectives: </strong>To identify descriptors associated with success in apprentice jockeys and to determine optimum numbers of jockeys for safer race riding.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Incidence-rates for jockey falls and success (wins per 1,000 race-starts), time and number of races spent at different apprentice levels were calculated for 807 apprentice and professional jockeys over 19 years of Thoroughbred flat racing in New Zealand (n = 524,551 race-starts). Survival analysis was used to compare career progression for jockeys that fell and those that did not, and individual seasonal fall incidence-rates were modelled.</p><p><strong>Results: </strong>Apprentices had the highest fall incidence-rate in their first year of race riding (2.4, interquartile range 1.7-3.2 vs 1.1, interquartile range 1.0-1.2, p < 0.05) and a lower success incidence-rate compared to non-apprentice jockeys (71, interquartile range 67-75 vs 97 interquartile range 96-98, p < 0.05). Jockeys who fell during their apprenticeship rode in more race rides to progress towards professional status than those who did not. There was an inverse power relationship between fall incidence-rate and race rides per season for jockeys, with the inflection point at 33 rides per season. Half (48 %) of the jockeys rode fewer than 33 rides per season.</p><p><strong>Conclusions: </strong>There is a surplus number of jockeys, riding at high fall risk, produced than is required by the number of race riding opportunities. Greater investment into the fitness, education and selection of a smaller cohort of dedicated apprentices, may be beneficial to reduce the risk of early career fall or injury in jockeys and requires further investigation.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of craniofacial and spinal injuries in French Rugby union: A report including medical, social, and professional consequences. 法国橄榄球联盟中颅面和脊柱损伤的流行病学:包括医疗、社会和职业后果在内的报告。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-10-29 DOI: 10.1016/j.jsams.2024.10.007
Marc-Antoine Démaret, Christopher Carling, Fabien Pillard, David Brauge
{"title":"Epidemiology of craniofacial and spinal injuries in French Rugby union: A report including medical, social, and professional consequences.","authors":"Marc-Antoine Démaret, Christopher Carling, Fabien Pillard, David Brauge","doi":"10.1016/j.jsams.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.007","url":null,"abstract":"<p><strong>Objectives: </strong>First, to investigate the medico-socio-professional repercussions of non-fatal cranioencephalic and spinal injuries occurring across all levels of play in male and female Rugby Union in France. Second, to determine whether an association existed between the severity of injuries and the circumstances of their occurrence and/or the profiles of the injured players. Third, to gather new epidemiological data regarding the severity and long-term consequences of these injuries in the sport.</p><p><strong>Design: </strong>National retrospective observational open cohort study conducted using medical expertise files on all injuries registered by the insurer affiliated to the French Rugby Federation.</p><p><strong>Methods: </strong>We analysed the medical reports of spinal, craniofacial or radicular trauma occurred from 26/08/2011 to 31/01/2018. Data relating to the severity and the circumstances of the injury, and its medical and socio-professional consequences (e.g., ability of players to continue playing rugby and/or professional/scholastic activity, receiving or not financial compensation) were extracted.</p><p><strong>Results: </strong>199 cases were identified. The overall incidence rate of injuries was 10.57/100,000 person-years. The median PMI value after consolidation was 6 %. Five cases had a PMI value equivalent or higher than 50 %. 85 % of players were able to return to work/studies whilst 47 % returned to rugby overall. Injury severity did not differ between age groups, genders, performance levels, training/match-play or according to the game situation.</p><p><strong>Conclusions: </strong>Although rare, craniofacial and spinal injuries in rugby can leave sequelae with substantial repercussions on personal, professional/scholastic and sporting life. Further research into their potential causes and targeted prevention strategies is warranted.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Mind your head', tackle characteristics associated with concussions in rugby league: A case-control study. 小心你的头",橄榄球联赛中与脑震荡有关的擒抱特点:病例对照研究。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-10-24 DOI: 10.1016/j.jsams.2024.10.006
Cameron Owen, Andrew Gardner, Kevin Till, James Brown, Matt Cross, Sharief Hendricks, Rich D Johnston, Gemma Phillips, Keith Stokes, Ross Tucker, Ben Jones
{"title":"'Mind your head', tackle characteristics associated with concussions in rugby league: A case-control study.","authors":"Cameron Owen, Andrew Gardner, Kevin Till, James Brown, Matt Cross, Sharief Hendricks, Rich D Johnston, Gemma Phillips, Keith Stokes, Ross Tucker, Ben Jones","doi":"10.1016/j.jsams.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.006","url":null,"abstract":"<p><strong>Objectives: </strong>Identify tackle characteristics associated with concussions in male professional rugby league.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Methods: </strong>Tackles resulting in 196 clinically diagnosed concussions and 6592 non-concussive tackles were analysed, from the men's rugby league Super League between 2018 and 2022. Eleven tackle characteristics were coded for each tackle, and Firth penalised logistic regression models were employed to identify influential variables through forward stepwise selection. Three multivariate models were produced; all (i.e., ball-carrier and tackler), tackler, and ball-carrier concussions.</p><p><strong>Results: </strong>Of the 196 concussions, 70 % occurred to the tackler and 30 % to the ball-carrier. Initial impact location on the ball-carrier was identified as a predictor in all models, specifically the shorts, upper- and lower-leg (OR 9.1-12.3, compared to shoulder) for tacklers and head/neck (OR 66.1, compared to shoulder) for ball-carriers. Tackler head placement in front of the ball-carrier (OR 8.5, compared to away from the body) and a ball-carrier leading arm in any position (OR 4.8-22.1, compared to no leading arm) provided the greatest odds of a tackler concussion. For player's body position the greatest risk of concussion for all players was observed when both players were falling/diving (OR 8.8, compared to both players upright). One (OR 4.9, compared to two) and four (OR 3.7, compared to two) defender tackles provide the greatest odds for all concussions.</p><p><strong>Conclusions: </strong>Concussion prevention strategies should aim to reduce head impacts by deterring initial contact with the ball-carrier's head/neck. Tackle technique should prioritise making initial impact with the torso and avoid the head being in front of the ball-carrier and any leading arms.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring athlete pain assessment experiences and priorities; a two-part qualitative series of athlete and physiotherapist interactions. Part Two. "Forging our future" - Athlete and physiotherapists' priorities for pain assessment and beyond. 探索运动员疼痛评估经验和优先事项;运动员与理疗师互动的两部分定性系列研究。第二部分。"打造我们的未来"--运动员和理疗师对疼痛评估及其他方面的优先考虑。
IF 3 2区 医学
Journal of science and medicine in sport Pub Date : 2024-10-22 DOI: 10.1016/j.jsams.2024.10.004
Ciarán Purcell, Caoimhe Barry Walsh, Garett Van Oirschot, Brona M Fullen, Tomás Ward, Brian M Caulfield
{"title":"Exploring athlete pain assessment experiences and priorities; a two-part qualitative series of athlete and physiotherapist interactions. Part Two. \"Forging our future\" - Athlete and physiotherapists' priorities for pain assessment and beyond.","authors":"Ciarán Purcell, Caoimhe Barry Walsh, Garett Van Oirschot, Brona M Fullen, Tomás Ward, Brian M Caulfield","doi":"10.1016/j.jsams.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.jsams.2024.10.004","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the priorities and directions of athlete upper and lower limb pain assessment by facilitating shared understandings of athletes and sport physiotherapists.</p><p><strong>Design: </strong>Qualitative research using a hermeneutic phenomenological approach.</p><p><strong>Methods: </strong>We carried out focus groups comprising a deliberate criterion sample using a constructivist perspective. At the end of each focus group, we used the nominal group technique method to generate a list of consensus-based priorities for future pain assessment. Our paper follows the consolidated criteria for reporting qualitative research (COREQ) guidelines.</p><p><strong>Results: </strong>We completed five focus groups, comprising twelve athletes (female, n = 5, male, n = 7) and four sport physiotherapists (male, n = 4). Two final themes (and six subthemes) were developed; I Enhanced Communication and Pain Descriptions (describing and representing pain, better communication, the role of technology, providing direction and setting the pace), and II Integrating Sport Specific and Multidimensional Assessments (broadening the pain assessment toolkit, the role of technology). We developed a set of thirteen practical priorities for pain assessment that span the subjective, objective, and general aspects of the athlete pain assessment.</p><p><strong>Conclusions: </strong>We have presented stakeholder-generated perspectives, direction and priorities for athlete pain assessment. Athletes and physiotherapists must continue to work together to achieve a comprehensive sport-specific multidimensional pain assessment experience alongside their wider support networks to ensure optimal representation and communication. We have highlighted some available pain assessment tools and strategies and outlined how novel tools may address certain gaps. Researchers, clinicians, and athletes can consider the practical guidance we have provided to address these priorities.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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