Journal of Sports Medicine & Doping Studies最新文献

{"title":"Is There a Role of Weight-Bearing Tests to Diagnose Meniscal Tears?","authors":"A. Sheeraz, R. Aldridge, A. Ajuied, C. Gupte","doi":"10.4172/2161-0673.1000195","DOIUrl":"https://doi.org/10.4172/2161-0673.1000195","url":null,"abstract":"Introduction: Non weight-bearing tests are routinely performed to diagnose meniscal tears, recently it has been suggested that tests performed in weight-bearing can produce higher diagnostic values as they effectively imitate the mechanism of injury to the meniscus by increasing axial load. We prospectively evaluated two non-weight bearing meniscal tests (McMurrays and Joint Line Tenderness), with two weight-bearing tests (Thessalys and Eges). The accuracy, sensitivity and specificity values of these tests were then calculated by correlating with arthroscopy findings. Methods: The four clinical tests were performed on 89 subjects pre-operatively. A positive or negative result was recorded following each clinical test and later compared against the arthroscopy findings post operatively. Results: The weight-bearing tests were overall shown to have a better diagnostic value than non-weight bearing tests. For the medial meniscus, joint line tenderness was the most sensitive test; Eges the most specific, Thessalys had the highest PPV and NPV and was the most accurate. For the lateral meniscus, joint line tenderness was the most sensitive; Mcmurrays the most specific, Thessalys had the highest PPV and NPV and was the most accurate. All four tests were more accurate for medial meniscus compared to lateral. Other pathologies found within the knee were shown to have negative effect on the clinical efficacy of the tests and the highest number of misdiagnoses for meniscal tears occurred with the JLT. Conclusion: This study suggests that the overall clinical ability of the weight-bearing tests to determine the true presence or absence of a Meniscus tear is higher than non-weight-bearing tests.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"28 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86146197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuromuscular Fatigue in Contact Sports: Theories and Reality of a High Performance Environment","authors":"P. Austruy","doi":"10.4172/2161-0673.1000185","DOIUrl":"https://doi.org/10.4172/2161-0673.1000185","url":null,"abstract":"Evolving in a highly competitive environment where maximal performance is all that matter, elite athletes are required to allocate training time to an intensity that mimics the sport-specific characteristics they experience during competition [1]. Due to the demands of training and competition, athletes experience a constant cycle of “fatigue-recovery-adaptation”. Performance is enhanced by training stimulus only if adaptive processes are greater than the induced fatigue, and as such, the monitoring of fatigue is important to determine appropriate training loads to maximize subsequent performance [2]. Historically, fatigue has been defined in accordance with the varied sub disciplines associated with sports science, namely the divisions of physiology, psychology and biomechanics. At one extreme, Physiologists may consider fatigue as failure or dysfunction of a particular physiological system [3] while at the other extreme, psychologist may view fatigue as an uncomfortable perception or sensation [4].","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75127612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Arthroscopic Mclaughlin Procedure for Rotator Cuff Repair in Patients with the Osteoporotic Major Tubercle: A Minimum of 6 Years Follow Up","authors":"W. Lu, Haifeng Liu, Da-ping Wang","doi":"10.4172/2161-0673.1000184","DOIUrl":"https://doi.org/10.4172/2161-0673.1000184","url":null,"abstract":"0bjective: To evaluate the outcomes of rotator cuff tear repair with arthroscopic McLaughlin suture in patients with major tubercle osteoporosis. \u0000Methods: 35 patients with rotator cuff tear were treated by arthroscopic McLaughlin suture from April 2007 to January 2009. The mean age of the cases was 63.8 (48 to 78) years. All of the cases were full thickness tear ranging 15 mm to 35 mm. The AP and the supraspinatus outlet projection of the X-rays were obtained before surgery. 11 patients had undergone MR examinations and 21 cases had MRA. All the patients underwent acromioplasty. 18 cases were treated by 1, and 17 cases were treated by 2 arthroscopic McLaughlin sutures. UCLA scoring system and MRI scan was adopted to evaluate shoulder function before operation and at the final follow-up time. \u0000Results: 32 cases were followed up with a mean postoperative time of 7.8 years. The average UCLA score was improved from a preoperative rating of 13.3 to a postoperative rating of 33.1. The mean pain score was 3.2 vs. 8.7, for pre- vs. post-operation, the function score was 5.3 vs. 9.1, the mean forward flexion score was 3.5 vs. 4.9, the mean forward flexion strength was 4.0 vs. 4.8. The results were 22 excellent, 8 good, 2 fair. The complications encountered included development of major tubercle broken during operation in 1 case; retear in one case and 3 cases with frozen shoulder symptoms. \u0000Conclusion: Arthroscopic McLaughlin suture fixation can provide a micro invasive, firm fixation and a large area for rotator cuff healing, without any anchor related complications. The technique is especially valid for the patient with osteoporosis. \u0000Clinical relevance: Arthroscopic McLaughlin suture technique in the treatment of rotator cuff tear with major tubercle osteoporosis can give a fine substrate for the bone-tendon ultimate integration, it’s firm, saveable, and can be a widely used technique especially the patients with humeral head osteoporosis. Level of Evidence: Level IV, therapy.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"42 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85485556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep Oscillation Therapy in Sports Injuries","authors":"L. Brilla","doi":"10.4172/2161-0673.1000E150","DOIUrl":"https://doi.org/10.4172/2161-0673.1000E150","url":null,"abstract":"Deep oscillation therapy (DOT) is a modality that has been used clinically to treat lymphedema with enhanced pain alleviation and swelling reduction in patients [1,2]. Additional clinical applications have been in wound healing [3] and fibromyalgia syndrome [4]. The modality is an assist vibrational technology that applies an intermittent electrostatic charge to deep tissue, even postulated to reach the collagen matrix [5]. It provides cyclic movement in the deep tissues leading to mechanical pumping and the redistribution of fluids. Hence, its application in treating lymphedema and edema.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82289947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anti-Doping Knowledge and Opinions of South African Pharmacists and General Practitioners","authors":"Starzak E Dorota, W. Derman, A. Mckune, S. Semple","doi":"10.4172/2161-0673.1000181","DOIUrl":"https://doi.org/10.4172/2161-0673.1000181","url":null,"abstract":"Objective: Despite the prevalence of doping in sport and the need for doping prevention strategies, information about doping awareness among medical professionals is limited. The aim of this pilot study was to investigate the knowledge and attitude of South African pharmacists (Ps) and general practitioners (GPs) towards doping in sports. \u0000Methods: An online survey questionnaire was completed by 98 Ps and 201 GPs the questionnaire incorporated a range of questions that probed the participant’s knowledge and attitudes regarding doping in sport. \u0000Results: The study findings revealed that both Ps and GPs admitted a poor knowledge of doping-related matters and lacked doping-specific training (>80% of both GPs and Ps had not received any formal training and/or attended any courses or workshops specific to doping in sport). Over 88% of all respondents felt that they were not adequately trained for the role of doping prevention in sport and more than 92% felt that they required further training in relation to doping in sport issues \u0000Conclusions: Although Ps fared slightly better when questioned about their knowledge of certain doping relatedtopics, overall it was evident that both groups would benefit from additional training that would focus on expanding their knowledge of prohibited substances and the associated legislature to the possible benefit of their patients.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"30 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87429605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Energy Balance: Through the Looking Glass","authors":"Brill Lr","doi":"10.4172/2161-0673.1000E149","DOIUrl":"https://doi.org/10.4172/2161-0673.1000E149","url":null,"abstract":"Human metabolic energy balance has been an area of intrigue and confusion for decades. An imbalance between energy intake and energy expenditure is considered the primary etiology for weight changes. Behavioral interventions, however, have generally resulted in a smaller than expected weight loss, which in part has been attributed to compensatory adaptations in other components contributing to energy balance [1,2]. Conversely, physically active individuals can exhibit negative energy balance without weight loss [3-5].","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83749987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between Days Reliability of 2D Video Analysis during Landing while Undertaking a Crossover Hop Test","authors":"Waleed K. Alshemimary, L. Herrington, Hussain Ghulam, F. Aljowair","doi":"10.4172/2161-0673.1000182","DOIUrl":"https://doi.org/10.4172/2161-0673.1000182","url":null,"abstract":"The Crossover Hop Test is a Functional Performance Test (FPT), which is used to demonstrate the leg muscles strength and performance, and evaluate symmetry between lower limbs, while evaluating the hop distance. Hop tests have been shown to be reliable for both injured and active subjects. The current study aims to establish the between days reliability of 2-Dimensional (2D) video analysis measuring knee valgus angles (frontal plane projection angle; FPPA) during each landing whilst undertaking a crossover hop test. Nine recreational male athletes (age 33.89 ± 3.96, height 170 ± 8.59 cm, weight 86.94 ± 20.86 kg) participated in the experiment. Each individual performed three repetitions of the cross over hop test, for both legs, and then repeated the same test seven days later. Results showed from the four landings that the first and third, for both legs demonstrated excellent Intraclass Correlation Coefficient (ICC) values for FPPA between days, while good to excellent ICC values for FPPA of the second landing and moderate ICC values for FPPA for the fourth. Standard Error Measurement (SEM) scores ranged from 1.04° to 2.42° for the right FPPA during the four landings, while the range of SEM values for the left FPPA were from 0.82° to 2.08°. The landing strategy adopted by participants, as defined by FPPA, would appear to be consistent between sessions. Hence, researchers and clinicians will be able to use crossover hop tests, which incorporate 2D video analysis, to assess simultaneously the limbs' performance functionality and the valgus angle of the knee. Therefore, this will save the athletes' and researchers' time, which will subsequently reduce the amount of fatigue resulting from over testing.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75906751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep Oscillation ® Therapy in the Treatment of Lateral Epicondylalgia: A Pilot Randomized Control Trial","authors":"O'Brien Cp, A. Watson","doi":"10.4172/2161-0673.1000180","DOIUrl":"https://doi.org/10.4172/2161-0673.1000180","url":null,"abstract":"Introduction: DEEP OSCILLATION® therapy has been shown to improve wound healing, inflammation, pain and most prominently its effect on lymphoedema. It has been indicated for use in musculoskeletal injuries but few studies on its effectiveness exist. Therefore, the purpose of this study was to measure the effect DEEP OSCILLATION® (DOT) had on patients with lateral epicondylalgia (LE). \u0000Methods: Twenty subjects aged between 18-55 years who had a diagnosis of LE took part in this trial. Group A (Control) underwent the protocol of injection therapy with 5 mg of Adcortyl and Lignocaine, topical Diclofenac antiinflammatory gel applied three times per day and supervised rest over a two week period. Patients were then referred for physiotherapy where they completed a baseline PRTEE and were instructed on a home exercise program (HEP) for 4 weeks. Group B, test, received the same protocol from the physician as Group A and referred for physiotherapy where they completed a baseline PRTEE and received the same HEP as Group A. Group B also received DOT consisting of two-25 minute sessions per week for 4 weeks, eight treatment sessions in total. Outcome measures were the PRTEE and VAS to measure pain at baseline and end of treatment at 6 weeks. Further follow-up was performed at 6 months post treatment. \u0000Results: The baseline mean of pain for Group A was 18.9 (SD 4.5) and at 6 weeks the mean was 13(3.09). The baseline mean of pain in Group B was 18.4 (4.5) and at 6 weeks it was 10.3(3.8). Repeated measure ANOVA on Pain showed significant difference between measurement from baseline to 6 weeks (F (1,18)=530.52, p ≤ 0.001). Results for the Time x Group interaction effect was not significant (F (1,18)=1.76, p=0.20), indicating that the changes in Pain measurements from baseline to 6 weeks were not significantly different for Control and Test groups. The mean function baseline for Group A was recorded as 13 (3.09) and 12.95 (2.76) at 6 weeks. The mean function for Group B was recorded as 22.5 (3.9) and 11.35 (4.10) at 6 weeks. Repeated measure ANOVA on Function showed significant difference between measurement from baseline to 6 weeks (F (1,18)=98.82, p ≤ 0.001). Time x Group interaction effect were found significant (F (1,18)=10.59, p=0.004), indicating that the changes in measurement from baseline to 6 weeks was significantly different for Control and Test groups. \u0000Conclusion: A significant improvement in patients function at 6 weeks post treatment was found with 70% of the treatment group requiring no further treatment from 6 weeks to 6 months post treatment. DOT is beneficial in the treatment of TE and may further enhance the benefit from local steroid injection. Further research on the use of DOT in musculoskeletal injury and relevant protocols are needed.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"1 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79976288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitude of the Sports Teachers in Central India towards Oro-facial Injuries and the use of Mouth Guard","authors":"A. Kalaskar, R. Kalaskar","doi":"10.4172/2161-0673.1000179","DOIUrl":"https://doi.org/10.4172/2161-0673.1000179","url":null,"abstract":"Objective: To evaluate the sports teachers’ knowledge and attitude towards sports related oro-facial injuries and the use of mouth guards. \u0000Methods: Certified sports teachers from various schools and colleges of Vidarbha region, Central India were exposed to pre-validated questionnaire containing both open ended and closed ended questions. Data obtained was analyzed and expressed as percentage. \u0000Results: Total 197 sports teachers from 167 schools and colleges participated in the study. Approximately 67.5% of the sport teachers agreed that sports related oro-facial injuries are common and inline skating (58.4%) was the most common sport. Only 8.1% of the sport teachers were having knowledge regarding first aid to oro-facial injuries. All sport teachers agreed that sport related oro-facial injuries can be prevented, but only 10.1% incorporated protective measures in practice to prevent it. Majority of the sports teachers (85.8%) were aware that mouth guard is used as a protective device to prevent oro-facial injuries but only few recommended in their school. Lack of motivation by the school and college administration was the major reason (50%) for non-recommending. Inline skating (54.8%) was the highly recommended sports for mouth guards by sports teachers, followed by boxing and basketball. Only 29.9% of the sports teachers were aware that dentist are the appropriate specialist to approach for mouth guards. \u0000Conclusion: The sports teachers had adequate knowledge regarding the sports related orofacial injuries and the protective devises used to prevent it, but their inappropriate attitude is the main hindrance in the prevention of orofacial injuries.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"60 22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82611739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity, Physical Fitness and Overweight in Early Schoolchildren","authors":"Z. Paschaleri, F. Arabatzi, A. Papitsa, P. Giagazoglou, E. Kellis","doi":"10.4172/2161-0673.1000178","DOIUrl":"https://doi.org/10.4172/2161-0673.1000178","url":null,"abstract":"Purpose: The aim of this study was to evaluate physical activity and physical fitness levels in children 7-8 years old with different body mass index (BMI). \u0000Methods: Eighty nine children (age 7.6 ± 0.4) participated in this study. BMI was used as obesity indicator and children were categorized in normal-weight and overweight/obese groups. Daily physical activity was assessed by RT3 accelerometer (Stayhealthy Inc, Monrovia, CA) and physical fitness was assessed using the European physical fitness test battery (Eurofit). \u0000Results: Analysis of variance (ANOVA) indicated no significant differences in the average daily total counts of physical activity and in scores of four fitness tests between the overweight/obese and normal-weight group (p>0.05). However, boys were significantly more physically active than girls (p<0.05) and the level of physical activity was higher on weekdays than on weekend for both BMI groups (p<0.05). \u0000Conclusion: The results indicate that physical activity is not the main contributing factor for childhood overweight at this age. Sufficient levels of daily physical activity were also shown to lead in good physical performance.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"11 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80245609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}