Research in Sports Medicine最新文献

{"title":"Relationship between external and internal load indicators and injury using machine learning in professional soccer: a systematic review and meta-analysis.","authors":"Guglielmo Pillitteri, Luca Petrigna, Salvatore Ficarra, Valerio Giustino, Ewan Thomas, Alessio Rossi, Filipe Manuel Clemente, Antonio Paoli, Marco Petrucci, Marianna Bellafiore, Antonio Palma, Giuseppe Battaglia","doi":"10.1080/15438627.2023.2297190","DOIUrl":"10.1080/15438627.2023.2297190","url":null,"abstract":"<p><p>This study verified the relationship between internal load (IL) and external load (EL) and their association on injury risk (IR) prediction considering machine learning (ML) approaches. Studies were included if: (1) participants were male professional soccer players; (2) carried out for at least 2 sessions, exercises, or competitions; (3) correlated training load (TL) with non-contact injuries; (4) applied ML approaches to predict TL and non-contact injuries. TL included: IL indicators (Rating of Perceived Exertion, RPE; Session-RPE, Heart Rate, HR) and EL indicators (Global Positioning System, GPS variables); the relationship between EL and IL through index, ratio, formula; ML indicators included performance measures, predictive performance of ML methods, measure of feature importance, relevant predictors, outcome variable, predictor variable, data pre-processing, features selection, ML methods. Twenty-five studies were included. Eleven addressed the relationship between EL and IL. Five used EL/IL indexes. Five studies predicted IL indicators. Three studies investigated the association between EL and IL with IR. One study predicted IR using ML. Significant positive correlations were found between S-RPE and total distance (TD) (<i>r</i> = 0.73; 95% CI (0.64 to 0.82)) as well as between S-RPE and player load (PL) (<i>r</i> = 0.76; 95% CI (0.68 to 0.84)). Association between IL and EL and their relationship with injuries were found. RPE, S-RPE, and HR were associated with different EL indicators. A positive relationship between EL and IL indicators and IR was also observed. Moreover, new indexes or ratios (integrating EL and IL) to improve knowledge regarding TL and fitness status were also applied. ML can predict IL indicators (HR and RPE), and IR. The present systematic review was registered in PROSPERO (CRD42021245312).</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"902-938"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139037952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of menstrual cycle phase on isokinetic knee flexor and extensor strength in female soccer players: a pilot study.","authors":"Taewoo Quigley, Matt Greig","doi":"10.1080/15438627.2024.2420085","DOIUrl":"https://doi.org/10.1080/15438627.2024.2420085","url":null,"abstract":"<p><p>The prevalence of anterior cruciate ligament injury in female soccer players has been attributed to hormonal fluctuations during the menstrual cycle (MC), with injury incidence greatest during the follicular phase. Eight, eumenorrheic, collegiate soccer players (19.5 ± 0.75 years, 1.62 ± 4.90 cm, 61.12 ± 7.6 kg mean ± SD) completed eccentric knee flexor and concentric knee extensor trials at 60 and 240°·s^-1 during the follicular, ovulation and luteal phases of their MC. Peak torque and corresponding angle of peak torque were maintained across all phases of the MC, irrespective of testing modality and speed (<i>p</i> ≥ 0.149). Strength ratios defined using peak torque were also not sensitive to MC phase (<i>p</i> ≥ 0.933). However, Functional Range in eccentric knee flexion was significantly lower during the follicular phase (<i>p</i> = 0.017), at both testing speeds. This supports epidemiological observations but highlights the importance of analysing isokinetic data beyond the peak of the strength curve. Interpretation of isokinetic data should therefore focus on points of \"weakness\" as opposed to maximum strength, whilst (p)rehabilitative strategies should consider strength through range of motion, and at different speeds. Eccentric hamstring strength was observed to decrease significantly at the higher speed, contrary to observations in elite male players, and potentially reflecting a differential training adaptation.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522834","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":"Determinants of symptom presentation and resolution following concussions in high school sports.","authors":"Avinash Chandran, Adrian J Boltz, Landon B Lempke, Neel Rao, Andrew S Alexander, Weston T Northam, Loretta DiPietro, Christy L Collins","doi":"10.1080/15438627.2024.2414972","DOIUrl":"https://doi.org/10.1080/15438627.2024.2414972","url":null,"abstract":"<p><p>Sport-related concussions (SRCs) are prevalent in high school (HS) sports, though the determinants of, and relationships between concussion symptoms in this population remain relatively unknown. We analysed SRC data captured within the HS RIO injury surveillance system during 2014/15-2018/19. We used Generalized Estimating Equations to simultaneously assess covariate predictors of symptom presentations and identify pairwise symptom associations and employed multivariable ordinal logistic regressions to determine symptom resolution time (SRT) predictors. Among the 8,969 concussions assessed, headaches (94.3%) and dizziness (73.3%) were the most prevalently reported symptoms. In 5,953 boys' concussion assessed, class year, event type and injury mechanism emerged as determinants of various concussion symptoms, while in 3,016 girls' concussions assessed, class year, event type, injury mechanism, and sport type emerged as significant symptom determinants. In both groups, difficulty concentrating, sensitivity to light, sensitivity to noise, and disorientation were symptoms with the strongest associations with other symptoms. Odds of longer SRT were higher with greater endorsement (i.e. counts) of the subset of symptoms with strongest cross-domain associations (OR_adj. = 1.35; 95% CI = [1.30, 1.40]). Our findings provide valuable information for informing sideline and follow-up clinical concussion assessment algorithms in high school athletes.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The management of a professional footballer recovering from a surgical repair of the proximal adductor longus tendon through a return-to-performance pathway. A case report.","authors":"Andrew Mitchell, Craig Holding","doi":"10.1080/15438627.2024.2399005","DOIUrl":"https://doi.org/10.1080/15438627.2024.2399005","url":null,"abstract":"<p><p>This case report details the management of a 23-year-old professional footballer who sustained a rupture of the proximal adductor longus (AL) tendon. Following surgical reattachment of the tendon, the player completed an eleven-phase return to performance (RTP_erf) pathway designed to ensure a rapid and safe return to play (RTP_lay). The pathway uses distinct phases that incorporate clinical, performance, and sport-specific criteria to guide decision-making throughout the process. This case report outlines the phases and criteria used in conjunction with shared decision-making by the interdisciplinary team (IDT) to ensure a successful RTP_lay. The effectiveness of this pathway was demonstrated by the player's return to competitive play 12 weeks post-surgery.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294046","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":"Prediction of ACL-tear by lower limbs muscle strength and flexibility: a prospective cohort study in 95 female soccer players.","authors":"Antonio Cejudo, José Manuel Armada-Zarco, Francisco Ayala, Pilar Sainz de Baranda","doi":"10.1080/15438627.2023.2280554","DOIUrl":"10.1080/15438627.2023.2280554","url":null,"abstract":"<p><p>The aims of the study were to build models using logistic regression analysis of flexibility and strength tests to prospectively predict risk factors for anterior cruciate ligament tear (ACL-tear) in female soccer (FS) players, and to determine training cut-off for risk factors of the predictive model built. A prospective cohort study of 95 female players (aged 14-33 years) was conducted. Age, anthropometric data, soccer history, lower limb range of motion (ROM) and hip maximal isometric strength (MIS) were measured. At the prospective follow-up after 12 months, 7.4% of the players had developed an ACL-tear. The model showed a significant relationship (χ²(93) = 30.531, <i>p</i> < 0.001) between the ACL-tear and the predictor variables (leg length, HAD-NH [hip adduction] MIS, asymmetric ROM [ankle dorsiflexion with knee extended (AD-KE) and with knee flexed (AD-KF), and HE (hip extension)], hip ROM [HIR (internal rotation) and HAB (abduction)]). The Akaike Information Criteria (AIC) and Bayesian Information Criteria (BIC) for model fit were 30.24 and 51.79, respectively. The value R² showed good model fit, 76.5% for Nagelkerke´s R², 71.4% for McFadden´s R² and 67.5% for Tjur´s R². For the screening test, cut-off for leg length of ≥0.40 m, for HIR ROM of ≤44º and for asymmetry of HE ROM of ≥5° were set, which have an acceptable (AUC ≥ 0.755) discriminatory ability for the development of ACL-tear.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"820-842"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592134","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":"Periodontal disease and sports performance: a systematic review and meta-analysis.","authors":"Railson Oliveira Ferreira, Deborah Ribeiro Frazão, Maria Karolina Martins Ferreira, Marcela Baraúna Magno, Nathália Carolina Fernandes Fagundes, Cassiano Kuchenbecker Rosing, Lucianne Cople Maia, Rafael Rodrigues Lima","doi":"10.1080/15438627.2023.2235048","DOIUrl":"10.1080/15438627.2023.2235048","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to assess the association between athletic performance and periodontal disease (PD). Observational studies published up to April 2022 were searched in online databases (PubMed, Scopus, Web of Science, The Cochrane Library, LILACS, OpenGrey, and Google Scholar). PECO statement focused on studies with professional athletes (Participants) with PD (Exposition) compared to those with healthy periodontium (Comparison) and its effects on sports performance (outcome). Searches were conducted according to the PRISMA guidelines (registration protocol: 10.17605/OSF.IO/7ADH6) and risk of bias evaluation according to the Joanna Briggs Institute checklist. A total of 793 references were retrieved, of which eight were considered eligible. Two studies did not show an association between clinical PD parameters and performance. A meta-analysis with 396 participants suggested a relationship between PD and self-reported reduction in sports performance (odds ratio [OR] = 1.55; 95% confidence interval [CI] 1.04-2.31; <i>p</i> = 0.03; I2 = 0%) with moderate quality of evidence accordingly GRADE analysis. Despite the differences in performance evaluations between studies, PD was associated with reduced self-reported sports performance. Additional studies assessing confounding factors and objective assessment of PD and performance are needed to clarify the real effect of both conditions.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"767-786"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10057765","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":"Exploring the issue of 'functionality' in isokinetic dynamometry.","authors":"Matt Greig, Ben Langley","doi":"10.1080/15438627.2023.2260521","DOIUrl":"10.1080/15438627.2023.2260521","url":null,"abstract":"<p><p>Strength is a primary and modifiable contributor to performance, injury risk, and rehabilitative success. The gold standard measure of strength is the isokinetic dynamometer, providing the clinician with the opportunity to manipulate contraction modality, range, and speed about a joint. However, criticism has highlighted a lack of functional relevance, with arbitrary selection of speed across the full range. To better understand function, biomechanical analysis of movement can inform a bespoke isokinetic data collection protocol. In this case, we use walking gait, a function goal for daily living and clinically assessed following knee replacement surgery for example. Concentric knee flexor and extensor demand was evident at an average angular velocity of 70°·s^-1, whilst eccentric knee flexor and extensor demands were evident at speeds of 192°·s^-1 and 165°·s^-1, respectively. The efficacy of isokinetic dynamometry can be enhanced with bespoke data collection protocols, which better reflect the functional demands of the clinical movement objective.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"804-809"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41179743","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":"Immediate effects of Dynamic Tape™ on hip muscle activation and torque and on lower limb kinematics: A randomized controlled clinical trial.","authors":"Victória M A V Malta, Ana C M Coelho, Ana I Teruyu, Grazielle C G Silva, Rafaela G Thomazinho, Daniel F M Lobato","doi":"10.1080/15438627.2023.2220060","DOIUrl":"10.1080/15438627.2023.2220060","url":null,"abstract":"<p><p>This study aimed to evaluate the immediate effect of Dynamic Tape^TM (DT) on hip muscle activation and torque and on lower limb kinematics. Forty-five healthy, recreationally active women were randomly assigned to three groups: 1) submitted to the application of DT in the active form in the gluteus medius (GMed) muscle (BG; <i>n</i> = 15), 2) submitted to the application of DT in the placebo form in the GMed muscle (PG; <i>n</i> = 15), and 3) not submitted to any intervention (CG; <i>n</i> = 15). Participants were evaluated for GMed and gluteus maximus (GMax) muscle activation in a maximal voluntary isometric contraction, simultaneously with the assessment of the hip abductor and extensor torques, as well as during two functional tasks - single leg squat (SLS) and jump landing + maximum vertical jump (VJ) - simultaneously with a 2-D kinematic assessment of the lower limb. After DT application in BG, there was a significant decrease in the hip abductor time to peak torque (<i>P</i> = 0.004), hip extensor torque (<i>P</i> = 0.02), excursion to hip adduction (<i>P</i> = 0.007), and to knee flexion (<i>P</i> = 0.02) during the SLS, as well as in GMed activation during VJ (<i>P</i> < 0.05). DT was able to reduce GMed activation and modify lower limb torque and kinematics.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"725-739"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918596","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":"Some problems of research exploring sex differences in sport-related concussions: a narrative review.","authors":"Dominic Malcolm","doi":"10.1080/15438627.2023.2271604","DOIUrl":"10.1080/15438627.2023.2271604","url":null,"abstract":"<p><p>This narrative review scrutinizes research exploring sex-based differences in experiences of sport-related concussion. The article argues that the limitations of epidemiological studies identifying the greater incidence and severity of concussion among females require that these findings are read with caution. It secondly argues that the dominant explanations for these data are based on and extend historical tendencies to \"other\" female participation in sport and construct male experiences as the \"norm\". Finally, the article critiques policy recommendations related to these research findings, arguing that they are likely to embed rather than challenge sex inequality in sport, and that they are both impractical and unethical. While this commentary builds on a broader body of work advocating greater sex/gender equality in sports science research, the prominence of social concerns about concussions in sport makes the broader implications of the focus on sex and sport-related concussion particularly problematic and thus in need of redress.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"810-819"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49681719","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":"Patellofemoral pain and musculoskeletal features in young pre- and post-pubertal female dancers.","authors":"Nili Steinberg, Yael Sitton, Shilo Kramer, Yahav Levy, Itzhak Siev-Ner","doi":"10.1080/15438627.2023.2235047","DOIUrl":"10.1080/15438627.2023.2235047","url":null,"abstract":"<p><p>The aim of this study was to examine associations between patellofemoral pain (PFP) and musculoskeletal features (such as tendon structure and bone properties) in young (pre- and post-pubertal) female dancers. A total of 49 dancers participated in this study (mean age 13.6 ± 2.9; weight 47.0 ± 13.2; height 153.7 ± 12.9 and body mass index (BMI) 19.4 ± 3.1) and were assessed for the following factors: dance background and Tanner stage through interviews; ultrasonography assessments of bone properties and patellar tendon structure through ultrasonographic tissue characterization and quantitative ultrasound, respectively; and anthropometric measurements, muscle strength, range of motion (ROM), hypermobility and PFP through physical examinations. PFP was found in 49% of the participants. Post-pubertal dancers with no-PFP were found to have greater muscle strength, greater radial and tibial properties, and better tendon structure compared to pre-pubertal dancers with PFP and compared to pre-pubertal dancers with no-PFP [F_{(2, 41)} = 18.64, <i>p</i> < .001; F_{(2, 41)} = 20.46, <i>p</i> < .001; F_{(2, 41)} = 33.06, <i>p</i> < .001; and, F_{(2, 41)} = 6.02, <i>p</i> = .007, respectively]. Logistic regression showed that tibial bone properties and range of movement (ROM) in hip external rotation were significantly associated with PFP [odds ratio (OR) = .889 and OR = 2.653, respectively; Cox & Snell R² = .701]. The study revealed a high prevalence of PFP among young dancers, with low bone properties and hyperjoint ROM emerging as the main factors that are related to PFP. These findings should be addressed by medical teams, athletic trainers, and dance teachers regarding the need for implementing modifications to dance training programmes and injury-prevention strategies in young pre-pubertal dancers.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"751-766"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9855628","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}