{"title":"Neuromuscular control strategies of the lower limb during a typical Tai Chi brush knee and twist step in practitioners with and without knee pain: a pilot study.","authors":"Hong Liu, Xiaolin Chen, Yaping Li, Zhen Gao, Wujie Huang, Zheng Jiang","doi":"10.1080/15438627.2023.2219799","DOIUrl":"10.1080/15438627.2023.2219799","url":null,"abstract":"<p><p>As a complex movement, Tai Chi (TC) could be challenging for knee control, and the compensatory changes in TC biomechanics of knee pain patients are unknown. The Brush Knee and Twist Step (BKTS) is a typical TC movement that involves basic leg motion repeated in the whole TC. This pilot study examined electromyography and retro-reflective marker trajectory data to investigate neuromuscular control strategies of the lower extremity during BKTS in TC practitioners with and without knee pain. Twelve experienced TC practitioners with (<i>n</i> = 6) and without knee pain (<i>n</i> = 6) participated. Our results revealed that knee pain practitioners presented muscle imbalance in the vastus medialis-vastus lateralis and vastus lateralis-biceps femoris, and poor alignment of the knee with the toes in TC lunge. Additionally, they adaptively developed rigid coordination strategies, showing higher levels of lower limb muscle co-contraction and activity compared to controls. Training programs for TC practitioners with knee pain should be designed to modify both abnormal muscle synergy patterns and incorrect lunge during TC, which may improve exercise safety.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"679-694"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569202","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}
Claire Kenneally-Dabrowski, Nicholas A T Brown, Benjamin G Serpell, Diana Perriman, Wayne Spratford, Ashlee Sutherland, Mark Pickering, Adrian K M Lai
{"title":"Hamstring musculotendon mechanics of prospectively injured elite rugby athletes.","authors":"Claire Kenneally-Dabrowski, Nicholas A T Brown, Benjamin G Serpell, Diana Perriman, Wayne Spratford, Ashlee Sutherland, Mark Pickering, Adrian K M Lai","doi":"10.1080/15438627.2023.2189115","DOIUrl":"10.1080/15438627.2023.2189115","url":null,"abstract":"<p><p>The musculotendon mechanics of the hamstrings during high-speed running are thought to relate to injury but have rarely been examined in the context of prospectively occurring injury. This prospective study describes the hamstring musculotendon mechanics of two elite rugby players who sustained hamstring injuries during on-field running. Athletes undertook biomechanical analyses of high-speed running during a Super Rugby pre-season, prior to sustaining hamstring injuries during the subsequent competition season. The biceps femoris long head muscle experienced the greatest strain of all hamstring muscles during the late swing phase. When expressed relative to force capacity, biceps femoris long head also experienced the greatest musculotendon forces of all hamstring muscles. Musculotendon strain and force may both be key mechanisms for hamstring injury during the late swing phase of running.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"597-608"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492049","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}
Azize Bingöl Diedhiou, Zoran Milanović, Mustafa Can Eser, Fatma Neşe Şahin, Michael Hamlin, Ulaş Can Yıldırım
{"title":"The effects of taurine ingestion on anaerobic and physiological performance in female rugby players.","authors":"Azize Bingöl Diedhiou, Zoran Milanović, Mustafa Can Eser, Fatma Neşe Şahin, Michael Hamlin, Ulaş Can Yıldırım","doi":"10.1080/15438627.2023.2198129","DOIUrl":"10.1080/15438627.2023.2198129","url":null,"abstract":"<p><p>The purpose of this study was to investigate the acute effect of low, moderate, or high doses of taurine on anaerobic and physiological performance in female rugby players. A total of 16 sub-elite female rugby athletes (21.3 ± 1.5 yr, 168.0 ± 4.9 cm, 62.1 ± 3.5 kg mean ± SD) participated in this research. Following familiarization, participants attended 4 successive tests separated by 72 h in a randomized, counter-balanced, crossover research design. Following an over night fast, participants completed a 5-min 60 Watt warm-up followed by a 30-s Wingate anaerobic test on a cycle ergometer after ingestion of either 2 g taurine (LOWTAU), 4 g (MODTAU), 6 g (HIGHTAU) or placebo (PLA) 1 h before the test. Peak (PP) and mean power (MP) along with heart rate (HR), rating of perceived exertion (RPE), capillary lactate and blood glucose were measured. LOWTAU did not affect PP, MP, HR, lactate and glucose compared to PLA (<i>p</i> > 0.05), while MODTAU improved MP and HIGHTAU improved PP and MP compared to PLA and LOWTAU (<i>p</i> < 0.05). MODTAU and HIGHTAU had little effect on HR, blood lactate and glucose (<i>p</i> > 0.05). A single dose of taurine (MODTAU or HIGHTAU) 1 h prior to competition or training would provide an ergogenic effect on subsequent power output.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"621-630"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263710","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}
Matthew A Siegel, Michael J Patetta, Abhishek Deshpande, Mark D Orland, Mark R Hutchinson
{"title":"Traumatic brain injuries in paediatric patients: individual vs. team sports-related hospitalizations.","authors":"Matthew A Siegel, Michael J Patetta, Abhishek Deshpande, Mark D Orland, Mark R Hutchinson","doi":"10.1080/15438627.2023.2166412","DOIUrl":"10.1080/15438627.2023.2166412","url":null,"abstract":"<p><p>Paediatric sport participation continues to increase in the United States, with a corresponding increase in sports-related concussions or traumatic brain injuries (TBIs). It is important to recognize which sports are at elevated risk and identify risk factors for hospital admission and length of stay (LOS). Paediatric patients (ages 5-18) from 2008 to 2014 were identified from the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS). Eight hundred and ninety-four patients included those who were hospitalized with a TBI resulting from participation in an individual (451 patients) or team (443 patients) sport. We evaluated the differences in LOS and total charges between individual and team sports and found that compared to team sports, TBI patients in individual sports had significantly longer hospital stays compared to team sports (1.75 days versus 1.34 days, <i>p</i> < 0.001) and costlier ($27,333 versus $19,069, <i>p</i> < 0.001) hospital stays. This may be due to reduced awareness and reduced compliance with return-to-play protocols in individual sports. Safety education information at a young age, increased awareness of TBIs, and additional medical support for individual sports as well as team sports may help mitigate these findings.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"567-579"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590573","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":"Does radiofrequency application improve function and reduce pain in patients with insertional Achilles tendinopathy? A retrospective study with a minimum 2-year follow-up.","authors":"Yujie Song, Xiao'ao Xue, Yinghui Hua","doi":"10.1080/15438627.2022.2162402","DOIUrl":"10.1080/15438627.2022.2162402","url":null,"abstract":"<p><p>This case series study aimed to investigate patients with insertional Achilles tendinopathy (IAT) who underwent radiofrequency (RF), how much do their patient-reported outcomes scores improve and what percentage return to sport, and what patient-related factors are associated with improved scores and increased odds of return to sport, at a minimum of 2-year follow-up. Between 2012 and 2018, 41 patients were followed up. The median Victorian Institute of Sports Assessment-Achilles (VISA-A) score increased from 20 (range, 3-62) to 97 (range, 53-100), the median 11-point visual analogue scale (VAS) reduced from 8 (range, 1-10) to 0 (range, 0-3) and the median Tenger score increased from 1 (range, 0-1) to 3 (range, 2-8). Thirty-eight (92.7%) patients returned to sports with a mean time of 11 ± 4.8 months. In linear regression analysis, age was significantly associated with return-to-sports outcome (b = -0.07, 95% CI = -0.13 to -0.02, <i>p</i> = 0.02), while in logistic regression, symptoms duration revealed a significant impact on pain presence (OR = 1.07, 95% CI = 1.01 to 1.14, <i>p</i> = 0.02). In summary, RF for IAT had a 68.7 ± 14.5 VISA-A improvement at 5.4 years of follow-up regarding reliable functional restoration and pain reduction; however, the current evidence remains insufficient to support RF as an effective treatment for IAT.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"545-555"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465506","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}
Behzad Mohammadi Orangi, Mahrokh Dehghani, Paul A Jones
{"title":"Manipulation of task constraints is the most effective motor learning method for reducing risk factors for ACL injury during side-step cutting in both male and female athletes.","authors":"Behzad Mohammadi Orangi, Mahrokh Dehghani, Paul A Jones","doi":"10.1080/15438627.2023.2209248","DOIUrl":"10.1080/15438627.2023.2209248","url":null,"abstract":"<p><p>This study compared the efficacy of linear, non-linear and differential methods on variables related to ACL injury risk of a side-step cutting task in male and female basketball players. Thirty males and thirty females practiced basketball skills in sixty 90-minute sessions across 5 months. Ten players trained in each of the LP, NLP and DL female/male groups separately. Before and after the intervention, each player was tested on a side-step cutting task. A repeated 3 × 2 × 2 factorial ANOVA with repeated measures was performed for each biomechanical variable. Variables (trunk, hip, and knee flexion angle, knee valgus angle, ankle dorsiflexion angle, hip, knee, and ankle ROM, peak VGRF and knee extension/flexion, knee moment and ankle dorsiflexion moment) all revealed significant test by group interactions (<i>P</i> < 0.05) but no significant group by sex interactions (<i>P</i> > 0.05). In both sex, biomechanical changes were better in the NLP, followed by the DL and LP. It is argued that the advantage of the NLP method results from increased exploration of movement solutions induced by the manipulation of task constraints. Therefore, according to the NLP, it is possible to manipulate the constraints without feedback and the model/pattern can keep the athlete away from possible risks.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"631-647"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9432923","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}
Tracy Zaslow, Akash R Patel, Rachel Coel, Mia J Katzel, Tishya A L Wren
{"title":"The effects of sport, setting, and demographics on sunscreen use and education in young athletes.","authors":"Tracy Zaslow, Akash R Patel, Rachel Coel, Mia J Katzel, Tishya A L Wren","doi":"10.1080/15438627.2023.2219801","DOIUrl":"10.1080/15438627.2023.2219801","url":null,"abstract":"<p><p>Participation in outdoor sports increases exposure to ultraviolet radiation, necessitating mitigation through sunscreen use. This prospective study examined the effects of sport, setting (practice vs. competition), gender, age and geographic location on sunscreen use and education among youth athletes in various sports. Six hundred and twelve athletes ≤18 years old completed an online survey on sunscreen education and use during competitions and practices. Regardless of sport, reported sunscreen use was higher during practices than competition (<i>p</i> < 0.0001). Sunscreen was used most by swimmers/divers (odds ratio: OR ≥ 1.9, <i>p</i> < 0.001) and least by American football players (OR ≤ 0.57, <i>p</i> ≤ 0.001). Coaches mentioned sunscreen use the most in track and field (OR 1.84, <i>p</i> = 0.001) and the least in American football (OR 0.67, <i>p</i> = 0.03). Athletes used sunscreen more if they were female (OR ≥ 1.9 1.38, <i>p</i> ≤ 0.06) and younger (age OR ≤ 0.88, <i>p</i> < 0.001). In conclusion, youth athletes differ in sunscreen use by sport and setting, highlighting the need for continued photoprotective education.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"695-703"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9554547","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":"Tri-axial loading response to anti-gravity running highlights movement strategy compensations during knee injury rehabilitation of a professional soccer player.","authors":"Matt Greig, Liam Mason, Andy Mitchell","doi":"10.1080/15438627.2023.2216824","DOIUrl":"10.1080/15438627.2023.2216824","url":null,"abstract":"<p><p>Anti-gravity treadmills have been used in rehabilitation to manipulate exposure to loading and to prescribe return to outside running. Analysis is typically restricted to the vertical plane, but tri-axial accelerometry facilitates multi-planar analysis with relevance to injury mechanism. In this case a professional male soccer player, 4 weeks post-operative surgery to repair a medial meniscectomy, 8 months after Anterior Cruciate Ligament reconstruction to the same knee, completed anti-gravity treadmill running at 70-95% bodyweight (BW) at 5% increments. Tri-axial accelerometers were placed proximal to the Achilles tendon of the injured and healthy leg, and at C7. The planar acceleration at touchdown highlighted an increase at 85% BW, identifying 70% and 85% BW as discrete loading progressions. C7 (3.21 ± 0.68 m·s<sup>-2</sup>) elicited lower (<i>P</i> < 0.001) vertical acceleration than the lower limb (9.31 ± 1.82 m·s<sup>-2</sup>), with no difference between limbs suggesting bilateral symmetry. However, in the medio-lateral plane the affected limb (-0.15 ± 1.82 m·s<sup>-2</sup>) was exposed to lower (<i>P</i> = 0.001) medio-lateral acceleration than the non-affected limb (2.92 ± 1.35 m·s<sup>-2</sup>) at touchdown, indicative of bilateral asymmetry. PlayerLoad during foot contact was sensitive to accelerometer location, with the affected limb exposed to greater loading in all planes (<i>P</i> ≤ 0.082), exacerbated at 90-95% BW. Tri-axial accelerometry provides a means of assessing multi-planar loading during rehabilitation, enhancing objective progression.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"656-666"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9586288","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}
Ruikang Kong Kong Liu, David R Howell, Lauren A Pierpoint, Casey C Little, Jack Spittler, Morteza Khodaee, Aaron Provance
{"title":"SalterHarris fractures in paediatric skiers and snowboarders.","authors":"Ruikang Kong Kong Liu, David R Howell, Lauren A Pierpoint, Casey C Little, Jack Spittler, Morteza Khodaee, Aaron Provance","doi":"10.1080/15438627.2023.2216823","DOIUrl":"10.1080/15438627.2023.2216823","url":null,"abstract":"<p><p>The incidence of paediatric fractures among winter sport athletes is not adequately studied. Our objective was to categorize fractures that occurred in paediatric skiers and snowboarders at a single ski resort. X-rays of 756 skiers/snowboarders aged 3-17 diagnosed with a fracture were categorized using the Salter-Harris (SH) classification. SH fractures were seen in 158 (21%) patients, with 123 (77%) being Type II. There were no significant differences between patients with a SH fracture and patients with a non-SH fracture for age, sex, snowboarding or skiing, mechanism of injury, terrain or the resort conditions on the day of injury. The most common mechanism of injury was falling onto snow while collisions resulted in more severe injuries. Compared to fractures without growth plate involvement, a higher proportion of SH fractures were seen in the humerus, radius, fibula and thumb; a lower proportion of SH fractures were observed at the tibia and clavicle.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"648-655"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881655","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}
Yavuz Lima, Nazlı Deniz Öz, Sergen Devran, Simon Rice, Bülent Bayraktar
{"title":"The team behind the team: prevalence and correlates of mental health problems among professional football team medical and allied staff?","authors":"Yavuz Lima, Nazlı Deniz Öz, Sergen Devran, Simon Rice, Bülent Bayraktar","doi":"10.1080/15438627.2023.2216827","DOIUrl":"10.1080/15438627.2023.2216827","url":null,"abstract":"<p><p>This study aimed to evaluate depression, anxiety, and stress prevalence and correlates among professional football team medical and allied health staff (MAHS) in Turkey. An online survey was sent to all MAHS (<i>n</i> = 865) attending the professional development accreditation course organized at the end of the 2021-2022 football season in Turkey. Three standardized scales assessed depression, anxiety, and stress. A total of 573 staff participated (response rate = 66.2%). 36.7% of MAHS reported at least moderate severity depression, 25% anxiety, and 80.5% stress. Younger (26-33 years) and less experienced (6-10 years) MAHS reported higher stress scores than their older (50-57 years) and more experienced (>15 years) counterparts (<i>p</i> = 0.02 and <i>p</i> = 0.03, respectively). Masseurs (compared to team doctors) and staff without a second job (compared to those with a second job) reported higher depression and anxiety scores (<i>p</i> = 0.02, <i>p</i> = 0.03, <i>p</i> = 0.03, <i>p</i> = 0.02, respectively). Depression, anxiety, and stress scores of MAHS whose monthly income was less than $519 were higher than those whose income was more than $1036 (all <i>p</i> < 0.01). Findings demonstrated that professional football team MAHS suffer from symptoms of mental-ill-health at substantial rates. In light of these results, organizational policies should be implemented to proactively support the mental health of MAHS working in professional football.</p>","PeriodicalId":20958,"journal":{"name":"Research in Sports Medicine","volume":" ","pages":"667-678"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9882130","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}