Physician and Sportsmedicine最新文献

{"title":"Concussion knowledge, attitudes, and behaviors: a comparison study of youth athletes and their parents.","authors":"Summer D Ott, Sukhnandan K Cheema, Holden Axel, Seema S Aggarwal, Natalie R Parks, Nikhil Gattu, Philip Schatz","doi":"10.1080/00913847.2025.2470608","DOIUrl":"10.1080/00913847.2025.2470608","url":null,"abstract":"<p><strong>Objective: </strong>Given the rising participation in high school athletics and the concerning trend of underreporting concussions, this study aims to identify and compare factors influencing sports-related concussion (SRC) awareness and reporting among youth athletes to their parents.'</p><p><strong>Methods: </strong>Surveys were completed by 239 student-athletes (ages 13-19) and their parents, using a modified Rosenbaum Concussion Knowledge and Attitudes Survey-Student Version (RoCKAS-ST) and demographic questionnaires. Statistical analyses, including paired sample t-tests, ANOVAs, and Spearman's correlations, compared knowledge and attitudes between groups and examined demographic influences.</p><p><strong>Results: </strong>Parents showed significantly higher concussion knowledge (CKI: t(230) = 5.18, <i>p</i> < .001) and safer attitudes (CAI: t(230) = 10.62, <i>p</i> < .001) than their children. Knowledge scores varied significantly by race and socioeconomic status, with White parents scoring higher than Hispanic and African American parents (F(3,224) = 8.97, <i>p</i> < .001). Child knowledge scores also differed by race (F(4,223) = 3.73, <i>p</i> = .006) and correlated positively with parental education (<i>r</i> = .22, <i>p</i> < .001). Notably, a history of concussion significantly increased child knowledge (t(229) = -2.99, <i>p</i> = .002) but did not affect parental knowledge or attitudes.</p><p><strong>Conclusions: </strong>The findings highlight a critical gap in concussion knowledge and attitudes between parents and children, indicating the need for targeted educational interventions. While parents are generally more knowledgeable, variations based on race and socioeconomic status suggest disparities in access to concussion education. The study emphasizes the importance of involving both athletes and parents in educational initiatives to foster a comprehensive understanding of SRCs. Recommendations include developing culturally and socioeconomically tailored programs to enhance reporting behaviors and improve concussion management practices among young athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"353-359"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between physical features and patellofemoral-pain in young female gymnasts.","authors":"Nili Steinberg, Liav Elbaz, Shelly Bar-Sela, Smadar Peleg, Alon Eliakim, Dan Nemet, Gali Dar","doi":"10.1080/00913847.2025.2472741","DOIUrl":"10.1080/00913847.2025.2472741","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral pain (PFP) is prevalent in high impact athletes.</p><p><strong>Objectives: </strong>To evaluate the prevalence of PFP and examine relationships between physical attributes and PFP in gymnasts.</p><p><strong>Methods: </strong>Data collection included the screening of 274 female gymnasts (aged <i>M</i> = 11.8 ± 1.9 years) from three disciplines - rhythmic, acrobatic, and artistic gymnastics. The participants completed Tanner's pubertal stage questionnaire and reported their date of birth and menarche status. They were then assessed for anthropometric measures, bone density, muscle strength, joint range of motion (ROM), hypermobility, and were physically examined for PFP.</p><p><strong>Results: </strong>A total of 21.5% of the gymnasts had PFP, with a significantly higher prevalence among artistic gymnasts (33.3%) compared to acrobatic gymnasts (11.7%) (<i>p</i> = .008). No significant differences were seen in the age, menarche status, and pubertal stages of gymnasts with and without PFP (<i>p</i> > .05). H/week of training during the current year differed significantly between gymnasts with and without PFP by discipline (PFP X discipline interaction) (F_{(2, 267)} = 3.647, <i>p</i> = 0.027). Logistic regressions showed that decreased tibial bone density (OR = 0.996), increased en-pointe ROM (OR = 1.061), and reduced muscle-strength (knee extensors [OR = 0.003] and hip abductors [OR = 0.001]) were significantly associated with PFP.</p><p><strong>Conclusions: </strong>A high prevalence of PFP was seen, especially among artistic gymnasts. Decreased bone density, increased ankle ROM, and decreased knee and hip muscle strength were associated with PFP in young gymnasts. These findings suggest modifying risk factors, such as strength and loads, during the training of young female gymnasts. Moreover, physical features and other factors that may be related to PFP should be screened from a young age. Developing and implementing training programs and injury-prevention exercises is important to decrease loads and strains to the knees, while reducing the chance of knee pain or injuries in young female gymnasts.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"360-369"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric bowling injuries presenting to U.S. emergency departments: a descriptive epidemiologic study.","authors":"Tyra Swanson, David Mikhail, Dai Sugimoto, David Soma, Jacob Jones, Luke Radel","doi":"10.1080/00913847.2025.2565145","DOIUrl":"10.1080/00913847.2025.2565145","url":null,"abstract":"<p><strong>Objectives: </strong>Bowling is a popular youth sport, but despite its popularity, there is limited research on pediatric bowling-related injuries. Therefore, the purpose of the current study was to identify common injury locations and types among pediatric bowlers and assess differences in common injured body locations and diagnoses based on age and sex.</p><p><strong>Methods: </strong>Data were sourced from the National Electronic Injury Surveillance System (NEISS) for the period 2014-2023, focusing on individuals 18 years old or younger. The data sourced from NEISS are raw numbers of cases, not stratified/weighted data. Injuries were categorized by body locations and diagnoses, and chi-square test was performed to compare injury patterns between pre-adolescents (5-10 years) and adolescents (11-18 years), as well as between males and females, with odds ratios (OR) and 95% confidence interval to determine significance.</p><p><strong>Results: </strong>A total of 755 injuries were analyzed: 375 in pre-adolescents and 380 in adolescents, with 399 injuries in males and 356 in females. Overall, the most frequently injured body locations were the finger (30.7%), face (9.3%), wrist (8.6%), knee (7.4%), and lumbar spine (6.8%). Pre-adolescents experienced more finger (OR = 4.00, <i>p</i> < 0.001) and face (OR = 8.00, <i>p</i> < 0.001) injuries, while adolescents had more wrist (OR = 2.38, <i>p</i> = 0.001), knee (OR = 6.63, <i>p</i> < 0.001) and lumbar spine (OR = 4.41, <i>p</i> < 0.001) injuries. Males had a higher frequency of finger injuries (OR = 1.55, <i>p</i> = 0.006), whereas females experienced more wrist injuries (OR = 2.19, <i>p</i> = 0.003). Regarding diagnoses, pre-adolescents had a higher proportion of fractures (OR = 3.40, <i>p</i> < 0.001), contusions/abrasions (OR = 1.74, <i>p</i> = 0.007), lacerations (OR = 8.00, <i>p</i> < 0.001), and crushing injuries (OR = 2.91, <i>p</i> = 0.034), while adolescents had more sprains/strains (OR = 4.78, <i>p</i> < 0.001). Males were more likely to suffer fractures (OR = 2.11, <i>p</i> < 0.001), and females more likely to sustain sprains/strains (OR = 2.32, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>These findings suggest that finger, face, and wrist injuries are common among youth bowlers. Differences in injury patterns may be attributed to variations in skeletal maturity, physiology, and experience. These results underscore the need for targeted prevention strategies and further research in pediatric bowling.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disordered eating within elite male adolescent rugby: a cross-sectional study of the eating habits and attitudes in male academy rugby union players.","authors":"Jack Doyle, John Morgan, Anthony Papathomas, Pippa Hugo, Daniel Hind, Samuel Birks","doi":"10.1080/00913847.2025.2550235","DOIUrl":"10.1080/00913847.2025.2550235","url":null,"abstract":"<p><strong>Background: </strong>Due to a range of pressures associated with high-performance environments, elite athletes are at increased risk of eating disorders and disordered eating. Most prevalence studies focus on female athletes in lean or esthetic sports, with males, particularly those competing in power sports, seldom considered. This study addresses this gap by exploring disordered eating in elite male adolescent rugby union players.</p><p><strong>Methods: </strong>We distributed an online survey to male rugby players aged 16-18 through RFU-affiliated academies. The survey contained three sections: general demographics; the Eating Disorder Examination Questionnaire (EDE-Q); and knowledge of eating disorders.</p><p><strong>Results: </strong>From 107 responses, 14% had a global EDE-Q score that met the clinical cut off of 1.68 for males displaying symptoms of an eating disorder. An increased Body Mass Index (BMI) was statistically significantly associated with a positive increase in global EDE-Q score. Props demonstrated the highest global EDE-Q scores. The desire to change body size was also statistically associated with increased global EDE-Q scores. Most participants admitted poor knowledge of eating disorders and where to access help to manage them by giving a score of 2 on a 1-5 Likert scale ranging from no knowledge to very knowledgeable.</p><p><strong>Conclusions: </strong>Overall, 14% of the elite adolescent male rugby participants in this study met the clinical cut off EDE-Q global score, suggesting that there may be a higher prevalence of disordered eating behaviors and attitudes compared to the general population. Increased BMI and certain positions are associated with more disordered eating behaviors and attitudes. There is also a lack of confidence in knowledge about EDs and where to access help, therefore greater education and awareness about this issue is warranted. More research is required to further explore the reasons for the increase in disordered eating behaviors and attitudes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury epidemiology in young female American football athletes: a 10-year analysis using NEISS data.","authors":"David Mikhail, Dai Sugimoto, Cassidy Schultz, Luke Radel, David Soma, Sophia Ulman, Jacob Jones","doi":"10.1080/00913847.2025.2548761","DOIUrl":"10.1080/00913847.2025.2548761","url":null,"abstract":"<p><strong>Background: </strong>American football has traditionally been male-dominated, but female participation in youth football is increasing, especially with the rise of flag football. This study aimed to (1) describe the epidemiology of injured body parts and diagnoses in female youth football athletes, and (2) compare injury patterns between pre-high school (≤14 years) and high school (≥15 years) players.</p><p><strong>Methods: </strong>American football-related injury data were obtained from the National Electronic Injury Surveillance System (NEISS) from 2012-2021, representing U.S. emergency department visits. All participants were female and ≤18 years. Injuries were classified by body part and diagnosis, then compared between pre-high school and high school groups. Descriptive statistics summarized injury characteristics. Chi-square tests assessed group differences, with odds ratios (OR), 95% confidence intervals (CI), and p-values for significance. NEISS data lack detail on injury context, which may limit interpretation.</p><p><strong>Results: </strong>A total of 3,348 injuries were identified: 2,342 in pre-high school and 1,006 in high school athletes. The most common injury sites for both groups were the upper extremity (pre-high school: 57.9%; high school: 43.1%), followed by the lower extremity (22.1% vs. 30.6%) and head/trunk (18.7% vs. 25.1%). Pre-high school athletes sustained proportionally more finger injuries (38.8% vs. 27.1%, p=0.001) and fractures (31.8% vs. 20.4%, p=0.001). High school athletes had higher proportions of head (20.5% vs. 14.1%), ankle (12.7% vs. 10.2%), and knee injuries (10.3% vs. 5.3%) (all p<0.05), as well as more sprains/strains (39.3% vs. 33.9%, p=0.003) and concussions (11.1% vs. 7.4%, p=0.001).</p><p><strong>Conclusion: </strong>Injury patterns differ by age among female youth football players. Pre-high school athletes more often sustain finger injuries and fractures, while high school athletes experience more head, ankle, and knee injuries, along with higher rates of sprains/strains and concussions. These differences may reflect variations in physiology and style of play, and findings may inform age-specific injury prevention strategies and guide future research on female football athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time-course responses following sports-related concussion: a multi-modality study.","authors":"Alan J Pearce, Kane Middleton, Anthea Clarke","doi":"10.1080/00913847.2025.2541579","DOIUrl":"10.1080/00913847.2025.2541579","url":null,"abstract":"<p><strong>Objectives: </strong>Using a repeated-measures design, we investigated reported symptoms, oculomotor, and neurophysiological responses for up to 26 days following a sports-related concussion.</p><p><strong>Methods: </strong>Over the course of one season, 115 athletes (mean age 26.2 ± 5.4 years) from one football team (f = 28, <i>m</i> = 37) and one ice hockey team (f = 21, <i>m</i> = 29) were assessed for self-reported symptoms and severity of symptoms, cognitive testing for 10-word recall and digit backwards. Oculomotor performance was assessed using eye-pursuits. Neurophysiology was assessed using transcranial magnetic stimulation. Baseline data were collected during pre-season for all athletes and, when a concussion was identified during the season, additional data were collected at 2-, 12-, 19-, and 26-days post-injury.</p><p><strong>Results: </strong>Twenty-two players suffered concussion injuries (f = 9, <i>m</i> = 13). Significant increases in symptoms were reported at 2 days (<i>p</i> < 0.001) and 12 days (<i>p</i> = 0.017). Severity of symptoms was significantly increased at 48 hours only (<i>p</i> = 0.002). Significant decrements in performance for 10-word recall (<i>p</i> = 0.003), digit backwards (<i>p</i> = 0.011), and eye-pursuit (<i>p</i> = 0.009) were observed at 48 hours in comparison to baseline. Transcranial magnetic stimulation revealed significantly increased cortical inhibition at 48 hours (<i>p</i> = 0.024), 12 days (<i>p</i> = 0.009), and 19 days (<i>p</i> = 0.028) compared to baseline. No differences were seen between females and males for any variables or timepoints.</p><p><strong>Conclusion: </strong>Players with SRC show acute changes in cortical inhibition, resolving by 26 days after injury, which follows a longer time-course for recovery compared to symptoms, cognitive tests, and oculomotor eye-pursuits. These results suggest that measuring the recovery of athletes with SRC warrants further investigation using physiological testing to accompany clinical measures in the determination of a player's readiness to return to play.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnostic accuracy of EyeGuide Focus testing for concussion in elite male Rugby players.","authors":"Gordon Ward Fuller, James Brown, Michael Dunlop, Martin Raftery, Éanna Cian Falvey","doi":"10.1080/00913847.2025.2451606","DOIUrl":"10.1080/00913847.2025.2451606","url":null,"abstract":"<p><strong>Introduction: </strong>Smooth pursuit eye movements may be affected by head impacts. The EyeGuide Focus system is a simple, portable, test of visual tracking. This study investigated the diagnostic accuracy of EyeGuide measurements for detection of concussion during elite Rugby matches.</p><p><strong>Methods: </strong>A prospective diagnostic case-control study was performed in the elite 2021/2022 United Rugby Championship competition. The study population comprised consecutive players identified with match-related head impact events during the World Rugby Head Injury Assessment process, randomly chosen uninjured players, and players with match-related musculoskeletal injuries. The index test was blinded EyeGuide assessment performed by independent assessors. The reference standard was concussion diagnosed by the team doctor. Distributions of EyeGuide scores were compared between concussed and non-concussed players and receiver operator characteristic curves constructed.</p><p><strong>Results: </strong>EyeGuide testing was performed in 262 cases, comprising 55 concussed players and 207 non concussed players (33 head impact events, 97 uninjured controls, and 79 musculoskeletal injury controls). The distributions of EyeGuide score were similar between concussed and non-concussed cases (medians 20,120 Vs 21,522, <i>p</i> = 0.3; difference -1,402, 95% CI -5,332-3,865). The c-index for the receiver operating characteristic curve was 0.46 (95% CI 0.36-0.55).</p><p><strong>Conclusions: </strong>EyeGuide Focus scores did not appear to discriminate between concussed and non-concussed players in a cohort of elite Rugby players.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"267-274"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury epidemiology in international basketball: a six-season study of the Great Britain men's basketball team.","authors":"Tom Cresswell, Craig Barden","doi":"10.1080/00913847.2025.2457164","DOIUrl":"10.1080/00913847.2025.2457164","url":null,"abstract":"<p><strong>Objectives: </strong>To report the injury epidemiology of the Great Britain's (GB) men's basketball team games and training over a 6-season period.</p><p><strong>Methods: </strong>Non-time loss (NTL) and time-loss (TL) injuries were recorded throughout 14 international windows (2018-2024). Exposure (player-hours) was recorded for team training and games. NTL and TL injury incidence is presented per 1000 player-hours (p/1000 h; 95% CI) for training, games and overall exposure. TL severity (days-lost) and burden (days-lost/1000 h; 95% CI) was calculated, with incidence rate ratios (IRR, 95% CI) comparing game and training incidence for each definition.</p><p><strong>Results: </strong>Throughout the study period, 113 injuries were recorded, of which 65 were GB related (43 NTL and 22 TL). Game injury incidence was significantly greater than training for TL (96/1000 h; 95% CI 33-159 versus 6/1000 h; 95% CI 2-9; IRR = 17; 95% CI 7-44) and NTL (75/1000 h; 95% CI 10-131 versus 7/1000 h; 95% CI 3-11; IRR = 11; 95% CI 4-28) injury definitions. Overall, most TL injuries occurred at the ankle (36%, 5/1000 h; 95% CI 2-9) and NTL injuries at the knee (19%, 5/1000 h; 95% CI 2-9). 31 overuse injuries were recorded, with 25% lower limb tendinopathies. TL injury severity ranged from 1 to 30 days, with injury burden for games (675/1000 h; 95% CI 234-1116) greater than training (48/1000 h; 95% CI 55-133).</p><p><strong>Conclusion: </strong>The reported game injury incidence is high, with a large prevalence of NTL injuries. Lower limb injuries were most common, particularly overuse knee injuries. Preventative strategies need to be specific in the international basketball context, where camps are short but intense in duration.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"291-298"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in athlete's left ventricular morphology by sex and sports discipline categories in elite Japanese athletes.","authors":"Kohei Ashikaga, Tomohiro Manabe, Anna Tomori, Naoya Endo, Kazuyuki Kamahara","doi":"10.1080/00913847.2025.2463320","DOIUrl":"10.1080/00913847.2025.2463320","url":null,"abstract":"<p><strong>Objectives: </strong>The cardiac morphology of elite athletes is related to sports disciplines and race; however, no studies have examined the effects of sports discipline on East Asian athletes. Therefore, this study aimed to assess left ventricular (LV) remodeling using transthoracic echocardiography in elite Japanese athletes and establish standard values for the indicators of the cardiac morphology of elite athletes in East Asia, considering the influence of body size.</p><p><strong>Methods: </strong>We retrospectively evaluated 1,363 elite Japanese athletes who underwent electrocardiography and transthoracic echocardiography between January 2011 and December 2021. The athletes were assigned to four sports discipline categories (skill, power, mixed, and endurance). We evaluated the differences in LV volume and mass between the groups for each sex.</p><p><strong>Results: </strong>The LV end-diastolic volume (LVEDV) and LV mass indexed to the body surface area (BSA) in the endurance group (LVEDV/BSA: 72.3 ± 11.4 mL/m² in males and 68.7 ± 11.0 mL/m² in females, LV mass/BSA: 121.1 ± 19.1 g/m² in males and 106.5 ± 18.0 g/m² in females) were significantly larger than those of any other groups. Both values were affected by sex, BSA, and endurance sport type, whereas only LV mass was affected by age.</p><p><strong>Conclusion: </strong>Cardiac remodeling is proportional to the sport type, with a significantly greater effect in athletes playing endurance sports. The remodeling is particularly evident in the left ventricle; however, the corresponding remodeling is also observed in other heart chambers. Cardiac remodeling in elite Japanese athletes is similar to that observed in elite athletes of other races, except for the changes in LV wall thickness.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"309-318"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of lower extremity injuries in men's ice hockey: a 10-year analysis across the COVID-19 era.","authors":"Mary Grace Kelley, Hayley Denwood, Reanna Shah, Avanish Yendluri, Suraj Dhanjani, Ashlyn Fitch, Megan Berube, Xinning Li, Robert L Parisien","doi":"10.1080/00913847.2025.2463873","DOIUrl":"10.1080/00913847.2025.2463873","url":null,"abstract":"<p><strong>Objectives: </strong>Over one-third of icehockey injuries involve the lower extremity (LE). The purpose of this study was to describe epidemiology and mechanism of injury of men's icehockey-related lower extremity injuries treated in US emergency departments from 2013 to 2022.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) database was retrospectively queried for LE injuries related to men's ice hockey (product code 1279) from 2013 to 2022. Demographics, injury characteristics, and disposition were recorded. Injury mechanism was summarized from the supplied narrative. National estimates (NE) were calculated using the provided NEISS sample weight. Linear regression was used to evaluate injurytrends.</p><p><strong>Results: </strong>There were 832 cases (NE: 27469) of LE injuries in male ice hockey players from 2013-2022. Linear regression demonstrated increasing LE injuries in the post-COVID period (after the year 2020). The knee (34.7%, NE: 9,533) and ankle (29.4%, NE: 8,089) were most commonly injured. The most frequent injuries for the ankle (35.8%) and knee (30.5%) were strains/sprains. Skating sprains (15.1%, NE: 4,157) and slip and/or falls (14.2%, NE: 3,898) were the most common primary mechanisms of injury. Slip and/or falls (40.8%) and collisions with another player (23.9%) were most common secondarymechanisms of injury.  Slip and/or falls, collisions with another player,and checking commonly injured the knee. There were no significant changes in ininjury incidence at any anatomical location or primary mechanism of injury overthe study period.</p><p><strong>Conclusion: </strong>The knee and ankle were the most common location of lower extremityinjuries in male ice hockey players between 2013-2022. The knee was vulnerable to a variety of primary mechanisms ofinjury, including checking, collisions with other players, and slip and/or falls. Despite implementation of urgent orthopedic carecenters, allowance of additional foot protection, and facility improvements, the rate of post-COVID LE injuries have been increasing.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"319-327"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}