Physician and Sportsmedicine最新文献

{"title":"The pitch timer is not associated with increased upper extremity injuries in Major League Baseball pitchers, a 4-year analysis.","authors":"D Rupani, C B Poff, A Athiviraham","doi":"10.1080/00913847.2025.2505399","DOIUrl":"10.1080/00913847.2025.2505399","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study were to (1) assess whether the Pitch Timer was associated with the incidence of upper extremity injury (UEI) in Major League Baseball (MLB) Pitchers and (2) assess the association between UEI and Pitcher 'Tempo' between 2021 and 2024 in the MLB.</p><p><strong>Methods: </strong>This study was a retrospective review of all MLB Pitchers who pitched in at least three out of four seasons between 2021 and 2024. Players were assessed for time spent on the injury list (IL) due to shoulder and/or forearm/elbow-associated pathology. With the Pitch Timer starting in the 2023 season, the incidence of UEI was calculated in pre- and post-Timer cohorts. Games missed per injury were also assessed pre- and post-Timer. Average Pitching Tempo was assessed in pitchers with shoulder injuries, forearm/elbow injuries, and uninjured pitchers. Continuous variables were compared using two-tailed t-tests, and categorical variables were compared using the chi-squared test with a statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>There were no significant differences in the incidence of shoulder injuries (<i>p</i> = 0.94) or forearm/elbow injuries (<i>p</i> = 0.24) in MLB pitchers between any year from 2021 to 2024. Pitchers who sustained shoulder injuries in 2023-2024 missed significantly more games per injury than pitchers who sustained shoulder injuries in 2021-2022 (<i>p</i> = 0.007). The same trend did not exist in the elbow (<i>p</i> = 0.57). Average Pitch Tempo was similar between pitchers with shoulder and forearm/elbow injuries versus uninjured pitchers (16.72-17.09 s, <i>p</i> = 0.14-0.20).</p><p><strong>Conclusions: </strong>The incidence of UEI did not increase in MLB Pitchers following the implementation of the Pitch Timer prior to the 2023 MLB season. Following the introduction of the Pitch Timer in 2023, MLB Pitchers averaged significantly greater games missed per shoulder injury than previous seasons, suggesting there may be a link between the Pitch Timer and shoulder injury severity. Pitching Tempo was not associated with UEI.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037780","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":"Rising trends in pediatric fractures associated with electric scooter use seen in emergency departments between 2014 and 2023.","authors":"Doria L Weiss, Christian K Law, Avanish Yendluri, Daniel X Zhang, Kyle K Obana, Michael J Danaher, Robert L Parisien, David P Trofa","doi":"10.1080/00913847.2025.2502323","DOIUrl":"https://doi.org/10.1080/00913847.2025.2502323","url":null,"abstract":"<p><strong>Introduction: </strong>As the use of electric scooters (e-scooters) has significantly increased in the past decade, there has been a concomitant rise in e-scooter related injuries. This study aims to analyze trends and mechanisms of e-scooter fractures in the US pediatric population. We hypothesized that there would be a significant increase in pediatric e-scooter fractures particularly from 2020 to 2023, with forearm fractures being the most prominent.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for pediatric (age ≤18) e-scooter fractures reported at US EDs between 1 January 2014, and 31 December 2023. The mechanisms of injury and specific bone(s) that were fractured were identified using the injury narrative. Trends in fracture patterns were analyzed using linear regression analysis.</p><p><strong>Results: </strong>A total of 669 pediatric e-scooter fractures (NE = 18,103) were included. There was a significant increase in pediatric fractures from 2014 to 2023 (<i>p</i> = .011). In addition, there was a 2.7-fold increase in the annual average fracture incidence from pre-COVID (2017-2019) to post-COVID (2021-2023). The most common body part fractured was the lower arm (NE = 5,047, 27.9%) and wrist (NE = 4,765, 26.3%). The most common bone fractured was the radius (NE = 3,681, 33.8%) followed by the clavicle (NE = 952, 8.7%). The most common mechanisms of injury were falling off of the e-scooter (NE = 14,513, 80.2%) followed by impact with stationary obstacles (NE = 1,721; 9.5%).</p><p><strong>Conclusion: </strong>The prevalence of fractures in the pediatric population due to e-scooter use has risen significantly in the past decade, particularly since COVID-19. The lower arm and wrist were the most commonly affected, with the radius being the most frequently fractured bone. These findings highlight the need for enhanced regulation and safety measures to prevent fractures in young riders.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042184","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":"Psychiatric treatment preferences of sports psychiatrists for athlete-patients across competitive levels: a 2024 update.","authors":"Claudia L Reardon, Malte Christian Claussen, Shane Creado, Alan Currie, Carla D Edwards","doi":"10.1080/00913847.2025.2495545","DOIUrl":"https://doi.org/10.1080/00913847.2025.2495545","url":null,"abstract":"<p><strong>Objectives: </strong>Only two small, prior studies ascertained psychiatric treatment preferences for athletes among sports psychiatrists. This study aims to build upon and update those results by describing comprehensive psychiatric treatment preferences and rationales for those preferences, across competitive levels of athletes, among practicing sports psychiatrists.</p><p><strong>Methods: </strong>In 2024, organizations with large concentrations of sports psychiatrists were provided an invitation regarding an anonymous, web-based survey on psychiatric treatment preferences in working with athletes with mental health symptoms and disorders.</p><p><strong>Results: </strong>Seventy-five respondents who identified as psychiatrists or psychiatrists in training and who had treated athlete-patients within the past 3 years completed the survey. Top choices of psychiatric medications for athletes included bupropion for depression without anxiety; escitalopram for depression with anxiety, generalized anxiety disorder, and social anxiety disorder; sertraline for obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder; melatonin for insomnia; methylphenidate extended release osmotic-controlled release oral delivery system for attention-deficit/hyperactivity disorder; aripiprazole for bipolar spectrum disorder (manic/hypomanic phase); lamotrigine for bipolar spectrum disorder (depressive and maintenance/prophylaxis phases); and aripiprazole for psychotic disorders. Regarding side effects, respondents reported being most concerned about sedation/somnolence, weight gain, and reduction in performance. The majority of respondents indicated they order a variety of medical evaluations at least as often or more often with athletes compared to non-athletes. The first choice of psychotherapy <i>setting</i> was individual psychotherapy, followed by family therapy, and then a tie between couples therapy and group therapy. The preferred <i>type</i> of psychotherapy was cognitive behavioral therapy followed by a tie among behavioral therapy, dialectical behavioral therapy, and mindfulness.</p><p><strong>Conclusion: </strong>Sports psychiatrists tend to prefer medications that are relatively more energizing and less likely to cause weight gain. They undertake medical evaluations for their athlete-patients with relatively great frequency. Their preferred psychotherapy types are skills-based and can be completed within relatively short time-frames.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051528","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 epidemiology of injuries in professional sitting volleyball athletes.","authors":"Mohammadreza Mahmoudkhani, Fatemeh Alizadeh, Elham Khodsiyani, Mehdi Norouzi","doi":"10.1080/00913847.2025.2498317","DOIUrl":"https://doi.org/10.1080/00913847.2025.2498317","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the epidemiology of injury among players at the Iran Sitting Volleyball Super League 2023-2024.</p><p><strong>Methods: </strong>A total of 56 athletes from 6 teams, representing 47% of all athletes in the Super League, took part in this study. Injury data were obtained retrospectively through one-by-one interview sessions and a questionnaire.</p><p><strong>Results: </strong>A total of 80 injuries were reported in 30 athletes at the Iran Sitting Volleyball (SV) Professional League. The injury proportion (IP) (%) of all athletes who sustained an injury during the League was 53.6%, with an overall incidence of 16.2 injuries per 1000 athlete days (95% CI 12.7 to 19.8). There was a significantly higher incidence of injury during the competition period (33.5 (95% CI 16.5 to 50.4)) compared with the pre-competition period (14.5 (95% CI 11.0 to 18.0); IR:2.31 (95% CI 1.3 to 4.0); <i>p</i> < 0.01). There were no significant differences between post and age groups concerning injury rate in the overall period. The injuries incurred are mostly re-injuries, and the anatomical areas of the fingers, wrist, and shoulder are at the most risk for injury.</p><p><strong>Conclusion: </strong>This study provides important baseline data for medical staff and coaches, aiding in better preparation for long-term competitions and improving injury prevention programs for this sport.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015788","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 most cited publications on snowboarding-related head injuries, concussions, and injury distribution.","authors":"Benjamin D Gross, Avanish Yendluri, Niklas H Koehne, Amogh I Iyer, Akshar V Patel, Paul J Cagle, Robert L Parisien","doi":"10.1080/00913847.2025.2491991","DOIUrl":"https://doi.org/10.1080/00913847.2025.2491991","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to identify the 50 most-cited publications relating to snowboarding and conduct a bibliometric analysis of the identified studies.</p><p><strong>Methods: </strong>Clarivate Analytics Web of Science database was queried to identify all publication titles, abstracts, and keywords related to snowboarding. The resulting articles were sorted by total number of citations. Titles and abstracts were included based on their relevance to snowboarding. Once the 50 most cited articles were identified, each article was further analyzed to obtain author name, publication year, country of origin, journal name, article type, research topic, competition level, total number of citations, and the level of evidence. Citation density (total number of citations/years since publication) was calculated and recorded for each of the most-cited studies.</p><p><strong>Results: </strong>The 50 most-cited articles were cited 4,123 times with an average of 82.5 citations per article. The most cited article was cited 212 times. The majority of articles came from 2 different countries, with the United States and Canada contributing 18 and 10 articles, respectively. The American Journal of Sports Medicine published the most articles (<i>n</i> = 11). The most studied topic was injury distribution (<i>n</i> = 25) followed by head injuries (<i>n</i> = 8). Recreational snowboarding was the most studied level of competition (<i>n</i> = 43).</p><p><strong>Conclusions: </strong>The 50 most-cited articles related to snowboarding are predominantly cohort and review studies from the United States and Canada, focusing on recreational athletes. These articles primarily detail the total anatomic distribution of snowboard-related injuries, particularly head injuries and concussions.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063239","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 vascular neck restraint of mixed martial arts: understanding the pathophysiology, hemodynamics, and long-term consequences.","authors":"Ariella Gartenberg, Alexander Petrie, Rene Dreifuss","doi":"10.1080/00913847.2025.2491119","DOIUrl":"10.1080/00913847.2025.2491119","url":null,"abstract":"<p><strong>Objectives: </strong>B Mixed martial arts (MMA) brings various forms of martial arts disciplines together as a unified sport. Sportive 'choking,' also known as vascular neck compression, vascular neck restraint (VNR), or carotid restraints are utilized in MMA to apply jugular and carotid compression and subdue one's opponent. Few studies have explored the long-term consequences of VNRs, as well as the underlying pathophysiology and hemodynamics of the restraint. A narrative review was conducted in order to explore the long-term consequences of VNRs, as well as the underlying pathophysiology and hemodynamics of the restraint.</p><p><strong>Methods: </strong>Medical literature published prior to 2025 was identified utilizing MEDLINE/PubMed and the Cochrane Library. Initial search terms included mixed martial arts, injuries, neck chokes, carotid restraints, and vascular neck restraints. Articles were then subcategorized into pathophysiology, safety profile, and medical complications of VNRs. A total of 25 research articles were included in the final manuscript.</p><p><strong>Results: </strong>Mixed Martial Arts is the fastest-growing sport within the United States, especially among the adolescent population. The head and neck region is the most commonly injured territory, with neck chokes comprising 14.1% of reported match stoppages. The pathophysiology of VNR-induced unconsciousness is misunderstood by many. The likely pathophysiologic endpoint is cerebral hypoxia due to reduced cerebral perfusion pressure, primarily from compression of the jugular veins and carotid arteries and, rarely, from carotid sinus baroreceptor compression. In addition, few studies exist regarding the long-term consequences of VNRs. The current literature appears to demonstrate an acceptable safety profile when the VNR is performed properly.</p><p><strong>Conclusion: </strong>Further studies are needed to explore the underlying pathophysiology of VNR-induced unconsciousness, as well as the long-term consequences of VNR in order to guide the establishment of MMA fighter safety profiles and health-care professional management guidelines.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-4"},"PeriodicalIF":1.9,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812796","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":"Gender based disparities in research on injuries in NCAA athletes.","authors":"Emma M Mueller, Craig P Eberson, Mia V Rumps, Shreya M Saraf, Mary K Mulcahey","doi":"10.1080/00913847.2025.2491111","DOIUrl":"https://doi.org/10.1080/00913847.2025.2491111","url":null,"abstract":"<p><strong>Objectives: </strong>Females participate in clinical research at a much lower rate than males, leading to clinical outcome disparities. The objective of this study was to determine whether gender-based disparities exist in orthopedic sports medicine injury research on NCAA college student-athletes.</p><p><strong>Methods: </strong>A PubMed search was conducted in September 2023 using the search terms 'NCAA,' 'injury,' and each of the 24 individual NCAA sports between 1980 and 2023. Statistical analysis was performed via determination of adjusted correlation coefficient R² and multiple linear regression models. Gender was the independent variable, number of studies was the dependent variable.</p><p><strong>Results: </strong>Of 1,553 studies initially identified, 790 met inclusion criteria and underwent full-text review. Of NCAA studies that assessed injury rates (injury rate studies) and those that evaluated other outcomes such as performance (non-injury rate studies), 468 of 790 (59%) discussed male collegiate athletes and 318 (40%) discussed females. For females, there was a negative association between athlete-exposure rate and injury rate studies (expected decrease of 0.31 studies per 100,000 athlete-exposures) and between athlete-exposure rate and non-injury rate studies (decrease of 0.007). For males, there was a positive association for each (increase of 1.15 and 1.96). Injury rates were positively associated with injury rate study numbers for both males and females (increase of 3.71). There was no significant relationship between injury rates and non-injury rate study numbers for either gender.</p><p><strong>Conclusion: </strong>This study demonstrates gender disparities in orthopedic sports medicine injury research for collegiate athletes. There was a negative association between athlete-exposure rate and injury rate or non-injury rate studies for female NCAA athletes, but a positive association for males.</p><p><strong>Clinical relevance: </strong>It is important to ensure that sports medicine research is focused on both male and female NCAA athletes to be able to evaluate injuries, outcomes, and opportunities for injury prevention.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015802","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 rise in electric biking (E-bike) injuries: a 10-year age and sex-specific analysis of national injury data.","authors":"Auston R Locke, Niklas H Koehne, Matthew D Ramey, John J Corvi, Austin A Alley, Avanish Yendluri, Junho Song, Nikan K Namiri, Osemwengie Enabulele, Brian R Waterman, Xinning Li, Robert L Parisien","doi":"10.1080/00913847.2025.2470104","DOIUrl":"10.1080/00913847.2025.2470104","url":null,"abstract":"<p><strong>Objectives: </strong>Electric biking (E-bike) is a growing recreation and transportation mode often linked to high-impact injuries. This study aimed to identify the age and sex-specific distribution and primary mechanisms of E-bike-related injuries in the US.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for E-bike-related injuries present to US Emergency Department (Eds) from 1 January 2013-31 December 2022. Each narrative was reviewed to exclude injuries not sustained while directly operating an E-bike. Injuries that occurred while riding regular bikes, mopeds, or motorized vehicles that were not E-bikes were also excluded. Patient demographics, injured body part, diagnosis, and disposition were recorded. NEISS narratives were assessed to identify injury mechanisms. Annual injury trends were evaluated by exponential regression and case weighting was completed, all using SPSS statistical software.</p><p><strong>Results: </strong>A total of 45,845 nationally estimated (NE) E-bike-related injuries (1,049 NEISS Cases) presented to US EDs from 2013 to 2022. Exponential regression revealed a significant increase in annual injuries across the study period (<i>p</i> = 0.047). The frequency of injuries remained steady prior to 2019, with a 90.9% increase from 2019 (NE: 2,171) to 2022 (NE: 23749) (<i>p</i> = 0.005). Hospitalization was required for 10.9% of patients following E-bike-related injury, with hospitalization most frequently occurring through fracture (51.2%) and concussion (29.9%). The most injured body part for the youth, middle school, and high school age groups was the head, whereas for the college, young adult, and adult group was the finger. Lastly, 30% of injuries associated with E-biking had motor vehicle involvement.</p><p><strong>Conclusion: </strong>The rate of E-bike-related injuries has risen significantly over the last decade, including a large increase post-COVID. Falls causing fractures were the most frequent injury type for both sexes. Greater than 10% of patients required hospital admission. The high rate of vehicle-induced collisions emphasizes the need for additional regulations and legislation to protect E-bikers.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469989","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":"Epidemiology of ankle sprain and chronic ankle instability in elite adolescent dancesport athletes.","authors":"Zijian Liu, Ryusei Yamaguchi, Siyang Fu, Hanye Zhao, Yanshu Li, Yusuke Kobayashi, Yining Gong, Tsukasa Kumai","doi":"10.1080/00913847.2024.2418283","DOIUrl":"10.1080/00913847.2024.2418283","url":null,"abstract":"<p><strong>Background: </strong>Dancesport is performed in high-heeled shoes. Dancesport athletes may have a higher prevalence and incidence of ankle sprains, which can affect their performance. However, the occurrence of ankle sprains among dancesport athletes remains unclear. This study aimed to determine the prevalence and incidence of ankle sprains among elite dancesport athletes and to investigate the related information.</p><p><strong>Method: </strong>We conducted a mixed descriptive epidemiological study (cross-sectional and longitudinal) involving 198 elite adolescent dancesport athletes, using past medical records and questionnaires administered to the participants. Data on the occurrence of ankle sprains among all participants were compiled using medical records and information on injury mechanisms, missed days, severity types, and countermeasures for ankle sprains were collected. The prevalence of chronic ankle instability (CAI) among the participants was assessed using a questionnaire. Following the initial survey, we conducted a one-year follow-up study to investigate the incidence of ankle sprains, incidence rate per 1000 exposure hours, and recurrence of ankle sprains.</p><p><strong>Result: </strong>The cross-sectional study and longitudinal study included 198 participants and 92 elite dancesport athletes, respectively. The prevalence of ankle sprains and CAI was 49.5% and 45.1%, respectively. Of all ankle sprains, 88% were medial injuries. The most common injury mechanisms were turning (46.9%) and jumping (46.9%). The average number of missed days due to ankle sprains was 11.2 days. Most injuries were managed with rest, and only one male athlete underwent surgery due to an ankle sprain sustained during dancing. During the one-year follow-up, the incidence of ankle sprains, incidence rate per 1000 exposure hours, and recurrence rate of ankle sprains were 46.6% (male, 41.2%; female, 48.8%), 0.65 ankle sprains/1000 h, and 35.3%, respectively. No sex-related differences were observed.</p><p><strong>Conclusion: </strong>It is crucial to focus on the occurrence of ankle sprains and CAI in dancesport athletes with high heels. Future research should clarify the impact of ankle sprains on dancesport performance and develop preventive measures to reduce the incidence and recurrence of these associated injuries.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"119-128"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480265","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":"Doping in combat sports: a systematic review.","authors":"Snezana Damjanovic, Carlo Rossi, Nikola Manolopoulos, Tamara Matijevic, Dajana Korpak, Admir Kurtanovic, Vanja Murtin, Mia Stanojevic, Valerio Giustino, Roberto Roklicer, Antonino Bianco, Patrik Drid","doi":"10.1080/00913847.2025.2449812","DOIUrl":"10.1080/00913847.2025.2449812","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aims to synthesize the current research on doping in combat sports, examining the prevalence, detection methods, prevention strategies, and overall impact on combat sports.</p><p><strong>Design/methodology/approach: </strong>Of the 21 identified articles, six met the inclusion criteria. A systematic approach was used, including content analysis based on specific criteria: articles in English, original research, and relevance to sport and doping.</p><p><strong>Findings: </strong>The review reveals an unsettling prevalence of doping across combat sports, suggesting that current detection and prevention efforts may be insufficient to address the unique pressures and risks within these disciplines. In particular, substances like anabolic agents, diuretics, hormone modulators, and NSAIDs are commonly detected, especially among athletes in heavier weight categories and those engaging in rapid weight loss. Psychological and social factors, including social norms and perceived acceptance within athletic environments, appear to play a significant role in shaping doping behaviors, complicating prevention efforts. Beta-agonists emerged as the sixth most frequent cause of adverse analytical findings (AAF) in 2020, according to WADA data, while kickboxing had the highest AAF rate among combat sports in a 2015 report. These trends suggest a pressing need for more comprehensive, nuanced approaches to regulation.</p><p><strong>Research limitations/implications: </strong>Limited to English-language articles The honesty of athletes about their experience in doping could have influenced the results.</p><p><strong>Originality/value: </strong>As the first systematic review on doping in combat sports, this study offers valuable insights and underscores the urgency of developing anti-doping policies and it provides insightful data for future research directions for addressing doping in these disciplines.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"103-111"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928436","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}