Physician and Sportsmedicine最新文献

{"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":"https://doi.org/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 was collected during pre-season for all athletes and, when a concussion was identified during the season, additional data was 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 were 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- (<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 warrant 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":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-31","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":"Epidemiology of pickleball injuries by age group treated in emergency departments in the United States.","authors":"Ronit Kulkarni, Joshua Morningstar, Michael Otten, Henry Baird, William M Pullen, Harris Slone","doi":"10.1080/00913847.2025.2539062","DOIUrl":"10.1080/00913847.2025.2539062","url":null,"abstract":"<p><strong>Purpose: </strong>Pickleball's rapid rise in popularity in the U.S. has led to a surge in injuries, particularly as younger players have begun engaging in the sport at greater rates. Understanding injury trends across age groups is critical for guiding prevention strategies. This study aims to examine pickleball-related injuries in different age groups, specifically comparing injury mechanisms and types between older (≥65 years) and younger players to identify age-specific risk factors.</p><p><strong>Methods: </strong>Using the National Electronic Injury Surveillance System (NEISS), we identified pickleball-related injuries from 2012 to 2021. Cases were stratified by age, and analyses included demographics, injury types, mechanisms, and emergency department dispositions. Comparative risk analyses were performed to assess differences between older and younger players.</p><p><strong>Results: </strong>53,649 weighted cases (95% CI: 28518 -78,780) were recorded. Older players accounted for 83% of injuries, though the younger group experienced a higher annual rate of increase (older: 50.08%, younger: 69.93%). The most common injury mechanisms were slips, trips, falls, and dives (64.3%, 95% CI: 34.17%-94.42%), with older players three times more likely to sustain fractures (OR 2.96; 95% CI: 2.79-3.15) compared to younger players, and nearly three times as likely to be injured by a slip, fall, trip, or dive (OR 2.75; 95% CI: 2.63-2.88). Younger players were more likely to sustain strains or sprains (OR 1.86; 95% CI: 1.78-1.95) from 'otherspecified mechanisms' such as sudden stops and lunging (OR 2.13; 95% CI:2.03-2.23).</p><p><strong>Conclusions: </strong>Distinct injury patterns between younger and older players suggest the need for age-specific prevention strategies. Older players face higher fracture risks, while younger players are more prone to strains and sprains from dynamic movements.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700250","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":"Clinical manifestations of different viral respiratory infections in athletes: implications for risk assessment and return-to-sport - AWARE VII study in 116 cases.","authors":"Marcel Jooste, Nicola Sewry, Maarit Valtonen, Marlise Dyer, Esme Jordaan, Martin Schwellnus","doi":"10.1080/00913847.2025.2518748","DOIUrl":"10.1080/00913847.2025.2518748","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were to describe the etiology of acute respiratory infections (ARinf) in athletic individuals, and to identify differences in the clinical presentation, evidence of possible multi-organ involvement, and illness classification between common pathogen groups.</p><p><strong>Methods: </strong>One-hundred-and-sixteen cases of confirmed ARinf in athletic individuals were evaluated ≤ 5 days of the onset of an ARinf. Nasopharyngeal swab multiplex PCR testing was performed to identify a causative pathogen. Symptomatology, clinical examination findings, results of selected blood tests, and the clinical syndrome and illness severity classifications were compared between four common pathogen groups.</p><p><strong>Results: </strong>The etiologies of ARinf in this cohort were: rhinovirus = 34(29%), influenza = 17(15%), SARS-CoV-2 = 15(13%), common coronavirus = 13(11%), 'unidentified' = 16(14%), 'dual pathogen' = 9(8%), and 'other' = 12(10%). Clinical presentation differed among the four common pathogen groups as follows: Influenza had more <i>total symptoms</i>, <i>lower respiratory & regional</i> symptoms, and <i>systemic & non-respiratory</i> symptoms than rhinovirus (<i>p</i> ≤ 0.002) and common coronavirus (<i>p</i> < 0.05). Influenza and SARS-CoV-2 had higher <i>total symptoms</i> and <i>systemic & non-respiratory</i> symptom severity scores than rhinovirus (<i>p</i> ≤ 0.0006 and <i>p</i> < 0.03 respectively) and common coronavirus (<i>p</i> ≤ 0.03 and <i>p</i> = 0.02 respectively). Evidence of <i>other non-respiratory organ involvement</i> on clinical examination was highest for influenza (53%). Illness classification for pathogen groups differed: common coronavirus had the highest percentage (%) of <i>rhinitis-like ('common cold')</i> illnesses (69%), and influenza had the highest % of '<i>flu-like'</i> illnesses (82%). Influenza had the highest % of <i>severe</i> illnesses (88%) and common coronavirus the lowest (31%). 41% of rhinovirus presented with severe illness.</p><p><strong>Conclusion: </strong>Influenza and SARS-CoV-2 had greater number and severity of symptoms than rhinovirus and common coronavirus. Among the four common pathogen groups, influenza had the highest percentage of abnormal clinical examination and serological findings and severe illnesses. Knowledge of the causative pathogen and the clinical presentation may add value to the risk assessment and guide clinical decision-making in return-to-sport following ARinf in athletic individuals.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295357","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":"Comparing peer relationship ratings among adolescents with sport and non-sport related concussions.","authors":"Hunter Iverson, Katherine Smulligan, Catherine Donahue, Joshua Kniss, Mathew Wingerson, Julie Wilson, David Howell","doi":"10.1080/00913847.2025.2450216","DOIUrl":"10.1080/00913847.2025.2450216","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate if peer relationship ratings differ among adolescents who sustain a sport-related concussion compared to those who sustain a non-sport-related concussion.</p><p><strong>Study design: </strong>We conducted a cross-sectional investigation of 123 adolescents who sustained a concussion within 21 days before their initial post-injury evaluation (mean = 9.2 ± 3.9 days post-concussion). Participants reported whether their injury occurred during organized sport participation (sport-related concussion group) or not (non-sport-related concussion group). Participants completed the PROMIS Global Pediatric 25 assessment, as well as the Post-Concussion Symptom Inventory (PCSI) to rate concussion symptom severity and a background/demographic intake form during the evaluation. We compared PROMIS peer relationship ratings between groups using independent t-tests and evaluated the association between peer relationship ratings and sport-related concussion using multiple linear regression after adjusting for covariates including PROMIS anxiety rating, age, sex, concussion and musculoskeletal injury history, loss of consciousness at time of concussion, physical activity participation prior to study evaluation, and concussion symptom severity.</p><p><strong>Results: </strong>Most (<i>N</i> = 96, 78%) participants reported sustaining a concussion during sports. The group who sustained sport-related concussion reported significantly better post-concussion peer relationship ratings compared to the group who sustained a non-sport-related concussion (52.7 ± 7.7 vs. 47.7 ± 10.4; <i>p</i> = 0.009, Cohen's d = 0.60). After covariate adjustment, those who sustained a sport-related concussion had a significantly greater post-concussion peer relationship rating than those who sustained a non-sport-related concussion (β = 4.19, 95% CI = 0.39, 8.00; <i>p</i> = 0.03). Higher peer relationship ratings were also associated with lower anxiety ratings following concussion (β= -0.21, 95% CI= -0.38, -0.04; <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>Adolescents who sustained a concussion during sports reported significantly greater post-concussion peer relationship ratings than those in non-sport settings. Better peer relationship ratings were associated with less anxiety in the post-injury period. These findings suggest the potential effects of contextual factors (e.g. peer support) to facilitate improved outcomes following adolescent concussion.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"249-255"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933492","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":"Increasing incidence of concussion and head injury due to electric biking: a 10-year sex- and age-specific analysis of national injury data.","authors":"Niklas H Koehne, Auston R Locke, Austin A Alley, Matthew D Ramey, Nikan K Namiri, Suraj Dhanjani, Avanish Yendluri, Brian R Waterman, Seth L Sherman, Robert L Parisien","doi":"10.1080/00913847.2024.2440309","DOIUrl":"10.1080/00913847.2024.2440309","url":null,"abstract":"<p><strong>Objectives: </strong>Electric biking (e-biking) is a rapidly growing recreation, sport, and mode of transportation that often presents to emergency departments (EDs) with high-impact head injuries. This study aimed to evaluate the epidemiology of e-bike-related concussions and closed-head injuries (CHI) to inform more effective injury prevention strategies.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance (NEISS) was queried for e-bike related concussions and CHIs presented to national EDs from 1 January 2013-31 December 2022. Patient demographics, diagnoses, and dispositions were recorded, and injury narratives were reviewed to identify mechanisms of injury and motor vehicle (MV) involvement.</p><p><strong>Results: </strong>A total of 11,052 nationally estimated (NE) e-bike head injuries presented to US EDs from 2013 to 2022. E-bike head injuries increased significantly from 2013 to 2022 (<i>p</i> = .006, β = 372.5), with 40.8% of all head injuries occurring in 2022. Nearly one-third of patients (31.0%) required hospital admission, with hospitalization occurring most frequently among ages 51 and older (44.5%). MV involvement accounted for 27.6% of head injuries, and caused a higher proportion of hospitalizations than mechanisms without MVs (35.6% vs. 29.4%, respectively; <i>p</i> < 0.001). High school age riders had the most MV incidents (53.2%), while the middle school age group had the highest proportion of concussions (26.5%) among all age groups. Relative to females, males were more likely to be involved in an MV incident (28.5% vs. 15.5%; <i>p</i> < 0.001) and were more likely to be hospitalized (33.0% vs. 25.4%; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The incidence of concussions and CHIs due to e-bikes increased significantly from 2013 to 2022, while high proportions of hospitalization indicate serious injury severity and large medical costs associated with these injuries. The prevalence of crashes involving MVs, especially among teenagers, calls for further research on commuter and recreational e-bike use along with new traffic legislation to protect young e-bikers.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"197-202"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796403","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":"Effects of early sports specialization on landing and balance ability in female college basketball players.","authors":"Kana Kon, Yasuharu Nagano, Shogo Sasaki, Makoto Suzukawa","doi":"10.1080/00913847.2024.2445497","DOIUrl":"10.1080/00913847.2024.2445497","url":null,"abstract":"<p><strong>Objectives: </strong>Early specialization in a single sport from childhood is associated with an increased risk for acute and overuse injuries. Conversely, experience in multiple sports may be associated with improved neuromuscular control and performance. Currently, early sports specialization remains poorly researched in Japan. Therefore, this study aimed to clarify the relationship between early sports specialization and landing and balance ability in Japan.</p><p><strong>Methods: </strong>Thirty-eight female college basketball players were included and divided into the early specialization and nonspecialization groups. Landing and balance ability was measured using the one-leg jump-landing test, and the Star Excursion Balance Test (SEBT) differences between the two groups were examined using unpaired <i>t</i>-test.</p><p><strong>Results: </strong>Results showed no significant differences in SEBT between the two groups. In the one-leg jump-landing test, the vertical maximum ground reaction force and loading rate of the nondominant foot were significantly higher in the early specialization group than in the nonspecialization group.</p><p><strong>Conclusion: </strong>Thus, in female college basketball players, early specialization may affect ground reaction forces and loading rate and may be a factor in developing acute and overuse injuries.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"238-242"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856205","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":"Recurrent ischemic events in the setting of posterior circumflex humeral artery aneurysm in an athletic young adult: a case report with diagnostic pitfalls.","authors":"Aleksander Truszyński, Jędrzej Fischer, Marcin Rychter, Arkadiusz Kacała, Igor Hnat, Dariusz Janczak, Andrzej Szuba","doi":"10.1080/00913847.2025.2488243","DOIUrl":"10.1080/00913847.2025.2488243","url":null,"abstract":"<p><p>Posterior circumflex humeral artery (PCHA) aneurysm is a rare condition, often affecting young professional overhead sports athletes, such as volleyball or baseball players. This condition is one of the manifestations of quadrilateral space syndrome (QSS). We present the case of a 20-year-old former basketball player and recreational swimmer, currently a member of the national team in precision flying, who developed recurrent symptoms of digital ischemia due to a PCHA aneurysm. Despite undergoing computed tomography (CT) imaging, the aneurysm was initially not identified, which delayed proper diagnosis. The patient ultimately underwent surgical treatment, leading to successful resolution of symptoms and return to physical activity. This case underscores the diagnostic challenges of PCHA aneurysm, especially in athletes presenting with unexplained digital ischemia, and emphasizes the need for awareness of this condition among sports medicine and vascular specialists.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"256-261"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774750","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":"Diagnosed concussion is associated with increased risk for upper extremity injury in community rugby players in males only.","authors":"Katherine J Hunzinger, Katelyn M Costantini, C Buz Swanik, Thomas A Buckley","doi":"10.1080/00913847.2024.2445500","DOIUrl":"10.1080/00913847.2024.2445500","url":null,"abstract":"<p><strong>Objectives: </strong>To cross-sectionally determine 1) the association between lifetime diagnosed concussion and upper extremity musculoskeletal injury (UE-MSI) amongst a novel cohort of community rugby union players and 2) the sex-specific risk of UE-MSI given concussion history among these rugby players.</p><p><strong>Methods: </strong>A total of 1,037 (31.0% female, 31.6 + 11.3 years) rugby players completed an online survey to determine lifetime history of diagnosed concussion (yes; no) and UE-MSI (yes; no). A chi-squared test of association was performed between concussion and any UE-MSI; odds ratio risk was also determined. Analyses were repeated by sex (male; female) and with specific UE-MSI (e.g. sprains, broken bones, dislocations).</p><p><strong>Results: </strong>There was a significant association between concussion and any UE-MSI for this cohort (χ(1) = 10.802, <i>p</i> = 0.001, OR = 1.70 [95%CI: 1.23-2.32]). There was a significant association between concussion and any UE-MSI among males for (χ(1) = 13.612, <i>p</i> < 0.001, OR = 2.20 [95%CI: 1.4-3.3]) but not among females (χ(1) = 0.735, <i>p</i> = 0.391, OR = 1.20 [95%CI: 0.8-2.0]).</p><p><strong>Conclusions: </strong>Community rugby players with a history of diagnosed concussion are at 1.7× increased odds for history of any UE-MSI compared to rugby players who are concussion naïve; sex-specific analyses revealed only increased risk among males. Sports medicine professionals and rugby stakeholders should view concussions as a risk factor and utilize established injury prevention programs to help reduce future UE-MSI in athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"243-248"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878118","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":"Scapular stabilization exercise on pain and functional recovery in people with shoulder impingement syndrome: a systematic review and meta-analysis.","authors":"Alecio Brasileiro, Camila Sousa, Ingara Schindler, Bruno Tanaca, Maycon Oliveira, Ramon Martins, Fabio Arcanjo, Mansueto Gomes Neto","doi":"10.1080/00913847.2025.2470115","DOIUrl":"10.1080/00913847.2025.2470115","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of scapular stabilization exercise training on pain and functional recovery in people with shoulder impingement syndrome. Design: A systematic review protocol was registered with PROSPERO. We systematically searched different databases. A random-effects model was used to determine the mean difference (MD) and 95% confidence interval (CI) for pain and functional recovery. Heterogeneity among studies was examined using the I2 statistic.</p><p><strong>Results: </strong>Fourteen studies (666 participants) were included in the analysis. Addition of scapular stabilization-based exercise training to general exercises reduce pain MD - 0.8 cm (95% CI, -1.07 to -0.4; I² = 0%) and improve the functional recovery and shoulder abduction range of motion MD -13.27 (95% CI, -16.85 to -9.69; I² = 5%) and MD 2.74 degrees (95% CI, 0.3 to 5.2; I² = 0%), respectively. However, the certainty of the evidence is low to very low. No significant differences in pain or functional recovery were found between participants in the scapular stabilization-based exercise training with the feedback group and those in the scapular stabilization-based exercise training without the feedback group.</p><p><strong>Conclusion: </strong>Our findings are promising; however, higher quality RCT is needed to better establish the superiority of the rehabilitation programs that include scapular stabilization exercises.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"189-196"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472985","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":"Stretch & exercise education improves pain levels in under-resourced collegiate club lacrosse players.","authors":"Steven P Gawrys, Holly Wilson, Alexander K Matthias, Andrew J Roush, David C VandeMerwe, Lawsen Parker, Evan G Starr, Westin J Wong, Ryan Enslow, Ben Wilde, Isain Zapata, Brent Pickett","doi":"10.1080/00913847.2024.2443389","DOIUrl":"10.1080/00913847.2024.2443389","url":null,"abstract":"<p><strong>Purpose: </strong>Club sports are competitive, intercollegiate athletics that are not affiliated with the National Collegiate Athletic Association (NCAA). Club athletes may be at increased risk of injury compared to their NCAA counterparts due to limited resources, such as reduced access to strength and conditioning coaches and athletic trainers. Research has shown that injury-prevention education, as typically provided by coaches and trainers, can reduce injury rates and promote athlete compliance with safety practices.</p><p><strong>Objective: </strong>This prospective cohort study investigates the impact of educational interventions on pain levels and injury rates in club collegiate men's lacrosse athletes.</p><p><strong>Design: </strong>Investigators conducted an educational session on injury prevention, which included instruction on stretches and exercises. The treatment group included 66 athletes, while 46 athletes served as the control group.</p><p><strong>Results: </strong>Pain levels significantly decreased by 1.549 (out of a self-reported scale of 10) (35.11%) (<i>p</i> = 0.0001). Although the average number of practices and games missed due to injury decreased by 0.579 in the treatment group compared to the control, this difference was not statistically significant (<i>p</i> = 0.5970).</p><p><strong>Conclusion: </strong>Educational interventions focused on injury-prevention stretches and exercises appear to be effective in reducing pain among club athletes. While the reduction in missed practices and games was not statistically significant, these findings suggest that such educational programs may help mitigate injuries in under-resourced athletes. Further exploration of strategies to enhance these interventions and decrease injuries among club athletes is warranted.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"230-237"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824831","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}