Physician and Sportsmedicine最新文献

{"title":"Multifaceted concussion assessment battery: sensitivity at the expense of specificity?","authors":"Caitlynn Slocum, Jody L Langdon, Barry A Munkasy, Benjamin Brewer, Jessie R Oldham, Vicky Graham, Thomas A Buckley","doi":"10.1080/00913847.2024.2442901","DOIUrl":"10.1080/00913847.2024.2442901","url":null,"abstract":"<p><strong>Objectives: </strong>A multifaceted assessment battery is recommended for testing suspected concussed athletes; however, the individual tests have limitations and potentially may lead to false positive outcomes. Therefore, the purpose of this study was to psychometrically evaluate concussion assessment tools used for intercollegiate student-athletes, with a focus on the time interval between baseline and subsequent assessments.</p><p><strong>Methods: </strong>Ninety-two collegiate student-athletes matched between concussion (<i>N</i> = 46. F32/M14) and non-concussion (<i>N</i> = 46, 32F/14 M) completed the standard assessment of concussion, balance error scoring system, symptom questionnaire, and computerized neurocognitive tests at baseline and acutely (<48 h) following a concussion. Test outcomes were compared between time points with three approaches: 1) vs baseline, 2) reliable change scores (RCI), and 3) vs American College of Rehabilitation Medicine (ACRM). Concussion assessment sensitivity, specificity, likelihood ratios, predictive values, and diagnostic odds ratio were calculated. A receiver operator characteristic compared area under the curve (AUC) for the overall battery as well as between academic years.</p><p><strong>Results: </strong>The sensitivity of the battery was high (78.3-95.7%), but specificity was low to moderate (6.5-52.2%) with comparison to the RCI typically performing best. The three approaches yielded AUC values between 0.51 and 0.63 which is below the discriminatory threshold (0.70) with comparison to RCI performing best. By academic year, Juniors was the only year in which the ROC exceeded the threshold (0.75). The number of tests failed did not improve any AUC values (0.51-0.69) to exceed the threshold.</p><p><strong>Conclusions: </strong>The outcomes of this study support the premise that concussion must be evaluated using a comprehensive clinical examination including a variety of assessments to evaluate each clinical domain. Clinicians need to recognize that the multifaceted assessment battery has high sensitivity, but the overall psychometrics do not exceed the threshold for group discrimination and caution must be used in their interpretation.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"220-229"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of an eye-tracking tool to discriminate between concussed and not concussed professional male rugby players: a cohort study.","authors":"James Brown, Gordon Ward Fuller, Warren McDonald, Karen Rasmussen, Thomas Sawczuk, Mark Gilthorpe, Ben Jones, Éanna Cian Falvey","doi":"10.1080/00913847.2024.2442294","DOIUrl":"10.1080/00913847.2024.2442294","url":null,"abstract":"<p><strong>Objectives: </strong>Concussion is a common injury in rugby union ('rugby') and yet its diagnosis is reliant on clinical judgment. Oculomotor testing could provide an objective measure to assist with concussion diagnosis. NeuroFlex® evaluates oculomotor function using a virtual-reality headset. This study examined differences in NeuroFlex® performance in clinician-diagnosed concussed and not concussed elite male rugby players over three seasons.</p><p><strong>Methods: </strong>NeuroFlex® testing was completed alongside 140 head injury assessments (HIAs) in 122 players. The HIA is used for suspected concussion events. Of these 140 HIAs, 100 were eventually diagnosed as concussed, 38 were not concussed (2 were unclear) Eight of the 61 NeuroFlex® metrics were analysed as they were comparable at all time points. These eight metrics, from three oculomotor domains (vestibulo-ocular reflex, smooth pursuit and saccades), were tested for their ability to distinguish between concussed and not concussed players using mean difference / odds ratios and corresponding 95% confidence intervals (CI's). General and generalised linear mixed models, accounting for baseline test performance, were used to determine any meaningful differences in concussed and not concussed players. The diagnostic accuracy of these differences was provided by the area under the receiver operating curve (AUC).</p><p><strong>Results: </strong>Only one of the eight metrics (number of saccades, smooth pursuit domain) had clear differences in performance between concussed and not concussed players at the HIA during the match (odds ratio: 0.76, 95%CI: 0.54-0.98) and after 48 hours (0.74, 95%CI: 0.52-0.96). However, the direction of this difference was contrary to clinical expectations (concussed performed better than not concussed) and the AUC for this outcome was also poor (0.52).</p><p><strong>Conclusion: </strong>NeuroFlex® was unable to distinguish between concussed and not concussed players in this elite male cohort. Future research could study other cohorts, later time points before return to play, and the tool's role in rehabilitation.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"212-219"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856271","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":"Impact of anterior cruciate ligament tears on player efficiency ratings and salary in National Basketball Association over the past 20 years: a retrospective case control study.","authors":"William ElNemer, Zaid Elsabbagh, Miguel A Cartagena-Reyes, Gabriel Nazario-Ferrer, Sangjun Park, Jacob D Mikula, Amit Jain, Matthew J Best","doi":"10.1080/00913847.2024.2441108","DOIUrl":"10.1080/00913847.2024.2441108","url":null,"abstract":"<p><strong>Objectives: </strong>Players in the National Basketball Association (NBA) are at high risk for ACL tears which are detrimental to their career due to the months of rehabilitation. The authors hypothesize that after anterior crucial ligament (ACL) injury, older players will be less likely to return to the NBA, players that do return will have a lower performance efficiency rating (PER), and the decrease in PER will be associated with a lower salary.</p><p><strong>Methods: </strong>This case-control study utilized the publicly available database maintained by the NBA, professional basketball players from 2002 to 2022 who suffered an ACL tear were identified. Controls, without ACL tears, were matched by age, BMI, position, race, and average minutes played before the injury date to uninjured controls. Return to NBA, pre-injury and post-return player efficiency ratings (PER), and salary change after injury were analyzed by multivariate analyses.</p><p><strong>Results: </strong>A total of 67 players suffered an ACL tear. Fifty-six (83.6%) players returned to the NBA at some point after their injury, while 11 (16.4%) did not. Multivariate logistic regression showed that older age and the presence of multi-ligament injury predicted retiring from the NBA (ß = 1.4 and 10.7). Older age and greater minutes played before surgery to be the only significant predictors of decreased PER after return to the NBA (ß = -0.5 and -0.2). Players with a multiyear contract and with improvements in PER after injury tended to have greater salary increases (ß = 6.5 and 0.7). All <i>p</i> < 0.05. PER in players with ACL tears decreased by about 3 points (13.1 to 9.9) compared to controls without ACL tears (13.2 to 12.9).</p><p><strong>Conclusion: </strong>Older age and multiligament injuries are associated with retiring for the NBA; older and increased minutes played are associated with a decreased PER upon return; and, PER decreases are associated with decreased salary. Players with ACL tears, even when case-control matched, showed decreased PER upon return. These results can be attributed to age-related changes in athleticism and health.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"203-211"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808531","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 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":"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}