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Sport-related pneumomediastinum in a synchronized swimmer: from diagnosis to return to play. 一位花样游泳运动员的运动相关性纵隔气肿:从诊断到恢复比赛。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.1080/00913847.2025.2457313
Stefano Palermi, Erica Brugin, Maurizio Schiavon, Francesco Tulipano Di Franco, Paolo Sartori, Veronica Baioccato, Marco Vecchiato
{"title":"Sport-related pneumomediastinum in a synchronized swimmer: from diagnosis to return to play.","authors":"Stefano Palermi, Erica Brugin, Maurizio Schiavon, Francesco Tulipano Di Franco, Paolo Sartori, Veronica Baioccato, Marco Vecchiato","doi":"10.1080/00913847.2025.2457313","DOIUrl":"10.1080/00913847.2025.2457313","url":null,"abstract":"","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"185-188"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015795","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}
引用次数: 0
Cross-cultural adaptation and validation of the nutrition knowledge questionnaire for ultra-endurance athletes (ULTRA-Q) for Brazil. 巴西超耐力运动员(ULTRA-Q)营养知识问卷的跨文化适应与验证
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-12-16 DOI: 10.1080/00913847.2024.2439243
Natália Vilela Silva Daniel, Diogo Thimoteo da Cunha, Taisa Belli, Andrea Maculano Esteves
{"title":"Cross-cultural adaptation and validation of the nutrition knowledge questionnaire for ultra-endurance athletes (ULTRA-Q) for Brazil.","authors":"Natália Vilela Silva Daniel, Diogo Thimoteo da Cunha, Taisa Belli, Andrea Maculano Esteves","doi":"10.1080/00913847.2024.2439243","DOIUrl":"10.1080/00913847.2024.2439243","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to perform a cross-cultural adaptation and validate a questionnaire to assess the nutrition knowledge of Brazilian ultra-endurance athletes.</p><p><strong>Methods: </strong>This is an observational and cross-sectional study, which adapted and validated the Nutritional Knowledge Questionnaire for Ultra-endurance Athletes (ULTRA-Q). ULTRA-Q was translated into Portuguese, and then the translated version was assessed for semantic, idiomatic, cultural and conceptual equivalence by six specialist nutritionists. In addition to suggesting adaptations to the questionnaire, the experts evaluated the clarity and relevance of the items, calculating the Content Validity Coefficient (CVC). The adapted version was applied to 46 ultra-endurance athletes to evaluate reproducibility and validity. After the test-retest, the instrument was also answered by 54 nutritionists, to evaluate the construct validity of the questionnaire.</p><p><strong>Results: </strong>The Brazilian version (ULTRA-QBR) of the questionnaire for ultra-endurance athletes had adequate CVC for clarity (0.97) and pertinence (0.95), and presented adequate discriminant validity. The data from the intraclass correlation coefficient indicates good reproducibility of the questionnaire, and the difference observed between athletes and nutritionists reinforces the evidence of the questionnaire's construct validity.</p><p><strong>Conclusion: </strong>The results demonstrate content, construct and discriminant validity, test-retest reproducibility, and internal consistency of the ULTRA-QBR. We concluded that this questionnaire can be used as an interesting tool in research and clinical practice in ultra-endurance sports.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"178-184"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815023","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}
引用次数: 0
Epidemiology of injuries in UK based golfers: a retrospective study. 英国高尔夫球手受伤的流行病学:一项回顾性研究。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-12-03 DOI: 10.1080/00913847.2024.2432859
Ashley Williams, Andrew Murray, Graeme G Sorbie
{"title":"Epidemiology of injuries in UK based golfers: a retrospective study.","authors":"Ashley Williams, Andrew Murray, Graeme G Sorbie","doi":"10.1080/00913847.2024.2432859","DOIUrl":"10.1080/00913847.2024.2432859","url":null,"abstract":"<p><strong>Objectives: </strong>Golf participation numbers have increased in recent years within the UK and globally. A recent systematic review and meta-analysis of injuries in amateur and professional golfers showed over half of golfers sustain an injury during their lifetime. This review recommended that future research should utilize the recent international consensus on reporting of injury in golf. The aim of this study was to determine the frequency and severity of injuries sustained by UK-based golfers in the previous year.</p><p><strong>Methods: </strong>A retrospective cross-sectional online survey consisting of 35 questions was disseminated to UK-based golfers. Non-overlapping 95% confidence intervals (CI) were utilized to indicate significant differences.</p><p><strong>Results: </strong>There were 303 participants included for analysis. The overall injury incidence was 41.26 injuries per 1000 hours (CI 35.96-47.33). Consistent with the wider literature, the lower back at 9.94 injuries per 1000 hours (CI 7.48-13.22) is the most frequent injury site. The lower back had a mean time loss of 54 ± 89 days before full recovery. Repetitive movement injuries were noted to have a higher incidence (22.00 per 1000 hours, CI 18.19-26.61) in comparison to acute injuries (10.79 per 1000 hours, CI 8.21 to 14.18).</p><p><strong>Conclusion: </strong>Anatomically, the proportion of injuries observed was comparable to previous epidemiology studies, with the lower back and elbow having the highest incidences in this largely amateur group of golfers. Most injuries were identified to be a muscle strain, joint sprain, or tendinopathy; however, no single identifiable mechanism of injury was identified.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"152-158"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741252","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}
引用次数: 0
Injury incidence, prevalence, and burden in an Argentinian male youth soccer academy: one-season descriptive study. 阿根廷男子青少年足球学院的受伤发生率、流行率和负担:单赛季描述性研究。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-11-07 DOI: 10.1080/00913847.2024.2425265
Matías Dominguez, Juan Pablo Rico, Franco Tedesco, Eduardo Tondelli
{"title":"Injury incidence, prevalence, and burden in an Argentinian male youth soccer academy: one-season descriptive study.","authors":"Matías Dominguez, Juan Pablo Rico, Franco Tedesco, Eduardo Tondelli","doi":"10.1080/00913847.2024.2425265","DOIUrl":"10.1080/00913847.2024.2425265","url":null,"abstract":"<p><strong>Objective: </strong>To prospectively describe the incidence, severity, and burden of injuries in the youth divisions of an Argentinian professional soccer club during a competitive season.</p><p><strong>Methods: </strong>Two hundred and twelve male soccer academy players were grouped by age categories and maturity offset as pre-peak height velocity (PHV), circa-PHV and post-PHV. Injury characteristics were recorded as the International Olympic Committee suggests.</p><p><strong>Results: </strong>A total of 235 time-loss injuries were sustained by 101 different players. The overall injury incidence rate was of 5.8 injuries per 1000 hours (h), with a training and match injury incidence rate of 4.9 and 9.7 injuries per 1000 h, respectively. The prevalence over the season was 47%. Most of the injuries (202) affected the lower limbs (86.6%) and most of them were classified as muscle/tendon injuries (<i>n</i> = 117, 49.8%). Hamstring structural injury was the diagnosis with the highest burden in both circa and post-PHV groups.</p><p><strong>Conclusions: </strong>The incidence, prevalence, and injury burden reported in this study would add valuable information to Argentinians' youth soccer institutions. Post-PHV players had higher incidence, severity, and burden compared to circa-PHV. Structural/functional injuries to the muscle/tendon represented the highest burden for type of injuries (41.1 per 1000 h), suggesting a need for implementing preventive measures.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"138-146"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565216","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}
引用次数: 0
Return to play after UCL injury in gymnasts. 体操运动员 UCL 损伤后重返赛场。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-10-15 DOI: 10.1080/00913847.2024.2414462
Bryson R Kemler, Donald P Willier, Taylor D'Amore, Steven B Cohen, Christopher C Dodson, Michael G Ciccotti
{"title":"Return to play after UCL injury in gymnasts.","authors":"Bryson R Kemler, Donald P Willier, Taylor D'Amore, Steven B Cohen, Christopher C Dodson, Michael G Ciccotti","doi":"10.1080/00913847.2024.2414462","DOIUrl":"10.1080/00913847.2024.2414462","url":null,"abstract":"<p><strong>Background: </strong>Injuries to the ulnar collateral ligament (UCL) are commonly reported in traditional overhead sports. Conversely, there is a lack of evidence outlining management and return to play (RTP) outcomes for gymnasts. This study aimed to evaluate RTP and patient reported outcomes (PROs) in gymnasts after operative and non-operative treatment of UCL injuries.</p><p><strong>Methods: </strong>Gymnasts who presented with UCL injury and underwent operative and non-operative treatment were evaluated. Patient reported outcomes were collected via telephone: Conway-Jobe Scale, Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow (KJOC) Score, Mayo Elbow Performance (MEP) Score, and quick DASH (qDASH) and Timmerman-Andrews (TA) Elbow Score.</p><p><strong>Results: </strong>Nine patients met inclusion criteria and were available for follow-up. Five were initially treated operatively and four were initially treated non-operatively. The operative group initially consisted of three ulnar collateral ligament reconstructions (UCLR) and two UCL repairs with internal bracing. One patient crossed over to the operative group after failing non-operative treatment and underwent UCLR four months post injury. Overall, 66.7% and 100% of operatively and non-operatively treated gymnasts were able to return to play, respectively. At final follow-up, the operative groups' mean KJOC, MEP, TA, and qDASH scores were: 68.4 ± 7.7, 97.5 ± 2.7, 90.8 ± 10.7, and 1.9 ± 3.0, respectively. For the non-operative group, the mean scores were 67.4 ± 9.0, 71.7 ± 5.8, 71.7 ± 14.4, and 11.4 ± 9.9, respectively. Treatment satisfaction for the operative group was 81.7 ± 27.5 compared to 80.6 ± 34.5 in the non-operative group. Odds ratios indicated no differences between groups.</p><p><strong>Conclusion: </strong>Both operative and non-operative interventions for UCL injuries in gymnasts can provide favorable outcomes with respect to return to play and subjective patient-reported outcomes. Further research is warranted to determine optimal treatment, especially regarding indications for operative vs. nonoperative treatment, of UCL injury based on injury severity and location in gymnasts.</p><p><strong>Level of evidence: </strong>Case series; Level III Evidence.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"112-118"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395074","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}
引用次数: 0
Effects of preoperative treatment on healthcare utilization and return to work for anterior cruciate ligament injuries: a real-world study using the French healthcare database. 术前治疗对前交叉韧带损伤的医疗保健利用和重返工作岗位的影响:使用法国医疗保健数据库的现实世界研究。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-12-01 DOI: 10.1080/00913847.2024.2435256
Guillaume Le Sant, Antoine Frouin, Lucie Gachet, Lilian Lacourpaille, Antoine Nordez, Emmanuelle Bataille, Aurélie Gaultier, Jean-Pascal Fournier
{"title":"Effects of preoperative treatment on healthcare utilization and return to work for anterior cruciate ligament injuries: a real-world study using the French healthcare database.","authors":"Guillaume Le Sant, Antoine Frouin, Lucie Gachet, Lilian Lacourpaille, Antoine Nordez, Emmanuelle Bataille, Aurélie Gaultier, Jean-Pascal Fournier","doi":"10.1080/00913847.2024.2435256","DOIUrl":"10.1080/00913847.2024.2435256","url":null,"abstract":"<p><strong>Objective: </strong>To compare healthcare use and the number of days of sickness benefits between people with anterior cruciate ligament (ACL) injury who received physiotherapy before and after ACL reconstruction (ACLR) and those who received physiotherapy after ACLR only. Secondary aim: to measure the association between the volume of preoperative healthcare and post-ACLR recovery.</p><p><strong>Methods: </strong>Each individual's care pathway was extracted from a section of the French National Health Data System (SNDS) database (province: Pays de La Loire). The database was queried for the codes related to sickness benefits and healthcare utilization, including physiotherapy, medical and paramedical visits and procedures, medication, and medical equipment provided up to six months before and eighteen months after the ACLR. (Registry/number: ClinicalTrials.gov/NCT05737719).</p><p><strong>Results: </strong>Based on the timing of physiotherapy, two subcohorts were created from the database: 'prehabilitation' (<i>n</i> = 513) for those receiving physiotherapy before and after ACLR; 'no prehabilitation' (<i>n</i> = 630) for those only receiving physiotherapy after ACLR. Before ACLR, healthcare use was higher for the 'prehabilitation' group, including the number of medical visits (3.9 ± 2.3 vs. 3.0 ± 1.9 univariate <i>p</i> < 0.001), analgesia (mild opioids 60.4% vs. 49.8% univariate <i>p</i> < 0.001), dispensing of medical equipment (85.0% vs. 68.9% univariate <i>p</i> < 0.001) and sickness benefit days (52.7 ± 45.6 days vs. 33.2 ± 35.8 days, univariate <i>p</i> < 0.001). After ACLR, the 'prehabilitation' group underwent a higher number of physiotherapy sessions (46.8 ± 21.9 sessions vs 35.8 ± 19.0 sessions, <i>p</i> < 0.001) but had a similar number of sickness benefit days (94.7 ± 77.8 days vs 87.1 ± 69.9 days, <i>p</i> = 0.092). From the multivariate analysis (<i>n</i> = 1143): age, comorbidities, the preoperative number of sickness benefit days, and the number of physiotherapy sessions before ACLR explained 24% of the variance in days of sickness benefits after ACLR.</p><p><strong>Conclusion: </strong>Prehabilitation was associated with higher healthcare utilization before and after ACLR. Prehabilitation, and other preoperative variables, explained only a part of the number of days of sickness benefits after ACLR.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"159-168"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774305","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}
引用次数: 0
Exploring concussion prevalence, knowledge and reporting behaviours in women playing rugby union in the United Kingdom. 探讨脑震荡的患病率,知识和报告行为的女子橄榄球联盟在英国。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-12-18 DOI: 10.1080/00913847.2024.2439239
Jessica Thomas, Owen Tomlinson, Genevieve Williams, Bert Bond
{"title":"Exploring concussion prevalence, knowledge and reporting behaviours in women playing rugby union in the United Kingdom.","authors":"Jessica Thomas, Owen Tomlinson, Genevieve Williams, Bert Bond","doi":"10.1080/00913847.2024.2439239","DOIUrl":"10.1080/00913847.2024.2439239","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to capture information regarding concussion prevalence, knowledge, and reporting behaviors in women rugby players across all competitive levels in the UK. We also investigated whether these outcomes were influenced by the prevailing concussion awareness programme (HEADCASE).</p><p><strong>Measures: </strong>Two hundred and thirty players from elite (Premiership), Championship, British Universities, and College Sport and club level completed (<i>n</i> = 133) or partially completed (<i>n</i> = 97) a mixed-methods online questionnaire.</p><p><strong>Results: </strong>Over a mean period of 8 years, 159 players (74%) experienced at least one suspected or diagnosed rugby-related concussion. In total, 408 rugby-related concussions were reported in these players during this time. Prevalence of concussion did not differ across playing level or position. Being tackled was the most common cause of rugby-related concussions, and the act of tackling another player was second. Players across all levels demonstrated good knowledge of concussion symptoms, but only 12% identified that concussion can occur without direct impact to the head. One hundred and forty-six players completed the HEADCASE training (mandatory for Premiership players). Forty-one percent of players admitted to deliberately failing to report a suspected rugby concussion, and this behavior was not influenced by HEADCASE training. These individuals were more likely to avoid reporting a suspected concussion during an important (e.g. semifinal or final) than unimportant (e.g. training) scenario. Those who underwent the graduated return to play pathway (<i>n</i> = 41) were significantly more likely to have completed HEADCASE training.</p><p><strong>Conclusion: </strong>The prevalence of concussion in women's rugby union is high but does not differ by playing level or position. All players had a good knowledge of concussion symptoms, but many were unaware that concussions may occur without direct impact to the head. Almost half of all players admitted to deliberately failing to report a suspected concussion, and this was not significantly influenced by the completion of HEADCASE training.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"169-177"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792775","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}
引用次数: 0
The 10-year decreasing trend of youth soccer head injuries and concussions presenting to U.S. emergency departments. 医生与运动医学》美国急诊部门接诊的青少年足球头部受伤和脑震荡患者呈10年下降趋势。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-10-28 DOI: 10.1080/00913847.2024.2421154
Alex G Chun, Eli M Snyder, Kyle K Obana, Beth G Ashinsky, Robert L Parisien, Thomas S Bottiglieri, Christopher S Ahmad, David P Trofa
{"title":"The 10-year decreasing trend of youth soccer head injuries and concussions presenting to U.S. emergency departments.","authors":"Alex G Chun, Eli M Snyder, Kyle K Obana, Beth G Ashinsky, Robert L Parisien, Thomas S Bottiglieri, Christopher S Ahmad, David P Trofa","doi":"10.1080/00913847.2024.2421154","DOIUrl":"10.1080/00913847.2024.2421154","url":null,"abstract":"<p><strong>Objectives: </strong>Nearly 3 million children participate in youth soccer annually in the United States. Popularity of youth soccer within recent years has prompted investigation describing youth-soccer concussion trends presenting to United States emergency departments (EDs).</p><p><strong>Methods: </strong>Data from National Electronic Injury Surveillance System were analyzed for soccer players 2-18 years old sustaining concussions from January 2013 to December 2022. Patient data included age, sex, mechanism of injury, setting (practice vs. game), diagnosis, loss of consciousness, and disposition. Raw data were used to calculate national estimates based on assigned statistical sample weight of each hospital.</p><p><strong>Results: </strong>A total of 80,582 youth soccer concussions were diagnosed in US EDs (51.0% female, 49.0% male). The most common mechanism of injury was head to ball (31.0%). On average, overall concussions decreased by 572 per year (<i>p</i> = 0.02). Head to body concussions decreased by 169 per year (<i>p</i> < 0.01) and head to ground concussions decreased by 155 per year (<i>p</i> < 0.01). No changes per year in concussion trends for head to ball, head to head, not specified, and other mechanisms. Exclusion of years 2020 and 2021 (COVID), demonstrated decreases in concussions for head to body by 125 (<i>p</i> = 0.01) and head to ground mechanisms by 135 per year (<i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>There is a decreasing trend in youth soccer head injuries and concussions presenting to US emergency departments from 2013 to 2022. The trends from this study indicate that heading may be the most important aspect of soccer-related concussions presenting to US emergency departments. This study contributes to the growing literature regarding concussions in youth soccer athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"129-137"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512663","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}
引用次数: 0
The major league baseball pitch clock: one year position player injury analysis. 美国职业棒球大联盟投球时钟:一年位置球员伤病分析。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-04-01 Epub Date: 2024-11-10 DOI: 10.1080/00913847.2024.2425592
Troy Puga, Nicholas M Scigliano, McKenna W Box, John T Riehl
{"title":"The major league baseball pitch clock: one year position player injury analysis.","authors":"Troy Puga, Nicholas M Scigliano, McKenna W Box, John T Riehl","doi":"10.1080/00913847.2024.2425592","DOIUrl":"10.1080/00913847.2024.2425592","url":null,"abstract":"<p><strong>Background: </strong>In 2023, Major League Baseball (MLB) implemented the pitch clock. The effects of the pitch clock on player injury rates is largely unknown, and some, including the major league baseball players association, have suggested that pitchers may be at an increased risk of injury with its implementation. Position players have received little attention in these discussions, even though they may be at the same theorized risk of injuries. The aim of this study is to determine if implementation of the 2023 MLB pitch clock influenced the incidence of injuries in position players. It is hypothesized that implementation of the MLB pitch clock will lead to a rise in injuries due to a reduction of time for the primary biological energy system used by baseball to restore to normal levels.</p><p><strong>Methods: </strong>Injury data was collected from the fangraphs.com injury database, the most comprehensive MLB data and statistical database website, for the 2021, 2022, and 2023 MLB seasons. The incidence rate ratio was calculated and used to compare the injury rate for the 2023 season to the 2021 and 2022 seasons for both major anatomical categories and anatomical subcategories. A z-test for proportions was used to determine significance.</p><p><strong>Results: </strong>Incidence rate ratio comparison of the 2023 MLB pitch clock season versus the 2021 MLB season showed a decrease in the total incidence of injuries (<i>p</i> < .001), lower extremity injuries (<i>p</i> < .001), and hamstring injuries (<i>p</i> = .032). Incidence rate ratio comparison of the 2023 MLB pitch clock season versus the 2022 MLB season showed a decrease in the total incidence of injuries (<i>p</i> = .010), undisclosed injuries (<i>p</i> < .001), and knee injuries (<i>p</i> = .035).</p><p><strong>Conclusions: </strong>Following the implementation of the pitch clock during the 2023 MLB season, the total number of injuries and several lower extremity injury categories decreased. Due to a decrease in the overall time spent on the field in a single game and over a season, it could be hypothesized that the pitch clock decreased the workload for position players, leading to this drop in injuries. Further longitudinal investigation must be done to investigate if this influence of the MLB pitch clock persists overtime.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"147-151"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570328","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}
引用次数: 0
Gender trends at the annual meetings of two major Japanese societies of sports medicine: a 17-year summary of annual meeting moderators and speakers. 日本两大运动医学学会年会的性别趋势:17年来年会主持人和演讲者的总结。
IF 1.9 4区 医学
Physician and Sportsmedicine Pub Date : 2025-03-14 DOI: 10.1080/00913847.2025.2477978
Aguri Kamitani, Yuka Tsukahara, Katherine H Rizzone
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