Sports Health-A Multidisciplinary Approach最新文献

{"title":"Knee Locking and Diagnosis Unlocking: Understanding and Treating the Hypermobile Lateral Meniscus.","authors":"Nancy Park, Sarah Levitt, Seema Patel, Lee D Katz, Peter Jokl, Michael J Medvecky","doi":"10.1177/19417381251350674","DOIUrl":"https://doi.org/10.1177/19417381251350674","url":null,"abstract":"<p><strong>Context: </strong>Hypermobility of the lateral meniscus is a relatively uncommon condition characterized by excessive, abnormal movement of the lateral meniscus in the knee joint. This literature review and case report aims to provide insights into the clinical presentation, diagnosis, and treatment options for peripheral lateral meniscocapsular tears that result in excessive lateral meniscal motion.</p><p><strong>Evidence acquisition: </strong>A narrative review of the literature and the clinical expertise of the authors.</p><p><strong>Study design: </strong>Narrative overview.</p><p><strong>Level of evidence: </strong>Level 5.</p><p><strong>Results: </strong>A hypermobile lateral meniscus poses diagnostic challenges due to overlapping symptoms with other knee pathologies. The anatomy of the posterolateral meniscocapsular recess and popliteus hiatus can distort the ability to accurately diagnose tears of the peripheral attachments of the posterior horn of the lateral meniscus. In a primary care practice, recognition of this condition in patients presenting with recurrent mechanical catching or locking episodes, sometimes with a \"normal\" magnetic resonance imaging (MRI) scan, is crucial to refer to orthopaedics in a timely manner to prevent further damage. Arthroscopic meniscal repair can be an effective treatment option, facilitating a safe return to sports after rehabilitation.</p><p><strong>Conclusion: </strong>A hypermobile lateral meniscus and peripheral meniscocapsular tears of the lateral meniscus should be considered in the differential diagnosis of knee pain with recurrent locking episodes, even with an \"unremarkable\" MRI scan. Timely and accurate diagnosis and appropriate intervention, such as arthroscopic meniscal repair, can lead to better quality of life. Further research is needed to explore long-term outcomes and optimal management strategies for hypermobile lateral meniscal tears.Strength-of-Recommendation Taxonomy (SORT):Level C.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350674"},"PeriodicalIF":2.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Pickleball Injuries Presenting to US Emergency Departments.","authors":"Paul McMillan, Logan P Lake, Andrew Burkhart, Esha Reddy, Isaac C Hale, Brian M Grawe","doi":"10.1177/19417381251350671","DOIUrl":"10.1177/19417381251350671","url":null,"abstract":"<p><strong>Background: </strong>The popularity of pickleball as a recreational and competitive sport has increased dramatically over the last decade in the United States.</p><p><strong>Hypothesis: </strong>To evaluate trends in pickleball injury rates and specific injury characteristics.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System database was queried from 2014 to 2023 for national weighted injury estimates and injury characteristics from recreational pickleball players presenting to US emergency departments.</p><p><strong>Results: </strong>Annual national estimates of pickleball-related injuries increased significantly (<i>P</i> < .001) from 2014 (1313; CI, 550-2078) to 2023 (24,461; CI, 3837-45,086). A transient 19.3% reduction in injury rates occurred in 2020, coinciding with the COVID-19 pandemic. Most injuries affected people aged 60 to 79 years, with nearly equal sex distribution (51.2% men vs 48.8% women). Most patients were discharged, although 5 deaths due to cardiac arrest were reported. Women had higher odds of upper extremity injuries (odds ratio [OR], 1.66), hand/wrist injuries (OR, 3.22), and fractures (OR 3.03). Men experienced more lower extremity injuries (OR, 1.71), trunk injuries (OR, 1.28), lacerations (OR, 1.71) and strains/sprains (OR, 1.87). Women were more likely to fall (OR, 2.08), while men were more often hit (OR, 1.92) or overexerted themselves (OR, 1.89). Older adults, aged 60 to 79 years, had increased odds of wrist/hand injuries (OR, 1.47) and fractures (OR, 1.75), with falls being 2.10 times more likely in this cohort. People aged 40 to 59 years had higher odds of lower extremity injuries (OR, 2.09), whereas those <19 years had higher odds of dislocation (OR, 5.25), head injury (OR, 1.95), and laceration (OR, 2.83).</p><p><strong>Conclusion: </strong>Pickleball injuries affect predominantly older adults, with distinct sex and age-related patterns.</p><p><strong>Clinical relevance: </strong>There is a need for age and sex-specific injury prevention strategies to enhance safety in pickleball participation.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350671"},"PeriodicalIF":2.7,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biometric Changes up to 1 Year After Bilateral Hip Arthroscopy in Division I Collegiate Athletes.","authors":"Quinn Steiner, Brian E Walczak, Jennifer Sanfilippo, Mikel R Joachim, Kristin Haraldsdottir, Andrew M Watson","doi":"10.1177/19417381251351951","DOIUrl":"10.1177/19417381251351951","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing bilateral hip arthroscopy for femoroacetabular impingement (FAI) require weightbearing restrictions that, combined with surgery, may influence muscle mass and bone mineral density (BMD).</p><p><strong>Hypothesis: </strong>After bilateral hip arthroscopy, patients will exhibit changes in biometric data.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>National Collegiate Athletic Association (NCAA) Division I collegiate athletes undergoing bilateral hip arthroscopy surgery had a dual energy x-ray absorptiometry (DXA) scan preoperatively and at 3, 6, or 12 months postoperatively. Linear mixed effects models assessed change in total body and leg lean and fat mass, and pelvic, spine, and total leg BMD at each timepoint relative to baseline.</p><p><strong>Results: </strong>Significant decreases (n = 18 athletes) in pelvic BMD were seen at baseline (1.40g/cm²; [95% CI, 1.30, 1.51]); 3 months (1.33g/cm² [1.23, 1.43]; <i>P</i> < 0.001), and 6 months (1.33g/cm² [1.22, 1.43]; <i>P</i> < 0.001), and spine BMD at 6 months postoperatively (1.43g/cm² [1.30, 1.52]; 1.38g/cm²; [1.29, 1.47]; <i>P</i> = 0.02). Lower extremity and total body fat mass were increased at 3 months (6881 g; [4932, 8829]; 7757 g [5801, 9713]; <i>P</i> < 0.01), (19,565 g; [13130, 25999]; 21,467 g; [15012, 27922]; <i>P</i> = 0.02), whereas total body lean mass was decreased at 3 months (66,736 g; [58,265, 75,207]; 64,978 g; [56,492, 73,464]; <i>P</i> = 0.04). Results at 12 months were not significantly different from baseline.</p><p><strong>Conclusion: </strong>In NCAA Division I collegiate athletes who underwent bilateral hip arthroscopy for FAI, pelvic and spine BMD was decreased up to 6 months after surgery when compared with presurgery measurements, but no decrease was observed after 1 year. Clinicians should be aware of the potential implications of decreased bone mass up to 12 months postsurgery.</p><p><strong>Clinical relevance: </strong>Understanding changes in body composition and BMD postoperatively may help to guide rehabilitation management and injury risk assessment.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251351951"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep: A Game Changer for Youth Athlete Wellbeing.","authors":"Tanisha Tate, Luana C Main, Spencer Roberts, Lyndell Bruce","doi":"10.1177/19417381251350693","DOIUrl":"10.1177/19417381251350693","url":null,"abstract":"<p><strong>Background: </strong>Youth athletes may have reduced opportunities for sufficient sleep, and often report poor mental health and wellbeing.</p><p><strong>Hypothesis: </strong>Most youth athletes obtain less than recommended duration and quality of sleep, with associated reduced wellbeing.</p><p><strong>Study design: </strong>Prospective observational study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>Sleep was monitored in 98 youth athletes (15.19 ± 2.08 years) for 8 consecutive weeks. Wellbeing was self-reported weekly using the Multicomponent Training Distress Scale (MTDS) and the Short Recovery Stress Scale (SRSS).</p><p><strong>Results: </strong>Adolescent athletes averaged 7.0 (±1.1) hours sleep per night, but did not meet recommended daily sleep duration (ie, ≥8 hours) on >80% of nights studied. Significant sleep disturbances were detected in 40% of participants. Total sleep time measured via actigraphy was associated negatively with MTDS depression (all values given as [β; CI)] (-0.50; -0.95-0.05), stress (-0.78; -1.23-0.33) and sleep disturbance (-0.62; -0.97-0.27) subscales and overall score (-2.57; -4.27-0.87), and the SRSS stress subscale (-0.82; -1.50-0.15) (<i>P</i> < 0.05). Subjective sleep quality measured via sleep diaries was associated positively with all MTDS scores including depression (0.85; 0.50-1.19), sleep disturbance (1.04; 0.72-1.35), and physical symptom (0.60; 0.13-1.08) subscales, and the SRSS stress subscale (1.67; 0.91-2.43), and negatively with SRSS recovery subscale (-1.02; -1.64-0.41). Fatigue ratings before bed and upon awakening were associated positively with all MTDS subscales and the SRSS stress subscale (1.23; 0.74-1.71) (1.26; 0.79-1.74) (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Many adolescent athletes do not meet current sleep recommendations, and inadequate duration and/or quality of sleep in this population is associated with poorer self-reported wellbeing.</p><p><strong>Clinical relevance: </strong>Education surrounding sleep in youth athletes should emphasize the importance of adequate sleep, alongside the maintenance of regular sleeping patterns to promote wellbeing and mental health.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350693"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of the King Devick Test for Acute Diagnosis of Concussion in NCAA Division I Athletes.","authors":"Kimberly G Harmon, Bridget M Whelan, Douglas F Aukerman, Sourav K Poddar, Anna DeLeo, Heather A Elkington, Gabrielle Garruppo, Marissa Holliday, Calvin E Hwang","doi":"10.1177/19417381251350685","DOIUrl":"10.1177/19417381251350685","url":null,"abstract":"<p><strong>Background: </strong>The King-Devick (KD) test is a timed rapid number naming test used for the acute diagnosis of concussion.</p><p><strong>Hypothesis: </strong>The KD test will be more sensitive, but less specific, than other commonly used objective tests for concussion.</p><p><strong>Study design: </strong>Case-control study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>National Collegiate Athletic Association Division I college athletes completed baseline testing for the KD. When an athlete presented acutely with suspected concussion from July 1, 2020 to December 31, 2022 (sideline/within 48 hours) the test was repeated. If a concussion was diagnosed, a control matched on comorbid conditions, sex/gender, team, season, and baseline test time was identified to test.</p><p><strong>Results: </strong>Baseline and postinjury data were collected for 97 concussed and 97 matched control athletes. In total, 44% of concussions occurred in female athletes, with most concussion occurring in football 37 (38%), women's volleyball 14 (14%), and softball 6 (6%). The KD test had fair test-retest reliability at 0.72 (95% CI, 0.61-0.80). The sensitivity and specificity of the test for any increase in time compared with baseline was 81% and 56%, with a positive predictive value of 65% and negative predictive value of 75%. The AUC was also fair at 0.75 (0.68-0.82). There was no significant difference in accuracy of the KD taken at different times points (immediate, 2-8 hours, 8-24 hours, 24-48 hours).</p><p><strong>Conclusion: </strong>The KD is more sensitive, but less specific, than other commonly used objective tests for concussion. Understanding the psychometric properties of the KD can help with the diagnosis of concussion.</p><p><strong>Clinical relevance: </strong>The KD may be a good initial screening tool to prompt further evaluation or allow return to play without further evaluation. Further study in other populations is needed.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350685"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Movement Rate and Brain-Muscle Coupling in Male Footballers With and Without Hamstring Injury History.","authors":"José Pedro Correia, Hugo Grilo, Erik Witvrouw, João R Vaz, Sandro R Freitas","doi":"10.1177/19417381251350688","DOIUrl":"10.1177/19417381251350688","url":null,"abstract":"<p><strong>Background: </strong>High-speed actions constitute an important mechanism of hamstring strain injuries (HSIs) in football. These actions have a strong supraspinal base, and changes in brain activity have been noted in other musculoskeletal injuries; however, there is a lack of information about changes in brain-muscle coupling in footballers with HSI history. Therefore, this study aimed to determine whether movement speed and brain-muscle activity differ between players with and without HSI history during a high-speed knee movement task.</p><p><strong>Hypothesis: </strong>Footballers with previous HSI will show decreased knee movement rate and associated neurophysiological inhibition.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 108 male footballers (39 with HSI history) performed a maximum-speed knee flexion-extension task over eight 10-second blocks. During this task, brain and muscle activity of knee flexors and extensors were recorded using electroencephalography (EEG) and electromyography (EMG), respectively, and the movement rate was measured.</p><p><strong>Results: </strong>Footballers with HSI history moved at a higher rate in the first half of the task. This was accompanied by higher theta and decreasing alpha EEG activity, lower rectus femoris and biceps femoris activity, and less flexor-extensor co-contraction. Conversely, there were no differences in corticomuscular coherence (CMC) between groups, but the biceps femoris showed a significantly lower CMC than all other muscles.</p><p><strong>Conclusion: </strong>The task was able to differentiate players with and without HSI history; in addition, those with previous HSI showed EEG activity patterns associated with increased task load and use of attentional resources for sensorimotor integration. EMG findings indicated players with HSI history were able to perform better despite showing overall reduced activity, especially in the rectus femoris and biceps femoris.</p><p><strong>Clinical relevance: </strong>Neurocognitive factors may be involved in HSIs and persist even after rehabilitation, suggesting the relevance of including these factors in rehabilitation.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251350688"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Action Planning in United States High Schools.","authors":"Riley Michael Hedberg, Jack Michael Ayres, William Messamore, Jordan P Baker, Armin Tarakemeh, Richard Burkholder, Luis Salazar, Bryan George Vopat, Jean-Philippe Darche","doi":"10.1177/19417381241277833","DOIUrl":"10.1177/19417381241277833","url":null,"abstract":"<p><strong>Background: </strong>Rates of emergency action plan (EAP) implementation and compliance with EAP guidelines vary in United States secondary schools. There are limited data on emergency preparedness in schools without athletic trainers (ATs).</p><p><strong>Hypothesis: </strong>Rural and high poverty schools have poor emergency preparedness for high school athletic events due to financial barriers and lack of ATs.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Level of evidence: </strong>Level 5.</p><p><strong>Methods: </strong>A web-based questionnaire was emailed by each State High School Athletics Association to ATs, athletic directors, and coaches of recipient schools to assess emergency preparedness.</p><p><strong>Results: </strong>A total of 686 responses were received (response rate ~3.5%). Schools with an AT on staff were more likely to have an EAP (<i>P</i> < 0.01). Schools with a higher enrollment were more likely to have an EAP (<i>P</i> < 0.01), an AT on staff (<i>P</i> < 0.01), require additional training for coaches (<i>P</i> < 0.01), and have an automated external defibrillator (AED) onsite for all events (<i>P</i> < 0.01). Urban (odds ratio [OR], 3.514; 95% CI [2.242, 5.507]; <i>P</i> < 0.01) and suburban (OR, 4.950; 95% CI [3.287, 7.454]; <i>P</i> < 0.01) districts were more likely than rural districts to have an AT on staff. High poverty districts were less likely to have an AED (OR, 0.660; 95% CI [0.452, 0.964]; <i>P</i> = 0.03) or EAP (OR, 0.511; 95% CI [0.306, 0.853]; <i>P</i> < 0.01) at athletic venues.</p><p><strong>Conclusion: </strong>Lower enrollment, high poverty, and rural schools are less prepared for athletic emergencies than their higher enrollment, low poverty, and suburban counterparts as these schools are generally less likely to have an AT on staff, AEDs, and EAPs and less likely to provide additional training to coaches and other staff.</p><p><strong>Clinical relevance: </strong>This study assesses athletic emergency preparedness-a critical component of ensuring athlete safety and recovery after injury.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"723-731"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Percutaneous Needle Tenotomy for Tendinopathies: Letter to the Editor.","authors":"Hye Chang Rhim, Nicholas Tsitsilianos, Steven Makovitch","doi":"10.1177/19417381251346154","DOIUrl":"10.1177/19417381251346154","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"870-871"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Mental Health Symptoms in Elite Athletes: A Systematic Review and Meta-analysis.","authors":"Michelle E Kew, Udit Dave, William Marmor, Reena Olsen, Bridget Jivanelli, Sung Huang Laurent Tsai, Liang-Tseng Kuo, Daphne I Ling","doi":"10.1177/19417381241264491","DOIUrl":"10.1177/19417381241264491","url":null,"abstract":"<p><strong>Context: </strong>Mental health is a growing area of concern for elite athletes.</p><p><strong>Objective: </strong>To determine the sex differences in mental health symptoms in elite athletes.</p><p><strong>Data sources: </strong>PubMed, EMBASE, and Cochrane Library databases were used.</p><p><strong>Study selection: </strong>Included studies included comparisons of mental health symptoms of athletes by sex.</p><p><strong>Study design: </strong>Systematic review and meta-analysis were conducted following the PRISMA guidelines.</p><p><strong>Level of evidence: </strong>Level 2a.</p><p><strong>Data extraction: </strong>The rate ratio (RR) was calculated as the rates in female and male athletes. Data were pooled using a random-effects model.</p><p><strong>Results: </strong>Of 1945 articles identified, 60 articles were included. Male athletes reported higher alcohol misuse (RR, 0.74; CI, 0.68-0.80), illicit drug abuse (RR, 0.82; CI, 0.75-0.89), and gambling problems (RR, 0.14; CI, 0.08-0.25). Female athletes reported higher overall anxiety (RR, 1.17; CI, 1.08-1.27), depression (RR, 1.42; CI, 1.31-1.54), distress (RR, 1.98; CI, 1.40-2.81), and disordered eating (RR, 2.19; CI, 1.58-3.02). Sleep disturbances were reported at similar rates in male and female athletes (RR, 1.13; CI, 0.98-1.30).</p><p><strong>Conclusion: </strong>Female and male athletes have significant differences in reported mental health symptoms. Female athletes are more likely to report anxiety, depression, distress, and disordered eating, while male athletes report more alcohol misuse, illicit drug abuse, and gambling. Monitoring and evaluation of mental health is a necessary part of any sport, including access to resources. Longitudinal studies following athletes over time to determine the development and causation for mental health symptoms should be included in future research directions.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"732-743"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a Reference Database for Select Clinical Measures in National Basketball Association Players.","authors":"Philip A Anloague, Donald S Strack, Steve Short, Carl Eaton, Joshua Corbeil, Shawn Windle","doi":"10.1177/19417381241275648","DOIUrl":"10.1177/19417381241275648","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal injuries are prevalent in the NBA and are associated with a significant number of games missed. There is a lack of reference data for clinical measures in NBA players, making it difficult for sports medicine professionals to set goals and develop programs.</p><p><strong>Hypothesis: </strong>Values for clinical measures in NBA players will differ from those of the general population but will not differ between dominant (D) and nondominant (ND) limbs.</p><p><strong>Study design: </strong>Descriptive laboratory study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>Clinical measures were taken on 325 players invited to NBA training camp (2008-2022). Measures included range of motion for great toe extension, hip rotation, weightbearing ankle dorsiflexion, flexibility, arch height (AH) indices, and tibial varum.</p><p><strong>Results: </strong>Clinical values for NBA players differ from reference norms of the general population. Results for NBA players include great toe extension (D, 40.4°; ND, 39.3°), 90/90 hamstring (D, 41.5°; ND, 40.9°), hip internal rotation (D, 29.0°; ND, 28.8°), hip external rotation (D, 29.7°; ND, 30.9°), total hip rotation (D, 60.2°; ND, 60.4°), Ely (D, 109.9°; ND, 108.8°), AH difference (D, 0.5 mm; ND, 0.5 mm), AH index (D, 0.310; ND, 0.307), arch stiffness (D, 0.024; ND, 0.024), arch rigidity (D, 0.924; ND, 0.925), tibial varum (D, 4.6°; ND, 4.5°), and weightbearing ankle dorsiflexion (D, 35.4°; ND, 35.6°). Descriptive statistics are presented; 2-tailed paired <i>t</i> tests show that, whereas most measures demonstrated differences between sides, the results were not statistically significant.</p><p><strong>Conclusion: </strong>Clinical measures of NBA players differ from those reported for the general population and athletes of other sports although there were no statistically significant differences between D and ND limbs.</p><p><strong>Clinical relevance: </strong>Establishing a reference database may help clinicians develop more sensitive and more effective preseason and return-to-play screening processes, aiding the management of player orthopaedic care and reducing injury risk.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"853-861"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}