{"title":"Marketing of Unproven and Unapproved Regenerative Medicine Therapy From the Perspective of Developing Countries: Response.","authors":"Scott A Rodeo","doi":"10.1177/19417381241287764a","DOIUrl":"10.1177/19417381241287764a","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":"16 6","pages":"876"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559444","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}
Sema Ozden, Ozge Ozalp, Rabia Tugba Kilic, Hayri Baran Yosmaoglu
{"title":"Effects of Delayed-Onset Muscle Pain on Respiratory Muscle Function.","authors":"Sema Ozden, Ozge Ozalp, Rabia Tugba Kilic, Hayri Baran Yosmaoglu","doi":"10.1177/19417381231214776","DOIUrl":"10.1177/19417381231214776","url":null,"abstract":"<p><strong>Background: </strong>Delayed-onset muscle soreness (DOMS) has been widely examined in the peripheral muscles; however, studies showing the potential effects of DOMS on respiratory function are limited.</p><p><strong>Hypothesis: </strong>DOMS in trunk muscles has a negative effect on respiratory function parameters, respiratory muscle strength, respiratory muscle endurance, and exercise capacity.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>In 24 healthy participants with a mean age of 21 ± 2 years, DOMS was induced for the trunk muscles with a load equal to 80% of the maximum repetitive voluntary contraction. Pulmonary function parameters, respiratory muscle strength and endurance, exercise capacity, pain, fatigue, and dyspnea perception severity were recorded before DOMS and at 24 and 48 hours after DOMS.</p><p><strong>Results: </strong>After DOMS, decreases were observed in respiratory function parameters, namely, forced vital capacity, forced expiratory volume in the first second, vital capacity, and 25% to 75% flow rate value of forced expiratory volume (25% to 75%) (<i>P</i> = 0.02, <i>P</i> = 0.02, <i>P</i> < 0.01, <i>P</i> = 0.01, respectively). Maximal inspiratory pressure and exercise capacity also decreased (<i>P</i> = 0.02, <i>P</i> < 0.01, respectively). No difference was observed between all 3 measurements of maximal expiratory pressure (MEP) and MEP% values (<i>P</i><sub>1</sub> = <i>P</i><sub>2</sub> = <i>P</i><sub>3</sub> ≥ 0.99). The results of the respiratory muscle endurance tests did not reveal a significant difference in terms of load and time in all 3 conditions (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>After DOMS, there was a 4% to 7.5% decrease in respiratory function parameters, and a 6.6% decrease in respiratory muscle strength.</p><p><strong>Clinical relevance: </strong>The occurrence of DOMS before a competition can have a detrimental impact on pulmonary performance. Hence, it is imperative to consider this factor when devising training and exercise programs. In addition, the development of treatment protocols becomes crucial if DOMS arises.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"942-949"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809510","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}
Muyiwa Ifabiyi, Milin Patel, Dan Cohen, Nicole Simunovic, Olufemi R Ayeni
{"title":"Return-to-Sport Rates After Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Flexibility Sports Athletes: A Systematic Review.","authors":"Muyiwa Ifabiyi, Milin Patel, Dan Cohen, Nicole Simunovic, Olufemi R Ayeni","doi":"10.1177/19417381231217503","DOIUrl":"10.1177/19417381231217503","url":null,"abstract":"<p><strong>Context: </strong>Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain in young adults. Flexibility athletes represent an interesting subset due to the extreme range of motion requirements of their sport.</p><p><strong>Objective: </strong>The objective of this review was to provide a summary of the outcomes of hip arthroscopy for FAIS in patients who participate in flexibility sports.</p><p><strong>Data sources: </strong>Three online databases (Medline, Embase, and PubMed) were searched from database inception (1946, 1974, and 1966, respectively) to January 10, 2023.</p><p><strong>Study selection: </strong>Studies were screened for literature addressing surgical outcomes for flexibility athletes undergoing hip arthroscopy for FAIS.</p><p><strong>Study design: </strong>Systematic review.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Data extraction: </strong>Various patient-reported outcomes that evaluated the efficacy of hip arthroscopy in this patient population were abstracted and presented in descriptive and analytical format. Abstraction was performed by 2 reviewers.</p><p><strong>Results: </strong>Overall, a total of 8 Level 3 or 4 studies and 295 patients (312 hips) were included in this review. The pooled standardized mean differences for the Visual Analog Scale for pain score, Modified Harris Hip Score, Hip Outcome Score - Activity of Daily Living scale, and Hip Outcome Score - Sport-Specific Subscale all demonstrated significant improvement after undergoing arthroscopy for FAIS between 12 and 116 months (N = 175, -1.97, 95% CI -2.5 to -1.4, <i>P</i> < 0.01, <i>I</i><sup>2</sup> = 76%; N = 211, 1.82, 95% CI 1.49 to 2.16, <i>P</i> < 0.01, <i>I</i><sup>2</sup> = 52%; N = 164, 1.75, 95% CI 1.42 to 2.05, <i>P</i> < 0.01, <i>I</i><sup>2</sup> = 28%; N = 211, 1.71, 95% CI 1.38 to 2.04, <i>P</i> < 0.01, <i>I</i><sup>2</sup> = 52%, respectively). Across 289 patients, 75.6% to 98% returned to sport at a similar or higher level than presurgery.</p><p><strong>Conclusion: </strong>This review demonstrates a trend of improvement in patient-reported pain, function, quality of life, and return to sport at a minimum of 12 months among flexibility athletes after hip arthroscopy to treat FAIS.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"982-990"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049779","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}
Connie Hsu, Brian Krabak, Brian Cunningham, Joanne Borg-Stein
{"title":"Swimming Anatomy and Lower Back Injuries in Competitive Swimmers: A Narrative Review.","authors":"Connie Hsu, Brian Krabak, Brian Cunningham, Joanne Borg-Stein","doi":"10.1177/19417381231225213","DOIUrl":"10.1177/19417381231225213","url":null,"abstract":"<p><strong>Context: </strong>Competitive swimmers are at high risk of overuse musculoskeletal injuries due to their high training volumes. Spine injuries are the second most common musculoskeletal injury in swimmers and are often a result of the combination of improper technique, high loads on the spine in strokes that require hyperextension, and repetitive overuse leading to fatigue of the supporting trunk muscles. The purpose of this review is to summarize the current evidence regarding swimming biomechanics, stroke techniques, and common injuries in the lumbar spine to promote a discussion on the prevention and rehabilitation of lower back injuries in competitive swimmers.</p><p><strong>Evidence acquisition: </strong>From a PUBMED/MEDLINE search, 16 articles were identified for inclusion using the search terms \"swimming,\" \"low back\" or \"lumbar,\" and \"injury\" or \"injuries.\"</p><p><strong>Study design: </strong>Narrative review.</p><p><strong>Level of evidence: </strong>Levels 4 and 5.</p><p><strong>Results: </strong>The trunk muscles are integral to swimming stroke biomechanics. In freestyle and backstroke, the body roll generated by the paraspinal and abdominal muscles is integral to efficient stroke mechanics by allowing synergistic movements of the upper and lower extremities. In butterfly and breaststroke, the undulating wave like motion of the dolphin kick requires dynamic engagement of the core to generate repetitive flexion and extension of the spine and is a common mechanism for hyperextension injuries. The most common lower back injuries in swimming were determined to be lumbar strain, spondylolysis and spondylolisthesis, facet joint pain, and disc disease. Most overuse swimming injuries can be treated conservatively with physical therapy and training adjustments.</p><p><strong>Conclusion: </strong>Managing swimmers with low back pain requires a basic knowledge of swimming technique and a focus on prevention-based care. Since most swimming injuries are secondary to overuse, it is important for providers to understand the mechanisms underlying the swimming injury, including an understanding of the biomechanics involved in swimming and the role of spine involvement in the 4 strokes that assist in stabilization and force generation in the water. Knowledge of the biomechanics involved in swimming and the significant demands placed on the spinal musculoskeletal system will aid the clinician in the diagnosis and management of injuries and assist in the development of a proper rehabilitation program aimed at correction of any abnormal swimming mechanics, treatment of pain, and future injury prevention.</p><p><strong>Strength of recommendations: </strong>B. Recommendation based on limited quality or inconsistent patient-oriented evidence.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"971-981"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541797","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}
Omair Kazi, Alexander B Alvero, Joshua Wright-Chisem, Shane J Nho
{"title":"Hip Pain in the Young Athlete: Femoroacetabular Impingement Syndrome.","authors":"Omair Kazi, Alexander B Alvero, Joshua Wright-Chisem, Shane J Nho","doi":"10.1177/19417381231223515","DOIUrl":"10.1177/19417381231223515","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"920-922"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673660","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":"A Call to Action for Team Physicians.","authors":"Edward M Wojtys","doi":"10.1177/19417381241289298","DOIUrl":"10.1177/19417381241289298","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":"16 6","pages":"873"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559442","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}
Ryan Berkey, Afsar Sunesara, Lindsay Allen, Ryan Pontiff, Alison DeVries, Steve R Fisher
{"title":"Ankle Injury Prevention Programs for Youth Sports: A Systematic Review and Meta-analysis.","authors":"Ryan Berkey, Afsar Sunesara, Lindsay Allen, Ryan Pontiff, Alison DeVries, Steve R Fisher","doi":"10.1177/19417381241231588","DOIUrl":"10.1177/19417381241231588","url":null,"abstract":"<p><strong>Context: </strong>Previous research has demonstrated that using a multicomponent approach to ankle injury preventions can significantly reduce ankle injuries; however, these studies lack specific intervention recommendations.</p><p><strong>Objective: </strong>To evaluate the exercise components of prevention programs on ankle injuries specifically in high school athletes. Secondary objectives were to assess the overall effectiveness of prevention programs on ankle injuries in this population and how compliance and education may impact success.</p><p><strong>Data sources: </strong>A total of 5 databases were searched through September 26, 2022.</p><p><strong>Study selection: </strong>Study inclusion criteria included randomized control trials (RCTs) investigating exercise interventions in high school athletes aged 13 to 19 years, participation in sports competition, reporting of injury incidence, and specific exercise interventions used.</p><p><strong>Study design: </strong>Systematic review and meta-analysis.</p><p><strong>Level of evidence: </strong>Level 1.</p><p><strong>Data extraction: </strong>Pooled overall ankle injury incidence rate ratio and 95% CIs were calculated using random-effects meta-analysis.</p><p><strong>Results: </strong>A total of 10 studies were included, of which 9 used multicomponent exercise interventions and 1 used only balance training. Of the 10 studies, 3 demonstrated statistically significant reduction in ankle injuries. When data from all 10 studies were pooled and analyzed, there was a statistically significant overall reduction (incidence rate ratio, 0.74; 95% CI 0.60-0.91) in ankle injuries when comparing intervention groups with controls.</p><p><strong>Conclusion: </strong>The most effective injury prevention programs included multiple components, emphasized strengthening and agility exercises, and promoted high adherence to the intervention. The importance of coach and player education on how and why to perform an injury prevention program as well as the frequency and duration of programs was also important. Exercise-based injury prevention programs may reduce ankle injury incidence in youth athletes by 26% when pooling data from a multitude of sport types/settings.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"1029-1037"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974563","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":"Relationship Between Postural Stability and Proprioception, Pain, Quadriceps Strength, and Muscle Tightness in Athletes With Patellar Tendinopathy.","authors":"Thouraya Fendri, Bruno Beaune, Sofien Kasmi, Fatma Chaari, Sonia Sahli, Sébastien Boyas","doi":"10.1177/19417381241231617","DOIUrl":"10.1177/19417381241231617","url":null,"abstract":"<p><strong>Background: </strong>Athletes with patellar tendinopathy (PT) have postural stability deficits; however, the underlying mechanisms and factors responsible remain unknown. The effect on postural stability in PT of decreased quadriceps strength, altered proprioception, lower-limb muscle tightness, and knee pain, which explain postural stability deficiency in other populations, is uninvestigated.</p><p><strong>Hypothesis: </strong>Proprioceptive acuity, muscle tightness, quadriceps strength, and pain predict postural stability in athletes with PT.</p><p><strong>Study design: </strong>Cross-sectional comparative study.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>A total of 43 athletes with PT and 43 healthy athletes were enrolled. Static and dynamic postural stability, proprioceptive acuity, muscle tightness, quadriceps strength, and pain were evaluated using a force platform, Y-balance test (YBT), a weight discrimination protocol, a goniometer, an isometric dynamometer, and a valid questionnaire, respectively.</p><p><strong>Results: </strong>Athletes with PT had significantly worse static and dynamic postural stability in the affected limb (AL) compared with the nonaffected limb (NAL) (<i>P</i> < 0.01) and the control group (<i>P</i> < 0.01). Athletes suffering from PT revealed lower quadriceps strength (<i>P</i> < 0.01), proprioceptive acuity (<i>P</i> = 0.02), and higher muscle tightness in the AL compared with the NAL and controls. Quadriceps weakness of the AL and pain in athletes with PT explained the variance of dynamic postural stability impairment.</p><p><strong>Conclusion: </strong>Athletes with PT have postural stability deficiency compared with healthy peers. Our results demonstrate that quadriceps muscle weakness and pain are the factors that explain postural stability impairment.</p><p><strong>Clinical relevance: </strong>These results can assist clinicians in the design of therapeutic balance rehabilitation programs by acting not only on pain relief but also on quadriceps strengthening through resistance training to avoid subsequent injuries in athletes with PT.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"991-999"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029608","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}
Andrew G Traut, J J Hannigan, Justin A Ter Har, Christine D Pollard
{"title":"Influence of Footwear Selection on Youth Running Biomechanics: A Pilot Study.","authors":"Andrew G Traut, J J Hannigan, Justin A Ter Har, Christine D Pollard","doi":"10.1177/19417381231215070","DOIUrl":"10.1177/19417381231215070","url":null,"abstract":"<p><strong>Background: </strong>The relationship of running biomechanics, footwear, and injury has been studied extensively in adults. There has been little research on the effects of footwear on running biomechanics in youth.</p><p><strong>Hypothesis: </strong>Running biomechanics of youth will be significantly affected by changes in footwear. Minimal shoe running will demonstrate similarities to barefoot.</p><p><strong>Study design: </strong>Crossover study design: randomized trial.</p><p><strong>Level of evidence: </strong>Level 2.</p><p><strong>Methods: </strong>A total of 14 active male youth (8-12 years old) participants with no previous exposure to minimalist shoes or barefoot running had running biomechanics (lower extremity sagittal plane kinematics and vertical ground reaction forces [vGRFs]) collected and analyzed in 3 footwear conditions (barefoot, traditional, and minimal shoe).</p><p><strong>Results: </strong>The average vertical loading rate (AVLR) was significantly greater running barefoot (173.86 bodyweights per second [BW/s]) and in the minimal shoe (138.71 BW/s) compared with the traditional shoe (78.06 BW/s), (<i>P</i> < 0.01). There were significant differences between shoe conditions for knee flexion at initial contact (<i>P</i> < 0.01), knee sagittal plane excursion (<i>P</i> < 0.01), peak dorsiflexion (<i>P</i> < 0.01), and dorsiflexion at initial contact (<i>P</i> = 0.03). No participants displayed a forefoot-strike during this study.</p><p><strong>Conclusion: </strong>The introduction of barefoot and minimalist running in habitually shod youth significantly affected the running biomechanics of youth and caused immediate alterations in both lower extremity kinematics and vGRFs. Running barefoot or in minimal shoes dramatically increased the AVLR, which has been associated with injury, compared with a traditional shoe.</p><p><strong>Clinical relevance: </strong>This study evaluated the effects of footwear on overground running biomechanics, including AVLR, in pre- and early-adolescent youth males. Based on our findings, clinicians should exercise caution in barefoot or minimal shoe transition among young, habitually shod, runners due to the immediate and dramatic increases in AVLRs.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"913-919"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809522","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}