JSAMS plus最新文献

{"title":"Rock, paper, scissors: Resolving the conflicting results of randomized trials involving corticosteroid, platelet rich plasma (PRP) and placebo injections","authors":"John W. Orchard","doi":"10.1016/j.jsampl.2024.100081","DOIUrl":"10.1016/j.jsampl.2024.100081","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether there is evidence of a rock-paper-scissors phenomenon in injections for various musculoskeletal conditions whereby platelet rich plasma (PRP) injections outperform corticosteroid injections (CSI) in randomized trials, corticosteroid outperforms placebo whereas PRP does not outperform placebo.</div></div><div><h3>Methods</h3><div>Narrative review searching for examples of musculoskeletal conditions which have high level evidence of this proposed rock-paper-scissors phenomenon.</div></div><div><h3>Results</h3><div>High quality studies or reviews could be found for lateral epicondylitis (tennis elbow), knee osteoarthritis, rotator cuff tendinopathy and plantar fasciitis suggestive of a rock-paper-scissors phenomenon. This was consistently in the direction of PRP injections having superior results to corticosteroid injections, corticosteroid injections having superior results to placebo, but then evidence that PRP injections were not superior to placebo. The most consistent result of the triumvirate was that PRP injections consistently outperformed corticosteroid injections in the medium-term (4 to 12 months).</div></div><div><h3>Discussion</h3><div>There appears to be somewhat of a rock-paper-scissors phenomenon for four common musculoskeletal conditions, with the significant limitation that this was a finding of a narrative review, limited by a non-systematic search protocol. The underlying explanation is that PRP is superior to corticosteroid in the medium-term (but not the short-term), corticosteroid is superior to placebo in the short-term (only) with PRP not being superior to placebo in either short- or medium-term in well-blinded trials. The most likely explanation for this phenomenon is that corticosteroid injections are helpful for musculoskeletal conditions in the short term (≤8 weeks) but are actually harmful in the medium-term (3 months and beyond). Systematic reviews which further explore this phenomenon are justified to help provide practical evidence-based advice on when to, if ever, use PRP and corticosteroid injections for musculoskeletal conditions.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring different interventions for Relative Energy Deficiency in Sport (REDs): A systematic review","authors":"Rosie Rudin ,&nbsp;Louisa Harris ,&nbsp;Hollie White,&nbsp;Lucy Hammond","doi":"10.1016/j.jsampl.2024.100085","DOIUrl":"10.1016/j.jsampl.2024.100085","url":null,"abstract":"<div><h3>Objectives and design</h3><div>Relative Energy Deficiency in Sport (REDs) is caused by an imbalance in energy intake and expenditure through exercise, which leads to low energy availability. Although awareness of REDs is improving, a synthesis into the available literature to determine the efficacy of different interventions in athletes with REDs is needed. Subsequently, this may inform clinicians and athletes of the most appropriate interventions.</div></div><div><h3>Methods</h3><div>Medline, Embase and Web of Science databases were searched using keywords and their combinations. Two independent reviewers screened the retrieved studies by title, abstract and full text. The Joanna Briggs Institute critical appraisal tool was used to assess risk of bias. Data were extracted into an excel spreadsheet and a narrative synthesis performed.</div></div><div><h3>Results</h3><div>The search retrieved 982 papers, and after screening, 11 were eligible for inclusion, including increase in energy intake (n ​= ​3), increase in energy intake and decrease in energy expenditure (n ​= ​1), dietary approaches (n ​= ​1), education and counselling (n ​= ​5) and hormonal intervention (n ​= ​1). Increasing energy intake enabled return of menses, yet did not significantly increase bone mineral density. Dietary approaches significantly improved body image, tension, vigour and depression. Nutrition education improved bone health, energy availability, and eating behaviours in athletes, while hormonal interventions had limited effects on bone mineral density.</div></div><div><h3>Conclusion</h3><div>Increasing energy intake is essential in the management of REDs and may be more effective when used alongside education and hormonal treatment. Future research is needed to allow better analysis of the efficacy of interventions due to the limited research available.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injuries in German national short-track speed skating athletes","authors":"Jan Ziegler ,&nbsp;Heidrun Beck ,&nbsp;Roland L. Bell ,&nbsp;Dominik Matzner ,&nbsp;Xinggui Tian ,&nbsp;Stefan Zwingenberger","doi":"10.1016/j.jsampl.2024.100080","DOIUrl":"10.1016/j.jsampl.2024.100080","url":null,"abstract":"<div><h3>Objectives</h3><div><em>Short-Track Speed Skating</em> (STSS) is a high-intensity ice sport characterized by fast-paced races and proximity among athletes, which inherently poses a risk for falls and injuries. This paper presents a comprehensive analysis of orthopedic-traumatological injuries in German national STSS athletes with comparisons to previous studies.</div></div><div><h3>Design</h3><div>Retrospective analysis.</div></div><div><h3>Methods</h3><div>Medical records of 69 athletes (30 females, 39 males) who were part of the German national team between 2009 and 2020 were analyzed retrospectively based on a new standardized injury surveillance system published by the International Olympic Committee in 2020<strong>.</strong></div></div><div><h3>Results</h3><div>The average career duration of athletes on the German STSS national team was 10.9 ​± ​4.4 years, with each athlete accumulating 10,116 ​± ​4326 ​h of exposure to risk during training. A total of 371 orthopedic-traumatological injuries requiring medical consultation (IRMCs) were recorded, with an estimated incidence of 0.53 per 1000 ​h of exposure. 69.8 ​% of the observed injuries affected the lower extremities, primarily involving the knee and ankle. Joint injuries were the leading cause of IRMCs, accounting for 16.3 ​% of cases. The majority of IRMCs occurred during on-ice training (45.0 ​%), followed by off-ice training (30.0 ​%), and competitions (25.0 ​%).</div></div><div><h3>Conclusion</h3><div>This was the first implementation based on a standardized injury surveillance system in STSS. Important information about career-related injuries and injury patterns resulted from the analyses. However, further prospective research is needed to support the prevention of health issues in STSS.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining concussions in adult male, senior-grade semi-elite rugby league in Australia: A retrospective observational video review case series","authors":"Martin A. Lang ,&nbsp;Grant L. Iverson ,&nbsp;Suzi Edwards ,&nbsp;Ben Jones ,&nbsp;Douglas P. Terry ,&nbsp;Andrew J. Gardner","doi":"10.1016/j.jsampl.2024.100086","DOIUrl":"10.1016/j.jsampl.2024.100086","url":null,"abstract":"<div><h3>Background</h3><div>The risk of concussion at the elite level of rugby league has been extensively evaluated. However, there has been very little concussion research conducted at the semi-elite level.</div></div><div><h3>Purpose</h3><div>To examine cases of medically diagnosed concussion from a single season of adult men's semi-elite rugby league.</div></div><div><h3>Methods</h3><div>A retrospective review of the 2019 Queensland Cup season head injury assessment surveillance program was completed. All Head Injury Assessment (HIA) cases, including cases of medically diagnosed concussion were retrospectively video reviewed and game play characteristic variables along with video signs of concussion were coded. This data was combined with the return to play data to form the research database.</div></div><div><h3>Results</h3><div>There were 132 players removed for HIAs in 170 games. There were 36 players medically diagnosed with concussions, which equates to an incidence rate was 6.11 concussions per 1000 player match hours, or one concussion every 4.7 matches. All concussions occurred in a tackle event, where the player was struck in the head/face. Possible balance disturbance was the most commonly observed video sign (97.2 ​%; 35/36), with slow to stand also commonly observed in concussed players (91.7 ​%; 33/36). Most concussed players (63.9 ​%; 23/36) did not miss a game following the concussion.</div></div><div><h3>Conclusion</h3><div>This is one of the first studies to review video footage of concussions in sub-elite rugby league. These findings build on the growing body of video analysis research in rugby league and suggest that the retrospective review of the video of incidents may offer insights into modifiable risk factors that may help reduce concussion in rugby league.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Highlighting head injury research & special issue on exercise oncology","authors":"Jessica Orchard","doi":"10.1016/j.jsampl.2024.100079","DOIUrl":"10.1016/j.jsampl.2024.100079","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The expanding role of exercise oncology in cancer care: An editorial highlighting emerging research","authors":"David Mizrahi,&nbsp;Erika Rees-Punia,&nbsp;Robert U. Newton,&nbsp;Carolina X. Sandler","doi":"10.1016/j.jsampl.2024.100078","DOIUrl":"10.1016/j.jsampl.2024.100078","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing rising knee injury and surgery rates with real-word data; the need for a clinical knee injury registry","authors":"Marc-Olivier Dubé ,&nbsp;Kay M. Crossley ,&nbsp;Andrea M. Bruder ,&nbsp;Brooke E. Patterson ,&nbsp;Melissa J. Haberfield ,&nbsp;Adam G. Culvenor","doi":"10.1016/j.jsampl.2024.100077","DOIUrl":"10.1016/j.jsampl.2024.100077","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142419390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of supervised exercise training on objectively measured physical activity in patients during anthracycline therapy","authors":"Caroline Schneider ,&nbsp;Laura Stuetz ,&nbsp;Annika Dierks ,&nbsp;Kristin L. Campbell ,&nbsp;Matthias Wilhelm ,&nbsp;Prisca Eser","doi":"10.1016/j.jsampl.2024.100075","DOIUrl":"10.1016/j.jsampl.2024.100075","url":null,"abstract":"<div><h3>Introduction</h3><div>It is unknown what the benefits of cardio-oncologic rehabilitation programmes on cardiorespiratory fitness and cancer fatigue during anthracycline-based chemotherapies (AC) are with supervised exercise training (ET), compared to PA advice and tracking only.</div></div><div><h3>Methods</h3><div>Patients with breast cancer or lymphoma were recruited from four cancer centres and randomly assigned to three months supervised ET during (EXduringAC) or after (EXpostAC) AC. All patients were counselled on physical activity (PA) and PA was objectively measured with an activity tracker. Primary endpoints were peak VO₂, fatigue and quality of life (QoL) after AC (AC-end) and at follow-up (3 months after completion of AC). Secondary endpoints were daily PA and daily steps during AC and follow-up phase, which were compared between days with and without centre-based training sessions. All analyses were performed by linear mixed models.</div></div><div><h3>Results</h3><div>Fifty-seven patients (median [1st and 3rd quartiles] age 47 years [38, 57 years]; 95 ​% women) consented to participate, of whom data from 51 patients were available. Despite the fact that PA on days with centre-based training sessions was 28 (95 ​% confidence interval 24–32) min higher with 4382 (3995–4768) more steps, neither PA nor steps differed between groups in neither AC nor follow-up phase, nor were there between group differences in peak VO_2, QoL or fatigue at any time point.</div></div><div><h3>Conclusion</h3><div>In physically active patients with cancer, PA advice and using an activity tracker was equally effective on changes in peak VO₂, fatigue, or QoL as enrolling in centre-based ET performed during or after AC.</div></div><div><h3>Trial registration</h3><div>NCT03850171, February 21, 2019.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142419391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ballet after breast cancer: A qualitative evaluation of a novel 16-week ballet intervention for women after breast cancer","authors":"Eliza R. Macdonald ,&nbsp;Christina Signorelli ,&nbsp;Briana K. Clifford ,&nbsp;David Simar ,&nbsp;Rachel E. Ward","doi":"10.1016/j.jsampl.2024.100076","DOIUrl":"10.1016/j.jsampl.2024.100076","url":null,"abstract":"<div><h3>Objectives</h3><div>Our evaluation of the pilot study- “Ballet after breast cancer”, demonstrated that a classical ballet program delivered online and/or face-to-face is feasible and acceptable, with promise for improving health and wellbeing following breast cancer. The present study aimed to explore participant experiences of the 16-week ballet intervention, and their perceptions of the future potential of ballet in the context of breast cancer.</div></div><div><h3>Design</h3><div>Qualitative analysis of focus group discussions.</div></div><div><h3>Methods</h3><div>Intervention participants were invited to take part in online focus groups to discuss: Perceived changes resulting from ballet participation, content of the ballet classes, delivery of the ballet program, suitability of ballet for future implementation during/after active cancer treatment. Themes were generated using an inductive approach, and feedback/recommendations for future implementation of “Ballet after breast cancer” were summarised.</div></div><div><h3>Results</h3><div>Seventeen women previously treated for breast cancer (54.4 ​± ​11.9 years; 54.2 ​± ​43.5 months post-diagnosis) took part in one of three focus groups. Themes generated through discussion included: Embracing normal; Connection to others; Acceptance without judgement; Engagement; Learning and progress. Participants described perceived improvements in physical, psychosocial, and cognitive wellbeing, and identified some limitations of online attendance compared to face-to-face. The personal attributes and experience of the ballet instructor were identifed as key determinants of program engagement and enjoyment. Participants reported a preference for classes specifically for people with lived experience of breast cancer. Recommendations to improve future ballet programs during/after breast cancer treatment included: Hybrid delivery model; Opportunities to socialise with classmates; Access to additional learning resources.</div></div><div><h3>Conclusions</h3><div>Participants offered novel and valuable insight into their experiences of the “Ballet after breast cancer” program, providing guidance for future delivery of ballet across the cancer continuum.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100076"},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in Australian sport and exercise physicians and registrars: A cross-sectional study","authors":"Bikram Karmakar ,&nbsp;Ping-I Lin ,&nbsp;Hindol Mukherjee ,&nbsp;James Rufus John ,&nbsp;Valsamma Eapen","doi":"10.1016/j.jsampl.2024.100074","DOIUrl":"10.1016/j.jsampl.2024.100074","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the prevalence and factors associated with the risk of burnout among sport and exercise physicians and registrars in Australia.</p></div><div><h3>Design</h3><p>Cross-Sectional Study.</p></div><div><h3>Method</h3><p>Australian based sport and exercise physicians and registrars of the Australasian college of sport and exercise physicians were invited to complete a survey. Demographic data and response to a questionnaire utilising the Maslach Burnout Inventory (MBI) tool were collected. Descriptive analysis was conducted to assess the prevalence of burnout. Multivariable logistic regression models were used to determine factors associated with the risk of burnout whilst adjusting for covariates.</p></div><div><h3>Results</h3><p>25 registrars (25/52 ​= ​48%) and 31 physicians (31/172 ​= ​18%) completed the survey. The risk of overall burnout in all three MBI parameters or in at least one parameter was 25% and 34%, respectively. Findings of the primary analysis showed that higher working hours (AOR 50.59; 95% CI 1.81–141.33; p ​= ​0.021) and higher level of job dissatisfaction (AOR 262.68; 95% CI 4.98–13857.50; p ​= ​0.006) were associated with increased odds of burnout.</p></div><div><h3>Conclusions</h3><p>Burnout poses a significant risk to sport and exercise physicians and registrars in Australia. The small size of this specialty group and unique nature of their work requires specific interventions to reduce risks of burnout.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100074"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000231/pdfft?md5=14f676f9be27b55bfde1ff76e0891836&pid=1-s2.0-S2772696724000231-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}