Colin E. Champ, Chris Peluso, David J Carenter, Jared Rosenberg, Frank Velasquez, Adam Annichine, Krista Matsko, Parker N. Hyde, Alexander K. Diaz, Sushil Beriwal, Christie Hilton
{"title":"EXERT-BC: Prospective study of an exercise regimen after the treatment for breast cancer","authors":"Colin E. Champ, Chris Peluso, David J Carenter, Jared Rosenberg, Frank Velasquez, Adam Annichine, Krista Matsko, Parker N. Hyde, Alexander K. Diaz, Sushil Beriwal, Christie Hilton","doi":"10.1055/a-2193-0922","DOIUrl":"https://doi.org/10.1055/a-2193-0922","url":null,"abstract":"EXERT-BC is a dose-escalated resistance training regimen created to improve body composition, strength, and balance in women treated for breast cancer. Herein, we report the interim analysis. Women treated for BC underwent this 3-month exercise regimen in an exercise oncology facility with continual monitoring of load and strength. 20 women completed the IRB-approved protocol, with a mean age of 57 years (range 41-74). Concurrent therapies included anti-estrogen therapy (73%), chemotherapy (14%), and radiotherapy (23%). 27% of women endorsed prior exercise. Subjects missed an average of 1.75 classes (range 0-7), with all meeting adherence over 75%. No injuries or adverse events were reported aside from muscle soreness and 2 days of knee pain. Significant differences in body composition at completion included reduced body fat (38.2% vs 36.7%, p=0.003), and increased muscle mass (33.1% vs 37.1%, p<0.001), functional mobility screening (9.82 vs 11.73, p=0.018), and Y-balance (left: 72.4 vs 85.3, p=0.001; right: 70.3 vs 85.2. p<0.001). Significant increases in load were demonstrated: split squat (p<0.001), trap bar deadlift (p=0.035), inclined dumbbell press (p<0.001), and bird dog rows (p<0.001). A dose-escalated resistance training in women with BC is safe and feasible, endorsing significant improvements across body composition, balance, and strength.","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recovery process for sports-related concussion assessed with precise ocular motility","authors":"Hidetaka Onodera, Takuma Takuma, Kanaka Yatabe, Hiroto Fujiya, Hidetoshi Murata","doi":"10.1055/a-2183-1077","DOIUrl":"https://doi.org/10.1055/a-2183-1077","url":null,"abstract":"Ocular motility has been linked to Sports Concussion Assessment Tool 5 scores. However, the link between ocular motility changes and assessment result changes remains unclear. Hence, we investigated that potential link in patients with sports-related concussions. We retrospectively included participants aged ≥18 years who were diagnosed with a sports-related concussion. They underwent smooth pursuit eye movement assessment for allocation to good improvement group (rate of fundamental frequency ≥15%) or minor improvement (<15%) groups. Sports Concussion Assessment Tool 5 scores were determined at baseline and two weeks later, and score changes were compared between the groups. Thirteen men (mean±standard deviation age: 20.6±5.0 years) were included: eight (19.0±4.5 years) in the good improvement group and five (20.6±5.7 years) in the minor improvement group. Symptom number (median=2.0 vs. 0.0), symptom severity (median=22.0 vs. 3.0), single-leg stance (median=4.0 vs. 0.5), tandem stance (median=1.0 vs. 0.0), and total errors (median=5.0 vs. 0.5) were worse (all p<0.05) in the minor improvement group. Smooth pursuit eye movement improvements measured using eye-tracking technology was linked to symptom recovery in patients with sports-related concussions. Therefore, ocular motility may be an objective indicator of sports-related concussions. Future studies with more patients are needed to confirm these findings.","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136033624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eirik Halvorsen Wik, Karim Chamari, Montassar Tabben, Valter Di Salvo, Warren Gregson, Roald Bahr
{"title":"Exploring growth, maturity and age as injury risk factors in high-level youth football","authors":"Eirik Halvorsen Wik, Karim Chamari, Montassar Tabben, Valter Di Salvo, Warren Gregson, Roald Bahr","doi":"10.1055/a-2180-4594","DOIUrl":"https://doi.org/10.1055/a-2180-4594","url":null,"abstract":"Rapid somatic growth and biological maturity status may affect injury patterns in youth football, yet firm conclusions cannot be drawn from the existing research. We aimed to explore growth velocity, maturity and age as injury risk factors in 95 academy players (11.9-15.0 years), using anthropometric (height and body mass), maturity (skeletal age), injury and football exposure data collected prospectively over three seasons (2016/17-2018/19). We compared the relative quality of mixed-effects logistic regression models with growth velocity for 223 growth intervals (average 113 days) included as fixed effects, and adjusted for age (chronological or skeletal) plus load (hours/week). Associations were considered practically relevant based on the confidence interval for odds ratios, using thresholds of 0.90 and 1.11 to define small beneficial and harmful effects, respectively. We observed harmful effects of older age on overall (OR: 2.61, 95%CI: 1.15-5.91) and sudden onset (1.98, 1.17-3.37) injury risk. Significant associations (p<0.05) were observed for higher body mass change and greater maturity on sudden onset injuries, and for higher hours/week on gradual onset, bone tissue and physis injuries. Future studies should include larger samples, monitoring athletes from pre-adolescence through maturation, to enable within-subject analyses and better understand the relationship between growth, maturation and injuries.","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136063086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia J Bono, Julianne Forlizzi, Sarav S Shah, Christopher R Nacca, Eric Manz, Katharine Ives, Suzanne L Miller
{"title":"Nonoperative Treatment of Single-Tendon Proximal Hamstring Avulsions in Recreational Athletes.","authors":"Olivia J Bono, Julianne Forlizzi, Sarav S Shah, Christopher R Nacca, Eric Manz, Katharine Ives, Suzanne L Miller","doi":"10.1055/a-1991-3719","DOIUrl":"10.1055/a-1991-3719","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the patient-reported and objective functional outcomes of those patients who underwent nonoperative management of a single-tendon retracted proximal hamstring avulsion. A retrospective case series of consecutive patients with an MRI-confirmed diagnosis of single-tendon proximal hamstring avulsion treated nonoperatively with at least one year of follow-up was performed. Patient-reported outcome measures (PROMs) including SF-12v2, Lower Extremity Functional Score (LEFS), Hip Outcome Score-activities of daily living and sport subscale (HOS-ADL, HOS-SS) were prospectively collected. Objective measurements included strength testing of the affected and unaffected limbs with a handheld dynamometer and single-leg hop test. Student's t-tests were used to determine differences between limbs. Eleven of fourteen patients were available for PROMs (79%); five completed functional testing. Subjective scores revealed a mean SF-12v2 mental component score of 56.53±8.2, and a physical component score of 50.1±12.7. LEFS was 84%±19.8, HOS-ADL 87.9%±17.2, and HOS-SS 80.9%±24. The differences between limbs were not statistically significant for strength at 45 or 90 degrees of knee flexion, nor for single-leg hop distance. Patients in a non-professional athlete population who undergo nonoperative management of single-tendon retracted proximal hamstring avulsions can expect good subjective and objective outcomes.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"07 1","pages":"E9-E14"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10974739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49604767","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}
Caitlin M Rugg, Jordan H Ginder, Ananyaa Bharadwaj, Rock Vomer, Gregory A Dale, Jennifer Ketterly, Hap Zarzour, Annunziato Amendola, Brian C Lau
{"title":"Perioperative Management in the Collegiate Athlete: An Integrated Approach.","authors":"Caitlin M Rugg, Jordan H Ginder, Ananyaa Bharadwaj, Rock Vomer, Gregory A Dale, Jennifer Ketterly, Hap Zarzour, Annunziato Amendola, Brian C Lau","doi":"10.1055/a-2051-7756","DOIUrl":"10.1055/a-2051-7756","url":null,"abstract":"<p><p>Collegiate athletes face rigorous physical, academic, and emotional demands. While significant attention has been paid to injury prevention among young athletes in the past two decades, orthopedic injury rates remain high among collegiate athletes, and a significant number will undergo surgical management for injuries each year. In this narrative review, we describe techniques for perioperative management of pain and stress after surgery in collegiate athletes. In particular, we outline pharmacologic and non-pharmacologic management of surgical pain, with a goal of minimizing opiate consumption. We emphasize a multi-disciplinary approach to optimizing post-operative recovery in collegiate athletes help minimize reliance on opiate pain medication. Additionally, we recommend that institutional resources should be harnessed to support athletes in their well-being, from a nutritional, psychological and sleep standpoint. Critical to success in perioperative pain management is the communication among the athletic medicine team members and with the athlete and family to address pain and stress management and encourage timely, safe return to play.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"7 1","pages":"E1-E8"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/c5/10-1055-a-2051-7756.PMC10125641.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356814","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}
Constantin Mayer, Alina Rühlemann, Andre Busch, Marcus Jäger
{"title":"Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study.","authors":"Constantin Mayer, Alina Rühlemann, Andre Busch, Marcus Jäger","doi":"10.1055/a-1926-0817","DOIUrl":"https://doi.org/10.1055/a-1926-0817","url":null,"abstract":"<p><p>The return to sport after knee injury is challenging. This is burdensome for sports with a high incidence of injuries, such as team handball. Various tests guide decision making, but often the athlete's preinjury performance of these measures remains unknown. Moreover, objective return-to-sport criteria of a matching population are missing. The purpose of this study was to evaluate objective measures of knee capability in handball depending on players' age. Two hundred sixty-one handball players performed a functional test battery designed to evaluate knee capability after an anterior cruciate ligament injury: two- and one-legged stability analysis, jumps, speed tests, and agility assessments. For age-specific evaluation, athletes were divided into three age groups (16-19; 20-29;≥30 years). Male players showed differences in two and one-legged jumping height (p<0.02) as well as power per body weight (p<0.01) between age groups. Young female players reached better results in two-and one-legged stability. Besides the quick feet test, results of females did not differ between age groups. Functional knee stability in healthy handball players is partly influenced by age, and females show better results in stability and male athletes in power measurements. This aspect should be considered for return to sports testing and underlines the importance of performance measures in athletic testing.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"6 2","pages":"E60-E68"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/7b/10-1055-a-1926-0817.PMC9790767.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454315","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}
Cordula Leonie Merle, Jan C Wuestenfeld, Fabian Fenkse, Bernd Wolfarth, Rainer Haak, Gerhard Schmalz, Dirk Ziebolz
{"title":"The Significance of Oral Inflammation in Elite Sports: A Narrative Review.","authors":"Cordula Leonie Merle, Jan C Wuestenfeld, Fabian Fenkse, Bernd Wolfarth, Rainer Haak, Gerhard Schmalz, Dirk Ziebolz","doi":"10.1055/a-1964-8538","DOIUrl":"https://doi.org/10.1055/a-1964-8538","url":null,"abstract":"<p><p>Recently, there has been intense discussion about sports dentistry and potential interactions between oral health and athletes' performance. This narrative review aims to provide a comprehensive overview of the available literature about oral inflammation in sports. For this purpose, it presents the most common types of oral inflammation (gingivitis, periodontitis, pericoronitis, apical periodontitis), and their prevalence in athletes. Both the impact of oral inflammation on performance and causes for oral inflammation in athletes are discussed by presenting current literature. Finally, international recommendations for dental care in sports are presented. Several studies stated a high prevalence of oral inflammation in athletes, especially of gingivitis (58-97%) and periodontitis (41%). Also, many athletes report oral pain (17-30%) and a negative impact of oral health on training (3-9%). Besides this, a systemic impact of oral inflammation is discussed: In periodontitis patients, blood parameters and physical fitness are changed. In athletes, associations between muscle injuries and poor oral health are reported. There are deficits in oral health behavior. Furthermore, systemic changes due to physical stress could influence oral tissues. Overall, complex bidirectional interactions between competitive sports and oral inflammation are possible. Regular dental examinations and prevention strategies should be implemented in sports.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":"6 2","pages":"E69-E79"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/02/10-1055-a-1964-8538.PMC9839431.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099335","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}
Joshua A J Keogh, Matthew C Ruder, Zaryan Masood, Dylan Kobsar
{"title":"The Ecological Validity of Countermovement Jump to On-Court Asymmetry in Basketball.","authors":"Joshua A J Keogh, Matthew C Ruder, Zaryan Masood, Dylan Kobsar","doi":"10.1055/a-1947-4848","DOIUrl":"https://doi.org/10.1055/a-1947-4848","url":null,"abstract":"<p><p>Jump-based asymmetry is often used as an indicator of sport performance and may be used to discern injury susceptibility. Due to task specificity, however, countermovement jump asymmetry may not be representative of on-court asymmetry. As such, we assessed the association between countermovement jump asymmetry and on-court impact asymmetry metrics (n=3, and n=4, respectively) using linear regressions (α=0.05). Fifteen female basketball athletes completed countermovement jump and on-court sessions across a competitive season. A significant negative association was found between peak landing force asymmetry and both overall and medium acceleration on-court asymmetry (b=-0.1, R <sup>2</sup> =0.08, p<0.001; b=-0.1, R <sup>2 </sup> =0.11, p<0.001, respectively), as well as between peak propulsive force asymmetry and on-court medium acceleration asymmetry (b=-0.24, R <sup>2</sup> =0.04, p=0.01). Alternatively, both peak landing and peak propulsive force asymmetry were significantly positively associated with on-court high acceleration asymmetry (b=0.17, R <sup>2 </sup> =0.08, p<0.001; b=0.35, R <sup>2</sup> =0.02, p=0.04, respectively). While some overlap may exist, countermovement jump and on-court impact asymmetry appear to be independent. Thus, sport-specific monitoring may be necessary to adequately monitor injury susceptibility using asymmetry.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":" ","pages":"E53-E59"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/75/10-1055-a-1947-4848.PMC9635953.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40670075","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}
Eric Winters, Steven Doty, Melanie Lott, James Baker
{"title":"Neuromechanical Integration of Pelvic-Thoracic Rotation among Youth Baseball Throwers.","authors":"Eric Winters, Steven Doty, Melanie Lott, James Baker","doi":"10.1055/a-1854-1007","DOIUrl":"https://doi.org/10.1055/a-1854-1007","url":null,"abstract":"<p><p>The kinetic sequencing involved in the overhead throw anticipates an orchestration of body movement in which the more proximal segments of the body initiate movement prior to the more distal segment. This investigation explored neuromuscular and kinematic characteristics associated with one aspect of this kinetic sequencing, pelvic-to-thoracic rotation. Neuromuscular activation was recorded using surface electromyography and kinematic data was acquired using 3D videography. Specific objectives included 1) to describe the maximum angulation between the pelvic and thoracic body segments (X <sub>max angle</sub> ), 2) to test the hypothesis that glove-side external oblique peak neuromuscular activation (GEOPA) occurs before X <sub>max angle</sub> , 3) to test the hypothesis that throwing-side external oblique peak neuromuscular activation (TEOPA) occurs following X <sub>max angle</sub> . Results show the mean X <sub>max angle</sub> to be 45.96 degrees (±10.83). The time of mean GEOPA (2.3653 sec±0.9094) occurred following the time of mean X <sub>max angle</sub> (2.2793 sec,±0.9026, p<0.01), thus refuting the first hypothesis. The time of mean TEOPA (2.3658 sec,±0.8978) occurred following the time of mean X <sub>max angle</sub> (2.2793 sec,±0.9026, p<0.01), thus confirming the second hypothesis. Results suggest that youth baseball participants may not adequately utilize the core of the body to fully benefit from the optimal kinetic sequencing postulated within the literature.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":" ","pages":"E47-E52"},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/3f/10-1055-a-1854-1007.PMC9377834.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40621699","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 Physiological and Cardiologic Effects of Long Video Gaming Sessions in Adult Males.","authors":"Kasper Bygum Krarup, Jesper Mosgaard Rantanen, Morten Mørk, Inge Søkilde Pedersen, Jeppe Hagstrup Christensen, Søren Risom Kristensen, Aase Handberg, Henrik Bygum Krarup","doi":"10.1055/a-1858-8436","DOIUrl":"https://doi.org/10.1055/a-1858-8436","url":null,"abstract":"<p><p>The effect of long gaming sessions on energy intake, caffeine intake, blood pressure, heart rate, heart rate variability, and biochemical cardiac injury markers is unknown. The objective of this exploratory study was to investigate the changes in healthy male adults during two consecutive 18-hour sedentary video gaming sessions. Nine participants were enrolled in the study. Energy intake was noted in food diaries. Heart rate variability was monitored continuously; blood pressure and cardiac injury markers were measured every three to six hours. During the 42-hour study, the participants had an energy and caffeine intake of 8004.9 kcal and 1354.4 mg, respectively. The participants had a significant decrease in energy intake in the second session (p=0.01). A strong, negative correlation was found between body mass index and total energy intake (R=-0.84, p=0.005) and waist circumference and total energy intake (R=-0.70, p=0.036) in the first session. No nightly dip in blood pressure or heart rate was observed. Based on this study, long-term adverse effects of gaming cannot be ruled out. The non-dip of HR and BP suggests that long gaming sessions could be detrimental to cardiovascular health long term.</p>","PeriodicalId":74857,"journal":{"name":"Sports medicine international open","volume":" ","pages":"E39-E46"},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/09/10-1055-a-1858-8436.PMC9307323.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40535002","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}