•While PPEs can be useful screening tools to gather athlete health information prior to a season, the lack of standardization across institutions and/or sports may make it challenging to collect ...appropriate data to develop evidence informed care and maximize participation.•Of the 41 studies included in the scoping review, none panned all IOC Female Athlete Health Domains. Very few studies included questions surrounding other areas (e.g. breast health, pelvic health/dysfunction, pregnancy/postpartum, menopause, sport environment).•There is currently a gap in female athlete specific health content being included in PPEs. A more comprehensive, standardized PPE with the focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.
Preparticipation examinations (PPEs) are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season. However, many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes. A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness. As such, the objectives of this scoping review were to (a) determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness, and (b) map the results against the health domains outlined in the International Olympic Committee (IOC) consensus statement supplement on the female athlete.
We searched Embase, Scopus, CINAHL, Medline Ovid, and SPORTDiscus from inception to December 2022. Any study with female athlete specific health PPE questions or recommendations for questions (i.e., menstrual health, eating habits, musculoskeletal health, etc.) was included. Three reviewers independently screened titles and abstracts, followed by full text articles for eligibility and data extraction, with conflicts resolved by a third-party reviewer. Extracted data were summarized into 3 determined groupings.
Of the 1356 studies screened, 41 were included in this study. Forty studies (98%) included questions/recommendations related to menstrual health. Thirty-one studies (76%) had questions/recommendations concerning disordered eating/eating habits. Twenty-four studies (59%) referred to body weight/image, and 16 studies (39%) referred to musculoskeletal health. No studies included questions on all IOC female athlete health domains.
There is currently a gap in female athlete specific health content included in PPEs. A more comprehensive, standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.
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Machine learning in sports medicine Andrea Schulz Galvão; Marcelle Karyelle Montalvão Gomes; Nairana Cristina Santos Freitas ...
Journal of human sport and exercise,
02/2023, Letnik:
18, Številka:
2
Journal Article
Recenzirano
Odprti dostop
The present study aimed to investigate the possible correlations between the cytokine and adipokine Tumour Necrosis Factor Alpha with parameters of body composition and lipid metabolism in young, ...high-level athletes after an incremental treadmill test observed in a sample of five individuals, male, high-level running athletes who the difficulty of treating large databases with different individuals, multiple biomarkers, and collection times, in addition to physical parameters and sample characteristics, added to the decrease in new findings induced by the application of statistical tools of univariate analysis, indicate the need to apply exploratory machine learning strategies, generating holistic and integrated analysis of the results. The present study showed a negative correlation between TNF and HDL and a similarity between the same TNF and LDL. These findings do not indicate a cause-and-effect relationship but suggest a possible modulation of the immune system, lipid metabolism, and exercise that requires further investigation.
When paralympic means «beside» the Olympic games and the International Paralympic Committee's catchword is: «Spirit In Motion»; we wanted to report how the paralympic movement has increased during ...the last game. The medical team wanted therefore to present how the paralympic games in Rio were completed on their part.
There were 5 sport federations united in the French team composed of 126 athletes (42 women and 84 men). They competed in 17 sports. The medical team was made up of 3 PRM doctors whose one was able to do ultrasounds and two others were sports physicians. There was also one adapted sport physician and 3 nurses. 14 Physiotherapists were split between the sports team. The medical team needed to answer all transport issues between France and Brasil depending on the impairment. They also had to bring many specific materials and organise an health space adapted to all athletes’ needs. They collected all possibly data during the games concerning each athlete.
There were 35 orthopedic impairments, 48 neurologic impairments, 6 visual impairments and 5 cognitive impairments among the athletes. All athletes had a personal medical record reviewed by the physicians and all therapeutic use exemptions had been required. There was a daily medical and paramedical meeting. There was a medical room with a drugstore and a moblie ultrasonography apparatus, a physical therapy room with many specific equipment and a cryotherapy bath. There were mainly ENT and digestive illnesses, followed by skins disorders and urinary infections. Sports injuries were tendinopathy and musculoskeletal disorders (50 ultrasounds and one punction). They had to order 3 medical rapatriations due to acute psychiatric disorders.
All data collected bring up in-depth discussions about injury prevention and athlete's follow-up.
The aim of this study was to describe the epidemiology of injuries; time-loss and non-time loss, in elite male academy cricket.
Prospective cohort analysis.
Annual injury incidence and prevalence ...from all cricket related injuries were calculated for 348 male academy players (under-13 to under-18) from the 18 First-Class County Cricket clubs in England and Wales across four years (2017/18, 2018/19, 2020/21 and 2021/22), in accordance with the updated consensus statement for injury surveillance methods in cricket.
The average annual injury incidence was 115.0 injuries/100 players/year, with similar rates between time-loss (59.7 injuries/100 players/year) and non-time loss injury incidence (55.3 injuries/100 players/year). On average, 8.5 % of players were unavailable on any given day of the year due to injury. Match injury incidence (48.8 injuries/100 players/year) was higher than cricket-based training (25.2 injuries/100 players/year), gym-based training, illness, and ‘other’ injury incidences. Match bowling was the activity associated with the highest total (17.7 injuries/100 players/year), time-loss (10.3 injuries/100 players/year) and non-time loss (7.4 injuries/100 players/year) injury incidence. The lumbar spine was the body location most frequently injured (15.3 injuries/100 players/year) and was the most prevalent body location injured (2.9 % of players).
The findings from this study provide, robust evidence of the extent of the injury problem in elite male academy cricketers. Bowling poses the greatest risk to players and the lumbar spine is the most common and prevalent injury location.
Background:
Apophyseal injuries are common in children and adolescent athletes. These injuries are believed to be caused by repetitive overloading, which can create inflammatory and degenerative ...conditions in growing bone prominences. However, their prevalence, diagnosis, and treatment in young soccer players have been understudied.
Purpose:
To evaluate characteristics of apophyseal injuries in adolescent athletes at an elite soccer academy.
Study Design:
Case series; Level of evidence, 4.
Methods:
All apophyseal injuries between July 2008 and June 2015 were evaluated. For each injury, the authors recorded the type and location, age of the player, injury date, imaging modalities, and time absent from training/competition.
Results:
Over the 7 seasons of this study, 210 apophyseal injuries were documented, including 172 simple apophyseal injuries and 38 apophyseal avulsion fractures. The rate of apophyseal injuries was 0.35 per 1000 hours of training exposure. A total of 196 (93.3%) cases were primary injuries, and the rest (6.7%) were reinjuries. Ultrasonography was the most commonly used imaging modality for diagnosis (172 cases; 81.9%). The most common location of apophyseal injuries was the anterior inferior iliac spine (AIIS). Return to sport was faster in athletes with apophyseal injury at the ischiopubic ramus, those with simple apophyseal injuries, and younger athletes.
Conclusion:
The most common location for apophyseal injury among soccer players was the AIIS. Return to training and competition differed according to injury location, type of apophyseal injury, and age.
The aim of the present study was to determine whether the ingestion of sodium bicarbonate (NaHCO3) promotes changes in strength, muscle activity, and perceived exertion in trained individuals ...following high-intensity intermittent exercise. Twelve trained men were enrolled in a randomized, double-blind, crossover study. Each participant underwent two interventions with a 14-day washout period: i) alkalosis (ALK) – administration of gelatinous capsules containing 0.3 g.kg-1 of NaHCO3; ii) placebo (PLA) – administration of capsules containing 0.3 g.kg-1 of calcium carbonate (CaCO3). The outcomes (electromyographic activity of the quadriceps, peak torque, pH, lactate, scales of perceived effort and pain) were collected during a dynamic high-intensity intermittent protocol performed on an isokinetic dynamometer. Repeated-measures ANOVA revealed no differences between conditions for any of the outcomes analysed. Based on the present findings, the ingestion of sodium bicarbonate does not promote changes in muscle activity, strength of the quadriceps, or perceptions of effort and pain in trained individuals during high-intensity intermittent exercise on an isokinetic dynamometer.
Sport makes an important contribution to the physical, psychological and emotional well-being of Australians. The economic contribution of sport is equivalent to 2–3% of Gross Domestic Product (GDP). ...The COVID-19 pandemic has had devastating effects on communities globally, leading to significant restrictions on all sectors of society, including sport. Resumption of sport can significantly contribute to the re-establishment of normality in Australian society.
The Australian Institute of Sport (AIS), in consultation with sport partners (National Institute Network (NIN) Directors, NIN Chief Medical Officers (CMOs), National Sporting Organisation (NSO) Presidents, NSO Performance Directors and NSO CMOs), has developed a framework to inform the resumption of sport. National Principles for Resumption of Sport were used as a guide in the development of ‘the AIS Framework for Rebooting Sport in a COVID-19 Environment’ (the AIS Framework); and based on current best evidence, and guidelines from the Australian Federal Government, extrapolated into the sporting context by specialists in sport and exercise medicine, infectious diseases and public health.
The principles outlined in this document apply to high performance/professional, community and individual passive (non-contact) sport. The AIS Framework is a timely tool of minimum baseline of standards, for ‘how’ reintroduction of sport activity will occur in a cautious and methodical manner, based on the best available evidence to optimise athlete and community safety. Decisions regarding the timing of resumption (the ‘when’) of sporting activity must be made in close consultation with Federal, State/Territory and/or Local Public Health Authorities. The priority at all times must be to preserve public health, minimising the risk of community transmission.
The objective of this study was to characterize emergency department (ED) visits for pediatric sport-related concussion (SRC) in pre-high school- versus high school-aged athletes.
A stratified ...probability sample of US hospitals that provide emergency services in the National Electronic Injury Surveillance System (1997-2007) and All Injury Program (2001-2005) was used. Concussion-related ED visits were analyzed for 8- to 13- and 14- to 19-year-old patients. Population data were obtained from the US Census Bureau; sport participation data were obtained from National Sporting Goods Association.
From 2001 to 2005, US children who were aged 8 to 19 years had an estimated 502 000 ED visits for concussion. The 8- to 13-year-old group accounted for approximately 35% of these visits. Approximately half of all ED visits for concussion were SRC. The 8- to 13-year-old group sustained 40% of these, which represents 58% of all concussions in this group. Approximately 25% of all SRC visits in the 8- to 13-year-old group occurred during organized team sport (OTS). During the study period, approximately 4 in 1000 children aged 8 to 13 years and 6 in 1000 children aged 14 to 19 years had an ED visit for SRC, and 1 in 1000 children aged 8 to 13 years and 3 in 1000 children aged 14 to 19 years had an ED visit for concussion sustained during OTS. From 1997 to 2007, although participation had declined, ED visits for concussions in OTS in 8- to 13-year-old children had doubled and had increased by >200% in the 14- to 19-year-old group.
The number of SRCs in young athletes is noteworthy. Additional research is required.
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