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1.
Hernia ; 29(1): 81, 2025 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-39869230

RESUMO

PURPOSE: This article critically examines long-standing groin pain (LSGP) in physically active adults related to sports overload by analyzing terminology, pathophysiology, and treatment. METHOD: This review is based on data from over 10,000 patients managed through a multidisciplinary algorithm. (LSGP) has been variably labeled, using terms that have led to inconsistencies in understanding its origin and management. Terms such as "Pubic Inguinal Pain Syndrome," "Sportsman's Groin," and "Athletic Pubalgia" have been proposed to standardize terminology and unify the classification of (LSGP). Pathophysiologically, (LSGP) is often due to tendinopathies affecting major tendons in the groin region, such as the adductors, iliopsoas, conjoint tendon, and inguinal ligament, often associated with weakness in the posterior wall of the inguinal canal. This condition frequently arises in sports involving abrupt directional changes and high-energy loads in the groin. Tendinopathies progress through reactive, reparative, or degenerative stages of tendinosis. RESULTS: Literature supports a multidisciplinary approach involving surgeons, physiotherapists, sports medicine physicians, and orthopedists for accurate diagnosis and effective treatment. Our algorithm focuses on both anatomical and functional factors in managing (LSGP). Initial conservative therapies aim to support tendon regeneration and load correction, while surgical interventions, such as laparoscopic hernioplasty, are reserved for non-responsive cases. From 2004 to 2024, 12,144 patients completed this protocol, with only 14% requiring surgery. Long-term follow-up demonstrated a low recurrence rate of tendinopathy and an absence of severe complications. CONCLUSION: Standardizing terminology, understanding pathophysiology, and utilizing a multidisciplinary approach are essential for optimizing the diagnosis and management of sports-related (LSGP).


Assuntos
Traumatismos em Atletas , Virilha , Tendinopatia , Humanos , Traumatismos em Atletas/terapia , Traumatismos em Atletas/complicações , Traumatismos em Atletas/diagnóstico , Tendinopatia/terapia , Estudos Retrospectivos , Algoritmos , Atletas
2.
Acta Ortop Mex ; 39(1): 44-46, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39855907

RESUMO

The iliotibial band originates from the iliac crest and the hip joint capsule, extending along the entire lateral surface until it inserts onto tuberculum anterolateralis tibiae on the anterolateral tibia. It acts as an agonist of the anterior cruciate ligament. In short, the iliotibial band primarily contributes to the lateral stabilization of the knee joint. One of the main causes of iliotibial band tear is sports-related injuries. Isolated iliotibial band tear is rare due to the specific requirement of pure varus stress for its occurrence, involving a combination of knee joint flexion with internal rotation. Diagnosing this condition is challenging due to its rarity and difficult clinical suspicion. We present a case of 51-year-old male patient, amateur football player, with proximal iliotibial band tear. The clinical presentation, radiographic and Magnetic Resonance Imaging (MRI) findings, treatment and return to play are discussed.


La banda iliotibial se origina en la cresta ilíaca y la cápsula de la articulación de la cadera, extendiéndose a lo largo de toda la superficie lateral hasta insertarse en el tuberculum anterolateralis tibiae en la tibia anterolateral. Actúa como agonista del ligamento cruzado anterior. En resumen, la banda iliotibial contribuye principalmente a la estabilización lateral de la articulación de la rodilla. Una de las principales causas de rotura de la banda iliotibial son las lesiones relacionadas con el deporte. El desgarro aislado de la banda iliotibial es raro debido al requisito específico de estrés puro en varo para que ocurra, que implica una combinación de flexión de la articulación de la rodilla con rotación interna. El diagnóstico de esta afección es un desafío debido a su rareza y difícil sospecha clínica. Presentamos un caso de paciente masculino de 51 años, jugador de fútbol amateur, con desgarro de banda iliotibial proximal. Se discuten la presentación clínica, los hallazgos radiológicos y de resonancia magnética, el tratamiento y el regreso al juego.


Assuntos
Futebol , Humanos , Masculino , Pessoa de Meia-Idade , Futebol/lesões , Traumatismos em Atletas/diagnóstico por imagem
3.
Sports Health ; 17(1): 104-110, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39535079

RESUMO

BACKGROUND: Many questions persist regarding the relationship between training load and injuries in volleyball, as well as the best method for calculating acute:chronic workload ratio (ACWR). This study aimed to investigate the relationship between different metrics of training load and risk of injury in male professional volleyball players. HYPOTHESIS: ACWR, as a training load measure, is useful for identifying injury risk in volleyball players, regardless of calculation method. STUDY DESIGN: Longitudinal, prospective, and observational design conducted over 3 seasons of professional male volleyball. LEVEL OF EVIDENCE: Level 3. METHODS: The study included 43 male volleyball players. Internal training load was quantified using the Session Rating of Perceived Exertion. From daily training load values, absolute measures and relative measures were computed. For relative measures, 7 days were employed for acute training load, and 21 and 28 days for chronic training load. A distinction was made between coupled calculation and uncoupled calculation. Injuries were documented using the Injury Surveillance Form proposed by the International Volleyball Federation. RESULTS: ACWR calculated in a coupled manner and by a rolling average demonstrated higher injury risks when analyzing the complete periods (odds ratio [OR] ACWR 7:28 = 2.040; ACWR 7:21 = 1.980) and competitive period (OR ACWR 7:28 = 2.044; ACWR 7:21 = 2.087). In contrast, during the preseason, the coupled exponential averages were more sensitive to the risk of injury (OR ACWR 7:28 = 4.370; ACWR 7.504). CONCLUSION: Both measures using rolling averages and those calculated from exponential averages can be employed to identify the risk of injuries in volleyball athletes. CLINICAL RELEVANCE: The findings of this study can be useful to coaching staff, fitness trainers, and healthcare professionals involved in the challenge of reducing the risk of injury in volleyball athletes. The need for continuous monitoring and real-time adjustments of training load is emphasized.


Assuntos
Traumatismos em Atletas , Condicionamento Físico Humano , Voleibol , Voleibol/lesões , Humanos , Masculino , Estudos Prospectivos , Condicionamento Físico Humano/métodos , Condicionamento Físico Humano/efeitos adversos , Traumatismos em Atletas/prevenção & controle , Estudos Longitudinais , Adulto Jovem , Carga de Trabalho , Fatores de Risco , Esforço Físico/fisiologia , Adulto
4.
Neurosurg Rev ; 47(1): 899, 2024 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-39663225

RESUMO

INTRODUCTION: Judo, a martial art created by Jigoro Kano in 1882, is a martial art promoting physical and spiritual development. Despite its "gentle way" philosophy, it poses a significant risk for cervical spine injuries, often resulting from throws and ground techniques. METHODS: This cross-sectional study analyzed cervical injuries among professional judo athletes from January to July 2024. Data were collected via an online questionnaire covering demographics, injury details, circumstances, and prevention. The study included athletes from seven countries, with exclusion criteria being pre-existing non-judo-related cervical conditions and incomplete questionnaires. Descriptive and inferential statistical analyses were performed using RStudio 4.4.0. RESULTS: Of the 104 participants, 42 athletes reported cervical injuries, primarily during practice and linked to high-risk techniques like uchi-mata and ippon-seoi-nage. Defensive maneuvers, especially involving the "head dive," were significant risk factors. Injuries ranged from contusions to disc herniations and fractures, with symptoms like pain, numbness, and weakness. Most athletes received physical therapy, though some required surgery. Preventive measures were inconsistently applied, despite advice from coaches and physical therapists. CONCLUSION: Cervical spine injuries in judo are common, especially during defensive maneuvers and specific high-risk techniques. The variability in treatment outcomes underscores the need for better prevention strategies, education, and tailored training. Further research is essential to mitigate injury risks for judo athletes.


Assuntos
Vértebras Cervicais , Artes Marciais , Traumatismos da Coluna Vertebral , Humanos , Artes Marciais/lesões , Estudos Transversais , Masculino , Adulto , Vértebras Cervicais/lesões , Fatores de Risco , Prevalência , Feminino , Traumatismos da Coluna Vertebral/epidemiologia , Traumatismos da Coluna Vertebral/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/epidemiologia , Atletas , Adulto Jovem
5.
J Bodyw Mov Ther ; 40: 461-464, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39593626

RESUMO

INTRODUCTION: The purpose of this study was to investigate lower limb tendinopathy incidence over 3 seasons in Brazilian youth elite athletes. DESIGN: Prospective epidemiological study. METHODS: A prospective study was performed during 2015, 2016 and 2017 seasons, with a total of 1553 Brazilian youth athletes (1.195 male and 358 female) out of 6 sports (volleyball, basketball, judo, gymnastics, tennis and futsal). The mean age was 14.1 (11.2; 17.0) years, mean height was 1.75 (1.55; 1.95) meters and mean body mass was 59.4 (42.0; 76.4) kilograms. The diagnosis of lower limb tendinopathy (LLT) was made by an experienced sports physician based on a detailed history and clinical exam. The incidence of LLT was determined by number of injuries/total exposure hours x 1000. RESULTS: In total, 100 LLT were recorded during the 3 seasons. The most frequent type of LLT was patellar (79%), adductor (12%) and Achilles (9%). The frequency of patellar tendinopathy was higher in male's volleyball, basketball and female volleyball (41%, 25%, 13%, respectively) and the frequency of Achilles tendinopathy was higher in basketball and female volleyball (33%,22%). The LLT incidence was 2.5/1000h in 2015, 4.2/1000h in 2016 and 2.1/1000h in 2017. CONCLUSION: Lower limb tendinopathies are relatively common in youth elite athletes. In 3-season, the most frequent type was patellar tendinopathy. A higher LLT incidence was observed in male volleyball athletes when compared to female volleyball athletes. Basketball athletes presented a higher frequency of patellar, adductor and Achilles tendinopathies in 3-seasons when compared to other sports.


Assuntos
Traumatismos em Atletas , Extremidade Inferior , Tendinopatia , Humanos , Masculino , Tendinopatia/epidemiologia , Feminino , Estudos Prospectivos , Brasil/epidemiologia , Adolescente , Incidência , Extremidade Inferior/fisiopatologia , Traumatismos em Atletas/epidemiologia , Criança , Basquetebol/estatística & dados numéricos , Ligamento Patelar , Voleibol/estatística & dados numéricos , Tendão do Calcâneo , Artes Marciais/estatística & dados numéricos
6.
J Bodyw Mov Ther ; 40: 476-481, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39593629

RESUMO

OBJECTIVE: To examine whether musculoskeletal injury history is a factor that influences countermovement jump (CMJ) performance in rugby players and to compare CMJ performance between player's position (forwards or backs). METHODS: Thirty rugby players (15 with an injury history and 15 without an injury history) performed the CMJ using an inertial sensor (Baiobit®) to evaluate kinematic (Jump Height, Velocity and Phase duration) and kinetic data (rate of force development [RFD], impact peak [IP], take-off force and Stiffness]. The group comparison was performed with an independent t-test, and the association between CMJ performance, sociodemographic variables and injury history was investigated with Pearson's correlation test. RESULTS: Rugby players with and without history of musculoskeletal injury differed in age and playing experience, but there was no difference in CMJ performance between groups. Jump height of uninjured players was positively correlated with take-off force and RFD and negatively correlated with concentric phase duration and RFD. Injured players demonstrated a negative correlation between take-off force and IP. Compared to backs, forwards were heavier and taller, showed greater IPs and were more likely to have an injury history. CONCLUSIONS: There were no differences in CMJ performance between rugby players with and without an injury history. Forwards showed greater IPs and were more likelier to have an injury history than backs.


Assuntos
Desempenho Atlético , Futebol Americano , Humanos , Masculino , Fenômenos Biomecânicos/fisiologia , Adulto Jovem , Futebol Americano/lesões , Futebol Americano/fisiologia , Adulto , Desempenho Atlético/fisiologia , Traumatismos em Atletas/fisiopatologia , Força Muscular/fisiologia , Sistema Musculoesquelético/lesões
7.
J Bodyw Mov Ther ; 40: 525-533, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39593637

RESUMO

OBJECTIVE: To investigate the influence of myofascial release (MFR) techniques on biomechanical parameters, including force, speed, Range of Motion (ROM), and flexibility in athletes. METHOD: This is a systematic review conducted on the databases United States National Library of Medicine (PubMed), Scopus, Scientific Electronic Library Online (SciELO); LILACS, and Embase. The PRISMA guidelines - 2020 were followed, and bias risk analysis was performed using the Cochrane Handbook tool (RoB2). RESULTS: Sixteen studies were included for qualitative analysis. Techniques using MFR applied or self-applied to improve strength, speed, ROM and flexibility, have no consensus regarding the period of their applicability, due to difficulties in identifying the ideal load of applied tension, temperature level, and viscoelastic properties during the release of the deep fascia. However, improvements in oxygenation, reorganization of piezoelectricity, and normalization of fascial tension became evident after MFR. CONCLUSION: Regarding strength, speed, and range of motion (ROM), instrument-assisted soft tissue mobilization performed in isolation and self-applied techniques combined with other methods emerged as favorable predictors for lower limb outcomes. However, isolated self-myofascial release requires further investigation. Regarding flexibility, there is a contrast in results between the use of self-applied foam rolling in isolation, which seems to prevent densification but suggests improvements in muscle strength acquisition without compromising flexibility. Applied MRF provided a more flexible quality for scapular mobilization, both in isolation and in combination with other techniques, but its best indication and/or specific applicability is for pain reduction.


Assuntos
Amplitude de Movimento Articular , Humanos , Amplitude de Movimento Articular/fisiologia , Fenômenos Biomecânicos/fisiologia , Terapia de Tecidos Moles/métodos , Fáscia/fisiologia , Força Muscular/fisiologia , Traumatismos em Atletas/prevenção & controle , Extremidade Inferior/fisiologia
8.
J Foot Ankle Res ; 17(4): e70012, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39425468

RESUMO

INTRODUCTION: The fifth metatarsal fracture is a foot injury that occurs in sports activities. This fracture has been associated with risk factors based on intrinsic variables such as type of feet (flatfoot or cavus foot), foot pathologies, and bone density among others. Extrinsic variables associated with fifth metatarsal fractures include sports maneuvers, the type of sports practice, and contact surface. Although this injury has been investigated over the years, there is no consensus on the most relevant risk factors that cause this injury. An increase in the number of people with fractures makes it a relevant topic of research. The objective of this review was to identify an overview of the risk factors for producing the fifth metatarsal fracture based on intrinsic and extrinsic variables in sports activities. Furthermore, this review aimed to clarify what is known and what is needed on the risk factors that can influence the appearance of the fracture. METHODS: A search in electronic databases, such as Scopus (n = 87), PubMed (n = 187), and Web of Science (n = 173) was conducted. The initial search yielded 447 titles and abstracts, from which 31 papers were selected for detailed analysis after screening all citations against the eligibility criteria. RESULTS: After screening the manuscripts, it was found that the fifth metatarsal fracture can be produced by multiple factors. However, most of the studies focus on one or two specific risk factors. It was found that soccer (38.7%) is the sports activity that presents a higher risk of getting a fifth metatarsal fracture compared to other sports activities. The second risk factor was the performance of critical maneuvers (22.5%) and the third one was the biomechanics of the foot (22.5%). CONCLUSION: It is paramount to identify the most critical risk factors linked to the fifth metatarsal fracture to be able to implement effective treatments and prevention strategies.


Assuntos
Traumatismos em Atletas , Fraturas Ósseas , Ossos do Metatarso , Humanos , Ossos do Metatarso/lesões , Fatores de Risco , Fraturas Ósseas/etiologia , Fraturas Ósseas/epidemiologia , Traumatismos em Atletas/epidemiologia , Traumatismos do Pé/etiologia , Masculino , Feminino
9.
Braz J Phys Ther ; 28(5): 101117, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39265388

RESUMO

BACKGROUND: Physical activity in natural environments, such as trail running, is a way to nurture physical and mental health. However, running has an inherent risk of musculoskeletal injuries. OBJECTIVES: To investigate the prevalence of running-related injuries (RRI) and cramps, and to describe the personal and training characteristics of Brazilian trail runners. METHODS: A total of 1068 trail runners were included in this observational cross-sectional study. The participants had at least six months of trail running experience. The data were collected between April 2019 and February 2020 through an online and self-reported survey. RESULTS: The point prevalence of RRIs was 39.2 % (95 % credible interval [CrI]: 36.3, 42.1). The body region with the highest point prevalence was the knee. The 12-month period prevalence of RRIs was 69.2 % (95 %CrI: 66.4, 72.0). The body region with the highest 12-month period prevalence was the lower leg. 1- and 12-month period prevalence of cramps was 19.5 % (95 %CrI: 17.1, 21.9) and 36.0 % (95 %CrI: 33.0, 38.8), respectively. Triceps surae was the muscle most affected by cramps. CONCLUSIONS: Two in 5 (40 %) trail runners reported being injured at the time of data collection, and about 2 of 3 reported previous RRIs in the last 12 months. The most prevalent injured body regions were the knee and the lower leg. One in 5 trail runners reported cramps in the last month, increasing to 36 % in the last 12 months. Knowing better the characteristics of the population and the burden of health conditions may inform better decisions regarding implementation actions toward trail running practice.


Assuntos
Corrida , Humanos , Corrida/lesões , Estudos Transversais , Brasil/epidemiologia , Prevalência , Cãibra Muscular/epidemiologia , Traumatismos em Atletas/epidemiologia
10.
Eur J Orthop Surg Traumatol ; 34(6): 3289-3295, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39138668

RESUMO

PURPOSE: The aim of this study was to compare the functional outcomes, recurrence rate, range of motion (ROM) and return to sports activities between arthroscopic Bankart repair (ABR) versus arthroscopic Bankart/SLAP repair (ABR/S) in limited contact-athletes with a type V SLAP lesion in the scenario of recurrent anterior shoulder instability (RASI). Our hypothesis was that there is no difference between the two treatments. METHODS: Two groups of 45 limited-contact athletes with type V SLAP lesion were created. Group 1 underwent an arthroscopic Bankart repair, while group 2 had an arthroscopic Bankart/SLAP repair. The minimum follow-up period was 2 years. The WOSI and ASES scores were used to assess primary functional outcomes. Recurrence rate, ROM and return to sport were also evaluated. RESULTS: Significant differences were reported in the WOSI and ASES scores pre- and post-operatively in each group. There were no significant differences between the two groups (P = 0.78 and 0.43). We reported 4 recurrences (8.8 %) in group 1 and 5 (11.1 %) in group 2, with no difference between them (P = 0.62). There were no significant differences between the range of motion of each of the groups as well as between them. More than 90% of the athletes in both groups returned to their previous sporting activities. CONCLUSIONS: Limited-contact athletes with RASI who have a type V SLAP lesion as their primary diagnosis can be treated using either ABR or ABR/S with equal efficacy. Both treatment alternatives preserve athlete's function, stability, ROM and return to sport.


Assuntos
Artroscopia , Instabilidade Articular , Amplitude de Movimento Articular , Recidiva , Volta ao Esporte , Humanos , Artroscopia/métodos , Masculino , Volta ao Esporte/estatística & dados numéricos , Estudos Prospectivos , Instabilidade Articular/cirurgia , Instabilidade Articular/fisiopatologia , Feminino , Adulto , Adulto Jovem , Lesões do Ombro/cirurgia , Articulação do Ombro/cirurgia , Articulação do Ombro/fisiopatologia , Traumatismos em Atletas/cirurgia , Traumatismos em Atletas/fisiopatologia , Resultado do Tratamento , Adolescente , Luxação do Ombro/cirurgia , Luxação do Ombro/fisiopatologia , Lesões de Bankart/cirurgia , Recuperação de Função Fisiológica
11.
Arch Orthop Trauma Surg ; 144(7): 3197-3204, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38967779

RESUMO

INTRODUCTION: Open Bankart repair plus inferior capsular shift has not yet been tested under the concept of glenoid track as a predictor of failure. The aim of this study was to compare the subjective and objective outcomes in collision athletes with subcritical glenoid bone loss and on-track Hill Sachs lesions versus those with off-track Hill Sachs lesions, all treated with open Bankart repair. METHODS: Two study groups were created: 50 patients had on-track Hill Sachs lesions, while 38 had off-track lesions. The subcritical glenoid bone loss was ≤ 10%. A minimum follow-up period of 3 years was established. Preoperative and postoperative evaluation of each group and between them was performed. The Western Ontario Shoulder Instability Index score and the American Shoulder and Elbow Surgeons scale were used to assess subjective outcomes. Recurrence rate, range of motion and return to sport were evaluated as objective outcomes. RESULTS: Significant differences were reported in the WOSI and ASES scores between preoperative and postoperative values in each group. There were no significant differences between the two groups (p-value = 0.36 and 0.71). Three dislocations (6%) in the on-track group and 3 (7.8%) in the off-track group were recorded, showing no differences between the two groups (p-value = 0.83). There were no differences in ROM between pre- and post-operatively in each group or when comparing the two groups. CONCLUSIONS: We found no differences between the outcomes of the two groups. According to the surgeon's preference, we recommend performing open Bankart repair plus inferior capsular shift as a treatment alternative in collision athletes with SGBL ≤ 10% independently of the type of Hill Sachs lesion.


Assuntos
Lesões de Bankart , Humanos , Masculino , Lesões de Bankart/cirurgia , Feminino , Adulto , Adolescente , Adulto Jovem , Traumatismos em Atletas/cirurgia , Articulação do Ombro/cirurgia , Articulação do Ombro/fisiopatologia , Resultado do Tratamento , Volta ao Esporte , Luxação do Ombro/cirurgia , Amplitude de Movimento Articular , Estudos Retrospectivos
12.
J Orthop Surg Res ; 19(1): 413, 2024 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-39026353

RESUMO

BACKGROUND: The "FIFA 11+" is an injury prevention program conceived for soccer athletes aged over 14. The use of FIFA 11+ Kids in soccer was associated with a reduction of the overall risk of injuries in children by 48%, and of 74% for serious injuries. However, to the best of our knowledge, a systematic review of the literature on the effects of FIFA 11+ Kids is still missing. Therefore, a systematic review was conducted to ascertain the benefits of the "FIFA 11+ KIDS" program in children who practice soccer. METHODS: This systematic review was conducted according to the PRISMA recommendations and prospectively registered in PROSPERO. The electronic search was conducted in the following databases: Web of Science, PubMed, Medline via Ovid, EMBASE and SportDiscuss via EBSCO. Database searches were performed in January 2024. This review included studies that evaluated the effects of the "FIFA 11+ KIDS" program. Eligible studies had to describe program implementation and the mean age of the children. RESULTS: A total of 11 articles were included in this systematic review from a pool of 8513 articles screened across various databases. These articles involved over 10,000 young participants from 8 countries, primarily aged 7-14 years, with the majority being soccer athletes. Study quality varied, with four categorized as high, four as good, and three as fair quality. Objectives varied across studies, with four focusing on FIFA 11+ Kids' efficacy in injury prevention, five examining its impact on performance and physical abilities, and two assessing its effects on children's focus and attention skills. Notably, injury prevention studies reported around a 50% reduction in overall injuries and nearly 60% in severe injuries, with a dose-response relationship observed with increased weekly sessions. Significant improvements were noted in physical and functional tests such as the Y balance, jump tests, and various soccer skills, along with positive effects on children's focus and attention, as indicated by 13-18% improvements in Attention Scale for Elementary School Children (ASESC) scores. CONCLUSION: The FIFA 11+ KIDS injury prevention program appears to be effective in reducing injuries in young football players. This can positively influence player and team overall performance and might support the long-term athlete development of these young athletes. These findings highlight the importance and necessity of injury prevention in young athletes.


Assuntos
Traumatismos em Atletas , Futebol , Adolescente , Criança , Feminino , Humanos , Masculino , Atletas , Traumatismos em Atletas/prevenção & controle , Futebol/lesões
13.
J Pediatr ; 274: 114157, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38901776

RESUMO

OBJECTIVE: To investigate characteristics of sport-related concussion (SRC), recreation-related concussion (RRC), and nonsport or recreation-related concussion (non-SRRC) in patients 5 through 12 years old, an understudied population in youth concussion. STUDY DESIGN: This observational study included patients aged 5 through 12 years presenting to a specialty care concussion setting at ≤28 days postinjury from 2018 through 2022. The following characteristics were assessed: demographics, injury mechanism (SRC, RRC, or SRRC), point of healthcare entry, and clinical signs and symptoms. Kruskal-Wallis and chi-square tests were used to assess group differences. Posthoc pairwise comparisons were employed for all analyses (α = 0.017). RESULTS: One thousand one hundred forty-one patients reported at ≤28 days of injury (female = 42.9%, median age = 11, interquartile range (IQR) = 9-12) with the most common mechanism being RRC (37.3%), followed by non-SRRC (31.9%). More non-SRRCs (39.6%) and RRC (35.7%) were first seen in the emergency department (P < .001) compared with SRC (27.9%). Patients with RRC and non-SRRC were first evaluated at specialists 2 and 3 days later than SRC (P < .001). Patients with non-SRRC reported with higher symptom burden, more frequent visio-vestibular abnormalities, and more changes to sleep and daily habits (P < .001) compared with RRC and SRC (P < .001). CONCLUSIONS: In concussion patients 5 through 12 years, RRCs and non-SRRC were more prevalent than SRC, presenting first more commonly to the emergency department and taking longer to present to specialists. Non-SRRC had more severe clinical features. RRC and non-SRRC are distinct from SRC in potential for less supervision at time of injury and less direct access to established concussion health care following injury.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Humanos , Concussão Encefálica/epidemiologia , Masculino , Feminino , Criança , Pré-Escolar , Traumatismos em Atletas/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos
14.
Br J Sports Med ; 58(15): 818-825, 2024 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-38889958

RESUMO

OBJECTIVES: To evaluate and compare the injuries of Olympic wrestlers during the 2016 Rio and 2020 Tokyo Olympic Games held in August 2021 due to the COVID-19 pandemic. METHODS: In this descriptive epidemiological study, injury report forms were used to collect and analyse injury data during the competitions. RESULTS: During 410 matches in the Rio Olympic Games, 21 injuries were recorded among 346 wrestlers (112=women), a rate of 5.1 injuries/100 bouts and 6.1 injuries/100 athletes. During 322 matches in the Tokyo Olympic Games, 28 injuries were recorded among 287 wrestlers (96=women), with 8.7 injuries/100 bouts and 9.8 injuries/100 athletes. However, these apparent differences in injury rates between Tokyo and Rio were not statistically significant (injuries/bout: p=0.057, 95% CI: 0.31 to 1.02; injuries/athlete: p=0.087, 95% CI: 0.33 to 1.08). Mild injuries comprised the greatest proportion of injuries in both Olympic Games. Severe injuries accounted for 0%, 16.7% and 36.4% of injuries in Greco-Roman, Freestyle and Women's wrestling, respectively. CONCLUSION: Most wrestling injuries in the 2016 Rio and 2020 Tokyo Olympic Games were mild skin injuries in the head and face regions due to direct body contact during standing positions in the 1/8-final round of wrestling competitions. No critical injury was observed during the recent Olympic Games. Attention should be drawn to preventing upper limb joint dislocations as common severe injuries in both Olympic Games. While not statistically significant, the Tokyo Games, after the COVID-19 pandemic, witnessed a higher injury occurrence than the Rio Games.


Assuntos
Traumatismos em Atletas , COVID-19 , Luta Romana , Humanos , COVID-19/epidemiologia , Feminino , Masculino , Luta Romana/lesões , Traumatismos em Atletas/epidemiologia , Tóquio/epidemiologia , SARS-CoV-2 , Brasil/epidemiologia , Pandemias
15.
Braz J Phys Ther ; 28(3): 101083, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38838418

RESUMO

BACKGROUND: The development and application of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare have gained attention as a promising and powerful resource to change the landscape of healthcare. The potential of these technologies for injury prediction, performance analysis, personalized training, and treatment comes with challenges related to the complexity of sports dynamics and the multidimensional aspects of athletic performance. OBJECTIVES: We aimed to present the current state of AI and ML applications in sports science, specifically in the areas of injury prediction, performance enhancement, and rehabilitation. We also examine the challenges of incorporating AI and ML into sports and suggest directions for future research. METHOD: We conducted a comprehensive literature review, focusing on publications related to AI and ML applications in sports. This review encompassed studies on injury prediction, performance analysis, and personalized training, emphasizing the AI and ML models applied in sports. RESULTS: The findings highlight significant advancements in injury prediction accuracy, performance analysis precision, and the customization of training programs through AI and ML. However, future studies need to address challenges such as ethical considerations, data quality, interpretability of ML models, and the integration of complex data. CONCLUSION: AI and ML may be useful for the prevention, detection, diagnosis, and treatment of health conditions. In this Masterclass paper, we introduce AI and ML concepts, outline recent breakthroughs in AI technologies and their applications, identify the challenges for further progress of AI systems, and discuss ethical issues, clinical and research opportunities, and future perspectives.


Assuntos
Inteligência Artificial , Aprendizado de Máquina , Esportes , Humanos , Traumatismos em Atletas , Desempenho Atlético
16.
Cienc. act. fís. (Talca, En línea) ; 25(1)jun. 2024. tab, ilus, graf
Artigo em Espanhol | LILACS | ID: biblio-1564266

RESUMO

El objetivo de este estudio es determinar la densidad de incidencia de lesiones y sus características, según la propuesta STROBE-SIIS, en las basquetbolistas sub-18 participantes de la Liga de Básquetbol Femenino del Sur (FEMISUR) en su temporada 2023. Se utilizó un tipo de estudio con enfoque positivista observacional descriptivo de tipo longitudinal prospectivo, con una muestra no probabilística, de selección intencional. Se enviaron por correo electrónico formularios diseñados según STROBE-SIIS a 59 jugadoras de 12 clubes durante 22 semanas. Se calculó la densidad de incidencia, dividiendo número de lesiones por número de horas de exposición, normalizando por 1000 horas. Para la descripción de las características de las lesiones se determinó frecuencia absoluta y relativa según inicio, mecanismo, tejido, zona anatómica y severidad. Ocurrieron 108 lesiones, con una incidencia de 36,21 lesiones/1000 horas de exposición. La mayor frecuencia fue de inicio agudo repentino (n=77; 71,3%), mecanismo de no contacto (n=46; 42,6%), en músculo/tendón (n=61; 45,5%), ligamento/capsular articular (n=19; 14,2%) y huesos (n=14; 10,4%); y tobillo (n=55; 27,1%), pierna (n=40; 19,7%) y rodilla (n=34; 16,7%). Las lesiones leves fueron más frecuentes (n=68;63%). Se encontró una alta incidencia de lesiones en las basquetbolistas sub-18 participantes de la Liga FEMISUR, siendo las lesiones más frecuentes las de inicio agudo repentino, mecanismo de no contacto, en músculo/tendón, tobillo y severidad leve. Esta información beneficiará a los equipos multidisciplinarios que trabajan con basquetbolistas sub-18, con el fin de implementar un plan de prevención o realizar análisis comparativos.


The objective of this study is to determine the incidence density of injuries and their characteristics, according to the STROBE-SIIS proposal, in the under-18 basketball players participating in the Southern Women's Basketball League (FEMISUR) in its 2023 season. A type of study with a positivist, observational, descriptive, longitudinal, prospective approach was used, with a non-probabilistic, intentional selection sample. Forms designed according to STROBE-SIIS were emailed to 59 players from 12 clubs over 22 weeks. The incidence density was calculated by dividing the number of lesions by the number of hours of exposure, normalizing by 1000 hours. To describe the characteristics of the injuries, absolute and relative frequency was determined according to onset, mechanism, tissue, anatomical area and severity. 108 injuries occurred, with an incidence of 36.21 injuries/1000 hours of exposure. The highest frequency was sudden acute onset (n=77; 71.3%), non-contact mechanism (n=46; 42.6%), muscle/tendon (n=61; 45.5%), ligament articular/capsular (n=19; 14.2%) and bones (n=14; 10.4%); and ankle (n=55; 27.1%), leg (n=40; 19.7%) and knee (n=34; 16.7%). Minor injuries were more frequent (n=68; 63%). A high incidence of injuries was found in the under-18 basketball players participating in the FEMISUR League. The most frequent injuries being those of sudden acute onset, non-contact mechanism, in muscle/tendon, ankle and mild severity. This information will benefit multidisciplinary teams that work with under-18 basketball players, in order to implement a prevention plan or perform comparative analyses.


O objetivo deste estudo é determinar a densidade de incidência de lesões e suas características, segundo a proposta do STROBE-SIIS, nas jogadoras de basquete sub-18 participantes da Liga Sul de Basquete Feminino (FEMISUR) na temporada 2023. Utilizou-se estudo do tipo positivista, observacional, descritivo, longitudinal, prospectivo, com amostra não probabilística e de seleção intencional. Formulários elaborados de acordo com o STROBE-SIIS foram enviados por e-mail para 59 jogadores de 12 clubes durante 22 semanas. A densidade de incidência foi calculada dividindo o número de lesões pelo número de horas de exposição, normalizando por 1000 horas. Para descrever as características das lesões, foram determinadas frequências absoluta e relativa de acordo com início, mecanismo, tecido, área anatômica e gravidade. Ocorreram 108 lesões, com incidência de 36,21 lesões/1000 horas de exposição. A maior frequência foi início agudo súbito (n=77; 71,3%), mecanismo sem contato (n=46; 42,6%), músculo/tendão (n=61; 45,5%), ligamento articular/capsular (n=19; 14,2%) e ossos (n=14; 10,4%); e tornozelo (n=55; 27,1%), perna (n=40; 19,7%) e joelho (n=34; 16,7%). Lesões leves foram mais frequentes (n=68;63%). Foi encontrada alta incidência de lesões nos basquetebolistas sub-18 participantes da Liga FEMISUR. As lesões mais frequentes são as de início agudo súbito, mecanismo sem contato, em músculo/tendão, tornozelo e gravidade leve. Esta informação beneficiará equipas multidisciplinares que trabalham com jogadores de basquetebol sub-18, para implementar um plano de prevenção ou realizar análises comparativas.


Assuntos
Humanos , Feminino , Adolescente , Traumatismos em Atletas/epidemiologia , Basquetebol/lesões , Incidência , Estudos Longitudinais
17.
Rev. Bras. Ortop. (Online) ; 59(3): 364-371, May-June 2024. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1569757

RESUMO

Abstract Objective To investigate the epidemiology of injury types among jiu-jitsu practitioners, as well as the incidence regarding different skill and experience levels, through the question: "What are the characteristics and prevalence of musculoskeletal injuries in Jiu-Jitsu practitioners?". Methods Since the beginning of the study, in August 2020, we conducted a search on the MEDLINE, LILACS, and SciELO electronic databases. We included cross-sectional studies published between 2018 and 2023 on the epidemiology of the types of injuries among jiu-jitsu practitioners that compared their incidence regarding different levels of ability and experience. Two independent researchers performed the data extraction and assessed the risk of bias. Results Seven studies were included. The common outcomes involved 2,847 jiu-jitsu practitioners. A high prevalence in the knee joint and chest and rib areas was reported. Considering the difference in experience level among the practitioners, we could observe that most of the individuals included were beginners. Among the age groups observed, male practitioners older than 30 years of age were the ones who presented the highest rate of musculoskeletal injury, especially during training sessions. Conclusion There is a high prevalence of musculoskeletal injuries among jiu-jitsu practitioners. The most affected anatomical segments are the knee joint, the chest, and the rib region, followed by the shoulder joint. The related factors change according to certain variables, being more common during training in male individuals over 30 years of age and beginners in the sport.


Resumo Objetivo Investigar a epidemiologia dos tipos de lesões entre praticantes de jiu-jitsu e sua incidência em diferentes níveis de habilidade e experiência por meio da questão: "Quais as características e a prevalência das lesões musculoesqueléticas em praticantes de jiu-jitsu?" Métodos Desde o início do estudo, em agosto de 2020, foram pesquisados os bancos de dados MEDLINE, LILACS e SciELO. Foram incluídos estudos transversais, publicados entre 2018 e 2023, que investigaram a epidemiologia dos tipos de lesões ocorridas entre praticantes de jiu-jitsu e compararam sua incidência em diferentes níveis de habilidade e experiência. Para tanto, dois pesquisadores independentes realizaram a extração dos dados e avaliaram o risco de viés. Resultados Sete estudos foram incluídos. Os resultados comuns envolveram 2.847 praticantes de jiu-jitsu. Houve uma alta prevalência de lesão na articulação do joelho e nas áreas do tórax e das costelas. Considerando a diferença de nível de experiência entre os praticantes, pôde-se observar que a maioria dos indivíduos incluídos eram iniciantes. Entre as faixas etárias observadas, homens acima de 30 anos de idade foram os que mais apresentaram lesões musculoesqueléticas, principalmente durante os treinos. Conclusão Houve uma alta prevalência de lesões musculoesqueléticas entre os praticantes de jiu-jitsu. Os segmentos anatômicos mais acometidos foram a articulação do joelho, o tórax e a região das costelas, seguidos da articulação do ombro. Os fatores relacionados mudaram de acordo com algumas variáveis, sendo mais comuns durante o treinamento em indivíduos do sexo masculino com mais de 30 anos e iniciantes na modalidade.


Assuntos
Humanos , Masculino , Adulto , Traumatismos em Atletas , Esportes , Medicina Esportiva , Transtornos Traumáticos Cumulativos , Estudos Transversais , Artes Marciais
18.
Phys Ther Sport ; 67: 131-140, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38703448

RESUMO

OBJECTIVES: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). DESIGN: Cross-sectional design. Online survey. SETTING: Survey platform. PARTICIPANTS: Argentinian physical therapists (PTs). OUTCOME MEASURES: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. RESULTS: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative rehabilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recommended nine months or more to allow patients to RTS. CONCLUSIONS: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.


Assuntos
Lesões do Ligamento Cruzado Anterior , Reconstrução do Ligamento Cruzado Anterior , Fisioterapeutas , Volta ao Esporte , Humanos , Reconstrução do Ligamento Cruzado Anterior/reabilitação , Argentina , Estudos Transversais , Lesões do Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/reabilitação , Inquéritos e Questionários , Feminino , Masculino , Adulto , Amplitude de Movimento Articular , Medidas de Resultados Relatados pelo Paciente , Traumatismos em Atletas/reabilitação , Traumatismos em Atletas/cirurgia
20.
J Bodyw Mov Ther ; 38: 205-210, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38763564

RESUMO

BACKGROUND: CrossFit is a high intensity functional training that tends to challenge physical limits. The objectives of this study were to assess functional capacity, prevalence and risk of injury in CrossFit practitioners. METHODS: This cross-sectional, observational and prospective study evaluate the rate of injuries that occurred in CrossFit practitioners in the last 12 months and their functional capacities. The sample was given for convenience, with a total of 22 participants. Functional capacities and risk of injury were measured by functional tests using PHAST and Clinometer applications. The prevalence of injuries was cataloged using the Nordic Musculoskeletal Questionnaire. RESULTS: 5% of the injuries occurred in the neck; 9% in shoulder, hip, thighs, ankles and feet; 14% in the lumbar spine and knees. The worst functional results were for the shoulder medial rotation ROM test, where 86-95% of the athletes were classified as "Bad"; the dorsiflexion ROM test also performed poorly in 68% of athletes. CONCLUSION: This study shows that the CrossFit practice suggests that the injury prevalence is relatively low, affecting mainly knees, lumbar spine, wrists and hands. However, the risk of injuries shown by the functional musculoskeletal assessment is higher, especially in the shoulder and ankle, and it is important for the practitioner to realize a specific functional assessment before starting training.


Assuntos
Amplitude de Movimento Articular , Smartphone , Humanos , Estudos Transversais , Masculino , Adulto , Estudos Prospectivos , Feminino , Amplitude de Movimento Articular/fisiologia , Aplicativos Móveis , Traumatismos em Atletas/epidemiologia , Pessoa de Meia-Idade , Prevalência , Adulto Jovem
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