Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 52
Filtrar
Más filtros

Tipo del documento
Intervalo de año de publicación
1.
J Aging Phys Act ; 31(5): 786-797, 2023 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-36944364

RESUMEN

While masters sport aligns with the holistic concept of active aging, related research has focused predominantly on the physical domain, and less is known about the psychological, cognitive, and social benefits of older adults' participation. This study examined, in combination, the perceived psychological, social, cognitive, and physical benefits of training and competing as a masters athlete, while considering age and gender differences. Forty masters athletes residing in Canada were interviewed (21 men and 19 women; 15 who were 50-64 years and 25 who were 65-79 years), representing 15 different sports. Interviews were coded both deductively and inductively, revealing several subthemes of benefits for the broader perceived psychological, social, cognitive, and physical benefits, with few but notable differences between women and men, and those younger than 65 years and those 65+ years. Our findings provide new insights into the positive experiences of active aging associated with high levels of physical activity among older adults, such as greater self-confidence, especially for women, comradery, and feeling mentally sharper, especially for the older age group.


Asunto(s)
Deportes , Masculino , Humanos , Femenino , Anciano , Deportes/psicología , Envejecimiento , Atletas/psicología , Ejercicio Físico , Factores Sexuales
2.
Eur Phys J E Soft Matter ; 43(5): 32, 2020 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-32474684

RESUMEN

Patterns can form when the uniform state of any system is unstable so that some non-uniform motif grows in amplitude. Here, we identify an alternative way to form non-trivial structures, which we call "ghost-patterns". Ghost-patterns emerge from noisy initial conditions when all non-uniform modes decay in amplitude except for one non-trivial motif which fails to decay. Hence, in seeking structured states, it is not necessary to find positive growth rates. We demonstrate ghost-patterns in an idealized non-equilibrium model intended to emulate draining thin-film suspensions.

3.
J Sport Exerc Psychol ; 40(2): 92-100, 2018 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-29914279

RESUMEN

Discrepancies between automatically activated associations (i.e., implicit evaluations) and explicit evaluations of motives (measured with a questionnaire) could lead to greater information processing to resolve discrepancies or self-regulatory failures that may affect behavior. This research examined the relationship of health and appearance exercise-related explicit-implicit evaluative discrepancies, the interaction between implicit and explicit evaluations, and the combined value of explicit and implicit evaluations (i.e., the summed scores) to dropout from a yearlong exercise program. Participants (N = 253) completed implicit health and appearance measures and explicit health and appearance motives at baseline, prior to starting the exercise program. The sum of implicit and explicit appearance measures was positively related to weeks in the program, and discrepancy between the implicit and explicit health measures was negatively related to length of time in the program. Implicit exercise evaluations and their relationships to oft-cited motives such as appearance and health may inform exercise dropout.


Asunto(s)
Ejercicio Físico/psicología , Motivación , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas de Asociación de Palabras
4.
J Sport Exerc Psychol ; 38(6): 579-589, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27834547

RESUMEN

Investigating implicit-explicit concordance can aid in understanding underlying mechanisms and possible intervention effects. This research examined the concordance between implicit associations of exercise with health or appearance and related explicit motives. Variables considered as possible moderators were behavioral regulations, explicit attitudes, and social desirability. Participants (N = 454) completed measures of implicit associations of exercise with health and appearance and questionnaire measures of health and appearance motives, attitudes, social desirability, and behavioral regulations. Attitudes significantly moderated the relationship between implicit associations of exercise with health and health motives. Identified regulations significantly moderated implicit-explicit concordance with respect to associations with appearance. These results suggest that implicit and explicit exercise-related cognitions are not necessarily independent and their relationship to each other may be moderated by attitudes or some forms of behavioral regulation. Future research that takes a dual-processing approach to exercise behavior should consider potential theoretical moderators of concordance.


Asunto(s)
Asociación , Ejercicio Físico/psicología , Conocimientos, Actitudes y Práctica en Salud , Motivación , Autocontrol/psicología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad
5.
Phys Rev Lett ; 114(13): 138301, 2015 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-25884140

RESUMEN

We find that the classical one-dimensional XY model, with angular-momentum-conserving Langevin dynamics, mimics the non-Newtonian flow regimes characteristic of soft matter when subjected to counterrotating boundaries. An elaborate steady-state phase diagram has continuous and first-order transitions between states of uniform flow, shear-banding, solid-fluid coexistence and slip planes. Results of numerical studies and a concise mean-field constitutive relation offer a paradigm for diverse nonequilibrium complex fluids.

6.
J Sports Sci ; 32(9): 860-9, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24410533

RESUMEN

The purpose of the current study was to develop an instrument, the Children's Active Play Imagery Questionnaire (CAPIQ), to assess imagery use during children's (7-14 years) active play. Phase 1 involved an assessment of content validity using experts (N = 7), while Phase 2 assessed the factorial validity of the CAPIQ using a sample of children (N = 302). Phase 3 contributed to the factorial validity of the CAPIQ by utilising confirmatory factor analysis among an independent sample of children (N = 252). The final version of the CAPIQ consists of 11 items across three factors: fun, social and capability. Further use of the CAPIQ will aid in identifying types of imagery used among children (7-14 years) in their active play, which may contribute to physical activity interventions.


Asunto(s)
Imaginación , Juego e Implementos de Juego , Encuestas y Cuestionarios , Adolescente , Niño , Femenino , Humanos , Masculino , Reproducibilidad de los Resultados
7.
J Sport Exerc Psychol ; 36(3): 257, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24918308

RESUMEN

The focus of this multiphase research was to generate and test the psychometric parameters of the Coach Identity Prominence Scale (CIPS). First, a pilot study was conducted with context (n = 10) and construct (n = 6) specialists, who evaluated the technical quality and content validity of 20 items developed from semistructured interviews. Thirteen items were selected for Study 1, which tested the factorial validity and reliability scores of coaches' (n = 343) responses to the CIPS items. An eight-item structure, consisting of two factors (centrality and evaluative emotions) was selected as the final CIPS measure, which was examined with a final sample of coaches (n = 454) in Study 2 to evaluate the factorial validity, group invariance, concurrent validity, and nomological validity of respondents' scores to the CIPS. Initial evidence for the various types of validity and reliability tested across the studies was provided.


Asunto(s)
Deportes/psicología , Encuestas y Cuestionarios , Adolescente , Adulto , Anciano , Femenino , Humanos , Crisis de Identidad , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Deportes/normas , Adulto Joven
8.
J Comput Assist Tomogr ; 37(1): 29-36, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23321830

RESUMEN

OBJECTIVE: The objective of this study was to assess the feasibility of performing diagnostic-quality contrast-enhanced excretory magnetic resonance urography (eMRU) at 3T, examining both image quality and diagnostic accuracy for a range of urinary tract abnormalities. METHODS: The diuretic-enhanced 3T eMRUs of 37 patients were reviewed to assess for the diagnostic conspicuity of urinary tract abnormalities, extent of urinary tract visualization on excretory images, and presence and severity of image artifacts. RESULTS: Excretory images allowed greater than 75% visualization in 90.8% of renal collecting systems, 90.8% of ureters, and 82.3% of bladders. Common artifacts included susceptibility (21.3%), contrast mixing (21.3%), patient motion (20.4%), signal inhomogeneity (19.4%), and peristaltic motion (17.6%). Severe artifacts occurred in 21.6% of studies. Five of 8 urothelial neoplasms were detected, with 1 false-positive lesion in the bladder. Urolithiasis was correctly diagnosed in 7 of 9 patients. CONCLUSIONS: Although image artifacts can hamper eMRU at 3T, initial results are promising for evaluation of the urothelium.


Asunto(s)
Medios de Contraste , Imagen por Resonancia Magnética/métodos , Nanopartículas de Magnetita , Meglumina/análogos & derivados , Compuestos Organometálicos , Siloxanos , Enfermedades Urológicas/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Artefactos , Estudios de Factibilidad , Femenino , Humanos , Interpretación de Imagen Asistida por Computador , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
9.
Res Q Exerc Sport ; 94(3): 707-714, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-35452370

RESUMEN

Purpose: It has been determined that exercise identity is a key component of the self-concept and is a strong determinant of exercise behaviors. The purpose of the present study was to examine exercise identity's relationship with three key self-presentational variables: self-presentational efficacy, social physique anxiety, and impression motivation. Methods: We looked at how exercise identity contributed uniquely to predicting exercise behavior over and above these self-presentational concerns for both males 10 (n = 140) and females (n = 234) recruited from two university communities. Participant's age ranged from 18-68 years, the majority identified as students, and as Caucasian. Results: The analyses demonstrated that exercise identity was positively correlated with self-presentational efficacy and unrelated to social physique anxiety in both genders. Further analyses revealed that exercise identity contributes a significant amount of variance toward exercise behavior over and above what is accounted for by self-presentational efficacy, social physique anxiety, and impression motivation. Lastly, exercise identity did not moderate the social physique anxiety-exercise relationship in either gender. Conclusion: These findings advance our knowledge of exercise identity and its relationship with various important constructs has been determined that exercise identity is a key component of the self-concept and is a strong determinant of exercise behaviors.


Asunto(s)
Imagen Corporal , Autoimagen , Humanos , Femenino , Masculino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Ejercicio Físico , Autoeficacia , Motivación , Ansiedad
10.
Artículo en Inglés | MEDLINE | ID: mdl-22474504

RESUMEN

Mental imagery can improve motor performance in stroke populations when combined with physical therapy. Valid and reliable instruments to evaluate the imagery ability of stroke survivors are needed to maximize the benefits of mental imagery therapy. The purposes of this study were to: examine and compare the test-retest intra-rate reliability of the Movement Imagery Questionnaire-Revised, Second Edition (MIQ-RS) in stroke survivors and able-bodied controls, examine internal consistency of the visual and kinesthetic items of the MIQ-RS, determine if the MIQ-RS includes both the visual and kinesthetic dimensions of mental imagery, correlate impairment and motor imagery scores, and investigate the criterion validity of the MIQ-RS in stroke survivors by comparing the results to the KVIQ-10. Test-retest analysis indicated good levels of reliability (ICC range: .83-.99) and internal consistency (Cronbach α: .95-.98) of the visual and kinesthetic subscales in both groups. The two-factor structure of the MIQ-RS was supported by factor analysis, with the visual and kinesthetic components accounting for 88.6% and 83.4% of the total variance in the able-bodied and stroke groups, respectively. The MIQ-RS is a valid and reliable instrument in the stroke population examined and able-bodied populations and therefore useful as an outcome measure for motor imagery ability.

11.
J Sport Exerc Psychol ; 34(5): 621-46, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23027231

RESUMEN

This research validated and extended the Movement Imagery Questionnaire- Revised (MIQ-R; Hall & Martin, 1997). Study 1 (N = 400) examined the MIQ-R's factor structure via multitrait-multimethod confirmatory factor analysis. The questionnaire was then modified in Study 2 (N = 370) to separately assess the ease of imaging external visual imagery and internal visual imagery, as well as kinesthetic imagery (termed the Movement Imagery Questionnaire-3; MIQ-3). Both Studies 1 and 2 found that a correlated-traits correlated-uniqueness model provided the best fit to the data, while displaying gender invariance and no significant differences in latent mean scores across gender. Study 3 (N = 97) demonstrated the MIQ-3's predictive validity revealing the relationships between imagery ability and observational learning use. Findings highlight the method effects that occur by assessing each type of imagery ability using the same four movements and demonstrate that better imagers report greater use of observational learning.


Asunto(s)
Imaginación/fisiología , Movimiento/fisiología , Encuestas y Cuestionarios/normas , Adolescente , Análisis Factorial , Femenino , Humanos , Cinestesia , Masculino , Psicometría , Adulto Joven
12.
Res Q Exerc Sport ; 93(3): 457-466, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-34236282

RESUMEN

Purpose: Drawing from self-determination theory (SDT), the present study examined the relationship between motivation and eudaimonic well-being in the sport context. Method: The association between motivation and eudaimonic well-being was assessed using a latent variable model through Structural Equation Modeling (SEM). Three hundred ninety-nine athletes (Mage = 25.08, SD = 7.35) from 15 different individual and team sports completed a questionnaire package. Results: Results indicated that integrated and identified regulations positively predicted athletes' eudaimonic well-being. External regulation was also a positive predictor of eudaimonic well-being, while introjected regulation and amotivation negatively predicted athletes' eudaimonic well-being. Finally, athletes' intrinsic motivation did not significantly predict their eudaimonic well-being. Conclusions: Results highlight the complex link between different types of sport motivation and athletes' well-being.


Asunto(s)
Motivación , Deportes , Adulto , Atletas , Humanos , Autonomía Personal , Encuestas y Cuestionarios
13.
Musculoskelet Sci Pract ; 59: 102537, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35219223

RESUMEN

Aligned with the approach that established the factor structure of the Movement Imagery Questionnaire-3 (MIQ-3), this study extended the two-factor structure of the Movement Imagery Questionnaire - Revised Second version (MIQ-RS). The extension involves assessment of both internal and external visual imagery abilities along with kinesthetic imagery ability. Participants (N = 396) completed the new Movement Imagery Questionnaire - 3 Second Version (MIQ-3S) along with the Vividness of Movement Imagery Questionnaire-2 (VMIQ-2) which measure the same three imagery abilities. Alpha coefficients and between scale Spearman correlations for internal, external, and kinesthetic abilities indicated items were internally consistent (α > 0.87) and established convergent validity (r > 0.69), respectively. MIQ-3S scale means ranged from 5.56 (SD = 1.10) to 5.98 (SD = 0.84), with no differences by sex. The three scales were not multicolinear as intra-scale correlations ranged from 0.47 to 0.61, supporting the three abilities were related, but separate constructs. A multi-trait multimethod confirmatory factor analysis (MTMM CFA), with sex invariance, was conducted to confirm the 3-factor structure of the MIQ-3S. Results from 396 healthy male (n = 200) and female (n = 196) adult college-aged students (M = 21.91, SD = 2.37) indicated a correlated-traits correlated-uniqueness model provided the best fit to the data (CFI = 0.99; SRMR = 0.05; RMSEA = 0.03), while displaying sex invariance. These findings provide baseline data on college-aged, healthy adult participants providing reference data to those investigating imagery abilities among injured populations and practitioners interested in tracking individuals in rehabilitation.


Asunto(s)
Imágenes en Psicoterapia , Cinestesia , Análisis Factorial , Femenino , Humanos , Masculino , Movimiento , Encuestas y Cuestionarios , Adulto Joven
14.
Res Q Exerc Sport ; 92(3): 279-288, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32142397

RESUMEN

Purpose: Different athletes may experience different emotions, based on one's appraisal of the situation or environment. To date, this line of research has received limited research attention in sport dyads. The purpose of this study was to understand the role of a partner's play on the different types of emotion of athletes, as well as perceived impact on overall emotions, performance, and motivation in doubles racquet sports (i.e., tennis, badminton, and squash). Method: Using a post-test only, randomized experimental design, participants read one of three possible written vignettes that depicted different scenarios of their partner's play (i.e., poor, good, or usual performance). Participants (N = 103) were then asked to fill out a questionnaire packet based on the scenario read. Results: A Multivariate Analysis of Variance, as well as follow-up Analyses of Variance revealed significant differences between groups in subjective emotions based on whether their partner was playing poorly, their partner having a good performance or whether their partner was perceived as playing their usual game (control group).  The results showed that athletes scored higher in anger and anxiety when their partner is playing poorly, and when their partner is having a good performance, athletes had higher scores in happiness and excitement. Conclusion: Overall, these findings imply that athletes' emotions may change based on how their partner is playing and provide a foundation to look at emotional reactions (action tendencies) and coping in sport teams.


Asunto(s)
Atletas/psicología , Rendimiento Atlético/psicología , Emociones , Deportes de Raqueta/psicología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Motivación , Encuestas y Cuestionarios , Adulto Joven
15.
J Phys Act Health ; 18(1): 29-36, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33338987

RESUMEN

BACKGROUND: Recent physical activity research is limited by intention-behavior discordance and is beginning to recognize the importance of automatic processes in exercise. The purpose of the current study was to examine the role of multidimensional exercise self-efficacy (SE), explicit-implicit evaluative discrepancies (EIEDs) for health, and appearance on the intention-behavior gap in exercise. METHODS: A total of 141 middle-aged inactive participants (mean age = 46.12 [8.17] y) completed measures of intentions, SE, and explicit and implicit evaluations of exercise outcomes. The participants were classified as inclined actors (n = 107) if they successfully started the exercise program and inclined abstainers (n = 35) if they were not successful. RESULTS: The inclined actors and abstainers did not differ on intentions to exercise; however, the inclined actors had higher coping SE and lower EIEDs for health. In addition, the coping SE (Exp [ß] = 1.03) and EIEDs for health (Exp [ß] = -0.405) were significant predictors of being an inclined actor. CONCLUSIONS: The interaction between explicit and implicit processes in regard to health motives for exercise appears to influence the successful enactment of exercise from positive intentions. As most physical activity promotion strategies focus on health as a reason to be active, the role of implicit and explicit evaluations on behavioral decisions to exercise may inform future interventions.


Asunto(s)
Ejercicio Físico , Conductas Relacionadas con la Salud , Intención , Autoeficacia , Adulto , Actitud Frente a la Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad , Motivación , Conducta Sedentaria
16.
Front Sports Act Living ; 3: 653590, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34113845

RESUMEN

Masters athletes are a unique group of older adults whose experiences may provide valuable insights into the role of sport for successful aging. The purpose of this study was to explore whether masters athletes' social and psychological experiences vary with their time, frequency, and perceived exertion in training and competition. Semi-structured interviews were conducted with 40 men and women older masters athletes, aged 50-79 years (M = 66), who were active at the competitive level across a variety of sports (e.g., volleyball, curling, rowing, dragon boating, running, swimming, and basketball) at the time of the study. Results indicate that all participants experienced social and psychological benefits from engaging in masters sport. Only the high-frequency engagement subgroup (participating five to seven times per week in training and/or competition) reported social downsides, in terms of missing time with family and friends outside of masters sport. However, some participants described the positive family support (e.g., spouse who endorses sport participation) that overrides some of the social costs. These findings have implications for realizing positive experiences with minimal engagement in masters sport, yet an apparent threshold of participation beyond which negative social consequences may be experienced. This is an important consideration for the design and promotion of sport for older adults.

17.
Int J Behav Nutr Phys Act ; 7: 7, 2010 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-20181017

RESUMEN

BACKGROUND: It is important to engage in regular physical activity in order to maintain a healthy lifestyle however a large portion of the population is insufficiently active. Understanding how different types of motivation contribute to exercise behavior is an important first step in identifying ways to increase exercise among individuals. The current study employs self-determination theory as a framework from which to examine how motivation contributes to various characteristics of exercise behavior. METHODS: Regular exercisers (N = 1079; n = 468 males; n = 612 females) completed inventories which assessed the frequency, intensity, and duration with which they exercise, as well as the Behavioral Regulation in Exercise Questionnaire including four additional items assessing integrated regulation. RESULTS: Bivariate correlations revealed that all three behavioral indices (frequency, intensity, and duration of exercise) were more highly correlated with more autonomous than controlling regulations. Regression analyses revealed that integrated and identified regulations predicted exercise frequency for males and females. Integrated regulation was found to be the only predictor of exercise duration across both genders. Finally, introjected regulation predicted exercise intensity for females only. CONCLUSIONS: These findings suggest that exercise regulations that vary in their degree of internalization can differentially predict characteristics of exercise behavior. Furthermore, in the motivational profile of a regular exerciser, integrated regulation appears to be an important determinant of exercise behavior. These results highlight the importance of assessing integrated regulation in exercise settings where the goal of understanding motivated behavior has important health implications.

18.
Evid Based Complement Alternat Med ; 7(2): 249-57, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18955294

RESUMEN

Within rehabilitation settings, mental imagery helps to promote long-term recovery and facilitates compliance to rehabilitation exercises. Individuals who are able to effectively engage in imagery practice are likely to gain the most benefit from imagery training. Thus, a suitable imagery ability measurement tool for individuals with movement limitations is needed. The purpose of the present study was to evaluate the Movement Imagery Questionnaire-Revised second version (MIQ-RS), and compare the results of this new version with Hall and Martin's (1997) MIQ-R. Three-hundred and twenty participants from a variety of sports and performance levels agreed to take part. Results showed the internal consistency and test-retest reliability of the MIQ-RS were satisfactory, the two-factor structure of the MIQ-RS was supported by confirmatory factor analysis, and Pearson correlations indicated a strong relationship between the MIQ-R and MIQ-RS. It appears the MIQ-RS is a suitable option for examining movement imagery ability primarily aimed at the upper extremity.

19.
Ethn Health ; 15(3): 303-16, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20461598

RESUMEN

INTRODUCTION: Although opportunities exist for positive experiences in research, Maori in New Zealand, like other indigenous people colonised by Europeans in the nineteenth century, have also been subject to research and associated policies that have had long-lasting negative consequences. Researchers have subsequently been challenged by Maori to conduct research that is acceptable, accountable and relevant. Much of this debate has taken place within the framework of the Treaty of Waitangi, a treaty of cession signed between Maori and British Crown representatives in 1840. Nowadays, health and health research statutes exist that require researchers to respond to the 'principles' of the Treaty. Few practical examples of how health researchers have undertaken this have been published. AIMS: We examine how, in developing a national study of injury outcomes, we responded to the Treaty. Our study, the Prospective Outcomes of Injury Study, aims to quantitatively identify predictors of disability following injury and to qualitatively explore experiences and perceptions of injury outcomes. DISCUSSION: Responses to the Treaty included: consultation with Maori groups, translation of the questionnaire into te reo Maori, appointment of interviewers fluent in te reo Maori, sufficient numbers of Maori participants to allow Maori-specific analyses and the inclusion of a Maori-specific qualitative component. While this article is located within the New Zealand context, we believe it will resonate with, and be of relevance to, health researchers in other former settler societies. We do not contend this project represents an 'ideal' model for undertaking population-based research. Instead, we hope that by describing our efforts at responding to the Treaty, we can prompt wider debate of the complex realities of the research environment, one which is scientifically, ethically and culturally located.


Asunto(s)
Servicios de Salud del Indígena/historia , Servicios de Salud del Indígena/legislación & jurisprudencia , Disparidades en Atención de Salud , Cooperación Internacional , Nativos de Hawái y Otras Islas del Pacífico , Servicios de Salud del Indígena/ética , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Nueva Zelanda , Evaluación de Resultado en la Atención de Salud , Investigación , Heridas y Lesiones
20.
Neurosurg Focus ; 29(5): E4, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21039138

RESUMEN

OBJECT: The objective of this study was to measure the incidence of concussion (scaled relative to number of athlete exposures) and recurrent concussion within 2 teams of fourth-tier junior ice hockey players (16-21 years old) during 1 regular season. METHODS: A prospective cohort study called the Hockey Concussion Education Project was conducted during 1 junior ice hockey regular season (2009-2010) involving 67 male fourth-tier ice hockey players (mean age 18.2 ± 1.2 years, range 16-21 years) from 2 teams. Prior to the start of the season, every player underwent baseline assessments using the Sideline Concussion Assessment Tool 2 (SCAT2) and the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT). The study protocol also required players who entered the study during the season to complete baseline SCAT2 and ImPACT testing. If the protocol was not followed, the postinjury test results of a player without true baseline test results would be compared against previously established age and gender group normative levels. Each regular season game was observed by a qualified physician and at least 1 other neutral nonphysician observer. Players who suffered a suspected concussion were evaluated at the game. If a concussion diagnosis was made, the player was subsequently examined in the physician's office for a full clinical evaluation and the SCAT2 and ImPACT were repeated. Based on these evaluations, players were counseled on the decision of when to return to play. Athlete exposure was defined as 1 game played by 1 athlete. RESULTS: Twenty-one concussions occurred during the 52 physician-observed games (incidence 21.5 concussions per 1000 athlete exposures). Five players experienced repeat concussions. No concussions were reported during practice sessions. A concussion was diagnosed by the physician in 19 (36.5%) of the 52 observed games. One of the 5 individuals who suffered a repeat concussion sustained his initial concussion in a regular season game that was not observed by a physician, and as a result this single case was not included in the total of 21 total concussions. This initial concussion of the player was identified during baseline testing 2 days after the injury and was subsequently medically diagnosed and treated. CONCLUSIONS: The incidence of game-related concussions (per 100 [corrected] athlete exposures) in these fourth-tier junior [corrected] ice hockey players was 7 [corrected] times higher than [corrected] previously reported in the literature. This difference may be the result of the use of standardized direct physician observation, diagnosis, and subsequent treatment. The results of this study demonstrate the need for follow-up studies involving larger and more diverse sample groups to reflect generalizability of the findings. These follow-up studies should involve other contact sports (for example football and rugby) and also include the full spectrum of gender, age, and skill levels.


Asunto(s)
Traumatismos en Atletas/diagnóstico , Traumatismos en Atletas/epidemiología , Rendimiento Atlético/fisiología , Conmoción Encefálica/diagnóstico , Conmoción Encefálica/epidemiología , Hockey/lesiones , Adolescente , Adulto , Canadá/epidemiología , Femenino , Humanos , Incidencia , Masculino , Pruebas Neuropsicológicas , Observación/métodos , Estudios Prospectivos , Recurrencia , Factores de Riesgo , Medicina Deportiva/métodos
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA