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1.
J Am Acad Orthop Surg ; 32(1): e1-e12, 2024 Jan 01.
Article in English | MEDLINE | ID: mdl-37531453

ABSTRACT

Martial arts are various systems of combat skills encompassing striking and grappling. Many styles have evolved into modern sports, and some have been included in the Olympics. The physicality of these can predispose practitioners to musculoskeletal injuries, such as anterior cruciate ligament ruptures; patellar, shoulder, or elbow instabilities; extremity fractures; and hand and spine injuries, which have been studied both clinically and biomechanically. The most common injury related to longer time loss from participation is an anterior cruciate ligament rupture. Higher injury incidence is associated with a higher level of experience and competition. Orthopaedic management of martial arts injuries should reflect the specific needs of each martial artist and the biomechanics of motions common to each style. Full-contact practitioners may benefit from broader surgical indications and special attention to the choice and positioning of implants; nonsurgical treatment may be appropriate for certain pediatric or noncontact practitioners. Approximately 60% of martial artists can return to the preinjury level of participation after a major injury. Injury prevention and rehabilitation programs should optimize neuromotor control and core engagement to ensure proper body mechanics. Gradual incorporation of martial arts movement into the postoperative physical therapy curriculum can benefit physical progress and help gain confidence toward full participation.


Subject(s)
Anterior Cruciate Ligament Injuries , Athletic Injuries , Martial Arts , Orthopedics , Humans , Child , Biomechanical Phenomena , Martial Arts/injuries , Upper Extremity/injuries , Physical Examination , Athletic Injuries/therapy , Athletic Injuries/prevention & control
2.
J Acupunct Meridian Stud ; 16(6): 239-247, 2023 Dec 31.
Article in English | MEDLINE | ID: mdl-38115589

ABSTRACT

Acupuncture is gaining popularity and wider acceptance as a treatment modality within the field of sports medicine. Our objective was to provide a comprehensive review of the existing literature pertaining to acupuncture in sports medicine to shed light on approaches utilized in acupuncture while revealing its personalized nature and its impact on athletes' preparation, performance, and recovery. We evaluated acupuncture research in the context of medicine and sports-related injury treatment, assessing its impact on athletic performance across demographics of athletes. Athletes participating in most sports have shown positive outcomes from acupuncture interventions. Acupuncture improves peak oxygen levels, maximum heart rate, delayed-onset muscle soreness, pain, swelling, explosive force production, and joint mobility. Furthermore, the efficacy of acupuncture appears to be similar regardless of age and sex. Lastly, the acceptance of acupuncture is influenced by cultural factors, with Western and traditional East Asian cultures exhibiting distinct perspectives on its rationale and mechanisms of action. Traditional East Asian acupuncturists typically employ qi and meridian theories in their acupuncture practices, with the recent incorporation of Western concepts. Acupuncture shows promise as an effective treatment for musculoskeletal pain and neuropathies in athletes across different age groups and for addressing injuries in various sports. Our comprehensive review will enhance our understanding of acupuncture's potential as a complementary or distinct therapeutic approach compared to conventional therapies. Additionally, our review explores its specific applications within different sports and delves into the cultural dimensions involved in integrating this practice into modern sports medicine.


Subject(s)
Acupuncture Therapy , Acupuncture , Athletic Injuries , Meridians , Sports Medicine , Humans , Sports Medicine/methods , Acupuncture Therapy/methods , Athletic Injuries/therapy
3.
J Bodyw Mov Ther ; 35: 332-336, 2023 07.
Article in English | MEDLINE | ID: mdl-37330790

ABSTRACT

INTRODUCTION: Groin injuries are common in sports, almost 68% adductor strain among them, which generally more prone in football, soccer, hockey, and other games. The available literature well describes the rehabilitation phase of adductor strain but an application of dry needling on adductor injuries are not yet established. CASE DESCRIPTION: Two national-level younger football players were clinically diagnosed with the adductor strain. They had severe pain on medial aspect of the thigh, aggravated with kicking and functional activity (VAS- 8/10, LEFS 58/80, 69/80). The therapist assessed the patients and designed their rehabilitation protocol as per their findings of the examination. OUTCOME: The lower extremity functional scale (LEFS), global rating scale, and VAS were used as outcome variables. The total intervention was given for 10-12 weeks, follow up had been taken for 4 months. DISCUSSION: The application of dry needling reduced the pain, improved and relieved the symptoms. The eccentric strengthening of the adductors and core stability improved the strength as well as functional activity of the lower limb. The case study is not generalized the effect of treatment. Thus, a randomized control trial is suggested for further study.


Subject(s)
Athletic Injuries , Dry Needling , Soccer , Sprains and Strains , Humans , Lower Extremity , Soccer/injuries , Pain , Groin/injuries , Muscle, Skeletal/injuries , Athletic Injuries/therapy , Muscle Strength
4.
NeuroRehabilitation ; 52(3): 315-328, 2023.
Article in English | MEDLINE | ID: mdl-37005895

ABSTRACT

BACKGROUND: Concussions are a significant health issue for children and youth. After a concussion diagnosis, follow-up visits with a health care provider are important for reassessment, continued management, and further education. OBJECTIVE: This review aimed to synthesize and analyse the current state of the literature on follow-up visits of children with a concussive injury and examine the factors associated with follow-up visits. METHODS: An integrative review was conducted based on Whittemore and Knafl's framework. Databases searched included PubMed, MEDLINE, CINAHL, PsycINFO, and Google Scholar. RESULTS: Twenty-four articles were reviewed. We identified follow-up visit rates, timing to a first follow-up visit, and factors associated with follow-up visits as common themes. Follow-up visit rates ranged widely, from 13.2 to 99.5%, but time to the first follow-up visit was only reported in eight studies. Three types of factors were associated with attending a follow-up visit: injury-related factors, individual factors, and health service factors. CONCLUSION: Concussed children and youth have varying rates of follow-up care after an initial concussion diagnosis, with little known about the timing of this visit. Diverse factors are associated with the first follow-up visit. Further research on follow-up visits after a concussion in this population is warranted.


Subject(s)
Athletic Injuries , Brain Concussion , Adolescent , Humans , Child , Follow-Up Studies , Brain Concussion/diagnosis , Brain Concussion/epidemiology , Brain Concussion/therapy , Athletic Injuries/diagnosis , Athletic Injuries/epidemiology , Athletic Injuries/therapy , Emergency Service, Hospital
5.
J Osteopath Med ; 123(1): 31-38, 2023 01 01.
Article in English | MEDLINE | ID: mdl-36172719

ABSTRACT

CONTEXT: Concussion is an acute, transient disruption in brain function due to head injury. Previous studies suggest osteopathic manipulative medicine (OMM) improved recovery from concussion. OBJECTIVES: The hypothesis was that new-onset impairments (NOI) of neurological functions identified by Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) will improve more so after OMM than after concussion-education. METHODS: College athletes presenting to the outpatient academic healthcare center (AHCC) with concussion due to head injury within the preceding 2 weeks were recruited for this IRB-approved, randomized, single-blinded trial. Consented men and women were randomized into groups receiving two OMM treatments or two concussion-education sessions to control for social effects. Preseason, Baseline, ImPACT was compared to Post-Injury scores to determine NOI. Baseline, Post-Injury, and Post-Interventions ImPACTs were compared by analysis of variance (ANOVA, α≤0.05). Post-Injury correlations and mean changes in King-Devick (KD) scores were analyzed. RESULTS: Post-Injury NOI were found in 77.8% (14/18) men and 85.7% (6/7) women, including ImPACT subscore indices for verbal and visual memory, processing speed (PS), and reaction time (RT). Of those with NOI, mean visual memory recovered by 50.0% following one and by 104.9% (p=0.032) following two OMM treatments in men and by 82.8% (p=0.046) following one treatment in women. Following two interventions, the mean RT in men receiving OMM improved by 0.10 more than education (p=0.0496). The effect sizes of OMM were large (Cohen's d=1.33) on visual memory and small (Cohen's d=0.31) on RT. CONCLUSIONS: The NOI in visual memory and RT following concussion significantly improved in the OMM group compared to the education group. Integrating OMM utilizing physical exam and this treatment was a safe individualized approach in athletes with acute uncomplicated concussions. Further research is warranted to improve the utilization of OMM for individuals with concussion.


Subject(s)
Athletic Injuries , Brain Concussion , Osteopathic Medicine , Male , Humans , Female , Athletic Injuries/complications , Athletic Injuries/therapy , Athletic Injuries/psychology , Reaction Time , Brain Concussion/complications , Brain Concussion/therapy , Athletes
6.
Chiropr Man Therap ; 30(1): 60, 2022 12 27.
Article in English | MEDLINE | ID: mdl-36575458

ABSTRACT

Over the last 2 decades, sports-related concussion (SRC) awareness and management have evolved from an emphasis on complete cognitive and physical rest to evidence-based protocols and interventions. Chiropractors are primary care providers with exposure to athletes and teams in collision sports and, in addition, manage patients with concussion-like symptoms including neck pain, dizziness, and headache. With SRC frequently occurring in the absence of a medical practitioner, the role of allied health practitioners like chiropractors should be emphasised when it comes to the recognition, assessment, and management of SRC. This commentary discusses the potential contribution of chiropractors in SRC and the specific role their expertise in the cervical spine may play in symptom evaluation and management. A PubMed and Google scholar review of the chiropractic SRC literature suggests that the chiropractic profession appears under-represented in concussion research in athletic populations compared to other medical and allied health fields. This includes an absence of chiropractic clinicians with a focus on SRC participating in the Concussion in Sport Group (CISG) and the International Consensus Conferences on Concussion. Furthermore, with evolving evidence suggesting the importance of cervicogenic manifestations in SRC, there is an opportunity for chiropractors to participate in SRC diagnosis and management more fully and contribute scientifically to an area of specialised knowledge and training. With a dearth of chiropractic orientated SRC science, clinical SRC expertise, and clinical chiropractic representation in the CISG; it is incumbent on chiropractic clinicians and scientists to take up this opportunity through meaningful contribution and involvement in the SRC field.


Subject(s)
Athletic Injuries , Brain Concussion , Chiropractic , Sports , Humans , Athletic Injuries/diagnosis , Athletic Injuries/therapy , Comprehension , Brain Concussion/diagnosis , Brain Concussion/therapy
7.
J Athl Train ; 57(8): 788-794, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-36356615

ABSTRACT

CONTEXT: For this case series, 4 student-athletes (age range = 20-22 years) participating in National Collegiate Athletic Association Division I ice hockey served as cases. They were free of injury and participated in all team activities without restrictions. TREATMENT: A dry needling (DN) lower extremity recovery protocol was completed for all athletes during a single session. To administer the DN recovery treatment, we placed static needles in specific bilateral locations that consisted of 5 points on both the anterior and posterior aspects of the lower extremity and lumbopelvic complex. The Acute Recovery Stress Scale was used to evaluate the effect of the DN recovery treatment on each athlete's perception of recovery at 24 and 48 hours post-DN treatment. RESULTS: Overall, total and average scores of Acute Recovery Stress Scale for all cases were closer to baseline at 48 hours post-DN than at the other time points. CONCLUSIONS: Recovery techniques historically have been used postactivity because even normal training loads, which are considered positive, produce stress and fatigue in athletes and can lead to injury. Results from this case series suggest that ice hockey athletes who are experiencing postexercise stress, such as soreness and fatigue, may benefit from a lower extremity DN recovery treatment protocol.


Subject(s)
Athletic Injuries , Dry Needling , Hockey , Humans , Young Adult , Athletes , Athletic Injuries/therapy , Fatigue , Hockey/injuries , Universities
8.
Medicina (Kaunas) ; 58(9)2022 Aug 23.
Article in English | MEDLINE | ID: mdl-36143822

ABSTRACT

When patients present with hip or groin pain, proximal quadriceps or adductor injuries are often initially suspected. In this case report, however, we present three cases of professional soccer players who were found to have obturator externus injury. A 30-year-old player and a 24-year-old player complained of pain in the left side after long distance shooting during an in-season training session and a match, respectively. Another 24-year-old player complained of pain in the right side after long distance passing during a preseason training session. On physical examination, active hip external rotation and passive hip internal rotation and extension elicited pain in all three players. All three players underwent magnetic resonance imaging (MRI) which found obturator externus grade II injuries for two players and grade I injury for one player. Rehabilitation protocols included relative rest, cryotherapy, and electrotherapy over a period of one week. All patients were able to return to play after 10 days. Correct identification of obturator externus injury afforded our players a favorable prognosis and a relatively quick return-to-sport compared with quadricep or adductor injury.


Subject(s)
Athletic Injuries , Soccer , Adult , Athletic Injuries/therapy , Humans , Muscle, Skeletal , Pain , Soccer/injuries , Thigh , Young Adult
9.
Sci Rep ; 12(1): 13509, 2022 08 05.
Article in English | MEDLINE | ID: mdl-35931722

ABSTRACT

Each year 65% of young athletes and 25% of physically active adults suffer from at least one musculoskeletal injury that prevents them from continuing with physical activity, negatively influencing their physical and mental well-being. The treatment of musculoskeletal injuries with the adhesive elastic kinesiology tape (KT) decreases the recovery time. Patients can thus recommence physical exercise earlier. Here, a novel KT based on auxetic structures is proposed to simplify the application procedure and allow personalization. This novel KT exploits the form-fitting property of auxetics as well as their ability to simultaneously expand in two perpendicular directions when stretched. The auxetic contribution is tuned by optimizing the structure design using analytical equations and experimental measurements. A reentrant honeycomb topology is selected to demonstrate the validity of the proposed approach. Prototypes of auxetic KT to treat general elbow pains and muscle tenseness in the forearm are developed.


Subject(s)
Athletes , Athletic Injuries/psychology , Athletic Injuries/therapy , Athletic Tape , Kinesiology, Applied/methods , Musculoskeletal System/injuries , Adult , Athletes/psychology , Athletic Injuries/physiopathology , Exercise/physiology , Forearm/physiopathology , Humans , Kinesiology, Applied/education , Wounds and Injuries/physiopathology , Wounds and Injuries/psychology , Wounds and Injuries/therapy
10.
Comput Intell Neurosci ; 2022: 8494734, 2022.
Article in English | MEDLINE | ID: mdl-35785090

ABSTRACT

Medical imaging can be used as a medical aid for diagnosis and treatment, and color Doppler ultrasound can also be used in life science research as a scientific research method. Wushu is a traditional sport in China, which has a long history of development. Martial arts are a very good fitness project, but different from ordinary people, professional martial arts athletes are often accompanied by a variety of sports injuries, and tendon ligament injury is one of the most common injuries. At present, there are many treatment plans for tendon and ligament injury, but there are few researches on the repair effect of tendon and ligament injury. This paper will take this as the main research purpose for in-depth study. In view of the problem that ligament injury is not easy to observe, this paper will use GE Lightspeed 64 row spiral CT as the main observation tool and use the method of hospital image observation to compare and analyze the repair effect of tendon and ligament injury of Wushu athletes. In this experiment, 88 professional Wushu athletes were gathered as experimental samples. After preliminary screening, 110 cases of ligament injury were counted. After analyzing the abnormal changes of tissue or structure, Lysholm, and IKDC treatment effect score data, this paper believes that, for type I patients, only conservative treatment can achieve good results. However, in the more serious and complex type II patients, local fixation is used after the onset of the disease, and very serious patients can achieve good results through surgical treatment. Postoperative care is also important, which helps reduce complications. This experiment has achieved ideal results and has played a blank role in the research of the repair effect of tendon and ligament injury of Wushu athletes at home and abroad.


Subject(s)
Athletic Injuries , Martial Arts , Athletes , Athletic Injuries/surgery , Athletic Injuries/therapy , Humans , Ligaments/diagnostic imaging , Tendons
11.
J Bodyw Mov Ther ; 30: 100-104, 2022 04.
Article in English | MEDLINE | ID: mdl-35500956

ABSTRACT

INTRODUCTION: Cold spray is a form of cryotherapy used in acute injuries at sports medicine. In the current study, we aimed to investigate the acute effect of cold spray application as a treatment strategy for acute sports injuries on the mechanical properties of the rectus femoris muscle in athletes. METHODS: The study included 23 volunteer active male athletes between the ages of 18-23 with a subepidermal fold thickness of the rectus femoris muscle between 5 mm and 15 mm. Skin temperature (thermal camera) and mechanical property evaluations of the muscle (Myoton Pro) were measured before, immediately after, and in 2 min, 5 min, 10 min and 15 min intervals following cold spray application. RESULTS: The skin temperature value of the athletes were significantly lower even in the 15-min interval following application (p < 0.001). Muscle tone increased significantly after the application and in the second minute compared to the pre-application (p < 0.001). Muscle stiffness increased significantly only after the second and fifth minutes compared to the pre-application (p < 0.001). Muscle decrement showed an increase in all time-points compared to the pre-application (p < 0.05). CONCLUSION: In athletes, the rectus femoris muscle has been observed to become harder and less elastic following cooling with cold spray. These changes did not improve completely following the 5 min. The muscle regained its mechanical properties at the earliest approximately 10 min after the cold spray application.


Subject(s)
Athletic Injuries , Quadriceps Muscle , Adolescent , Adult , Athletes , Athletic Injuries/therapy , Cold Temperature , Cryotherapy , Humans , Male , Quadriceps Muscle/physiology , Young Adult
12.
Comput Math Methods Med ; 2022: 9005792, 2022.
Article in English | MEDLINE | ID: mdl-35419078

ABSTRACT

Purpose: Elbow joint injuries are extremely common in most athletes. Athletes' chronic elbow injuries can involve multiple complex anatomical structures related to orthopedics. Therefore, it is of great significance to explore the characteristics of magnetic resonance (MR) images of chronic sports injuries of the elbow joint and the influence of acupuncture treatment on MR images and clinical symptoms. Methods: A total of 60 elbow joints of 39 athletes from 15-25 years old were selected for coronal, sagittal, and axial MR scans to observe the image characteristics; 60 elbow joints were randomly divided into acupuncture group and control group and observed changes in MR images and clinical symptoms after acupuncture treatment. Results: After acupuncture treatment, the clinical symptoms were significantly improved. MR images showed that the elbow joint effusion was reduced, and the bone marrow edema was reduced. The effective rate of acupuncture treatment is as high as 100%, while the effective rate of the control group is only 40%. Acupuncture treatment has significantly improved the range of motion of the elbow joint. Conclusion: Acupuncture treatment can significantly relieve athletes' elbow joint pain and locking symptoms, improve joint range of motion, and is beneficial to recovery of special training and high-level competitive competitions. It is a sensitive, effective, and noninvasive method.


Subject(s)
Acupuncture Therapy , Athletic Injuries , Elbow Injuries , Elbow Joint , Sports , Adolescent , Adult , Athletic Injuries/diagnostic imaging , Athletic Injuries/therapy , Elbow Joint/diagnostic imaging , Humans , Magnetic Resonance Imaging/methods , Young Adult
13.
Comput Math Methods Med ; 2022: 5665972, 2022.
Article in English | MEDLINE | ID: mdl-35178115

ABSTRACT

In recent years, the performance of sports dance in China has become better and better. Naturally, the technical requirements for this dance are getting higher and higher, and the number and intensity of training have also increased, which has led to increasing injuries in sports dance. This article is based on visual sensor images to analyze and study the common injuries and prevention of sports dance practitioners. It is aimed at providing a certain reference basis for athletes' injuries, so that dance practitioners and coaches can better master sports dance training and teaching. Injury-related rules and prevention reduce the injury rate. This article puts forward the related technology of a visual sensor image and applies its technology to the prevention and research of common injuries in sports dance. At the same time, it analyzes the causes of sports dance practitioners' injuries and seeks economical and affordable massage techniques for prevention, and the method of treatment provides protection for dance practitioners. The experimental results in this article show that the Tuina group cured 15 subjects, 41 subjects were markedly effective, 13 subjects were improved, and 6 subjects were unhealed. The total effective rate was 92%.


Subject(s)
Athletic Injuries/prevention & control , Athletic Injuries/therapy , Dancing/injuries , Image Processing, Computer-Assisted/methods , Massage/methods , Adolescent , Algorithms , Athletic Injuries/diagnostic imaging , China , Computational Biology , Female , Humans , Image Processing, Computer-Assisted/instrumentation , Image Processing, Computer-Assisted/statistics & numerical data , Male , Thermography , Wavelet Analysis , Young Adult
14.
Med Sci Sports Exerc ; 54(2): 206-210, 2022 02 01.
Article in English | MEDLINE | ID: mdl-34559722

ABSTRACT

INTRODUCTION: Core muscle injuries (CMI) are common in every sport. To minimize lost playing time, providers apply various nonsurgical treatments, including platelet-rich plasma, corticosteroids, ultrasound (US)-guided percutaneous tenotomy, and prolotherapy. Limited data exist with regard to their effectiveness. We chose to review a cohort of consecutive professional and collegiate athletes who sustained CMI at various points within their seasons and underwent a combination of US-guided percutaneous needle "tenotomy" and corticosteroid injections to complete the remainder of their seasons. METHODS: Twenty-five consecutive collegiate or professional athletes with CMI involving the rectus abdominis-adductor aponeurotic plate were included in this retrospective study. Athletes with concomitant symptomatic hip femoroacetabular impingement were included in the study. The primary outcome measure was whether athletes completed their seasons. Secondary measures were weeks played after the procedures (delay until surgery), need for repeat procedures, and outcomes after eventual surgery. Postoperative performance was assessed via interviews at 6 wk and 6 months postoperatively. RESULTS: Twenty-one of 25 (84%) athletes completed their seasons. On average, athletes returned to play 3 d (range, 1-9 d) after the procedures. Surgical repair was delayed a mean of 18 wk (range, 2-44 wk). Seven athletes had concomitant symptomatic femoroacetabular impingement and six underwent combined hip arthroscopy and core muscle repairs. Among 17 patients who eventually had core muscle surgery alone (no hip surgery), 82% (14 of 17) reported performing at their preinjury level at 6 wk. At 6 months, 96% of postop athletes (22 of 23) reported performing at their preinjury level. CONCLUSIONS: Temporizing CMI with US-guided percutaneous tenotomy and corticosteroid injections is effective in allowing continued sport participation among high-level athletes and does not negatively affect postoperative outcomes.


Subject(s)
Abdominal Injuries/therapy , Adrenal Cortex Hormones/administration & dosage , Anti-Inflammatory Agents/administration & dosage , Athletic Injuries/therapy , Rectus Abdominis/injuries , Tenotomy/methods , Ultrasonography, Interventional/methods , Abdominal Injuries/diagnostic imaging , Adrenal Cortex Hormones/therapeutic use , Adult , Anti-Inflammatory Agents/therapeutic use , Athletic Injuries/diagnostic imaging , Athletic Performance , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Injections, Intramuscular , Male , Retrospective Studies , Return to Sport , Time-to-Treatment , Treatment Outcome , Young Adult
15.
Clin J Sport Med ; 32(2): e172-e174, 2022 03 01.
Article in English | MEDLINE | ID: mdl-33913676

ABSTRACT

ABSTRACT: Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Conservative management often includes activity modification, oral medications, progressive rehabilitation, therapeutic ultrasound, steroid injections, and prolotherapy. Osteitis pubis can be refractory to conservative management and can keep an athlete sidelined for as long as 2 years. Platelet-rich plasma (PRP) injections have been used for pubic symphysis pain, but reports have focused on pathology affecting the rectus abdominis or hip adductor muscle tendons. In this article, we present a case of isolated osteitis pubis, without overlapping rectus abdominis or adductor tendon involvement, successfully treated with an ultrasound-guided PRP injection of the fibrocartilage.


Subject(s)
Athletic Injuries , Osteitis , Platelet-Rich Plasma , Athletic Injuries/complications , Athletic Injuries/diagnostic imaging , Athletic Injuries/therapy , Groin , Humans , Osteitis/diagnostic imaging , Osteitis/etiology , Osteitis/therapy , Pain , Pubic Bone
16.
Curr Sports Med Rep ; 20(11): 577-583, 2021 Nov 01.
Article in English | MEDLINE | ID: mdl-34752430

ABSTRACT

ABSTRACT: Elite athletes commonly present with joint pains that are attributed to overuse injuries though on occasion it can be due to an inflammatory arthropathy. The diagnostic challenge is that presenting symptoms of benign injuries are similar to inflammatory arthropathies. A holistic review of the athlete can provide clues suggestive of inflammatory arthropathy, before requesting further investigations to confirm the diagnosis. Current imaging modalities are not specific in differentiating inflammatory arthritis with other causes of joint inflammation. Prompt treatment is required to restore the athlete to an optimum level of activity and prevent career ending disability, all in adherence to the regulations of the sporting governing bodies. This review aims to highlight the importance of inflammatory arthropathy in the differentials for an athlete presenting with joint pains.


Subject(s)
Arthritis , Athletic Injuries , Sports , Arthralgia , Athletes , Athletic Injuries/diagnostic imaging , Athletic Injuries/therapy , Humans
17.
Medicine (Baltimore) ; 100(32): e26925, 2021 Aug 13.
Article in English | MEDLINE | ID: mdl-34397936

ABSTRACT

BACKGROUND: Athletic injuries have been a major area of interest in the field of sports and clinical medicine. Implemented on people's skin, muscles, and joints as an important part of complementary and alternative medicine (CAM), massage therapy has a positive effect on athletic injuries. This protocol is to provide the methods used to evaluate the effectiveness and safety of massage therapy for patients with athletic injuries. METHODS: A systematic search will be performed in the following electronic databases for randomized controlled trials (RCTs) to evaluate the effectiveness and safety of massage therapy in treating athletic injuries: PubMed, the Cochrane Library, EMBASE and four Chinese databases (CNKI, Wan Fang, CBMdisc and VIP). Each database will be searched from inception to July 2021. The entire process will include study selection, data extraction, risk of bias assessment and meta-analysis. RESULTS: A high-quality synthesis of current evidence of massage therapy for patients with athletic injuries will be provided. CONCLUSIONS: This systematic review will provide evidence for assessing the credibility of massage therapy for patients with athletic injuries. DISSEMINATION AND ETHICS: The results of this review will be disseminated through peer-reviewed publication. This review does not require ethical approval because all the data used in this systematic review and meta-analysis have already been published. Furthermore, all of these data will be analyzed anonymously during the review process. INPLASY REGISTRATION NUMBER: INPLASY202170066.


Subject(s)
Athletic Injuries/therapy , Massage/methods , Humans , Treatment Outcome , Meta-Analysis as Topic
18.
J Bodyw Mov Ther ; 27: 344-351, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34391256

ABSTRACT

STUDY DESIGN: Case Report. BACKGROUND: Groin pain in athletes is considered a common condition among males participating in sports that require sprinting, twisting, pivoting and kicking activities. While the condition is considered self-limiting, it often keeps athletes away from sport for a prolonged period of time. Much controversy exists regarding the pathogenesis of groin pain. This conflict translates to disagreement regarding diagnostic criteria, reporting and management strategies. CASE PRESENTATION: a 28-year old recreational soccer player presented with a five-month history of groin pain that was resistant to passive care. With reference to the current conservative management literature, the athlete was progressed through an individualized multimodal program of care. OUTCOMES: Following 10-weeks of care, the athlete was able to return to sport participation pain-free. CONCLUSION: It is suggested that groin pain in athletes is likely multifactorial and therefore the management should reflect its multifactorial nature. Conservative therapy can evidently reduce the time to return to play however the benefits of incorporating plyometrics into the rehabilitation program should be investigated.


Subject(s)
Athletic Injuries , Groin , Adult , Athletes , Athletic Injuries/therapy , Humans , Male , Pelvic Pain/etiology , Pelvic Pain/therapy , Pubic Bone
19.
Curr Sports Med Rep ; 20(6): 298-305, 2021 Jun 01.
Article in English | MEDLINE | ID: mdl-34099607

ABSTRACT

ABSTRACT: Treatment of musculoskeletal conditions in athletes with extracorporeal shockwave therapy (ESWT) is gaining popularity as greater evidence supports its use. ESWT protocols (describing energy flux density, number of impulses, type of shockwave (focused or radial), number/frequency/duration of treatment session, area of application, and postprocedural therapy protocols) can be adjusted in the clinical setting. Protocols vary across studies, and optimal protocols for most indications are yet to be determined. ESWT can safely be used to treat various musculoskeletal conditions in athletes, including rotator cuff tendinopathy, lateral elbow epicondlyopathy, greater trochanteric pain syndrome, hamstring tendinopathy, patellar tendinopathy, Achilles tendinopathy, other tendinopathies, plantar fasciopathy, bone stress injuries, and medial tibial stress syndrome. ESWT can be used to treat in-season athletes, as it often requires no/minimal time away from sport and may result in rapid benefits. ESWT should be used in conjunction with physical therapy to facilitate longer-term gains in function and to optimize healing.


Subject(s)
Athletic Injuries/therapy , Extracorporeal Shockwave Therapy/methods , Tendinopathy/therapy , Achilles Tendon , Athletes , Combined Modality Therapy/methods , Contraindications , Extracorporeal Shockwave Therapy/adverse effects , Fascia , Femur , Hamstring Tendons , Humans , Medial Tibial Stress Syndrome/therapy , Musculoskeletal System/injuries , Patellar Ligament , Rotator Cuff Injuries/therapy , Tennis Elbow/therapy
20.
Rev. bras. med. esporte ; 27(spe2): 35-38, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1280077

ABSTRACT

ABSTRACT The treatment of soft tissue injury in football players generally includes physical therapy, anti-inflammatory and analgesic drug treatment, surgical treatment and early rest immobilization. Western medicine treatment of soft tissue injury can quickly heal the wound and relieve pain in a short time. The treatment of traditional Chinese medicine is based on the whole and must seek the root of the disease. It is believed that the occurrence of certain diseases is related to Qi, blood, liver and kidney deficiency, so we should pay attention to the overall adjustment during treatment of symptoms. In view of this, this study analyzed the effect of Chen Yuan ointment, from traditional Chinese medicine, in the treatment of soft tissue injury. Sixty-eight football players who completed ankle ligament reconstruction were divided into four groups according to the type of operation and whether Chen Yuangao-assisted rehabilitation was used or not. The results showed that the Ankle Hindfoot Function Score and the visual analog scale (VAS) score of patients in the fibula brevis tendon reconstruction Chen Yuan ointment group were 98.3 and 0.3, respectively, at the last follow-up, which were better than those in other groups, and had lower pain scores. This result shows that Chen Yuangao has a certain effect in the treatment of soft tissue injury, which can provide a research idea for the rapid rehabilitation of football players.


RESUMO O tratamento de lesões dos tecidos moles em jogadores de futebol inclui geralmente terapia física, tratamento anti-inflamatório e analgésico, tratamento cirúrgico e imobilização de repouso precoce. O tratamento de lesões nos tecidos moles, utilizando a medicina ocidental, pode curar rapidamente as lesões e aliviar a dor em pouco tempo. A medicina tradicional chinesa se baseia no todo e deve procurar a raiz da doença. Acredita-se que a ocorrência de certas doenças está relacionada à deficiência de Qi, sangue, fígado e rim do corpo humano, por isso devemos prestar atenção ao ajuste global no tratamento dos sintomas. A partir desta perspectiva, este estudo analisou o efeito da tradicional pomada chinesa Chen Yuan no tratamento de lesões dos tecidos moles. No total, 68 jogadores de futebol que fizeram reconstrução dos ligamentos do tornozelo foram divididos em quatro grupos de acordo com o tipo de operação e se a pomada Chen Yuangao ajudou ou não na reabilitação. Os resultados mostraram que o escore da função do tornozelo retropé (Ankle Hindfoot Function Score) e o escore da Escala Analógica Visual (EVA) dos pacientes do grupo pomada Chenyuan para reconstrução do tendão fibular curto foram 98,3 e 0,3, respectivamente, no último seguimento, sendo melhores do que os de outros grupos e apresentando menores níveis de dor. Estes resultados mostra que a pomada Chen Yuangao exerce certo efeito no tratamento de lesões dos tecidos moles, pode constituir uma ideia de pesquisa para a rápida reabilitação dos jogadores de futebol.


RESUMEN El tratamiento de lesiones de los tejidos blandos en jugadores de fútbol incluye generalmente terapia física, tratamiento antinflamatorio y analgésico, tratamiento quirúrgico e inmovilización de reposo precoz. El tratamiento de lesiones en los tejidos blandos, utilizando la medicina occidental, puede curar rápidamente las lesiones y aliviar el dolor en poco tiempo. La medicina tradicional china se basa en el todo y debe procurar la raíz de la enfermedad. Se cree que la ocurrencia de ciertas enfermedades está relacionada a la deficiencia de Qi, sangre, hígado y riñón del cuerpo humano, por eso debemos prestar atención al ajuste global en el tratamiento de los síntomas. A partir de esta perspectiva, este estudio analizó el efecto de la tradicional pomada china Chen Yuan en el tratamiento de lesiones de los tejidos blandos. En total, 68 jugadores de fútbol que hicieron reconstrucción de los ligamentos del tobillo fueron divididos en cuatro grupos de acuerdo con el tipo de operación y si la pomada Chen Yuangao ayudó o no en la rehabilitación. Los resultados mostraron que el escore de la función del retropié del tobillo (Ankle Hindfoot Function Score) y el escore de la Escala Analógica Visual (EVA) de los pacientes del grupo pomada Chenyuan para reconstrucción del tendón fibular corto fueron 98,3 y 0,3, respectivamente, en el último segmento, siendo mejores que los de otros grupos y presentando menores niveles de dolor. Estos resultados muestran que la pomada Chen Yuangao ejerce cierto efecto en el tratamiento de lesiones de los tejidos blandos, puede constituir una idea de investigación para la rápida rehabilitación de los jugadores de fútbol.


Subject(s)
Humans , Male , Female , Ointments/administration & dosage , Athletic Injuries/therapy , Soccer/injuries , Soft Tissue Injuries/therapy , Medicine, Chinese Traditional , Treatment Outcome
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