What are the risk factors of injury for a rowing athlete?

BACKGROUND: The aim of this study was to examine the specific characteristics of injuries (injury location, injury type, and time to return to sports) based on sex and rowing style. METHODS: We included 60 adolescent rowers (Sweep male and female, 12 respectively; Sculling male and female, 18 respectively) who underwent training in Korea from January to December 2023. Sports injuries were meticulously recorded using the Daily Injury Report form issued by the International Olympic Committee for rowers characteristics (sex, rowing style) and injury characteristics (injury location, injury type). The injury incidence rate (IIR) per 1000 h of training was calculated using the 95% Poisson Confidence Interval. A χ2 test was performed to compare the characteristics of the rowers and injury characteristics. RESULTS: The overall IIR was 4.25 injuries per 1000 training hours. The IIR was lower for men than for women (P<0.001). However, sweep and sculling were similar (P=0.269). There was a difference in the affected body regions according to the sex and rowing style (P=0.028, P=0.005; respectively). Time to return to sports varied between rowing styles (P=0.049) and sexes (P=0.033), and it also differed in sweep (P=0.002) and sculling (P=0.045) depending on body regions. CONCLUSIONS: These results should be incorporated into programs that are aimed at improving the performance of these rowers and preventing sports injuries. In addition, can be used as data to determine their return to sport.

The effect of rapid weight loss on sports injury in elite taekwondo athletes.

OBJECTIVES: The purpose of this study was to reveal the relationship of injury patterns between normal training period and weight loss period in Korea elite taekwondo athletes. METHODS: Since 2021, data for elite taekwondo athletes have been collected prospectively by the Korean Training Institute, there were 102 male and 95 female. The data were classified by sex, weight class, injury location, injuries during the normal training and weight loss periods. The χ2 test was used to compare groups. The injury incidence rates were calculated as the number of injuries per 1,000 hours of training. RESULTS: A total of 703 injuries were recorded during normal training, and total of 149 injuries were recorded during the weight loss period. Taekwondo athletes showed a higher incidence of during the weight loss period than during the normal training period (3.66 VS 6.88; p < 0.001). The body parts affected by injury differed significantly between the normal training period and weight loss period (p = 0.033). Injury to the lower extremities or to the head and neck was relatively higher during the normal training period, while injury to the trunk and upper extremities was relatively higher during the weight loss period. Muscle, ligament, and bone injuries were common during both the normal training and weight loss periods. Level I injuries were relatively more frequent during normal training, while level II and III injuries were relatively more frequent during weight loss (p < 0.001). CONCLUSION: Rapid weight loss is related to the injury patterns in taekwondo athletes. Injury incidence rate increases during rapid weight loss periods. Moreover, the injury site and injury severity depend on during normal training and during the weight loss period.

Epidemiology of sports injuries in korean elite female fencing athletes: a prospective cohort study / Epidemiología de las lesiones deportivas en atletas coreanas de esgrima de élite: un estudio prospectivo de cohorte / Epidemiologia das lesões esportivas em atletas coreanas de esgrima de elite: um estudo prospectivo de coorte

ABSTRACT Objectives: We aimed to assess the risk of injury associated with training activities of Korean elite female fencing athletes by weapon category. Methods: We prospectively collected 2021 data on 80 elite female fencing athletes at the Korean Training Center. Injury incidence rates were expressed as Poisson rates with a 95% confidence interval. We used χ2 tests to compare injury locations and recovery times by weapon category. Results: A total of 233 injuries were recorded, averaging 3.27 (95% CI, 2.86-3.72) injuries per 1,000 training hours. The sabre had the highest injury incidence rate, followed by the epee and the foil. Injuries to fencing athletes were the most common in the lower extremities (46.35%), followed by the upper extremities (24.03%), trunk (20.17%), and head and neck area (9.44%). The weapon category did not affect the body regions (p=0.425). However, recovery time differed significantly by body region (p=0.021). Conclusions: The weapon category was found to affect the injury incidence rate. In addition, recovery time varied depending on body region. Further research is needed to clarify these results. Level of evidence II; Therapeutic studies - investigation of treatment results.

RESUMEN Objetivos: Nuestro objetivo fue evaluar el riesgo de lesión asociado a las actividades de entrenamiento según la categoría de arma en atletas coreanas de esgrima de élite. Método: A partir de 2021, recopilamos prospectivamente datos de 80 atletas de esgrima de élite en el Centro de Entrenamiento de Corea. Las tasas de incidencia de lesiones se expresaron como tasas de Poisson con un intervalo de confianza del 95%. Usamos la prueba de χ2 para comparar el local de las lesiones y los tiempos de recuperación según la categoría de arma. Resultados: Se registró un total de 233 lesiones, con un promedio de 3,27 (IC 95 %, 2,86-3,72) lesiones por cada 1000 horas de entrenamiento. El sable tuvo la tasa de incidencia de lesiones más alta, seguido por la espada y el florete. Las lesiones de los atletas de esgrima fueron más frecuentes en las extremidades inferiores (46,35%), seguidas de las extremidades superiores (24,03%), tronco (20,17%) y región de la cabeza y cuello (9,44%). La categoría de arma no afectó las regiones del cuerpo (p=0,425). Sin embargo, el tiempo de recuperación difirió significativamente según la región del cuerpo (p=0,021). Conclusión: Se constató que la categoría de arma afecta la tasa de incidencia de lesiones. Además, el tiempo de recuperación varía según la región del cuerpo. Se necesitan más investigaciones para aclarar estos resultados. Nivel de evidencia II; Estudios terapéuticos - investigación de resultados de tratamiento.

RESUMO Objetivos: Nosso objetivo foi avaliar o risco de lesão associado às atividades de treinamento de acordo com a categoria de arma de atletas coreanas de esgrima de elite. Métodos: A partir de 2021, coletamos prospectivamente dados de 80 atletas de elite de esgrima no Centro de Treinamento Coreano. As taxas de incidência de lesões foram expressas como taxas de Poisson com intervalo de confiança de 95%. Usamos o teste de χ2 para comparar os locais de lesão e os tempos de recuperação de acordo com a categoria da arma. Resultados: Um total de 233 lesões foi registrado, com média de 3,27 (IC 95%, 2,86-3,72) lesões por 1.000 horas de treinamento. O sabre teve a maior taxa de incidência de lesões, seguido pela espada e pelo florete. As lesões dos atletas de esgrima foram mais comuns nos membros inferiores (46,35%), seguidas pelos membros superiores (24,03%), tronco (20,17%) e região da cabeça e pescoço (9,44%). A categoria da arma não influenciou as regiões do corpo (p = 0,425). No entanto, o tempo de recuperação diferiu significativamente de acordo com a região do corpo (p = 0,021). Conclusão: Verificou-se que a categoria de arma afeta a taxa de incidência de lesões. Além disso, o tempo de recuperação variou de acordo com a região do corpo. São necessárias mais pesquisas para esclarecer esses resultados. Nível de evidência II; Estudos terapêuticos - investigação de resultados de tratamento.

Injuries and rapid weight loss in elite Korean wrestlers: an epidemiological study.

OBJECTIVES: The purpose of this study was to reveal the relationship between rapid weight loss and injury patterns during the training of elite wrestlers, expected to represent South Korea. METHODS: Since 2019, data for elite wrestlers have been collected prospectively by the Korean Training Center. The data were stratified by sex, wrestling style, weight class, injury location, injuries during the weight-loss period, and weight loss method. The χ2 test was used to compare groups. The risk of injury was indicated by the Poisson rate with a 95% confidence interval (95% CI). RESULTS: There were 120 male Greco-Roman, 120 male freestyle, and 100 female freestyle wrestling. The mean weight loss among wrestlers was 5.52 (±1.44) kg, and the mean duration of weight loss was 7.96 (±3.31) days. In general, all wrestlers used similar weight loss methods. We recorded 914 injuries in 340 athletes. Wrestlers had significantly higher injury rates during weight loss periods than during other periods of training (23.18 VS 11.93; p < 0.001). Most injuries occurred in the lower extremities (38.0%), followed by the upper extremities (25.9%), trunk (24.8%), and the head and neck area (11.3%). The injury severity was significantly influenced by sex, wrestling style, and weight class. CONCLUSION: Rapid weight loss is related to the incidence of sports injuries in wrestlers. Most injuries occur during rapid weight loss periods in South Korean elite wrestlers. Moreover, the injury site and injury severity depend on sex, wrestling style, and weight class.

Injuries in female and male elite Korean rowing athletes: an epidemiological study.

This study aimed to determine the patterns of injury associated with training activities in elite South Korean rowing athletes training for the Olympic Games. Data were prospectively collected between 2010 and 2019 at the Korea National Training Center in South Korea. Three sports medicine doctors assessed athletes, and the data were stratified according to sex, rowing style, weight class, site of injury, and severity of injury. The groups were compared using the c 2 test. The 95 % confidence interval with Poisson rates and exact Poisson test were used for comparison of rates. In total 514 injuries were recorded during the study period, with an average of 2.86 injuries per athlete annually; among these, over half (57.8 %) were mild injuries. Most injuries occurred in the lower extremities (42.0 %), followed by the trunk (30.2 %), the upper extremities (24.9 %), and the head and neck area (2.9 %). Weight class was significantly associated with severity of injury in all rowing athletes (p < 0.001), for both male and female rowing athletes (p = 0.006 and p = 0.014, respectively). Lightweight male athletes demonstrated higher incidence rate of injury than open-weight male athletes (p < 0.001). On the contrary, lightweight female athletes demonstrated lower incidence rates of injury than open-weight female athletes (p < 0.001). These findings on the incidence of training injuries and patterns based on rowing styles, sexes, and weight classes may elucidate the circumstances leading to injuries in elite Korean rowing athletes. Furthermore, these findings may contribute to the development of programs to enhance athletic performance and reduce the incidence of sports injuries.

Injuries in Male and Female Elite Aquatic Sports Athletes: An 8-Year Prospective, Epidemiological Study.

This study aimed to determine the injury patterns associated with training activities in elite South Korean aquatic sports athletes training for the Olympic Games. From 2012 to 2019, we prospectively collected data on elite aquatic sports athletes at the Korea National Training Center. The athletes were assessed by four sports medicine doctors, and data were stratified according to sex, aquatic style, injury body location, and injury severity. Chi-square tests were used to compare groups. Injury rates was expressed as rate ratios with 95% confidence intervals. Annually, the center hosts an average of 42 elite aquatic athletes spread over four aquatic styles. We recorded 797 injuries in total (annual average: 2.37 injuries/athlete), during training sessions, 57.1% of which were mild injuries. For all athletes, most injuries occurred in the upper limb (35.9%), followed by the lower limb (31.0%), the trunk (24.5%), and the head and neck (8.7%). Aquatic style significantly influenced injury body location and severity for both male and female athletes (injury body location: p < 0.001 and p < 0.010, respectively; injury severity: p = 0.027 and p < 0.001, respectively). In general, male and female athletes experienced a comparable risk of injury (rate ratio: 1.15; 95% confidence intervals: 0.53-2.46). Among the male and female South Korean elite aquatic athletes training for the Olympic Games, most injuries were mild and occurred in the upper limb, and aquatic style influenced injury body location and severity.

Injuries in male and female elite Korean wrestling athletes: a 10-year epidemiological study.

OBJECTIVES: To report injury patterns associated with the training activities of elite male and female South Korean wrestling athletes preparing for the Olympic Games. METHODS: From 2008 to 2017, we prospectively collected data on elite wrestling athletes at the Korea National Training Center. Athletes were assessed by two sports medicine doctors, and data were stratified according to sex, wrestling style, weight class, injury location and injury severity. Χ2tests were used to compare groups. Injury risk was expressed in relative ratios with 95% confidence intervals (RR, 95% CI). RESULTS: There were 238 male and 75 female elite wrestlers. Training time totalled 382 800 hours. We recorded 1779 injuries in 313 athletes aged >18 years (annual average, 4.04 injuries/athlete); 59% of these were mild injuries. When all athletes were considered, most injuries occurred in the lower extremities (37.5%), followed by the upper extremities (27.4%), trunk (25.4%) and the head and neck area (9.7%). Weight class significantly influenced injury severity for both wrestling styles among male athletes (Greco-Roman, P=0.031; freestyle, P=0.028), as well as among female freestyle wrestling athletes (P=0.013). The relative ratio of injury incidence for the lightweight class compared with the heavyweight class was high for Greco-Roman style compared with freestyle (RR 1.13, 95% CI 1.03 to 1.27; P=0.011). CONCLUSIONS: Among male and female South Korean elite wrestling athletes training for the Olympic Games, most injuries were mild and occurred in the lower extremities. Weight class influenced injury severity in both wrestling styles, and lightweight athletes had higher injury rates.

Injuries in female and male elite taekwondo athletes: a 10-year prospective, epidemiological study of 1466 injuries sustained during 250 000 training hours.

OBJECTIVES: We aimed to determine the injury patterns associated with training activities in elite South Korean taekwondo athletes training for the Olympic Games. METHODS: We collected data prospectively from 2007 to 2016 at the Korea National Training Center in Seoul, South Korea. A sports injury was defined as acute or chronic musculoskeletal signs and symptoms due to taekwondo activities during training sessions. Athletes were assessed by an on-site sports medicine specialist. The elite taekwondo athletes were stratified according to sex, weight class (flyweight, featherweight, welterweight and heavyweight), injury location (body region and site) and injury severity (mild or level I, requiring treatment for 1-3 days; moderate or level II, requiring treatment for 4-7 days; or severe or level III, requiring treatment for ≥8 days). RESULTS: Athlete exposure was 56 160 training sessions that took 249 600 hours. 1466 injuries were recorded in 283 athletes, with an average of 4.6 injuries per athlete annually. Of these, more than half (56%) were mild injuries, with most injuries occurring in the lower extremities (65.5%), followed by injuries to the trunk (16%), upper extremities (14%) and head and neck area (4%). Among these athletes, women had higher injury rates in the featherweight and welterweight categories (P≤0.0001), but there were no sex differences in other weight categories. In general, female athletes and male athletes experienced a comparable risk of injury (relative ratio: 1.55; 95% CI 0.89 to 2.68). CONCLUSION: In elite South Korean taekwondo athletes, most injuries occur in the lower extremities and were graded as minor. Injury severity depended on weight class.

Selenoprotein S is required for clearance of C99 through endoplasmic reticulum-associated degradation.

Amyloid beta precursor protein (APP) is normally cleaved by α-secretase, but can also be cleaved by ß-secretase (BACE1) to produce C99 fragments in the endoplasmic reticulum (ER) membrane. C99 is subsequently cleaved to amyloid ß (Aß), the aggregation of which is known to cause Alzheimer's disease. Therefore, C99 removing is for preventing the disease. Selenoprotein S (SelS) is an ER membrane protein participating in endoplasmic reticulum-associated degradation (ERAD), one of the stages in resolving ER stress of misfolded proteins accumulated in the ER. ERAD has been postulated as one of the processes to degrade C99; however, it remains unclear if the degradation depends on SelS. In this study, we investigated the effect of SelS on C99 degradation. We observed that both SelS and C99 were colocalized in the membrane fraction of mouse neuroblastoma Neuro2a (N2a) cells. While the level of SelS was increased by ER stress, the level of C99 was decreased. However, despite the induction of ER stress, there was no change in the amount of C99 in SelS knock-down cells. The interaction of C99 with p97(VCP), an essential component of the ERAD complex, did not occur in SelS knock-down cells. The ubiquitination of C99 was decreased in SelS knock-down cells. We also found that the extracellular amount of Aß1-42 was relatively higher in SelS knock-down cells than in control cells. These results suggest that SelS is required for C99 degradation through ERAD, resulting in inhibition of Aß production.

Injuries in elite Korean fencers: an epidemiological study.

PURPOSE: We aimed to assess the risk of injury associated with training activities in a population of elite Korean fencers training for the Olympic games. METHODS: We analysed the incidence of sports injuries, based on data prospectively collected over an 8-year period (January 2008 to December 2015) at the National Training Center in Seoul, Korea. The population of elite fencing athletes was stratified according to fencing category (sabre, epee and foil), sex, injury location (body region and site) and injury severity (mild or level I injury, requiring treatment for 1-3 days; moderate or level II injury, requiring treatment for 4-7 days; and severe or level III injury, requiring treatment for ≥8 days). RESULTS: A total of 1176 injuries were recorded during the study period, with an average of 3.3 injuries per athlete annually. Of these, over half (52.6%) were mild injuries, with most injuries occurring in the lower extremity (47.2%), followed by injuries to the upper extremity (26.4%), trunk (21.4%), and head and neck area (5.0%). For all weapon categories, there was a significant difference between male and female athletes in terms of injury location and severity (p≤0.005). CONCLUSIONS: We hope that our data describing injury location and severity according to weapon category and sex can help one understand the circumstances that lead to injuries in elite Korean fencers and can be used in the development of programmes to reduce the incidence of sports injuries and enhance athletic performance.

Identification of a redox-modulatory interaction between selenoprotein W and 14-3-3 protein.

Selenoprotein W (SelW) contains a selenocysteine (Sec, U) in a conserved CXXU motif corresponding to the CXXC redox motif of thioredoxin, suggesting a putative redox function of SelW. We have previously reported that the binding of 14-3-3 protein to its target proteins, including CDC25B, Rictor and TAZ, is inhibited by the interaction of 14-3-3 protein with SelW. However, the binding mechanism is unclear. In this study, we sought to determine the binding site of SelW to understand the regulatory mechanism of the interaction between SelW and 14-3-3 and its biological effects. Phosphorylated Ser(pS) or Thr(pT) residues in RSXpSXP or RXXXp(S/T)XP motifs are well-known common 14-3-3-binding sites, but Thr41, Ser59, and T69 of SelW, which are computationally predicted to serve are phosphorylation sites, were neither phosphorylation sites nor sites involved in the interaction. A mutant SelW in which Sec13 is changed to Ser (U13S) was unable to interact with 14-3-3 protein and thus did not inhibit the interaction of 14-3-3 to other target proteins. However, other Cys mutants of SelW(C10S, C33S and C37S) normally interacted with 14-3-3 protein. The interaction of SelW to 14-3-3 protein was enhanced by diamide or H2O2 and decreased by dithiothreitol (DTT). Taken together, these findings demonstrate that the Sec of SelW is involved in its interaction with 14-3-3 protein and that this interaction is increased under oxidative stress conditions. Thus, SelW may have a regulatory function in redox cell signaling by interacting with 14-3-3 protein.

Selenoprotein S-dependent Selenoprotein K Binding to p97(VCP) Protein Is Essential for Endoplasmic Reticulum-associated Degradation.

Cytosolic valosin-containing protein (p97(VCP)) is translocated to the ER membrane by binding to selenoprotein S (SelS), which is an ER membrane protein, during endoplasmic reticulum-associated degradation (ERAD). Selenoprotein K (SelK) is another known p97(VCP)-binding selenoprotein, and the expression of both SelS and SelK is increased under ER stress. To understand the regulatory mechanisms of SelS, SelK, and p97(VCP) during ERAD, the interaction of the selenoproteins with p97(VCP) was investigated using N2a cells and HEK293 cells. Both SelS and SelK co-precipitated with p97(VCP). However, the association between SelS and SelK did not occur in the absence of p97(VCP). SelS had the ability to recruit p97(VCP) to the ER membrane but SelK did not. The interaction between SelK and p97(VCP) did not occur in SelS knockdown cells, whereas SelS interacted with p97(VCP) in the presence or absence of SelK. These results suggest that p97(VCP) is first translocated to the ER membrane via its interaction with SelS, and then SelK associates with the complex on the ER membrane. Therefore, the interaction between SelK and p97(VCP) is SelS-dependent, and the resulting ERAD complex (SelS-p97(VCP)-SelK) plays an important role in ERAD and ER stress.

Injuries in national Olympic level judo athletes: an epidemiological study.

PURPOSE: To present an epidemiological study of injuries found among South Korea's National level Judo athletes as a foundation for future injury prevention and skill enhancement in this group. METHODS: This study is a prospective study on a 4-year injury assessment held from January 2010 to December 2013 at the training centre in South Korea for National Level athletes. Athlete's weight class, gender, injury location and injury grade (grade I=1-3 treatment days, grade II=4-7 treatment days, and grade III ≥8 treatment days) were analysed. RESULTS: There were a total of 782 injuries recorded during this period, equalling to four injuries per athlete annually. Almost half of these injuries (47%) were grade I injuries. Injury occurrence was the highest in the Lower body (44.2%). This was then followed by injuries in the upper body (29.8%), trunk (20.3%) and head and neck (5.6%). Men and women showed similar, non-significantly different trends in the proportion of body parts injured. Women experienced more grade III injuries than males (p=0.0228). Comparison between women in different weight classes also showed that heavyweights incurred more grade III injuries than lightweights (p=0.0087). Lightweights had a higher rate of injury than heavyweights in males and females, although this was statistically significant only among males (p<0.001). CONCLUSIONS: Many body regions are prone to injury in the elite judo population. Women, especially those in the heavyweight classification, were more prone to severe injuries. Lightweights experienced more injuries than heavyweights among male athletes. Specifically, further studies are needed to confirm these findings and to address the impact of rapid weight loss practices on injury risk to implement effective preventive measures.