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1.
BMC Public Health ; 21(1): 448, 2021 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-33673812

RESUMO

BACKGROUND: COVID-19 continues to represent the single biggest challenge to contemporary community sport globally. Compliance with social distancing policies, strict return-to-play protocols, and COVID-19 specific training has, perhaps, forever changed the way that children and young people engage in organised sport. Within this context, and while many children and families seek to re-engage with community sport, we (researchers and sport practitioners) have an obligation to ask questions about how the pandemic has impacted youth sport, understand the short- and long-term consequences, and explore what (if any) opportunities can be seized to assist and improve future participation and retention. The aim of this paper was to present an in-depth exploration of the impact of COVID-19 on youth sport in South Australia. METHODS: Within an interpretive descriptive methodology, this qualitative investigation draws on rich, individual interview and focus group data with 39 youth (ages 15-18), parents, coaches, and sport administrators. A reflexive thematic analysis was undertaken, leading to the development of four substantive themes. RESULTS: We conceptualised the '4 Rs' to advance theoretical understandings about the pandemic's impact on youth sport, including the themes 'recognising struggle', 'reconnection', 're-engaging after restrictions, and 'reimagining sport'. The themes captured insights about a decline in mental wellbeing and physical activity, an increase in family connectedness, the challenge for sports to attract volunteers and participants back into sport, and the opportunities to reset values and philosophies underpinning the provision of youth sport. CONCLUSION: The findings provide valuable insight into the youth sport setting as a result of the global pandemic and suggest that families, sporting clubs and sporting organisations require additional resources and tools (for example, support for parents to facilitate their children's training at home during lockdown) to aid recovery efforts and to ensure the survival and prosperity of youth sport into the future.


Assuntos
/epidemiologia , Controle de Doenças Transmissíveis/estatística & dados numéricos , Quarentena/psicologia , Quarentena/estatística & dados numéricos , Esportes Juvenis/psicologia , Esportes Juvenis/estatística & dados numéricos , Adolescente , Austrália , Criança , Feminino , Grupos Focais , Humanos , Masculino , Pandemias/estatística & dados numéricos , Austrália do Sul/epidemiologia , Inquéritos e Questionários
3.
Artigo em Inglês | MEDLINE | ID: mdl-33540518

RESUMO

A gender difference in youth sports and physical activity participation is well documented. However, research is limited to understand potential gender difference in the long-term effects of youth sports participation. The study aim was to compare the likelihood of meeting the aerobic Physical Activity Guidelines (PAG) in early adulthood by youth sports participation patterns among females and males. The study sample included 582 Iowa Bone Development Study participants (Iowa, USA). Participation in organized sports was assessed using a physical activity questionnaire 19 times on average between age 6 and 17 years. Accelerometer and dual-energy X-ray absorptiometry assessments were conducted at an average age of 23 years. Group-based trajectory analysis was conducted to identify youth sports participation trajectory patterns. Multivariable logistic regression analysis was conducted to examine the association between youth sports participation patterns and meeting the PAG in adulthood. We identified three youth sports participation patterns: "continuous participation," "drop-out," and "no participation." Females in the continuous participation group were more likely to meet the aerobic PAG at age 23 years, compared to females in the no-participation group (OR = 2.63; 95% CI = 1.05, 6.55) or the drop-out group (OR = 2.55; 95% CI = 1.38, 4.69). However, among males, youth sports participation patterns were not significantly associated with meeting the aerobic PAG at age 23 years. In conclusion, this study suggests that youth sports participation could be more important among females than males for predicting physical activity in early adulthood.


Assuntos
Esportes , Esportes Juvenis , Absorciometria de Fóton , Adolescente , Adulto , Desenvolvimento Ósseo , Criança , Exercício Físico , Feminino , Humanos , Masculino , Adulto Jovem
4.
Phys Ther Sport ; 48: 188-195, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33508694

RESUMO

OBJECTIVES: To investigate lower extremity muscle strength as risk factor for an acute ankle injury in youth athletes. DESIGN: Cohort study. SETTING: Basketball and floorball clubs. PARTICIPANTS: 188 youth (≤21) male and 174 female athletes. MAIN OUTCOME MEASURES: 1RM leg press, maximal concentric isokinetic quadriceps and hamstrings as well as maximal isometric hip abductor strength were measured and athletes were followed for an acute ankle injury up to three years. Cox regression models were used in statistical analyses. RESULTS: In males, greater 1RM leg press and maximal quadriceps strength increased the risk of any type of acute ankle injury (Hazard ratio [HR] for 1 SD increase, 1.63 [95% CI, 1.12-2.39] and 1.43 [95% CI, 1.01-2.01], respectively). In females, greater 1RM leg press and difference between legs in hip abduction strength increased the risk of acute non-contact ankle injury (HR for 1 SD increase, 1.44 [95% CI, 1.03-2.02] and 1.44 [95% CI, 1.03-2.00], respectively). However, ROC curve analyses showed AUC:s of 0.57-0.64 indicating "fail" to "poor" combined sensitivity and specifity of these tests. CONCLUSION: Greater strength in both sexes along with asymmetry in hip abductor strength in females increased the risk of acute ankle injury.


Assuntos
Traumatismos do Tornozelo/fisiopatologia , Extremidade Inferior/fisiologia , Força Muscular , Esportes Juvenis/lesões , Adolescente , Basquetebol/lesões , Estudos de Coortes , Feminino , Músculos Isquiossurais/fisiologia , Quadril/fisiologia , Humanos , Masculino , Músculo Quadríceps/fisiologia , Fatores de Risco
6.
Clin Sports Med ; 40(1): 147-158, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33187605

RESUMO

Pediatric patients with concussions have different needs than adults throughout the recovery process. Adolescents, in particular, may take longer to recover from concussion than adults. Initially, relative rest from academic and physical activities is recommended for 24 to 48 hours to allow symptoms to abate. After this time period, physicians should guide the return to activity and return to school process in a staged fashion using published guidelines. Further concussion research in pediatric patients, particularly those younger than high-school age, is needed to advance the management of this special population.


Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/terapia , Concussão Encefálica/diagnóstico , Concussão Encefálica/terapia , Esportes Juvenis/lesões , Adolescente , Adulto , Traumatismos em Atletas/complicações , Concussão Encefálica/complicações , Criança , Terapia por Exercício , Humanos , Aprendizagem , Síndrome Pós-Concussão/diagnóstico , Síndrome Pós-Concussão/terapia , Volta ao Esporte , Fatores de Tempo
7.
Sports Health ; 13(1): 25-30, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32631208

RESUMO

BACKGROUND: The relationships between sport specialization, physical activity, sleep, and illness in younger athletes are unknown. Therefore, the purpose of this study was to evaluate the independent effects of sport specialization, sleep, and physical activity on illness in middle school athletes. HYPOTHESIS: Decreased sleep, decreased physical activity, and higher levels of sport specialization will be associated with an increased risk of illness among middle school athletes. STUDY DESIGN: Prospective cohort study. LEVEL OF EVIDENCE: Level 4. METHODS: Parents of middle school-aged children reported baseline sport specialization (low, moderate, or high) as well as sleep duration, physical activity, and illnesses every week throughout the academic year. A mixed-effects logistic regression model was used to assess the association between illness and specialization while accounting for sleep and physical activity for the prior week as fixed effects and each individual as a random effect. RESULTS: A total of 233 children (mean age, 12.1 ± 1.2 years; 61% male) participated, of whom 41%, 25%, and 34% were categorized as low, moderate, and high specialization, respectively. The proportion of individuals who experienced illness did not differ by specialization level (low, 76%; moderate, 70%; high, 59%; P = 0.064). In the multivariable model, the odds of illness compared with the low specialization group was not significantly different for moderate (odds ratio [OR], 0.93; 95% CI, 0.70-1.23; P = 0.61) or high specialization (OR, 0.76; 95% CI, 0.56-1.03; P = 0.073). A decreased risk of illness was associated with greater prior week sleep (OR, 0.79; 95% CI, 0.69-0.91; P < 0.001) and physical activity (OR, 0.94; 95% CI, 0.92-0.96; P < 0.001). CONCLUSION: Sport specialization is not associated with an increased risk of illness among middle school athletes, while increased sleep duration and physical activity appear to reduce the risk of illness. CLINICAL RELEVANCE: Interventions to promote physical activity and improve sleep may reduce the risk of illness in early adolescent athletes.


Assuntos
Exercício Físico , Privação do Sono/fisiopatologia , Especialização , Esportes Juvenis/fisiologia , Adolescente , Criança , Transtornos Traumáticos Cumulativos/fisiopatologia , Feminino , Humanos , Masculino , Condicionamento Físico Humano/fisiologia , Estudos Prospectivos , Fatores de Risco
8.
Sports Health ; 13(1): 18-24, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32716762

RESUMO

BACKGROUND: Current research on concussion incidence in youth athletes (age <18 years) is small and limited by variability in injury reporting and diagnostic methodology. HYPOTHESIS: Concussion injuries commonly occur in high school sports programs. The likelihood of concussion among student-athletes (aged 13-18 years) depends on the sport they are participating in as well as the sex of the athlete. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 4. METHODS: A retrospective analysis of all Hawaii high school athletes aged 13 to 18 years participating in 14 sports from 2011 through 2017 was performed as part of a statewide standardized concussion assessment and management program. RESULTS: A total of 5993 concussions were identified among 92,966 athletes. The overall concussion rate was 0.96 (95% CI, 0.94-0.99). Girls' judo had the highest concussion rate (1.92; 95% CI, 1.68-2.17) followed by football (1.60; 95% CI, 1.53-1.66). The concussion rate for boys (1.0; 95% CI, 0.97-1.03) was higher than that for girls (0.91; 95% CI, 0.87-0.95); however, in 4 of the 5 sports in which both girls and boys participated, girls had a higher rate of concussion injury. CONCLUSION: The likelihood of concussion among student-athletes aged 13 to 18 years may be higher than previously thought and varies depending on sport and sex. CLINICAL RELEVANCE: Epidemiologic data on concussion injury in children and adolescents are useful in accurately determining the relative risks of high school sports participation and may be valuable in determining the appropriate allocation of health care and scholastic resources for student-athletes, as well as the impact of rule and training modifications designed to improve participant safety.


Assuntos
Concussão Encefálica/epidemiologia , Esportes Juvenis/lesões , Adolescente , Feminino , Futebol Americano/lesões , Hawaii/epidemiologia , Humanos , Incidência , Masculino , Artes Marciais/lesões , Estudos Retrospectivos , Instituições Acadêmicas , Distribuição por Sexo , Futebol/lesões
9.
Sports Health ; 13(1): 45-48, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32880525

RESUMO

BACKGROUND: Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes with in-season shoulder instability and compare those athletes treated with bracing to those who were not. HYPOTHESIS: The use of functional bracing will improve success rates in a cohort of athletes treated nonoperatively for in-season shoulder instability. STUDY DESIGN: Cohort study. LEVEL OF EVIDENCE: Level 3. METHODS: A total of 97 athletes with anterior shoulder instability were followed for a minimum of 1 year. The mean age was 15.8 ± 1.4 years (range, 12.0-18.0 years). All athletes were treated with initial nonoperative management. Twenty athletes (21%) were also treated with bracing while 77 (79%) were not. The athlete completing the current season and 1 subsequent season without surgery or time lost from shoulder injury was defined as a successful outcome. RESULTS: There was no statistical difference in nonoperative success rates between the braced and nonbraced athletes (P = 0.33). Braced athletes (n = 20) returned to play 80% of the time, while nonbraced athletes (n = 77) returned at a rate of 88%. Of the braced athletes, 85% were football players (n = 17). A football-only comparison demonstrated no difference between braced failures (26%) and nonbraced failures (16%) (P = 0.47). CONCLUSION: This is the first study to evaluate the utility of functional bracing in returning an athlete to sport and completing a full subsequent season without surgery or time loss due to injury of the shoulder. In adolescent athletes with shoulder instability treated nonoperatively, functional bracing did not result in increased success rates when compared with no bracing. CLINICAL RELEVANCE: The data from this study indicate that functional bracing may not improve success rates for athletes with shoulder instability.


Assuntos
Braquetes , Instabilidade Articular/terapia , Volta ao Esporte , Lesões do Ombro/terapia , Esportes Juvenis/lesões , Adolescente , Criança , Tratamento Conservador , Humanos , Fatores de Tempo , Resultado do Tratamento
10.
Sports Health ; 13(1): 37-44, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32903164

RESUMO

CONTEXT: Plyometric training has been shown to be beneficial in adolescent overhead athletes. However, existing research on the effects of plyometrics on sport performance has been limited. OBJECTIVE: To systematically review the current literature to investigate whether plyometric training intervention improves upper- and lower-body sport performance. DATA SOURCES: Two electronic databases (MEDLINE and Web of Science) were searched using specific Medical Subject Headings (MeSH) terms up to February 2019, and hand-searching was performed by looking to relevant studies that were cited in other studies. STUDY SELECTION: A total of 932 items were identified and were further assessed for the eligibility in the systematic review. For a study to be eligible, each of the following inclusion criteria had to be met: (1) participants were aged 13 to 18 years and selected from a sports or athletic population and the study (2) involved the evaluation of a plyometric training intervention with an aim to improve sports performance; (3) must have included a control intervention and/or control group; (4) included a quantitative objective measure of sport performance variables concerning throwing, jumping, running, and sprinting; and (5) was published in English. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: A first screening was conducted based on title and abstract of the articles. In the second screening, the full text of the remaining articles was evaluated for the fulfillment of the inclusion criteria. RESULTS: A total of 14 studies were included in this review. The methodological quality of the included studies ranged from low to moderate. There is moderate evidence that plyometric training intervention improves throwing and jumping performances. There is also preliminary evidence that plyometric training intervention improves sprint performance. CONCLUSION: The current evidence suggests that sport performance consisting of throwing capacity, jumping ability, and sprint performance significantly improved due to plyometric training interventions in adolescent overhead athletes.


Assuntos
Desempenho Atlético/fisiologia , Exercício Pliométrico , Esportes Juvenis/fisiologia , Adolescente , Humanos , Extremidade Inferior/fisiologia , Corrida/fisiologia , Extremidade Superior/fisiologia
12.
Work ; 67(4): 767-769, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33325427

RESUMO

The potential ramifications of the COVID-19 pandemic global shut down on physical education providers and youth sport coaches may be particularly severe due to substantial cutbacks on many of their normal activities. This population faces unique challenges in engaging in "virtual learning" given the physical nature of their job, potentially leading to sedentary lifestyle, weight gain, and the development of depressive mood disorders. This commentary aims to explore options to mitigate worsening of stress, depression, physical inactivity, and social disconnection in youth sport coaches following the guidelines of the American College of Sports Medicine (ACSM) and to call attention to this vulnerable demographic which has been substantially impacted by the COVID-19 pandemic.


Assuntos
/prevenção & controle , Tutoria , Educação Física e Treinamento , Quarentena , Esportes Juvenis/psicologia , Adaptação Psicológica , Depressão/prevenção & controle , Dieta Saudável , Humanos , Estresse Ocupacional/prevenção & controle , Pandemias , Comportamento Sedentário , Isolamento Social
13.
Orthop Clin North Am ; 51(4): 517-525, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32950221

RESUMO

Early sports specialization (ESS) is a relatively new trend that has led to many youth athletes to focus on only 1 sport at an increasingly young age. Although parents and coaches perceive that this will improve their athlete's chances of success at the collegiate and professional levels, studies have shown the opposite. ESS leads to increased injury risk, higher rates of burnout, and lower lifelong sports participation without increasing elite achievement. Throwing athletes are particularly vulnerable to these overuse injuries of the shoulder and elbow, which have been shown to correlate directly to the number of throws and innings played.


Assuntos
Especialização/tendências , Esportes Juvenis/tendências , Humanos , Extremidade Superior , Esportes Juvenis/lesões
14.
PLoS One ; 15(9): e0236812, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32877443

RESUMO

Unequal access to health promotion resources and early prevention services is a major determinant of health inequity among youth. Initiatives that improve the access to and adoption of health promotion messages are important undertakings, e.g., sport. Sport-for-development (SFD) programs are seen as valuable delivery tools, in which coaches are used as change agents to increase health awareness and behavior among at-risk youth. The delivery of such messages requires specific knowledge and skills that can be attained through training; however, the effectiveness of such training requires assessment. In this study, we evaluated the feasibility of such a training program for SFD coaches using process evaluation from a realist perspective, and views from multiple stakeholders, among other sources. We also clarified the inner workings of the training and investigated how context shaped the training outcomes. Increased health awareness and a sense of responsibility from acting as a role model for at-risk youth were among the perceived training outcomes. Building a safe environment for learning, engagement, and bonds of trust increased the confidence to learn, and resulted in a sense of critical self-reflection and self-development of SFD coaches towards health and prevention messages. Importantly, the unique situations (or context) of SFD coaches and SFD in general presented challenging variables, e.g., a precarious life history or living conditions, mental health issues, or low educational skills, that hampered the impact of the mechanisms put in place by the training. Here, we present a process in which the development of the 'right mind-set,' engagement and bonds of trust, in combination with the right settings are key elements for SFD coaches to learn how to convey health-promoting messages and take responsibility as role models for at-risk youth.


Assuntos
Promoção da Saúde , Avaliação de Programas e Projetos de Saúde , Esportes Juvenis , Estudos de Viabilidade , Humanos
15.
Sports Health ; 12(6): 559-563, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32780637

RESUMO

BACKGROUND: Female athletes have a higher rate of anterior cruciate ligament (ACL) injuries than male athletes; however, the role of age in mediating this injury risk has not been explored. The purpose of this study was to characterize the relationship between age and sex in predicting ACL injury in the pediatric population. HYPOTHESIS: Prepubescent boys are more likely to sustain an ACL injury than prepubescent girls. STUDY DESIGN: Descriptive epidemiological study. LEVEL OF EVIDENCE: Level 4. METHODS: Data were collected from the Statewide Planning and Research Cooperative System database for the state of New York from 1996 to 2016. The database was queried for patients aged ≤19 years who had been diagnosed with an ACL tear using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code 844.2 or the ICD-10 (10th Revision) codes S83.512A/S83.511A/S83.519A. Patient age and sex at time of ACL injury diagnosis were recorded. Chi-square analysis was used to compare the frequency of ACL injury between groups, with statistical significance set atP < 0.05. RESULTS: A total of 20,128 patients aged ≤19 years were diagnosed with an ACL tear (10,830 males, 9298 females; male:female, 1.16:1). In all, 129 patients aged <12 years sustained an ACL tear (85 boys, 44 girls; male:female, 1.93:1), and 19,999 of those patients were aged 12 to 19 years (10,745 males, 9254 females; male:female, 1.16:1). Chi-square analysis demonstrated a significant relationship between sex and age group (P < 0.006). Additional analysis revealed that female athletes were most at risk for ACL injury from ages 12 to 16 years, with 4025 male and 5095 female athletes sustaining ACL injuries in this group (male:female, 1:1.27; P < 0.0001). CONCLUSION: Prepubescent boys (aged <12 years) are more likely to sustain an ACL injury than same-aged female peers. CLINICAL RELEVANCE: This study demonstrates that the risk of ACL injury varies with age and sex throughout childhood and adolescence, further guiding treatment and prevention for these pediatric athletes.


Assuntos
Lesões do Ligamento Cruzado Anterior/epidemiologia , Esportes Juvenis/lesões , Adolescente , Fatores Etários , Criança , Feminino , Humanos , Incidência , Masculino , New York/epidemiologia , Prevalência , Puberdade , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Adulto Jovem
16.
J Sport Health Sci ; 9(4): 358-366, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32768129

RESUMO

BACKGROUND: The pressure of pursuing an athletic career simultaneously with education may set adolescent student-athletes at risk for sport and school burnout. Although the 2 life domains of student-athletes are strongly intertwined, so far, there has not been an instrument for investigating sport burnout parallel to school burnout. The aim of the present study was to introduce a sport burnout measure for adolescents in a dual career context and investigate its validity and reliability by using confirmatory factor analysis. METHODS: The participants were 391 student-athletes (51% females) who filled in a questionnaire of sport burnout and background variables in the beginning of upper secondary school. RESULTS: A 3-factor model or a second-order-factor model described the data better and gave better reliability indices than a 1-factor model. The 3 dimensions of sport burnout were shown to be separate, but closely related constructs. Evidence for convergent and discriminant validity was obtained by correlating the 3 sport burnout dimensions with depressive symptoms, self-esteem, and sport task values. CONCLUSION: The results suggest that Sport Burnout Inventory-Dual Career Form (SpBI-DC) is a valid and reliable instrument for investigating sport burnout among adolescent student-athletes.


Assuntos
Esgotamento Psicológico , Estudantes/psicologia , Inquéritos e Questionários , Esportes Juvenis/psicologia , Adolescente , Estudos Transversais , Depressão , Análise Fatorial , Feminino , Finlândia , Humanos , Masculino , Reprodutibilidade dos Testes , Instituições Acadêmicas , Autoimagem
17.
Psicothema (Oviedo) ; 32(3): 359-365, ago. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-199776

RESUMO

BACKGROUND: Diet and physical activity are prioritised in behavioural interventions given their influence on major child health issues. The objective of this study was to assess the feasibility of an educational intervention, based on the Behaviour Change Wheel model, on adherence to healthy eating habits in adolescent soccer players in Asturias, Spain. METHOD: This pilot study involved 319 soccer players (mean age=14.19 years; SD=1.089), who were distributed into a control group (CG) and an intervention group (IG). The response variables were: the usage rate of, adherence to, and acquisition of knowledge of the Mediterranean diet. The intervention included posters, a web-app, and practical activities. RESULTS: The mean score on the knowledge questionnaire was 2.53 for the CG and 3.42 for the IG (p <.001). A weak direct correlation was observed between diet knowledge and KIDMED scores (r =.222, p =.013). The total pre-test KIDMED (p <.001) and diet knowledge ( p =.05) scores explained approximately 33% of the total post-test KIDMED score. CONCLUSIONS: The combined use of posters and a web app as intervention tools have been shown to be feasible in order to provide information on healthy eating habits to adolescents who play soccer and to help them maintain those eating habits


ANTECEDENTES: alimentación y actividad física son objeto de abordaje prioritario, mediante intervenciones conductuales, dada su influencia sobre los principales problemas de salud infantil. El objetivo de este estudio fue evaluar la factibilidad de una intervención educativa, basada en el modelo Behaviour Change Wheel, sobre adherencia a la alimentación saludable en adolescentes jugadores de fútbol del Principado de Asturias. MÉTODO: estudio piloto sobre 319 jugadores de fútbol, edad media 14,19 años (DE= 1.089), distribuidos en grupo control (GC) e intervención (GI). Las variables de respuesta fueron: tasa de uso, adherencia y adquisición de conocimientos en relación con la dieta mediterránea. La intervención estuvo compuesta por 3 elementos: carteles, web-app y actividades prácticas. RESULTADOS: la puntuación media del cuestionario de conocimientos fue de 2.53 y 3.42 en GC y GI, respectivamente (p<.001). Se observó correlación directa baja entre conocimientos y puntuación de KIDMED (r=.222, p=.013). La puntuación total de KIDMED en PRE (p<.001) y los conocimientos (p=.05) explicaron aproximadamente el 33% de la puntuación total de KIDMED en POST. CONCLUSIONES: la combinación de carteles y el uso de una web-app como herramientas han demostrado factibilidad para aportar información sobre la alimentación saludable y mantener su calidad en adolescentes que juegan al fútbol


Assuntos
Humanos , Masculino , Adolescente , Conhecimentos, Atitudes e Prática em Saúde , Educação Alimentar e Nutricional , Esportes Juvenis , Dieta Mediterrânea , Futebol , Projetos Piloto
18.
Clin J Sport Med ; 30(4): 412-415, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32644320

RESUMO

OBJECTIVE: Report the clinical findings and outcomes among pediatric patients diagnosed with benign paroxysmal positional vertigo (BPPV) after sports-related concussion (SRC). DESIGN: Retrospective case series. SETTING: Multidisciplinary pediatric concussion program. PATIENTS: Patients younger than 19 years with a sport or recreation activity-related concussion referred for comprehensive vestibular physiotherapy assessment. MAIN OUTCOME MEASURE: Symptom resolution after targeted particle repositioning (PR). RESULTS: During the study period, 115 pediatric SRC patients underwent vestibular physiotherapy assessment including 12 (10.4%) who were diagnosed with BPPV. Unilateral posterior semicircular canal (SCC) BPPV was diagnosed in 8/12 (75%) patients, and unilateral anterior SCC BPPV diagnosed in 4/12 (25%) patients. Benign paroxysmal positional vertigo was successfully treated in all patients with a mean of 1.58 targeted PR maneuvers (range = 1-4). CONCLUSIONS: Comprehensive management of pediatric SRC requires a multidisciplinary approach to address the heterogeneous pathophysiology of persistent postconcussion symptoms. Pediatric SRC patients with coexisting BPPV should be considered for targeted PR.


Assuntos
Vertigem Posicional Paroxística Benigna/etiologia , Concussão Encefálica/complicações , Esportes Juvenis/lesões , Adolescente , Traumatismos em Atletas/complicações , Traumatismos em Atletas/fisiopatologia , Vertigem Posicional Paroxística Benigna/terapia , Concussão Encefálica/fisiopatologia , Feminino , Humanos , Masculino , Modalidades de Fisioterapia , Estudos Retrospectivos
19.
Sports Health ; 12(6): 598-602, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32609577

RESUMO

BACKGROUND: The management of the adolescent athlete after initial shoulder instability remains controversial. HYPOTHESIS: Individual risk factors in athletes with shoulder instability who are managed nonoperatively can be integrated into a scoring system that can predict successful return to sport. STUDY DESIGN: Retrospective cohort study. LEVEL OF EVIDENCE: Level 4. METHODS: A total of 57 scholastic athletes with primary anterior shoulder instability who were managed nonoperatively were reviewed. Success was defined as a return to index sport at the same level and playing at least 1 subsequent season without missed time as a result of the shoulder. Patient-specific risk factors were individually evaluated, and odds ratios were calculated. A 10-point Nonoperative Injury Severity Index Score (NISIS) incorporated the risk factors for failure. This score was then retrospectively applied with regression analysis and a chi-square analysis to determine the overall optimal score that predicted failure of nonoperative management. RESULTS: In total, 6 risk factors for failure were included in the NISIS: age (>15 years), bone loss, type of instability, type of sport (contact vs noncontact), male sex, and arm dominance. Overall, 79% of patients treated nonoperatively were able to successfully return to sport. Nearly all (97%) low-risk patients (NISIS <7) successfully returned to sport, while only 59% of high-risk patients returned to sport, a relative risk of 12.2 (P = 0.001). High-risk patients with unipolar bone loss successfully returned (100%), but 67% of high-risk patients with bipolar bone loss failed. CONCLUSION: The NISIS is a simple and effective clinical tool to determine successful nonoperative management following anterior shoulder instability and may be helpful in guiding decision making when presented with the unstable shoulder in the scholastic athlete.


Assuntos
Instabilidade Articular/terapia , Luxação do Ombro/terapia , Articulação do Ombro/lesões , Índices de Gravidade do Trauma , Esportes Juvenis/lesões , Adolescente , Tomada de Decisão Clínica , Humanos , Instabilidade Articular/diagnóstico , Instabilidade Articular/cirurgia , Recidiva , Estudos Retrospectivos , Volta ao Esporte , Medição de Risco , Fatores de Risco , Luxação do Ombro/diagnóstico , Luxação do Ombro/cirurgia , Falha de Tratamento
20.
Cuad. psicol. deporte ; 20(3): 95-108, jul. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193544

RESUMO

El objetivo fue determinar si la técnica de tiro libre ejecutada por jugadores de baloncesto de entre 9 y 11 años no participantes en ninguna selección autonómica y nacional coincidió con la técnica reportada por la literatura y estudios previos. El trabajo se realizó diferenciando la técnica de tiro antes de la salida y a la salida del balón. Participaron 12 jugadores varones de entre 9 y 11 años (M = 10,43, DT = ,63) que nunca habían participado en ninguna selección autonómica ni nacional. Se utilizó la metodología observacional a través de un diseño puntual/nomotético/multidimensional. Se grabó a los jugadores realizando un test que constaba de 10 tiros libres. Posteriormente, dos observadores observaron la ejecución técnica de cada uno de los tiros realizados por los jugadores. Se realizó la detección de t-patterns mediante el software Theme V.6 EDU. No se detectó ningún t-pattern antes de la salida del balón ni a la salida debido a que los tiros se realizaron siguiendo conductas muy dispares, que no se repitieron de forma regular en el tiempo. En el presente trabajo se utilizó un instrumento de observación que permitió la obtención de información directamente aplicable a la realidad diferenciando lo que ocurre antes de la salida del balón y a la salida del mismo. Se comprobó que los jugadores analizados, los cuales no jugaban en ninguna selección, ejecutaron una técnica de tiro que contrastaba en varios criterios con las recomendaciones propuestas por la literatura y estudios previos


The purpose was to determine whether the free throw technique of under-12 basketball players, who did not participated in any regional and national team, was similar to the technique reported by the literature and previous studies. The analysis differentiated prior to shoot and at ball release moments. Participant were 12 male players between 9 and 11 years old (M = 10.43, SD =, 63) who had never participated in any regional and national team. The observational methodology was used through a point/nomothetic/multidimensional design. The players were recorded performing a test consisting of 10 free throws. Two observers observed the technical execution of each of the shots made by the players. T-patterns were detected using Theme V.6 EDU software. Neither prior to ball release nor at ball release t-patterns were detected because the free throws followed very different behaviours, which were not repeated regularly over time. In the present work, an observation instrument was used that allowed obtaining information directly applicable to reality, differentiating between the free throw technique prior to shoot and at ball release moments. The analysed players, who did not play in any regional and national team, executed a free throw technique that contrasted in several criteria with the literature and previous studies recommendations


O objetivo foi determinar se a técnica do tiro livre executada por jogadores de basquete entre 9 e 11 anos de idade que não participavam de nenhuma seleção regional e nacional coincidia com a técnica relatada na literatura e em estudos anteriores. O trabalho foi realizado diferenciando a técnica do chute antes do início e do início da bola. Participaram 12 jogadores do sexo masculino entre 9 e 11 anos (M = 10,43, DT =, 63) que nunca haviam participado de nenhuma equipe regional ou nacional. A metodologia observacional foi utilizada através de um desenho pontual/nomotético/multidimensional. Os jogadores foram gravados realizando um teste composto por 10 chutes da linha de lance livre. Posteriormente, dois observadores observaram a execução técnica de cada um dos tiros feitos pelos jogadores. Os t-patterns foram detectados usando o software Theme V.6 EDU. Nenhum t-patterns foi detectado antes do início da bola ou no início, porque os chutes foram feitos seguindo comportamentos muito diferentes, que não foram repetidos regularmente ao longo do tempo. No presente trabalho, foi utilizado um instrumento de observação que permitiu obter informações diretamente aplicáveis à realidade, diferenciando o que ocorre antes da saída da bola e da saída da bola. Verificou-se que os jogadores analisados, que não jogaram em nenhuma seleção, executaram uma técnica de chute que contrasta em vários critérios com as recomendações propostas pela literatura e estudos anteriores


Assuntos
Humanos , Masculino , Criança , Basquetebol/estatística & dados numéricos , Desempenho Atlético/estatística & dados numéricos , Desempenho Atlético/fisiologia , Esportes Juvenis/estatística & dados numéricos
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