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1.
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
2.
Med Probl Perform Art ; 35(4): 208-213, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33257923

RESUMO

BACKGROUND: Mismanagement of fatigue and playing load have been consistently identified as risk factors for playing-related pain and injuries. Studies in sport demonstrate that fatigue management strategies can predict and prevent overuse syndromes and related injuries through consistent assessment of playing load and physical/psychological stress. Self-report strategies show particular responsiveness to both the short and long-term impacts of training. No equivalent fatigue management strategies exist for musicians. Establish key items and feasibility parameters to inform the development of a self-report fatigue management tool for musicians. METHODS: A working party of international experts in musicians' medicine was invited to complete a two-phase Delphi survey. In Phase I, working party members rated established items from sport (REST-Q subscales with demonstrated responsiveness to both acute and chronic training stresses) with respect to relevance and prospective utility for musicians. Members could also propose additional items and were asked to indicate a maximum feasible questionnaire length. In Phase II, working party members ranked top performing items from Phase I. Consensus best items were determined based on Phase II rankings. RESULTS: A 28-member working party was assembled (15 clinicians, 13 researchers). Of 20 researcher proposed items and 58 working party proposed items, 5 items met consensus criteria: I had pain; I had to play too much; I felt physically fit; I did not get enough sleep; I recovered well physically. A strong majority (89%) of working party members indicated that regular use of a fatigue questionnaire with up to 10 items is feasible. CONCLUSIONS: Key questionnaire items and feasibility parameters for a novel fatigue management tool for musicians are established. Future research in musicians is needed to validate study results and this novel fatigue management tool.


Assuntos
Transtornos Traumáticos Cumulativos , Música , Fadiga , Humanos , Estudos Prospectivos , Autorrelato , Sono
3.
Rev. enferm. UERJ ; 28: e48522, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1103397

RESUMO

Objetivo: identificar a presença de distúrbios osteomusculares relacionados ao trabalho nos trabalhadores de enfermagem de uma unidade de clínica médica e construir juntos aos trabalhadores propostas para reduzir a ocorrência dos distúrbios osteomusculares no ambiente de trabalho. Método: estudo transversal com 31 trabalhadores de enfermagem de uma clínica médica, que responderam uma ficha de dados sóciodemográfico e profissional e do Questionário Nórdico de Sintomas Osteomusculares. Resultados: os trabalhadores exercem suas atividades laborais com dores osteomusculares, sendo as regiões corpóreas mais prevalentes a lombar e a porção superior da coluna e ombros. Apesar disso, nem todos se afastam do trabalho ou procuram assistência terapêutica. As ações de redução dos distúrbios osteomusculares levantadas foram categorizadas em três dimensões: indivíduo, equipe e instituição. Conclusão: os trabalhadores apresentam distúrbios osteomusculares, principalmente, nas costas. As ações de redução de sua ocorrência perpassam pelo comportamento individual às mudanças estruturais e provisão de equipamentos de trabalho.


Objective: to identify the presence of work-related musculoskeletal disorders in nursing staff at an internal medicine unit and, jointly with the staff, to build proposals to reduce the occurrence of musculoskeletal disorders in the workplace. Method: in this cross-sectional study, 31 nursing staff of a medical clinic answered a socio-demographic and professional data sheet and the Nordic Musculoskeletal Questionnaire. Results: staff performed their work activities with musculoskeletal pain, the most prevalent body regions being: lower back and upper spine and shoulders. Nonetheless, not everyone would take time off work or seek therapeutic care. The actions suggested to reduce musculoskeletal disorders were categorized into three dimensions: individual, team and institutional. Conclusion: staff had musculoskeletal disorders, mainly in the back. Actions proposed to reduce pain ranged from individual behavior to structural changes and provision of work equipment.


Objetivo: identificar la presencia de trastornos musculoesqueléticos relacionados con el trabajo en el personal de enfermería en una unidad de medicina interna y, conjuntamente con el personal, elaborar propuestas para reducir la aparición de trastornos musculoesqueléticos en el lugar de trabajo. Método: en este estudio transversal, 31 miembros del personal de enfermería de una clínica médica respondieron una hoja de datos sociodemográficos y profesionales y el Cuestionario musculoesquelético nórdico. Resultados: el personal realizó sus actividades laborales con dolor musculoesquelético, siendo las regiones corporales más frecuentes: la parte baja de la espalda y la parte superior de la columna y los hombros. Sin embargo, no todos tomarían tiempo libre del trabajo o buscarían atención terapéutica. Las acciones sugeridas para reducir los trastornos musculoesqueléticos se clasificaron en tres dimensiones: individual, de equipo e institucional. Conclusión: el personal tenía trastornos musculoesqueléticos, principalmente en la espalda. Las acciones propuestas para reducir el dolor iban desde el comportamiento individual hasta los cambios estructurales y la provisión de equipos de trabajo.


Assuntos
Humanos , Masculino , Feminino , Adulto , Ambiente de Trabalho , Transtornos Traumáticos Cumulativos/prevenção & controle , Saúde do Trabalhador , Recursos Humanos de Enfermagem no Hospital , Brasil/epidemiologia , Estudos Transversais , Inquéritos e Questionários , Prevenção de Doenças , Dor Musculoesquelética/prevenção & controle
4.
Artigo em Inglês | MEDLINE | ID: mdl-33066291

RESUMO

This systematic review evaluates the existing literature about medial tibial stress syndrome (MTSS) in novice and recreational runners. PubMed/MEDLINE, EMBASE, Web of Science, Scopus, SPORTDiscus and CINAHL databases were searched until July 2020. Studies covering risk factors, diagnostic procedures, treatment methods and time to recovery of MTSS in novice and recreational runners were selected. Eleven studies met the inclusion criteria and were included. The risk factors of MTSS are mainly intrinsic and include higher pelvic tilt in the frontal plane, peak internal rotation of the hip, navicular drop and foot pronation, among others. Computed tomography (CT) and pressure algometry may be valid instruments to corroborate the presence of this injury and confirm the diagnosis. Regarding treatment procedures, arch-support foot orthoses are able to increase contact time, normalize foot pressure distribution and similarly to shockwave therapy, reduce pain. However, it is important to take into account the biases and poor methodological quality of the included studies, more research is needed to confirm these results.


Assuntos
Transtornos Traumáticos Cumulativos , Síndrome da Tensão Tibial Medial , Corrida , , Humanos , Fatores de Risco , Rotação , Tomografia Computadorizada por Raios X
5.
Orthop Clin North Am ; 51(4): 493-497, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32950218

RESUMO

The distal radial physis is a common site for injury in gymnasts because of the significant amount of load applied during upper extremity weight-bearing. Wrist pain has been reported in up to 88% of gymnasts. The long-term consequences of overuse wrist injuries, such as distal radial physeal arrest, include degenerative conditions that often cause pain and functional limitations. In the more immediate stage of many overuse injuries, early diagnosis can promote quicker care and recovery and thus faster return to play. Less time lost to injury can be very important in maintaining an athlete's quality of life.


Assuntos
Transtornos Traumáticos Cumulativos/etiologia , Ginástica/lesões , Traumatismos do Punho/etiologia , Transtornos Traumáticos Cumulativos/diagnóstico por imagem , Transtornos Traumáticos Cumulativos/terapia , Humanos , Traumatismos do Punho/diagnóstico por imagem , Traumatismos do Punho/terapia
6.
Orthop Clin North Am ; 51(4): 499-509, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32950219

RESUMO

Overuse wrist injuries are a common problem in athletes and can be related to tendinopathies or osteoarticular pathology. Fortunately, athletes rarely miss time from their sport due to these conditions because many can be treated nonoperatively. For refractory cases, there often is a curative surgical procedure that can be done during the off-season.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Traumatismos do Punho , Humanos , Tendinopatia
7.
Sportverletz Sportschaden ; 34(3): 129-135, 2020 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-32823341

RESUMO

Handball is characterised by a high rate of injuries. Recent epidemiologic studies, which take the characteristics of handball into account, demonstrate a clear picture of injury patterns and injury risks for handball athletes. While more than half of all athletes can continue playing handball after medical treatment, the other half of injuries is accompanied by loss of training and match time. Although the sustained injuries are associated with a contact mechanism, they are not related to a high rate of foul play in the league setting. This shows that there is a high potential for prevention. Handball medicine strongly aims to primarily reduce and thus prevent injuries in this sport. The existing evidence for the potential of prevention of severe knee injuries must now be implemented into daily training. Due to the high prevalence of overuse injuries to the throwing shoulder, here, too, the first insights have been implemented in a prevention programme. This is described in detail in this article.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Lesões do Ombro , Esportes , Atletas , Humanos
8.
Sports Health ; 12(5): 478-487, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32758080

RESUMO

CONTEXT: Shoulder injuries are highly prevalent in sports involving the upper extremity. Some risk factors have been identified in the literature, but consensus is still lacking. OBJECTIVES: To identify risk factors of overuse shoulder injury in overhead athletes, as described in the literature. DATA SOURCES: A systematic review of the literature from the years 1970 to 2018 was performed using 2 electronic databases: PubMed and Scopus. STUDY SELECTION: Prospective studies, written in English, that described at least 1 risk factor associated with overuse shoulder injuries in overhead sports (volleyball, handball, basketball, swimming, water polo, badminton, baseball, and tennis) were considered for analysis. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Data were extracted from 25 studies. Study methodology quality was evaluated using the Modified Coleman Methodology Score. RESULTS: Intrinsic factors, previous injury, range of motion (lack or excess), and rotator cuff weakness (isometric and isokinetic) highly increase the risk of future injuries. Additionally, years of athletic practice, body mass index, sex, age, and level of play seem to have modest influence. As for the effect of scapular dysfunction on shoulder injuries, it is still controversial, though these are typically linked. Extrinsic factors, field position, condition of practice (match/training), time of season, and training load also have influence on the occurrence of shoulder injuries. CONCLUSION: Range of motion, rotator cuff muscle weakness, and training load are important modifiable factors associated with shoulder injuries. Scapular dysfunction may also have influence. The preventive approach for shoulder injury should focus on these factors.


Assuntos
Traumatismos em Atletas/fisiopatologia , Transtornos Traumáticos Cumulativos/fisiopatologia , Lesões do Ombro/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Transtornos Traumáticos Cumulativos/prevenção & controle , Humanos , Amplitude de Movimento Articular/fisiologia , Fatores de Risco , Manguito Rotador/fisiopatologia , Escápula/fisiopatologia , Lesões do Ombro/prevenção & controle
9.
Clin J Sport Med ; 30(4): 378-382, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32639443

RESUMO

BACKGROUND: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Our goal was to evaluate orthopedic injuries in professional surfers. HYPOTHESIS: Orthopedic injuries in professional surfers are diverse and have evolved with skill and technology. STUDY DESIGN: Retrospective observational study. LEVEL OF EVIDENCE: Level 4 Case Series. METHODS: Medical records of professional surfers from a single orthopedic center between 1991 and 2016 were reviewed. Injuries sustained while surfing and chronic injuries related to surfing were included. Site of injury, diagnosis, and treatment were recorded along with demographic data. RESULTS: In total, 163 injuries in 86 athletes were recorded. The median injury age was 28.5 years (range 12-62 years) and 92.6% of patients were male. The most frequently injured body parts were the knee (28.2%), ankle (22.1%), and shoulder (19%). Most knee injuries were of the medial collateral ligament at 49%, with 75% of ankle injuries being sprains, and in shoulder, 48% had instability, 42% had a rotator cuff tear, and 35% had a superior anterior-posterior labral tear. Lower extremity injuries primarily affected the surfers' back leg (72.5%). In all, 34.6% of all injuries required surgical intervention and involved shoulder injuries most the time. CONCLUSIONS: The most common orthopedic injuries in professional surfers involve the knee, ankle, shoulder, hip, and back. Surfers' rear extremities were preferentially injured which is the extremity responsible for power and torque. Shoulder injuries increased the probability of an operative intervention. Last, overuse injuries (femoral-acetabular impingement, rotator cuffs) occurred in the older surf population compared with more acute injuries (ankle sprains/fractures, anterior cruciate ligament tears) which is also consistent with time to surgery.


Assuntos
Traumatismos em Atletas/epidemiologia , Esportes Aquáticos/lesões , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Lesões nas Costas/epidemiologia , Criança , Transtornos Traumáticos Cumulativos/epidemiologia , Feminino , Lesões do Quadril/epidemiologia , Humanos , Traumatismos do Joelho/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Lesões do Ombro/epidemiologia , Adulto Jovem
10.
J Sports Sci ; 38(16): 1897-1912, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32602418

RESUMO

To date, little is known about overreaching (OR) and the overtraining syndrome (OTS) in strength sports and resistance training (RT) populations. However, the available literature may elucidate the occurrence of both conditions in these populations. A scoping review was conducted. SPORTDiscus, Scopus and Web of Science were searched in a robust and systematic manner, with relevant articles analysed. 1170 records were retrieved during an initial search, with a total of 47 included in the review. Two broad themes were identified during data extraction: 1) overreaching in strength sports; 2) overreaching and overtraining syndrome in RT. Short-term periods of OR achieved with either high-volume or high-intensity RT can elicit functional OR (FOR) but there is also evidence that chronic high-volume and/or intensity RT can lead to non-functional overreaching (NFOR). There is minimal evidence to suggest that true OTS has occurred in strength sports or RT based on the studies entered during this review. More research is needed to develop robust guiding principles for practitioners. Additionally, due to the heterogeneous nature of the existing literature, future research would benefit from the development of practical tools to identify and diagnose the transition from FOR to NFOR, and subsequently OTS in strength athletes and RT populations. ABBREVIATIONS: RT: Resistance training; OR: Overreaching; FOR: Functional overreaching; NFOR: Non-functional overreaching; OTS: Overtraining syndrome; WP: Weightlifting performance.


Assuntos
Traumatismos em Atletas/etiologia , Transtornos Traumáticos Cumulativos/etiologia , Fadiga/etiologia , Treinamento de Resistência/efeitos adversos , Desempenho Atlético/fisiologia , Biomarcadores/sangue , Índice de Massa Corporal , Doença Crônica , Suplementos Nutricionais , Humanos , Músculo Esquelético/anatomia & histologia
12.
Phys Ther Sport ; 44: 128-135, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32506035

RESUMO

OBJECTIVE: To identify injuries and physical characteristics affecting swimmers' performance. DESIGN: Prospective study. SETTING: Laboratory-based. PARTICIPANTS: Sixty-four Rio Olympic candidates (36 men, 28 women), who were high level swimmers ranked among the top 32 in the 2014 World Ranking in swimming. The participants were categorized into the Olympian group (n = 25), swimmers who were consecutively selected for the Olympic team, and the non-Olympian group (n = 39), swimmers who were not. MAIN OUTCOME MEASURES: Four months prior to the Olympic qualification in 2016, an orthopedist and two physical therapists evaluated injuries and 11 physical characteristics of the swimmers. The prevalence of total overuse injuries, shoulder and low back injury, and physical characteristics were compared between the two groups. RESULTS: The female swimmers in the non-Olympian group had a 53.3% prevalence of total overuse injuries, which was significantly higher than that of those in the Olympian group with 15.4% (p = 0.037). The prevalence of total over use injuries in male swimmers in both the Olympian and non-Olympian groups was 41.7%. Female Olympian group showed that the shoulder external rotation range of motion was significantly less than that of non-Olympian group (97.8 ± 5.7 and 103.6 ± 7.3, p = 0.046). CONCLUSIONS: In female swimmers, total overuse injuries four months before an important competition influence their performance at the event.


Assuntos
Traumatismos em Atletas/epidemiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Amplitude de Movimento Articular/fisiologia , Articulação do Ombro/lesões , Natação/lesões , Traumatismos em Atletas/fisiopatologia , Transtornos Traumáticos Cumulativos/fisiopatologia , Feminino , Humanos , Japão/epidemiologia , Masculino , Prevalência , Estudos Prospectivos , Articulação do Ombro/fisiopatologia , Inquéritos e Questionários , Adulto Jovem
13.
J Am Acad Orthop Surg ; 28(17): e752-e758, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32520903

RESUMO

Youth sport participation patterns have drastically changed over the past two decades. Increasingly, young individuals are specializing in single sport while skeletally immature. Sport specialization in the growing athlete has profound effects on performance, short- and long-term injury risks, and joint health. Evidence continues to mount as the detrimental effects of this trend on the immature athlete. The knee, shoulder, and elbow of these young athletes are particularly affected by this emphasis on skill-based sporting activity as opposed to generalized fitness and participation. An understanding of the epidemiology of sport participation, particularly financial impacts, and the effects on elite sport performance are critical so that the clinician can effectively educate athletes, parents, and coaches.


Assuntos
Atletas , Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Especialização , Esportes Juvenis , Adolescente , Adulto , Fatores Etários , Esgotamento Psicológico , Criança , Transtornos Traumáticos Cumulativos/prevenção & controle , Transtornos Traumáticos Cumulativos/psicologia , Feminino , Educação em Saúde , Humanos , Masculino , Adulto Jovem
14.
J Sports Sci ; 38(20): 2291-2297, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32543341

RESUMO

A large peak hip adduction angle during running is a risk factor for several overuse injuries in women. The purpose of this study was to determine if female runners with a large peak hip adduction angle have differences in eccentric hip abductor muscle strength, hip neuromuscular control, and/or hip width to femoral length ratio (HW:FL) compared to those with a small angle. Hip adduction during running, hip strength, hip control, and HW:FL were measured in sixty healthy female runners (1.66 ± 0.06 m; 63.2 ± 8.3 kg; 27 ± 6 years). Data from twenty runners with the largest and twenty with the smallest peak hip adduction angles were analysed. Between-group differences in hip strength, control, and HW:FL were determined using independent t-tests (p < 0.05). Variables that were significantly different between groups were entered into a regression model. Runners in both groups had similar hip strength (p = 0.90) and control (p = 0.65). HW:FL was greater in the large peak angle group (p = 0.04), but only explained a small amount of peak hip adduction angle variance for all sixty runners (R2 = 0.05). Alarge peak hip adduction angle in some healthy female runners may simply be instinctive as there were no deficiencies in the strength or neuromuscular control constructs assessed.


Assuntos
Fêmur/anatomia & histologia , Articulação do Quadril/anatomia & histologia , Articulação do Quadril/fisiologia , Força Muscular/fisiologia , Corrida/fisiologia , Adulto , Fenômenos Biomecânicos , Transtornos Traumáticos Cumulativos/fisiopatologia , Feminino , Humanos , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia , Fatores de Risco , Corrida/lesões
15.
Br J Sports Med ; 54(21): 1288-1293, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32586943

RESUMO

AIM: To report the epidemiology of injury and illness in elite rowers over eight seasons (two Olympiads). METHODS: All athletes selected to the Australian Rowing Team between 2009 and 2016 were monitored prospectively under surveillance for injury and illness. The incidence and burden of injury and illness were calculated per 1000 athlete days (ADs). The body area, mechanism and type of all injuries were recorded and followed until the resumption of full training. We used interrupted time series analyses to examine the association between fixed and dynamic ergometer testing on rowers' injury rates. Time lost from illness was also recorded. RESULTS: All 153 rowers selected over eight seasons were observed for 48 611 AD. 270 injuries occurred with an incidence of 4.1-6.4 injuries per 1000 AD. Training days lost totalled 4522 (9.2% AD). The most frequent area injured was the lumbar region (84 cases, 1.7% AD) but the greatest burden was from chest wall injuries (64 cases, 2.6% AD.) Overuse injuries (n=224, 83%) were more frequent than acute injuries (n=42, 15%). The most common activity at the time of injury was on-water rowing training (n=191, 68). Female rowers were at 1.4 times the relative risk of chest wall injuries than male rowers; they had half the relative risk of lumbar injuries of male rowers. The implementation of a dynamic ergometers testing policy (Concept II on sliders) was positively associated with a lower incidence and burden of low back injury compared with fixed ergometers (Concept II). Illness accounted for the greatest number of case presentations (128, 32.2% cases, 1.2% AD). CONCLUSIONS: Chest wall and lumbar injuries caused training time loss. Policy decisions regarding ergometer testing modality were associated with lumbar injury rates. As in many sports, illness burden has been under-recognised in elite Australian rowers.


Assuntos
Traumatismos em Atletas/epidemiologia , Esportes Aquáticos/lesões , Austrália/epidemiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Teste de Esforço , Feminino , Traumatismos do Antebraço/epidemiologia , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Estudos Longitudinais , Dor Lombar/epidemiologia , Região Lombossacral/lesões , Masculino , Dor/epidemiologia , Estudos Prospectivos , Fatores de Risco , Fatores Sexuais , Parede Torácica/lesões
16.
Arch Phys Med Rehabil ; 101(10): 1704-1710, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32445845

RESUMO

OBJECTIVES: To evaluate whether tobacco use, alcohol consumption, and weight gain are associated with the diagnosis of overuse musculoskeletal injuries within the first 12 months after lower limb amputation. DESIGN: Retrospective cohort study. SETTING: Military treatment facilities. PARTICIPANTS: Service members (N=681) with a deployment-related lower limb amputation. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Clinical diagnosis codes associated with musculoskeletal overuse injuries of the lower limb, upper limb, and low back regions. RESULTS: In the first three months after amputation, tobacco use and alcohol consumption were reported in 55.7% and 72.0%, respectively, of the retrospective sample. The overall mean weight change was 22.9±23.6 pounds. The prevalence of reporting at least 1 overuse injury within 4 to 12 months after amputation was 57.0% in the sample, with prevalence rates of lower limb, upper limb and low back pain diagnoses at 28.3%, 21.7%, and 21.1%, respectively. Service members reporting tobacco use in the first 3 months after amputation were nearly twice as likely to be diagnosed with a lower limb musculoskeletal injury 4 to 12 months after amputation. Similarly, service members reporting alcohol consumption within the first 3 months after amputation were more than twice as likely to be diagnosed with at least 1 overuse musculoskeletal injury 4 to 12 months after amputation. However, weight change or maximum weight after amputation were not associated with the diagnosis of an overuse musculoskeletal injury. CONCLUSIONS: Development of secondary overuse musculoskeletal injury appears to be related to tobacco use and alcohol consumption, but not to weight gain. These findings warrant focused research efforts toward developing preventive interventions.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Amputação/reabilitação , Transtornos Traumáticos Cumulativos/epidemiologia , Uso de Tabaco/epidemiologia , Ganho de Peso/fisiologia , Adulto , Fatores Etários , Feminino , Humanos , Dor Lombar/epidemiologia , Extremidade Inferior/fisiopatologia , Masculino , Militares , Prevalência , Estudos Retrospectivos , Fatores Sexuais , Índices de Gravidade do Trauma , Extremidade Superior/fisiopatologia , Adulto Jovem
17.
Clin Sports Med ; 39(3): 575-588, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32446576

RESUMO

Olecranon stress fractures are a rare upper extremity fracture that primarily affects throwing athletes. The incidence of olecranon stress fractures are increasing owing to the number of patients playing and the volume of engagement in competitive sports, especially in the pediatric population. However, olecranon stress fractures can present a challenge from a management and a rehabilitation perspective owing to their vague presentation, thereby affecting how these patients are diagnosed and managed. Therefore, it is imperative to further evaluate the disease process, diagnosis, and treatment of this condition to best manage our patients.


Assuntos
Fraturas de Estresse/diagnóstico , Fraturas de Estresse/terapia , Olécrano/lesões , Fraturas da Ulna/diagnóstico , Fraturas da Ulna/terapia , Esportes Juvenis/lesões , Beisebol/lesões , Criança , Transtornos Traumáticos Cumulativos/diagnóstico , Transtornos Traumáticos Cumulativos/cirurgia , Transtornos Traumáticos Cumulativos/terapia , Fraturas de Estresse/cirurgia , Humanos , Imagem por Ressonância Magnética , Exame Físico , Volta ao Esporte , Fraturas da Ulna/cirurgia
18.
Clin Sports Med ; 39(3): 687-715, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32446584

RESUMO

Athletes are subject to traumatic and repetitive stress injuries at the elbow joint as a result of high levels of forces imparted across the elbow. Injuries can be acute to the point of tissue failure, or chronic as a result of repetitive overuse. Complete restoration of elbow function must be achieved to allow the athlete to return to their prior level of function. Systematic and progressive rehabilitation programs can help avoid overstressing healing tissues. Treatment programs are designed to restore full motion, muscular strength, endurance, and neuromuscular control. Multiphased rehabilitation programs are designed to restore function in the athlete's elbow.


Assuntos
Traumatismos em Atletas/terapia , Cotovelo/lesões , Traumatismos em Atletas/cirurgia , Beisebol/lesões , Transtornos Traumáticos Cumulativos/cirurgia , Transtornos Traumáticos Cumulativos/terapia , Terapia por Exercício , Humanos
19.
Phys Ther Sport ; 44: 24-32, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32388016

RESUMO

OBJECTIVES: To examine sports and physical education (PE) injury rates in youth females during a school year and to investigate if an association exists between injury and phase of the menstrual cycle. DESIGN: Prospective cohort. SETTING: An online questionnaire was used to record training and competition exposure and self-reported injuries for 30-weeks. PARTICIPANTS: 103 PE students (12-15 years) from a girls' secondary school. MAIN OUTCOME MEASURES: Injury rates and prevalence of acute, gradual onset/overuse and substantial injuries. RESULTS: On average, girls trained 3.4 h/week and competed 1 h/week. During the study, 74 participants reported 595 injuries. The average weekly prevalence of all injuries was 20.7% (95% CI: 20.0-21.3), of which 8.6% (95% CI: 8.3-9.0) were acute injuries and 12.0% (95% CI: 11.4-12.6) were gradual onset/overuse injuries. The overall rate of sport and PE injuries was 10.4 injuries/1000 h of exposure. The most common acute injury involved the ankle (35%) while the most common gradual onset/overuse injury involved the knee (51%). There was no significant association between the stage of the menstrual cycle and the likelihood of injury (P = 0.18). CONCLUSION: The high number of injuries in this population of girls suggests preventative measures, particularly targeting the lower extremity, are needed.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Articulação do Tornozelo/fisiopatologia , Traumatismos em Atletas/epidemiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Estudantes , Adolescente , Feminino , Humanos , Incidência , Nova Zelândia/epidemiologia , Prevalência , Estudos Prospectivos , Instituições Acadêmicas/estatística & dados numéricos , Inquéritos e Questionários
20.
J Shoulder Elbow Surg ; 29(9): 1775-1782, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32381476

RESUMO

BACKGROUND AND HYPOTHESIS: Sport specialization is increasingly common in youth sports and is a risk factor for lower-extremity overuse injuries. However, limited data exist on whether specialization is associated with upper-extremity (UE) overuse injuries, specifically in youth baseball players. We hypothesized that specialization in baseball and being a pitcher would be associated with poorer arm health and UE overuse injury history in the previous year. METHODS: During the 2019 spring baseball season, 551 high school baseball athletes (aged 15.9 ± 1.3 years) from 3 states (Alabama, n = 200; California, n = 188; and Michigan, n = 163) completed an anonymous questionnaire. Athletes were recruited from 5 high schools in each state, with schools matched based on factors that influence specialization rates. The questionnaire consisted of (1) demographic characteristics, (2) baseball participation information (including sport specialization status), and (3) throwing-arm health and UE injury history in the previous 12 months. Throwing-arm health was assessed using the Youth Throwing Score (YTS), a validated and reliable outcome measure for youth baseball players. Multivariate regression analyses were used to examine the association between variables of interest and the YTS or UE overuse injury history, adjusting for covariates. RESULTS: After adjustment for covariates, highly specialized athletes were more likely to report a UE overuse injury in the previous year compared with low-specialization athletes (odds ratio [OR], 3.77; 95% confidence interval [CI], 1.39-10.2, P = .009). Both athletes who reported playing baseball for more than 8 months per year (OR, 2.03; 95% CI, 1.12-3.65; P = .019) and athletes who reported being a pitcher (OR, 2.11; 95% CI, 1.20-3.72; P = .010) were more likely to report a history of UE overuse injury. Highly specialized players reported lower (worse) YTS values compared with low-specialization players (least-squares mean estimate ± standard error, 56.5 ± 1.1 vs. 53.3 ± 0.7; P = .034). Players who reported pitching as one of their positions scored worse on the YTS than non-pitchers (least-squares mean estimate ± standard error, 51.6 ± 0.8 vs. 57.2 ± 0.6; P < .001). CONCLUSION: Although baseball recommendations that discourage sport specialization are widely available for parents, athletes, and coaches, high rates of sport specialization were reported in our sample. We found that being highly specialized in baseball was associated with UE overuse injury history and worse throwing-arm health in high school baseball athletes. Continued education for baseball parents, athletes, and coaches is necessary to raise awareness of the risks associated with high specialization.


Assuntos
Traumatismos do Braço/complicações , Beisebol/lesões , Transtornos Traumáticos Cumulativos/complicações , Esportes Juvenis/lesões , Adolescente , Atletas , Estudos Transversais , Humanos , Masculino , Fatores de Risco , Instituições Acadêmicas , Autorrelato
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