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1.
Diving Hyperb Med ; 51(3): 282-287, 2021 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-34547779

RESUMO

INTRODUCTION: Underwater rugby (UWR) is a team sport which combines swimming sprints, apnoea diving, a good overview of the three-dimensional underwater space and wrestling for the ball.This was the first epidemiological study of UWR injuries in a large international collective. METHODS: A questionnaire containing 124 questions was distributed to 198 active UWR players and completed under the supervision of medical staff. Demographic data and information about injuries in ten different body regions were collected. RESULTS: Of the 198 respondents, 106 (53.5%) were male and 92 (46.5%) were female. On average, each UWR player suffered a median of 19.5 (IQR 44) injuries. Based on the exposure time, means of 37.7 (SD 90.0) injuries per 1000 playing hours per player and 9.9 (20.1) injuries per year were found. Significant injuries mainly occurred to the head region (45.7%). Bruises and sprains were observed more often than fractures and dislocations. Male athletes had a longer total injury break time (median 4.8 [IQR 10.5] days), than female athletes (4 [8.6] days). Female athletes had more injuries (median 20 [IQR 26.8]) than male athletes (18.5 [63]). The length of the injury-related break time increased with the rise in body mass index. CONCLUSIONS: The risk of severe injury in UWR is low compared to other ball sports like water polo and rugby. UWR is played under water and the impact of tackles is lessened by the water. Further studies should record chronic injuries in UWR and establish measures to prevent injury.


Assuntos
Traumatismos em Atletas , Futebol Americano , Traumatismos em Atletas/epidemiologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Estudos Retrospectivos
2.
Brain Inj ; 35(10): 1235-1244, 2021 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-34495819

RESUMO

AIM: To describe trends in the incidence of match concussions and time to return-to-play in professional rugby union. METHODS: Match concussion incidence (injuries per 1000 player-match-hours) and time to return-to-play (mean and median days absence) were recorded in 3006 male professional rugby union players over 16 seasons (2002/03 - 2018/19). RESULTS: From 2002/03 to 2009/10, incidence of concussions was stable at 4.3/1000 player-match-hours. From 2009/10 to 2018/19, there was an increase in concussion incidence, with the highest incidence in 2016/17 at 20.9/1000 player-match-hours (95% CI: 17.9-24.3). Annual prevalence of concussion also increased, suggesting more players were concussed rather than the same players sustaining more concussions. Before the introduction of standardized graduated return-to-play (GRTP) guidelines in 2011, 27% of players returned to play in <6 days. After the introduction of the GRTP, this decreased to 7%, with no players returning in <6 days after 2014/15. Between 2002/03 and 2018/19, incidence of all other injuries remained stable. CONCLUSIONS: From 2009/10 onwards, the incidence of diagnosed concussions increased. Since the introduction of the GRTP, there has been a dramatic reduction in the number of players returning in <6 days.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Futebol Americano , Traumatismos em Atletas/epidemiologia , Concussão Encefálica/epidemiologia , Humanos , Incidência , Masculino , Estudos Prospectivos , Volta ao Esporte , Estações do Ano
3.
Brain Inj ; 35(10): 1259-1266, 2021 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-34499577

RESUMO

OBJECTIVE: To investigate factors associated with collegiate athletes' beliefs regarding chronic traumatic encephalopathy (CTE) mechanism. DESIGN: Cross-sectional study. METHODS: A total of 838 collegiate athletes (61.9% men) from seven institutions completed a 10-minute survey that captured information relative to demographics, diagnosed concussion history, formal sport-related concussion education, additional sources of concussion information, and beliefs about multiple concussions and premature return-to-play following a head impact as mechanisms for CTE. RESULTS: More than half of collegiate athletes believed that multiple concussions (58.2%) and premature return-to-play (59.1%) may cause CTE. Those who reported getting concussion information from sports news had higher odds of believing multiple concussions and premature return-to-play were CTE mechanisms compared to those who did not get information from sports news sources. Additionally, CTE mechanism beliefs were significantly greater in collegiate athletes who were male, had sustained a previous diagnosed concussion, or had acquired concussion information from the NCAA. CONCLUSIONS: Sports news' reporting of CTE storylines, which highlight former male athletes with complex brain injury histories, may influence collegiate athletes' beliefs about concussion. Therefore, it is recommended that concussion awareness initiatives incorporate information related specifically to CTE to empower collegiate athletes with evidence-based, patient-oriented information and knowledge regarding this condition.


Assuntos
Traumatismos em Atletas , Encefalopatia Traumática Crônica , Atletas , Traumatismos em Atletas/complicações , Traumatismos em Atletas/epidemiologia , Encefalopatia Traumática Crônica/epidemiologia , Encefalopatia Traumática Crônica/etiologia , Estudos Transversais , Feminino , Humanos , Masculino , Universidades
4.
Artigo em Inglês | MEDLINE | ID: mdl-34444026

RESUMO

Hamstring Strain Injuries (HSIs) are the most common type of lesion in professional footballers and the leading cause of absence days from sports. However, recent studies have shown that high-level football teams apparently do not apply any HSI prevention protocol. The aim of the study was to determine the effect of preventive strategies and protocols in reducing the incidence of hamstring muscle injuries in professional and semi-professional football teams. A literature search of PubMed/MEDLINE, ISI/Web of Science and Scopus databases was conducted with the keywords "hamstring* and (injury* or strain) and prevent* and (soccer or football)". Quality and bias assessment was completed through the Kennelly modified scale. The Injury Incidence Rate (IIR) and the Incidence Rate Ratio (IRR) were assessed in the statistical analysis. In the meta-analysis, data were extracted, pooled and analysed with "Comprehensive Meta-Analysis Version 3.3.070" software. In total, 8 of the 1017 original search studies met the inclusion criteria of this review. The total exposure of the studies was 170,221.8 h, while the number of HSIs recorded was 165 in the intervention groups and 224 in the control groups. The average score of the quality assessment was 23.6/34. The meta-analysis of six of the eight included studies provided strong evidence that interventions are effective in reducing hamstring injuries. The IRR of the effect size was 0.443, with p-value = 0.001. The studies analysed applied different preventive strategies: the Nordic hamstring exercise, the FIFA 11+ programme and exercises for core stability or balance training. All these interventions proved to have a successful effect on prevention of hamstring injuries.


Assuntos
Traumatismos em Atletas , Músculos Isquiossurais , Traumatismos da Perna , Futebol , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Músculos Isquiossurais/lesões , Humanos
5.
Am J Sports Med ; 49(12): 3372-3378, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34398720

RESUMO

BACKGROUND: Mandated sports safety policies that incorporate evidence-based best practices have been shown to mitigate the risk of mortality and morbidity in sports. In 2017, a review of the state-level implementation of health and safety policies within high schools was released. PURPOSE: To provide an update on the assessment of the implementation of health and safety policies pertaining to the leading causes of death and catastrophic injuries in sports within high school athletics in the United States. STUDY DESIGN: Cross-sectional study. METHODS: A rubric composed of 5 equally weighted sections for sudden cardiac arrest, traumatic head injuries, exertional heatstroke, appropriate health care coverage, and emergency preparedness was utilized to assess an individual state's policies. State high school athletic/activities association (SHSAA) policies, enacted legislation, and Department of Education policies were extensively reviewed for all 50 states and the District of Columbia between academic year (AY) 2016-2017 (AY16/17) and 2019-2020 (AY19/20). To meet the specific rubric criteria and be awarded credit, policies needed to be mandated by all SHSAA member schools. Weighted scores were tabulated to calculate an aggregate score with a minimum of 0 and a maximum of 100. RESULTS: A total of 38 states had increased their rubric scores since AY16/17, with a mean increase of 5.57 ± 6.41 points. In AY19/20, scores ranged from 30.80 to 85.00 points compared with 23.00 to 78.75 points in AY16/17. Policies related to exertional heatstroke had the greatest change in scores (AY16/17 mean, 6.62 points; AY19/20 mean, 8.90 points; Δ = 2.28 points [11.40%]), followed by emergency preparedness (AY16/17 mean, 8.41 points; AY19/20 mean, 10.29 points; Δ = 1.88 points [9.40%]). CONCLUSION: A longitudinal review of state high school sports safety policies showed progress since AY16/17. A wide range in scores indicates that continued advocacy for the development and implementation of policies at the high school level is warranted.


Assuntos
Traumatismos em Atletas , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Estudos Transversais , Morte Súbita , Humanos , Políticas , Instituições Acadêmicas , Estados Unidos/epidemiologia
6.
Am J Sports Med ; 49(12): 3379-3385, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34399056

RESUMO

BACKGROUND: Little is known about the burden of overuse injuries and illnesses in junior elite ice hockey. PURPOSE: To describe the prevalence and burden of all health problems in junior male elite ice hockey players in Norway during 1 school year. STUDY DESIGN: Descriptive epidemiological study. METHODS: A total of 206 junior male ice hockey players (mean age, 17 years; range, 15-20 years) attending specialized sports academy high schools in Norway reported all health problems, acute injuries, overuse injuries, and illnesses, weekly during the 2018-2019 school year (44 weeks). The players self-reported injuries and illnesses using the Oslo Sports Trauma Research Center Questionnaire on Health Problems. RESULTS: Of the players included, 25% (95% CI, 23%-27%) reported at least 1 health problem at any given time, while 16% (95% CI, 14%-17%) experienced health problems with a substantial negative effect on training and performance. Of the total burden of health problems, acute injuries accounted for 44%, overuse injuries 31%, and illnesses 25%. For acute injuries, the greatest burden was caused by injuries to the ankle, knee, and hand, whereas for overuse injuries the most burdensome location was the hip/groin and knee. CONCLUSION: This study documented that while acute injuries did represent the greatest problem among junior elite ice hockey players, overuse injuries, especially to the knee and hip/groin, also had a substantial effect.


Assuntos
Traumatismos em Atletas , Hóquei , Adolescente , Traumatismos em Atletas/epidemiologia , Humanos , Masculino , Prevalência , Estudos Prospectivos , Autorrelato
8.
BMJ Open ; 11(8): e044075, 2021 08 11.
Artigo em Inglês | MEDLINE | ID: mdl-34380713

RESUMO

INTRODUCTION: There are limited injury data in professional horse racing, particularly by sex. OBJECTIVES: To describe injury incidence, characteristics and falls in male and female, flat and jump jockeys in Great Britain. DESIGN AND SETTING: Retrospective cohort study of professional jockeys in Britain. PARTICIPANTS: 245 jockeys licensed between 2007 and 2017. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was injury on a race day. Injury incidence (per 1000 rides; per 1000 falls) was derived. Incidence-rate ratios (IRR) were calculated to compare incidence between flat and jump racing, male and female jockeys, and male flat and male jump jockeys for: (i) injury incidence, (ii) fall incidence and (iii) injuries per fall. RESULTS: 234 British professional jockeys were included. Jockeys were on average 19.5±2.0 years old at licence date, 79.9% male and 58.1% flat. The time of follow-up (racing in the study) was 3.7 (SD=2.3) years. There were 278 injuries, occurring in-race (81.7%), in the stalls (10.8%) or parade ring (6.1%). After one injury was removed to preserve anonymity, 57.2% were soft tissue injuries, 25.3% fractures and 10.5% concussion. There were 1634 falls, with 92% in male jump racing. The injury incidence was higher in jump racing (5.1 vs 1.0/1000 jockey rides). The falls incidence was 1.8/1000 rides in flat and 46.2/1000 rides in jump racing (IRR 0.04, 95% CI 0.03 to 0.04). There were over five times higher injuries/1000 falls in flat than jump racing (IRR 5.56, 95% CI 4.05 to 7.53). Male flat jockeys fell less than female flat (IRR 0.57, 95% CI 0.35 to 0.97). CONCLUSION: Most injuries occurred in-race and were soft tissue injuries. Jump jockeys fell more often than flat, and female flat jockeys fell more often than male flat. Flat jockeys injured more frequently when falling. No sex differences were seen for injuries per fall.


Assuntos
Traumatismos em Atletas , Acidentes de Trabalho , Animais , Traumatismos em Atletas/epidemiologia , Feminino , Cavalos , Humanos , Masculino , Estudos Retrospectivos , Fatores de Risco , Reino Unido/epidemiologia
9.
Med Probl Perform Art ; 36(3): 187-198, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34464964

RESUMO

OBJECTIVE: Sports science has identified the trainer-athlete relationship in the etiology of injuries. We aimed to investigate: 1) the association between empowering (EMC) and disempowering (DMC) motivational-climate and musculoskeletal injuries in ballet, and 2) if EMC moderates the association between DMC and injuries. METHODS: A cross-sectional cohort survey-study was conducted online among ballet dancers (>18 yrs old) reporting acute and overuse injuries of the previous 2 years. Motivational climate was assessed with the Empowering-and-Disempowering Motivational Climate Questionnaire (5-point Likert scale). The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire assessed severity of overuse injuries. Linear regression was performed adjusted for the confounders age, sex, expertise, experience, and initiation-age with an interaction term between EMC and DMC to assess effect modification. RESULTS: An international sample of 189 dancers (26.7±7.9 yrs; 130 professionals) reported 197 acute and 465 overuse injuries (in the previous 2 years). Mean EMC was 3.1±1.07, DMC 3.3±1.08. EMC was associated with less acute (b=-0.22; 95%CI -0.40 to -0.04) and overuse injuries (b=-0.74; 95%CI -0.99 to -0.50), while DMC was associated with more injuries (acute: b=0.30; 95%CI 0.13 to 0.47; overuse: b=0.74; 95%CI 0.50 to 0.98). When tested together and adjusted for confounders, EMC lost its protective effect (acute: b=-0.15; 95%CI -0.19 to 0.49; overuse: b=-0.34; 95%CI -0.81 to 0.13). DMC was positively associated with injuries throughout all settings (acute: b=0.43; 95%CI 0.10 to 0.76; overuse: b=0.46; 95%CI 0.00 to 0.91). EMC showed no moderating effects on DMC in the adjusted models. CONCLUSION: To avoid injuries, it is not enough to create an EMC, because any disempowering nuances may negatively affect empowering climates. Teachers should avoid DMC altogether to prevent injuries in dancers.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Dança , Doenças Musculoesqueléticas , Traumatismos em Atletas/epidemiologia , Estudos Transversais , Transtornos Traumáticos Cumulativos/epidemiologia , Humanos , Percepção
10.
Am J Sports Med ; 49(11): 3076-3087, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34406087

RESUMO

BACKGROUND: Multiteam, multi-institution prospective studies of both women's and men's sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies. HYPOTHESIS: Characteristics of workload, sleep, and contextual factors will be associated with injury risk in collegiate soccer athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Injuries, workload, and sleep characteristics were recorded daily throughout a complete season for 256 athletes from 12 separate National Collegiate Athletic Association Division I men's and women's soccer teams. Workload and contextual factors were assessed via multilevel Poisson regression to capture differences in injury incidence rate ratio (IRR). Paired t test and multilevel logistic regressions were used to assess the relationship between sleep behavior and injury. RESULTS: Collegiate soccer athletes had lower rates of noncontact injury in the in-season (IRR, 0.42) and postseason (IRR, 0.48) compared with preseason, lower rates of injury in training (IRR, 0.64) compared with matches, and higher injury rates with only 1 day of rest in the previous week (IRR, 1.58) compared with >1 day. Injury rates peaked when training occurred 4 days before a match (IRR, 2.24) compared with a match. Injury rate increased exponentially with increases in the number of noncontact injuries incurred throughout the season (IRR, 2.23). Lower chronic loading, higher training monotony, and acute spikes and lulls in workload were associated with higher noncontact injury rates. Alterations in previous week sleep quality were associated with injury, while chronic sleep behavior and acute alterations (<7 days) in sleep behavior were not (P > .05). CONCLUSION: Athlete and schedule-specific contextual factors, combined with characteristics of workload and weekly sleep behavior, are significantly associated with injury in collegiate soccer. Multiteam prospective cohort studies involving objective and subjective monitoring allow for the identification of multiple injury risk factors in sports, which can be used to guide injury prevention strategies. Maintaining higher chronic workloads, lowering training monotony, minimizing acute spikes or lulls in workloads, managing workloads during preseason and for athletes with previous injury, integrating more rest and recovery during congested periods, and optimizing sleep quality are all practical considerations for reducing injury risk in collegiate soccer.


Assuntos
Traumatismos em Atletas , Futebol , Atletas , Traumatismos em Atletas/epidemiologia , Estudos de Coortes , Feminino , Humanos , Incidência , Masculino , Estudos Prospectivos , Universidades
11.
J Can Dent Assoc ; 87: l8, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34343071

RESUMO

AIM: To evaluate level of compliance and reasons for non-compliance with measures to prevent dental injuries among ice hockey players. METHODS: Ice hockey players participated in an online, standardized, cross-sectional survey that addressed demographics, use and reasons for lack of use of facial and oral protective equipment and past oral injuries. RESULTS: Of the 169 survey respondents, 45.6% never wore a mouthguard, 23.1% always, 14.8% sometimes and 16.5% only when enforced. Major reasons for not wearing mouthguards included discomfort, impairment of function or seeming unnecessary. Over 57.4% of participants wore a full-face shield, 35.5% a half-face visor and 7.1% no facial equipment. Participants did not wear a full-face shield mostly because it hinders visibility. Past oral injury was reported by 31.4% of participants. The most common type of injury was laceration (61.5%), followed by contusions, broken and lost teeth. Of the injured, 57.7% were hit by a stick, 46.2% by a puck and 25% were checked by an opponent. CONCLUSION: Compliance with wearing mouthguards and full-face shields is low because of issues surrounding player comfort, function and lack of visibility. Efforts should be made to work with hockey players and relevant industry to improve product design for protective measures and to enforce their use. PRACTICAL IMPLICATIONS: Reasons behind lack of protective equipment use by hockey players should be understood to enable dental professionals to communicate with patients and resolve challenges to the use of preventative measures to increase compliance and decrease incidence and severity of traumatic oral injuries.


Assuntos
Traumatismos em Atletas , Hóquei , Protetores Bucais , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Estudos Transversais , Humanos , Incidência
12.
J Pediatr Orthop ; 41(8): 507-513, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34397783

RESUMO

BACKGROUND: There is significant emerging evidence that early sport specialization is a potential risk factor for injury in youth sports. Despite basketball being the most popular youth team sport in the United States, sport specialization research, specifically in youth basketball players, has been limited. The purpose of this paper was to examine the association of sport specialization behaviors with injury history by surveying a nationally representative sample of parents of youth basketball athletes. We hypothesized that athletes who specialized in basketball, participated on multiple teams at the same time, and traveled regularly for basketball competitions would be more likely to report a basketball-related injury in the previous year. METHODS: A nationally representative sample of 805 parents of 805 youth basketball players (female N=241, 29.9%; age: 12.9±2.5 y old) completed an online questionnaire that had 3 sections: (1) parent/child demographics, (2) child basketball participation information for the previous year, and (3) child basketball injury history in the previous year. Multivariate logistic regression examined the associations between variables of interest and injury history, adjusting for covariates. Odds ratios (ORs) with 95% confidence intervals (95% CI) were calculated for the variables of interest from the logistic regression model. RESULTS: Highly specialized athletes were more likely than low specialization athletes to report history of basketball injury in the previous year [OR (95% CI): 2.47 (1.25-4.88), P=0.009]. The odds of reporting an injury in the previous year were twice as great among athletes who played on a basketball team at the same time as another sport team compared with those who played basketball only [OR (95% CI): 1.98 (1.30-3.01), P=0.001]. The odds of reporting an injury in the previous year were 3 times greater among athletes who received private coaching compared with those who did not receive private coaching [OR (95% CI): 2.91 (1.97-4.31), P<0.001]. CONCLUSION: Specialization in basketball, along with several other behaviors that have become typical of modern youth sport participation, were associated with reported injury history. Further prospective research is necessary to determine whether sport specialization behaviors increase the risk of injury in youth basketball. LEVEL OF EVIDENCE: Level III-cross-sectional study.


Assuntos
Traumatismos em Atletas , Basquetebol , Transtornos Traumáticos Cumulativos , Esportes Juvenis , Adolescente , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/etiologia , Criança , Estudos Transversais , Feminino , Humanos , Fatores de Risco , Especialização , Estados Unidos/epidemiologia
13.
Rev Med Suisse ; 17(745): 1318-1324, 2021 Jul 14.
Artigo em Francês | MEDLINE | ID: mdl-34264035

RESUMO

The wrist is a joint structure particularly exposed during sports practice to trauma or overuse. Ligament trauma is particularly common as well as tendinopathies. A rigorous clinical examination is the key to the management of the sports patient. The additional examinations will confirm the diagnosis and help guide the management. The purpose of the treatment in the athlete will depend on his sports activity, his age, the sport, the time between the accident and the sports season.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Traumatismos do Punho , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Humanos , Punho , Traumatismos do Punho/diagnóstico , Traumatismos do Punho/epidemiologia , Traumatismos do Punho/terapia , Articulação do Punho
14.
Brain Inj ; 35(9): 1035-1042, 2021 07 29.
Artigo em Inglês | MEDLINE | ID: mdl-34288793

RESUMO

OBJECTIVE: To establish the current knowledge of sport-related concussion (SRC) management of clinicians in emergency departments in the North West of England. METHODS: A cross-sectional, multi-center study design was used and included emergency department clinicians (EDCs) across 15 centers in the North West of England. A 22-question survey was issued with questions focused on the 5th International Conference on Concussion Consensus Statement. Absolute and percentages were presented, and comparisons in knowledge of guidelines and confidence between EDCs were made using the Kruskal-Wallis test. RESULTS: Of an estimated 300 EDCs, 111 (37%) responded. Thirty (27%) were aware of the guidelines, whilst 63 (57%) had heard of a graduated return-to-sport protocol. Physical rest was advised by 106 (95%) respondents, with 68 (61%) advising cognitive rest and 47 (42%) providing written advice. There was no difference (p > .05) in awareness of SRC guidelines or confidence between clinician grade, with most receiving no SRC training. CONCLUSIONS: There is a lack of knowledge amongst EDCs in the North West of England in managing and providing discharge advice to patients with SRC. This is likely due to the limited awareness of guidelines and training, and therefore further education delivery on SRC management guidelines is required.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Esportes , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Concussão Encefálica/diagnóstico , Concussão Encefálica/epidemiologia , Concussão Encefálica/terapia , Estudos Transversais , Serviço Hospitalar de Emergência , Humanos
15.
Pediatr Clin North Am ; 68(4): 875-894, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34247715

RESUMO

Complaints related to the neck are common following mild pediatric trauma. Although significant cervical spine injuries are most often seen and evaluated in the emergency room or inpatient setting, the primary care provider is faced with the evaluation of lower acuity complaints. We provide a review to assist with the efficient evaluation of these patients to facilitate decisions regarding return to play, the need for imaging, and need for referral to subspecialty providers.


Assuntos
Traumatismos em Atletas/epidemiologia , Vértebras Cervicais/lesões , Traumatismos da Coluna Vertebral/enzimologia , Ferimentos não Penetrantes/epidemiologia , Adolescente , Traumatismos em Atletas/diagnóstico por imagem , Vértebras Cervicais/diagnóstico por imagem , Criança , Medicina Baseada em Evidências , Humanos , Período Pós-Operatório , Fatores de Risco , Traumatismos da Coluna Vertebral/diagnóstico por imagem , Ferimentos não Penetrantes/diagnóstico por imagem
16.
Am J Sports Med ; 49(9): 2489-2497, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34247544

RESUMO

BACKGROUND: Artificial turf fields are increasingly being installed with lighter weight infill systems that incorporate a pad underlayer, which is reported to reduce surface shock and decrease injuries. At this time, the effects of a pad underlayer on football trauma are unknown. HYPOTHESIS: Athletes would not experience differences in surface-related injuries between pad and no-pad fields. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Artificial turf fields were divided into 2 groups based on a pad underlayer or no-pad system, with 58 high schools participating across 3 states over the course of 7 seasons. Outcomes of interest included injury severity, head and knee trauma, injury category, primary type of injury, injury mechanism, anatomic location of trauma, tissue type injured, and elective imaging and surgical procedures. Data underwent multivariate analyses of variance (MANOVA) using general linear model procedures and were expressed as injury incidence rates per 10-game season. RESULTS: Of 658 varsity games, 260 games were played on fields containing pads, and 398 games were played on no-pad fields, with 795 surface-related injuries reported. MANOVA indicated significant main effects by injury severity (F3,791 = 11.436; P < .0001), knee trauma (F9,785 = 2.435; P = .045), injury category (F3,791 = 3.073; P < .0001), primary type of injury (F10,785 = 2.660; P < .0001), injury mechanism (F13,781 = 2.053; P < .001), anatomic location (F16,778 = 1.592; P < .001), type of tissue injured (F4,790 = 4.485; P < .0001), and elective imaging and surgical procedures (F4,790 = 4.248; P < .002). Post hoc analyses indicated significantly greater incidences (P < .05) of substantial and severe injury, player-to-turf trauma, patellofemoral syndrome, neck strain, lower leg strain, and elective imaging and surgical procedures when games were played on padded turf fields. No differences in concussion rate from turf impact between pad and no-pad fields were observed. CONCLUSION: In contrast to conventional wisdom, the addition of a pad under an artificial turf surface increases injury rates when compared with nonpadded fields across most injury categories. At this time, findings do not support the current trend of installing lightweight padded infill systems at the high school level of play.


Assuntos
Traumatismos em Atletas , Futebol Americano , Futebol , Traumatismos em Atletas/epidemiologia , Estudos de Coortes , Humanos , Incidência , Instituições Acadêmicas
17.
Artigo em Inglês | MEDLINE | ID: mdl-34299823

RESUMO

Although early sports specialization is associated with sports-related injuries, relevant quantitative studies on young non-elite athletes, the majority of sports participants, are scarce. We described sports specialization time points and the characteristics of sports-related injuries. Undergraduate students at a university in Japan (n = 830) recalled their history of sports participation from elementary to high school and sports-related injuries in a self-administered questionnaire. Of 570 valid respondents, 486 (85%) engaged in sports at least once. Significantly more respondents played multiple sports in upper elementary school (30%) than in other school categories (1-23%). In junior high and high schools, 90% and 99% played only one sport, respectively. Of the 486 respondents who played sports, 263 (54%) had experienced acute or overuse injuries. The proportion of injured participants significantly differed by school category: lower elementary school (4%), upper elementary school (21%), junior high (35%), and high school (41%). The proportions of acute or overuse injuries in males were higher than those in females. In conclusion, this study clarified a slight variation in sports items, particularly in junior high and high schools, which demonstrates 13 years as the age of beginning specialization in a single sport. More than half of the non-elite athletes experienced sports-related injuries. Injuries were frequently observed in males and those in junior high and high schools.


Assuntos
Traumatismos em Atletas , Esportes , Adolescente , Atletas , Traumatismos em Atletas/epidemiologia , Criança , Feminino , Humanos , Japão/epidemiologia , Masculino , Estudos Retrospectivos , Instituições Acadêmicas , Especialização
18.
J Athl Train ; 56(7): 651-658, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34280264

RESUMO

CONTEXT: The National Collegiate Athletic Association held the first women's soccer championship in 1982; sponsorship and participation have greatly increased since. BACKGROUND: Routine examinations of athlete injuries are important for identifying emerging temporal patterns. METHODS: Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program during the 2014-2015 through 2018-2019 seasons were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates. RESULTS: The overall injury rate was 8.33 per 1000 athlete-exposures. Lateral ligament complex tears (ankle sprains) (8.6%), concussions (8.3%), and quadriceps tears (5.0%) were the most commonly reported injuries. Rates of lateral ligament complex tears followed an increasing trajectory during the study period, whereas quadriceps tear rates fluctuated during the early years, and concussion rates decreased then increased. SUMMARY: The findings of this study were mostly consistent with existing evidence; notable temporal patterns were observed with regard to lateral ligament complex tears and concussions.


Assuntos
Traumatismos em Atletas , Futebol/lesões , Adulto , Atletas/estatística & dados numéricos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Feminino , Humanos , Incidência , Estados Unidos/epidemiologia
19.
J Athl Train ; 56(7): 742-749, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34280265

RESUMO

CONTEXT: The National Collegiate Athletic Association has supported men's baseball championships since 1947. Since its inception, the number of participating teams and athletes has considerably expanded. BACKGROUND: Frequently conducting injury surveillance of collegiate baseball athletes is essential for identifying developing temporal patterns. METHODS: Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program during 2014-2015 through 2018-2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics; injury rate ratios were used to examine differential injury rates. RESULTS: The overall injury rate was 3.16 per 1000 athlete-exposures. The preseason injury rate was significantly higher than the regular season injury rate. The most commonly injured body parts were shoulder (16.1%), arm or elbow (16%), and hand or wrist (13.9%). The most reported specific injury was hamstring tear (7.9%). CONCLUSIONS: The findings of this study aligned with previous studies-most injuries were due to noncontact and overuse mechanisms, less than one-half of injuries were related to upper extremity body parts, and one-third of all injuries were reported among pitchers.


Assuntos
Beisebol/lesões , Adulto , Atletas/estatística & dados numéricos , Traumatismos em Atletas/epidemiologia , Humanos , Incidência , Masculino , Estados Unidos/epidemiologia
20.
J Athl Train ; 56(7): 659-665, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34280266

RESUMO

CONTEXT: The National Collegiate Athletic Association has sponsored men's soccer programs since 1959, and the popularity of the sport has grown over time. BACKGROUND: Routine examinations of athlete injuries are important for identifying emerging temporal patterns. METHODS: Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program from 2014-2015 through 2018-2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates. RESULTS: The overall injury rate was 8.51 per 1000 athlete exposures. Lateral ligament complex tears (ankle sprains) (9.2%), hamstring tears (7.0%), and concussions (5.2%) were the most commonly reported injuries. Rates of lateral ligament complex tears remained stable from 2014-2015 through 2018-2019, whereas hamstring tear rates decreased and concussion rates increased. SUMMARY: The findings of this study were in line with the existing epidemiological evidence, although notable temporal patterns were observed. Incidence trajectories of commonly observed injuries warrant particular attention in the future.


Assuntos
Traumatismos em Atletas , Futebol/lesões , Adulto , Atletas/estatística & dados numéricos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Humanos , Incidência , Masculino , Estados Unidos/epidemiologia
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