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1.
Med Clin North Am ; 104(2): 313-325, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32035571

RESUMO

Each year increasing numbers of people participate in a wider variety of athletic endeavors. Unlike previous generations, many patients remain in these activities later into their lives, some well beyond retirement. As the population ages and their activities continue, they are subject to injury of various forms affecting all aspects of their bodies.


Assuntos
Traumatismos em Atletas , Atividades de Lazer , Administração dos Cuidados ao Paciente/métodos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/terapia , Comportamentos de Risco à Saúde/fisiologia , Humanos , Comportamento Sedentário , Fatores de Tempo
2.
J Sports Sci ; 38(6): 612-618, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31992133

RESUMO

The objective was to evaluate the effectiveness of an exercise-based warm-up programme ("VolleyVeilig") on the one-season occurrence of musculoskeletal injuries among recreational adult volleyball players. A prospective randomised controlled trial was conducted over the 2017-2018 volleyball season. Recreational adult volleyball players were allocated either to an intervention or control group. The Dutch version of the Oslo Sports Trauma Research Centre questionnaire was used to register and monitor acute and overuse injuries. A total of 672 volleyball players were enrolled: 348 in the intervention group (mean age: 30) and 324 in the control group (mean age: 27). The incidence rate of acute injury was 21% lower in the intervention group, namely 8.9 versus 11.3 per 1,000 h in the control group (Cox mixed effects crude model: hazard ratio = 0.82 [95%CI: 0.69-0.98]; Cox mixed effects adjusted model: 0.85 [95%CI: 0.71-1.02]). No significant difference in mean prevalence of overuse injury was found between the intervention (4.8%) and control (4.2%) groups. The severity of injuries was not significantly different between groups, while injury burden was slightly lower in the intervention group. The exercise-based warm-up programme led to a trend in less acute injuries among recreational adult volleyball players.


Assuntos
Sistema Musculoesquelético/lesões , Voleibol/lesões , Exercício de Aquecimento , Adulto , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/prevenção & controle , Feminino , Humanos , Incidência , Masculino , Países Baixos/epidemiologia , Prevalência , Estudos Prospectivos , Índices de Gravidade do Trauma , Adulto Jovem
4.
Int J Sports Med ; 41(3): 182-188, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31902127

RESUMO

Female athletes are at an elevated risk for tearing their anterior cruciate ligament, compared to their male counterparts. Though injury screening clinical tests and neuromuscular training programs have been widely implemented, injury rates remain high among female athletes. The purpose of this study was to examine the relationship between serum relaxin concentrations and knee valgus during three clinical tests (single leg squat, drop vertical jump, and single leg crossover dropdown). Twenty-two female athletes volunteered. Participants were scheduled for collection during the mid-luteal phase, when serum relaxin concentrations are known to be measurable. Blood samples were collected, and serum relaxin concentrations were quantified. Kinematic data were collected while participants performed the three clinical tests. Regression analyses revealed statistically significant relationships between serum relaxin concentrations and knee valgus throughout all tests. These findings suggest that serum relaxin concentrations and knee valgus are not independent of each other and more holistic approaches may be necessary to truly map out the risk for injury and ultimately reduce the rate of anterior cruciate ligament injuries. Thus, concluding that knee valgus, a highly utilized modifiable biomechanical risk factor, and relaxin, a hormone that has been associated with anterior cruciate ligament injury in female athletes, are related to each other.


Assuntos
Articulação do Joelho/fisiologia , Relaxina/sangue , Adolescente , Lesões do Ligamento Cruzado Anterior/fisiopatologia , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Traumatismos em Atletas/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Fenômenos Biomecânicos , Teste de Esforço , Feminino , Humanos , Análise de Regressão , Fatores de Risco , Adulto Jovem
5.
Int J Sports Med ; 41(3): 154-160, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31902129

RESUMO

We evaluated a range of physical characteristics related to hamstring injuries, as well as the Nordic Hamstring Exercise compliance rate, and whether this influenced the rate hamstring injury. Subjects comprised 259 male soccer players from seven high schools randomly clustered into two groups, a Nordic Hamstring Exercise group and a control group. Training and match time were logged, as well as details of hamstring injury, and subsequent time lost to hamstring injury recorded over a period of 27 weeks. The Nordic Hamstring Exercise compliance rate, injury rate per 10000 playing hours and time-lost-to-sport-injury rate were calculated. The relative risk and hamstring injury severity were also calculated. The hamstring injury rate was 1.04/10 000 h in the control group and 0.88/10 000 h in the intervention group. The relative risk for hamstring injury was 1.14. The time-lost to injury rate was 1116.3/10 000 h in the control group and 113.7/10 000 h in the intervention group; with relative risk 9.81. The Nordic Hamstring Exercise in high school soccer players significantly reduced hamstring injury severity compared to a control intervention. Our results indicate that the time-lost to injury rate should be taken into account when analyzing the severity of hamstring injury.


Assuntos
Músculos Isquiotibiais/lesões , Condicionamento Físico Humano/métodos , Futebol/lesões , Adolescente , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Lesões nas Costas/epidemiologia , Lesões nas Costas/prevenção & controle , Humanos , Extremidade Inferior/lesões , Masculino , Volta ao Esporte , Fatores de Tempo , Índices de Gravidade do Trauma
6.
Curr Sports Med Rep ; 19(1): 17-23, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913919

RESUMO

Equestrian sports represent a variety of activities involving a horse and rider. Due to the unpredictable nature of horses, their height, and potential high speeds involved, equestrian athletes are at risk of head and spinal injuries. This review describes the epidemiology, injury mechanisms, and risk factors for equestrian sports-related head and spinal injuries. Traumatic brain injuries, including concussions, are more common than spinal injuries. Both injury types are most commonly related to a rider fall from a horse. Spinal injuries are less common but are associated with potentially significant neurological morbidity when spinal cord injury occurs. An improved understanding of preventable injury mechanisms, increased certified helmet use, improved helmet technologies, and educational outreach may help to address the risk of head and spinal injuries in equestrian sports.


Assuntos
Traumatismos em Atletas/prevenção & controle , Lesões Encefálicas Traumáticas/prevenção & controle , Traumatismos da Medula Espinal/prevenção & controle , Animais , Traumatismos em Atletas/epidemiologia , Lesões Encefálicas Traumáticas/epidemiologia , Dispositivos de Proteção da Cabeça , Cavalos , Fatores de Risco , Traumatismos da Medula Espinal/epidemiologia , Esportes
7.
J Sports Sci ; 38(2): 214-230, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31795815

RESUMO

Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise real-time feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.


Assuntos
Desempenho Atlético/fisiologia , Desempenho Atlético/psicologia , Retroalimentação , Monitores de Aptidão Física , Motivação , Corrida/fisiologia , Corrida/psicologia , Traumatismos em Atletas/prevenção & controle , Fenômenos Biomecânicos , Marcha/fisiologia , Humanos , Percepção , Corrida/lesões
8.
Sports Health ; 12(1): 12-22, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31390306

RESUMO

BACKGROUND: Understanding how existing youth injury prevention programs affect specific modifiable injury risk factors will inform future program development for youth athletes. OBJECTIVE: To comprehensively evaluate the effects of injury prevention programs on the modifiable intrinsic risk factors associated with lower extremity performance in youth athletes. DATA SOURCES: This systematic review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A systematic search of the literature was performed using multiple databases (PubMed, EBSCOhost [including CINAHL, Medline, and SPORTDiscus], and PEDro). Secondary references were appraised for relevant articles. Article types included randomized or cluster randomized controlled trials and randomized cohort designs with youth athletes engaged in organized sports, along with outcomes that included at least 1 physical performance outcome measure. STUDY SELECTION: Eight studies met inclusion and exclusion criteria and were reviewed by 2 independent reviewers, with a third consulted in the case of disagreement, which was not needed. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Included studies underwent review of methodological quality using the Physiotherapy Evidence Database scale. RESULTS: Studies included mixed-sex samples of youth athletes who predominantly participated in soccer at different skill levels. The FIFA 11+ series was the most commonly used injury prevention program. Among studies, the mean percentage of improvement identified was 11.3% for force generation, 5.7% for coordination, 5.2% for posture, and 5.2% for balance. The lowest mean percentage improvement was in speed (2.2%). Endurance was not significantly affected by any of the programs. CONCLUSION: This systematic review shows that injury prevention programs improve several modifiable intrinsic risk factors of lower extremity performance among youth athletes, particularly force generation. However, several intrinsic risk factors were either not significantly affected or specifically addressed by existing programs.


Assuntos
Traumatismos em Atletas/prevenção & controle , Extremidade Inferior/lesões , Esportes Juvenis/lesões , Humanos , Avaliação de Programas e Projetos de Saúde , Fatores de Risco
10.
Clin Podiatr Med Surg ; 37(1): 171-194, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31735266

RESUMO

A comprehensive lower extremity examination is a critical examination component for any type of injury in an athlete but should also be part of a preseason or preventive care program. Identification and treatment of biomechanical abnormalities and association with evidence-based risk factors for lower extremity disorders can be incorporated to potentially reduce risk or prevent acute and chronic injuries.


Assuntos
Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Extremidade Inferior/fisiologia , Esportes/fisiologia , Traumatismos em Atletas/fisiopatologia , Humanos , Fatores de Risco
11.
Br J Sports Med ; 54(1): 51-57, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31511232

RESUMO

BACKGROUND: In randomised controlled trials (RCTs) of interventions that aim to prevent sports injuries, the intention-to-treat principle is a recommended analysis method and one emphasised in the Consolidated Standards of Reporting Trials (CONSORT) statement that guides quality reporting of such trials. However, an important element of injury prevention trials-compliance with the intervention-is not always well-reported. The purpose of the present educational review was to describe the compliance during follow-up in eight large-scale sports injury trials and address compliance issues that surfaced. Then, we discuss how readers and researchers might consider interpreting results from intention-to-treat analyses depending on the observed compliance with the intervention. METHODS: Data from seven different randomised trials and one experimental study were included in the present educational review. In the trials that used training programme as an intervention, we defined full compliance as having completed the programme within ±10% of the prescribed running distance (ProjectRun21 (PR21), RUNCLEVER, Start 2 Run) or time-spent-running in minutes (Groningen Novice Running (GRONORUN)) for each planned training session. In the trials using running shoes as the intervention, full compliance was defined as wearing the prescribed running shoe in all running sessions the participants completed during follow-up. RESULTS: In the trials that used a running programme intervention, the number of participants who had been fully compliant was 0 of 839 (0%) at 24-week follow-up in RUNCLEVER, 0 of 612 (0%) at 14-week follow-up in PR21, 12 of 56 (21%) at 4-week follow-up in Start 2 Run and 8 of 532 (1%) at 8-week follow-up in GRONORUN. In the trials using a shoe-related intervention, the numbers of participants who had been fully compliant at the end of follow-up were 207 of 304 (68%) in the 21 week trial, and 322 of 423 (76%), 521 of 577 (90%), 753 of 874 (86%) after 24-week follow-up in the other three trials, respectively. CONCLUSION: The proportion of runners compliant at the end of follow-up ranged from 0% to 21% in the trials using running programme as intervention and from 68% to 90% in the trials using running shoes as intervention. We encourage sports injury researchers to carefully assess and report the compliance with intervention in their articles, use appropriate analytical approaches and take compliance into account when drawing study conclusions. In studies with low compliance, G-estimation may be a useful analytical tool provided certain assumptions are met.


Assuntos
Traumatismos em Atletas/prevenção & controle , Cooperação do Paciente , Condicionamento Físico Humano/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/normas , Interpretação Estatística de Dados , Humanos , Análise de Intenção de Tratamento , Ensaios Clínicos Controlados Aleatórios como Assunto/estatística & dados numéricos , Corrida/lesões , Sapatos
12.
Br J Sports Med ; 54(1): 44-48, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31527043

RESUMO

OBJECTIVES: To describe the incidence, type, aetiology and severity of injuries sustained by the International Ski Federation World Cup level female ski jumpers during the 2017-18 season. DESIGN: Prospective cohort study. METHODS: Sixty-seven female ski jump athletes from 16 countries were followed throughout the 17-week winter season. Preseason baseline demographic data and injury history were recorded via questionnaire. Prospective biweekly reports and retrospective end-of-season interviews provided data on all injuries requiring medical attention. RESULTS: Seventeen injuries were recorded, corresponding to an incidence of 25.4 injuries/100 athletes/season. The incidence of time-loss and severe injuries were found to be 17.9 and 4.5, respectively. The knee was the most common site of injury (4/17; 23.5%). Fourteen injuries occurred on the ski jump hill and crash-landing was the most common mechanism of injury (10/14; 71%). Eighty-five per cent of all moderate and severe injuries occurred in snow or windy conditions. Length of jumps resulting in injury averaged 83.7% (95% CI 72.9% to 94.4%) of hill size. Moderate injuries causing 8-28 days absence from training activities were most common (7/17; 41%) and there were three severe injuries necessitating >4 weeks absence. CONCLUSION: Injuries among elite female ski jumpers are common and the majority are acute, resulting in time loss from training and competition. The knee was the most common site of injury and poor weather conditions may be a risk factor. Future studies are needed to identify risk factors for injury and to guide injury prevention initiatives.


Assuntos
Traumatismos em Atletas/epidemiologia , Esqui/lesões , Aniversários e Eventos Especiais , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Comportamento Competitivo/fisiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/prevenção & controle , Feminino , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Traumatismos do Joelho/etiologia , Traumatismos do Joelho/prevenção & controle , Condicionamento Físico Humano , Estudos Prospectivos , Estudos Retrospectivos , Fatores de Risco , Índices de Gravidade do Trauma , Tempo (Meteorologia)
13.
Lakartidningen ; 1162019 Nov 14.
Artigo em Sueco | MEDLINE | ID: mdl-31742653

RESUMO

In Sweden equestrian sport activities are the sixth most popular sport and predominantly women and girls are engaged. Horses are prey animals and humans are predators, and the two species therefore act in completely different ways. It is well known that accidents can occur when horses and humans interact. Literature from different countries in the world reveals that most accidents happen to females and also children are at risk. The most common accident is when a rider falls from a horse, but also unmounted humans are at risk for injuries. Most of the injuries are uncomplicated, but there are several reports of serious injuries and death. Prevention of injuries is very important. Education about how horses behave and react in different situations and how to communicate with horses according to Natural Horsemanship strategies make the horses less inclined to escape. The effectiveness of helmets in preventing serious head injury has been well established.


Assuntos
Traumatismos em Atletas , Cavalos , Ferimentos e Lesões , Prevenção de Acidentes , Acidentes/estatística & dados numéricos , Adolescente , Adulto , Animais , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Criança , Humanos , Equipamentos de Proteção , Suécia/epidemiologia , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/prevenção & controle , Adulto Jovem
14.
Medicine (Baltimore) ; 98(48): e18137, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31770249

RESUMO

RATIONALE: Recently, commercial indoor trampoline parks have been opened around the globe, and both the number of venues and the park users are increasing. Academic literatures have largely focused on home trampoline related injuries, and less is known about the injuries associated with trampoline parks due to the limited number of studies or cases reported. In this report, we present a complete spinal cord injury sustained at a commercial indoor trampoline park. PATIENT CONCERNS: A 26-year old male developed tetraplegia after plainly jumping on the trampolines and diving into one of the foam pits head first. DIAGNOSIS: C-spine CT revealed bilateral interfacetal dislocation on C6-7, and his C-spine MRI showed anterior translational injury at C6-7 with severe cord encroachment and complete discoligamentous complex disruption. He was diagnosed with complete spinal cord injury. INTERVENTIONS: The patient underwent 30 minutes each of physical therapy and occupational therapy twice a day for a total of 25 days of in-patient rehabilitation. Interventions included tilt table, passive range of motion exercises, functional electrical stimulation, sitting balance training, upper extremity strengthening exercise, and hand manipulation exercises. OUTCOME: Despite intensive rehabilitation and the patient's good spirit, there was no functional change in all physical examinations between evaluations at initial and at discharge. LESSONS: In conclusion, we aim to alert the risks associated with improper use of trampolines, promote safer entertainment environment, and aid in developing mandatory safety measures. We hope to alert the risks associated with improper use of trampolines, promote safer entertainment environment, and aid in developing mandatory safety measures.


Assuntos
Traumatismos em Atletas/complicações , Segurança de Equipamentos/normas , Quadriplegia/etiologia , Traumatismos da Medula Espinal/etiologia , Adulto , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/reabilitação , Humanos , Masculino , Parques Recreativos , Quadriplegia/prevenção & controle , Quadriplegia/reabilitação , Traumatismos da Medula Espinal/prevenção & controle , Traumatismos da Medula Espinal/reabilitação
15.
South Med J ; 112(10): 547-550, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31583417

RESUMO

Sports-related encephalopathies are a growing concern among athletes who have experienced head trauma. Anxiety is heightened for the public and especially among parents of children playing contact sports. The most common neuropsychological conditions are concussions and traumatic encephalopathies. Concussions result from brain traumas that can be asymptomatic, but more serious concussions can include loss of consciousness, neurological abnormalities, and/or posttraumatic amnesias. Repetitive concussions lead to persistent brain pathology, known as chronic traumatic encephalopathies. This gradually progressive neurodegenerative disease frequently presents with cognitive and neurological deficits, which can result in significant parkinsonian features and dementia. Imaging studies may be noncontributory; however, diffusion tensor imaging, magnetic resonance spectroscopy, and functional magnetic resonance imaging can detect changes indicative of these encephalopathies. Progressive neuronal degeneration with tau proteins are documented on pathological examination. Prevention, early diagnosis, and proper treatment are the recommended approach to these conditions.


Assuntos
Traumatismos em Atletas/prevenção & controle , Concussão Encefálica/prevenção & controle , Encefalopatia Traumática Crônica/prevenção & controle , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/patologia , Traumatismos em Atletas/terapia , Concussão Encefálica/diagnóstico , Concussão Encefálica/patologia , Concussão Encefálica/terapia , Encefalopatia Traumática Crônica/diagnóstico , Encefalopatia Traumática Crônica/patologia , Encefalopatia Traumática Crônica/terapia , Dispositivos de Proteção da Cabeça , Educação em Saúde , Humanos , Equipamento de Proteção Individual , Volta ao Esporte/normas
16.
Artigo em Inglês | MEDLINE | ID: mdl-31591346

RESUMO

Organized running events have gained substantial popularity. This study aimed to elucidate the prevalence of musculoskeletal pain, knowledge about injury prevention as well as the attitudes and motivations of individuals participating in the JP Morgan Corporate Challenge in Frankfurt (Germany). A total of 720 recreational runners completed a digital questionnaire immediately prior to the start. The majority of them displayed low to moderate physical activity levels and were rather unambitious regarding targeted finishing time. One quarter (25.3%) participated for the first time in an organized race. The most stated reasons to register were team building (76.4%) and experiencing the run's atmosphere (50.6%). In contrast, improving health played a minor role (19.4%). More than one in five individuals (n = 159 runners) reported pain, with the most common locations being the knee and lower back. Both at rest (3.2/10 on a numerical rating scale) and during activity (4.7/10), average pain intensity was clinically relevant. Almost three thirds of the participants believed that stretching and wearing appropriate shoes would be effective for injury prevention while other methods such as resistance training, balance exercise or wearing of orthoses were rarely named. Musculoskeletal pain is a significant burden in runners participating in an urban mass event. In view of the poor knowledge about injury prevention, organizers and coaches may consider offering structured preparation programs as well as tailored running-related health education.


Assuntos
Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Dor Musculoesquelética/epidemiologia , Dor Musculoesquelética/psicologia , Corrida/fisiologia , Corrida/psicologia , Adulto , Idoso , Traumatismos em Atletas/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Exercício de Aquecimento , Adulto Jovem
17.
Artigo em Inglês | MEDLINE | ID: mdl-31658611

RESUMO

Behavioral variables might play an important role in explaining the differences in injury rates across winter sport disciplines and injury prevention programs might be more specifically designed based on this knowledge. On ski slopes, alpine skiing, snowboarding, and ski touring are the predominant winter sport disciplines. Therefore, the aim of the present study was to investigate possible differences in injury-related behavioral variables between practitioners of these disciplines. Using a matched re-analysis approach of a cross-sectional survey, 414 winter sport participants (alpine skiers, snowboarders, ski tourers, each n = 138) were analyzed on the differences in sensation seeking, treated injuries, and injury-related behavioral variables. Cochran-Mantel-Haenszel and Friedman tests revealed significantly higher sensation seeking, p < 0.001, and a significantly higher percentage of participants reporting to have consumed alcohol in the past five skiing days, p = 0.006, in snowboarders compared to alpine skiers. The participants with treated injuries showed higher sensation seeking, p < 0.050, and a higher percentage of snowboarders, p = 0.020, compared to participants without treated injuries. Injury prevention programs for snowboarders, who remain an important risk group for injury prevention, might benefit from considering a possibly higher percentage of alcohol-consuming participants and from providing information on injury-related risks of sensation seeking.


Assuntos
Traumatismos em Atletas/epidemiologia , Esqui , Adolescente , Adulto , Traumatismos em Atletas/prevenção & controle , Estudos Transversais , Feminino , Humanos , Masculino , Fatores de Risco , Estações do Ano , Viagem , Adulto Jovem
19.
Pediatrics ; 144(5)2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31659001

RESUMO

Participation in youth soccer in the United States continues to increase steadily, with a greater percentage of preadolescent participants than perhaps any other youth sport. Despite the wide-ranging health benefits of participation in organized sports, injuries occur and represent a threat to the health and performance of young athletes. Youth soccer has a greater reported injury rate than many other contact sports, and recent studies suggest that injury rates are increasing. Large increases in the incidence of concussions in youth soccer have been reported, and anterior cruciate ligament injuries remain a significant problem in this sport, particularly among female athletes. Considerable new research has identified a number of modifiable risk factors for lower-extremity injuries and concussion, and several prevention programs have been identified to reduce the risk of injury. Rule enforcement and fair play also serve an important role in reducing the risk of injury among youth soccer participants. This report provides an updated review of the relevant literature as well as recommendations to promote the safe participation of children and adolescents in soccer.


Assuntos
Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Futebol/lesões , Adolescente , Distribuição por Idade , Lesões do Ligamento Cruzado Anterior/epidemiologia , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Traumatismos em Atletas/mortalidade , Concussão Encefálica/epidemiologia , Concussão Encefálica/prevenção & controle , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Masculino , Exame Físico , Equipamentos de Proteção , Fatores de Risco , Distribuição por Sexo , Equipamentos Esportivos , Estados Unidos/epidemiologia
20.
Orthopade ; 48(12): 1036-1041, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31659424

RESUMO

BACKGROUND: Handball is one of the most popular team sports in Germany, as well as one of the most dangerous ones. Injury rates in Germany are higher amongst handball professionals than in soccer, with the knee being the most commonly injured joint. To prevent injuries, a functional inert stability is necessary, but definitions and objective measures are lacking. OBJECTIVES: Establishing valid reference data of functional knee stability in amateur handball players with use of an established test battery giving objective measures METHODS: 261 athletes (f:130; m:131), mean age 25.1 ± 5.8 y were screened during the preseason. The test battery consisted of double and single-leg counter movement jumps, balance tests, agility, parkour, quick feet test and plyometric jumps. RESULTS: Significant differences between males and females were noted in regard to balance scores (favour for females p ≤ 0.001), as well as jump height, agility and speed tests (favour for males [p ≤ 0.002-0.001]). CONCLUSION: The noted differences once again bring focus to the interindividual presence of risk factors, because female and male handball athletes have gender-specific ground levels. These attributes have to be considered in further screening and prevention programs, as well as in the context of the return-to-sports decision after injury. The given data may serve as objective reference measures.


Assuntos
Lesões do Ligamento Cruzado Anterior/prevenção & controle , Ligamento Cruzado Anterior/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Esportes , Adulto , Atletas , Feminino , Alemanha , Humanos , Masculino , Adulto Jovem
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