Subjects -> HEALTH AND SAFETY (Total: 1499 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (697 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (385 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (121 journals)
    - WOMEN'S HEALTH (82 journals)

PHYSICAL FITNESS AND HYGIENE (121 journals)                     

Showing 1 - 121 of 121 Journals sorted alphabetically
ACSMs Health & Fitness Journal     Full-text available via subscription   (Followers: 15)
Acta Facultatis Educationis Physicae Universitatis Comenianae     Open Access   (Followers: 4)
Acta Kinesiologiae Universitatis Tartuensis     Open Access   (Followers: 1)
ACTIVE : Journal of Physical Education, Sport, Health and Recreation     Open Access   (Followers: 29)
Adapted Physical Activity Quarterly     Hybrid Journal   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
Ágora para la Educación Física y el Deporte     Open Access  
Al.Qadisiya journal for the Sciences of Physical Education     Open Access   (Followers: 1)
American Journal of Sexuality Education     Hybrid Journal   (Followers: 4)
Annals of Applied Sport Science     Open Access   (Followers: 10)
Annals of Work Exposures and Health     Hybrid Journal   (Followers: 36)
Applied Physiology, Nutrition and Metabolism     Hybrid Journal   (Followers: 33)
Apunts. Medicina de l'Esport     Full-text available via subscription   (Followers: 1)
Archives of Exercise in Health and Disease     Open Access   (Followers: 7)
Arquivos de Ciências do Esporte     Open Access  
Arquivos em Movimento     Open Access   (Followers: 1)
Arrancada     Open Access   (Followers: 1)
Athletic Training & Sports Health Care     Full-text available via subscription   (Followers: 23)
BMC Obesity     Open Access   (Followers: 8)
BMC Sports Science, Medicine and Rehabilitation     Open Access   (Followers: 34)
Childhood Obesity     Hybrid Journal   (Followers: 24)
Clinical Journal of Sport Medicine     Hybrid Journal   (Followers: 35)
Comparative Exercise Physiology     Hybrid Journal   (Followers: 23)
Cultura, Ciencia y Deporte     Open Access   (Followers: 2)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
Environmental Health and Preventive Medicine     Open Access   (Followers: 4)
Éthique & Santé     Full-text available via subscription  
Fat Studies : An Interdisciplinary Journal of Body Weight and Society     Partially Free   (Followers: 3)
Fisioterapia em Movimento     Open Access  
Fitness & Performance Journal     Open Access   (Followers: 3)
Food Science and Human Wellness     Open Access   (Followers: 5)
Frontiers in Sports and Active Living     Open Access   (Followers: 1)
Gelanggang Pendidikan Jasmani Indonesia     Open Access  
German Journal of Exercise and Sport Research : Sportwissenschaft     Hybrid Journal   (Followers: 4)
Geron     Full-text available via subscription  
Global Journal of Health and Physical Education Pedagogy     Full-text available via subscription   (Followers: 2)
Health and Quality of Life Outcomes     Open Access   (Followers: 15)
Health Education Journal     Hybrid Journal   (Followers: 17)
Health Marketing Quarterly     Hybrid Journal   (Followers: 3)
Health Physics     Hybrid Journal   (Followers: 7)
Home Healthcare Now     Hybrid Journal   (Followers: 5)
Human Movement     Open Access   (Followers: 14)
Human Movement Science     Hybrid Journal   (Followers: 17)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
Indonesia Performance Journal     Open Access  
İnönü Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi     Open Access  
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Applied Exercise Physiology     Open Access   (Followers: 55)
International Journal of Athletic Therapy & Training     Hybrid Journal   (Followers: 15)
International Journal of Behavioral Nutrition and Physical Activity     Open Access   (Followers: 30)
International Journal of Men's Health     Full-text available via subscription   (Followers: 4)
International Journal of Obesity     Hybrid Journal   (Followers: 91)
International Journal of Obesity Supplements     Full-text available via subscription   (Followers: 8)
International Journal of Qualitative Studies on Health and Well-Being     Open Access   (Followers: 20)
International Journal of Spa and Wellness     Hybrid Journal  
International Journal of Sport, Exercise & Training Sciences     Open Access   (Followers: 2)
International Journal of Yoga     Open Access   (Followers: 15)
Isokinetics and Exercise Science     Hybrid Journal   (Followers: 12)
Journal of American College Health     Hybrid Journal   (Followers: 4)
Journal of Bioenergetics and Biomembranes     Hybrid Journal   (Followers: 1)
Journal of Human Performance in Extreme Environments     Open Access   (Followers: 2)
Journal of Human Sport and Exercise     Open Access   (Followers: 19)
Journal of Motor Learning and Development     Hybrid Journal  
Journal of Physical Activity and Health     Hybrid Journal   (Followers: 10)
Journal of Physical Activity and Hormones     Open Access   (Followers: 1)
Journal of Physical Education and Human Movement     Open Access  
Journal of Physical Education and Sport Sciences     Open Access   (Followers: 1)
Journal of Physical Education Health and Sport     Open Access   (Followers: 1)
Journal of Physical Education, Recreation & Dance     Full-text available via subscription   (Followers: 15)
Journal of Sport and Health Science     Open Access   (Followers: 20)
Journal of Sport Sciences and Fitness     Open Access   (Followers: 15)
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 72)
Journal of Yoga & Physical Therapy     Open Access   (Followers: 6)
Kerbala Magazine of Physical Edu. Seiences     Open Access   (Followers: 2)
Kinesiology : International Journal of Fundamental and Applied Kinesiology     Open Access  
Kinesiology Review     Hybrid Journal   (Followers: 6)
Krankenhaus-Hygiene - Infektionsverhütung     Full-text available via subscription  
Measurement in Physical Education and Exercise Science     Hybrid Journal   (Followers: 7)
Médecine & Nutrition     Full-text available via subscription  
Mental Health and Physical Activity     Hybrid Journal   (Followers: 17)
Movimiento Humano y Salud     Open Access  
Obesity     Hybrid Journal   (Followers: 56)
Obesity Research & Clinical Practice     Full-text available via subscription   (Followers: 21)
Obesity Reviews     Hybrid Journal   (Followers: 26)
Obesity Science & Practice     Open Access   (Followers: 1)
Open Obesity Journal     Open Access   (Followers: 1)
Pain Management in General Practice     Full-text available via subscription   (Followers: 12)
PALAESTRA : Adapted Sport, Physical Education, and Recreational Therapy     Full-text available via subscription   (Followers: 3)
Physical Activity and Health     Open Access   (Followers: 2)
Physical Education & Sport Pedagogy     Hybrid Journal   (Followers: 12)
Preventing Chronic Disease     Free   (Followers: 2)
Psychology of Sport and Exercise     Hybrid Journal   (Followers: 20)
Quality in Sport     Open Access   (Followers: 1)
RBNE - Revista Brasileira de Nutrição Esportiva     Open Access   (Followers: 1)
RBONE - Revista Brasileira de Obesidade, Nutrição e Emagrecimento     Open Access  
RBPFEX - Revista Brasileira de Prescrição e Fisiologia do Exercício     Open Access  
Research Quarterly for Exercise and Sport     Hybrid Journal  
Retos : Nuevas Tendencias en Educación Física, Deportes y Recreación     Open Access  
Revista Andaluza de Medicina del Deporte     Open Access   (Followers: 2)
Revista Brasileira de Atividade Física & Saúde     Open Access  
Revista Brasileira de Ciências do Esporte     Open Access   (Followers: 1)
Revista Brasileira de Cineantropometria & Desempenho Humano     Open Access   (Followers: 1)
Revista Brasileira de Educação Física e Esporte     Open Access   (Followers: 2)
Revista da Educação Física : UEM     Open Access   (Followers: 1)
Revista Iberoamericana de Psicología del Ejercicio y el Deporte     Open Access  
Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte : International Journal of Medicine and Science of Physical Activity and Sport     Open Access   (Followers: 1)
Revue phénEPS / PHEnex Journal     Open Access  
SIPATAHOENAN : South-East Asian Journal for Youth, Sports & Health Education     Open Access  
Spor Bilimleri Dergisi / Hacettepe Journal of Sport Sciences     Open Access  
Sport and Fitness Journal     Open Access   (Followers: 5)
Sport Health     Full-text available via subscription   (Followers: 3)
Sport Sciences for Health     Hybrid Journal   (Followers: 5)
Sport- und Präventivmedizin     Hybrid Journal   (Followers: 3)
Sports     Open Access   (Followers: 2)
Sports Biomechanics     Hybrid Journal   (Followers: 29)
Sports Health: A Multidisciplinary Approach     Hybrid Journal   (Followers: 4)
Strength & Conditioning Journal     Hybrid Journal   (Followers: 61)
Timisoara Physical Education and Rehabilitation Journal     Open Access   (Followers: 4)
Turkish Journal of Sport and Exercise     Open Access  
Yoga Mimamsa     Open Access   (Followers: 1)
Здоровье человека, теория и методика физической культуры и спорта     Open Access  

           

Similar Journals
Journal Cover
Sports Health: A Multidisciplinary Approach
Journal Prestige (SJR): 1.107
Citation Impact (citeScore): 2
Number of Followers: 4  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1941-7381 - ISSN (Online) 1941-0921
Published by Sage Publications Homepage  [1086 journals]
  • Sports Science Advance
    • Authors: Edward M. Wojtys
      Pages: 114 - 115
      Abstract: Sports Health, Volume 12, Issue 2, Page 114-115, March/April 2020.

      Citation: Sports Health
      PubDate: 2020-02-14T07:24:38Z
      DOI: 10.1177/1941738120903051
      Issue No: Vol. 12, No. 2 (2020)
       
  • Eccentric and Isometric Exercises in Achilles Tendinopathy Evaluated by
           the VISA-A Score and Shear Wave Elastography
    • Authors: Matthias Gatz, Marcel Betsch, Timm Dirrichs, Simone Schrading, Markus Tingart, Roman Michalik, Valentin Quack
      Abstract: Sports Health, Ahead of Print.
      Background:Apart from eccentric exercises (EE), isometric exercises (ISO) might be a treatment option for Achilles tendinopathy. Shear wave elastography (SWE) provides information for diagnosis and for monitoring tissue elasticity, which is altered in symptomatic tendons.Hypothesis:Isometric exercises will have a beneficial effect on patients’ outcome scores. Based on SWE, insertional and midportion tendon parts will differ in their elastic properties according to current symptoms.Study Design:Randomized clinical trial.Level of Evidence:Level 2.Methods:Group 1 (EE; n = 20; 12 males, 8 females; mean age, 52 ± 8.98 years) and group 2 (EE + ISO; n = 22; 15 males, 7 females; mean age, 47 ± 15.11 years) performed exercises for 3 months. Measurement points were before exercises were initiated as well as after 1 and 3 months using the Victorian Institute of Sports Assessment–Achilles (VISA-A) score, American Orthopaedic Foot & Ankle Society score, and SWE (insertion and midportion).Results:Both groups improved significantly, but there were no significant interindividual differences (VISA-A; P = 0.362) between group 1 (n = 15; +15 VISA-A) and group 2 (n = 15; +15 VISA-A). The symptomatic insertion (symptomatic, 136.89 kPa; asymptomatic, 174.68 kPa; P = 0.045) and the symptomatic midportion of the Achilles tendon (symptomatic, 184.40 kPa; asymptomatic, 215.41 kPa; P = 0.039) had significantly lower Young modulus compared with the asymptomatic tendons. The midportion location had significantly higher Young modulus than the insertional part of the tendon (P = 0.005).Conclusion:Isometric exercises do not have additional benefit when combined with eccentric exercises, as assessed over a 3-month intervention period. SWE is able to distinguish between insertional and midportion tendon parts in a symptomatic and asymptomatic state.Clinical Relevance:The present study shows no additional effect of ISO when added to baseline EE in treating Achilles tendinopathy. Different elastic properties of the insertional and midportion tendon have to be taken into consideration when rating a tendon as pathologic.
      Citation: Sports Health
      PubDate: 2020-01-31T04:38:48Z
      DOI: 10.1177/1941738119893996
       
  • A Multifactorial Approach to Overuse Running Injuries: A 1-Year
           Prospective Study
    • Authors: Sara C. Winter, Susan Gordon, Sara M. Brice, Daniel Lindsay, Sue Barrs
      Abstract: Sports Health, Ahead of Print.
      Background:Because of the complex and multifaceted nature of running injuries, a multifactorial approach when investigating running injuries is required.Hypothesis:Compared with uninjured runners, injured runners would exhibit different running biomechanics, display more fatigue changes, and would run a greater weekly running volume; more injured runners would also report having a previous injury.Study Design:Prospective cohort study.Level of Evidence:Level 4.Methods:At commencement of the study, data were collected on demographics, anthropometrics, training history, previous injury history, and center-of-mass accelerations during a long-distance overground run. Participants completed weekly training diaries and were monitored for 1 year for an injury.Results:A total of 76 runners completed the study, with 39 (22 male; 17 female) reporting an injury. Compared with male uninjured runners, male injured runners were heavier and ran a greater weekly distance. Male runners (injured and uninjured) exhibited increases in mediolateral center-of-mass accelerations during the run. Compared with female uninjured runners, female injured runners were heavier, ran with longer flight times and lower step frequencies, and more of them had reported an injury in the previous year and had increased speed training in the weeks prior to injury. Over 60% of male injured runners and over 50% of female injured runners had increased their weekly running distance by>30% between consecutive weeks at least once in the 4 weeks prior to injury.Conclusion:Factors that may be related to injury for male runners include being heavier, running a greater weekly distance, and exhibiting fatigue changes in mediolateral center-of-mass accelerations. Factors that may be related to injury for female runners include being heavier, having an injury in the previous year, running with longer flight times and lower step frequencies, and increasing speed training prior to injury. Increases in weekly running distance in 1 consecutive week (particularly>30%) needs to be monitored in training, and this along with the other factors found may have contributed to injury development.Clinical Relevance:This study found that multiple factors are related to running injuries and that some factors are sex specific. The findings can aid in injury prevention and management.
      Citation: Sports Health
      PubDate: 2020-01-29T04:51:21Z
      DOI: 10.1177/1941738119888504
       
  • Responsiveness of a Balance Assessment Using a Mobile Application
    • Authors: David A. Krause, Sarah E. Anderson, Graeme R. Campbell, Samson J. Davis, Samuel W. Tindall, John H. Hollman
      Abstract: Sports Health, Ahead of Print.
      Background:Balance assessment is used by clinicians as part of athlete concussion screening. The King-Devick (K-D) Balance app is designed to provide an objective balance assessment value. The purpose of this study was to investigate the responsiveness of a balance assessment using the K-D Balance app.Hypothesis:The K-D Balance app will demonstrate acceptable responsiveness for balance assessment.Study Design:Repeated-measures study.Level of Evidence:Level 5.Methods:A convenience sample of 25 participants between the ages of 20 and 25 years completed testing procedures. A battery of balance tests using the K-D Balance app on an iPhone were conducted 1 week apart. After a 5-minute warm-up, 3 stances were assessed: double leg, tandem right, and tandem left. The K-D Balance app guided the test positions and test times. A value representing movement was generated by the app algorithm. Analysis included descriptive statistics along with intraclass correlation coefficient and minimal detectable change (MDC).Results:The median score of the K-D test was 0.5 for session 1 and 0.4 for session 2. The ICC was 0.42 (95% CI, 0.04-0.70), and the MDC was 1.58.Conclusion:The MDC value of 1.58 represents the threshold of meaningful change in balance, as measured with the K-D Balance app.Clinical Relevance:Clinicians can use the results of this study to objectively assess changes in balance over time using the K-D Balance app.
      Citation: Sports Health
      PubDate: 2020-01-21T04:52:01Z
      DOI: 10.1177/1941738119888656
       
  • A Comparison of Physical Therapy Protocols Between Open Latarjet Coracoid
           Transfer and Arthroscopic Bankart Repair
    • Authors: Alexander Beletsky, Jourdan M. Cancienne, Brandon J. Manderle, Nabil Mehta, Kevin E. Wilk, Nikhil N. Verma
      First page: 124
      Abstract: Sports Health, Ahead of Print.
      Context:Recent studies examining return to sport after traumatic shoulder instability suggest faster return-to-sport time lines after bony stabilization when compared with soft tissue stabilization. The purpose of the current study was to define variability across online Latarjet rehabilitation protocols and to compare Latarjet with Bankart repair rehabilitation time lines.Evidence Acquisition:Online searches were utilized to identify publicly available rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME)–accredited academic orthopaedic surgery programs.Study Design:Descriptive epidemiology study.Level of Evidence:Level 3.Results:Of the 183 ACGME-accredited orthopaedic programs reviewed, 14 institutions (7.65%) had publicly available rehabilitation protocols. A web-based search yielded 17 additional protocols from private sports medicine practices. Of the 31 protocols included, 31 (100%) recommended postoperative sling use and 26 (84%) recommended elbow, wrist, and hand range of motion exercises. Full passive forward flexion goals averaged 3.22 ± 2.38 weeks postoperatively, active range of motion began on average at 5.22 ± 1.28 weeks, and normal scapulothoracic motion by 9.26 ± 4.8 weeks postoperatively. Twenty (65%) protocols provided specific recommendations for return to nonoverhead sport–specific activities, beginning at an average of 17 ± 2.8 weeks postoperatively. This was compared with overhead sports or throwing activities, for which 18 (58%) of protocols recommended beginning at a similar average of 17.1 ± 3.3 weeks.Conclusion:Similar to Bankart repair protocols, Latarjet rehabilitation protocols contain a high degree of variability with regard to exercises and motion goal recommendations. However, many milestones and start dates occur earlier in Latarjet protocols when compared with Bankart-specific protocols. Consequently, variability in the timing of rehabilitation goals may contribute to earlier return to play metrics identified in the broader literature for the Latarjet procedure when compared with arthroscopic Bankart repair.Strength of Recommendation Taxonomy (SORT):Level C.
      Citation: Sports Health
      PubDate: 2020-01-09T04:05:19Z
      DOI: 10.1177/1941738119887396
       
  • The Relationship Between Humeral Torsion and Arm Injury in Baseball
           Players: A Systematic Review and Meta-analysis
    • Authors: Joshua K. Helmkamp, Garrett S. Bullock, Allison Rao, Ellen Shanley, Charles Thigpen, Grant E. Garrigues
      First page: 132
      Abstract: Sports Health, Ahead of Print.
      Context:Humeral torsion (HT) has been linked to various injuries and benefits. However, the exact interplay between HT, shoulder range of motion (ROM), competition level differences, and injury risk is unclear.Objective:To determine the relationship between HT, ROM, and injury risk in baseball players. Secondarily, to determine HT based on competition level.Data Sources:PubMed, Embase, Web of Science, CINAHL, and Cochrane databases were searched from inception until November 4, 2018.Study Selection:Inclusion criteria consisted of (1) HT measurements and (2) arm injury or shoulder ROM.Study Design:Systematic review.Level of Evidence:Level 3.Data Extraction:Two reviewers recorded patient demographics, competition level, HT, shoulder ROM, and injury data.Results:A total of 32 studies were included. There was no difference between baseball players with shoulder and elbow injuries and noninjured players (side-to-side HT difference: mean difference [MD], 1.75 [95% CI, –1.83 to 2.18]; dominant arm: MD, 0.17 [95% CI, –1.83 to 2.18]). Meta-regression determined that for every 1° increase in shoulder internal rotation (IR), there was a subsequent increase of 0.65° in HT (95% CI, 0.28 to 1.02). HT did not explain external rotation (ER ROM: 0.19 [95% CI, –0.24 to 0.61]) or horizontal adduction (HA ROM: 0.18 [95% CI, –0.46 to 0.82]). There were no differences between HT at the high school, college, or professional levels.Conclusion:No relationship was found between HT and injury risk. However, HT explained 65% of IR ROM but did not explain ER ROM or HA ROM. There were no differences in HT pertaining to competition level. The majority of IR may be nonmodifiable. Treatment to restore and maintain clinical IR may be important, especially in players with naturally greater torsion. HT adaptation may occur prior to high school, which can assist in decisions regarding adolescent baseball participation.
      Citation: Sports Health
      PubDate: 2020-02-06T04:00:35Z
      DOI: 10.1177/1941738119900799
       
  • Effects of Modified Posterior Shoulder Stretching Exercises on Shoulder
           Mobility, Pain, and Dysfunction in Patients With Subacromial Impingement
           Syndrome
    • Authors: Özge Tahran, Sevgi Sevi Yes˛ilyaprak
      First page: 139
      Abstract: Sports Health, Ahead of Print.
      Background:Posterior shoulder stretching exercises (PSSEs) aim to reduce posterior shoulder tightness (PST). Position modification of traditional PSSEs has been suggested to minimize inadequate control of scapular and glenohumeral rotation, possibly leading to increased subacromial impingement.Hypothesis:Modified PSSEs will have positive effects on shoulder mobility, pain, and dysfunction.Study Design:Randomized controlled trial.Level of Evidence:Level 1.Methods:A total of 67 symptomatic patients with subacromial impingement syndrome (SIS) and shoulder internal rotation asymmetry were randomly assigned to 3 groups: modified cross-body stretch (MCS) (n = 22; treatment program + MCS), modified sleeper stretch (MSS) (n = 22; treatment program + MSS), and a control group (n = 23; treatment program consisting of only modalities, range of motion [ROM], and strength training but no PSSEs) for 4 weeks. Pain, PST, shoulder rotation ROM, and dysfunction were evaluated.Results:Pain, PST, shoulder rotation ROM, function, and disability improved in all groups (P < 0.05). The MCS and MSS groups had better results compared with the control group with regard to pain with activity, internal rotation ROM, function, and disability (P < 0.05). There was no significant difference between the stretching groups (P> 0.05).Conclusion:All treatments improved pain, shoulder mobility, function, and disability in patients with SIS. However, modified PSSEs in addition to a treatment program was superior to the treatment program alone (without PSSEs) in improving pain with activity, internal rotation ROM, and dysfunction. Moreover, stretching provided clinically significant improvements.Clinical Relevance:Modified PSSEs, in addition to a treatment program, are beneficial for patients with SIS. Both modified cross-body and sleeper stretches are safe and efficacious for improving shoulder mobility, pain, and dysfunction.
      Citation: Sports Health
      PubDate: 2020-02-04T05:59:33Z
      DOI: 10.1177/1941738119900532
       
  • Is the Landing Error Scoring System Reliable and Valid' A Systematic
           Review
    • Authors: Ivana Hanzlíková, Kim Hébert-Losier
      First page: 181
      Abstract: Sports Health, Ahead of Print.
      Context:The Landing Error Scoring System (LESS) is a clinical tool often used in research and practice to identify athletes presenting high injury-risk biomechanical patterns during a jump-landing task.Objective:To systematically review the literature addressing the psychometric properties of the LESS.Data Sources:Three electronic databases (PubMed, Web of Science, and Scopus) were searched on March 28, 2018, using the term “Landing Error Scoring System.”Study Selection:All studies using the LESS as main outcome measure and addressing its reliability, validity against motion capture system, and predictive validity were included. Original English-language studies published in peer-reviewed journals were reviewed. Studies using modified versions of the LESS were excluded.Study Design:Systematic literature review.Level of Evidence:Level 4.Data Extraction:Study design, population, LESS testing procedures, LESS scores, statistical analysis, and main results were extracted from studies using a standardized template.Results:Ten studies met inclusion criteria and were appraised using Newcastle-Ottawa Quality Assessment Scale adapted for cross-sectional studies. The overall LESS score demonstrated good-to-excellent intrarater (intraclass correlation coefficient [ICC], 0.82-0.99), interrater (ICC, 0.83-0.92), and intersession reliability (ICC, 0.81). The validity of the overall LESS score against 3-dimensional jump-landing biomechanics was good when individuals were divided into 4 quartiles based on LESS scores. The validity of individual LESS items versus 3-dimensional motion capture data was moderate-to-excellent for most of the items addressing key risk factors for anterior cruciate ligament (ACL) injury. The predictive value of the LESS for ACL and other noncontact lower-extremity injuries remains uncertain based on the current scientific evidence.Conclusion:The LESS is a reliable screening tool. However, further work is needed to improve the LESS validity against motion capture system and confirm its predictive validity for ACL and other noncontact lower-extremity injuries.
      Citation: Sports Health
      PubDate: 2020-01-21T05:06:41Z
      DOI: 10.1177/1941738119886593
       
  • Cannabis Use and Sport: A Systematic Review
    • Authors: Shgufta Docter, Moin Khan, Chetan Gohal, Bheeshma Ravi, Mohit Bhandari, Rajiv Gandhi, Timothy Leroux
      First page: 189
      Abstract: Sports Health, Ahead of Print.
      Context:Cannabis use has increased, in large part due to decriminalization. Despite this increase in usage, it remains unclear what proportion of athletes use cannabis and what effect it has on athletic performance and recovery.Objective:To systematically review cannabis use among athletes, including epidemiology, effect on performance and recovery, and regulations for use in sport.Data Sources:PubMed, MEDLINE, and EMBASE databases were queried from database inception through November 15, 2018. A hand search of policies, official documents, and media reports was performed for relevant information.Study Selection:All studies related to cannabis use in athletes, including impact on athletic performance or recovery, were included.Study Design:Systematic review.Level of Evidence:Level 4.Data Extraction:Demographic and descriptive data of included studies relating to epidemiology of cannabis use in athletes were extracted and presented in weighted means or percentages where applicable.Results:Overall, 37 studies were included, of which the majority were cross-sectional studies of elite and university athletes. Among 11 studies reporting use among athletes (n = 46,202), approximately 23.4% of respondents reported using cannabis in the past 12 months. Two studies found a negative impact on performance, while another 2 studies found no impact. There was no literature on the influence of cannabis on athletic recovery. Across athletic organizations and leagues, there is considerable variability in acceptable thresholds for urine tetrahydrocannabinol levels (>15 to 150 ng/mL) and penalties for athletes found to be above these accepted thresholds.Conclusion:Overall, these results suggest that approximately 1 in 4 athletes report using cannabis within the past year. Based on the available evidence, cannabis does not appear to positively affect performance, but the literature surrounding this is generally poor. Given the variability in regulation across different sport types and competition levels, as well as the growing number of states legalizing recreational cannabis use, there is a need to improve our understanding of the effects of cannabis use on the athlete and perhaps adopt a clearer and overarching policy for the use of cannabis by athletes in all sports and at all levels.
      Citation: Sports Health
      PubDate: 2020-02-05T05:27:47Z
      DOI: 10.1177/1941738120901670
       
  • Society News
    • First page: 207
      Abstract: Sports Health, Ahead of Print.

      Citation: Sports Health
      PubDate: 2020-01-30T05:33:27Z
      DOI: 10.1177/1941738120903293
       
  • Comparing the Effectiveness of Cognitive Functional Treatment and Lumbar
           Stabilization Treatment on Pain and Movement Control in Patients With Low
           Back Pain
    • Authors: Behrouz Khodadad, Amir Letafatkar, Malihe Hadadnezhad, Sadredin Shojaedin
      Abstract: Sports Health, Ahead of Print.
      Background:The treatment of chronic low back pain (LBP) should target both behavioral variables and physical performance factors.Hypothesis:Cognitive functional treatment (CFT) and lumbar stabilization treatment (LST) will result in positive changes in pain and lumbar movement control (LMC) in patients with LBP.Study Design:Pretest-posttest intervention.Level of Evidence:Level 3.Methods:After screening, 52 participants (mean age, 44.3 ± 2.46 years) with chronic LBP were allocated into CFT (n = 17), LST (n = 17), or control (n = 18) groups. Pain and LMC were evaluated before and after 8 weeks of intervention with visual analog scale (VAS) and Luomajoki LMC battery tests, respectively.Results:Compared with baseline, pain and LMC were reduced and improved significantly in both groups after 8 weeks. However, the changes in both variables were not significantly different between groups. Percent change for pain between pretest and posttest values in the LST group was a decrease of 45% (P = 0.003), compared with a decrease of 40% (P = 0.003) in the CFT group. Change in LMC in the LST group was a decrease of 100% (P = 0.026), compared with a decrease of 200% (P = 0.018) in the CFT group. There as no change for both variables in the control group.Conclusion:Both CFT and LST groups improved LMC scores and reduced pain intensity. However, there was no difference between the 2 experimental groups on pain and LMC test results.Clinical Relevance:In this study, intended to construct an intervention for people with chronic LBP, the primary aims were to help individuals “make sense of their pain,” develop effective pain control strategies via body relaxation and extinction of safety behaviors, and adopt healthy lifestyle behaviors to affect cognitive factors known to affect pain sensitivity and disability. These primary aims were achieved through an emphasis on factors such as development of positive beliefs, reduced fear, increased awareness, enhanced understanding and control of pain, adaptive coping, enhanced self-efficacy, confidence, and improved mood through the class-based intervention.
      Citation: Sports Health
      PubDate: 2019-12-16T04:56:53Z
      DOI: 10.1177/1941738119886854
       
  • Epidemiology of Anterior Cruciate Ligament Injury in Italian First
           Division Soccer Players
    • Authors: Alberto Grassi, Luca Macchiarola, Matteo Filippini, Gian Andrea Lucidi, Francesco Della Villa, Stefano Zaffagnini
      Abstract: Sports Health, Ahead of Print.
      Background:The burden of anterior cruciate ligament (ACL) injury in professional soccer players is particularly relevant as it represents a potentially career-threatening injury.Hypothesis:Our hypotheses were that (1) injury incidence rate would be similar to that reported in the literature, (2) we would identify a uniform distribution of the injuries along the season, and (3) injury incidence rate would be similar in high-ranked and lower ranked teams, based on final placement in the league.Study Design:Descriptive epidemiological study.Level of Evidence:Level 4.Methods:Professional male soccer players participating in the Serie A championship league in 7 consecutive seasons (2011-2012 to 2017-2018) were screened to identify ACL injuries through the online football archive transfermarkt.com. Exposure in matches and training were calculated.Results:There were 84 ACL injuries found (mean player age, 25.3 ± 4.2 years). Overall, 25% of ACL injuries were reruptures (15%) or contralateral injuries (10%). ACL incidence rate was 0.4215 per 1000 hours of play during Serie A matches, 0.0305 per 1000 hours of training (rate ratio [RR], 13.8; 95% CI, 8.4-22.7; P < 0.0001), and 0.0618 per 1000 hours of total play. Injury distribution had a bimodal peak, with the highest number of events in October and March. Alternatively, training injuries peaked in June and July. A significantly higher incidence rate was found for the teams ranked from 1st to the 4th place compared with those ranked 5th to 20th (0.1256 vs 0.0559 per 1000 hours of play; RR, 2.2; 95% CI, 1.4-3.6; P = 0.0003). A similar finding was found for injury incidence proportion (3.76% vs 1.64%; P = 0.0003).Conclusion:The overall incidence rate of ACL injuries in Italian Serie A was 0.062 per 1000 hours, with a 14-fold risk in matches compared with training. Relevantly, 25% were second injuries. Most injuries occurred in October and March, and an almost 2-fold incidence rate and incidence proportion were noted in those teams ranked in the first 4 positions of the championship league.Clinical Relevance:Knowing the precise epidemiology of ACL injury in one of the most competitive professional football championship leagues could help delineate fields of research aimed to investigate its risk factors.
      Citation: Sports Health
      PubDate: 2019-12-04T05:38:44Z
      DOI: 10.1177/1941738119885642
       
  • Pectoralis Major Injuries in the National Football League
    • Authors: Shawn Sahota, Daniel B. Gibbs, Cort D. Lawton, Earvin S. Balderama, Caitlin C. Chambers, Christina D. Mack, Kristina Franke, Gordon W. Nuber
      First page: 116
      Abstract: Sports Health, Ahead of Print.
      Background:Pectoralis major (PM) injuries are rare, primarily occurring in males during athletic activity. In the current literature, these injuries have not been well described in National Football League (NFL) athletes.Hypothesis:The incidence of PM injuries will be low in NFL athletes, with athletes missing significantly more time after injuries requiring operative management.Study Design:Cohort study.Level of Evidence:Level 4.Methods:All documented PM injuries were retrospectively analyzed using the NFL Injury Surveillance System over a 15-season period. The data were analyzed by season, session, position, activity, and contact type at the time of injury. Additionally, the incidence, treatment, and days missed as a result of injury were assessed.Results:Over 15 consecutive seasons, there were a total of 211 PM injuries. Of these injuries, 132 were classified as strains and 79 as ruptures. The incidence of strains was 0.41 per 10,000 athlete-exposures, compared with 0.25 per 10,0000 athlete-exposures for ruptures (P < 0.01). Players with PM ruptures treated operatively missed significantly more days than players treated nonoperatively (146.7 ± 55.0 vs 77.2 ± 72.9; P < 0.01).Conclusion:NFL athletes miss significantly more time after operative compared with nonoperative management of PM ruptures.Clinical Relevance:PM injuries are rare, with the current literature lacking description of these injuries in NFL athletes. The paucity of data limits physicians from providing adequate counseling and expectations for athletes with this injury. This research represents the largest study assessing PM injuries in NFL athletes.
      Citation: Sports Health
      PubDate: 2019-12-10T04:21:53Z
      DOI: 10.1177/1941738119885867
       
  • Management of Athletes With G6PD Deficiency: Does Missing an Enzyme Mean
           Missing More Games'
    • Authors: Shane N. Stone, Karl V. Reisig, Heather L. Saffel, Christopher M. Miles
      First page: 149
      Abstract: Sports Health, Ahead of Print.
      Context:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is likely the most prevalent enzyme deficiency on the planet, with an estimated 4.9% of people, or approximately 330 million individuals, across the globe affected by the disease. In the United States, 4-7% of the population is likely affected, but each year our nation’s major sport leagues become more international. It is important for medical professionals who treat athletes to understand how this genetic condition can affect the athletes we are working with, especially because exercise in itself results in oxidative stress.Evidence Acquisition:PubMed was searched for relevant articles published from 1980 to 2018. The search terms G6PD, athletes, military, and sports were used.Study Design:Clinical review.Level of Evidence:Level 4.Results:Though some case reports suggest a potential impact on athlete safety and performance, controlled studies demonstrate limited impact of exercise on oxidative stress in G6PD-deficient individuals. The care of athletes with G6PD deficiency does not drastically differ from the care of athletes without this condition. Most of the medications and supplements that are regularly given to athletes should not negatively affect their health.Conclusion:Although the care of athletes with G6PD deficiency is for the most part no different from the care of other athletes, there are certain situations (visiting areas where malaria is endemic) and medications for which it is important to recognize how your management should change. G6PD deficiency is not regularly screened for but could be considered if an athlete has known sickle cell disease or when traveling to areas where malaria is prevalent. Expanding our knowledge of G6PD deficiency will allow for better care of athletes.
      Citation: Sports Health
      PubDate: 2019-10-11T02:33:08Z
      DOI: 10.1177/1941738119877177
       
  • Play Sports for a Quieter Brain: Evidence From Division I Collegiate
           Athletes
    • Authors: Jennifer Krizman, Tory Lindley, Silvia Bonacina, Danielle Colegrove, Travis White-Schwoch, Nina Kraus
      First page: 154
      Abstract: Sports Health, Ahead of Print.
      Background:Playing sports has many benefits, including boosting physical, cardiovascular, and mental fitness. We tested whether athletic benefits extend to sensory processing—specifically auditory processing—as measured by the frequency-following response (FFR), a scalp-recorded electrophysiological potential that captures neural activity predominately from the auditory midbrain to complex sounds.Hypothesis:Given that FFR amplitude is sensitive to experience, with enrichment enhancing FFRs and injury reducing them, we hypothesized that playing sports is a form of enrichment that results in greater FFR amplitude.Study Design:Cross-sectional study.Level of Evidence:Level 3.Methods:We measured FFRs to the speech syllable “da” in 495 student-athletes across 19 Division I teams and 493 age- and sex-matched controls and compared them on 3 measures of FFR amplitude: amplitude of the response, amplitude of the background noise, and the ratio of these 2 measures.Results:Athletes have larger responses to sound than nonathletes, driven by a reduction in their level of background neural noise.Conclusion:These findings suggest that playing sports increases the gain of an auditory signal by turning down the background noise. This mode of enhancement may be tied to the overall fitness level of athletes and/or the heightened need of an athlete to engage with and respond to auditory stimuli during competition.Clinical Relevance:These results motivate athletics overall and engagement in athletic interventions for populations that struggle with sensory processing, such as individuals with language disorders. Also, because head injuries can disrupt these same auditory processes, it is important to consider how auditory processing enhancements may offset injury.
      Citation: Sports Health
      PubDate: 2019-12-09T09:00:01Z
      DOI: 10.1177/1941738119892275
       
  • The Demographics of Fractures and Dislocations Across the Entire United
           States due to Common Sports and Recreational Activities
    • Authors: Cory Meixner, Randall T. Loder
      First page: 159
      Abstract: Sports Health, Ahead of Print.
      Background:There exists little nationwide data regarding fracture and dislocation patterns across a wide variety of sporting activities for all ages and sexes.Hypothesis:Participant demographics (age and sex) will vary with regard to fracture and joint dislocation sustained during sport-related activities.Study Design:Descriptive epidemiology study.Level of Evidence:Level 3.Methods:The National Electronic Injury Surveillance System All Injury Program data 2005 through 2013 were accessed; 18 common sports and recreational activities in the United States were selected. Statistical software was used to calculate the numbers of fractures and dislocations, and incidence was calculated using US Census Bureau data. Multivariate logistic regression analysis determined the odds ratios (ORs) for the occurrence of a fracture or dislocation.Results:A fracture occurred in 20.6% and a joint dislocation in 3.6% of the emergency department visits for sports-related injuries; annual emergency department visit incidence was 1.51 for fractures and 0.27 for dislocations (per 1000 people). Most of the fractures occurred in football (22.5%). The OR for fracture was highest for inline skating (OR, 6.03), males (OR, 1.21), Asians, whites, and Amerindians compared with blacks (OR, 1.46, 1.25, and 1.18, respectively), and those older than 84 years (OR, 4.77). Most of the dislocations occurred in basketball (25.7%). The OR for dislocation was highest in gymnastics (OR, 4.08), males (OR, 1.50), Asians (OR, 1.75), and in those aged 20 to 24 years (OR, 9.04). The most common fracture involved the finger, and the most common dislocation involved the shoulder.Conclusion:Inline skating had the greatest risk for fracture, and gymnastics has the greatest risk for joint dislocation.Clinical Relevance:This comprehensive study of the risks of sustaining a fracture or dislocation from common sports activities across all age groups can aid sports health providers in a better understanding of those sports at high risk and be proactive in prevention mechanisms (protective gear, body training).
      Citation: Sports Health
      PubDate: 2019-11-22T04:10:07Z
      DOI: 10.1177/1941738119882930
       
  • Targeted Treatment Protocol in Patellofemoral Pain: Does Treatment
           Designed According to Subgroups Improve Clinical Outcomes in Patients
           Unresponsive to Multimodal Treatment'
    • Authors: Hayri Baran Yosmaoğlu, James Selfe, Emel Sonmezer, İlknur Ezgi Sahin, Senay Çerezci Duygu, Manolya Acar Ozkoslu, Jim Richards, Jessica Janssen
      First page: 170
      Abstract: Sports Health, Ahead of Print.
      Background:Targeted intervention for subgroups is a promising approach for the management of patellofemoral pain.Hypothesis:Treatment designed according to subgroups will improve clinical outcomes in patients unresponsive to multimodal treatment.Study Design:Prospective crossover intervention.Level of Evidence:Level 3.Methods:Patients with patellofemoral pain (PFP; n = 61; mean age, 27 ± 9 years) were enrolled. Patients with PFP received standard multimodal treatment 3 times a week for 6 weeks. Patients not responding to multimodal treatment were then classified into 1 of 3 subgroups (strong, weak and tight, and weak and pronated foot) using 6 simple clinical tests. They were subsequently administered 6 further weeks of targeted intervention, designed according to subgroup characteristics. Visual analog scale (VAS), perception of recovery scale (PRS), 5-Level European Quality 5 Dimensions (EQ-5D-5L), and self-reported version of the Leeds Assessment of Neuropathic Symptoms and Signs scale (S-LANSS) were used to assess pain, knee function, and quality of life before and after the interventions.Results:In total, 34% (n = 21) of patients demonstrated recovery after multimodal treatment. However, over 70% (n = 29/40) of nonresponders demonstrated recovery after targeted treatment. The VAS, PRS, S-LANSS, and EQ-5D-5L scores improved significantly after targeted intervention compared with after multimodal treatment (P < 0.001). The VAS score at rest was significantly lower in the “weak and pronated foot” and the “weak and tight” subgroups (P = 0.011 and P = 0.008, respectively). Posttreatment pain intensity on activity was significantly lower in the “strong” subgroup (P = 0.006).Conclusion:Targeted treatment designed according to subgroup characteristics improves clinical outcomes in patients unresponsive to multimodal treatment.Clinical Relevance:Targeted intervention could be easily implemented after 6 simple clinical assessment tests to subgroup patients into 1 of 3 subgroups (strong, weak and tight, and weak and pronated foot). Targeted interventions applied according to the characteristics of these subgroups have more beneficial treatment effects than a current multimodal treatment program.
      Citation: Sports Health
      PubDate: 2019-11-21T04:46:20Z
      DOI: 10.1177/1941738119883272
       
  • The Role of Resistance Training Dosing on Pain and Physical Function in
           Individuals With Knee Osteoarthritis: A Systematic Review
    • Authors: Meredith N. Turner, Daniel O. Hernandez, William Cade, Christopher P. Emerson, John Reynolds, Thomas M. Best
      First page: 200
      Abstract: Sports Health, Ahead of Print.
      Context:Dosing parameters are needed to ensure the best practice guidelines for knee osteoarthritis.Objective:To determine whether resistance training affects pain and physical function in individuals with knee osteoarthritis, and whether a dose-response relationship exists. Second, we will investigate whether the effects are influenced by Kellgren-Lawrence grade or location of osteoarthritis.Data Sources:A search for randomized controlled trials was conducted in MEDLINE, Embase, and CINAHL, from their inception dates, between November 1, 2018, and January 15, 2019. Keywords included knee osteoarthritis, knee joint, resistance training, strength training, and weight lifting.Study Selection:Inclusion criteria were randomized controlled trials reporting changes in pain and physical function on humans with knee osteoarthritis comparing resistance training interventions with no intervention. Two reviewers screened 471 abstracts; 12 of the 13 studies assessed were included.Study Design:Systematic review.Level of Evidence:Level 2.Data Extraction:Mean baseline and follow-up Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and standard deviations were extracted to calculate the standard mean difference. Articles were assessed for methodological quality using the CONSORT (Consolidated Standards of Reporting Trials) 2010 scale and Cochrane Collaboration tool for assessing risk of bias.Results:The 12 included studies had high methodological quality. Of these, 11 studies revealed that resistance training improved pain and/or physical function. The most common regimen was a 30- to 60-minute session of 2 to 3 sets of 8 to 12 repetitions with an initial resistance of 50% to 60% of maximum resistance that progressed over 3 sessions per week for 24 weeks. Seven studies reported Kellgren-Lawrence grade, and 4 studies included osteoarthritis location.Conclusion:Resistance training improves pain and physical function in knee osteoarthritis. Large effect sizes were associated with 24 total sessions and 8- to 12-week duration. No optimal number of repetitions, maximum strength, or frequency of sets or repetitions was found. No trends were identified between outcomes and location or Kellgren-Lawrence grade of osteoarthritis.
      Citation: Sports Health
      PubDate: 2019-12-18T04:31:43Z
      DOI: 10.1177/1941738119887183
       
 
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