Subjects -> HEALTH AND SAFETY (Total: 1540 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (724 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (387 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (108 journals)
    - PHYSICAL FITNESS AND HYGIENE (130 journals)
    - WOMEN'S HEALTH (82 journals)

PHYSICAL FITNESS AND HYGIENE (130 journals)                     

Showing 1 - 130 of 130 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: 30)
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: 11)
Applied Physiology, Nutrition and Metabolism     Hybrid Journal   (Followers: 34)
Apunts. Medicina de l'Esport     Full-text available via subscription   (Followers: 1)
Arab Journal of Nutrition and Exercise     Open Access   (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: 7)
BMC Sports Science, Medicine and Rehabilitation     Open Access   (Followers: 34)
Childhood Obesity     Hybrid Journal   (Followers: 24)
Clinical Journal of Sport Medicine     Hybrid Journal   (Followers: 36)
Comparative Exercise Physiology     Hybrid Journal   (Followers: 24)
Cultura, Ciencia y Deporte     Open Access   (Followers: 2)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
eJRIEPS : Ejournal de la recherche sur l'intervention en éducation physique et sport     Open Access  
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: 2)
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: 12)
International Journal of Applied Exercise Physiology     Open Access   (Followers: 58)
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: 5)
International Journal of Obesity     Hybrid Journal   (Followers: 93)
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: 16)
Isokinetics and Exercise Science     Hybrid Journal   (Followers: 12)
Journal of American College Health     Hybrid Journal   (Followers: 4)
Journal of Athlete Development and Experience     Open Access   (Followers: 1)
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: 11)
Journal of Physical Activity and Hormones     Open Access   (Followers: 1)
Journal of Physical Activity Research     Open Access   (Followers: 4)
Journal of Physical Education and Human Movement     Open Access  
Journal of Physical Education and Sport Sciences     Open Access   (Followers: 2)
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 Science in Sport and Exercise     Hybrid Journal   (Followers: 4)
Journal of Sport and Health Science     Open Access   (Followers: 22)
Journal of Sport Sciences and Fitness     Open Access   (Followers: 16)
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 77)
Journal of Yoga & Physical Therapy     Open Access   (Followers: 7)
Jurnal Pendidikan Kesehatan Rekreasi     Open Access   (Followers: 3)
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)
MHSalud : Movimiento Humano y Salud     Open Access  
Obesity     Hybrid Journal   (Followers: 58)
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: 3)
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)
Race and Yoga     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  
Scandinavian Journal of Sport and Exercise Psychology     Open Access   (Followers: 3)
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)
SPORTIVE : Journal Of Physical Education, Sport and Recreation     Open Access   (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: 64)
Timisoara Physical Education and Rehabilitation Journal     Open Access   (Followers: 4)
Turkish Journal of Sport and Exercise     Open Access  
Yoga Mimamsa     Open Access   (Followers: 2)
Здоровье человека, теория и методика физической культуры и спорта     Open Access  

           

Similar Journals
Journal Cover
Clinical Journal of Sport Medicine
Journal Prestige (SJR): 0.999
Citation Impact (citeScore): 2
Number of Followers: 36  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1050-642X - ISSN (Online) 1536-3724
Published by LWW Wolters Kluwer Homepage  [301 journals]
  • AMSSM Position Statement Update: Blood-Borne Pathogens in the Context of
           Sports Participation
    • Authors: McGrew; Christopher; MacCallum, Daisy-Scarlett; Narducci, Dustymarie; Nuti, Rathna; Calabrese, Leonard; Dimeff, Robert; Paul, Stephen; Poddar, Sourav K.; Rao, Ashwin; McKeag, Douglas
      Abstract: Abstract: This AMSSM position statement update is directed toward health care providers of patients involved in sport and exercise. There have been significant advances in clinical and scientific research in the understanding of blood-borne pathogens (BBPs), and this update incorporates these advancements. This document is intended as a general guide to clinical practice based on the current state of evidence, while acknowledging the need for modification as new knowledge becomes available. Confirmed transmission of BBPs during sport is exceedingly rare. There are no well-documented reports of HIV, hepatitis C virus, or hepatitis D virus transmission during sport. There is also no evidence for universal testing for BBPs as a specific requirement for participation in sports. Competitive athletes and nonathletes should follow appropriate general public health agency recommendations for screening for BBPs, considering their individual risk factors and exposures. Standard (universal) precautions must be followed by those providing care to athletes. Exercise and athletic participation can help promote a healthy lifestyle for persons living with BBPs. Those with acute symptomatic BBP infection should limit exercise intensity based on their current health status. Education is the key tool for preventing BBP transmission. Research gaps include evaluation of the prevalence of BBP infections in competitive athletes, the effects of long-term, intense training on infected athletes, and the effects of BBP treatment therapies on performance.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Sexual Violence in Sport: American Medical Society for Sports Medicine
           Position Statement
    • Authors: Koontz; Jennifer Scott; Mountjoy, Margo; Abbott, Kristin E.; Aron, Cindy Miller; Basile, Kathleen C.; Carlson, Chad T.; Chang, Cindy J.; Diamond, Alex B.; Dugan, Sheila A.; Hainline, Brian; Herring, Stanley A.; Hopkins, Elliot; Joy, Elizabeth A.; Judge, Janet P.; LaBotz, Michele; Matuszak, Jason; McDavis, Cody J.; Myers, Rebecca A.; Nattiv, Aurelia; Tanji, Jeffrey L.; Wagner, Jessica; Roberts, William O.
      Abstract: Abstract: The American Medical Society for Sports Medicine (AMSSM) convened a group of experts to develop a Position Statement addressing the problem of sexual violence in sport. The AMSSM Sexual Violence in Sport Task Force held a series of meetings over 7 months, beginning in July 2019. Following a literature review, the task force used an iterative process and expert consensus to finalize the Position Statement. The objective of this Position Statement is to raise awareness of this critical issue among sports medicine physicians and to declare a commitment to engage in collaborative, multidisciplinary solutions to reduce sexual violence in sport.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Sport Preparticipation Screening for Asymptomatic Atlantoaxial Instability
           in Patients With Down Syndrome
    • Authors: Tomlinson; Christopher; Campbell, Alastair; Hurley, Alison; Fenton, Eoin; Heron, Neil
      Abstract: Abstract: Down syndrome (DS) is a clinical syndrome comprising typical facial features and various physical and intellectual disabilities due to extra genetic material on chromosome 21, with one in every 1000 babies born in the United Kingdom affected. Patients with Down syndrome are at risk of atlantoaxial instability (AAI). Although AAI can occur in other conditions, such as rheumatoid arthritis, this position statement deals specifically with patients with DS and asymptomatic AAI. Atlantoaxial instability, also referred to as atlantoaxial subluxation, is defined as increased movement between the first (atlas) and second (axial) cervical vertebra joint articulation, the atlantoaxial joint. Atlantoaxial instability is reported to occur in 6.8% to 27% of the DS population, although this varies depending on the age of the patients whom you are screening. Less than 1% to 2% of these patients are then thought to later develop symptomatic AAI, although the natural history and progression of AAI is not well understood. The risks associated with AAI are neurological injury from excessive movement of the cervical vertebra impinging on and then damaging the spinal cord, although the risk of this during sporting activities is extremely rare. Clearly, physical activity and sports participation for patients with DS has many biological, psychological, and social benefits, and the Faculty of Sport and Exercise Medicine (FSEM), United Kingdom, wishes to promote safe physical activity and sport for all. The FSEM, United Kingdom, has therefore produced a statement regarding sport preparticipation screening for asymptomatic AAI in patients with DS.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Consensus Recommendations on the Prehospital Care of the Injured Athlete
           With a Suspected Catastrophic Cervical Spine Injury
    • Authors: Mills; Brianna M.; Conrick, Kelsey M.; Anderson, Scott; Bailes, Julian; Boden, Barry P.; Conway, Darryl; Ellis, James; Feld, Francis; Grant, Murphy; Hainline, Brian; Henry, Glenn; Herring, Stanley A.; Hsu, Wellington K.; Isakov, Alex; Lindley, Tory; McNamara, Lance; Mihalik, Jason P.; Neal, Timothy L.; Putukian, Margot; Rivara, Frederick P.; Sills, Allen K.; Swartz, Erik E.; Vavilala, Monica S.; Courson, Ron
      Abstract: imageIntroduction: Sports participation is among the leading causes of catastrophic cervical spine injury (CSI) in the United States. Appropriate prehospital care for athletes with suspected CSIs should be available at all levels of sport. The goal of this project was to develop a set of best-practice recommendations appropriate for athletic trainers, emergency responders, sports medicine and emergency physicians, and others engaged in caring for athletes with suspected CSIs.Methods: A consensus-driven approach (RAND/UCLA method) in combination with a systematic review of the available literature was used to identify key research questions and develop conclusions and recommendations on the prehospital care of the spine-injured athlete. A diverse panel of experts, including members of the National Athletic Trainers' Association, the National Collegiate Athletic Association, and the Sports Institute at UW Medicine participated in 4 Delphi rounds and a 2-day nominal group technique (NGT) meeting. The systematic review involved 2 independent reviewers and 4 rounds of blinded review.Results: The Delphi process identified 8 key questions to be answered by the systematic review. The systematic review comprised 1544 studies, 49 of which were included in the final full-text review. Using the results of the systematic review as a shared evidence base, the NGT meeting created and refined conclusions and recommendations until consensus was achieved.Conclusions: These conclusions and recommendations represent a pragmatic approach, balancing expert experiences and the available scientific evidence.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Etiology of Sudden Cardiac Arrest and Death in US Competitive Athletes: A
           2-Year Prospective Surveillance Study
    • Authors: Peterson; Danielle F.; Siebert, David M.; Kucera, Kristen L.; Thomas, Leah Cox; Maleszewski, Joseph J.; Lopez-Anderson, Martha; Suchsland, Monica Z.; Harmon, Kimberly G.; Drezner, Jonathan A.
      Abstract: imageObjective: To determine the etiology of sudden cardiac arrest and death (SCA/D) in competitive athletes through a prospective national surveillance program.Design: Sudden cardiac arrest and death cases in middle school, high school, college, and professional athletes were identified from July 2014 to June 2016 through traditional and social media searches, reporting to the National Center for Catastrophic Sports Injury Research, communication with state and national high school associations, review of the Parent Heart Watch database, and search of student-athlete deaths on the NCAA Resolutions List. Autopsy reports and medical records were reviewed by a multidisciplinary panel to determine the underlying cause.Setting and Participants: US competitive athletes with SCA/D.Main Outcome Measures: Etiology of SCA/D.Results: A total of 179 cases of SCA/D were identified (74 arrests with survival, 105 deaths): average age 16.6 years (range 11-29), 149 (83.2%) men, 94 (52.5%) whites, and 54 (30.2%) African American. One hundred seventeen (65.4%) had an adjudicated diagnosis, including 83 deaths and 34 survivors. The most common etiologies included hypertrophic cardiomyopathy (19, 16.2%), coronary artery anomalies (16, 13.7%), idiopathic left ventricular hypertrophy/possible cardiomyopathy (13, 11.1%), autopsy-negative sudden unexplained death (8, 6.8%), Wolff-Parkinson-White (8, 6.8%), and long QT syndrome (7, 6.0%). Hypertrophic cardiomyopathy was more common in male basketball (23.3%), football (25%), and African American athletes (30.3%). An estimated 56.4% of cases would likely demonstrate abnormalities on an electrocardiogram.Conclusions: The etiology of SCA/D in competitive athletes involves a wide range of clinical disorders. More robust reporting mechanisms, standardized autopsy protocols, and accurate etiology data are needed to better inform prevention strategies.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Preparticipation Cardiovascular Screening: An Infrastructure Assessment in
           Collegiate Athletics
    • Authors: Conway; Justin J.; Toresdahl, Brett G.; Asplund, Chad A.; Asif, Irfan M.
      Abstract: imageObjective: To assess the available infrastructure for secondary testing after preparticipation cardiovascular screening of collegiate athletes.Design: Cross-sectional study.Setting: National Collegiate Athletic Association (NCAA) athletic programsParticipants: Team physicians.Interventions: Online survey distributed by the NCAA and American Medical Society for Sports Medicine.Main Outcome Measures: Availability of secondary cardiovascular diagnostic testing and services.Results: Team physicians from 235 schools completed the assessment, representing 21% of all NCAA schools. Ninety (38.3%) NCAA team physicians reported screening athletes using electrocardiogram (ECG). Division I schools were more likely than Division II and III schools to perform both screening ECG (RR, 2.38, P < 0.0001) and echocardiogram (RR, 2.83, P = 0.01). More than 97% of schools had access to resting echocardiogram, stress ECG/echocardiogram, and Holter monitoring within 25 miles with no significant variability between divisions, regions, or size of undergraduate student body. Cardiac magnetic resonance imaging and electrophysiology studies were available within 25 miles of more than 80% of schools, and genetics testing was available within 25 miles for 64.8%.Conclusions: Secondary testing for cardiovascular abnormalities seems to be readily available for NCAA athletes, regardless of division, region, or school size.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Implementation of Injury and Illness Surveillance Protocols in Varsity
           Athletes
    • Authors: Gamble; Alexander Shand Davis; Mountjoy, Margo Lynn; Bigg, Jessica Lynne; Spriet, Lawrence Leon
      Abstract: imageObjective: To develop and implement a prospective varsity athlete surveillance system to identify injury and illness trends in a multisport varsity-level university setting.Design: Longitudinal prospective surveillance study.Setting: Varsity-level sport program at the University of Guelph, Guelph, ON, Canada.Participants: Athletic therapists (ATs) (n = 35) from 17 varsity sports provided injury and illness information on 624 varsity-level athletes (381 men and 243 women) during the 2016/2017 competitive season.Interventions: Team ATs reported athlete health complaints weekly. Athletes reported additional details on the injury or illness that was reported.Main Outcome Measures: The outcome measurements included when the injury or illness occurred, anatomical location, diagnosis, cause, perceived severity, treatment, estimated athlete exposure (AE) to training and competition, and time loss from sport. Measures were recorded from the teams' first competition through to the end the season and/or playoffs.Results: Twenty-nine of 30 varsity sports teams participated in this injury and illness surveillance protocol. The compliance of team ATs and varsity athletes was 89% (men: 94%, women: 82%). The overall injury and illness rates were 5.5 injuries and 1.7 illnesses per 1000 AEs, respectively. Men's injury rates were greater than women's, and injury rates of contact sports were greater than noncontact sports.Conclusions: The utilization of a prospective injury and illness surveillance protocol in the Canadian University sport system is feasible with good athlete, AT, and coach acceptance. The surveillance data should inform future injury and illness prevention strategies.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Immediate and Short-Term Effects of Short- and Long-Duration Isometric
           Contractions in Patellar Tendinopathy
    • Authors: Pearson; Stephen J.; Stadler, Sarah; Menz, Hylton; Morrissey, Dylan; Scott, Isabelle; Munteanu, Shannon; Malliaras, Peter
      Abstract: imageObjectives: Isometric muscle contractions are used in the management of patellar tendinopathy to manage pain and improve function. Little is known about whether long- or short-duration contractions are optimal to improve pain. This study examined the immediate and short-term (4 weeks) effects of long- and short-duration isometric contraction on patellar tendon pain, and tendon adaptation.Design: Repeated measures within groups.Setting: Clinical primary care.Patients: Participants (n = 16, males) with patellar tendinopathy.Intervention: Short-duration (24 sets of 10 seconds) or long-duration (6 sets of 40 seconds) isometric knee extension loading (85% maximal voluntary contraction), for 4 weeks.Main Outcome Measure: Immediate change in pain with single-leg decline squat (SLDS) and hop, as well as change in pain and tendon adaptation [within-session anterior–posterior (AP) strain] were assessed over 4 weeks.Results: Pain was significantly reduced after isometric loading on both SLDS (P < 0.01) and hop tests (P < 0.01). Pain and quadriceps function improved over the 4 weeks (P < 0.05). There was significant AP strain at each measurement occasion (P < 0.01). Although transverse strain increased across the training period from ∼14% to 22%, this was not significant (P = 0.08).Conclusions: This is the first study to show that short-duration isometric contractions are as effective as longer duration contractions for relieving patellar tendon pain when total time under tension is equalized. This finding provides clinicians with greater options in prescription of isometric loading and may be particularly useful among patients who do not tolerate longer duration contractions. The trend for tendon adaptation over the short 4-week study period warrants further investigation.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Hip Joint Effusion-Synovitis Is Associated With Hip Pain and
           Sports/Recreation Function in Female Professional Ballet Dancers
    • Authors: Mayes; Susan; Ferris, April-Rose; Smith, Peter; Cook, Jill
      Abstract: imageObjective: To compare hip joint effusion-synovitis prevalence in professional ballet dancers with nondancing athletes and to evaluate the relationship between effusion-synovitis and clinical measures and cartilage defects.Design: Case–control study.Setting: Elite ballet and sport.Participants: Forty-nine professional ballet dancers and 49 age-matched and sex-matched athletes.Independent Variables: Group (dancers/athletes), sex, age, years of training, Copenhagen Hip and Groin Outcome Scores (HAGOSs), hip rotation range of motion (ROM), generalized joint hypermobility (GJH), and hip cartilage defect scores.Main Outcome Measures: Hip joint effusion-synovitis (absent, grade 1 = 2-4 mm, grade 2 =>4 mm) scored with 3-Tesla magnetic resonance imaging.Results: Hip joint effusion-synovitis was found in 22 (45%) dancers and 13 (26.5%) athletes (P = 0.06). Grade 2 effusion-synovitis was only found in dancers (n = 8, r = 0.31, P = 0.009). The prevalence of effusion-synovitis was similar in men (n = 11, 26%) and women (n = 24, 43%, P = 0.09). Female dancers with effusion-synovitis had lower HAGOS pain (r = 0.63, P = 0.001) and sports/recreation scores (r = 0.66, P = 0.001) compared with those without effusion-synovitis. The HAGOS scores were not related to effusion-synovitis in male dancers or female and male athletes (P> 0.01 for all). Effusion-synovitis was not related to hip ROM, GJH, or cartilage defect scores (P> 0.05 for all).Conclusions: Hip joint effusion-synovitis was related to higher levels of pain and lower sports/recreation function in female ballet dancers. Effusion-synovitis was not related to hip rotation ROM, GJH or cartilage defects. Larger sized joint effusion-synovitis was exclusively found in dancers.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Association Between a Physical Activity Vital Sign and Cardiometabolic
           Disease in High-Risk Patients
    • Authors: Nelson; Vicki R.; Masocol, Robert V.; Ewing, Joseph A.; Johnston, Sheri; Hale, Allyson; Wiederman, Michael; Asif, Irfan M.
      Abstract: imageObjective: To determine the association between the physical activity vital sign (PAVS) and markers of cardiometabolic disease.Design: Patients were assessed through the PAVS, a validated tool self-reporting the frequency and duration of physical activity. Patients were categorized into 3 groups: inactive (0 minutes per week), underactive (1-149 minutes per week), and active (>150 minutes per week). Associations were tested between the PAVS and the cardiometabolic disease biomarkers of body mass index, hemoglobin A1c (A1c), blood pressure, and low-density lipoprotein (LDL) using one-way analyses of variance.Setting: High-risk family medicine residency clinic.Participants: Two thousand three hundred twenty-one adult patients (age ≥ 18 years).Results: Participants reported a mean of 97.87 (SD = 149.35) minutes per week of exercise. Overall, 50.1% reported physical inactivity, 25.7% were underactive, and 24.3% were active. Younger individuals (P < 0.001) and men (P < 0.05) reported more physical activity than older individuals and women. Patients who reported being active were significantly less likely to be overweight (P < 0.05), obese (P < 0.05), or hypertensive (P < 0.05), but there was no association with A1c or LDL levels.Conclusions: This is the first investigation to examine the PAVS in a high-risk population. In these patients, reported levels of physical inactivity are 150% higher than other clinical settings, and the PAVS is only associated with improvements in 2 of 4 major cardiometabolic risk factors. For this group, self-reported levels of physical activity may need to be higher for cardiovascular benefits to be realized in all 4 cardiometabolic domains. The PAVS offers health professionals an opportunity to encourage lifestyle-based interventions to reduce cardiovascular risk, but refinements may be necessary to address this population.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Effects of Exercise on Sport Concussion Assessment Tool-Third Edition
           Performance in Women
    • Authors: Chung Pin Yong; Jean-Paul; Lee, Jin H.; Howell, David R.; Meehan, William P. III; Iverson, Grant L.; Gardner, Andrew J.
      Abstract: imageObjective: The purpose of this study was to examine the influence of a brief exercise protocol on Sport Concussion Assessment Tool-Third Edition (SCAT3) performance in amateur women athletes.Design: Cross-over repeated-measures design. Setting: Off-season, uninjured community amateur athletes. Participants: We examined 87 amateur women athlete volunteers (age = 29.9, SD = 6.9 years).Independent Variables: Participants were assessed using the SCAT3 under 2 conditions: at rest and after a 5-minute physical exertion protocol, completed in a counterbalanced order.Main Outcome Measures: Participants' performance on the various components of the SCAT3 under the 2 conditions: at rest and after a 5-minute physical exertion protocol.Results: No significant differences were detected between at-rest and postexercise conditions for the balance, orientation, or cognitive components of the SCAT3. There were no significant differences in the proportion of participants who endorsed specific symptoms at rest compared with the postexercise condition (P> 0.05). However, women athletes who rated their exertion after exercise as “hard” or greater (Borg scale rating 13-20) reported significantly greater blurred vision (M = 0.25, SD = 0.62 vs M = 0.00, SD = 0.00; P = 0.006) and fatigue/low energy (M = 1.38, SD = 1.17 vs M = 0.66, SD = 0.91; P = 0.002) symptoms after exercise than those who rated their exertion as “light” or lower (Borg scale rating 6-12).Conclusions: In this study of women athletes, a brief bout of exercise did not seem to adversely affect SCAT3 performance and had only small effects on self-reported symptoms. There were differences in symptom reporting, however, in the subgroup of women who rated their exertion levels as “hard” or greater; they reported more blurred vision and fatigue/low energy.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Differences in Postinjury Psychological Symptoms Between Collegiate
           Athletes With Concussions and Orthopedic Injuries
    • Authors: Guo; Jinhong; Yang, Jingzhen; Yi, Honggang; Singichetti, Bhavna; Stavrinos, Despina; Peek-Asa, Corinne
      Abstract: imageObjective: To describe the differences in postinjury psychological symptoms among Division I collegiate student athletes who sustained concussions versus orthopedic injures and to examine the effects of injury type on postinjury psychological symptoms during the course of recovery.Design: A prospective cohort study with repeated measures.Setting: Two Big 10 Conference universities.Participants: Student athletes who were at least 18 years old and participated in one of 9 National Collegiate Athletic Association (NCAA) Division I–sponsored sports during the 2007 to 2011 seasons.Main Outcome Measures: Baseline depressive symptoms and anxiety were measured at enrollment. On identification of an eligible injury, follow-up surveys were conducted among injured athletes at multiple intervals until the injured athlete returned to play. Depressive symptoms, anxiety, fear of return-to-play, and fear of reinjury were measured at the postinjury follow-ups.Results: The concussion group had significantly lower scores of fear of return-to-play (B = −0.94, P = 0.0278) and fear of reinjury (B = −1.11, P = 0.0152) compared with the orthopedic injury group. The concussion group scored higher on depressive symptoms than the orthopedic injury group at 1 month after injury (P = 0.0264), although both groups scored similarly at baseline (P = 0.9729) and at 1 week after injury (P = 0.1475).Conclusions: Patterns of psychological disturbance differ after concussions and orthopedic injures. Further research is warranted to identify the factors contributing to these differences and to develop effective intervention programs to prevent these symptoms.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Concussion Rates Differ by Practice Type and Equipment Worn in an Autonomy
           Five Collegiate Football Conference
    • Authors: Wasserman; Erin B.; Coberley, Mark; Anderson, Scott; Grant, Murphy; Hardin, James Allen
      Abstract: imageObjective: Evaluate the rate of concussions across Big 12 Conference football programs based on (1) equipment worn, (2) contact level, (3) preseason practice versus in-season practice versus games, and (4) mechanism of injury for concussion.Design: Descriptive epidemiology study.Setting: Big 12 Conference football practices and competitions.Patients (or Participants): Big 12 Conference football teams.Assessment of Risk Factors: All Big 12 Conference institutions collected data on practice types, equipment worn, practice and game participation, and concussions during the fall, preseasons and regular seasons, from 2013 to 2016.Main Outcome Measures: Injury rates and injury rate ratios were reported with 95% confidence intervals (CIs).Results: From 2013 to 2016, there were 375 concussions reported [0.98/1000 athlete exposures (AEs) (95% CI, 0.88-1.08)], an average of approximately 9 concussions per team per year. Concussion rates were highest in games (5.73/1000 AE), but among practices, concussion rates were highest in full-pad (1.18/1000 AEs) and live-contact (1.28/1000 AEs) practices. Concussion rates increased with increasing contact and equipment worn. Concussion rates were higher in the preseason than in the regular season, even when stratifying by contact level and equipment worn.Conclusions: Practice concussion rates are highest during fully padded and live-contact practices, supporting limitations on practice contact and equipment worn to reduce the risk associated with head-impact exposure. Higher concussion rates in the preseason and during games indicate an effect of play intensity on concussion risk, and further research is needed to evaluate the direct effect of practice contact level and equipment guidelines and restrictions on concussion incidence.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • The PRECISION Survey: Preferences of Physicians Regarding
           Ultrasound-Guided Intra-Articular Injections
    • Authors: Ekhtiari; Seper; Horner, Nolan S.; Simunovic, Nicole; Ayeni, Olufemi R.
      Abstract: imageObjective: The objectives of this survey study were to: (1) determine practice patterns, (2) assess beliefs and attitudes toward ultrasound-guided intra-articular injections (UGIIs), (3) identify barriers to the use of UGII, and (4) determine any differences in beliefs and attitudes based on age or specialty.Methods: A survey was developed using a focus group including physicians who perform intra-articular injections of the knee, shoulder, and/or hip. After validation by the focus group, the final survey (28 questions) was e-mailed to members of the Canadian Academy of Sport and Exercise Medicine (N = 632).Results: A total of 168 responses were received (26.6%). Nearly half of respondents rarely/never had access to UGII equipment (48.5%), and over half did not have adequate training in UGIIs (56.8%-68.8%). About half of respondents agreed that UGII improves accuracy in knee injections (50.9%); only 35.4% agreed there was evidence to support UGII over non–ultrasound-guided intra-articular injections (NGIIs) of the knee. Physicians younger than 50 years were significantly more likely to use UGII for the knee and hip if they had better access to equipment (P < 0.0005 for both); they were more likely to use UGII for the knee if it was less time-consuming (P = 0.001).Conclusions: The majority of respondents are not using UGII for the knee or shoulder. Physicians may overestimate their accuracy in performing NGIIs. The biggest barriers to UGII were identified as: (1) inadequate training; (2) lack of access to equipment; and (3) lack of time. Younger physicians seem more open to adopting UGII if barriers are addressed.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Orthopedic Injuries in Professional Surfers: A Retrospective Study at a
           Single Orthopedic Center
    • Authors: Hohn; Eric; Robinson, Sean; Merriman, Jarrad; Parrish, Robin; Kramer, Warren
      Abstract: imageBackground: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Our goal was to evaluate orthopedic injuries in professional surfers.Hypothesis: Orthopedic injuries in professional surfers are diverse and have evolved with skill and technology.Study Design: Retrospective observational study.Level of Evidence: Level 4 Case Series.Methods: Medical records of professional surfers from a single orthopedic center between 1991 and 2016 were reviewed. Injuries sustained while surfing and chronic injuries related to surfing were included. Site of injury, diagnosis, and treatment were recorded along with demographic data.Results: In total, 163 injuries in 86 athletes were recorded. The median injury age was 28.5 years (range 12-62 years) and 92.6% of patients were male. The most frequently injured body parts were the knee (28.2%), ankle (22.1%), and shoulder (19%). Most knee injuries were of the medial collateral ligament at 49%, with 75% of ankle injuries being sprains, and in shoulder, 48% had instability, 42% had a rotator cuff tear, and 35% had a superior anterior–posterior labral tear. Lower extremity injuries primarily affected the surfers' back leg (72.5%). In all, 34.6% of all injuries required surgical intervention and involved shoulder injuries most the time.Conclusions: The most common orthopedic injuries in professional surfers involve the knee, ankle, shoulder, hip, and back. Surfers' rear extremities were preferentially injured which is the extremity responsible for power and torque. Shoulder injuries increased the probability of an operative intervention. Last, overuse injuries (femoral-acetabular impingement, rotator cuffs) occurred in the older surf population compared with more acute injuries (ankle sprains/fractures, anterior cruciate ligament tears) which is also consistent with time to surgery.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Nonoperative Applications of Placental Tissue Matrix in Orthopaedic Sports
           Injuries: A Review of Literature
    • Authors: Sultan; Assem A.; Piuzzi, Nicolas S.; Mont, Michael A.
      Abstract: imageObjective: Recently, various amniotic tissue and placental-based tissue matrix (PTM) products have become increasingly available as a nonoperative treatment for tendinopathies and orthopaedic sports injuries. The aim of this review was to evaluate: (1) safety and efficacy of nonoperative use of PTM products, in acute and chronic tendon injuries and (2) the commercially available tissue options to better understand their differences.Data Sources: A comprehensive literature search was performed. Inclusion criteria were studies reporting on: (1) nonoperative uses of PTM therapy in sports injuries; and (2) clinical outcomes; in (3) human subjects. We excluded: (1) animal studies; (2) basic science studies; (3) non-English language literature; (4) review articles; and (5) duplicate studies. In addition, to determine the various product formulations, their tissue contents, and indications for use, we searched publicly available website content, marketing literature, and Food and Drug Administration (FDA) registration documents.Main Results: Current evidence investigated various PTM products for the treatment of various tendon injuries with demonstrated efficacy mainly in the short term with follow-up ranging between 6 weeks and 3 months. In addition, across all studies, no specific adverse events were reported. Substantial differences exist among the currently available products due to variations in their tissue source, formulations, processing methods, method of sterilization, preservation, and storage, indications for use, and FDA regulation.Conclusions: Placental- and amniotic membrane–derived tissues seem to be safe for the nonoperative treatment of tendinopathies. However, several factors may affect the efficacy and safety profile of these products, and the orthopaedic surgeons should be aware of the differences.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Association Between Clinical and Imaging Outcomes After Therapeutic
           Loading Exercise in Patients Diagnosed With Achilles or Patellar
           Tendinopathy at Short- and Long-Term Follow-up: A Systematic Review
    • Authors: Rabello; Lucas M.; van den Akker-Scheek, Inge; Brink, Michel S.; Maas, Mario; Diercks, Ron L.; Zwerver, Johannes
      Abstract: imageObjective: To determine the association between clinical and imaging outcomes after therapeutic loading exercise in Achilles tendinopathy (AT) and patellar tendinopathy (PT) populations at both short- and long-term follow-up.Data Sources: The PUBMED and EMBASE databases were searched (up to June 2017) to identify articles that meet the inclusion criteria: (1) patients diagnosed with AT (insertional or midportion) or PT; (2) rehabilitation based on therapeutic loading exercise; and (3) assessment of clinical outcomes and tendon structure using an imaging modality.Main Results: Two independent reviewers screened 2894 search results, identifying 21 suitable studies. According to the studies included in this review, clinical results showed significant improvements for patients with AT and PT after eccentric exercise (ECC) and heavy slow resistance (HSR) at short- and long-term follow-up. Imaging outcomes were not consistent. Moderate-to-strong evidence for patients with AT suggested an association between clinical outcomes and imaging outcomes (tendon thickness and tendon neovascularization) after ECC at long-term follow-up. For patients with PT, there was moderate evidence supporting an association between clinical outcomes (questionnaire score and pain) and imaging (tendon thickness and tendon neovascularization) after ECC at short-term follow-up. For both the AT and PT groups, there was moderate evidence for an association between clinical outcomes and tendon thickness and neovascularization after HSR exercise. Results related to the HSR exercise should be interpreted with caution because of the small number of studies.Conclusions: Based on the findings of the present review, the use of imaging outcomes as a complementary examination to the clinical assessment was confirmed. Overall, an improvement in clinical outcomes seems to be associated with a reduction in tendon thickness and tendon neovascularization. Clinicians should be aware that during the interpretation of the imaging outcomes, factors such as tendinopathy location, exercise modality performed, and a follow-up period should be considered.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Meta-Analysis of the Surgical and Rehabilitative Outcomes of Hip
           Arthroscopy in Athletes With Femoroacetabular Impingement
    • Authors: Lovett-Carter; Danielle; Jawanda, Amritpal S.; Hannigan, Ailish
      Abstract: imageObjectives: Femoroacetabular impingement (FAI) poses a threat to athletes' capacity to compete. This review aims to estimate the rate of return to sport after hip arthroscopy for treatment of FAI as well as identify factors that may affect athletes' outcomes.Design: Meta-analysis.Methods: Four databases (EMBASE, PubMed, Web of Science, and Cochrane) were searched in July 2015 by 2 reviewers. Studies were required to include athletes who were treated with hip arthroscopy for symptomatic FAI and also report return to sport as an outcome. A validated tool was used for quality assessment and level of agreement between raters was calculated. A meta-analysis for proportions returning to sport was performed on the available data using MedCalc software. Additional outcomes were descriptively analyzed.Results: A total of 15 case series involving 823 patients were included in the review, with moderate to high methodological quality. 88.3% [95% confidence interval (CI), 83.4%-92.4%] of athletes returned to sport after arthroscopy and 85.3% (95% CI, 77.6%-91.6%) returned to preinjury level. All outcome measures used reported measurable improvements. Complication rates were low.Conclusions: The majority of athletes return to sport after hip arthroscopy for symptomatic FAI. Severity of intraarticular damage and degree of degenerative changes affect ability to return to sport. Additional validated outcome measures should be used together with return to sport. Future studies should be prospective with longer-term follow-up to provide a higher level of evidence for outcomes.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Benign Paroxysmal Positional Vertigo After Pediatric Sports-Related
           Concussion
    • Authors: Reimer; Karen; Ellis, Vanessa; Cordingley, Dean M.; Russell, Kelly; Ellis, Michael J.
      Abstract: imageObjective: Report the clinical findings and outcomes among pediatric patients diagnosed with benign paroxysmal positional vertigo (BPPV) after sports-related concussion (SRC).Design: Retrospective case series.Setting: Multidisciplinary pediatric concussion program.Patients: Patients younger than 19 years with a sport or recreation activity–related concussion referred for comprehensive vestibular physiotherapy assessment.Main outcome measure: Symptom resolution after targeted particle repositioning (PR).Results: During the study period, 115 pediatric SRC patients underwent vestibular physiotherapy assessment including 12 (10.4%) who were diagnosed with BPPV. Unilateral posterior semicircular canal (SCC) BPPV was diagnosed in 8/12 (75%) patients, and unilateral anterior SCC BPPV diagnosed in 4/12 (25%) patients. Benign paroxysmal positional vertigo was successfully treated in all patients with a mean of 1.58 targeted PR maneuvers (range = 1-4).Conclusions: Comprehensive management of pediatric SRC requires a multidisciplinary approach to address the heterogeneous pathophysiology of persistent postconcussion symptoms. Pediatric SRC patients with coexisting BPPV should be considered for targeted PR.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Enhanced External Counterpulsation and Recovery From a Plyometric Exercise
           Bout
    • Authors: Valenzuela; Pedro L.; Montalvo, Zigor; Torrontegi, Elaia; Sánchez-Martínez, Guillermo; Lucia, Alejandro; de la Villa, Pedro
      Abstract: imageObjective: To analyze the effectiveness of enhanced external counterpulsation (EECP) on recovery from exercise-induced muscle damage (EIMD).Design: This study followed a crossover, placebo-controlled, counterbalanced design.Participants: Ten healthy active subjects (7 male; 27 ± 4 years).Interventions: Participants performed a plyometric exercise bout (10 sets of 10 jumps interspersed with 1-minute rests) and were then assigned to recover for 30 minutes with either EECP (cuff pressure = 80 mm Hg) or a Sham intervention (0 mm Hg) immediately after exercise and at 24 hours after exercise. Two weeks later, they repeated the protocol with the other recovery intervention.Main Outcome Measures: Muscle soreness, creatine kinase (CK) activity, jump performance, and tensiomyographic variables were measured before exercise, and 24 and 48 hours after exercise.Results: The mean jump height of the plyometric bout did not differ between EECP and Sham (P> 0.05). Exercise resulted in increased muscle soreness (P < 0.001) and CK levels (P < 0.001), as well as in impaired jump performance (P < 0.05). No changes were observed in tensiomyographic variables. No significant differences were found between interventions for any of the study outcomes.Conclusions: No benefits on recovery from EIMD after a plyometric exercise bout were observed with EECP.
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Erratum: Abstracts Missing From the March 2020 Issue
    • Abstract: No abstract available
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • In Response to: Physiotherapist-Led Physical Activity Interventions Are
           Efficacious at Increasing Physical Activity Levels: A Systematic Review
           and Meta-analysis
    • Authors: Oliveira; Crystian B.; Maher, Chris G.; Pinto, Rafael Z.
      Abstract: No abstract available
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
  • Letters to the Editor
    • Authors: Kunstler; Breanne E.; Cook, Jill L.; Freene, Nicole; Finch, Caroline F.; Kemp, Joanne L.; O'Halloran, Paul D.; Gaida, James E.
      Abstract: No abstract available
      PubDate: Wed, 01 Jul 2020 00:00:00 GMT-
       
 
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