scholarly journals Fascial tissue research in sports medicine: from molecules to tissue adaptation, injury and diagnostics: consensus statement

2018 ◽  
Vol 52 (23) ◽  
pp. 1497-1497 ◽  
Author(s):  
Martina Zügel ◽  
Constantinos N Maganaris ◽  
Jan Wilke ◽  
Karin Jurkat-Rott ◽  
Werner Klingler ◽  
...  
Keyword(s):  
Sports Medicine ◽  
High Performance ◽  
Consensus Statement ◽  
Exercise Physiology ◽  
Three Dimensional ◽  
Significant Loss ◽  
The Body ◽  
Exercise Medicine ◽  
Recreational Exercise ◽  
Sport And Exercise

The fascial system builds a three-dimensional continuum of soft, collagen-containing, loose and dense fibrous connective tissue that permeates the body and enables all body systems to operate in an integrated manner. Injuries to the fascial system cause a significant loss of performance in recreational exercise as well as high-performance sports, and could have a potential role in the development and perpetuation of musculoskeletal disorders, including lower back pain. Fascial tissues deserve more detailed attention in the field of sports medicine. A better understanding of their adaptation dynamics to mechanical loading as well as to biochemical conditions promises valuable improvements in terms of injury prevention, athletic performance and sports-related rehabilitation. This consensus statement reflects the state of knowledge regarding the role of fascial tissues in the discipline of sports medicine. It aims to (1) provide an overview of the contemporary state of knowledge regarding the fascial system from the microlevel (molecular and cellular responses) to the macrolevel (mechanical properties), (2) summarise the responses of the fascial system to altered loading (physical exercise), to injury and other physiological challenges including ageing, (3) outline the methods available to study the fascial system, and (4) highlight the contemporary view of interventions that target fascial tissue in sport and exercise medicine. Advancing this field will require a coordinated effort of researchers and clinicians combining mechanobiology, exercise physiology and improved assessment technologies.

Oxford Textbook of Children's Sport and Exercise Medicine

2017 ◽  
Keyword(s):  
Physical Activity ◽  
Sport Medicine ◽  
Exercise Physiology ◽  
Young Athlete ◽  
Exercise Science ◽  
Contact Sports ◽  
Sport Science ◽  
Exercise Medicine ◽  
Biological Maturation ◽  
Sport And Exercise

Comprehensive and up to date, this textbook on children’s sport and exercise medicine features research and practical experience of internationally recognized scientists and clinicians that informs and challenges readers. Four sections—Exercise Science, Exercise Medicine, Sport Science, and Sport Medicine—provide a critical, balanced, and thorough examination of each subject, and each chapter provides cross-references, bulleted summaries, and extensive reference lists. Exercise Science covers growth, biological maturation and development, and examines physiological responses to exercise in relation to chronological age, biological maturation, and sex. It analyses kinetic responses at exercise onset, scrutinizes responses to exercise during thermal stress, and evaluates how the sensations arising from exercise are detected and interpreted during youth. Exercise Medicine explores physical activity and fitness and critically reviews their role in young people’s health. It discusses assessment, promotion, and genetics of physical activity, and physical activity in relation to cardiovascular health, bone health, health behaviours, diabetes, asthma, congenital conditions, and physical/mental disability. Sport Science analyses youth sport, identifies challenges facing the young athlete, and discusses the physiological monitoring of the elite young athlete. It explores molecular exercise physiology and the potential role of genetics. It examines the evidence underpinning aerobic, high-intensity, resistance, speed, and agility training programmes, as well as effects of intensive or over-training during growth and maturation. Sport Medicine reviews the epidemiology, prevention, diagnosis, and management of injuries in physical education, contact sports, and non-contact sports. It also covers disordered eating, eating disorders, dietary supplementation, performance-enhancing drugs, and the protection of young athletes.

Consensus statements that fail to recognise dissent are flawed by design: a narrative review with 10 suggested improvements

2020 ◽  
pp. bjsports-2020-102545
Author(s):  
Ian Shrier
Keyword(s):  
Supreme Court ◽  
Sport Injury ◽  
Consensus Statement ◽  
Consensus Methods ◽  
Supreme Courts ◽  
Surveillance Studies ◽  
Exercise Medicine ◽  
Consensus Statements ◽  
The Supreme Court ◽  
Sport And Exercise

Consensus statements have the potential to be very influential. Recently, such statements in sport and exercise medicine appear more prescriptive, strongly recommending particular approaches to research or treatment. In 2020, a statement on methods for reporting sport injury surveillance studies included an extension to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines; STROBE guidelines are now official requirements for many journals. This suggests that investigators who use methods outside of these guidelines may have difficulty publishing their results. By definition, consensus is not unanimity, and consensus recommendations are sometimes considered flawed at a later date. This is expected as a discipline benefits from new knowledge. However, the consensus methods themselves may also inadvertently suppress contrary—but valid—opinions. I point to a different model for consensus meetings and statements that embraces dissenting opinions and is more transparent than common current methods in sport and exercise medicine. The method, based on how Supreme Courts function in many countries, allows for both majority and one or more minority opinions. I illustrate how a consensus statement might be written using examples from four previous sport and exercise medicine consensus statements. By adopting the ‘Supreme Court’ approach, important disagreements about the strength and interpretation of evidence will be far more visible than is currently the case in most consensus meetings. The benefit of the Supreme Court model is that it will ensure that clinicians, researchers and journals are not inappropriately influenced by recommendations from consensus statements where uncertainty remains.

AUTOMATED WORKPLACES FOR FUNCTIONAL DIAGNOSTICS OF ATHLETES

2021 ◽  
Vol 4 ◽  
pp. 137-149
Author(s):  
Nataliya Aralova ◽  
◽  
Larisa Shakhlina ◽  
Albina Aralova ◽  
Svetlana Kalytka ◽  
...  
Keyword(s):  
Annual Cycle ◽  
Sports Medicine ◽  
High Performance ◽  
Recovery Period ◽  
General Characteristic ◽  
The State ◽  
The Body ◽  
Information Support ◽  
Functional Diagnostics ◽  
Respiratory Gases

One of the most important tasks in modern sport's training for the sport of highest achievements is the ability to control the state of the athlete's body in the process of training and competitive activities. For this purpose, the use of systems registering and analyzing information about the functional capabilities of an athlete in the dynamics of his activity, allows you to provide an individual approach when planning and correcting training loads. This is especially important for medical and pedagogical examination. The development of methods and means for increasing physical performance and, in particular, in the practice of high-performance sports, is one of the most important principles of modern sports medicine, physiology of labor and sports. In the practice of modern sports medicine, when carrying out mass examinations of athletes, the approach based on the proposed A.Z. Kolchinskaya concept on the regulation of the body's oxygen regimes, which allows to give a general characteristic of gas homeostasis, to diagnose the main syndromes associated with disorders of the transport of respiratory gases in the body, to assess the functional state of the body at all stages of the annual cycle of sports training and during the post-exercise recovery period. Since this work is associated with a large number of calculations and subsequent processing of the information received, it is necessary to use modern means of modern information support. Thus, the automated information system (AIS) for the functional diagnostics of athletes allows many times to speed up the processing of data obtained during the examination of athletes, centrally accumulate information for its preprocessing, storage and collective use of the AIS, is equipped with convenient services for graphical and tabular presentation of data, allows analyzing the dynamics of functional the state of athletes in the annual cycle of their training, as well as at the stage of the 4-year training Olympic cycle.

Sport and exercise medicine

2020 ◽  
pp. 6565-6574
Author(s):  
Cathy Speed
Keyword(s):  
Bone Health ◽  
Cardiac Death ◽  
High Performance ◽  
Past History ◽  
Management Strategies ◽  
Well Being ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
Testing Protocols ◽  
Health And Well Being

Physical activity through sport can promote health and well-being but can result in injury, illness, or both. Understanding the patient, their ideas, expectations, and concerns, their sporting goals, sporting level, psychology, and past history is essential to ensuring adherence to any management programme. The scope of sport and exercise medicine includes (1) injuries, including those impacting bone health; (2) illness in and caused by sport, ranging from sudden cardiac death to overtraining syndromes and exertional heat illnesses; (3) drugs in sport and doping—all high-performance athletes and associated staff need to be educated about the World Anti-Doping Association code, the dangers of doping, and testing protocols; and (4) exercise as medicine, which is an important part of most disease prevention and management strategies.

scholarly journals Delphi developed syllabus for the medical specialty of sport and exercise medicine: part 2

2020 ◽  
Vol 55 (2) ◽  
pp. 81-83
Author(s):  
David Humphries ◽  
Rod Jaques ◽  
H Paul Dijkstra ◽  
Irfan Asif ◽  
Mark E Batt ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Delphi Study ◽  
Sports Medicine ◽  
Medical Specialty ◽  
International Level ◽  
Exercise Medicine ◽  
Multiple Round ◽  
Sport And Exercise ◽  
Extensive Clinical Experience ◽  
Specific Learning

Training in the medical specialty of sport and exercise medicine (SEM) is available in many, but not all countries. In 2015, an independent Delphi group, the International Syllabus in Sport and Exercise Medicine Group (ISSEMG), was formed to create a basic syllabus for this medical specialty. The group provided the first part of this syllabus, by identifying 11 domains and a total of 80 general learning areas for the specialty, in December 2017. The next step in this process, and the aim of this paper was to determine the specific learning areas for each of the 80 general learning areas. A group of 26 physicians with a range of primary medical specialty qualifications including, Sport and Exercise Medicine, Family Medicine, Internal Medicine, Cardiology, Rheumatology and Anaesthetics were invited to participate in a multiple round online Delphi study to develop specific learning areas for each of the previously published general learning areas. All invitees have extensive clinical experience in the broader sports medicine field, and in one or more components of sports medicine governance at national and/or international level. SEM, Family Medicine, Internal Medicine, Cardiology, Rheumatology and Anaesthetics were invited to participate in a multiple round online Delphi study to develop specific learning areas for each of the previously published general learning areas. All invitees have extensive clinical experience in the broader sports medicine field, and in one or more components of sports medicine governance at national and/or international level. The hierarchical syllabus developed by the ISSEMG provides a useful resource in the planning, development and delivery of specialist training programmes in the medical specialty of SEM.

scholarly journals The Stanford Hall consensus statement for post-COVID-19 rehabilitation

2020 ◽  
Vol 54 (16) ◽  
pp. 949-959 ◽  
Author(s):  
Robert M Barker-Davies ◽  
Oliver O'Sullivan ◽  
Kahawalage Pumi Prathima Senaratne ◽  
Polly Baker ◽  
Mark Cranley ◽  
...  
Keyword(s):  
Consensus Statement ◽  
Evaluation Criteria ◽  
Target Population ◽  
Medical Rehabilitation ◽  
Rehabilitation Centre ◽  
Multisystem Disease ◽  
Exercise Medicine ◽  
Global Pandemic ◽  
Sport And Exercise ◽  
Novel Coronavirus

The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Many COVID-19 survivors who require critical care may develop psychological, physical and cognitive impairments. There is a clear need for guidance on the rehabilitation of COVID-19 survivors. This consensus statement was developed by an expert panel in the fields of rehabilitation, sport and exercise medicine (SEM), rheumatology, psychiatry, general practice, psychology and specialist pain, working at the Defence Medical Rehabilitation Centre, Stanford Hall, UK. Seven teams appraised evidence for the following domains relating to COVID-19 rehabilitation requirements: pulmonary, cardiac, SEM, psychological, musculoskeletal, neurorehabilitation and general medical. A chair combined recommendations generated within teams. A writing committee prepared the consensus statement in accordance with the appraisal of guidelines research and evaluation criteria, grading all recommendations with levels of evidence. Authors scored their level of agreement with each recommendation on a scale of 0–10. Substantial agreement (range 7.5–10) was reached for 36 recommendations following a chaired agreement meeting that was attended by all authors. This consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes.

Pitch-side Acute Severe Pain Management Decisions in European Elite football

2021 ◽  
Author(s):  
Maeve Claire Doheny ◽  
Gerard Bury
Keyword(s):  
Pain Management ◽  
Sports Medicine ◽  
Severe Pain ◽  
Online Survey ◽  
Life Support ◽  
Cruciate Ligament ◽  
Exercise Medicine ◽  
Anterior Cruciate ◽  
Sport And Exercise ◽  
Strong Opioids

This is the first study on acute severe pain management involving sport and exercise medicine Doctors who are leaders in football medicine in their respective countries. An online survey was designed describing the management of acute severe pain in this expert cohort. The survey captured participant sex, age, years working in sports medicine, core specialty and use of clinical practice guidelines (CPGs). Finally, three clinical vignettes exploring the management of acute pain were presented. Forty-four senior team doctors across 55 European countries completed the survey. There were no consistent guidelines proposed, with 33 (75%) participants indicating they did not use any. Methoxyflurane was proposed by 14 (32%) and 13 (30%) participants for female anterior cruciate ligament rupture and male ankle fracture, respectively. Strong opioids were not used in 17 (39%) and 6 (14%) participants regarding female cruciate injuries and male fractures, respectively. Despite 75% of participants having paediatric life support training, eight (18%) participants expressed uncertainty administering medications in this population, and 15 (34%) would avoid using strong opioids altogether. There is a tendency to undertreat pain and avoid strong opioids for reasons including lack of monitoring equipment, anti-doping concerns and lack of comfort treating paediatric patients with opioids.

Are questionable research practices facilitating new discoveries in sport and exercise medicine? The proportion of supported hypotheses is implausibly high

2020 ◽  
Vol 54 (22) ◽  
pp. 1365-1371
Author(s):  
Fionn Büttner ◽  
Elaine Toomey ◽  
Shane McClean ◽  
Mark Roe ◽  
Eamonn Delahunt
Keyword(s):  
Sports Medicine ◽  
Open Science ◽  
Original Research ◽  
Research Practices ◽  
Questionable Research Practices ◽  
Exercise Medicine ◽  
Study Results ◽  
Primary Hypothesis ◽  
Sport And Exercise ◽  
Study Hypothesis

Questionable research practices (QRPs) are intentional and unintentional practices that can occur when designing, conducting, analysing, and reporting research, producing biased study results. Sport and exercise medicine (SEM) research is vulnerable to the same QRPs that pervade the biomedical and psychological sciences, producing false-positive results and inflated effect sizes. Approximately 90% of biomedical research reports supported study hypotheses, provoking suspicion about the field-wide presence of systematic biases to facilitate study findings that confirm researchers’ expectations. In this education review, we introduce three common QRPs (ie, HARKing, P-hacking and Cherry-picking), perform a cross-sectional study to assess the proportion of original SEM research that reports supported study hypotheses, and draw attention to existing solutions and resources to overcome QRPs that manifest in exploratory research. We hypothesised that ≥ 85% of original SEM research studies would report supported study hypotheses. Two independent assessors systematically identified, screened, included, and extracted study data from original research articles published between 1 January 2019 and 31 May 2019 in the British Journal of Sports Medicine, Sports Medicine, the American Journal of Sports Medicine, and the Journal of Orthopaedic & Sports Physical Therapy. We extracted data relating to whether studies reported that the primary hypothesis was supported or rejected by the results. Study hypotheses, methodologies, and analysis plans were preregistered at the Open Science Framework. One hundred and twenty-nine original research studies reported at least one study hypothesis, of which 106 (82.2%) reported hypotheses that were supported by study results. Of 106 studies reporting that primary hypotheses were supported by study results, 75 (70.8%) studies reported that the primary hypothesis was fully supported by study results. The primary study hypothesis was partially supported by study results in 28 (26.4%) studies. We detail open science practices and resources that aim to safe-guard against QRPs that bely the credibility and replicability of original research findings.

Sign in / Sign up

Export Citation Format

Share Document