scholarly journals High Injury Burden in Elite Adolescent Athletes: A 52-Week Prospective Study

2018 ◽  
Vol 53 (3) ◽  
pp. 262-270 ◽  
Author(s):  
Philip von Rosen ◽  
Annette Heijne ◽  
Anna Frohm ◽  
Cecilia Fridén ◽  
Anders Kottorp
Keyword(s):  
Sport Participation ◽  
Female Athletes ◽  
National Level ◽  
Sport Performance ◽  
Injury Incidence ◽  
Adolescent Athletes ◽  
Online Questionnaire ◽  
Severity Grade ◽  
Sport Type ◽  
Injury Burden

Context:  Our understanding of the injury burden in elite adolescent athletes in most sports is limited or unknown because of the lack of prospective, long-term injury studies. Objective:  To describe injury patterns in terms of type, location, prevalence and incidence, recurrence, and severity grade; time to first injury; and prevalence of illness in elite adolescent athletes and to compare differences in injury data by sex and sport type. Design:  Cohort study. Setting:  Fifteen national sports high schools in Sweden. Patients or Other Participants:  Participants were 284 elite adolescent athletes (boys = 147, girls = 137; median age = 17 years; 25th–75th percentile range = 16–18 years) competing at a high national level for their age in athletics (track and field), cross-country skiing, downhill skiing, freestyle skiing, handball, orienteering, or ski orienteering. Main Outcome Measure(s):  All athletes were monitored weekly over 52 weeks, using a validated online questionnaire to identify injury type, location, prevalence or incidence, and severity grade; time to first injury; and prevalence of illness. Results:  Among all athletes, 57.4% reported at least 1 new injury, whereas the 1-year injury prevalence was 91.6%. The overall injury incidence was 4.1/1000 hours of exposure to sport, and every week, on average, 3 of 10 (30.8%) elite adolescent athletes reported being injured. Of all injuries from which athletes recovered, 22.2% (n = 35) resulted in absence from normal training for at least 2 months. Female athletes reported higher (P < .05) average weekly injury prevalence and substantial injury prevalence (injuries leading to a moderate or severe reduction in sport performance or participation or time loss) than male athletes. Conclusions:  A considerable number of elite adolescent athletes were injured weekly, resulting in serious consequences for sport participation, training, or performance (or a combination of these). Appropriately designed interventions to prevent knee and foot injuries will target both the greatest number of injuries and the injuries with the most serious consequences in elite adolescent athletes.

scholarly journals Defining Training and Performance Caliber: A Participant Classification Framework

2021 ◽  
pp. 1-15
Author(s):  
Alannah K.A. McKay ◽  
Trent Stellingwerff ◽  
Ella S. Smith ◽  
David T. Martin ◽  
Iñigo Mujika ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Sport Participation ◽  
Performance Metrics ◽  
National Level ◽  
Study Participant ◽  
Sport Performance ◽  
Classification Framework ◽  
Masters Athlete ◽  
And Performance ◽  
Nationality Differences

Throughout the sport-science and sports-medicine literature, the term “elite” subjects might be one of the most overused and ill-defined terms. Currently, there is no common perspective or terminology to characterize the caliber and training status of an individual or cohort. This paper presents a 6-tiered Participant Classification Framework whereby all individuals across a spectrum of exercise backgrounds and athletic abilities can be classified. The Participant Classification Framework uses training volume and performance metrics to classify a participant to one of the following: Tier 0: Sedentary; Tier 1: Recreationally Active; Tier 2: Trained/Developmental; Tier 3: Highly Trained/National Level; Tier 4: Elite/International Level; or Tier 5: World Class. We suggest the Participant Classification Framework can be used to classify participants both prospectively (as part of study participant recruitment) and retrospectively (during systematic reviews and/or meta-analyses). Discussion around how the Participant Classification Framework can be tailored toward different sports, athletes, and/or events has occurred, and sport-specific examples provided. Additional nuances such as depth of sport participation, nationality differences, and gender parity within a sport are all discussed. Finally, chronological age with reference to the junior and masters athlete, as well as the Paralympic athlete, and their inclusion within the Participant Classification Framework has also been considered. It is our intention that this framework be widely implemented to systematically classify participants in research featuring exercise, sport, performance, health, and/or fitness outcomes going forward, providing the much-needed uniformity to classification practices.

Breaking Down the Myth and Curse of Women Athletes: Enough is Enough, Period

2017 ◽  
Vol 25 (1) ◽  
pp. 43-49
Author(s):  
Charlene Weaving
Keyword(s):  
Women Athletes ◽  
Sport Participation ◽  
Female Athletes ◽  
Scientific Literature ◽  
Theoretical Perspective ◽  
Sport Performance ◽  
Simone De Beauvoir ◽  
Menstrual Cycles ◽  
Bodily Function ◽  
Sporting Performance

From a theoretical perspective, I analyze the claim that women’s athletic performances are negatively affected by their menstrual cycles. To demonstrate the perpetuation of the belief that menstruation is a mythical debilitating bodily function for women and sport participation, an overview of Elizabeth Spelman, Simone De Beauvoir, and Iris Marion Young’s philosophical framing of somatophobia and menstruation is outlined. Analysis of specific examples of elite female athletes who have addressed menstruation in connection to their sporting performance are also discussed to emphasize how menstruation is linked to the frailty myth. I offer an analysis of the scientific literature on hormonal swings of the menstrual cycle and, the effects on sport performance to show that research is equivocal. Finally, a brief examination of feminine hygiene marking campaigns takes place to further emphasize the argument how the frailty myth is closely linked to women athletes and menstruation and how change can be created.

Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis

2020 ◽  
pp. 036354652095961
Author(s):  
Joshua T. Bram ◽  
Lacey C. Magee ◽  
Nishank N. Mehta ◽  
Neeraj M. Patel ◽  
Theodore J. Ganley
Keyword(s):  
Anterior Cruciate Ligament ◽  
Female Athletes ◽  
Cruciate Ligament ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Injury Incidence ◽  
Adolescent Athletes ◽  
Male Athletes ◽  
Acl Injuries ◽  
Anterior Cruciate

Background: The incidence of anterior cruciate ligament (ACL) injuries among adolescent athletes is steadily increasing. Identification of the highest risk sports for ACL injuries by sex and competitive setting (ie, practice vs match) is important for targeting injury prevention programs. Purpose: To identify the risk of ACL injuries in adolescent athletes by sport, sex, and setting across a variety of common US and international sports. Study Design: Meta-analysis. Methods: Essentially, 3 online databases (PubMed, Embase, and Cochrane Library) were searched for all studies of ACL injuries per athlete-exposure (AE) or hours of exposure in adolescent athletes. Injuries were then pooled and incidence rates (IRs) reported per 1000 AEs or hours of exposure, with the relative risk (RR) of injuries calculated for sex-comparable sports. IRs per competitive setting (match vs practice) were also calculated. Results: A total of 1235 ACL injuries over 17,824,251 AEs were identified (IR, 0.069 [95% CI, 0.065-0.074]), with 586 of these injuries in girls across 6,986,683 AEs (IR, 0.084 [95% CI, 0.077-0.091]) versus 649 injuries in boys over 10,837,568 AEs (IR, 0.060 [95% CI, 0.055-0.065]). Girls had a higher overall rate of ACL injuries (RR, 1.40 [95% CI, 1.25-1.57]), with the most disproportionate risk observed in basketball (RR, 4.14 [95% CI, 2.98-5.76]). The risk of ACL injuries by sex was highest in girls’ soccer (IR, 0.166 [95% CI, 0.146-0.189]) and boys’ football (IR, 0.101 [95% CI, 0.092-0.111]). ACL injuries were over 8 (RR, 8.54 [95% CI, 6.46-11.30]) and 6 (RR, 6.85 [95% CI, 5.52-8.49]) times more likely to occur in a match versus a practice setting for female and male athletes, respectively. Conclusion: The risk of ACL injuries overall approached nearly 1 per 10,000 AEs for female athletes, who were almost 1.5 times as likely as male athletes to suffer an ACL injury across all adolescent sports. A multisport female athlete was estimated to have a nearly 10% risk of ACL injuries over her entire high school or secondary school career. Specifically, male and female adolescents playing soccer, basketball, lacrosse, and football appeared at particular risk of injuries, a finding that can be used to target an injury intervention.

scholarly journals Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sport Classification

2019 ◽  
Vol 54 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Alicia M. Montalvo ◽  
Daniel K. Schneider ◽  
Kate E. Webster ◽  
Laura Yut ◽  
Marc T. Galloway ◽  
...  
Keyword(s):  
Systematic Review ◽  
Anterior Cruciate Ligament ◽  
Female Athletes ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Injury Incidence ◽  
Male Athletes ◽  
Acl Injuries ◽  
Sport Type ◽  
Anterior Cruciate

Objective To evaluate sex differences in incidence rates (IRs) of anterior cruciate ligament (ACL) injury by sport type (collision, contact, limited contact, and noncontact). Data Sources A systematic review was performed using the electronic databases PubMed (1969–January 20, 2017) and EBSCOhost (CINAHL, SPORTDiscus; 1969–January 20, 2017) and the search terms anterior cruciate ligament AND injury AND (incidence OR prevalence OR epidemiology). Study Selection Studies were included if they provided the number of ACL injuries and the number of athlete-exposures (AEs) by sex or enough information to allow the number of ACL injuries by sex to be calculated. Studies were excluded if they were analyses of previously reported data or were not written in English. Data Extraction Data on sport classification, number of ACL injuries by sex, person-time in AEs for each sex, year of publication, sport, sport type, and level of play were extracted for analysis. Data Synthesis We conducted IR and IR ratio (IRR) meta-analyses, weighted for study size and calculated. Female and male athletes had similar ACL injury IRs for the following sport types: collision (2.10/10 000 versus 1.12/10 000 AEs, IRR = 1.14, P = .63), limited contact (0.71/10 000 versus 0.29/10 000 AEs, IRR = 1.21, P = .77), and noncontact (0.36/10 000 versus 0.21/10 000 AEs, IRR = 1.49, P = .22) sports. For contact sports, female athletes had a greater risk of injury than male athletes did (1.88/10 000 versus 0.87/10 000 AEs, IRR = 3.00, P < .001). Gymnastics and obstacle-course races were outliers with respect to IR, so we created a sport category of fixed-object, high-impact rotational landing (HIRL). For this sport type, female athletes had a greater risk of ACL injury than male athletes did (4.80/10 000 versus 1.75/10 000 AEs, IRR = 5.51, P < .001), and the overall IRs of ACL injury were greater than all IRs in all other sport categories. Conclusions Fixed-object HIRL sports had the highest IRs of ACL injury for both sexes. Female athletes were at greater risk of ACL injury than male athletes in contact and fixed-object HIRL sports.

scholarly journals Sport Involvement Among Middle-Aged and Older Adults With Arthritis: Motivations and Constraints to Participation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 405-405
Author(s):  
Megan Janke ◽  
Julie Son ◽  
Jill Naar ◽  
Stephanie West ◽  
Toni Liechty ◽  
...  
Keyword(s):  
Older Adults ◽  
Sport Participation ◽  
The United States ◽  
Functional Mobility ◽  
Online Questionnaire ◽  
Physically Active ◽  
Social Wellbeing ◽  
Constraint Negotiation ◽  
Active Leisure ◽  
Physically Active Leisure

Abstract Although participation in physical activity is recommended for adults with arthritis, research indicates individuals often stop participating in sports and physically active leisure due to the pain and symptoms associated with arthritis (Wilcox et al., 2006). Examining a group of older adults with arthritis, the present study examines motivations and constraints related to participating in sport and physically active leisure as well as how they negotiate constraints. Data (N=1203) were collected through an online questionnaire of adults aged 50 and older in the United States. This study includes individuals reporting a diagnosis of some form of arthritis (n=288; M age = 64.8, SD = 8.08). Approximately 32% self-reported participation in sport in the past 12 months. Descriptive statistics were conducted to explore motivations and constraints to sport involvement. Regressions were run to determine whether constraints and motivations explained adults’ functional mobility and social wellbeing. The most commonly identified motivation for participation was for health purposes (80.2%). Constraints to participation included not being in good enough shape (51.9%) and not having others their age with whom to participate (47.4%). The most commonly identified constraint negotiation was to budget money (51.4%); this is not surprising since sport participation was perceived as expensive (41.3%). Motivations (p<.01) and constraints (p<.001) significantly predicted functional mobility; constraints significantly predicted some aspects of social wellbeing (i.e., coherence, contribution, actualization; p<.05) while constraint negotiation predicted social acceptance (p<.05) and integration (p<.001). Discussion will include implications and strategies for agencies and professionals who work with adults who have arthritis.

Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology

2020 ◽  
Vol 24 (03) ◽  
pp. 323-330
Author(s):  
Timea Hebar ◽  
Žiga Snoj ◽  
Luca Maria Sconfienza ◽  
Filip Maria H.M. Vanhoenacker ◽  
Maryam Shahabpour ◽  
...  
Keyword(s):  
European Society ◽  
Interventional Procedures ◽  
National Level ◽  
International Survey ◽  
Online Questionnaire ◽  
Musculoskeletal Radiology ◽  
Radiological Society ◽  
The Status ◽  
Structure Relationship ◽  
Academic Radiology

No official data exist on the status of musculoskeletal (MSK) radiology in Europe. The Committee for National Societies conducted an international survey to understand the status of training, subspecialization, and local practice among the European Society of Musculoskeletal Radiology (ESSR) partner societies. This article reports the results of that survey. An online questionnaire was distributed to all 26 European national associations that act as official partner societies of the ESSR. The 24 questions were subdivided into six sections: society structure, relationship with the national radiological society, subspecialization, present radiology practice, MSK interventional procedures, and MSK ultrasound. The findings of our study show a lack of standardized training and/or accreditation methods in the field of MSK radiology at a national level. The European diploma in musculoskeletal radiology is directed to partly overcome this problem; however, this certification is still underrecognized. Using certification methods, a more homogeneous European landscape could be created in the future with a view to subspecialist training. MSK ultrasound and MSK interventional procedures should be performed by a health professional with a solid knowledge of the relevant imaging modalities and sufficient training in MSK radiology. Recognition of MSK radiology as an official subspecialty would make the field more attractive for younger colleagues as well as attracting the brightest and best, an important key to further development of both clinical and academic radiology. Key Points

scholarly journals Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A cross-sectional study

2021 ◽  
Author(s):  
Kristina Lindquist Skaug ◽  
Marie Ellström Engh ◽  
Helena Frawley ◽  
Kari Bø
Keyword(s):  
Pelvic Floor ◽  
Anal Incontinence ◽  
Female Athletes ◽  
Cross Sectional Study ◽  
Sport Performance ◽  
Sports Performance ◽  
International Consensus ◽  
Cross Sectional ◽  
Negative Effect ◽  
Female Gymnasts

Abstract Introduction and hypothesis Artistic gymnastics, team gymnastics and cheerleading are sports including high-impact activities. It is presumed that the athletes’ pelvic floor must be functioning well to prevent urinary (UI) and anal incontinence (AI) during sports. The aim of this study was to investigate the prevalence and risk factors for UI and AI in female artistic gymnasts, team gymnasts and cheerleaders; the influence of UI and AI on daily living and sport performance; and the athletes’ knowledge about the pelvic floor muscles (PFM). Methods All female athletes ≥ 12 years of age competing in ≥ 1 National Championship in artistic gymnastics, team gymnastics or cheerleading in 2018/2019 were invited. International Consensus on Incontinence Questionnaires were used to assess the prevalence/bother of UI and AI. Results Among the 319 gymnasts and cheerleaders who participated, the prevalence of UI and AI was 67% and 84%, respectively. Age, training ≥ 4 days/week and straining to void were significantly associated with stress urinary incontinence (SUI) and years of training with AI. Eighty-three percent of athletes with SUI reported a negative effect on sports performance, 22% would occasionally avoid training or specific exercises because of leakage, and 28% used pads for protection. Forty-one percent of the athletes had never heard about the PFM, and 74% reported an interest in PFM training to prevent/treat UI or AI. Conclusions UI and AI were prevalent in female gymnasts and cheerleaders, and SUI negatively influenced sport performance. The athletes’ knowledge about the PFM was limited.

Fragmenting Feminine-Athletic Identities: Identity Turning Points During Girls’ Transition into High School

2021 ◽  
pp. 216747952110129
Author(s):  
Alaina C. Zanin ◽  
Laura V. Martinez ◽  
Lucy C. Niess
Keyword(s):  
High School ◽  
Identity Development ◽  
Turning Point ◽  
Communication Theory ◽  
Sport Participation ◽  
Female Athletes ◽  
Turning Points ◽  
Athletic Identity ◽  
Communication Theory Of Identity ◽  
And Gender

This study employed a turning point analysis to document events that influence the development of athletic identities in female athletes transitioning into high school. All participants ( N = 28), between the ages of 14–15 years old, belonged to a competitive club soccer team located in the southwestern United States. Through an analysis of pre- and post-season interviews and bi-weekly video journal entries, data revealed several fragmenting turning point events related to participants’ athletic identity development. These fragmenting turning points paired with the communication theory of identity (CTI) framework highlighted three identity gaps: (a) athletic-relational, (b) athletic-communal, and (c) athletic-enacted. Theoretical and practical implications are discussed regarding turning points in relation to athletic identity development and gender disparities in sport participation.

scholarly journals Bioimpedance Vector Patterns according to Age and Handgrip Strength in Adolescent Male and Female Athletes

2021 ◽  
Vol 18 (11) ◽  
pp. 6069
Author(s):  
Marcus Vinicius de Oliveira Cattem ◽  
Bruna Taranto Sinforoso ◽  
Francesco Campa ◽  
Josely Correa Koury
Keyword(s):  
Female Athletes ◽  
Handgrip Strength ◽  
Cell Mass ◽  
Bioelectrical Impedance ◽  
Fat Free Mass ◽  
Single Frequency ◽  
Adolescent Male ◽  
Adolescent Athletes ◽  
Male Adolescents ◽  
Bioelectrical Impedance Analyzer

Bioelectric Impedance Vector Analysis (BIVA) can be used to qualitatively compare individuals’ hydration and cell mass independently of predictive equations. This study aimed to analyze the efficiency of BIVA considering chronological age and handgrip strength in adolescent athletes. A total of 273 adolescents (male; 59%) engaged in different sports were evaluated. Bioelectrical impedance (Z), resistance (R), reactance (Xc), and phase angle (PhA) were obtained using a single-frequency bioelectrical impedance analyzer. Fat-free mass (FFM) and total body water were estimated using bioimpedance-based equations specific for adolescents. Female showed higher values of R (5.5%, p = 0.001), R/height (3.8%, p = 0.041), Z (5.3%, p = 0.001), and fat mass (53.9%, p = 0.001) than male adolescents. Male adolescents showed higher values of FFM (5.3%, p = 0.021) and PhA (3.1%, p = 0.033) than female adolescents. In both stratifications, adolescents (older > 13 y or stronger > median value) shifted to the left on the R-Xc graph, showing patterns of higher hydration and cell mass. The discrimination of subjects older than 13 years and having higher median of handgrip strength values was possibly due to maturity differences. This study showed that BIVA identified age and strength influence in vector displacement, assessing qualitative information and offering patterns of vector distribution in adolescent athletes.

The Perceived Legitimacy of Rule Violating Behavior in Sport

1983 ◽  
Vol 5 (4) ◽  
pp. 438-448 ◽  
Author(s):  
John M. Silva
Keyword(s):  
Sport Participation ◽  
Female Athletes ◽  
The Other ◽  
Physical Contact ◽  
Levels Of Analysis ◽  
Categorical Variables ◽  
Socialization Process ◽  
Organized Sport ◽  
Male And Female ◽  
Polynomial Regressions

Some sport scientists have suggested that various rule violating behaviors (including aggressive player behavior) are normative behaviors perceived to be “legitimate violations” by participants (e.g., Silva, 1981; Vaz, 1979). In an attempt to determine if sport socialization influences the degree of perceived legitimacy of rule violating sport behavior, 203 male and female athletes and nonathletes were shown a series of eight slides. Seven of these slides clearly depicted rule violating behavior. The subjects rated the unacceptability-acceptability of the behavior shown on each slide on a scale of 1 to 4 (totally unacceptable-totally acceptable). Subjects were categorized according to: (a) gender, (b) amount of physical contact, (c) highest level of organized sport participation, and (d) years of participation. Regression and polynomial regressions indicated that male respondents rated rule violating behavior significantly more acceptable than females. Trend analyses on the other categorical variables indicated support for an in-sport socialization process that legitimizes rule violating behavior. This perceived legitimacy was considerably more pronounced for males than for females at all levels of analysis.

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