116 Canadian Community Paediatricians' Perspectives of Sport Medicine in Residency and in Practice

Primary Subject area Community Paediatrics Background Participation by children and adolescents in organized sports and recreational sporting activities is increasingly popular in Canada. Although the health and psychosocial benefits of sports for children are significant, participation in sports confers an increased risk of injury, resulting in a considerable burden of visits to emergency departments and primary care offices. Despite the frequency of sport-related injuries, there are documented gaps in sport and exercise medicine (SEM) education in paediatric training, leading to many practicing paediatricians feeling uncomfortable in managing these issues. Objectives We sought to describe Canadian community paediatricians’ perspectives about SEM in training and practice. This descriptive, cross-sectional cohort study of practicing Canadian community paediatricians was designed to assess: i) self-reported practice profiles with respect to sport issues; ii) perceptions of SEM training during paediatric residency; and iii) comfort level with management of sport injuries. Design/Methods To address these questions, a cross-sectional electronic survey of Canadian community paediatricians was conducted between February and March 2020. A survey was emailed to full members of the community paediatrics section of the Canadian Paediatric Society (CPS) (n=370) by CPS administrative staff. Participants were asked about musculoskeletal (MSK)/sport issues seen, how they manage these cases, their comfort level with diagnosis and management of sport injuries (on a 5-point Likert scale), and their perceptions of MSK/SEM training during paediatric residency. Results The response rate was 23.0% (85/370). A quarter of respondents (20/85; 23.4%) reported seeing MSK/sport issues very often; a third (27/85; 31.7%) were comfortable managing these patients on their own. Almost all respondents did not feel that they had received adequate SEM training during paediatric residency (81/85; 95.3%). Respondents were most comfortable managing concussion, rating their comfort 4.17/5 on a 5-point scale (95% CI=3.96-4.38), and Osgood-Schlatter’s disease 3.86/5 (95% CI=3.60-4.11). Participants were uncomfortable managing acromioclavicular joint separations 1.81/5 (95% CI=1.58-20.6) and elbow pain 2.65/5 (95% CI=2.40-2.90). Regression analysis indicated that only the frequency of MSK/sport-related visits was associated with provider comfort level (p < 0 .001). Conclusion Most Canadian community paediatricians do not manage many patients with sport-related issues and are not comfortable managing these patients on their own. They feel that SEM training during their paediatric residency inadequately prepared them for practice. Incorporating more SEM training into paediatric residency programs may increase comfort level with MSK/sport issues and change referral patterns and practice patterns amongst community paediatricians.

Understanding On The Management Of Sport Injuries Through Sport Massage And Rice Method For Ipsi Pencaksilat Athletes In Pekalongan District

The aim of this The aim of this community service is to provide knowledge in the field of handling sports injuries through sports massage and the rice method for pencak silat athletes in Pekalongan Regency theoretically and practically in increasing knowledge of handling sports injuries in the field. This community service is carried out in Pekalongan Regency. The material presented at this seminar is about handling sports injuries through sports massage and the rice method. The results of the implementation of this community service activity are expected to provide knowledge to athletes, especially pencaksilat athletes in Pekalongan Regency and can produce quality masseurs for the recovery needs of athletes in Pekalongan Regency.

Sport Injuries among Amateur Women and Young Intermediate Level Female Handball Players: A Preliminary Investigation

Background and objectives: Handball is a popular sport among women whose practice can lead to marked health benefits but could also show a high injury risk. There is a lack of research on intermediate level female players. We aimed to identify the prevalence of sport injuries in amateur and young intermediate level female handball players and the potential influence of the sport category. Materials and Methods: A group of cadets, juvenile and senior female players of three handball clubs participating in the Spanish regional league were followed throughout the 2018–2019 season. Information on injuries and exposure was collected via questionnaires. Results: Out of 114 players (34 seniors, 33 juvenile and 47 cadets), 77 of them sustained at least one injury. Most of the injuries were either moderate or severe, regardless of the category. A total of 7.93, 5.93 and 4.16 injuries per 1000 h of exposure were registered in the senior, juvenile and cadet categories respectively. The risk of sustaining an injury was 2.14 times higher for senior players Confidence Interval (CI 95%: 1.51–3.03) and 1.92 higher for juvenile players (CI 95%: 1.32–2.78) when compared with cadets. Conclusions: Senior and young female handball athletes playing at an amateur and intermediate level, are exposed to a substantial risk of sustaining a moderate or severe injury. The players’ category does not seem to have a great impact on the injury rate and on the characteristics of the sport injuries registered.

SPORT INJURIES AND ITS MANAGEMENT THROUGH AYURVEDA

A sport injury is a type of injury which can be defined as any kind of injury, pain or physical damage that occurs during sports, exercise, or any physical activity. Sports medicine helps people in improving their performance in sports, fast recovery from injury and prevent future injuries. Ayurveda being the oldest science to serve mankind can prove to be the best science in management of the sport injuries. Various methods mentioned in Ayurveda classics like Vyayama (physical exercise), Abhyanga (an-ointment), Rasayana (rejuvenation) Therapy, Marma (vi- tal points) Therapy, yogic practices, Pranayamas (meditation technique) etc. proves to be a boon for a sports person for his performance as well as to overcome the physical and mental trauma suffered during the sport. Keywords: sport injury, sport medicine, Vyayama, Marma INTRODUCTION A sport injury is a type of injury which can be defined as any kind of injury, pain or physical damage that oc- curs during sports, exercise, or any physical activity. It is most commonly the musculoskeletal injuries which include muscle, bones, cartilage and associated tissue. Sports injuries can be caused by an accident, impact,

The Association of High School Sport Participation and Injury History in Collegiate Club Sport Athletes

Context: Sport specialization during adolescence may affect future injury risk. This association has been demonstrated in some professional sports athletes. Objective: Determine the association between adolescent sport specialization levels in high school and injuries sustained during collegiate club sports. Design: Cross-sectional study. Setting: Paper and online surveys. Patients: Collegiate club sport athletes. Intervention: An anonymous survey was administered from September 2019–May 2020. The survey included sport specialization classification via commonly used 3-point scale (Low, Moderate, High) for each high school year (9th–12th), high school sports participation, and collegiate club sport injury history. The number of years an individual was highly specialized in high school was calculated (0–4 years). Individuals who participated in the same sport in high school and college were compared to individuals who were playing a different sport in college than their high school sports. Main Outcome Measures: An injury related to sport club activities and classified as arising from a contact, non-contact, or overuse mechanism that required the individual to seek medical treatment or diagnosis. Injuries were classified into overuse and acute injury mechanisms for the upper and lower extremity, (UE and LE respectively) and head/neck. Results: Single sport participation or number of years highly specialized in high school sport were not associated with college club sport injuries (p>0.1). Individuals who played a different collegiate club sport than their high school sports were more likely to report a LE and head/neck acute injury compared to athletes who played the same collegiate and high school sport (LE=20% vs 8%, χ2=7.4 p=0.006; head/neck=16% vs 3%, χ2=19.4 p<0.001). Conclusions: Adolescent sport specialization was not associated with reported club sport injuries in collegiate club sport athletes. Collegiate club sport athletic trainers should be aware that incoming students exploring a new sport may be at risk for LE and head/neck acute injuries.

Psychological Profile in Female Cyclists and Its Relationship with Age, Training Parameters, Sport Performance, and Injury Incidence

Previous studies have highlighted the importance of psychology on sports performance and its relationship with the incidence of sport injuries. The objectives of the present investigation were: (1) to analyze the psychological profile of female cyclists as a function of age, training parameters, sport performance, and injuries suffered and (2) to design a model to predict their psychological profile. Sixty-one female cyclists participated in the study. Differences were found as a function of a competitive category for team cohesion (F = 5.035; p = 0.002), sport level effect on performance evaluation (F = 5.030; p = 0.004) and team cohesion (F = 64.706; p = 0.000), the effect of having reached the podium in the last competition on performance evaluation (t = 2.087; p = 0.041) and motivation (t = 4.035; p = 0.000), and injury severity on stress management (F = 6.204; p = 0.008). The factors that affected the psychological profile of the female cyclists the most, in addition to the independent psychological parameters, were the number of podiums in the last year and the years of cycling experience. In conclusion, there is an interaction between the psychological profile, sociodemographic variables, training, performance, and injuries suffered in female cyclists.