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Godoy IRB, Yamada AF, Dilda G, Serfaty A, Skaf A, Cantarelli Rodrigues T. MRI findings of closed hand injuries in adolescent goalkeepers: a case-based review. Skeletal Radiol 2024; 53:1243-1254. [PMID: 38057436 DOI: 10.1007/s00256-023-04531-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 11/20/2023] [Accepted: 11/22/2023] [Indexed: 12/08/2023]
Abstract
Soccer-related injuries in youth goalkeepers are underrepresented in epidemiological studies, despite goalkeepers experiencing distinct types of upper limb injuries and training loads compared to outfield players. Digit injuries are particularly prevalent, with up to five times more upper extremity injuries reported in this position. Such injuries can lead to interphalangeal joint instability and an increased risk of reinjury. Mechanisms of injury include falls, axial loading of digits, and rotational force due to grasping activities. The proximal interphalangeal joint is the most frequently injured in sports, followed by the metacarpophalangeal joint of the thumb. Achieving precise diagnosis can be challenging due to the complex soft-tissue anatomy of the hand. Radiologists play a crucial role in accurate diagnosis through imaging studies, enabling timely treatment. This article focuses on closed traumatic finger and thumb injuries in adolescent goalkeepers, describing injury mechanisms and outlining relevant MRI features to facilitate proper clinical approaches for diagnosis based on imaging findings.
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Affiliation(s)
- Ivan Rodrigues Barros Godoy
- Department of Radiology, Hospital Do Coração (HCor), São Paulo, SP, Brazil
- ALTA Diagnostic Center (DASA Group), São Paulo, Brazil
- Department of Diagnostic Imaging, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brazil
| | - André Fukunishi Yamada
- Department of Radiology, Hospital Do Coração (HCor), São Paulo, SP, Brazil
- ALTA Diagnostic Center (DASA Group), São Paulo, Brazil
- Department of Diagnostic Imaging, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brazil
- Sociedade Esportiva Palmeiras, São Paulo, SP, Brazil
| | | | | | - Abdalla Skaf
- Department of Radiology, Hospital Do Coração (HCor), São Paulo, SP, Brazil
- ALTA Diagnostic Center (DASA Group), São Paulo, Brazil
| | - Tatiane Cantarelli Rodrigues
- Department of Radiology, Hospital Do Coração (HCor), São Paulo, SP, Brazil.
- ALTA Diagnostic Center (DASA Group), São Paulo, Brazil.
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Al Attar WSA, Mahmoud H, Alfadel A, Faude O. Does Headgear Prevent Sport-Related Concussion? A Systematic Review and Meta-Analysis of Randomized Controlled Trials Including 6311 Players and 173,383 Exposure Hours. Sports Health 2024; 16:473-480. [PMID: 37204092 PMCID: PMC11025511 DOI: 10.1177/19417381231174461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Abstract
CONTEXT A sport-related concussion (SRC) is a traumatic brain injury that is caused by biomechanical stresses and results in a complex pathophysiological process in the brain. Some in the sporting community believe that headgear (HG) can prevent SRC, and several professional Australian sports organizations, including rugby, football, and soccer clubs, recommend its use. OBJECTIVE The purpose of this study is to determine whether HG is effective in lowering the prevalence of SRC in sports. DATA SOURCES A systematic search for related studies published between 1985 and 2023 was conducted using the following databases: Cochrane Library, AMED, PubMed, Web of Science, and Physiotherapy Evidence Database (PEDro). STUDY SELECTION Only randomized controlled trials (RCTs) that investigated the effectiveness of HG in reducing SRC rate were included. STUDY DESIGN Systematic review and meta-analysis of RCTs. LEVEL OF EVIDENCE Level 1a. DATA EXTRACTION Two researchers independently completed the title and abstract search and performed full-text reviews. A third reviewer was consulted to reach a consensus if any discrepancies were noted. The PEDro scale was used to evaluate the quality of the included RCTs. Data recorded from each study included authors, year of publication, type and number of players, study design, duration of the study, injury rate, compliance (%), sports/level, and exposure hours. RESULTS The pooled results of 6311 players and 173,383 exposure hours showed 0% SRC reduction per 1000 hours of exposure in the experimental group compared with the control group, with an injury risk ratio of 1.03 (95% CI, 0.82-1.30; P = 0.79). CONCLUSION This systematic review and meta-analysis demonstrates that HG does not prevent SRC among soccer and rugby players, and therefore the findings from this meta-analysis do not currently support the use of HG to prevent SRC in soccer or rugby.
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Affiliation(s)
- Wesam Saleh A. Al Attar
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
| | - Hayam Mahmoud
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
- Department of Physical Therapy for Neurology, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Abdulaziz Alfadel
- Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia
- Department of Physical Therapy, King Abdul Aziz Medical City, Jeddah, Saudi Arabia
| | - Oliver Faude
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Lima EBDS, Belangero PS, Lara PHS, Ribeiro LM, de Figueiredo EA, Andreoli CV, Pochini ADC, Ejnisman B, Pagura JR, Cohen M, Arliani GG. Shoulder injuries in Brazilian professional football players: epidemiological analysis of 3828 games. J ISAKOS 2024:S2059-7754(24)00012-9. [PMID: 38296185 DOI: 10.1016/j.jisako.2024.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 01/22/2024] [Accepted: 01/23/2024] [Indexed: 02/25/2024]
Abstract
OBJECTIVES Football is a globally played sport that poses potential risks for musculoskeletal injuries. Upper-limb injuries have a lower incidence rate than lower-limb injuries but can still cause absenteeism and performance impairment in football players. This descriptive epidemiological study aimed to evaluate and compare the epidemiological data on shoulder injuries among professional football players in two major Brazilian football championships. METHODS Data were collected throughout the championships, and club physicians medically evaluated each player during official games using two online forms. The collected information included the player's age and position, injury diagnosis, laterality, location on the field where the injury occurred, playing time, imaging examinations performed, need for surgical treatment, time to return to play (TRP), and recurrence of the injury. The incidence of injuries was evaluated using the Federation Internationale de Football Association (FIFA) incidence formula. RESULTS A total of 107 shoulder injuries were recorded (4.3% of all injuries), with a FIFA incidence of 0.847. Glenohumeral dislocations (GHDs) and acromioclavicular dislocations (ACDs) accounted for 37.38% and 35.51% of all shoulder injuries, respectively. Goalkeepers and defenders presented, respectively, a 2.15 and 1.57 times increased risk of suffering shoulder injuries, while attackers presented a 0.63 times decreased risk. Injury recurrence was observed in 14.95% of cases, with GHDs and ACDs showing recurrence rates of 35.00% and 5.26%, respectively. Surgery was performed in 9.35% of cases, with GHDs representing 50% of all surgeries. The average TRP was 22.37 days, with severe and major injuries accounting for 11.21% and 10.28% of all injuries, respectively. Goalkeepers had the highest average TRP of 36.15 days. Recurring injuries had a higher average TRP of 33.44 days compared to nonrecurring injuries, which had an average TRP of 20.43 days. Surgically treated injuries had the highest average TRP of 112.5 days. CONCLUSION Shoulder injuries in the professional football scenario are of great concern due to the high recurrence rate and need for surgical treatment, which will lead to a long TRP. These findings emphasize the need to implement prevention protocols and effective treatments to reduce the consequences of such injuries, which are usually underestimated in this sport. LEVEL OF EVIDENCE III.
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Affiliation(s)
- Ewerton Borges de Souza Lima
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Paulo Santoro Belangero
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Paulo Henrique Schmidt Lara
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Leandro Masini Ribeiro
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Eduardo Antônio de Figueiredo
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Carlos Vicente Andreoli
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Alberto de Castro Pochini
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Benno Ejnisman
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil.
| | - Jorge Roberto Pagura
- Brazilian Football Confederation, Avenida Luis Carlos Prestes, 130 - Barra da Tijuca, Rio de Janeiro, RJ 22775-055, Brazil
| | - Moisés Cohen
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
| | - Gustavo Gonçalves Arliani
- Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil
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Foqha BM, Schwesig R, Ltifi MA, Bartels T, Hermassi S, Aouadi R. A 10-week FIFA 11+ program improves the short-sprint and modified agility T-test performance in elite seven-a-side soccer players. Front Physiol 2023; 14:1236223. [PMID: 38098808 PMCID: PMC10719933 DOI: 10.3389/fphys.2023.1236223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 11/14/2023] [Indexed: 12/17/2023] Open
Abstract
Objective: The primary objective of this study was to assess the effects of 10 weeks of FIFA 11+ training on the physical performance of elite seven-a-side soccer players. Methods: Twenty-five seven-a-side soccer players were recruited from two senior national teams. The players completed the following protocols during 10 weeks of training: a) FIFA 11+: The FIFA group (n = 13) underwent the FIFA 11+ program combined with regular soccer training; b) Dynamic conventional warm-up: The control group (n = 12) underwent regular soccer training. Their ability was validated using a pre-test followed by a post-test to measure the sprint performance (5-, 10-, and 20-m sprints), a modified agility T-test (MAT), and a five-jump test (FJT). Results: A comparison of pre- and post-tests for physical performance in each group demonstrated that the FIFA 11+ warm-up significantly improved the 10-m sprinting performance (p = 0.034; F = 5.04; ηp 2 = 0.17) and reduced the time spent to perform the MAT (p = 0.000; F = 23.16; ηp 2 = 0.52) in the FIFA group compared with the control group; however, no significant changes were observed in the 5- and 20-m sprints and FJT. Conclusion: The main findings of this research showed that the 10-week FIFA 11+ program led to significant improvements in the 10-m sprint and MAT compared to regular training among elite seven-a-side soccer players. Given these positive outcomes, further studies on the practical implementation and optimization of the FIFA 11+ program are warranted to provide valuable guidance for coaches and athletes, seeking to maximize its benefits in real-world settings.
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Affiliation(s)
- Batool Mohammed Foqha
- Higher Institute of Sport and Physical Education of Ksar Said, Tunis, Tunisia
- Research Laboratory (LR23JS01) “Sport Performance, Health and Society”, Higher Institute of Sport and Physical Education of Ksar Said, University of La Manouba, Tunis, Tunisia
| | - René Schwesig
- Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany
| | - Mohamed Amine Ltifi
- Higher Institute of Sport and Physical Education of Ksar Said, Tunis, Tunisia
- Research Laboratory (LR23JS01) “Sport Performance, Health and Society”, Higher Institute of Sport and Physical Education of Ksar Said, University of La Manouba, Tunis, Tunisia
| | - Thomas Bartels
- Center of Joint Surgery, MVZ Sports Clinic Halle GmbH, Halle, Germany
| | - Souhail Hermassi
- Physical Education Department, College of Education, Qatar University, Doha, Qatar
| | - Ridha Aouadi
- Higher Institute of Sport and Physical Education of Ksar Said, Tunis, Tunisia
- Research Laboratory (LR23JS01) “Sport Performance, Health and Society”, Higher Institute of Sport and Physical Education of Ksar Said, University of La Manouba, Tunis, Tunisia
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Behm DG, Alizadeh S, Daneshjoo A, Konrad A. Potential Effects of Dynamic Stretching on Injury Incidence of Athletes: A Narrative Review of Risk Factors. Sports Med 2023; 53:1359-1373. [PMID: 37162736 PMCID: PMC10289929 DOI: 10.1007/s40279-023-01847-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2023] [Indexed: 05/11/2023]
Abstract
The use of dynamic stretching as a replacement for static stretching in the warm-up is widespread based on the reports of static stretching-induced performance impairments. While acute and chronic static stretching has been reported to reduce musculotendinous injuries, especially with explosive and change of direction actions, the influence of dynamic stretching on injury incidence lacks a similar volume of literature for acute and chronic responses. It was the objective of this narrative review to examine the acute and training effects of dynamic stretching on injury incidence and possible moderating variables such as dynamic stretching effects on range of motion, strength, balance, proprioception, muscle morphology, and psycho-physiological responses. One study demonstrated no significant difference regarding injury incidence when comparing a dynamic stretching-only group versus a combined dynamic stretching plus static stretching group. The only other study examined functional dynamic stretching training with injured dancers and reported improved ankle joint stability. However, several studies have shown that dynamic activity with some dynamic stretching exercises within a warm-up consistently demonstrates positive effects on injury incidence. Regarding moderating variables, while there is evidence that an acute bout of dynamic stretching can enhance range of motion, the acute and training effects of dynamic stretching on strength, balance, proprioception, and musculotendinous stiffness/compliance are less clear. The acute effects of dynamic stretching on thixotropic effects and psycho-physiological responses could be beneficial for injury reduction. However, the overall conflicting studies and a lack of substantial literature compared with SS effects points to a need for more extensive studies in this area.
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Affiliation(s)
- David G. Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL A1C 5S7 Canada
| | - Shahab Alizadeh
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL A1C 5S7 Canada
| | - Abdolhamid Daneshjoo
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL A1C 5S7 Canada
- Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
| | - Andreas Konrad
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL A1C 5S7 Canada
- Institute of Human Movement Science, Sport and Health, Graz University, Graz, Austria
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Paraskevopoulos E, Pamboris GM, Papandreou M. The Changing Landscape in Upper Limb Sports Rehabilitation and Injury Prevention. Sports (Basel) 2023; 11:sports11040080. [PMID: 37104154 PMCID: PMC10145846 DOI: 10.3390/sports11040080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 03/29/2023] [Accepted: 03/31/2023] [Indexed: 04/28/2023] Open
Abstract
This editorial aims to feature authors who intend to submit their research to this Special Issue of Sports entitled "Clinical Advances in Upper Limb Sports Rehabilitation and Injury Prevention" in areas that need special consideration [...].
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Affiliation(s)
- Eleftherios Paraskevopoulos
- Department of Physiotherapy, University of West Attica, 12243 Athens, Greece
- Laboratory of Advanced Physiotherapy, University of West Attica, 12243 Athens, Greece
| | - George M Pamboris
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 2404, Cyprus
| | - Maria Papandreou
- Department of Physiotherapy, University of West Attica, 12243 Athens, Greece
- Laboratory of Advanced Physiotherapy, University of West Attica, 12243 Athens, Greece
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Seyedi M, Zarei M, Daneshjoo A, Rajabi R, Shirzad E, Mozafaripour E, Mohammadpour S. Effects of FIFA 11 + warm-up program on kinematics and proprioception in adolescent soccer players: a parallel‑group randomized control trial. Sci Rep 2023; 13:5527. [PMID: 37016130 PMCID: PMC10073194 DOI: 10.1038/s41598-023-32774-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 04/02/2023] [Indexed: 04/06/2023] Open
Abstract
This study aimed to compare the effects of 8 weeks 11 + warm-up injury prevention program on kinematics and proprioception in adolescent male and female soccer players. Forty adolescent soccer players (20 males, 20 females) aged between 14-16 years old were randomly assigned into four groups. The experimental group performed the 11 + program for 8 weeks and the control group did their warm-up program. The kinematic variable in a cutting maneuver was measured using VICON motion analysis and ankle and knees' proprioception by joint position sense (JPS) was measured using a digital inclinometer. For kinematic variables only significant differences in knee valgus among females 11 + compared with female and male control groups were found (P < 0.05). Moreover, there were significant improvements in joint position sense variables in 11 + groups compared to control groups (P < 0.05). In conclusion, the 11 + program was proven to be a useful warm-up protocol in improving knee valgus and JPS among female and male adolescent soccer players. We suggest adding more training elements to the 11 + program that aimed to enhance the proper alignment of lower extremities which may consequently improve joint kinematics.
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Affiliation(s)
- Mohammadreza Seyedi
- Department of Sport Medicine, Sport Sciences Research Institute, Tehran, Iran.
| | - Mostafa Zarei
- Sport Rehabilitation and Health Department, Faculty of Sports Sciences and Health, Shahid Beheshti University, Tehran, Iran
| | - Abdolhamid Daneshjoo
- Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Science, Shahid Bahonar University of Kerman, Kerman, Iran
| | - Reza Rajabi
- Department of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
| | - Elham Shirzad
- Department of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
| | - Esmaeil Mozafaripour
- Department of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
| | - Shadan Mohammadpour
- Department of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
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Liaghat B, Pedersen JR, Husted RS, Pedersen LL, Thorborg K, Juhl CB. Diagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence - a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF). Br J Sports Med 2023; 57:408-416. [PMID: 36261251 PMCID: PMC10086287 DOI: 10.1136/bjsports-2022-105674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2022] [Indexed: 12/09/2022]
Abstract
This statement paper summarises and appraises the evidence on diagnosis, prevention, and treatment of common shoulder injuries in sports. We systematically searched Medline and Embase. The Grading of Recommendations Assessment, Development and Evaluation tool was applied to evaluate the overall quality of evidence.For diagnosis, we included 19 clinical tests from mixed populations. Tests for anterior instability, biceps-labrum complex injuries and full subscapularis rupture had high diagnostic accuracy (low to moderate quality of evidence).For prevention, the Oslo Sports Trauma Research Center, the Shoulder Control, the FIFA 11+ shoulder injury prevention programmes, and a baseball-specific programme (range of motion, stretching, dynamic stability and strengthening exercises) showed moderate to large effect size in reducing the risk of shoulder injury compared with no intervention (very low to moderate quality of evidence).For treatment, a rehabilitation programme including stretching, ice packs, electrotherapy and compression, and strengthening exercises showed a large effect size in reducing pain and disability compared with no intervention in athletes with subacromial impingement syndrome (very low to moderate quality of evidence). For the treatment of supraspinatus tendinopathy, hyperthermia treatment (heating the skin to 38°C-40°C) resulted in large effect size in reducing pain and disability compared with ultrasound or pendular swinging and stretching exercises (moderate quality of evidence). Strengthening exercise alone or in combination with stretching exercises promoted a large effect in reducing shoulder pain (cohort studies, no comparators) (very low quality of evidence). The quality of evidence for most estimates was low to moderate, indicating that future high-quality research may alter our recommendations for clinical practice.
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Affiliation(s)
- Behnam Liaghat
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Centre for Evidence-Based Orthopaedics (CEBO), Department of Orthopaedic Surgery, Zealand University Hospital, Køge, Denmark
| | - Julie Rønne Pedersen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Rasmus Skov Husted
- Physical Medicine & Rehabilitation Research - Copenhagen (PMR-C), Department of Orthopedic Surgery and Physical Therapy, Copenhagen University Hospital, Hvidovre, Denmark
- Department of Clinical Research, Copenhagen University Hospital, Hvidovre, Denmark
- Center for General Practice, Aalborg University, Aalborg, Denmark
- Clinical Orthopedic Research Hvidovre (CORH), Department of Orthopedic Surgery, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark
- The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
| | - Lisbeth Lund Pedersen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Danish Society of Sports Physical Therapy, Odense, Denmark
| | - Kristian Thorborg
- Physical Medicine & Rehabilitation Research - Copenhagen (PMR-C), Department of Orthopedic Surgery and Physical Therapy, Copenhagen University Hospital, Hvidovre, Denmark
- Department of Orthopaedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Amager-Hvidovre Hospital, Faculty of Health Sciences, Copenhagen University, Copenhagen, Denmark
| | - Carsten B Juhl
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte, Denmark
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Reider B. Fostering Compliance. Am J Sports Med 2023; 51:13-15. [PMID: 36592019 DOI: 10.1177/03635465221139191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Butler LS, Janosky JJ, Sugimoto D. Pediatric and Adolescent Knee Injuries. Clin Sports Med 2022; 41:799-820. [DOI: 10.1016/j.csm.2022.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Al Attar WSA, Bizzini M, Alzahrani H, Alarifi S, Ghulam H, Alyami M, Alzhrani M, Sanders RH. The FIFA 11+ Kids Injury Prevention Program Reduces Injury Rates Among Male Children Soccer Players: A Clustered Randomized Controlled Trial. Sports Health 2022; 15:397-409. [PMID: 35903029 PMCID: PMC10170224 DOI: 10.1177/19417381221109224] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The Fédération Internationale de Football Association (FIFA) 11+ Kids is an exercise-based injury prevention program developed by an international group of experts to prevent injuries among child soccer players. HYPOTHESIS It was hypothesized that the FIFA 11+ Kids program would be more effective than performing a typical warm-up regimen in reducing overall injuries among soccer players aged 7 to 13 years. STUDY DESIGN A clustered randomized controlled trial. LEVEL OF EVIDENCE Level 1. METHODS A total of 94 boys' soccer teams, including 780 players, were randomly allocated into an experimental or control group. Complete datasets were collected from 45 teams (377 players) and 43 teams (363 players) in the experimental and control groups, respectively. The experimental group underwent the FIFA 11+ Kids program as a warm-up during training sessions and matches at least twice a week, and the control group continued performing their usual warm-ups. Participants were prospectively followed during 1 season (6 months). The primary outcomes included the incidence of overall and recurrent injuries and their mechanism and severity. The secondary outcome was the rate of compliance with the intervention program. RESULTS A total of 43 injuries were reported in the experimental group in 50,120 hours of exposure (0.85 injuries/1000 exposure hours). A total of 86 injuries were reported in the control group in 42,616 hours of exposure (2.01 injuries/1000 exposure hours). The injury risk ratio was 0.43 (0.29-0.61), suggesting that the experimental group experienced 57% fewer injuries than those in the control group. CONCLUSION The FIFA 11+ Kids program reduced overall injury rates in children playing soccer more than the usual warm-ups. CLINICAL RELEVANCE The results of this study provide evidence for children's coaches to consider including the FIFA 11+ Kids program in their warm-up regimen. Such a program may prevent injury risk and decrease absenteeism and injury-related financial burdens.
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FIFA-11+S-Präventionsprogramm schützt Torhüter signifikant vor Verletzungen. SPORTVERLETZUNG-SPORTSCHADEN 2022. [DOI: 10.1055/a-1638-5058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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