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González-Fernández FT, Silva AF, Castillo Rodriguez A, Onetti-Onetti W, Clemente FM. Effects of 8 weeks pre-season training on physical fitness, heart rate variability and cognition in women soccer players. Heliyon 2024; 10:e24955. [PMID: 38312538 PMCID: PMC10835283 DOI: 10.1016/j.heliyon.2024.e24955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 01/17/2024] [Accepted: 01/17/2024] [Indexed: 02/06/2024] Open
Abstract
The aim of this study was to explore the variations (pre-post) of (i) Anthropometric measures: weight, body mass index, lean and muscle mass, (ii) Physical fitness: countermovement jump (CMJ) and VO2max, (iii) heart rate variability (HRV) (recumbent and sitting): mean RR, RMSSD, NN50 and NN50 %, (iv) Psychomotor Vigilance Task, and v) SART: ACC Go, ACC NoGo and reaction times in semi-professional women soccer players from the second division of the Spanish League. The analysis indicated that lean mass improved after the observation period (p = .05, d = -0.38), while no other significant changes in anthropometric measures were observed. Additionally, CMJ and aerobic power were also improved (p<.01, d>0.50). The RMSSD [recumbent (d = -0.73) and sitting (d = -0.52)] and NN50 [recumbent (d = -0.69) and sitting (d = -0.70)] increased after the period of observation (p < .05). Reaction time also significantly improved after the period of observation [PVT (d = 0.42) and SART (d = -0.89)]. Correlations performed between measures revealed that smaller body mass and body mass index were largely associated with greater NN50 (r < 0.83, p = .001). Additionally, greater CMJ and aerobic fitness were associated with greater HRV [recumbent (r = -51, p = .001) and sitting (r = -0.60, p = .01). The main findings of this study were that there was no relationship between cognitive performance and physical fitness, but HRV was related to body composition and physical fitness during the pre-season in women soccer players.
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Affiliation(s)
| | - Ana Filipa Silva
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Portugal
- Sport Physical Activity and Health Research & Innovation Center, Viana do Castelo, Portugal
| | - Alfonso Castillo Rodriguez
- Departamento de Didáctica de las Lenguas, Artes y Deportes, Universidad de Málaga, Andalucía-Tech, IBIMA, Málaga, Spain
| | | | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Portugal
- Sport Physical Activity and Health Research & Innovation Center, Viana do Castelo, Portugal
- Gdansk University of Physical Education and Sport, 80-336 Gdańsk, Poland
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Monti R, Mariani F, Mastricci R, Nifosì FM, Palmieri V, Manes Gravina E, Capriati M, Rendeli C. Spina bifida and cardiorespiratory profile: the impact of leisure sport activities on physical fitness. Childs Nerv Syst 2024; 40:205-211. [PMID: 37688616 PMCID: PMC10761380 DOI: 10.1007/s00381-023-06152-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 09/05/2023] [Indexed: 09/11/2023]
Abstract
PURPOSE The aim of the present study is to evaluate a population of young patients affected by Spina Bifida (SB) to describe their cardiorespiratory function and bone mineral density profile, analyzing any differences between people performing and those who do not perform sports activity. The study also aimed to rule out possible congenital heart disease associated with spina bifida, considering the common origin of certain cardiac structures with those found to be altered in SB patients. METHODS Thirty-four young patients, aged between 12 and 22 years, diagnosed with spinal dysraphism (SD), have been clinically described and, in order to evaluate their physical fitness, functional capacity and bone mass, almost all of them underwent a complete cardiorespiratory assessment, including electrocardiogram (ECG), echocardiogram, Cardiopulmonary Exercise Test (CPET), body composition analysis using bioimpedance analysis (BIA) and Dual Energy X-ray Absorptiometry (DEXA), as well as the estimation of bone mineral density (BMD) with Computerized Bone Mineralometry (CBM). RESULTS Collected data demonstrated that only 35% of the subjects practiced physical activity during the week. BMI and percentage FM values were pathological in at least 50% of the population. On cardiological investigations (ECG and echocardiogram), no significant alterations were found. In all patients who performed CPET (79.4%), pathological values of the main functional capacity parameters were revealed, especially peak oxygen consumption (VO2 peak), even when corrected for BCM or FFM estimated at BIA and DEXA, respectively. In the CBM analysis, out of 27 patients in whom the femoral T-score was evaluated, a condition of osteopenia was revealed in 40.7% of the patients (11/27) and osteoporosis in 18.5% (5/27); out of 27 patients in whom the lumbar T-score was evaluated, 37% of the patients showed osteopenia (10/27) and 29.6% osteoporosis (8/27). When the comparison between exercising and non-exercising patients was performed, the only statistically significant difference that emerged was the median lumbar T-score value, which appeared lower in the group not performing physical activity (p = 0,009). CONCLUSIONS The extensive cardiorespiratory evaluation, including CPET, of our cohort of spina bifida patients showed altered values of the main parameters related to cardiorespiratory fitness and is the only study in the literature that analysed bone mineralization values in physically active and sedentary spina bifida patients and demonstrated a statistically significant difference. Furthermore, it is the only study to date that investigated the possible association of congenital heart diseases with SD, without demonstrating the existence of pathological conditions.
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Affiliation(s)
- Riccardo Monti
- Sports Medicine and Functional Re-Education Centre, Department of Ageing, Orthopaedic and Rheumatological Sciences, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy.
| | - Francesco Mariani
- Department of Women's and Children's Health Sciences and Public Health, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Rosanna Mastricci
- Department of Women's and Children's Health Sciences and Public Health, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Francesco Maria Nifosì
- Sports Medicine and Functional Re-Education Centre, Department of Ageing, Orthopaedic and Rheumatological Sciences, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Vincenzo Palmieri
- Sports Medicine and Functional Re-Education Centre, Department of Ageing, Orthopaedic and Rheumatological Sciences, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Ester Manes Gravina
- Cognitive-Functional Unit, Department of Ageing, Orthopaedic and Rheumatological Sciences, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Margherita Capriati
- Spina Bifida and Malformative Uropathies Centre, Department of Women's and Children's Health Sciences and Public Health, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
| | - Claudia Rendeli
- Spina Bifida and Malformative Uropathies Centre, Department of Women's and Children's Health Sciences and Public Health, "Agostino Gemelli" University Polyclinic Foundation - IRCCS, Rome, Italy
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Koch M, Werner A, Engel G, Huth J, Mauch F. Mini-open vs. arthroscopic double tight-rope reconstruction after acute AC-joint dislocation: a comparison in functional outcome and sports activity. Arch Orthop Trauma Surg 2023; 143:5491-5500. [PMID: 36943502 DOI: 10.1007/s00402-023-04828-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 02/27/2023] [Indexed: 03/23/2023]
Abstract
INTRODUCTION In athletes, acromioclavicular joint disruptions account for up to 50% of all shoulder injuries. In high-grade injuries, surgery is favored to ensure a correct restoration of the joint, especially in young athletes. The aim of this study was to compare the clinical, radiological and sport related outcomes of the arthroscopic stabilization with the fixation of the AC joint in a mini-open approach. MATERIALS AND METHODS 19 patients treated arthroscopically (ASK) and 26 patients with an acute AC-joint dislocation Rockwood V who had undergone the mini-open (MO) surgery were included. Constant Murley Score (CMS), Taft Score (TS) and the Simple Shoulder Tests (SST) were evaluated. The sports activity level was determined according to Valderrabano and the athlete's recovery of their athletic activity level after surgery according to Rhee. Furthermore, all available X-ray images were analyzed. RESULTS Patients in the ASK group achieved an average score of 11.7 ± 0.6 points in the SST, 10.3 ± 1.8 points in the TS and 91.2 ± 11.8 points in the CMS. On average, patients in the MO group achieved results of 10.5 ± 1.4 points in the SST, 11.7 ± 0.7 points in the TS and 91.6 ± 9.8 points in the CMS. The ASK group showed significant difference regarding the CC distance in side comparison (Δ = 3.6 mm), whereas no significant difference was found in the MO group (Δ = 0.8 mm). In comparison of both groups, the posterior as well as the combined translation were significantly greater in the ASK group than in the MO group (posterior: ASK: 24.8 mm, MO: 19.3 mm, combined: ASK: 29.1 mm, MO: 20.9 mm). Residual horizontal instability was greater in the ASK group (43%) than in the MO group (32%). Similar results were achieved in sports activity and the recovery of athletic activity (Valderrabano: ASK: 2.8, MO: 2.6; Rhee: ASK: 1.6, MO: 1.5). CONCLUSIONS Both techniques prove to be effective for the stabilization of high-grade AC-joint disruptions in athletes and showed excellent clinical results. From a radiographic standpoint, the mini-open procedure appears superior to the arthroscopic technique. After mini-open surgery postoperative loss of correction is less common and greater horizontal stability is achieved. The results also suggest the mini-open technique is superior to the arthroscopic procedure when aiming to restore the athlete's original level of sports activity. LEVEL OF EVIDENCE: 1
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Affiliation(s)
- Moritz Koch
- Sportklinik Stuttgart GmbH, Taubenheimstr. 8, 70372, Stuttgart, Germany
| | - Annabelle Werner
- Sportklinik Stuttgart GmbH, Taubenheimstr. 8, 70372, Stuttgart, Germany
| | - Guido Engel
- Sportklinik Stuttgart GmbH, Taubenheimstr. 8, 70372, Stuttgart, Germany
| | - Jochen Huth
- Sportklinik Stuttgart GmbH, Taubenheimstr. 8, 70372, Stuttgart, Germany.
| | - Frieder Mauch
- Sportklinik Stuttgart GmbH, Taubenheimstr. 8, 70372, Stuttgart, Germany
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Watanabe H, Murase K, Kim D, Matsumoto T, Majima T. A posterior tibial slope angle over 12 degrees is critical to epiphyseal fracture of the proximal tibia: Three-dimensional finite element analysis. Heliyon 2023; 9:e18854. [PMID: 37593627 PMCID: PMC10428038 DOI: 10.1016/j.heliyon.2023.e18854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 07/27/2023] [Accepted: 07/31/2023] [Indexed: 08/19/2023] Open
Abstract
Introduction The effects of the proximal tibial slope angle on the proximal tibial epiphysis remain unknown. To elucidate those effects, we investigated the strain distribution in proximal tibial epiphysis with different proximal tibial slope angles and proximal tibial epiphysis closure periods using finite element analysis. Materials and methods The finite element models of the proximal tibia were reconstructed from CT images and consisted of cancellous/cortical bone and epiphyseal plate. The variations in proximal tibial slope angle (range: 6-16°) and four closure variations in proximal tibial epiphysis (open, semi-open, semi-closed, and closed) were prepared. The loading force on the medial and lateral joint surface, and the tensile force by the patellar tendon were applied to the models, and the distal area of the tibia was fixed. The ratio of the equivalent strain in semi-open/semi-closed proximal tibial epiphysis to the strain in open proximal tibial epiphysis on different proximal tibial slope angles were calculated. Results The strain ratio between the semi-open/semi-closed and open proximal tibial epiphysis models indicated significant differences between 6 or 8° of proximal tibial slope angle and 12, 14, and 16° of proximal tibial slope angle models. In the increased proximal tibial slope angle model, a hoop-shaped strain in the closing proximal tibial epiphysis was found, and the maximum strain was found in the tibial tubercle. Discussion During epiphyseal closure, adolescents with an increased proximal tibial slope angle over 12° are significantly at risk for suffering from proximal tibial epiphyseal fractures compared with those under 10°.
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Affiliation(s)
- Hiroshi Watanabe
- Department of Orthopaedic Surgery, Nippon Medical School, Musashi Kosugi Hospital, Japan
- Department of Orthopaedic Surgery, Nippon Medical School, Japan
| | - Kohei Murase
- Graduate School of Engineering Science, Osaka University, Japan
| | - DongWook Kim
- Department of Mechanical and Aerospace Engineering, Faculty of Engineering, Nagoya University, Japan
| | - Takeo Matsumoto
- Department of Mechanical and Aerospace Engineering, Faculty of Engineering, Nagoya University, Japan
| | - Tokifumi Majima
- Department of Orthopaedic Surgery, Nippon Medical School, Japan
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Woll A, Cleven L, Jekauc D, Krell-Roesch J, Bös K. A tool to assess fitness among adults in public health studies - Predictive validity of the FFB-Mot questionnaire. BMC Public Health 2023; 23:1340. [PMID: 37438718 DOI: 10.1186/s12889-023-16174-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 06/22/2023] [Indexed: 07/14/2023] Open
Abstract
BACKGROUND Fitness has important implications for physical activity behavior and is associated with various health-related outcomes. It can be assessed through a test battery or a self-reported questionnaire. One example is the FFB-Mot (Funktionsfragebogen Motorik; engl. functional fitness questionnaire) which consist of 28 items to assess four components of fitness in adults: cardiorespiratory fitness/ endurance, muscular strength, gross motor coordination, and flexibility. The aims of this manuscript were to (1) provide an English-version of the FFB-Mot questionnaire (developed from the German-version using translation and back-translation) to the international community of researchers in the areas of physical activity, fitness and health in adults, and (2) examine the predictive validity of the FFB-Mot questionnaire in a large sample of community-dwelling adults. METHODS We used data from a longitudinal study in Germany with four measurement waves over a period of 18 years, with samples ranging between 310 and 437 participants (1572 adults in total, mean ages 46-58 years). To assess predictive validity, we calculated Pearson correlations between FFB-Mot data collected in 1997 and external health-related criteria (i.e., subjective health status, physician-rated health status, back pain, physical complaints and physical activity in minutes per week) collected in 2002, 2010, and 2015, and separately for males and females. RESULTS We observed correlations between higher FFB-Mot scores with better subjective health status (in 2002: males, r = 0.25; females, r = 0.18; in 2010: males, r = 0.29; females, r = 0.28; in 2015: males, r = 0.40), and higher physical activity (in 2002: males, r = 0.24; females, r = 0.25; in 2010: males, r = 0.30; females, r = 0.38; in 2015: females, r = 0.27). Higher FFB-Mot scores were also correlated with lower back pain (in 2002: males, r = -0.23; females, r = -0.25; in 2010: females, r = -0.22), less physical complaints (in 2002: males, r = -0.36; females, r = -0.24), and better physician-rated health status (in 2002: males, r = -0.41; females, r = -0.29, 2010: males, r = -0.38; females, r = -0.44; in 2015: males, r = -0.47). CONCLUSIONS Our results suggest that the FFB-Mot to assess fitness in adults has predictive validity for health-related outcomes as indicated by significant correlations, albeit some effect sizes are small. The FFB-Mot may be used as one-time assessment of self-reported fitness, or for repeated testing to assess change of self-reported fitness over time and in different settings (e.g., public health research).
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Affiliation(s)
- Alexander Woll
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany.
| | - Laura Cleven
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| | - Darko Jekauc
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| | - Janina Krell-Roesch
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| | - Klaus Bös
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
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González-Fernández FT, Delgado-García G, Coll JS, Silva AF, Nobari H, Clemente FM. Relationship between cognitive functioning and physical fitness in regard to age and sex. BMC Pediatr 2023; 23:204. [PMID: 37120530 PMCID: PMC10148392 DOI: 10.1186/s12887-023-04028-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 04/22/2023] [Indexed: 05/01/2023] Open
Abstract
The aim of this study was to analyze the relationships among physical cognitive ability, academic performance, and physical fitness regarding age and sex in a group of 187 students (53.48% male, 46.52% female) from one town of Norwest of Jaén, Andalusia (Spain), aged between 9 and 15 years old (M = 11.97, SD = 1.99). The D2 attention test was used in order to analyze selective attention and concentration. Physical fitness, reflected on maximal oxygen uptake (VO2max), was evaluated using the 6 min Walking Test (6MWT). The analysis taken indicated a significant relationship between physical fitness level, attention, and concentration, as in the general sample looking at sex (finding differences between boys and girls in some DA score in almost all age categories [p < 0.05]) and at age category (finding some differences between the younger age category groups and the older age category groups in some DA scores (p < 0.05), not finding any significant interaction between sex and age category (p > 0.05). In sum, the present study revealed that students with better aerobic fitness can present better-processed elements and smaller omission errors. Moreover, girls and older students seem to present better cognitive functioning scores than boys and younger. Our findings suggest that more research is necessary to elucidate the cognitive function between ages, sexes, and physical fitness and anthropometry levels of students.
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Affiliation(s)
| | - Gabriel Delgado-García
- SER Research Group, Department of Physical Activity and Sport Sciences, Center of Higher Education Alberta Giménez (Affiliated to Pontifical, University of Comillas), Palma, 07013, Spain
| | - Jesús Siquier Coll
- SER Research Group, Department of Physical Activity and Sport Sciences, Center of Higher Education Alberta Giménez (Affiliated to Pontifical, University of Comillas), Palma, 07013, Spain
| | - Ana Filipa Silva
- The Research Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, 5001-801, Portugal
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Viana do Castelo, 4900-347, Portugal
| | - Hadi Nobari
- Department of Exercise Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, 56199-11367, Ardabil, Iran.
- Faculty of Sport Science, University of Extremadura, Cáceres, Spain.
| | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Viana do Castelo, 4900-347, Portugal
- Instituto de Telecomunicações, Delegação da Covilhã, Lisboa, 1049-001, Portugal
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Meena A, Hoser C, Abermann E, Hepperger C, Raj A, Fink C. Total knee arthroplasty improves sports activity and the patient-reported functional outcome at mid-term follow-up. Knee Surg Sports Traumatol Arthrosc 2023; 31:905-913. [PMID: 35689683 PMCID: PMC9957844 DOI: 10.1007/s00167-022-07025-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 05/18/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE The purpose of this study was to assess (1) sports participation and preference for the type of sports activity after TKA, (2) mid-term functional outcome and activity level, (3) correlation of different age groups with activity level and functional outcomes, and (4) mid-term survivorship of the prosthesis. METHODS A retrospective review of prospectively collected data was performed. 182 patients were included who underwent primary TKA between January 2010 and December 2016. Inclusion criteria were symptomatic knee osteoarthritis, age 50-90 years, and with a minimum of 5-year follow-up after TKA. Patients with rheumatoid arthritis and revision TKA were excluded. Sports participation and sports preference, Oxford Knee Score (OKS), Tegner Activity Level, and Visual Analogue Scale (VAS) for pain were recorded pre- and postoperatively at 6 months, 1 year, 2 years, and 5 years. The patient cohort was subdivided according to age groups; activity levels, patient-reported outcomes, and improvement in knee pain were correlated with these age groups. Kaplan-Meier curves were used to investigate survivorship at a minimum of 5 years. RESULTS The mean age of the cohort was 75.6 ± 7.2 years (range 52-89). Significant improvement was noted in sports participation (p < 0.003). After TKA, there was no change in the preference for sports and none of the patients had to discontinue their sporting activity. OKS improved significantly at all follow-up time points compared to the preoperative score (p < .0001). Patients' sports and physical activity improved significantly at 1 year compared to the preoperative activity level (p < 0.001). Although the Tegner activity level improved over time, this improvement was not significant (NS), while it was significantly higher in males than in females (p < 0.004). Significant improvement was found in the VAS for pain at all follow-up time points compared to the preoperative score (p < .0001). Survivorship was found to be 100% at a 5-year follow-up. CONCLUSION After TKA, patients can be able to return to sporting activity or even perform better than before surgery. Maximum improvement was noted in the first post-operative year. The male and younger groups perform better than the female and older groups. Sports and physical activity do not negatively impact survivorship of the knee prosthesis at mid-term follow-up and all patients are encouraged to take up sports participation after their TKA. LEVEL OF EVIDENCE Level 3.
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Affiliation(s)
- Amit Meena
- grid.487341.dGelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020 Innsbruck, Austria ,grid.41719.3a0000 0000 9734 7019Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria
| | - Christian Hoser
- grid.487341.dGelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020 Innsbruck, Austria ,grid.41719.3a0000 0000 9734 7019Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria
| | - Elisabeth Abermann
- grid.487341.dGelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020 Innsbruck, Austria ,grid.41719.3a0000 0000 9734 7019Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria
| | - Caroline Hepperger
- grid.487341.dGelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020 Innsbruck, Austria
| | - Akshya Raj
- grid.416888.b0000 0004 1803 7549Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, 110029 India
| | - Christian Fink
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria. .,Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria.
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Bohm P, Meyer T, Narayanan K, Schindler M, Weizman O, Beganton F, Schmied C, Bougouin W, Barra S, Dumas F, Varenne O, Cariou A, Karam N, Jouven X, Marijon E. Sports-related sudden cardiac arrest in young adults. Europace 2022; 25:627-633. [PMID: 36256586 PMCID: PMC9935050 DOI: 10.1093/europace/euac172] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 08/08/2022] [Indexed: 01/14/2023] Open
Abstract
AIMS Data on sports-related sudden cardiac arrest (SrSCA) among young adults in the general population are scarce. We aimed to determine the overall SrSCA incidence, characteristics, and outcomes in young adults. METHODS AND RESULTS Prospective cohort study of all cases of SrSCA between 2012 and 2019 in Germany and Paris area, France, involving subjects aged 18-35 years. Detection of SrSCA was achieved via multiple sources, including emergency medical services (EMS) reporting and web-based screening of media releases. Cases and aetiologies were centrally adjudicated. Overall, a total of 147 SrSCA (mean age 28.1 ± 4.8 years, 95.2% males) occurred, with an overall burden of 4.77 [95% confidence interval (CI) 2.85-6.68] cases per million-year, including 12 (8.2%) cases in young competitive athletes. While bystander cardiopulmonary resuscitation (CPR) was initiated in 114 (82.6%), automated external defibrillator (AED) use by bystanders occurred only in a minority (7.5%). Public AED use prior to EMS arrival (odds ratio 6.25, 95% CI 1.48-43.20, P = 0.02) was the strongest independent predictor of survival at hospital discharge (38.1%). Among cases that benefited from both immediate bystander CPR and AED use, survival rate was 90.9%. Coronary artery disease was the most frequent aetiology (25.8%), mainly through acute coronary syndrome (86.9%). CONCLUSION Sports-related sudden cardiac arrest in the young occurs mainly in recreational male sports participants. Public AED use remains disappointingly low, although survival may reach 90% among those who benefit from both bystander CPR and early defibrillation. Coronary artery disease is the most prevalent cause of SrSCA in young adults.
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Affiliation(s)
- Philipp Bohm
- Institute of Sports and Preventive Medicine, Saarland University, 66123 Saarbrücken, Germany,Department of Cardiology, University Heart Center Zurich, HerzZentrum Hirslanden Zurich Witellikerstrasse 36, CH-8008 Zurich, Switzerland
| | - Tim Meyer
- Institute of Sports and Preventive Medicine, Saarland University, 66123 Saarbrücken, Germany
| | - Kumar Narayanan
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Cardiology Department, Medicover Hospitals, Madhapur, Hyderabad, Telangana 500081, India
| | - Matthias Schindler
- Department of Cardiology, University Heart Center Zurich, HerzZentrum Hirslanden Zurich Witellikerstrasse 36, CH-8008 Zurich, Switzerland
| | - Orianne Weizman
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France
| | - Frankie Beganton
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France
| | - Christian Schmied
- Department of Cardiology, University Heart Center Zurich, HerzZentrum Hirslanden Zurich Witellikerstrasse 36, CH-8008 Zurich, Switzerland
| | - Wulfran Bougouin
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Intensive Care Unit, Jacques cartier Hospital, 6 Av. du Noyer Lambert, 91300 Massy, France
| | - Sergio Barra
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Cardiology Department, Hospital da Luz Arrábida, V. N. PCT de Henrique Moreira 150, 4400-346 Vila Nova de Gaia, Portugal
| | - Florence Dumas
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Intensive Care Unit, Jacques cartier Hospital, 6 Av. du Noyer Lambert, 91300 Massy, France,Emergency Department, Cochin Hospital, 25 Rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - Olivier Varenne
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Intensive Care Unit, Jacques cartier Hospital, 6 Av. du Noyer Lambert, 91300 Massy, France,Cardiology Department, Cochin Hospital, 25 Rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - Alain Cariou
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,Intensive Care Unit, Jacques cartier Hospital, 6 Av. du Noyer Lambert, 91300 Massy, France,Intensive Care Unit, Cochin Hospital, 25 Rue du Faubourg Saint-Jacques, 75014 Paris, France
| | - Nicole Karam
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,University of Paris, 103, Boulevard Saint-Michel, Paris, France,Cardiology Department, European Georges Pompidou Hospital, 20 rue Leblanc, 75015 Paris, France
| | - Xavier Jouven
- Paris-Sudden Death Expertise Center, INSERM U970, Paris Cardiovascular Research Center (PARCC), 56 rue Leblanc, 75015 Paris, France,University of Paris, 103, Boulevard Saint-Michel, Paris, France,Cardiology Department, European Georges Pompidou Hospital, 20 rue Leblanc, 75015 Paris, France
| | - Eloi Marijon
- Corresponding author. Tel: +33 6 6283 3848; fax: +33 1 5609 3047. E-mail address:
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Bongers CCWG, Bakker EA, Buffart LM, Hopman MTE. Impact of a COVID-19 infection on exercise levels of recreational athletes one- and three-months post-infection. J Sports Sci 2022; 40:2136-2142. [PMID: 36309479 DOI: 10.1080/02640414.2022.2140919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
We examined the effect of a COVID-19 infection on changes in exercise levels in recreational athletes in the first three months after infection, and identified personal factors associated with a larger change in exercise level and recovery time. Recreational athletes (n=4360) completed an online questionnaire on health and exercise levels. 601 Athletes have had a diagnostically confirmed COVID-19 infection, while 3479 athletes did not (non-COVID-19 group). Exercise levels (in MET-min/week) were examined prior to (2019) and during the COVID-19 pandemic (2020) for the non-COVID-19 group, and in 2019, 1-month pre-COVID-19 infection, 1-month post-COVID-19 infection and 3 months post-COVID-19 infection in the COVID-19 group. Median exercise level at baseline in the COVID-19 group was 3528 (IQR=1488-5760) MET-min/week. One-month post-COVID-19 infection, exercise level dropped 58% (2038 MET-min/week), which partly stabilized to 36% (1256 MET-min/week) below baseline values 3 months post-COVID-19 infection. Moreover, in both the COVID-19 (pre-COVID-19 infection) and non-COVID-19 group exercise levels during the pandemic decreased with ~260 MET-min/week. These results illustrate that even a relatively physically active population of recreational athletes is significantly affected by a COVID-19 infection, particularly those athletes who are overweight. COVID-19 disease burden, age, sex, comorbidities and smoking were not associated with reduced exercise levels.
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Affiliation(s)
- Coen C W G Bongers
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands
| | - Esmée A Bakker
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands
| | - Laurien M Buffart
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands
| | - Maria T E Hopman
- Department of Physiology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands
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10
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D'Ambrosi R, Ursino C, Mariani I, Corona K, Dahmen J, Sciarretta FV, Valli F, Ursino N. No difference in return to amateur sports after medial and lateral unicompartmental knee arthroplasty in patients younger than 65 years. Knee Surg Sports Traumatol Arthrosc 2022; 30:1050-1056. [PMID: 33751156 DOI: 10.1007/s00167-021-06526-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 03/01/2021] [Indexed: 12/01/2022]
Abstract
PURPOSE The aim of this study was to assess the return to amateur sports of patients under 65 years, following medial unicompartmental knee arthroplasty (mUKA) versus lateral unicompartmental knee arthroplasty (lUKA). It was hypothesized that patients younger than 65 years who underwent lateral or medial unicondylar knee replacement will result in similar rates to amateur sports, at a minimum follow-up of 2 years. METHOD Patients who underwent medial or lateral UKA participated in a 2-year follow-up program, where they were clinically evaluated for their return to amateur sports, using the University of California, Los Angeles (UCLA) activity scale and the High-Activity Arthroplasty Score (HAAS). Furthermore, subgroup analyses by gender and age were performed. Power analysis was performed to ensure sample size considering that lUKA is implanted ten times less frequently than its medial counterpart. RESULTS There were 85 patients who completed the entire minimum 2-year follow-up of which 73 belonged to the mUKA group and 12 to the lUKA group. No preoperative differences were found between the groups regarding the gender, the affected side, age, and mean follow-up. Both groups showed statistically significant improvement (p < 0.05) in their return to amateur sports in all parameters (UCLA and HAAS). No differences among the two groups were found at T0 and T1 (n.s.). All subgroups showed a statistically significant improvement (p < 0.05) with respect to the preoperative value, except for UCLA for lUKA with less than 60 years and HAAS for males in the lUKA group (n.s.). No differences were found among subgroups both at To and T1 (n.s.). CONCLUSION Both mUKA and lUKA procedures enabled all young and active patients a certain return to amateur sports 2 years after surgery, regardless of age and gender. UKA, medial or lateral, should always be considered for the treatment of isolated osteoarthritis in young and active patients with high functional demands. LEVEL OF EVIDENCE Cohort Study, Level of Evidence III. REGISTRATION Researchregistry6221 - Research Registry www.researchregistry.com .
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Affiliation(s)
| | - Chiara Ursino
- Clinica Ortopedica, IRCCS Policlinico San Martino, Genova, Italy
| | - Ilaria Mariani
- Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
| | - Katia Corona
- Dipartimento Di Medicina E Scienze Della Salute Vincenzo, Università Degli Studi del Molise, Campobasso, Tiberio, Italy
| | - Jari Dahmen
- Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.,Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.,Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC/VUmc, IOC Research Center, Amsterdam, The Netherlands
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11
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Eshak ES, Noda H, Tamakoshi A, Iso H. Walking time, sports activity, job type, and body posture during work in relation to incident colorectal cancer: the JACC prospective cohort study. Cancer Causes Control 2022; 33:473-481. [PMID: 35048204 DOI: 10.1007/s10552-021-01542-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 12/14/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE An inverse association between physical activity and colorectal cancer (CRC) has been suggested. We aimed to assess the specific and combined effects of leisure-time and occupational physical activities on CRC risk among Japanese adults. METHODS Using Cox proportional hazard models, we tested whether walking time, sports activity, body posture during work, and job type-or the combination of these variables-were associated with CRC incidence in a prospective cohort of 26,897 Japanese adults aged 40-79 years. RESULTS During a median 17-year follow-up (1990-2009) period, we ascertained 423 incident cases of CRC (267 colon and 156 rectum cancer). Time spent walking suggested a dose-response inverse relationship with CRC risk (p-trend = 0.051). Manual labor was associated with lower CRC risk when compared to office work with HRs (95% CIs) of 0.74 (0.56-0.97) for CRC and 0.68 (0.48-0.96) for colon cancer. Compared to sitting, moving during work tended to be inversely associated with rectal cancer risk, especially after censoring early incident cases within 3 years after baseline; HR (95% CI) = 0.63 (0.40-0.99). Combining walking and job type suggested mutual and synergistic benefits on the risk of colon cancer (p-interaction = 0.03). Compared to office workers walking < 1 h/day, the HR (95% CI) of colon cancer was 0.48 (0.23-0.98), 0.61 (0.42-0.89), and 0.59 (0.41-0.87) in office workers walking ≥ 1 h/day, non-office workers walking < 1 h/day, and non-office workers walking ≥ 1 h/day, respectively. CONCLUSION The time spent walking, job type, and posture during work were independently associated with the reduced incident CRC risk among Japanese men and women.
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Affiliation(s)
- Ehab S Eshak
- Department of Public Health and Community Medicine, Faculty of Medicine, Minia University, Main Road, Shalaby land, Minia, 61519, Egypt. .,Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Hiroyuki Noda
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Akiko Tamakoshi
- Department of Public Health, Hokkaido University Graduate School of Medicine, 7-15 Kita-Ku, Sapporo, 060-8638, Japan
| | - Hiroyasu Iso
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, 305-8575, Japan
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12
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Iida T, Katayanagi J, Ato A, Matsumoto K, Hayamizu A, Furukawa H, Tobinaga T, Yazawa M, Miyazaki C, Ozeki S. Performance of Forward Roll Maneuvers Following Corrective Spinal Fusion for Idiopathic Scoliosis Patients. Orthop Traumatol Surg Res 2021; 107:103034. [PMID: 34364003 DOI: 10.1016/j.otsr.2021.103034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 02/19/2021] [Accepted: 02/25/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Fusion surgeries for scoliosis patients are believed to deteriorate sports performance; in particular, forward roll should deteriorate, but no literature is available to substantiate this claim. HYPOTHESIS The extent of postoperative deterioration can vary according to surgery type or curve type. PATIENTS AND METHODS Idiopathic scoliosis patients between 10 and 29 years of age who underwent correction and fusion surgeries at our hospital were included in this study. Forward roll was recorded on video preoperatively and 1-year postoperatively. Performances were evaluated twice on a 10-point scale by two blinded examiners. Preoperative and 1-year postoperative upright spinal radiographs were analyzed for the Lenke classification, number of fused vertebrae, upper and lower instrumented vertebrae, major curve Cobb angle, thoracic kyphosis, lumbar lordosis, and surgical procedures. RESULTS The average age was 16 years. Curve types according to the Lenke classification were: 15, type 1; 5, type 2; 14, type 5; 2, type 6. The mean number of fused vertebrae was 6.9 (3.2 for anterior surgeries and 9.3 for posterior surgeries). The mean preoperative assessment of forward roll was 9.6 points, and the 1-year postoperative assessment was lower at 8.8 points. Cluster analysis classified patients into 3 groups: long fusion with marked performance deterioration (C1), long fusion with minimal deterioration (C2), and short fusion with minimal deterioration (C3). The upper and lower instrumented vertebrae in C1 were more distal than those in C2. CONCLUSION Patients with thoracic curves were classified into two groups, and patients who underwent surgeries with more distal upper and lower instrumented vertebra levels exhibited lower postoperative performance. However, patients with Lenke 5 curves who underwent anterior surgery showed better preoperative performance than other patients who underwent posterior surgery, showing minimal postoperative deterioration. LEVEL OF EVIDENCE III;Therapeutic Study.
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Affiliation(s)
- Takahiro Iida
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan.
| | - Jyunya Katayanagi
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
| | - Akihisa Ato
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
| | - Kazuyuki Matsumoto
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
| | - Atsuki Hayamizu
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
| | - Hirokazu Furukawa
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
| | - Takashi Tobinaga
- Department of Rehabilitation Medicine, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan
| | - Makoto Yazawa
- Department of Rehabilitation Medicine, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan
| | - Chieko Miyazaki
- Department of Rehabilitation Medicine, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan
| | - Satoru Ozeki
- First Department of Orthopaedic Surgery, Dokkyo Medical University Saitama Medical Center, Minami-Koshigaya, 343-8555 Saitama, Japan
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13
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Liu J, Gao F, Yuan L. Effects of Diversified Sports Activity Module on Physical Fitness and Mental Health of 4-5-Year-Old Preschoolers. Iran J Public Health 2021; 50:1233-1240. [PMID: 34540744 PMCID: PMC8410961 DOI: 10.18502/ijph.v50i6.6422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 07/11/2020] [Indexed: 11/26/2022]
Abstract
Background: Chinese children are poorer in sports activity as compared to foreign children and their prospects as to physical fitness are not optimistic. This study aimed to discuss the effects of diversified sports activity modules on physical fitness and mental health of preschoolers ages 4–5 years. Methods: Sixty preschoolers aged 4–5-yr-old from two kindergartens in Jiaxing of China were selected randomly during Mar–Oct 2019. These respondents were divided into the experimental group (n=30) and the control group (n=30). The experimental group implemented the diversified sports activity module for 16 wk successively, 5 d per week, and 30–45 min per day. The control group adopted conventional sports activity. The body shape, physical fitness, and mental health of the two groups were measured and compared. Results: For body shape, the height of the experimental group increased is significantly higher than that of the control group. The experimental and control groups show no significant differences in body weight. For physical fitness, the experimental group is significantly superior to the control group in testing results of standing long jump, double-feet continuous jump, balancing on one foot, tennis shot, sit-and-reach, and 10 m repeated run. For mental health, the testing results of action development, language development, and social development of the experimental group are significantly better than those of the control group. Conclusion: The diversified sports activity module is not only conducive to strengthening the physical fitness of 4–5-year-old preschoolers but also improves their mental health.
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Affiliation(s)
- Jinfu Liu
- School of Physical Education and Sport Sciences, Fujian Normal University, Fuzhou, China.,Department of Physical Education and Military Training, Jiaxing University, Jiaxing, China
| | - Feng Gao
- Department of Physical Education and Military Training, Jiaxing University, Jiaxing, China
| | - Lugang Yuan
- Department of Physical Education and Military Training, Jiaxing University, Jiaxing, China
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14
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Maeda S, Chiba D, Sasaki E, Oyama T, Sasaki T, Otsuka H, Ishibashi Y. The difficulty of continuing sports activities after open-wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2-year-minimum follow-up. J Exp Orthop 2021; 8:68. [PMID: 34435240 PMCID: PMC8387523 DOI: 10.1186/s40634-021-00385-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 08/12/2021] [Indexed: 11/30/2022] Open
Abstract
Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post-operatively. Methods Thirty-five patients (40 knees) who underwent open-wedge high tibial osteotomy (OW-HTO) in medial knee osteoarthritis were included in this study. The mean age of the patients who underwent surgery was 55.1 ± 10.7 years, and the mean follow-up period was 41.0 ± 24.7 months. Clinical results and radiographic parameters calculated in standing whole-leg radiographs preoperatively, post-operatively, and at the final follow-up were evaluated. Results Thirty-one patients (88.6%) were able to return to preoperative sports activity; however, only 14 patients (40.0%) completely returned to preoperative sports activity levels. Of the 31 patients who returned to sports activity, 10 patients (32.3%) maintained post-operative sporting activity levels at the final follow-up. In radiographic parameters, the weight-bearing line ratio was considered loss of correction in the post-operative period leading to the final follow-up. Patients who completely returned to sports and maintained sporting activity levels at the final follow-up had significantly higher the Knee Injury and Osteoarthritis Outcome Score pain subscale values and lower visual analogue scale of knee pain at pre-surgery and final follow-up than other patients, including those who partially returned to sports. Conclusions The proportion of patients who returned to sports after OW-HTO and were able to participate in competitions at the same activity level as before surgery was low and insufficient. Level of evidence Retrospective case series, IV
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Affiliation(s)
- Shugo Maeda
- Department of Orthopaedic Surgery, Aomori Rosai Hospital, 1 Minamigaoka, Aomori, 031-8551, Shirogane, Hachinohe, Japan.
| | - Daisuke Chiba
- Department of Orthopaedic Surgery, Hirosaki Memorial Hospital, Hirosaki, Japan
| | - Eiji Sasaki
- Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan
| | - Tetsushi Oyama
- Department of Orthopaedic Surgery, Japan Community Health care Organization Akita Hospital, Noshiro, Japan
| | - Tomoyuki Sasaki
- Department of Orthopaedic Surgery, Hirosaki Memorial Hospital, Hirosaki, Japan
| | - Hironori Otsuka
- Department of Orthopaedic Surgery, Japan Community Health care Organization Akita Hospital, Noshiro, Japan
| | - Yasuyuki Ishibashi
- Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan
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15
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Jürgens D, Schüz B. Individual socioeconomic and neighborhood factors predict changes in sports activity during the transition to retirement. Eur Rev Aging Phys Act 2021; 18:14. [PMID: 34217214 DOI: 10.1186/s11556-021-00268-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 06/12/2021] [Indexed: 12/11/2022] Open
Abstract
Background There are substantial socioeconomic status (SES) differences in sports activity (SA) during the transition to retirement. In line with social-ecological models, the aim of this longitudinal study was to examine the association of perceptions of social and physical neighborhood factors with changes in SA across the retirement transition and to examine potential interactions with SES factors. Methods Data from 6 waves of the German Ageing Survey (DEAS) provided 710 participants (at baseline: mean age 61.1, 52.9% of men) who retired between baseline (1996, 2002, 2008, 2011) and their 6-year follow-up assessment. Associations between changes in SA (increases and decreases compared to retaining) and individual SES and neighborhood factors were estimated using multinomial logistic regression analysis. Results Increases were observed in 18.45% of participants, decreases in 10%. Occupational prestige was a risk factor for decreases, education a resource for increases in SA. Interactions between household income and several neighborhood factors were observed. Conclusions In line with social-ecological models, individual, neighborhood factors and interacting associations were found. In particular safety perceptions could be a resource for promotion SA in older adults who experience disadvantage.
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16
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Ko YJ, Kim JS. Effect of exercise immersion experience on health promotion and lifelong physical education of high school students in sports club activities. J Exerc Rehabil 2021; 17:169-174. [PMID: 34285894 PMCID: PMC8257431 DOI: 10.12965/jer.2142284.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Accepted: 05/10/2021] [Indexed: 12/04/2022] Open
Abstract
The purpose of this study was to investigate the impact of high school students’ athletic commitment, health promotion education, and lifelong sports activities. To this end, the researcher searched for research subjects of 397 high school students residing in Seoul in 2019. As a result of the analysis, the following conclusions were drawn. First, the effect of exercise commitment on sports health promotion education was investigated. Looking at the activities of high school students, their commitment to behavior has had a profound impact on their health responsibilities and relationships. Second, the study also investigated the impact of athletic commitment to lifelong sports of sports activities in high school students and found that cognitive and behavioral commitment had a significant impact on lifelong sports. Finally, as a result of investigating the impact of health promotion education on lifelong sports of high school student sports activities, it was found that health responsibility and relationships have a great influence on lifelong sports.
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Affiliation(s)
- Young Jun Ko
- Major in Sport Service Practice, College of Welfare Convergence, Kangnam University, Yongin, Korea
| | - Jun-Su Kim
- Department of Sports and Outdoors, College of Bio Convergence, Eulji University, Seongnam, Korea
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17
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Carlo M, Eduardo C, Attilio B, Antonio Z, Pierfrancesco B, Alessandro M, Marco M, Raffaele R, Massimiliano A, Giuseppe S, Spoliti M, Lanzetti RM. Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up. Eur J Orthop Surg Traumatol 2021; 32:55-61. [PMID: 33721083 DOI: 10.1007/s00590-021-02925-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 03/02/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE The purpose of our study was to evaluate clinical outcomes and return to sports after medial unicompartmental knee arthroplasty (UKA) in middle-aged active patients with concomitant patella-femoral joint (PFJ) osteoarthritis at time of surgery. METHODS One-hundred and fifty-one patients who underwent medial fixed-bearing cemented UKA, between 2012 and 2015, for medial unicompartmental osteoarthritis of the knee, were retrospectively reviewed with a minimum 5-year follow-up. The mean age at surgery was 54.3 years (range 47 to 60 years). Radiological evaluation of patella-femoral joint (PFJ) osteoarthritis was performed according to Sperner classification to select a control-group (< grade III) and case-group (≥ grade III). The visual analog scale (VAS) for pain and Knee Society score (KSS) was used to evaluate preoperative and final outcomes. Physical activity level before and after the surgery was assessed by the use of UCLA score. RESULTS One-hundred and thirty-seven patients (89 males and 48 females) were available at last follow-up. The mean follow-up was 6.2 years (range 5.2 to 7.5 years). At last follow-up improvements of VAS and KSS scores revealed not significant correlation with PFJ osteoarthritis. The majority of patients (87.7%) returned to their sports activity after UKA surgery. CONCLUSIONS Improved quality of life and sports activity level resulted in middle-aged, active patients after UKAs. PFJ osteoarthritis showed no significant correlation with poorer outcomes at 5-year follow-up. LEVEL OF EVIDENCE III, multicenter retrospective cohort study.
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Affiliation(s)
- Massoni Carlo
- Orthopedics and Traumatology Unit, "PIO XI" Hospital, Rome, Italy
| | - Casciano Eduardo
- Department of Orthopedics, University Federico II, Naples, Italy
| | - Basile Attilio
- Orthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo Forlanini Hospital, Rome, Italy
| | - Zanini Antonio
- Orthopedics and Traumatology Unit, "San Clemente" Hospital, Mantua, Italy
| | | | | | - Maiotti Marco
- Orthopedics and Traumatology Unit, "PIO XI" Hospital, Rome, Italy
| | - Russo Raffaele
- Orthopedics and Traumatology Unit, "Pineta Grande" Hospital, Castelvolturno, Italy
| | - Amato Massimiliano
- Orthopedics and Traumatology Unit, "Mediterranea" Hospital, Naples, Italy
| | - Santoro Giuseppe
- Orthopedics and Traumatology Unit, "Mediterranea" Hospital, Naples, Italy
| | - Marco Spoliti
- Orthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo Forlanini Hospital, Rome, Italy
| | - Riccardo Maria Lanzetti
- Orthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo Forlanini Hospital, Rome, Italy.
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Mardani-Kivi M, Leili EK, Shirangi A, Azari Z. Return to sports activity in the revision of anterior cruciate ligament reconstruction: A 2-6 Year follow-up study. J Clin Orthop Trauma 2020; 16:80-85. [PMID: 33717943 PMCID: PMC7920088 DOI: 10.1016/j.jcot.2020.12.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 12/08/2020] [Accepted: 12/22/2020] [Indexed: 10/22/2022] Open
Abstract
INTRODUCTION and Objective: The risk of an anterior cruciate ligament (ACL) injury in young patients and those with sports activity is increasing. Regarding the need of athletes with ACL re-rupture to return to sports, ACL revision surgery has received great importance. This study was conducted to evaluate the outcome of ACL reconstruction revision surgery in athletes. METHOD In general, 62 patients with primary surgery and 62 patients with revision ACL surgery were investigated in this study. The study subjects were matched in terms of age, gender, involved leg, injury mechanism, sports group, time of surgery, and the degree of cartilage injury and ankle meniscus rupture. The studied variables included age, gender, body mass index (BMI), sports group, infection, meniscus injuries, chondral lesion, time to return to sports, quality of return to sports, range of motion, Lachman's test, and knee injury and osteoarthritis outcome score (KOOS), International Knee Documentation Committee score, Lysholm, and Marx scores. They were obtained through the information in the patients' medical records and the questionnaire filled out by the participants and the examiner's physician through the follow-ups. Then, the collected data were imported into the SPSS software and underwent analysis. RESULTS The mean follow-up of patients was 49 months (in the range of 2-6 years). None of the patients had a chronic infection. The mean time to return to sports was 29.2 ± 3.2 and 35.3 ± 4.3 weeks in the primary surgery and revision surgery groups, respectively. In addition, 34 (54.8%) and 25 (40.3%) patients of the primary surgery and the revision surgery groups returned to the same level before injury, respectively. On the latest follow-up, the results of the Lachman test showed no significant difference between the two groups (P = 0.222) whereas Lysholm, IKDC, MARX, and KOOS scores on the latest follow-up in primary surgery were significantly higher than those of revision surgery (P < 0.001). CONCLUSION The rate of return to sports in revision surgery was 14.5% lower than that of primary surgery, and the average time of return to sports was six weeks. The rate of return to sports, similar to before the injury, was significantly lower in the revision group, females, the age group of over 25 years, and contact sports activity, and patients with a chondral lesion. All knee performance scores were also poorer in the revision surgery.
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Affiliation(s)
- Mohsen Mardani-Kivi
- Ghaem Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran
| | - Ehsan Kazemnejad Leili
- Statistics Department, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Ardeshir Shirangi
- General Practitioner, Guilan University of Medical Sciences, Rasht, Iran
| | - Zoleikha Azari
- Department of Anatomical Sciences & Cell Biology, Mashhad University of Medical Sciences, Mashhad, Iran,Corresponding author.
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Takahashi Y, Takahira N, Uchiyama K, Fukushima K, Moriya M, Shibuya M, Tsuda K, Tozaki K, Kudo S, Kaneda H, Sekita J, Takaso M. Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia. BMC Musculoskelet Disord 2020; 21:637. [PMID: 32988377 PMCID: PMC7520950 DOI: 10.1186/s12891-020-03625-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 09/01/2020] [Indexed: 11/16/2022] Open
Abstract
Background Curved periacetabular osteotomy (CPO) was developed to treat acetabular dysplasia. Given that CPO can improve physical function in the early post-operative period, patients might be able to participate in sports activities post-operatively. Therefore, this study examined the post-operative sports activity participation and characteristics of acetabular dysplasia patients who have undergone CPO. Methods A total of 52 patients who underwent CPO for acetabular dysplasia were given a questionnaire on pre- and post-operative sports activities; 43 patients responded. We surveyed patients’ sports activities, satisfaction, and physical function. Patients were divided according to whether they participated in sports activities after CPO. Physical function was compared before and after CPO. Results The pre- and post-operative sports activity participation rates were 55.8 and 72.1%, respectively. Patients mostly performed low-impact sports activities. Moreover, patients who participated in sports activities post-operatively had smaller pre-operative range of motion of hip flexion and returned to full weight bearing earlier. Conclusions Among acetabular dysplasia patients who underwent CPO, 72.1% participated in sports activities post-operatively. Post-operatively, patients participated not only in low-impact sports activities, but also in high-impact ones. These findings might be useful for advising patients who are concerned about participating in sports activities after CPO.
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Affiliation(s)
- Yoshiki Takahashi
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Naonobu Takahira
- Department of Orthopaedic Surgery of Clinical Medicine, Rehabilitation Sciences and Functional Restoration, Science of Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan. .,Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan.
| | - Katsufumi Uchiyama
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0374, Japan
| | - Kensuke Fukushima
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0374, Japan
| | - Mitsutoshi Moriya
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0374, Japan
| | - Manaka Shibuya
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan.,Department of Rehabilitation, Kitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0375, Japan
| | - Kouji Tsuda
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Kiyoshi Tozaki
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Sho Kudo
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Hiroaki Kaneda
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Junya Sekita
- Sensory and Motor Control, Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0373, Japan
| | - Masashi Takaso
- Department of Orthopaedic Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara-city, Kanagawa, 252-0374, Japan
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Tabata I. Tabata training: one of the most energetically effective high-intensity intermittent training methods. J Physiol Sci 2019; 69:559-572. [PMID: 31004287 PMCID: PMC10717222 DOI: 10.1007/s12576-019-00676-7] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Accepted: 04/08/2019] [Indexed: 12/12/2022]
Abstract
For decades, high-intensity interval/intermittent exercise training methods have been used by elite athletes to improve their performance in sports. One of the most effective training methods, i.e., 'Tabata training,' is reviewed herein from the viewpoint of the energetics of exercise. The prior research describing the metabolic profile and effects of Tabata training is also summarized, with some historical anecdotes.
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Affiliation(s)
- Izumi Tabata
- Faculty of Health and Sport Science, Ritsumeikan University, 1-1-1 Noji-Higashi, Kusatsu City, Shiga, 525-8577, Japan.
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21
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Seghda TAA, Fremy D, Millogo GRC, Saludas Y, Aguettaz D, Riocreux C, Catalan PA, Flork L, Eschalier R, Motreff P, Citron B. [Ventricular arrythmia and sport practice: A Gallavardin's ventricular tachycardia during exercice in healthy heart, about a case and review of the literature]. Ann Cardiol Angeiol (Paris) 2019; 68:187-194. [PMID: 30704626 DOI: 10.1016/j.ancard.2018.08.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 08/25/2018] [Indexed: 10/27/2022]
Abstract
Regular physical exercice has undeniable cardiovascular benefits and improves life expectancy. This benefice seems limited to moderate intensity exercises. Intense and chronic physical exercice would lead to heart structural changes. For a long time, knowledge of these cardiac effects seemed limited to the left ventricle. Since more authors have shown that right ventricle is vulnerability to the effects of intense chronic training. We report a Gallavardin-type ventricular stress tachycardia in a young with healthy hearted; in whom a right infundibular arrhythmogenic focus has been found in the absence of structural alteration of the right ventricle. Intense athletic activity may reveal a latent arrhythmogenic focus through sympathetic activation. Ablation was the preferred therapeutic strategy, preferred to drug therapy and derived from an analysis of risk-benefit ratios.
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Affiliation(s)
- T A A Seghda
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France.
| | - D Fremy
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - G R C Millogo
- Service de cardiologie, centre hospitalier d'Aurillac, 15000 Aurillac, France
| | - Y Saludas
- Service de cardiologie, pôle santé République, 63000 Clermont-Ferrand, France
| | - D Aguettaz
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - C Riocreux
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - P A Catalan
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - L Flork
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - R Eschalier
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
| | - P Motreff
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
| | - B Citron
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
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Akiyama T, Gregorio ER, Kobayashi J. Youth sports activity and young people's well-being after a disaster: a trial with the Mastery Approach to Coaching (MAC) in the Philippines. BMC Res Notes 2018; 11:747. [PMID: 30348220 PMCID: PMC6196409 DOI: 10.1186/s13104-018-3860-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Accepted: 10/17/2018] [Indexed: 11/24/2022] Open
Abstract
Objective Sports activities is broadly utilized to support well-being of youth after a disaster or conflict. However, scientific validation of programs have not been conducted. The Mastery Approach to Coaching (MAC) is a coaching-education program on sports activities. The MAC reported to have a positive effect on youngsters’ self-esteem. As self-esteem is generally known to be beneficial for mental status, we tested the effect of a MAC program on students’ self-esteem in a disaster-affected area: Leyte, Philippines. We recruited 10th grade students from three schools; one school was allocated to the MAC intervention and the two schools to the control group. All schools were encouraged to involve students in volleyball from January to February 2015. In January 2015, MAC workshop was conducted in the intervention school before the sports activity. Results A total of 293 students completed the questionnaires. The intervention school (n = 51) showed a significant change in self-esteem, with the mean score increasing from 20.2 to 21.1 (p = 0.02). Neither school in the control group showed the significant change. The result showed the feasibility and a positive effect of sports activity with the MAC. However, further investigation should be conducted. Trial registration UMIN Clinical Trials Registry ID: UMIN000033197 on June 30th 2018. Retrospectively registered
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Affiliation(s)
| | - Ernesto R Gregorio
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila/SEAMEO Regional Center for Public Health, Hospital Administration, Environmental and Occupational Health, Pedro Gil St., Ermita, Manila, Philippines
| | - Jun Kobayashi
- Department of Global Health, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, Japan
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Hepperger C, Gföller P, Abermann E, Hoser C, Ulmer H, Herbst E, Fink C. Sports activity is maintained or increased following total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2018; 26:1515-1523. [PMID: 28341878 DOI: 10.1007/s00167-017-4529-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Accepted: 03/20/2017] [Indexed: 01/06/2023]
Abstract
PURPOSE The purpose of this study was to investigate sports activities and functional abilities in patients following total knee arthroplasty (TKA). It was hypothesized that patients who had undergone TKA would return to a higher activity level as that experienced preoperatively. METHODS Two hundred patients were included in this prospective single-cohort study. All the patients completed subjective questionnaires (Tegner Activity Level, Oxford Knee Score, Visual Analog Scale for pain) prior to surgery as well as at 6, 12, and 24 months postoperatively. Additionally, sports behaviour was evaluated. Sports frequency was divided into four categories: more than 5 times a week, 2-3 times a week, occasionally, and no sports activities. Additionally, the patients were asked to state their three favourite summer and winter sports. RESULTS All patient-reported outcome scores improved significantly over time (p ≤ 0.005). The Tegner Activity Level increased significantly from the preoperative state to 24 months postsurgery (p = 0.005). Six months after surgery, 43% of the patients returned to the same and 35% to a higher Tegner Activity Level than prior to surgery. Gender-related differences were observed for the Tegner Activity Level showing a higher activity level for the male than for the female patients. Overall, 24 months postsurgery 83% of the patients practiced sports in comparison with 79% prior to surgery. CONCLUSIONS Following TKA, the patients were able to increase sports performance, while pain was reduced. Therefore, patients who want to continue their desired sports may safely consider TKA. LEVEL OF EVIDENCE II.
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Affiliation(s)
- Caroline Hepperger
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria
- Research Unit for Orthopedic Sports Medicine and Injury Prevention, Institute for Sports Medicine, Alpine Medicine and Health Tourism (ISAG), UMIT, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria
| | - Peter Gföller
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
| | - E Abermann
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria
| | - Christian Hoser
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria
| | - Hanno Ulmer
- Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Schöpfstraße 41, 6020, Innsbruck, Austria
| | - Elmar Herbst
- Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaninger Str. 22, 81675, Munich, Germany
| | - Christian Fink
- Gelenkpunkt - Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria
- Research Unit for Orthopedic Sports Medicine and Injury Prevention, Institute for Sports Medicine, Alpine Medicine and Health Tourism (ISAG), UMIT, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria
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Porschke F, Schnetzke M, Aytac S, Studier-Fischer S, Gruetzner PA, Guehring T. Sports activity after anatomic acromioclavicular joint stabilisation with flip-button technique. Knee Surg Sports Traumatol Arthrosc 2017; 25:1995-2003. [PMID: 27565482 DOI: 10.1007/s00167-016-4287-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Accepted: 08/09/2016] [Indexed: 02/06/2023]
Abstract
PURPOSE Sports activity after surgical AC joint stabilisation has not been comprehensively evaluated to date. The aim of this study was to determine rate, level and time to return to sports after AC joint stabilisation and to identify the influence of overhead sports on post-operative sports activity. METHODS In this retrospective case series, a total of 68 patients with a high-grade AC joint dislocation (Rockwood type V) were stabilised using a single TightRope technique. Fifty-five patients (80.9 %) with median age of 42.0 (range, 18-65) years completed questionnaires regarding sports activity before and after surgery. Clinical outcome and complications were also evaluated. Forty-three patients participated in sports regularly before injury. Their sports activity was rated according to Allain, and non-overhead and overhead sports were differentiated. RESULTS At median follow-up of 24 (18-45) months, 41 of 43 patients (95.3 %) had returned to sports. 63 % returned to the same sports activity as before injury. 16.3 % needed to adapt the type of sports to reduce demanding activities. 11.6 % reduced the frequency and 32.5 % the intensity of sports. The median time to return to sports was 9.5 (3-18) months. Overhead athletes (Allain Type III and IV) had to reduce their sports activity significantly more often (11.8 vs. 53.8 %; p = 0.011) and needed more time to return to sports (9.5 vs. 4.5 months; p = 0.009). CONCLUSION After stabilisation of AC joint dislocation, the majority of patients returned to sports after a substantial period of time. Overhead athletes, in particular, required more time and had to considerably reduce their sports activity. The findings impact therapeutic decision-making after AC joint injury and help with the prognosis and assessment of rehabilitation progress. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Felix Porschke
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany
| | - Marc Schnetzke
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany
| | - Sara Aytac
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany
| | - Stefan Studier-Fischer
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany
| | - Paul Alfred Gruetzner
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany
| | - Thorsten Guehring
- BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany.
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Galanti G, Stefani L, Mascherini G, Di Tante V, Toncelli L. Left ventricular remodeling and the athlete's heart, irrespective of quality load training. Cardiovasc Ultrasound 2016; 14:46. [PMID: 27855701 PMCID: PMC5114809 DOI: 10.1186/s12947-016-0088-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 10/20/2016] [Indexed: 01/03/2023] Open
Abstract
Background Regular physical exercise determines a progressive increase of the cardiac mass known as adaptive hypertrophy. Up to now, two morphological echocardiographic heart patterns of athletes have been described by Morganroth in 1975: predominant augmentation of wall thickness, and major cavity size in chamber dimensions in the case of prevalent static or dynamic components. The aim of the study was to follow up the impact of physical training on heart morphology and function in a group of elite soccer and rugby players for at least five years. Method From January 1993 to December 2015 a group of 250 elite soccer players and 114 rugby players were examined: 78 soccer players and 60 rugby players were followed up for 5 years. They were matched with a control group. Results LV dimensions and LVMi were significantly higher in the athletes than in the inactive subjects (LVMi : 123.45; LVMi: 81.5 vs 94.36 g/m2 respectively). After the five-year follow up the athletes showed no significant modifications in cardiac dimensions: (LVDd from 52.00 ± mm to 52.90 ± mm; LVSd increased from 31.58 ± mm to 32.33 ± mm; Left Ventricular CMI from 120.77 to 121.45 g/m2;p = NS in soccer; from 50.43 ± mm to 52.22 ± mm; Left Ventricular Systolic diameter increased from 32.51 ± mm to 32.8 ± mm; Left Ventricular Mass index from 81,5 to 87,4 g/m2;p = NS and no significant enhancement of the aortic root diameter was observed (Aortic root: from 27.39 mm to 31.64 mm in soccer players; from 30,68 mm to 30.95 mm). Conclusions No significant differences were found among the athletes practicing sports with different workload components, and resistance training. In trained athletes the dimensions of the LV chamber and LVMi are generally within the upper limits of the normal range. After a five-year follow-up, the dimensions of the chambers of the heart remain within the normal range, despite being within the the upper limits. Regular physical exercise induces mild LV hypertrophy which therefore can be considered an adaptive consequence to stress-exercise.
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Affiliation(s)
- Giorgio Galanti
- Department of Experimental and Clinical Medicine Sport Medicine and Exercise Unit, University of Florence, AOU Careggi-Italy, Via delle Oblate 5, Florence, Italy.
| | - Laura Stefani
- Department of Experimental and Clinical Medicine Sport Medicine and Exercise Unit, University of Florence, AOU Careggi-Italy, Via delle Oblate 5, Florence, Italy
| | - Gabriele Mascherini
- Department of Experimental and Clinical Medicine Sport Medicine and Exercise Unit, University of Florence, AOU Careggi-Italy, Via delle Oblate 5, Florence, Italy
| | - Valentina Di Tante
- Department of Experimental and Clinical Medicine Sport Medicine and Exercise Unit, University of Florence, AOU Careggi-Italy, Via delle Oblate 5, Florence, Italy
| | - Loira Toncelli
- Department of Experimental and Clinical Medicine Sport Medicine and Exercise Unit, University of Florence, AOU Careggi-Italy, Via delle Oblate 5, Florence, Italy
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Ishihara T, Sugasawa S, Matsuda Y, Mizuno M. Improved executive functions in 6-12-year-old children following cognitively engaging tennis lessons. J Sports Sci 2016; 35:2014-2020. [PMID: 27849444 DOI: 10.1080/02640414.2016.1250939] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The aim of this cross-sectional study was to evaluate the relationships between cognitively engaging exercise (i.e., game-based and coordination exercises), executive functions (i.e., inhibitory control and working memory), and physical fitness. Forty junior tennis players (6-12 years old), who regularly participated in tennis lessons (2.55 years, SD = 1.61) prior to the study, were investigated. All participants completed evaluations of executive functions (inhibitory control and working memory) at rest. The duration of each lessons' instructional activities, including coordination training, game-based exercise, rallying, and non-physical activity (explanations and breaks), was recorded. Physical fitness was evaluated using the Tennis Field Test. A longer duration of game-based exercise was positively correlated with inhibitory control and physical fitness. Coordination training was associated with improved working memory. Non-physical activity was inversely correlated with inhibitory control, working memory, and physical fitness. The results suggest that game-based tennis lessons have beneficial effects on inhibitory control and physical fitness levels, and a longer duration of coordination training is associated with better working memory. The present study indicates that shortened non-physical activity time within a sports setting is associated with the development of executive functions and physical fitness.
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Affiliation(s)
- Toru Ishihara
- a Department of Physical Fitness Science, Graduate School of Education , Hokkaido University , Sapporo , Japan
| | | | | | - Masao Mizuno
- c Faculty of Education , Hokkaido University , Sapporo , Japan
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Abstract
INTRODUCTION Dragon Boat training is often suggested to control upper limb edema in breast cancer (BC) survivors, but little information is available regarding the cardiac impact of such activity. The present study evaluates this aspect during a 4-year follow-up of BC survivors. MATERIAL AND METHODS From 2006 to 2010, 55 women diagnosed with BC in 2005, treated with adjuvant therapy without evidence of metastases, were enrolled for competitive Dragon Boat training. They underwent ergometric tests yearly, and 2D echocardiography to evaluate hemodynamic, morphological and functional cardiac parameters. RESULTS The data were compared with those from a group of 36 healthy women (HW). Both groups maintained normal systolic function throughout the period, with Cardiac Mass index, Body Mass Index and Ejection Fraction values being higher in HW. At the onset of the study, the diastolic function of BC survivors was normal though compatible with initial diastolic dysfunction when compared to the diastolic function of HW. After 4 years of competitive activity, the diastolic parameters improved in both groups and particularly in BC survivors (A peak: from 68.5 ± 15.1 cm/s to 50 ± 14.1 cm/s, p < 0.05; Ea: from 9.3 ± 2 cm/s to 11.89 ± 1.7 cm/s, p < 0.001). CONCLUSIONS BC survivors experienced a significant improvement in diastolic function after 4 years of Dragon Boat training. Dragon Boat training impacts favorably on the myocardial performance in patients previously treated with chemotherapy. These results support the positive role of sport activity in myocardial function of BC survivors.
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Affiliation(s)
- Laura Stefani
- a 1 Clinical and Experimental Medicine Department, Sports Medicine Center, University of Florence , Florence, Italy
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Trojani C, Elhor H, Carles M, Boileau P. Anterior cruciate ligament reconstruction combined with valgus high tibial osteotomy allows return to sports. Orthop Traumatol Surg Res 2014; 100:209-12. [PMID: 24529851 DOI: 10.1016/j.otsr.2013.11.012] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Revised: 10/17/2013] [Accepted: 11/04/2013] [Indexed: 02/02/2023]
Abstract
INTRODUCTION This study reports a series of patients operated on by anterior cruciate ligament (ACL) reconstruction combined with valgus high tibial osteotomy (HTO) for chronic anterior knee instability associated with medial tibiofemoral osteoarthritis. It was hypothesized that the combined surgery would enable return to sport, stabilize the knee and relieve medial pain. PATIENTS AND METHODS A retrospective study enrolled a continuous series of 29 patients (20 males, nine females; mean age, 43 years (range, 25-56 yrs), at a mean 14 years (range, 2-29 yrs) after the initial injury. ACL autograft used a bone-patellar tendon-bone transplant in 12 patients and hamstring tendon transplant in 17. Medial opening wedge HTO used an asymmetric wedge plate. Results were assessed on subjective and objective IKDC scores, monopodal weight-bearing and full-leg radiographs, telemetry and Merchant view at a mean 6 years follow-up (range, 25 months to 12 years). RESULTS At follow-up, 23 patients had resumed sports activities, with 45% in competitive sports; 28 were free of instability and 21 free of pain. Mean subjective IKDC score was 77 (34-97) and 70% had A or B global objective IKDC scores. The knee axis was in 2.5° valgus. DISCUSSION Combined ACL graft and valgus HTO relieved pain in 70% of cases, and restored knee stability enabling return to sport in 80%. LEVEL OF EVIDENCE Level IV. Retrospective therapeutic study.
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Affiliation(s)
- C Trojani
- Service de chirurgie orthopédique et traumatologie du sport, hôpital de l'Archet 2, 151, route de St-Antoine-de-Ginestière, 06200 Nice, France.
| | - H Elhor
- Service de chirurgie orthopédique et traumatologie du sport, hôpital de l'Archet 2, 151, route de St-Antoine-de-Ginestière, 06200 Nice, France
| | - M Carles
- Service d'anesthésie-réanimation, hôpital de l'Archet 2, 151, route de St-Antoine-de-Ginestière, 06200 Nice, France
| | - P Boileau
- Service de chirurgie orthopédique et traumatologie du sport, hôpital de l'Archet 2, 151, route de St-Antoine-de-Ginestière, 06200 Nice, France
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Seeger J, Weinmann S, Schmitt H, Bruckner T, Krueger M, Clarius M. The heidelberg sports activity score - a new instrument to evaluate sports activity. Open Orthop J 2013; 7:25-32. [PMID: 23407589 PMCID: PMC3553499 DOI: 10.2174/1874325001307010025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2012] [Revised: 12/19/2012] [Accepted: 12/27/2012] [Indexed: 11/29/2022] Open
Abstract
Objective: An appropriate measuring instrument for assessing if sports activity changes after a surgical treatment is not available yet. We hypothesised that the Heidelberg Sport Activity Score is a valid and adequate instrument for measuring sport activity in patients before and after operative treatment. Design: This retrospective study presents a new score (Heidelberg Sports Activity Score - HAS) for measuring the sport activity in 11 selected sports. Validity, sensitivity and test-retest-reliability have been assessed. Setting: The score includes importance of the sports for patients, impairment of the corresponding joint, and frequency and duration of the sporting activities undertaken. The HAS was validated using 3 criteria: external validation, internal comparison of groups and correlation with the Tegner Score. Patients: A total of 655 patients were recruited for this study. The inclusion criterion was a planned or already received reconstruction (such as a high tibial osteotomy or implantation of a hip or knee prosthesis). The sport activity of these patients was evaluated before and after treatment. Main Outcome Measurement: The mean HAS was 32.1 points preoperatively and 37.0 postoperatively (p=0.017). Results: A high correlation was found between the HAS and the Tegner Score (TS) (r=0.729; p=0.010). The Test-Retest- Reliability was performed within a time interval of 2 weeks and a significant correlation of r=0.752 was found (p<0.01). Sensitivity was analysed using a sample of patients before and after high tibial osteotomy. Conclusions: The HAS is a new, easy to use, effective and valid measuring instrument for the assessment of sports activity in patients before and after operative treatment.
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Affiliation(s)
- Jb Seeger
- Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392 Giessen, Germany
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