Field Of Sports Medicine Research Articles

Authorship decision-making in the field of orthopedic surgery and sports medicine

PurposeTo facilitate decision-making in authorship positions, the International Committee of Medical Journal Editor (ICMJE) developed a guideline that stipulates criteria authors should meet in order to merit authorship. Authors who did not meet these criteria and still enlisted as authors, are called ‘honorary’ authors. In this study, the prevalence and characteristics of honorary authorship (HA) is assessed in the field of Orthopedics and Sports Medicine. MethodsA survey was distributed among corresponding authors of articles published in 2019 in six Orthopedics-dedicated journals. Results479 of the 1392 approached authors responded, leading to a response rate of 34.4%. 91.6% of the respondents were aware of the ICMJE guidelines, whereas 67.8% were aware of the issue of HA. Overall, the prevalence of guideline-based HA was 41.9%, while the prevalence of self-perceived HA was 14.7%. Having a senior member automatically enlisted as author on the departments, was associated with a higher rate of guideline-based HA (OR 5.03) and self-perceived HA (OR 3.31). ConclusionsThe prevalence of HA in the field of Orthopedics and Sports Medicine is high, but comparable to other medical fields. Transparency in authorship decision-making is crucial to maintain liability in scientific articles.

Compatibility of composite biomaterials in repairing bone tissue damage in sports competitions

In sports competitions, bone tissue injury seriously affects athletes’ exercise levels, and some even cause lifelong regrets. With the continuous development of modern medicine, sports medicine has also been rapidly improved, and many tissue engineering techniques have been applied in the field of sports medicine. Used for the treatment of sports injuries, but the repair of bone injuries has always been a thorny issue in the medical field. This article mainly studies the compatibility of composite bio-nanomaterials in the repair of bone tissue damage in sports competitions. The method of constructing bone tissue engineering scaffolds is used to repair bone tissue damage, and the use of protein adsorption and wireless sensor compatibility methods to achieve composite bio-nanomaterials compatible, after 15 days of culture of PCL/PLA/HA nano scaffolds in vitro, stain the protein and observe the binding peptide sequence of the protein, and test the absorbance value. The results of the study showed that the growth rate of surface-bound peptides of nanomaterials was 1.2%, the absorbance value was 540 nm, and the hemolysis value of the experimental group was less than 5%. Biological compatibility is mainly related to the binding peptides on the cell surface, through intracellular and extracellular molecular signal transduction, and has a clear spatiotemporal sequence to optimize bone repair and recovery functions. Therefore, the use of synthetic nanomaterials to repair bone damage is a future trend, and biocompatibility is the key to this research.

A New Scientific Paradigm of Physical Culture

Journal of Physical Fitness, Medicine & Treatment in Sports is an interdisciplinary open access peer reviewed journal that publishes original research, reviews, short communication, case reports, news, commentaries etc., in the field of sports medicine, treatment and exercise medication.

Substrate Materials for Biomolecular Immobilization within Electrochemical Biosensors.

Electrochemical biosensors have potential applications for agriculture, food safety, environmental monitoring, sports medicine, biomedicine, and other fields. One of the primary challenges in this field is the immobilization of biomolecular probes atop a solid substrate material with adequate stability, storage lifetime, and reproducibility. This review summarizes the current state of the art for covalent bonding of biomolecules onto solid substrate materials. Early research focused on the use of Au electrodes, with immobilization of biomolecules through ω-functionalized Au-thiol self-assembled monolayers (SAMs), but stability is usually inadequate due to the weak Au–S bond strength. Other noble substrates such as C, Pt, and Si have also been studied. While their nobility has the advantage of ensuring biocompatibility, it also has the disadvantage of making them relatively unreactive towards covalent bond formation. With the exception of Sn-doped In2O3 (indium tin oxide, ITO), most metal oxides are not electrically conductive enough for use within electrochemical biosensors. Recent research has focused on transition metal dichalcogenides (TMDs) such as MoS2 and on electrically conductive polymers such as polyaniline, polypyrrole, and polythiophene. In addition, the deposition of functionalized thin films from aryldiazonium cations has attracted significant attention as a substrate-independent method for biofunctionalization.

Telemedicine as a Therapeutic Option in Sports Medicine: Results of a Nationwide Cross-Sectional Study among Physicians and Patients in Germany.

Background: Worldwide, the number of treatments in the field of sports medicine is increasing. However, the COVID-19 pandemic has changed everyday life. Many consultations had to be cancelled, postponed, or converted to a virtual format. Telemedicine in sports medicine could support physicians. This study analyzes the use and perception of telemedicine applications among physicians and patients in the field of sports medicine in Germany. Methods: This prospective cross-sectional study was based on a survey of sports medicine physicians and patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated. Results: We analyzed the responses of 729 patients and 702 sports medicine physicians. Most believed that telemedicine is useful. Both physicians and patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine but would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. Telemedicine was considered helpful for follow-up monitoring and prevention by both groups. Conclusion: Telemedicine in sports medicine has seen limited use but is highly accepted among physicians and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge regarding the use of telemedicine. More research in telemedicine in sports medicine is needed. This includes large-scale randomized controlled trials, economic analyses and explorations of user preferences.

Molecular Portrait of an Athlete.

Sequencing of the human genome and further developments in “omics” technologies have opened up new possibilities in the study of molecular mechanisms underlying athletic performance. It is expected that molecular markers associated with the development and manifestation of physical qualities (speed, strength, endurance, agility, and flexibility) can be successfully used in the selection systems in sports. This includes the choice of sports specialization, optimization of the training process, and assessment of the current functional state of an athlete (such as overtraining). This review summarizes and analyzes the genomic, proteomic, and metabolomic studies conducted in the field of sports medicine.

Significant Journals and their Countries in the Field of Sports Medicine Literature: A Bibliometric Analysis

The literature in the field of Sports Medicine and identified significant journals and their countries were studied. A total of 43727 records on ‘Sports Medicine’ is covered in the MEDLINE database. 50.69% of records were journal articles in this study. Bradford Law has been used for this study and found significant journals in the field of Sports Medicine. The United States is dominated in the first rank and also covered fourth to eighth ranks and tenth rank in the study. The United States with the major publications of 62.5% of output in zone-1 study, which is in the first position followed by Germany, Denmark, England, Italy, and Turkey. In zone-2 study, the United States shared 40.6% in the first position followed by England, Switzerland, and Germany etc. In zone-1 and zone-2 combined study; it shows that United States shared 42.86% followed by England in the second position, Germany and Switzerland shared the third position, the Netherlands in the fourth position, and China in the fifth position.

Exploring the Components of Therapeutic Exercise Program(TEP) for Children with Developmental Disabilities

This study aimed to identify and categorize the components of therapeutic exercise program (TEP) for children with developmental disabilities, potentially to increasing their remedial effects and physical activities. A TEP refers to the restoration process of physical functions and performance of human beings by engaging in a form of physical exercise. A comprehensive and objective category was developed systematically based on the extensive review of literature in the fields of therapeutic exercise, patient management, sports medicine, sports science, and other related areas. The identified categories included (a) anatomical features (e.g., physiological functions), (b) motor and skills (e.g., flexibility, physical strength), and (c) personal background (e.g., medication, family history). In addition, three training components (those with upper limbs, whole body, and lower limbs) were proposed for each of the five standard anatomical positions (i.e., standing position, prone position, supine, lateral recumbent, sitting potion). Based on the results, the value of this study and some practical guidelines (e.g., customization of TEP) were discussed.

Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography.

Optical coherence tomography angiography (OCTA) is a non-invasive tool for imaging and quantifying the retinal and choroidal perfusion state in vivo. This study aimed to evaluate the acute effects of isometric and dynamic exercise on retinal and choroidal sublayer perfusion using OCTA. A pilot study was conducted on young, healthy participants, each of whom performed a specific isometric exercise on the first day and a dynamic exercise the day after. At baseline and immediately after the exercise, heart rate (HR), mean arterial pressure (MAP), superficial capillary plexus perfusion (SCPP), deep capillary plexus perfusion (DCPP), choriocapillaris perfusion (CCP), Sattlers’s layer perfusion (SLP), and Haller’s layer perfusion (HLP) were recorded. A total of 34 eyes of 34 subjects with a mean age of 32.35 ± 7.87 years were included. HR as well as MAP increased significantly after both types of exercise. Both SCPP and DCPP did not show any significant alteration due to isometric or dynamic exercise. After performing dynamic exercise, CCP, SLP, as well as HLP significantly increased. Changes in MAP correlated significantly with changes in HLP after the dynamic activity. OCTA-based analysis in healthy adults following physical activity demonstrated a constant retinal perfusion, supporting the theory of autoregulatory mechanisms. Dynamic exercise, as opposed to isometric activity, significantly changed choroidal perfusion. OCTA imaging may represent a novel and sensitive tool to expand the diagnostic spectrum in the field of sports medicine.

Sports Medicine and Artificial Intelligence: A Primer

Artificial intelligence (AI) represents the fourth industrial revolution and the next frontier in medicine poised to transform the field of orthopaedics and sports medicine, though widespread understanding of the fundamental principles and adoption of applications remain nascent. Recent research efforts into implementation of AI in the field of orthopaedic surgery and sports medicine have demonstrated great promise in predicting athlete injury risk, interpreting advanced imaging, evaluating patient-reported outcomes, reporting value-based metrics, and augmenting the patient experience. Not unlike the recent emphasis thrust upon physicians to understand the business of medicine, the future practice of sports medicine specialists will require a fundamental working knowledge of the strengths, limitations, and applications of AI-based tools. With appreciation, caution, and experience applying AI to sports medicine, the potential to automate tasks and improve data-driven insights may be realized to fundamentally improve patient care. In this Current Concepts review, we discuss the definitions, strengths, limitations, and applications of AI from the current literature as it relates to orthopaedic sports medicine.

Para sport translation of the IOC consensus on recording and reporting of data for injury and illness in sport

In 2020, the IOC proposed a universal methodology for the recording and reporting of data for injury and illness in sport. Para sport is played by individuals with impairment, and...

Dr. Jack Taunton, Trailblazer and Mentor

This article highlights the important contributions that Dr. Jack Taunton has made to the field of Sport and Exercise Medicine during his long and illustrious career. He has been a mentor to many young clinicians and has been a pioneer in shaping the Sport and Exercise Medicine landscape in Canada and internationally. His energy and passion to grow this field have influenced many young clinicians and he has set a high bar that will be hard to match.

Interprofessional collaboration among sport science and sports medicine professionals: an international cross-sectional survey

ABSTRACT As in other areas of healthcare, the quality of patient care in the field of sport science and sports medicine (SSSM) could benefit from interprofessional collaboration between the professions involved. As a prerequisite, healthcare providers in the SSSM field should be equipped with positive attitudes and perceptions toward interprofessional collaboration (IPC) and interprofessional education (IPE), however detailed investigations are lacking. This study aimed to collect and compare socio-demographic data as well as interprofessional attitudes of SSSM professionals from an international perspective. Subjects were invited via professional SSSM organizations, personal networks and social media to participate in a cross-sectional online survey. Three-hundred and twenty complete datasets of SSSM professionals from the regions USA (n = 83), Canada (n = 179) and Europe (n = 58) were evaluated. In this survey, socio-demographic data as well as attitudes toward IPC and IPE using the 4 subscales of the University of West of England interprofessional Questionnaire (UWE-IP) were collected and analyzed with descriptive and inferential statistics. In the socio-demographic data, there was a diversity of participants representing different regional healthcare, sports and educational framing conditions. On average, in all regions clear positive attitudes were shown in the UWE-IP subscales communication & teamwork, interprofessional learning and interprofessional relationship, whereas in the subscale interprofessional interaction negative perceptions were observed on average across all regions. Significant effects of participants’ demographic variables region, age and gender on some of the subscales were detected. Practitioners in the SSSM field have a high willingness and a beneficial preparedness for IPC and IPE, however, the framing conditions and the systems the respondents surveyed are working in do not support IPC. Interprofessional settings in learning and in workplace (e.g., theme-centred workshops, patient-centred case studies, health promotion activities) may help to improve interprofessional interactions in SSSM.

Neurological Examination in a Rare Case of Upper Motor Neuron Injury: A Case Report

Background Neurological complaints are common in the field of sports medicine and range from simple nerve root compression to complex postconcussive syndrome. As a result, a concise clinical examin...

Emotional Changes and Functional Progressions during Post-Operative Rehabilitation in Collegiate Student-Athletes: A Preliminary Study.

An interrelationship between psychological and physical health is generally accepted in the field of sports medicine. This preliminary study explored the association between emotional changes and functional outcomes and aimed to describe how each aspect progresses during postoperative rehabilitation. Four collegiate student-athletes (1 female and 3 males) who underwent supervised postoperative rehabilitation due to a lower-extremity injury volunteered for participation in the study. Emotion was quantified using a visual analogue scale prior to and after each session while self-reported function using the Lower-extremity Functional Scale was assessed every eight sessions throughout rehabilitation. There was a moderate correlation between emotional changes and functional outcomes (r = 0.58, p < 0.0001). After the first emotional improvement, patients experienced six emotional deteriorations (28% of the entire rehabilitation period; F49,297 = 2.25, p < 0.0001), while their function consistently increased (F49,147 = 17.39, p < 0.0001). Clinicians should be aware of the relationship between emotional changes and functional progression as well as the occurrence of emotional fluctuations when supervising and consulting patients during postoperative rehabilitation. A larger study is warranted to generalize the results.

Characteristics of Orthopaedic Sports Medicine Fellowship Directors.

Background:No study in the orthopaedic literature has analyzed the demographic characteristics or surgical training of sports medicine fellowship directors (FDs). Objective determinations as to what makes a physician qualified for this leadership position remain unclear; thus, it is important to identify these qualities as future physicians look to fill these roles.Purpose:To illustrate characteristics common among sports medicine FDs.Study Design:Cross-sectional study.Methods:The 2020 Accreditation Council for Graduate Medical Education Fellowship Directory was used to identify the FDs for all orthopaedic sports medicine fellowship programs in the United States. The characteristics and educational background data for FDs were gathered by 2 independent reviewers from up-to-date curricula vitarum, Web of Science, and institutional biographies and consolidated into 1 database. Data points gathered included age, sex, residency/fellowship training location and graduation year, name of current institution, length of time at current institution, time since training completion until being appointed FD, length of time in current FD role, and personal research H-index.Results:We identified 90 current orthopaedic sports medicine FDs. The mean Scopus H-index was 24.1 (median, 17). The mean age of FDs was 55.4 years; 87 of 90 (96.7%) were male and 3 (3.3%) were female; and 79/90 (87.8%) were White and 3/90 (3.3%) were African-American. The mean time to complete residency was 5.1 years (range, 5.0-6.0 years), and the most attended residency programs were the Hospital for Special Surgery (n = 9), the Harvard Combined Orthopaedic Residency Program (n = 5), and Duke University Medical Center (n = 4). The mean time required to complete a fellowship was 1.1 years (range, 1.0-2.0 years), and the fellowship programs that produced the most future FDs were the American Sports Medicine Institute (n = 11), the Steadman Hawkins Clinic (Vail) (n = 8), the Kerlan-Jobe Orthopaedic Clinic (n = 7), and the Hospital for Special Surgery (n = 7). The mean time from completion of fellowship to appointment as a FD was 12.8 years (range, 1-39 years).Conclusion:Women and minority groups are largely underrepresented among leadership positions in the field of orthopaedic sports medicine.

Entrustable Professional Activities (EPAs) and milestones for MD sports medicine: A proposed portfolio

BackgroundSports Medicine is an upcoming postgraduate speciality in India. A MD Sports Medicine specialist is expected to contribute in the prevention of sports injuries, sportsmen training and enhancement of performance apart from being involved in planning of conduct of sports events amongst many other roles and responsibilities. This requires hands-on training and acquisition of skill sets required to perform these roles. The National Medical Council of India highlights the need for a competency based curriculum and has laid down guidelines for the course. There was a felt need to develop Entrustable Professional Activities (EPAs) and milestones based on the prescribed curricula and develop a portfolio for continuous monitoring of the achievement of these EPAs. MethodsA five step model was done by experts in the field to prepare the EPAs, milestones and portfolio. This consisted of faculty development, identification of the EPAs and milestones and portfolio preparation. Results114 EPAs and 961 milestones were identified by the subject experts. The portfolio was developed with the help of specialists and faculty of the field of sports medicine, and medical educationists. ConclusionPost graduate medical education is mandated to be competency based. A portfolio has been developed in the current exercise for use in a competency based post-graduate curriculum in sports medicine. This will help in the better implementation of CBME in the country.

The management of concussion in sport is not standardized. A systematic review

Introduction: Concussion is traumatic brain injury with associated tissue damage commonly produced by an indirect or direct head or facial trauma that can negatively impact an athletes’ career and personal life. In this context, the importance on how to deal with a concussion has received attention from worldwide literature and has become a topic of enormous interest in the sports medicine arena. Objective: This systematic review aimed to investigate how sports-related concussion is being managed regarding athletic injuries, athletes’ age, clinical signs of concussion, adopted questionnaires, as well as decision making in sports medicine. Methods: A systematic review of the literature was performed searching 10 electronic databases with no limitations for year of publication up to December 2019. The search terms used were: Brain Concussion, Athletes, Sports Medicine, Athletic Injuries, Clinical Decision-Making, and Decision Making. The articles were considered eligible when the studies related to populations of regular sports practitioners, professional or recreational, of any age; sports injury; articles reporting concussion evaluation in at least 30 athletes; and articles published in English, French, Portuguese, Italian. We excluded systematic review articles, reviews, editorials, sport-unrelated concussion, no questionnaire application, approaching retired athletes, consensus statement letters, author’s reply to editorials, synopsis, and abstracts. Results: The parameters adopted for decision-making and management were broadly variable and were based on a variety of clinical signs or scoring outcomes from a myriad of questionnaires with little consistency in protocol or management guidelines, which could guide the average clinician. Conclusion: This systematic review provides current evidence that post-concussion management in sports medicine has yet to accomplish a standardized protocol that clinicians could use to optimally care for athletes. The extensive number of manuscripts and studies addressing the topic confirms that sports-related concussion in the pediatric and adolescent population has come to the forefront in the sports medicine field.

Application and research of nano-biomaterials in knee cruciate ligament rehabilitation after sports injury

Anterior cruciate ligament injury of the knee joint is a more common occurrence in sports injuries. In recent years, in the field of sports medicine and rehabilitation medicine, the evaluation of the treatment of anterior cruciate ligament after reconstruction by biomechanical methods has become a research hotspot. The study found that reconstruction of the knee anterior cruciate ligament by surgery can restore knee function to a certain extent, but the biomechanical parameters of the lower limbs may still be abnormal. Therefore, the use of biomechanics to develop a targeted rehabilitation treatment plan for the knee joint after surgery can effectively avoid the recurrence of injuries. This aims to restore patients from their pre-injury state as much as possible through rehabilitation treatment without affecting their future normality life. By analysing the structural and mechanical characteristics of the knee joint, the mechanism of cruciate ligament injury is clarified. The types and characteristics of cruciate ligament repair materials are reviewed to provide a reference for preventing knee cruciate ligament injury and post-injury repair. Comparative evaluation is made of two different biomaterials, fibrin glue composite bone morphogenetic protein (FG-BMP) and recombined xenogeneic bone (RBX) on tendon-bone interface healing.

New approaches to medical and physical rehabilitation of athletes with professional diseases

The lack of an integrated approach to treatment and rehabilitation in sports medicine can lead to a decrease in professional longevity and, in some cases, disability of athletes. This article demonstrates the effectiveness of a systematic approach to the correction of professional diseases of athletes. Objective. To substantiate the effectiveness of the developed treatment and rehabilitation programs based on an integrated multidisciplinary approach to the correction of specific pathologies. This article analyzes the structure of the professional morbidity of athletes. The authors have demonstrated the effectiveness of the developed rehabilitation programs for athletes with occupational diseases, and showed the high efficiency of a combination of surgical and therapeutic correction of occupational diseases with the subsequent use of rehabilitation measures. The use of the medical rehabilitation programs slowed down the progression of occupational diseases in athletes, or evened out the negative consequences of existing diseases by 87.3%. In addition, the researchers proposed the use of the approach of professional retraining, taking into account the functional capabilities of the body of athletes. The established high therapeutic efficiency of the developed rehabilitation programs for athletes with occupational diseases allows them to be recommended for wide practical use by specialists working in the field of sports medicine.