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Cotellessa F, Puce L, Formica M, May MC, Trompetto C, Perrone M, Bertulessi A, Anfossi V, Modenesi R, Marinelli L, Bragazzi NL, Mori L. Effectiveness of a Preventative Program for Groin Pain Syndrome in Elite Youth Soccer Players: A Prospective, Randomized, Controlled, Single-Blind Study. Healthcare (Basel) 2023; 11:2367. [PMID: 37685401 PMCID: PMC10486402 DOI: 10.3390/healthcare11172367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/19/2023] [Accepted: 08/20/2023] [Indexed: 09/10/2023] Open
Abstract
Groin pain syndrome (GPS) is a prevalent issue in soccer. This study assessed the effectiveness of a new preventive protocol on GPS for youth soccer players. The protocol included targeted stretching and strengthening exercises for the adductor and core muscles from preseason to midseason. A questionnaire and two pain provocation tests were used for the evaluation. Mild GPS required positive results in at least two evaluations, while severe GPS was associated with pain incompatible with engagement in any activity confirmed by diagnostic ultrasound. Forty-two elite male athletes (aged 16.9 ± 0.7 years) participated in the study, with half of them assigned to the usual training (control group) and the remaining athletes undergoing the preventive protocol (treatment group) for 24 weeks. GPS rates were 14.3% (three diagnoses: two mild, one severe) in the treatment group and 28.6% (six diagnoses: three mild, three severe) in the control group. Toward the end of the season, three players, one from the treatment group and two from the control group had to stop playing due to severe GPS problems. In addition, one player in the control group stopped midseason. Even though the reduction in the risk of developing GPS was not significant (relative risk of 0.50 ([95%CI 0.14 to 1.74], p = 0.2759), the halved incidence of severe GPS and the increased muscle strength related to the treatment (p = 0.0277) are encouraging data for future studies.
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Affiliation(s)
- Filippo Cotellessa
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
| | - Luca Puce
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
| | - Matteo Formica
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
- Orthopedic Clinic, Department of Integrated Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, Italy
| | - Maria Cesarina May
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Carlo Trompetto
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Marco Perrone
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
| | - Andrea Bertulessi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Vittorio Anfossi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Roberto Modenesi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Lucio Marinelli
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
| | - Nicola Luigi Bragazzi
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, ON M3J 1P3, Canada;
| | - Laura Mori
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy; (F.C.); (C.T.); (M.P.); (A.B.); (V.A.); (R.M.); (L.M.); (L.M.)
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (M.F.); (M.C.M.)
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Kopscik M, Crisman JL, Lomasney L, Smith S, Jadidi S. Sports Hernias: A Comprehensive Review for Clinicians. Cureus 2023; 15:e43283. [PMID: 37692688 PMCID: PMC10492628 DOI: 10.7759/cureus.43283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2023] [Indexed: 09/12/2023] Open
Abstract
Sports hernias are a complex cause of chronic groin pain in athletes, posing diagnostic and treatment challenges for clinicians. This review article synthesizes current knowledge on sports hernias, exploring pathogenesis, diagnostic approaches, and management strategies. Despite the growing body of research, sports hernias continue to present a significant challenge, necessitating a multidisciplinary approach and further research to improve clinical outcomes. This comprehensive review aims to equip clinicians with an updated understanding of sports hernias, ensuring optimal patient care and informing future research.
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Affiliation(s)
- Michael Kopscik
- Family & Community Medicine, AnMed Health Medical Center, Anderson, USA
| | - Joseph L Crisman
- Family & Community Medicine, Loyola University Medical Center, Chicago, USA
| | - Laurie Lomasney
- Musculoskeletal Imaging, Interventional Radiology, Diagnostic Radiology, Loyola University Medical Center, Chicago, USA
| | - Sean Smith
- Musculoskeletal Radiology, Superior Sports Radiology, Greenville, USA
| | - Shaheen Jadidi
- Sports Medicine, Edward-Elmhurst Health/NorthShore University HealthSystem, Chicago, USA
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Guarneri B, Morrison L, Martorana A, Gujral I, Harris L. Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study. Cureus 2023; 15:e38023. [PMID: 37228531 PMCID: PMC10205051 DOI: 10.7759/cureus.38023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2023] [Indexed: 05/27/2023] Open
Abstract
Introduction Athletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to play (RTP) rates and performance following these surgeries. Methods A retrospective review of publicly available data of all MLS players who underwent surgery to repair an isolated AP injury from the league inception year of 1993 through 2021 was performed. Demographic data at the time of injury was collected. Athletes who successfully returned to play for at least two seasons in the MLS were matched to healthy controls in a 1:2 ratio by demographics and position. The index year was defined as the season, including pre- and post-season, that the surgery occurred. RTP date and performance metrics one and two years pre- and post-index year were collected. Statistical analysis was performed. Results Eighty-eight players underwent surgical repair for AP from 1993 through 2021. Eighty-five athletes were able to successfully RTP (96.5%). Twenty-five players met the inclusion criteria and were included in the final analysis. The average RTP time was 1.08±4.92 months. During the combined seasons following surgery, athletes in the AP group displayed a significant reduction in minutes played compared to the two combined seasons prior to surgery (4153±912.77 vs. 3405.36±1342.35 minutes; p=0.03). There was no significant reduction in performance metrics when compared to both prior season statistics and the matched cohort (p>0.05). Conclusion There is a high RTP rate among MLS players who undergo isolated surgical repair of AP. Although there was a significant reduction in combined minutes played in the two ensuing seasons following surgery, athletes who RTP demonstrated equivalent performance metrics comparable to their pre-injury seasons as well as to a matched cohort.
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Affiliation(s)
- Briley Guarneri
- School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA
| | - Logan Morrison
- School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA
| | - Adam Martorana
- School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA
| | - Ishan Gujral
- School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA
| | - Lafe Harris
- School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA
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Li L, Li H. Recognition and Analysis of Sports on Mental Health Based on Deep Learning. Front Psychol 2022; 13:897642. [PMID: 35783692 PMCID: PMC9240480 DOI: 10.3389/fpsyg.2022.897642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 04/29/2022] [Indexed: 11/13/2022] Open
Abstract
This paper presents the purpose of sport recognition of mental health for users and analyzes and studies the recognition of mental health by sports based on deep learning. The recognition model of sport mental health state composed of data layer, logic layer and display layer is built. After fusing human health data with deep learning algorithm, the feature of human health mutual information is extracted, the feature into the recognition model of mental health state is inputted, and the recognition results of sport mental health mode after forward and reverse operation are outputted. The recognition data of sports on mental health status are obtained, which correspond to the link flowing through during multi-level transmission, calibrate the multi-level transmission point, and fuse and process the recognition information of sports on mental health status. The experimental results show that the loss value of the research method when analyzing the effect of sports on mental health enhancement is the smallest, the output result is reliable, can effectively improve the body mass index (BMI) of the human body, has the most controllable amount of data, and has good performance.
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Affiliation(s)
- LingSong Li
- School of Physical Education, Harbin University, Harbin, China
| | - HaiXia Li
- Harbin Institute of Physical Education, Harbin, China
- *Correspondence: HaiXia Li,
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