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Abstract
The purpose of this study was to quantify and compare kinematic, temporal, and kinetic characteristics of American and Korean professional pitchers in order to investigate differences in pitching mechanics, performance, and injury risks among two different cultures and populations of baseball pitchers. Eleven American and eight Korean healthy professional baseball pitchers threw multiple fastball pitches off an indoor throwing mound positioned at regulation distance from home plate. A Motion Analysis three-dimensional automatic digitizing system was used to collect 200 Hz video data from four electronically synchronized cameras. Twenty kinematic, six temporal, and 11 kinetic variables were analyzed at lead foot contact, during the arm cocking and arm acceleration phases, at ball release, and during the arm deceleration phase. A radar gun was used to quantify ball velocity. At lead foot contact, the American pitchers had significantly greater horizontal abduction of the throwing shoulder, while Korean pitchers exhibited significantly greater abduction and external rotation of the throwing shoulder. During arm cocking, the American pitchers displayed significantly greater maximum shoulder external rotation and maximum pelvis angular velocity. At the instant of ball release, the American pitchers had significantly greater forward trunk tilt and ball velocity and significantly less knee flexion, which help explain why the American pitchers had 10% greater ball velocity compared to the Korean pitchers. The American pitchers had significantly greater maximum shoulder internal rotation torque and maximum elbow varus torque during arm cocking, significantly greater elbow flexion torque during arm acceleration, and significantly greater shoulder and elbow proximal forces during arm deceleration. While greater shoulder and elbow forces and torques generated in the American pitchers helped generate greater ball velocity for the American group, these greater kinetics may predispose this group to a higher risk of shoulder and elbow injuries.
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Trojian TH, Collins S. The anterior cruciate ligament tear rate varies by race in professional Women's basketball. Am J Sports Med 2006; 34:895-8. [PMID: 16476911 DOI: 10.1177/0363546505284384] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Female basketball players are more likely to tear their anterior cruciate ligament than are their male counterparts. Many causes are postulated for the difference observed in the rate of anterior cruciate ligament tears between genders. However, little is known about the differences in tears within gender. HYPOTHESIS The rate of anterior cruciate ligament tears is different in White European American female basketball players and non-White European American players. STUDY DESIGN Cohort study (Prevalence); Level of evidence, 2. METHODS The authors investigated the differences in anterior cruciate ligament tears by risk exposure in women of different racial or ethnic backgrounds playing in the Women's National Basketball Association for the 1999 through 2003 seasons. Using the injury surveillance data from the Women's National Basketball Association, the authors compared anterior cruciate ligament injuries in White European American and non-White European American players to determine differences in the rate of anterior cruciate ligament tears between racial groups. RESULTS The anterior cruciate ligament tear rate for White European American players was 0.45 per 1000 athletic exposures, whereas for non-White European American players (black or African American, Hispanic, and Asian players) the rate was 0.07. The odds ratio of anterior cruciate ligament tears in White European American versus non-White European American players was 6.55 (95% confidence interval, 1.35-31.73). CONCLUSION Our retrospective study shows that the anterior cruciate ligament tear rate for White European American players was 0.45 per 1000 athletic exposures, whereas tear rates in the Women's National Basketball Association vary by racial group, with White European American players having more than 6 times the anterior cruciate ligament tear rate of other ethnic groups combined. Further prospective studies of athletes are needed to validate this finding and shed light on possible reasons.
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Shelbourne KD, Gray T, Benner RW. Intercondylar notch width measurement differences between African American and white men and women with intact anterior cruciate ligament knees. Am J Sports Med 2007; 35:1304-7. [PMID: 17379922 DOI: 10.1177/0363546507300060] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND A recent report of professional women's basketball found that white European American female players were 6.5 times more likely to tear their anterior cruciate ligament than their nonwhite European American counterparts. African Americans accounted for 95% of the nonwhite European American group. HYPOTHESIS African American men and women have wider intercondylar notches than white men and women. STUDY DESIGN Cohort study (prevalence); Level of evidence, 2. METHODS We obtained 45 degrees flexed weightbearing posteroanterior radiographs on 517 patients who had knee problems other than an anterior cruciate ligament injury or arthrosis. One experienced observer measured the intercondylar notch width with no knowledge of race or gender, and the measurements were analyzed based on race and gender. RESULTS The mean intercondylar notch width was 15.5 mm (SD = 2.8; range, 9-22) for African American women and 14.1 mm (SD = 2.5; range, 8-21) for white women; this difference was statistically significant (P = .009). Similarly, the mean intercondylar notch width was 18.0 mm (SD = 3.6; range, 10-27) for African American men and 16.9 mm (SD = 3.1; range, 9-27) for white men; these values were statistically significantly different (P = .003). CONCLUSION We conclude that African Americans have statistically significantly wider intercondylar notch widths on 45 degrees flexed weightbearing posteroanterior radiographs than whites of the same gender. This relationship may offer an explanation for the difference between races with regard to risk of anterior cruciate ligament tears.
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Dane S, Can S, Gürsoy R, Ezirmik N. Sport injuries: relations to sex, sport, injured body region. Percept Mot Skills 2004; 98:519-24. [PMID: 15141916 DOI: 10.2466/pms.98.2.519-524] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The present study evaluated the association among sex, sport, and injured body region of sport injuries. The subjects were 329 men and 127 women, ranging in age from 17 to 28 years, attending classes in the departments of Physical Training and Sport of Atatürk University (Erzurum, Erzincan, and Ağri in Turkey). There were no differences between men and women in percentages of injuries. The difference among various sports in the percentages of injured athletes was statistically significant. Running had the lowest percentage of injuries and basketball had the highest percentage. The most frequently injured body regions were the foot and the ankle in basketball, volleyball, soccer, and running, but in wrestling, the knee. These findings suggest that injury rates are associated with the sport rather than sex of player, and the most frequently injured body regions are the lower extremities. Therefore, the muscles of lower extremity should be strengthened to avoid injuries.
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Guo H, Liu J, Qi X, Ning G, Zhang H, Li X, Ma X. Epidemiological characteristics of adult SCIWORA in Tianjin, China: a preliminary study. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2012; 21:165-71. [PMID: 22037845 PMCID: PMC3252444 DOI: 10.1007/s00586-011-2041-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2010] [Revised: 06/28/2011] [Accepted: 10/04/2011] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The epidemiology of spinal cord injury without radiographic abnormality (SCIWORA) is less frequently reported in adults as compared with children. The annual incidence of SCIWORA was approximately 5.74% per million in Tianjin from 2004 to 2008. Importantly, the epidemiological characteristics of adult SCIWORA may be different from that in children. The aim of this study was to evaluate the radiological-clinical data of patients with adult SCIWORA, and to relatively analyze the epidemiological features. MATERIALS AND METHODS Inpatients with cervical SCIWORA who were 16 and above in Tianjin were admitted in municipal hospitals in Tianjin from 2004 to 2008; all the patients received MRI scanning in sagittal and axial views. Epidemiological characteristics, such as injury origin, injury level or severity, neurological scale and MRI feature were acquired. RESULTS In total, 203 patients were enrolled. The average age among the adult groups was 55.9 years (men 55.8 years, women 53.6 years). SCIWORA occurred more commonly in adults in the 46-60 age group, and falls were the leading cause of injury (52.2%), followed by vehicular injury (28.6%). The most predominantly affected level was C4/5 (48.7%), followed by C5/6 (30.5%) and C3/4 (12.8%), respectively. The occurrence of central cord syndrome (50.2%) with posterior longitudinal ligament tear (43.8%) was relatively higher than other injury patterns. CONCLUSION It is clear that adult cervical SCIWORA is different from that in the pediatric group. Our study highlights the epidemiological properties of adult SCIWORA in Tianjin, China. Differing from other reports, particularly epidemiology study, we represent the first report regarding adult SCIWORA from China. As the geriatric population increases, it is very important to set up an individualized evaluation system based on a nationally scaled epidemiological database. The results from our study will be useful in assisting in the creation of such a database.
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Taylor CJ, Pizzari T, Ames N, Orchard JW, Gabbe BJ, Cook JL. Groin pain and hip range of motion is different in Indigenous compared to non-indigenous young Australian football players. J Sci Med Sport 2011; 14:283-6. [PMID: 21444244 DOI: 10.1016/j.jsams.2011.02.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2010] [Revised: 02/05/2011] [Accepted: 02/18/2011] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Hip and groin pain are common problems in Australian football. Although indigenous (I) players are at greater risk of soft tissue injury than their non-indigenous (non-I) counterparts, Aboriginal descent has not previously been identified as a risk factor for hip and groin injury. The aim of this study was to investigate if hip and groin screening tests would demonstrate differences between indigenous and non-indigenous junior elite AF players. DESIGN Cross-sectional study. METHOD Two hundred and seventy elite junior Australian football players were screened using five hip and groin musculoskeletal tests. RESULTS Thirty-three players (12%) were indigenous. Differences were demonstrated between the two groups for right prone hip internal rotation (I X = 27.60 ± 9.16, non-I X = 33.39 ± 8.88, p < 0.001) and left prone hip internal rotation (I X = 25.83 ± 10.25, non-I X = 31.36 ± 8.75, p < 0.001), pressure on squeeze test with knees at 90° (I X = 165.71 ± 40.32, non-I X = 188.17 ± 62.32, p = 0.001) and pressure on squeeze tests with knees at 0° (I X = 172.57 ± 35.98, non-I X = 202.57 ± 49.14, p = 0.049), and pain provocation during squeeze test with knees at 90° (I X = 3.19 ± 2.26, non-I X = 1.03 ± 1.78, p > 0.001). CONCLUSIONS The indigenous players displayed less range of passive hip internal rotation with the hip in neutral, reduced adductor squeeze force and higher levels of groin pain with the squeeze test at 90°. The differences observed between indigenous and non-indigenous players suggest indigenous players are at greater risk of hip and groin injuries in Australian football.
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Comparative Study |
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Crichlow R, Williamson S, Geurin M, Heggem H. Self-reported injury history in Native American professional rodeo competitors. Clin J Sport Med 2006; 16:352-4. [PMID: 16858221 DOI: 10.1097/00042752-200607000-00012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Evaluation of rodeo injury and the use of protective equipment. DESIGN Cross-sectional survey. SETTING Indian National Finals Rodeo 2004 in San Jacinto, CA. PARTICIPANTS One hundred sixty-nine native American, professional rodeo competitors. ASSESSMENT On-site survey completed before competition. A total of 180 native American competitors received the survey. Respondents reported the event of participation, prior injury histories (including number, type and disability), use of protective equipment, and access to health care. MAIN OUTCOME MEASUREMENTS Main outcomes were determined before survey distribution and included self-reported injury rate, time away from rodeo secondary to injury, and protective equipment usage during competition. RESULTS Total 94% response rate. There was a range of injury history-from 100% of bull riders to only 24% of tie-down ropers-reporting a history of injuries. Forty percent of competitors reported using protective equipment; of these, 32% reported wearing vests. Twenty-six percent of the competitors had a history of injury that prevented them from working an average of 3.2 months. CONCLUSIONS As hypothesized, a greater injury rate resulted from rough stock events; older competitors are more likely to have had work time loss from injury; and vests are the most frequently used protective equipment in rodeo.
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Jo J, Williams KL, Wallace J, Anand M, Anesi T, Brewer C, Burns C, Hefley WF, St Julien Z, Tang AR, Zuckerman SL, Terry DP, Yengo-Kahn AM. Systematic Review Examining the Reporting of Race and Ethnicity in Sport-Related Concussion Studies. J Athl Train 2024; 59:354-362. [PMID: 37347141 PMCID: PMC11064120 DOI: 10.4085/1062-6050-0072.23] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2023]
Abstract
OBJECTIVE Sport-related concussion (SRC) is an evolving public health concern among youth athletes. Despite emerging evidence that race and ethnicity are important factors in determining concussion outcomes, studies examining race and ethnicity are limited. We conducted a systematic review to (1) determine the prevalence of SRC studies in which participants' race or ethnicity is reported, (2) describe how race and ethnicity are used within each study, and (3) assess predictive factors for the reporting of race and ethnicity. DATA SOURCES PubMed, Embase, PsycINFO, and CINAHL databases. STUDY SELECTION Study inclusion criteria were (1) primary and peer-reviewed research; (2) related to the diagnosis, treatment, or recovery of SRC; (3) involving school-aged athletes (ages 5 to 25); and (4) with 25 or more participants. The search was performed in March 2021 and included only studies published after March 2013. DATA EXTRACTION For each article, we looked at whether race and ethnicity were reported, and if so, which races or ethnicities were mentioned. For each race or ethnicity mentioned, we extracted the corresponding sample size and how they were used as variables in the study. DATA SYNTHESIS Of 4583 studies screened, 854 articles met inclusion criteria. Of the included articles, 132 (15.5%) reported race, and 65 (7.6%) reported ethnicity, whereas 721 (84.4%) reported neither. When examining the demographic characteristics of the 132 studies that reported race, 69.8% of athletes were White. Additionally, 79.5% of these studies used race solely as a demographic descriptor as opposed to a main exposure or covariate of interest. Studies published more recently were more likely to report race. Further, studies in specific study or journal topics and specific geographic locations of the authors were more likely to report race. CONCLUSIONS Reporting of race and ethnicity is limited in current SRC literature. Future authors should improve the reporting of race and ethnicity, diversify study samples by focusing on enrolling athletes from underrepresented groups, and consider the potential effect of race and ethnicity as social determinants of health on risk factors, recovery, and long-term sequelae after SRC.
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Systematic Review |
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Gutierrez G, Sills M, Bublitz CD, Westfall JM. Sports-related injuries in the United States: who gets care and who does not. Clin J Sport Med 2006; 16:136-41. [PMID: 16603883 DOI: 10.1097/00042752-200603000-00009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To describe the pattern of sports-related injuries (SRIs), healthcare obtained for these injuries, and factors associated with obtaining healthcare. DESIGN AND SETTING Retrospective analysis of the adult subgroup within the Medical Expenditures Panel Survey dataset from 1996 to 2001, which is weighted to represent all noninstitutionalized US residents. PARTICIPANTS Survey participants (2996) aged 0 to 64 years reporting an SRI. MAIN OUTCOME MEASUREMENT Whether healthcare was obtained for an SRI. RESULTS A weighted estimate of 6.7 million individuals reported an SRI annually. Two million individuals (30%) did not obtain healthcare for an SRI. Twenty-four percent of those with "serious" injuries did not obtain healthcare. Predictors of obtaining healthcare include the following: an upper extremity injury [adjusted odds ratio (OR) 1.57, 95% confidence intervals (CI): 1.17, 2.10]; a "very or somewhat serious" injury (adjusted OR 1.64, 95% CI 1.24, 2.17); and one SRI versus >1 SRI (adjusted OR 1.37, 95% CI: 1.06, 1.78). Predictors of not obtaining healthcare for an SRI include the following: Black race (adjusted OR 0.59, 95%CI: 0.44, 0.79); no health insurance (adjusted OR 0.45, 95%CI: 0.33, 0.63); and no usual source of care (adjusted OR 0.71, 95% CI: 0.56, 0.91). CONCLUSIONS SRIs are common and often patients do not obtain healthcare for these injuries. Among Americans with an SRI, those who are Black, and those who lack insurance or a usual source of care, are at risk for not obtaining care for an SRI. Not obtaining healthcare and lacking knowledge about the consequences of sports injury may lead to unnecessary, additional morbidity and cost. Education targeted at these groups, at their physicians, and at policymakers may help reduce untreated SRIs.
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Editorial |
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Editorial |
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Wing S, Caiquo J, Butler C, Giza C, Babikian T. Framing racial disparities within sports related concussion (SRC): an ecological framework for understanding biases and disparities in concussion care for black athletes. Int Rev Psychiatry 2024; 36:254-271. [PMID: 39255024 DOI: 10.1080/09540261.2024.2387186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Accepted: 07/11/2024] [Indexed: 09/11/2024]
Abstract
Privilege and marginalization associated with racial background have been posited as contributors to why Black athletes face disparities within their care, treatment, and recovery from sport-related concussion (SRC). However, empirical findings have limited exploration on how disparate outcomes have emerged, and the interaction with systems of biases, power and disenfranchisement. To understand concussion care disparities, a qualitative content analysis was conducted in three phases: [I] identifying salient literature on racial differences for Black athletes with SRC (N = 29), [II] qualitative analysis of literature to determine salient topics, themes and patterns within the literature, and [III] constructing a novel ecological-systems framework that encapsulates the 'why' and 'how' related to psychosocial and sociocultural experiences of power, access, and biases for Black athletes. The content analysis yielded two patterns, where concussion care decisions are influenced by (1) biased, unconscious beliefs that posit Black athletes as uniquely invincible to injury and pain, and (2) inadequate access to concussion knowledge and resources, which both moderate SRC injury risk, diagnosis, recovery and outcomes. Ultimately, our novel framework provides a clear thread on how historical, macro-level policy and perceptions can impact micro-level clinical care and decision-making for Black athletes with SRC.
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Huggins M. Athleticism in the Victorian and Edwardian public school. THE INTERNATIONAL HISTORY REVIEW 2001; 18:149-155. [PMID: 18459239 DOI: 10.1080/714001663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Historical Article |
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Hill CN, Schmitt D, Reed W, Arent SM, Sands LP, Queen RM. Racial differences in running and landing measures associated with injury risk vary by sex. Sports Biomech 2024; 23:2738-2756. [PMID: 35352977 DOI: 10.1080/14763141.2022.2056075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 03/16/2022] [Indexed: 10/18/2022]
Abstract
It is unknown whether running and landing mechanics differ between racial groups despite injury disparities between African Americans (AA) and white Americans (WA). This study aimed to identify potential racial differences in running and landing mechanics and understand whether anthropometric, strength, and health status factors contribute to these differences. Venous blood samples, anthropometry, lower-extremity strength, and health status assessments were collected (n = 84, 18-30y). Three-dimensional motion capture and force plate data were recorded during 7 running and 7 drop vertical jump trials. Racial effects were determined, and regression models evaluated explanatory factors. AA females ran with longer stance times (p = 0.003) than WA females, while AA males ran with smaller loading rates (p = 0.046) and larger peak vertical ground reaction forces (p = 0.036) than WA males. Frontal plane knee range of motion during landing was greater in AA females (p = 0.033) than WA females; larger waist circumference and weaker knee extension strength accounted for this significance. Although outcome measures were associated with physiologic, anthropometric, and activity measures, their explanatory power for race was ambiguous, except for knee range of motion in females. Modifiable factors explaining racial effects during landing in females are potential intervention targets to reduce racial health disparities in running and landing injuries.
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Ameye T, Gils B, Delheye P. Daredevils and early birds: Belgian pioneers in automobile racing and aerial sports during the belle époque. THE INTERNATIONAL JOURNAL OF THE HISTORY OF SPORT 2011; 28:205-239. [PMID: 21491708 DOI: 10.1080/09523367.2011.537911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
During the belle époque, Belgium was a trend-setting nation in many domains, including motorised sports. Belgian automobile racers and pilots shattered world records and became international stars. Striking was the shift in sports. Indeed, around 1896, sporting members of the leisure class stepped from the bicycle into the automobile and, around 1908, from the automobile into the airplane. Although these motorised sports were extremely expensive, this article shows that sportsmen and sportswomen from the working class could achieve upward social mobility through their performances. The achievements of these motorised pioneers had a major impact and wide-ranging significance. They laid the foundations for the expansion of the automobile industry and the emergence of civilian and military aviation.
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Historical Article |
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Maffulli N, Chan KM, Miao M, Fu FH, Kurosaka M. Athletic knee injuries. Similarities and differences between Asian and Western experience. Clin Orthop Relat Res 1996:98-105. [PMID: 8625612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The pattern and prevalence of knee injuries among athletes are different in Asia, Europe, and North America because of factors such as the different sporting cultures of the regions and the type of favorite sports. Sampling and data bias and the variable levels of diffusion of sports in the different parts of the world also are responsible for the variation. In this review, the knee emerges as the most commonly injured part of the body; such injuries present significant problems of mechanical block or instability that may compromise athletic performance. Sports specific injuries are delineated, and specific groups, such as children and adolescents, female, and master athletes, are reviewed in light of the characteristic patterns of knee injuries. Differences in the patients' attitude, health care systems, and consultations of traditional medical practitioners produce major differences in management styles. However, it is encouraging to find a concerted effort on all continents in the search for a better understanding of knee injuries and a more satisfactory coordination between clinical and basic science research in this field.
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Comparative Study |
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Northey G. Equestrian injuries in New Zealand, 1993-2001: knowledge and experience. THE NEW ZEALAND MEDICAL JOURNAL 2003; 116:U601. [PMID: 14581953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
AIMS The aims of this study were to investigate the extent of equestrian injuries in New Zealand and provide a range of prevention interventions. METHODS An examination of New Zealand Health Information Service (NZHIS) morbidity data for 1993 to 2001 and mortality data for 1993 to 1999 was undertaken. Recent studies on equestrian injuries were evaluated. RESULTS NZHIS data indicated that as a result of horse-related injuries 5613 people were hospitalised between 1993 and 2001 and there were 16 fatalities between 1993 and 1999. Horse-related injuries were most prevalent in young females aged 10 to 19 years. Among Maori (the indigenous people of New Zealand), men predominated in horse-related injury numbers. Overall, half of equestrian injuries occurred in those under the age of 19 years. The major injury site was the arm. High equestrian-injury rates were recorded in rural regions. CONCLUSIONS The findings indicate that age and regionally specific practical injury prevention strategies, health promotion messages and educational programmes are required. In particular, clear rules and regulations on protective and safety clothing are likely to enhance safety. Education in horse behaviour is required to facilitate safer environments on and around horses. A code of practice for horse riding and trekking establishments could decrease the risk of injury to those who hire horses.
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McGrath B. Does football have a future? The N.F.L. and the concussion crisis. NEW YORKER (NEW YORK, N.Y. : 1925) 2011:40-51. [PMID: 21728266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Historical Article |
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Park RJ. "Mended or ended?" Football injuries and the British and American medical press, 1870-1910. THE INTERNATIONAL JOURNAL OF THE HISTORY OF SPORT 2001; 18:110-133. [PMID: 18459238 DOI: 10.1080/714001558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
'Playing Hurt/Playing Tough', a dominant ideology in today's football (soccer, rugby, American 'gridiron'), is by no means new. Many books, monographs, and articles have examined the historical development of these games, but the attention given to them in the medical press during the late 1800s/early 1900s has been overlooked. The Lancet, Journal of the American Medical Association, and other turn-of-the-century medical publications regularly included accounts and descriptions of injuries and deaths. More telling were the many editorials in which physicians in both Britain and the United States expressed enthusiasm while also lamenting the games' physical and morale effects upon players, asking whether 'football' should be mended or ended.
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Historical Article |
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McCausland K, Thomas E, Hill‐Wall T, Norman R, Bullen J, Cowen G. Assessing Sports-Related Concussion in Aboriginal and Torres Strait Islander Peoples: First Responder and Health-Care Workers Feedback on the Sport Concussion Assessment Tool. Health Promot J Austr 2025; 36:e70053. [PMID: 40360971 PMCID: PMC12075670 DOI: 10.1002/hpja.70053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2025] [Revised: 04/29/2025] [Accepted: 05/02/2025] [Indexed: 05/15/2025] Open
Abstract
Sport-related concussion is a rising public health concern with claims that there is a concussion crisis in sport. An estimated 36% of Aboriginal and Torres Strait Islander peoples participate in sport-related activity at least once per week; yet, there is a paucity of information relating to concussion assessment in this population. We present and discuss initial findings from research topic yarning about the Sport-related Concussion Assessment Tool (5th edition) with 25 Aboriginal peoples trained in primary health care or with healthcare or first responder role experience, with the aim of promoting discussion as to how best to ensure Aboriginal and Torres Strait Islander peoples receive appropriate assessment after sustaining a sport-related concussion.
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Letter |
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Sun Y, Chen S, Neyret P, Hutchinson M, Migliorini F, Maffulli N, Górios C, Piedade SR. Translation, cross-cultural adaptation, and validation of the Chinese version of the 4 domain sports prom. J Orthop Surg Res 2025; 20:487. [PMID: 40389966 PMCID: PMC12090455 DOI: 10.1186/s13018-025-05882-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2025] [Accepted: 05/01/2025] [Indexed: 05/21/2025] Open
Abstract
BACKGROUND This work evaluated and validated the translation and cross-cultural adaptation of 4-Domain Sport PROM (4-DSP) into Chinese, assessing its understandability and reproducibility in all questionnaire domains for Chinese-speaking patients. METHODS Cross-sectional study, level of evidence II. Twenty patients with sports injuries who underwent surgical treatment and postoperative rehabilitation in the Sports Medicine Surgery Department of Huashan Hospital were selected to evaluate whether the translation was understandable. Then, the 4-DSP was applied to 120 patients who had undergone trauma surgical procedures. The translation and cross-cultural adaptation of 4-DSP involved 6 steps: (1) Translation, (2) Synthesis of translation, (3) Back Translation, (4) Testing of the Prefinal Version-Expert committee review, (5) Prefinal testing among the patients, and Reliability and Consistency Testing. The questionnaire was self-administered by 120 patients (53 males and 67 females; mean age: 30.41 ± 6.8 years.) who had undergone arthroscopic surgery or conservative therapy from a sports physical therapist and had 3-month to 1-year follow-up. All patients filled in the 4-DSP questionnaire without direct supervision of their trainer/coach or researcher. All data were collected and processed anonymously. RESULTS 97% of the experts (n = 10) considered the translation accuracy understandable; each item and overall content validity showed 96% agreement, and the bilingual translation accuracy was rated as 98.5%, presenting a global Cronbach's alpha of 0.72. CONCLUSION The Chinese cross-cultural adaptation and validation of the original English version of the 4-DSP questionnaire proved reproducible and properly understandable in all four domains. It can safely and reliably assess treatment outcomes for sports injuries in Chinese-speaking patients and is a helpful tool to collect and assess athletic population data.
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Validation Study |
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Cofaigh EO. Motor sport in France: testing-ground for the world. THE INTERNATIONAL JOURNAL OF THE HISTORY OF SPORT 2011; 28:191-204. [PMID: 21491707 DOI: 10.1080/09523367.2011.537909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The birth of the automobile in the late nineteenth century was greeted with a mixture of awe, scepticism and sometimes even disdain from sections of the European public. In this article, the steps taken in France to pioneer and promote this new invention are examined. Unreliable and noisy, the early automobile owes a debt of gratitude to the French aristocracy who organised and codified motor racing in an effort to test these new inventions while at the same time introduce them to a wider public. City-to-city races demonstrated the potential of the automobile before the initiative of Gordon Bennett proved to be the catalyst for the birth of international motor sport as we recognise it today. Finally this article looks at the special connection between Le Mans and the automobile. Le Mans has, through its 24-hour race, maintained a strong link with the development of everyday automobile tourism and offers the enthusiast an alternative to the machines that reach incredible speeds on modern-day closed circuits. This article examines how French roads were veritable testing grounds for the earliest cars and how the public roads of Le Mans maintain the tradition to this day.
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Historical Article |
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Beidler E, Bowman TG, Walton SR, Lininger MR, Decker MN, Wallace J, Vela L, Hibbler T, Breedlove KM, Larson MJ, Munce TA, Pappadis MR, Sunchild J, Ahonen S, Didehbani N, Cifu DX, Resch JE, Kelshaw PM. More Than Skin Deep: Patient-Provider Racial and Ethnic Concordance and Discordance in Collegiate Athletics and Concussion Management. J Athl Train 2024; 59:762-771. [PMID: 38779878 PMCID: PMC11277274 DOI: 10.4085/1062-6050-0320.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
CONTEXT There is strong evidence that racial and ethnic disparities exist in multiple arenas of health and wellness. The causes of racial and ethnic differences in health care are multidimensional; one factor that may affect injury/illness communication, interactions, and outcomes is patient-provider racial and ethnic concordance. At present, it is unclear what role patient-provider racial and ethnic concordance and discordance plays in facilitating concussion care for collegiate athletes. OBJECTIVE To investigate the presence of athlete-athletic trainer (AT) racial and ethnic concordance and discordance among diagnosed concussion cases and examine if racial and ethnic concordance and discordance influences time (in days) until diagnosis, symptom resolution, or return-to-sport clinical milestones in collegiate athletes. DESIGN Retrospective cohort study. SETTING Collegiate athletics. PATIENTS OR OTHER PARTICIPANTS A total of 694 concussion cases (38.6% [n = 268] sustained by women, 61.4% [n = 426] sustained by men) that occurred within the 2015-2016 through 2019-2020 sport seasons at 9 institutions. MAIN OUTCOME MEASURE(S) The number of days from the date of injury to diagnosis, symptom resolution, and return to sport and from the date of diagnosis to symptom resolution and return to sport. RESULTS Overall, 68.4% (n = 475) of concussion cases had patient-provider racial and ethnic concordance, and 31.6% (n = 219) were discordant. All concordant pairs included a White athlete and White AT. Time to diagnosis differed between the concordant and discordant groups (median [interquartile range] = 1 [0-2] versus 0 [0-1], respectively) only in the model adjusted for sex, sport type, and availability of an AT (odds ratio [95% CI] = 1.46 [1.07-1.85]). There were no other group differences. CONCLUSIONS One-third of concussion cases had athlete-AT racial and ethnic discordance. Although this group was diagnosed with a concussion 1 day sooner than the concordant group, no differences were observed for any concussion recovery milestones. These findings suggest that patient-provider racial and ethnic concordance may play a minor role in concussion recognition or reporting but not necessarily in the management and recovery thereafter.
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research-article |
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Connolly J, Dolan P. The civilizing and sportization of Gaelic football in Ireland: 1884–2009. JOURNAL OF HISTORICAL SOCIOLOGY 2010; 23:570-598. [PMID: 21132949 DOI: 10.1111/j.1467-6443.2010.01384.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Over the course of the last 125 years the sport of Gaelic football in Ireland has undergone a sportization and civilizing process as the rules governing the sport became stricter and players developed greater levels of self-control. However, the civilizing of Gaelic football was a particularly fragile and uneven process. The growing social desire to diminish displays of violence was moderated by ambivalence towards violence. Gradually the external social controls on players increased and, greater and more stable levels of internalization occurred reflected by more advanced levels of player self-restraint in the control of violence. At the same time the threshold of shame toward displays of violence advanced. This transformation was shaped by lengthening chains of social interdependencies in Ireland.
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Historical Article |
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