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Healthcare
Special Issues
Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries
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Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 August 2024 | Viewed by 6798

Special Issue Editor

Dr. Hyechang Rhim

E-Mail Website
Guest Editor
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115, USA
Interests: sports epidemiology; conservative management in musculoskeletal disorders; systematic review and meta-analysis; wearable devices in sports medicine; return to play; adaptive sports

Special Issue Information

Dear Colleagues,

Sports medicine is a fast-growing field with focuses on treatment of athletic injuries. Research in sports medicine involves injury evaluation, prevention, and treatment to provide optimal care for those who love sports or physical activities. Despite advances in sports medicine research and care, the incidence remains unchanged in certain conditions, and there is conflicting evidence regarding the efficacy of emerging treatments. Moreover, inconsistent outcome measures across the studies makes it difficult to draw conclusions about the intervention. Therefore, there is a need for further studies investigating epidemiology, conservative management, and outcome measures in sports medicine injuries.

I am pleased to invite you to provide clinicians and researches with epidemiological data regarding injury incidence and risk factors, high quality evidence on novel conservative treatments, validated outcome measures, and review articles which describe the evidence-based recommendations. I hope to see studies conducted in diverse populations including youth athletes, older adults, and athletes with disabilities.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but not limited to) the following:

  • systematic reviews and meta-analyses of conservative management
  • randomized controlled trials or comparative studies of emerging treatments
  • epidemiological studies investigating incidence or risk factors of sports medicine injuries
  • validation studies of outcome measures
  • case series or case reports with novel treatment or rare musculoskeletal condition

I look forward to receiving your contributions.

Dr. Hyechang Rhim
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • epidemiology
  • rehabilitation
  • orthopedic injuries
  • conservative management
  • sports medicine
  • patient-reported outcome
  • tendinopathy
  • bone stress injury
  • return to play

Published Papers (5 papers)

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Editorial

Jump to: Research, Review

5 pages, 215 KiB  
Editorial
Utilizing Extracorporeal Shockwave Therapy for in-Season Athletes
by Hye Chang Rhim, Joanne Borg-Stein, Steven Sampson and Adam S. Tenforde
Healthcare 2023, 11(7), 1006; https://doi.org/10.3390/healthcare11071006 - 01 Apr 2023
Cited by 3 | Viewed by 2144
Abstract
An athlete’s health and availability to train and compete at an optimal performance level is a growing focus for professional sports organizations [...] Full article
(This article belongs to the Special Issue Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries)

Research

Jump to: Editorial, Review

12 pages, 582 KiB  
Article
Exploring the Relationship between Running-Related Technology Use and Running-Related Injuries: A Cross-Sectional Study of Recreational and Elite Long-Distance Runners
by Kuntal Chowdhary, Zachary Crockett, Jason Chua and Jennifer Soo Hoo
Healthcare 2024, 12(6), 642; https://doi.org/10.3390/healthcare12060642 - 13 Mar 2024
Viewed by 680
Abstract
In recent years, the surge in sport and exercise participation, particularly in running, has coincided with the widespread adoption of running-related technology, such as fitness trackers. This study investigates the correlation between the use of running-related technology and running-related injuries among recreational and [...] Read more.
In recent years, the surge in sport and exercise participation, particularly in running, has coincided with the widespread adoption of running-related technology, such as fitness trackers. This study investigates the correlation between the use of running-related technology and running-related injuries among recreational and elite long-distance runners. We conducted a quantitative, cross-sectional online survey of 282 adult runners. Data were analyzed using descriptive statistics and a multivariable logistic regression analysis. Participants, with an average age of 37.4 years, reported varied running experience, with 90.07% utilizing running-related technology during their runs to some degree, primarily smartwatches like Garmin and Apple Watch. Running-related technology users showed a higher likelihood of experiencing running-related injuries compared to non-users (OR = 0.31, p < 0.001). However, those who utilized the metrics obtained from running-related technology to guide their training decisions did not exhibit a higher risk of injury. This nuanced relationship highlights the importance of considering individual training behaviors and the potential psychological impacts of technology on running practices. The study underscores the need for future research integrating biomechanical and psychosocial factors into running-related technology to enhance injury prevention strategies. Full article
(This article belongs to the Special Issue Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries)
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12 pages, 895 KiB  
Article
Do Differences Exist in Impact Test Domains between Youth Athletes with and without an Anterior Cruciate Ligament Injury?
by Ashley E. Gureck, Zack Crockett, Brandon W. Barsky, Shenae Samuels, Jeremy S. Frank, Stephen K. Storer and Matthew L. Fazekas
Healthcare 2023, 11(20), 2764; https://doi.org/10.3390/healthcare11202764 - 19 Oct 2023
Viewed by 1555
Abstract
Poor baseline reaction time, as measured via the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), has been associated with anterior cruciate ligament (ACL) injury risk in adult athletes. Our study sought to determine whether the reaction time and impulse control ImPACT test domains [...] Read more.
Poor baseline reaction time, as measured via the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), has been associated with anterior cruciate ligament (ACL) injury risk in adult athletes. Our study sought to determine whether the reaction time and impulse control ImPACT test domains differed between ACL injured and uninjured pediatric athletes. A total of 140 high-school aged athletes comprising 70 athletes who went on to sustain an ACL injury between 2012 and 2018 and 70 age- and sex-matched uninjured controls were included in the study. Mean reaction times were similar for the injured (0.67 s) and uninjured (0.66 s) athletes (p = 0.432), and the impulse control scores were also similar for those with (5.67) and without (6.07) an ACL injury (p = 0.611). Therefore, neurocognitive risk factors for sustaining an ACL injury in adults cannot necessarily be extrapolated to adolescent athletes. Further research is needed to understand why differences exist between injury risk in youth and adult athletes. Full article
(This article belongs to the Special Issue Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries)
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10 pages, 275 KiB  
Article
Feasibility Using Telehealth for Planning Use of Extracorporeal Shockwave Therapy in a Sports Medicine Clinic
by Marissa J. Eckley, Connie Hsu and Adam S. Tenforde
Healthcare 2023, 11(11), 1574; https://doi.org/10.3390/healthcare11111574 - 27 May 2023
Cited by 2 | Viewed by 864
Abstract
(1) Background: The purpose of this study is to describe whether telehealth compared with in-person visits, led to a similar agreement of primary diagnosis reached at the time of procedure using extracorporeal shockwave therapy. (2) Methods: This retrospective study consisted of chart reviews [...] Read more.
(1) Background: The purpose of this study is to describe whether telehealth compared with in-person visits, led to a similar agreement of primary diagnosis reached at the time of procedure using extracorporeal shockwave therapy. (2) Methods: This retrospective study consisted of chart reviews of all new patients evaluated in a sports medicine clinic prior to performing extracorporeal shockwave therapy from April 2020 to March 2021. The primary outcome of the study was describing agreement in primary diagnosis at the time of evaluation (telehealth and in-person) and during the procedure using extracorporeal shockwave therapy. Logistic regression was utilized to identify patient characteristics that may predict agreement of diagnosis using telehealth. (3) Results: The chart review identified 166 patients (45 telehealth and 121 in-person) evaluated for extracorporeal shockwave therapy. Agreement of diagnosis was similar for patients evaluated using telehealth compared to in-person visits (84% vs. 92%, Χ2 = 1.90, p = 0.168). Agreement on diagnosis was more likely in patients who started shockwave within the 1 week of initial visit (OR = 8.27, 95% CI = 1.69–45.29), patients over age 60 (OR = 0.94, 95% CI = 0.90–0.99), and in patients without a history of osteoarthritis (OR = 14.00, 95% CI = 1.88–113.46). (4) Conclusions: Telehealth resulted in a similar agreement to in-person visits to identify a primary diagnosis for planning extracorporeal shockwave therapy. Telehealth may be a reasonable alternative to in-person visits for procedural planning of extracorporeal shockwave therapy. Full article
(This article belongs to the Special Issue Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries)

Review

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21 pages, 386 KiB  
Review
Conservative Management of Acute Sports-Related Concussions: A Narrative Review
by Sohaib Kureshi, Maria Mendizabal, John Francis and Hamid R. Djalilian
Healthcare 2024, 12(3), 289; https://doi.org/10.3390/healthcare12030289 - 23 Jan 2024
Cited by 1 | Viewed by 909
Abstract
This review explores the application of the conservative management model for pain to sports-related concussions (SRCs), framing concussions as a distinct form of pain syndrome with a pathophysiological foundation in central sensitization. Drawing parallels with proven pain management models, we underscore the significance [...] Read more.
This review explores the application of the conservative management model for pain to sports-related concussions (SRCs), framing concussions as a distinct form of pain syndrome with a pathophysiological foundation in central sensitization. Drawing parallels with proven pain management models, we underscore the significance of a proactive approach to concussion management. Recognizing concussions as a pain syndrome allows for the tailoring of interventions in alignment with conservative principles. This review first covers the epidemiology and controversies surrounding prolonged concussion recovery and persistent post-concussion symptoms (PPCS). Next, the pathophysiology of concussions is presented within the central sensitization framework, emphasizing the need for early intervention to mitigate the neuroplastic changes that lead to heightened pain sensitivity. Five components of the central sensitization process specific to concussion injuries are highlighted as targets for conservative interventions in the acute period: peripheral sensitization, cerebral metabolic dysfunction, neuroinflammation, glymphatic system dysfunction, and pain catastrophizing. These proactive interventions are emphasized as pivotal in accelerating concussion recovery and reducing the risk of prolonged symptoms and PPCS, in line with the philosophy of conservative management. Full article
(This article belongs to the Special Issue Epidemiology, Conservative Management, and Outcome Measures in Sports Medicine Injuries)
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