Search Results (1,276)

Background and Clinical Significance: Scapular stress fractures are exceptionally rare in athletes and are notoriously difficult to diagnose due to their subtle presentation and poor sensitivity on initial radiographs. This case report describes the diagnostic challenge of a scapular body stress fracture in an elite boxer who initially presented with wrist pain. Case Presentation: A 19-year-old right-hand-dominant female elite boxer presented with a three-month history of bilateral wrist pain. Initial examination and MRI were consistent with a triangular fibrocartilage complex (TFCC) injury. Despite conservative management, her symptoms persisted, and she subsequently developed mechanical right shoulder pain and a sensation of instability. Physical examination revealed scapular dyskinesis, with a positive push-up test and weakness on punch protraction. Plain radiographs of the scapula were unremarkable. Point-of-care musculoskeletal ultrasound (MSK US) identified a cortical irregularity at the medial scapular border. A subsequent computed tomography (CT) scan obtained at three-month follow-up definitively confirmed a stress fracture at this site. Treatment focused on scapular stabilization via prolotherapy and activity modification, leading to symptomatic resolution and a successful return to sport. Conclusions: This case underscores the importance of evaluating the entire kinetic chain in athletes presenting with focal complaints. It demonstrates the utility of MSK US as an effective initial screening tool for cortical stress fractures and highlights the necessity of CT for definitive confirmation. Clinicians should maintain a high index of suspicion for scapular stress injuries in overhead athletes with unexplained shoulder dysfunction. Full article

Background: Proximal hamstring tendinopathy (PHT) is a challenging overuse injury, particularly in athletes, characterized by deep buttock pain localized to the ischial tuberosity and often exacerbated by sports activities. This condition can impact an athlete’s performance, limiting high-level athletic activity. Return to sport (RTS) thus becomes a medical, physical, athletic, and economic necessity. Previous research has explored several conservative and injection-based therapies, but evidence regarding the efficacy of porcine collagen injections remains limited. Therefore, this study aims to compare the results obtained from ultrasound-guided porcine collagen injections versus a structured rehabilitation program in reducing time to return to sport (RTS) and improving Victorian Institute of Sport Assessment—Hamstring (VISA-H) scores with respect to athletes with clinically diagnosed PHT. Conservative approaches for PHT treatments include various options, such as physiotherapy, corticosteroids, plasma-rich-platelet, shockwave therapy, and collagen injection. Collagen demonstrated to be a validated option for tendinopathies treatment due its regenerative and restorative mechanism of action. Methods: Retrospective data were collected from twenty-eight athletes with a clinical diagnosis of PHT, confirmed based on pain provocation tests (Puranen–Orava, bent-knee, and modified bent-knee tests), who were divided into two groups: COL and REHAB. The VISA-H outcomes were recorded for all subjects. The COL group received three ultrasound-guided collagen injections at weekly intervals, plus standard care instructions. The REHAB group completed a progressive exercise program targeting hamstring and lumbopelvic stabilization. The primary outcomes were RTS time (days) and VISA-H scores at baseline and 8 weeks. Adverse effects were recorded. Results: The two groups of treatment were very homogeneous and showed parametric distribution concerning the biological and pathophysiological conditions. No adverse events were reported. The mean times to RTS were 57 and 72 days for COL and REHAB, respectively (p = 0.0083). The VISA-H results revealed better improvement for the COL group than the REHAB treatment (p < 0.0001), and the log-rank test showed a higher odds ratio (HR) for RTS, 5.35 (p = 0.0008), for the COL athletes. Conclusions: Ultrasound-guided porcine collagen injections, combined with standard care, significantly reduced RTS time and improved VISA-H scores compared with rehabilitation alone in athletes with PHT. However, a larger cohort of athletes might be needed to gather more information about this conservative treatment in PHT pathology. Full article

As a key piece of equipment in badminton, the surface treatment technology of rackets has garnered significant attention in the fields of material science and sports engineering. This study is the first to systematically review research on racket coatings, integrating interdisciplinary knowledge on the classification of functional coatings, their performance-enhancing principles, and their relationship with competitive levels, thereby addressing a gap in theoretical research in this field. This study focuses on four major functional coating systems: superhydrophobic coatings (to improve environmental adaptability and reduce air resistance), anti-scratch coatings (to prolong the life of the equipment), vibration-damping coatings (to optimise vibration damping performance), and strength-enhancing coatings (to safeguard structural stability). In badminton, differences in player skill levels and usage scenarios lead to variations in racket materials, which, in turn, result in different preparation processes and performance effects. The use of vibration-damping materials alleviates the impact force on the wrist, effectively preventing sports injuries caused by prolonged training; leveraging the aerodynamic properties of superhydrophobic technology enhances racket swing speed, thereby improving hitting power and accuracy. From the perspective of performance optimization, coating technology improves athletic performance in three ways: nanocomposite coatings enhance the fatigue resistance of the racket frame; customized damping layers reduce muscle activation delays; and surface energy regulation technology improves grip stability. Challenges remain in the industrial application of environmentally friendly water-based coatings and the evaluation system for coating lifespan under multi-field coupling conditions. Future research should integrate intelligent algorithms to construct a tripartite optimization system of “racket-coating-user” and utilize digital sports platforms to analyze its mechanism of influence on professional athletes’ tactical choices, providing a theoretical paradigm and technical roadmap for the targeted development of next-generation smart badminton rackets. Full article

Objectives: SailGP is an international professional mixed-sex sailing competition, which uses F50 foiling catamarans capable of reaching speeds up to ~100 km/h. This seminal study assesses injuries and illnesses observed by male and female sailors during trainings and competitions in SailGP’s third season. This study aims to assess injury and illness incidence, comparing results with other professional sailing events and high-performance sports. In addition, injury and illness risk factors (sex and position) will be explored with the goal to reduce morbidity for future seasons. Materials and Methods: This retrospective cohort design analysed medical records of male and female sailors during SailGP’s third season (April 2022 to May 2023). Risk factors assessed included sailor sex, sailor position (helm, strategist, grinder, flight controller and wing trimmer), sailing venue, wind speed and mechanism of injury/nature of illness. International Olympic Committee reporting guidelines on injuries and illnesses were followed, including the STROBE-SIIS checklist. Confidence intervals were set at 95%, statistical tests were two-sided and p-values < 0.05 were considered statistically significant. Results: A total of 40 on-water injuries were reported in 32 athletes. Injury incidence was greater during competitions than trainings, with strategists and then grinders being the most frequently injured positions. Competition injury incidence was 32.6 per 1000 h and 6.42 injuries per 365 days. Training injury incidence was 2.62 injuries per 1000 h and 3.82 injuries per 365 days. Knee, ankle, hand and head injuries were most prevalent, with three concussions observed during trainings and competitions (two female and one male). Direct impacts and falls during manoeuvres caused most injuries. Overall injury incidence (IRR = 2.69 [95% CI 1.41–5.16]), risk of training injuries (RR = 3.75 [95% CI 1.59–8.83], p = 0.001), risk of competition injuries (RR = 1.79 [95% CI 0.65–4.90], p = 0.25) and overall concussion risk (RR = 10.04 [95% CI 0.91–110.46], p = 0.02) were greater in females. Ten sailors accounted for 17 illnesses. Females had a 3.33 increase in training and competition illnesses (IRR = 3.33 [95% CI 0.94–11.81]). Conclusions: Competition injury incidence was higher than previous reported sailing studies. Knee injuries were most prevalent and direct impacts caused most injuries. Female sailors reported a higher injury and illness incidence. These results may guide injury prevention efforts and the development of an IOC-equivalent consensus statement. Future studies should examine time loss. Full article

Running is one of the most popular recreational sports worldwide, yet it carries a high risk of sports injuries. While various risk factors have been identified, sleep has emerged as a potentially important but understudied contributor in recreational running. This study investigates whether distinct sleep profiles can predict sports injuries in recreational runners. A secondary analysis was conducted on survey data from 425 Dutch recreational runners. Latent profile analysis was applied to identify sleep risk profiles based on sleep duration, sleep quality, and sleep problems. Binary logistic regression tested the association between sleep profile membership and self-reported sports injuries, controlling for demographic and training variables. Findings revealed that four sleep profiles could be identified: Steady Sleepers, Poor Sleepers, Efficient Sleepers, and Fragmented Sleepers. Runners classified as Poor Sleepers were significantly more likely to report sports injuries than Steady Sleepers (OR = 1.78, 95% CI = 1.14–2.78; p = 0.01), with 68% injury probability. No significant differences were found for the other profiles. These findings underscore the importance of sleep as a multidimensional factor in injury prevention in recreational running, and suggest that interventions focusing on sleep duration and sleep quality may benefit running athletes’ health. Full article

Background: Muscle strength asymmetries between limbs are common in physically active populations and may influence performance and injury risk. This study aimed to: (i) analyze the reliability of the seated unilateral cable row exercise using a functional electromechanical dynamometer (FEMD) and to examine differences in reliability between sides and contraction types; (ii) investigate the relationship between the dominant and non-dominant sides, as well as between the dynamic and static force production of the back muscles; and (iii) quantify force output and assess interlimb asymmetries. Methods: Twenty-nine young physically active athletes completed two sets of four repetitions of a seated unilateral cable row at 0.30 m·s⁻¹ using the FEMD, followed by a 6-s isometric contraction. Two testing sessions were conducted seven days apart. Reliability was assessed using paired t-tests, the effect size, the coefficient of variation (CV), the standard error of measurement, and the intraclass correlation coefficient (ICC), with 95% confidence intervals. Results: Peak and average force values showed very high to extremely high relative reliability (ICC = 0.86–0.96) and acceptable absolute reliability (CV ≈ 10%). Differences between dominant and non-dominant sides varied depending on contraction type. While group-level asymmetries did not exceed 10%, individual analysis revealed that 14%, 32%, and 7% of participants had asymmetries greater than 15% in isometric, concentric, and eccentric force, respectively. Conclusions: This test demonstrates strong reliability and provides a practical method for assessing upper limb asymmetries in physically active individuals, with potential applications in performance monitoring and injury prevention. Full article

Background/Objective: Understanding the training effect in high-level running is important for performance optimization and injury prevention. This includes awareness of how different running surface types (e.g., hard versus soft) may modify biomechanics. Recent studies have demonstrated that deep learning algorithms, such as convolutional neural networks (CNNs), can accurately classify human activity collected via body-worn sensors. To date, no study has assessed optimal signal type, sensor location, and model architecture to classify running surfaces. This study aimed to determine which combination of signal type, sensor location, and CNN architecture would yield the highest accuracy in classifying grass and asphalt surfaces using inertial measurement unit (IMU) sensors. Methods: Running data were collected from forty participants (27.4 years + 7.8 SD, 10.5 ± 7.3 SD years of running) with a full-body IMU system (head, sternum, pelvis, upper legs, lower legs, feet, and arms) on grass and asphalt outdoor surfaces. Performance (accuracy) for signal type (acceleration and angular velocity), sensor configuration (full body, lower body, pelvis, and feet), and CNN model architecture was tested for this specific task. Moreover, the effect of preprocessing steps (separating into running cycles and amplitude normalization) and two different data splitting protocols (leave-n-subject-out and subject-dependent split) was evaluated. Results: In general, acceleration signals improved classification results compared to angular velocity (3.8%). Moreover, the foot sensor configuration had the best performance-to-number of sensor ratio (95.5% accuracy). Finally, separating trials into gait cycles and not normalizing the raw signals improved accuracy by approximately 28%. Conclusion: This analysis sheds light on the important parameters to consider when developing machine learning classifiers in the human activity recognition field. A surface classification tool could provide useful quantitative feedback to athletes and coaches in terms of running technique effort on varied terrain surfaces, improve training personalization, prevent injuries, and improve performance. Full article

The aim of this study was to explore the prevalence of acute and overuse injuries, as well as risk factors, training load and well-being, in male and female youth padel players. Using a cross-sectional design, data were collected from 104 players (aged 15–20) via a web-based form. Players reported injuries, exposure and rating of perceived exertion (RPE), demographics (age and sex), and perceived well-being. Overuse injury severity was scored per body region (0–25), yielding a total possible score of 125. A total of six acute and 49 overuse injuries were recorded, corresponding to a prevalence of 0.53 injuries per player during a one-week recall period. Most injuries affected the knee, while the foot and lower leg had the highest severity scores (median = 44). Female players reported slightly higher stress levels (median 3) than males (median 2: p = 0.01), though no other well-being or training load differences were found. Injured players had significantly higher total wellness scores, indicating worse well-being, compared to non-injured players (median 10 vs. 9, p = 0.03). In conclusion, overuse injuries, particularly to the knee, were most common. Higher perceived stress and poorer wellness scores may be linked to injury risk, underlining the importance of monitoring well-being in youth padel athletes. Full article

Aim: This study analyzed the concurrent validity of the Optojump infrared photocell system for estimating lower limb peak power by comparing it with the 15 s Wingate anaerobic test (WAnT) and examining relationships with sprint performance indicators. Methods: Twelve physically active university students (ten males, two females; age: 23.39 ± 1.47 years; body mass: 73.08 ± 9.19 kg; height: 173.67 ± 6.97 cm; BMI: 24.17 ± 1.48 kg·m⁻²) completed a cross-sectional validation protocol. Participants performed WAnT on a calibrated Monark ergometer (7.5% body weight for males, 5.5% for females), 30 s continuous jump tests using the Optojump system (Microgate, Italy), and 30 m sprint assessments with 10 m and 20 m split times. Peak power was expressed in absolute (W), relative (W·kg⁻¹), and allometric (W·kg^−0.67) terms. Results: Thirty-second continuous jump testing produced systematically higher peak power values across all metrics (p < 0.001). Mean differences indicated large effect sizes: relative power (Cohen’s d = 0.99; 18.263 ± 4.243 vs. 10.99 ± 1.58 W·kg⁻¹), absolute power (d = 0.86; 1381.71 ± 393.44 vs. 807.28 ± 175.45 W), and allometric power (d = 0.79). Strong correlations emerged between protocols, with absolute power showing the strongest association (r = 0.842, p < 0.001). Linear regression analysis revealed that 30 s continuous jump-derived measurements explained 71% of the variance in Wingate outcomes (R² = 0.710, p < 0.001). Sprint performance showed equivalent predictive capacity for both tests (Wingate: R² = 0.66; 30 s continuous jump: R² = 0.67). Conclusions: The Optojump infrared photocell system provides a valid and practical alternative to laboratory-based ergometry for assessing lower limb anaerobic power. While it systematically overestimates absolute values compared with the Wingate anaerobic test, its strong concurrent validity (r > 0.80), large effect sizes, and equivalent predictive ability for sprint performance (R² = 0.66–0.71) confirm its reliability as a field-based assessment tool. These findings underscore the importance of sport-specific, weight-bearing assessment technologies in modern sports biomechanics, providing coaches, practitioners, and clinicians with a feasible method for monitoring performance, talent identification, and training optimization. The results further suggest that Optojump-based protocols can bridge the gap between laboratory precision and ecological validity, supporting both athletic performance enhancement and injury prevention strategies. Full article

In this paper, the evaluation of the mechanical performance of novel, designed topologically optimized shin pads with advanced materials will be conducted with the aid of Finite Element Analysis (FEA) to assess the endurance of the final structure on impact phenomena extracted from actual real-life data acquired from contact sports. The main focus of the developed prototype is to have high-enough energy absorption capabilities and vibration isolation properties, crucial for the development of trustworthy protective equipment. The insertion of advanced materials with controlled weight fractions and lattice geometries aims to strategically improve those properties and provide tailored characteristics similar to the actual human skeleton. The final design is expected to be used as standalone protective equipment for athletes or as a protective shield for the development of human lower limb prosthetics. In this context, computational investigation of the dynamic mechanical response was conducted by replicating a real-life phenomenon of the impact during a contact sport in a median condition of a stud kick impact and an extreme case scenario to assess the dynamic response under shock-absorption conditions and the final design’s structural integrity by taking into consideration the injury prevention capabilities. The results demonstrate that the proposed lattice geometries positively influence the injury prevention capabilities by converting a severe injury to light one, especially in the gyroid structure where the prototype presented a unified pattern of stress distribution and a higher reduction in the transmitted force. The incorporation of the PA-12 matrix reinforced with the reused ground tire rubber results in a structure with high enough overall strength and crucial modifications on the absorption and damping capabilities vital for the integrity under dynamic conditions. Full article

Swimming research has determined that rounded shoulders, forward head, and scapular dyskinesis are common imbalances that may lead to injury without correction. This case study aimed to evaluate a preventative exercise program designed to reduce injuries, correct postural deviations, and improve shoulder function over one collegiate swimming season. Twenty female NCAA Division I swimmers (average age = 21.6 ± 1.3 years) participated over 25 weeks, completing pre-, mid-, and post-season assessments of injury rates, shoulder range of motion, and stability using standardized tests. Injuries were included as diagnosed and reported by an athletic trainer. Testing included internal rotation, external rotation, the Hawkins-Kennedy test, Neer’s sign, Sulcus sign, and the Closed Kinetic Chain Upper-Extremity Stability Test (CKCUEST). Compared to the season prior with no intervention, swimmers who completed the program were 44% less likely to sustain an upper-extremity injury, as assessed from the CKCUEST scores (p < 0.01 for all metrics), shoulder internal rotation (p < 0.01 for both shoulders), and total range of motion (p < 0.01 for both shoulders). These findings suggest that a targeted corrective exercise program can effectively reduce injury rates and improve shoulder mobility and function in collegiate athletes. The interpretation of these results is limited by the study’s non-randomized design and absence of a control group. Full article

The aim of the study was to determine correlations between performance of vertical jumps and dolphin kick sprints, and between the results of a dry-land butterfly arm pull test and butterfly arms-only swimming. The study recruited competitive junior male swimmers (15.9 (0.7) years, 179.3 (5.3) cm body height, 64.6 (4.3) kg body mass). On dry land, we measured jump height, lower-limb work and power, as well as peak velocity, power, and force in the butterfly arm pull test. In swimming tests, time, velocity, power, force, and work were assessed during the dolphin kick and butterfly arms-only trials. Pearson’s correlation coefficients and the coefficients of determination were calculated between measurements. The findings showed correlations between swimming velocity and power recorded during the dolphin kick test with jump height, work and power measured in the jump tests (maximum r = 0.90, r² = 0,81, p < 0.05). The best correlations between the results of the jump tests and swim variables were determined for the CJ30s test. The butterfly arm pull test was not associated with all parameters measured by the butterfly arms-only test. Our study demonstrates that targeted dry-land training programmes using exercises like vertical jumps can enhance competitive swimmers’ performance and offer coaches an accessible means of tracking athlete progress. Moreover, such simple drills may serve as a cost-effective approach for early evaluation of strength and power potential and for preventing musculoskeletal injuries, all without requiring pool access or specialized underwater equipment. However, the small and homogeneous sample (n = 12, junior males only) and the absence of reliability analyses limit the generalizability of the results. Full article

Inter-limb asymmetries may negatively affect performance and increase injury risk in team sports, but evidence in women’s futsal remains scarce. This study examined the relationship between inter-limb asymmetries in vertical (countermovement jump, CMJ), horizontal (standing broad jump, SBJ), and reactive (drop jump, DJ) tests, ankle dorsiflexion (DF), and change of direction (COD; 505, L-Run, V-Cut) with physical performance variables in adult female futsal players. Thirty-two highly trained athletes from the Spanish Women’s Second Division (age: 23.4 ± 4.8 years) completed a testing battery including bilateral and unilateral jumps, linear sprints (5, 10, 15 m), COD tests, and ankle dorsiflexion. Asymmetries were calculated as percentage differences between limbs, and their associations with unilateral performance were analyzed using Pearson’s correlations. The highest asymmetries were observed in DJ (15.7 ± 13.3%) and DF (15.3 ± 13.3%), whereas L-Run and 505 displayed the lowest values. Significant moderate negative correlations were found between SBJ asymmetry and right leg SBJ performance (r = −0.356, p < 0.05), and between DF asymmetry and right leg DF (r = −0.494, p < 0.01). No other meaningful associations were identified, and agreement in the direction of asymmetry across tests was generally slight. These findings highlight the task-specific nature of inter-limb asymmetries and suggest that diverse unilateral assessments are needed to comprehensively monitor imbalances and inform targeted training interventions in female futsal. Full article

Background: Neuromuscular training is widely implemented in professional football to enhance performance and reduce injury risk. Although unstable surfaces are commonly used for proprioceptive and rehabilitation purposes, limited evidence supports their effectiveness in improving sport-specific force production and stability in elite athletes. This study aimed to compare the effects of multicomponent neuromuscular training performed on stable versus unstable surfaces on unilateral force production, mobility, and agility in elite male soccer players. Methods: Twenty-seven professional male soccer players from the Spanish first division were randomly assigned to either a stable surface group (SSG; n = 14) or an unstable surface group (USG; n = 13). Both groups completed a 10-week intervention in addition to their regular training routines. Pre- and post-intervention assessments included dorsiflexion range of motion (DFt), Y-Balance Test (YBT), single-leg countermovement jump (SLCMJ), single-leg hop for distance (SLH), side-hop (SH), Speedy Jump (SpJ), Agility T-test (TT), and the Lower Extremity Functional Test (LEFT). A two-way repeated-measures ANOVA and Hedges’ g effect sizes were used for statistical analysis. Results: The SSG showed significant improvements in most performance variables, including DFt, YBT, SLH, SH, SpJ, TT, and LEFT (percent change range: 1.6% to 9.8%; Hedges’ g ranging from 0.52 to 2.57). The USG showed limited improvements, with significant changes only in LEFT (percent change = 1.18%; Hedges’ g = 0.53). Notably, the stable surface group demonstrated enhanced force production and agility, particularly in the non-dominant limb. Conclusions: Multicomponent neuromuscular training on stable surfaces appears more effective than training on unstable surfaces for improving unilateral strength, mobility, and agility in elite soccer players. These findings suggest that stable surface training may provide superior performance benefits and should be considered a priority in high-performance environments. Full article

Participation in sports and the presence of sports injuries have a lasting impact on youth athletes’ physical, cognitive, and emotional development and sense of self-identity. There is an ongoing growth in participation in sports for youth, as well as growing literature on the epidemiology and outcomes of sports-related injuries. However, there is a paucity of published research regarding the psychological aspects of sports injury, including psychosocial factors, stressors, and responses, from the perspective of young athletes. Key risk factors include the youth’s sex, the types of sports activity, and any previous injuries. Psychosocial models, such as the stress-injury model, help explore such risk factors and their relationship to outcomes of stress. Implications for sports injury outcomes vary within the pediatric population, and the recovery and rehabilitation process requires integrated healthcare to optimize health and mental health outcomes. This review aims to describe the psychosocial factors related to sports injuries in children and adolescents, provide an understanding of sports injury models for youth athletes, and point to recovery and prevention through integrated behavioral health interventions. Based on a literature search, we identified 40 articles most relevant to our aims to explore psychosocial factors and stressors, predisposing and risk factors, and developmental aspects of sports injuries in children and adolescents. Full article