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Manning, Blaine T., Daniel D. Bohl, Charles P. Hannon, Michael L. Redondo, David R. Christian, Brian Forsythe, Shane J. Nho, and Bernard R. Bach. "Patient Perspectives of Midlevel Providers in Orthopaedic Sports Medicine." Orthopaedic Journal of Sports Medicine 6, no. 4 (April 1, 2018): 232596711876687. http://dx.doi.org/10.1177/2325967118766873.
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Background: Midlevel providers (eg, nurse practitioners and physician assistants) have been integrated into orthopaedic systems of care in response to the increasing demand for musculoskeletal care. Few studies have examined patient perspectives toward midlevel providers in orthopaedic sports medicine. Purpose: To identify perspectives of orthopaedic sports medicine patients regarding midlevel providers, including optimal scope of practice, reimbursement equity with physicians, and importance of the physician’s midlevel provider to patients when initially selecting a physician. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 690 consecutive new patients of 3 orthopaedic sports medicine physicians were prospectively administered an anonymous questionnaire prior to their first visit. Content included patient perspectives regarding midlevel provider importance in physician selection, optimal scope of practice, and reimbursement equity with physicians. Results: Of the 690 consecutive patients who were administered the survey, 605 (87.7%) responded. Of these, 51.9% were men and 48.1% were women, with a mean age of 40.5 ± 15.7 years. More than half (51.2%) perceived no differences in training levels between physician assistants and nurse practitioners. A majority of patients (62.9%) reported that the physician’s midlevel provider is an important consideration when choosing a new orthopaedic sports medicine physician. Patients had specific preferences regarding which services should be physician provided. Patients also reported specific preferences regarding those services that could be midlevel provided. There lacked a consensus on reimbursement equity for midlevel practitioners and physicians, despite 71.7% of patients responding that the physician provides a higher-quality consultation. Conclusion: As health care becomes value driven and consumer-centric, understanding patient perspectives on midlevel providers will allow orthopaedic sports medicine physicians to optimize efficiency and patient satisfaction. Physicians may consider these data in clinical workforce planning, as patients preferred specific services to be physician or midlevel provided. It may be worthwhile to consider midlevel providers in marketing efforts, given that patients considered the credentials of the physician’s midlevel provider when initially selecting a new physician. Patients lacked consensus regarding reimbursement equity between physicians and midlevel providers, despite responding that the physician provides a higher-quality consultation. Our findings are important for understanding the midlevel workforce as it continues to grow in response to the increasing demand for orthopaedic sports care.
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Lassandro, Giuseppe, Domenico Accettura, and Paola Giordano. "Promoting Sports Practice in Persons with Hemophilia: A Survey of Clinicians’ Perspective." International Journal of Environmental Research and Public Health 18, no. 22 (November 11, 2021): 11841. http://dx.doi.org/10.3390/ijerph182211841.
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Historically, people with hemophilia have been warned to avoid physical activities as a possible cause of bleeding; however, currently, sport is considered necessary, especially in the developmental age, for providing a good quality of life. A survey was proposed to a group of hematologists and sports physicians working in Puglia, Italy, to explore their approach to physical activities for their patients with hemophilia and to obtain suggestions about possible interventions to promote the access of patients to sports. The survey was answered by 6 hematologists and 15 sports physicians. In total, 71% (about six patients/year/physician) of patients with hemophilia seen by sports physicians asked for counseling about sports, and 67% (about five patients/year/physician) actually practiced sports. On the other hand, only 31% (about 16 patients/year/hematologist) of patients asked hematologists questions on sports, and only 16% (about seven patients/year/hematologist) of patients with hemophilia and that were followed-up by hematologists practiced sports. The sports most often recommended to patients with hemophilia by physicians included swimming, athletics, tennis, running and gymnastics. According to hematologists, physical activity was very efficient in improving the quality of life of patients; stability of joints; their psychological, social and musculoskeletal wellbeing; and in reducing the risk of bleedings. On the other hand, physical activity was considered less important in all these areas by sport physicians. In conclusion, answers to this survey suggested that sports could be promoted among hemophilic patients by increasing the sports physicians’ knowledge about hemophilia and their special role in this area. In addition, interviewed clinicians were of the opinion that increased awareness of specific guidelines and clinical practice protocols among both hematologists and sports physicians could be beneficial. Finally, answers suggested that access to fitness certification should be facilitated.
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Ushotanefe, U., F. E. Mbajiogu, and A. O. Sanya. "Physiotherapy utilisation by sports physicians for musculoskeletal injuries in selected elite sports in Nigeria." South African Journal of Physiotherapy 56, no. 3 (August 31, 2000): 19–23. http://dx.doi.org/10.4102/sajp.v56i3.538.
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In Nigeria, the majority of injured athletes seen in sports physiotherapy units are referred by sports physicians. The extent to which a physician utilises the services of physiotherapy in sport depends largely on the level of awareness or knowledge of physiotherapy services that such physicians have. This survey evaluated the degree of utilisation of physiotherapy services for the treatment of injuries during preparation for multi-sports events by sports physicians in selected elite sporting events in Nigeria.One hundred and twenty-eight athletes, coaches, sports administrators, scientists, medical doctors and physiotherapists located at four different camping sites, were sampled. The responses between different professional groups on the non-utilisation of physiotherapy services by sports physicians during preparation for multi-sport events, was not significant. However, Nigerian professionals who were surveyed, accepted the hypothesis that sports physicians did not utilize physiotherapy services for the management of musculoskeletal injuries during training and pre-games preparation in selected elite sports in Nigeria.This retrospective study of the actual referral records at the clinic of the sports medicine centre revealed that 20 (91%) different types of musculoskeletal injuries sustained by volley ball players were referred for physiotherapy. Nine (56.3%) injuries sustained by basketball players, 62 (87.3%) by track and field athletes, and 6 (74%) by football players were referred for physiotherapy between 1992 and 1995. The majority of the injuries sustained were ligamentous sprain and muscular strain with joints of the lower limbs and the back mostly affected.
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Grunberg, Neil E., James D. Doorley, and Erin S. Barry. "Sport Psychology: Principles and Practices for Sports Medicine Physicians." Current Sports Medicine Reports 23, no. 5 (May 2024): 192–98. http://dx.doi.org/10.1249/jsr.0000000000001167.
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Abstract Sport psychology is the scientific study and application of psychological principles to enhance performance and well-being in sport, exercise, and physical activity. It has numerous applications to sports medicine, as psychological factors are associated with sport injury risk, recovery, successful return to play, and overall health. This article addresses how sport psychology is important to sports medicine and what applied sport psychologists do. We discuss several psychological principles and practices relevant to individual performance and well-being, including goal setting, communication, arousal and performance, imagery/mental rehearsal, attention management, managing psychological distress, and behavioral health. We also discuss principles and practices of sport psychology relevant to team performance, including stages of team development, goal setting, communication, arousal and performance, and behavioral health. Sport psychology and applied sport psychology practitioners can be valued assets to sports medicine teams in supporting individual and team performance and injury recovery.
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LUCKSTEAD, E. F. "Pediatric Team Physicians." Pediatrics 78, no. 5 (November 1, 1986): 941–42. http://dx.doi.org/10.1542/peds.78.5.941.
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Few pediatricians are actively involved in youth sports activities. Although pediatricians are well suited to provide complete health care to young athletes, they have avoided or deferred and referred the sports medical care of large numbers of preadolescent and adolescent youth to others. Is this acceptable? Which physician is most qualified to counsel, guide, and treat the growing child and adolescent? If pediatricians do not accept roles such as the team physician, other doctors and even non-physicians will eagerly step forward. Should athletes and teams be able to participate in sports events when adequate medical support is not available? Do athletes, parents, schools, coaches, and communities understand the actual role of the team physician?
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Edwards, Carla. "Sports psychiatry clinical curriculum for sports and exercise medicine fellows in one Canadian university." Sports Psychiatry 2, no. 3 (August 2023): 89–94. http://dx.doi.org/10.1024/2674-0052/a000054.
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Abstract: Introduction: Athletes can experience the same mental illnesses as the general population. Sports create additional circumstances that can influence the mental health of its participants. Sport and Exercise Medicine (SEM) physicians are often on the front lines of providing medical assessment and treatment to athletes for a variety of presenting complaints. Enhancing the knowledge base and clinical approach of Sport and Exercise Medicine physicians for assessment and management of mental health challenges in athletes can assist in early identification, assessment, treatment initiation, or referral to a sports psychiatrist. Providing SEM trainees with formal clinical exposure to Sports Psychiatry can better equip them for their future practice. This article describes a formalized clinical rotation in Sports Psychiatry for SEM Fellows in one Canadian university. Methods: In collaboration with the SEM Fellowship program, a formal Sports Psychiatry rotation was created to ensure every Fellow had exposure to mental health assessment and management of athletes appropriate to what would be expected of SEM physicians. Results: A four-week curriculum which included direct clinical assessment, treatment initiation, follow up, and presentation of case-based mental health topics appropriate for SEM physicians. This program was reviewed during accreditation as part of the Enhanced Skills curriculum of the postgraduate Family Medicine program at McMaster University in 2023. Conclusion: An integrated Sports Psychiatry rotation during a SEM Fellowship provides an opportunity for future SEM physicians to have exposure to a clinical population of athletes with mental health concerns to develop tools for assessment, management, and collaborative care.
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Chandler, Charlotte, Martin Eubank, Mark Nesti, and Tim Cable. "Personal Qualities of Effective Sport Psychologists: A Sports Physician Perspective." Physical Culture and Sport. Studies and Research 61, no. 1 (June 1, 2014): 28–38. http://dx.doi.org/10.2478/pcssr-2014-0003.
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Abstract Previous literature within applied sport psychology offers little detailed discussion regarding the personal qualities of sport psychology practitioners and the impact of these qualities on practice. This paper presents an exploration of the views of sport physicians regarding the personal characteristics and qualities of applied sport psychologists deemed necessary for effective practice. Five UK-based physicians and one Head of Medical Services, working in a range of elite and professional sports, were interviewed about their experience and perceptions of working with sport psychologists. The interview transcripts were content analysed and trustworthiness criteria applied. Four key themes emerged from the data, labelled ‘Personal qualities’, ‘Relationship Building’, ‘Professionalism in Practice’, and ‘Similarities between Psychologist and Physician’. The findings within each theme offered interesting insights into the impact of personal qualities on effective sport psychology practice. This study extends the existing literature on sport psychologists’ characteristics and effectiveness and offers new insights into their personal qualities and how these interact with the practice environment. The findings supported the growing emphasis within the field on the importance of the person behind the practitioner. Suggestions are offered with reference to the need to consider how literature from counselling psychology and medical training could assist the development of practice and education and training in sport psychology.
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Ross, Brendon, Thomas Trojian, and Daniel M. Cushman. "Physician Perceptions of Cannabidiol (CBD) and Cannabis in Sports Medicine and Performance." Translational Sports Medicine 2023 (December 11, 2023): 1–6. http://dx.doi.org/10.1155/2023/8824466.
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Objectives. There is growing evidence regarding cannabinoid use in sports medicine and performance, especially cannabidiol (CBD). This study aims to determine if sports medicine physicians are recommending cannabinoids for therapeutic purposes, as well as analyze perceptions of cannabinoids within sports medicine and performance. Methods. Physician members of the American Medical Society for Sports Medicine (AMSSM) completed an anonymous survey on demographics, CBD and Cannabis recommendations, as well as attitudes toward cannabinoid products within sports medicine. Factors associated with CBD and cannabis recommendations as well as perceptual differences were found using multivariate regression modelling. Results. Responses from 333 physicians were recorded. The following groups were less likely to agree with allowing cannabis for recreational purposes: female gender (coeff. = 0.79 (0.33–1.25), p = 0.001 ), increasing age (coeff. = 0.04 (0.02, 0.07), p < 0.001 ), and rural respondents (compared to baseline urban, coeff. = 1.16 (0.36, 1.95), p = 0.004 ). Similarly, these three factors were associated with a higher likelihood of disagreeing with WADA removing cannabis from the prohibited substance list and with the NCAA allowing CBD use by collegiate athletes ( p ≤ 0.045 ). CBD was less likely to be recommended by pediatricians, rural physicians, and academic physicians ( p ≤ 0.030 ). Male physicians and younger physicians were less likely to identify cannabis as performance-enhancing ( p ≤ 0.042 ). Conclusions. Sports medicine physicians have varying views on cannabinoids. While sports medicine physicians generally have favorable attitudes toward CBD and cannabis, these perceptions appear to be significantly affected by age, practice type, and gender.
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Hoberman, John. "Sports Physicians and the Doping Crisis in Elite Sport." Clinical Journal of Sport Medicine 12, no. 4 (July 2002): 203–8. http://dx.doi.org/10.1097/00042752-200207000-00002.
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Knobloch, Alexander C. "Running Gait Retraining: A Sports Medicine Training Gap in Family Medicine." Family Medicine 54, no. 5 (May 5, 2022): 384–88. http://dx.doi.org/10.22454/fammed.2022.405151.
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Background and Objectives: Emerging evidence suggests that running gait retraining plays an important role in the treatment and prevention of running-related injury, yet it remains unclear how gait retraining is being utilized by family physicians with their patients. By surveying family physicians and residents, this study is the first to investigate the frequency of gait retraining discussions with patients with running-related injuries, barriers to these discussions, and physician confidence and perceived value in engaging in these discussions, so as to better inform family physician training on this subject. Methods: This study investigated family physician attitudes toward gait retraining though a cross-sectional survey administered to 532 military family physicians and residents at the 2019 Uniformed Services Academy of Family Physicians Annual Meeting. Main outcome measures included frequency of, confidence in, and value of discussions of running gait retraining with patients with running-related injuries. Obstacles to discussing gait retraining, knowledge on the topic, and previous training on the topic were also assessed. Results: With a 72.2% response rate, the majority of respondents (82%) felt discussions on the topic are at least somewhat valuable. However, 63% of respondents infrequently discuss the topic with patients, while 71% lack confidence in engaging in these discussions. The most frequently reported obstacles were lack of knowledge (55%) and time (24%). Conclusions: Family physicians find value in discussions of running gait retraining with their patients, but discussion frequency and physician confidence are low. Educational interventions increasing physician knowledge and the development of non-time-intensive approaches would be best suited for improving confidence and discussion frequency for this valued skill.
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Sethi, N. "Neurologist at ringside-to be or not to be?" South African Journal of Sports Medicine 30, no. 1 (July 27, 2018): 1–2. http://dx.doi.org/10.17159/4255.
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Background: Ringside physicians are entrusted with the task of protecting the health and safety of combat sports (boxing and mixed martial arts) athletes. Ringside physicians come from various disciplines of medicine such as primary care, Internal Medicine, orthopaedics, sports medicine and even otolaryngology. There are very few neurologists who work as ringside physicians.
Discussion: Boxing and MMA are highly controversial sports for neurologists to be involved in for in these sports every punch and kick to the head is thrown with the intention of knocking the opponent out. Every punch and kick to the head is thrown with the intention to win via causing a concussion. Many neurologists thus feel it is unethical to support boxing by working as a ringside physician.
Conclusion: Boxing and MMA are universally thought to be detrimental to the brain and nearly all medical associations at various times have made calls to ban boxing and MMA altogether. While medical associations and physicians including neurologists may not support boxing or MMA, the presence of a neurologist ringside or cageside helps make these sports safer by protecting the health and safety of a combat sports athlete.
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Sethi, N. "Neurologist at ringside-to be or not to be?" South African Journal of Sports Medicine 30, no. 1 (July 27, 2018): 1–2. http://dx.doi.org/10.17159/2078-516x/2018/v30i1a4255.
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Background: Ringside physicians are entrusted with the task of protecting the health and safety of combat sports (boxing and mixed martial arts) athletes. Ringside physicians come from various disciplines of medicine such as primary care, Internal Medicine, orthopaedics, sports medicine and even otolaryngology. There are very few neurologists who work as ringside physicians.
Discussion: Boxing and MMA are highly controversial sports for neurologists to be involved in for in these sports every punch and kick to the head is thrown with the intention of knocking the opponent out. Every punch and kick to the head is thrown with the intention to win via causing a concussion. Many neurologists thus feel it is unethical to support boxing by working as a ringside physician.
Conclusion: Boxing and MMA are universally thought to be detrimental to the brain and nearly all medical associations at various times have made calls to ban boxing and MMA altogether. While medical associations and physicians including neurologists may not support boxing or MMA, the presence of a neurologist ringside or cageside helps make these sports safer by protecting the health and safety of a combat sports athlete.
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Nicolello, Timothy S., Forrest Q. Pecha, Reed L. Omdal, Kurt J. Nilsson, and Alejandro A. Homaechevarria. "Patient Throughput in a Sports Medicine Clinic With the Implementation of an Athletic Trainer." Sports Health: A Multidisciplinary Approach 9, no. 1 (November 1, 2016): 70–74. http://dx.doi.org/10.1177/1941738116676452.
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Background: Orthopaedic clinics have acquired a multitude of health professionals to improve clinic efficiency. More recently, athletic trainers (ATs) have been utilized to improve clinical efficiency and patient care because of their extensive background in musculoskeletal injuries and anatomy. Improved clinical efficiency allows for increased patient visits, potentially enhancing patient access and downstream revenue via relative value units (RVUs). Hypothesis: The addition of an AT into a sports medicine physician’s clinic will increase total patient throughput and overall RVU production. Study Design: Retrospective analysis. Level of Evidence: Level 4. Methods: Patients seen by each of the 2 primary care sports medicine physicians at St Luke’s Sports Medicine for a 2-year period were retrospectively evaluated. The initial clinic model included the physician and a medical assistant; during the second year of analysis an AT was added to the clinic staffing model. Two-tailed t tests were used to determine significant differences in patient volume between the 2 periods of data collection. Results: Through the implementation of an AT, patient throughput increased by 0.7 patients per hour over 2 half-day clinics, a 25% increase ( P < 0.01). Physician B patient visits increased by 21%, or 3.8 patients per 6.5-hour clinic day ( P < 0.01). Additionally, RVU production increased by 3.23 per half-day and 4.3 per full day for physicians A and B, respectively. Conclusion: Clinical efficiency was improved with the addition of an AT. Total physician RVUs improved, thereby raising the potential revenue of both the physician and health care institution. Employing ATs in a sports medicine clinic may improve clinical productivity and financial stability, thereby validating the incorporation of ATs into the established clinical model. Clinical Relevance: Limited research exists measuring patient throughput with an AT in a sports medicine clinic. This study investigates patient throughput and the subsequent increase in work-based RVUs.
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Yuksel, Oguz, Fatma Akgul, Gamze Ungur, Merve Demir Benli, Birsu Topcugil, and Murat Duman. "Concussion Awareness of Sports Physicians." Turkish Journal of Sports Medicine 54, no. 1 (March 13, 2019): 17–23. http://dx.doi.org/10.5152/tjsm.2019.112.
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Mulcahey, Mary, Andrew Hinkle, and Symone Brown. "Gender Disparity Among NBA and WNBA Team Physicians (112)." Orthopaedic Journal of Sports Medicine 9, no. 10_suppl5 (October 1, 2021): 2325967121S0026. http://dx.doi.org/10.1177/2325967121s00262.
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Objectives: Female physicians are underrepresented across a broad range of medical specialties, especially at senior levels. Previous research demonstrated poor representation of women in sports medicine leadership roles in the National Collegiate Athletic Association (NCAA) compared to their male colleagues. The purpose of this study was to evaluate the distribution of men and women among team physicians on the medical staffs of National Basketball Association (NBA) and Women’s National Basketball Association (WNBA) teams in the last 10 years and assess regional differences in representation of female physicians. Methods: A Google search of publicly available data regarding team physician gender, medical specialty, and medical degree was conducted in October 2019 for team physicians in the NBA and WNBA over the last 10 years. Descriptive statistics were used to analyze the data. This data was then stratified by region of country in which NBA/WNBA franchises are located to provide regional comparison of team physician characteristics. Results: We identified 125 team physicians for NBA franchises. 122 (97.6%) were male and 3 (2.4%) were female. In the WNBA, a total of 28 physicians were identified. 20 (71.4%) were male and 8 (28.6%) were female. Osteopathic physicians accounted for 5 (4%) and 2 (7.1%) of the physicians associated with NBA and WNBA franchises, respectively. Demographic findings of NBA and WNBA team physicians are demonstrated in Table 1. The Northeast had the highest proportion of female team physicians, with 5 of 18 (27.8%). Conclusions: This study demonstrates a substantial difference in the number of female physicians with leadership roles in both the NBA and WNBA compared to male physicians. It is important to try to understand what barriers female physicians face in their pursuit of leadership positions in sports medicine and to implement strategies to provide equal opportunities to both male and female physicians.
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Lavielle Sotomayor, Pilar, Gerardo Huitron Bravo, Analí López Fernández, and Juan Talavera Piña. "Prescription of Physical Activity: How Does the Internist Perceive it?" Journal of Physical Activity and Health 16, no. 9 (September 1, 2019): 722–26. http://dx.doi.org/10.1123/jpah.2018-0427.
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Objective: To assess the meaning of a physical activity prescription (PAP) from the physician’s point of view and to examine current PAP-related clinical practices and stage of change, including the factors that influence them. Methods: Mixed methodology was applied to obtain valid, high-quality data. During the qualitative phase, the “free-listing” technique was used to explore the “cultural domain” of a physician’s perception of PAP, as well as the construction of culturally relevant items used during the last phase of the study. A survey was conducted to evaluate clinical practices, attitudes, and physician state of change regarding PAP. The convenience sample of 58 (qualitative phase) and 350 internists (quantitative phase) who attended the International Congress of Internal Medicine was interviewed. Results: A majority of internist reported having adequate knowledge, positive attitude, being in the maintenance phase with no barriers to prescribe physical activity (PA). Prescription was associated with physician training, their workplace, and experience. However, physicians do not satisfactorily evaluate the level of patient’s PA nor recommend an adequate level of PA, which is necessary to achieve health goals. Conclusions: Physicians had great acceptance of PAP. However, there were low levels of knowledge of current PA guidelines, although most physicians thought they had sufficient knowledge. Training seems to be an excellent way to improve PAP.
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Malcolm, Dominic. "Unprofessional Practice? The Status and Power of Sport Physicians." Sociology of Sport Journal 23, no. 4 (December 2006): 376–95. http://dx.doi.org/10.1123/ssj.23.4.376.
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In this article I examine the role and working practice of rugby union club doctors in England. While medicine is widely perceived to be one of the most powerful professions in Western societies, sociologists of sport have argued that sport clinicians often wield relatively limited power over their athlete-patients. In this article I therefore attempt to shed further light on the “peculiar” character of sports medicine. Using data drawn from interviews and questionnaires, I argue that this phenomenon can be understood only by looking at the structure of the sports medicine profession, the specificities of the rugby club as a workplace setting, and the relationships club doctors have with clients (coaches and athletes) and other health care providers (physiotherapists).
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Xu, Amy L., Jennifer J. Beck, Emily A. Sweeney, Megan N. Severson, A. Stacie Page, and R. Jay Lee. "Understanding the Cheerleader as an Orthopaedic Patient: An Evidence-Based Review of the Literature." Orthopaedic Journal of Sports Medicine 10, no. 1 (January 1, 2022): 232596712110672. http://dx.doi.org/10.1177/23259671211067222.
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Cheerleading is a highly popular youth sport in the United States and has been increasingly recognized in recent years for its athleticism and competitive nature. The sport has changed dramatically since its inception. When the sport of cheerleading was first developed, its primary purpose was to entertain crowds and support other athletes. Today, cheerleaders are competitive athletes themselves. Cheerleaders, most of whom are in the pediatric age group, and their parents commonly approach orthopaedic surgeons and sports medicine physicians with questions regarding the risks associated with participation in the sport. Appropriate clinical guidance is especially important for athletes returning to the sport after an injury. However, unlike other popular sports (eg, football, basketball, and volleyball), the intricacies of cheerleading are not well-known to those outside the sport, including many health care providers. Previous studies have reported on the epidemiological patterns of injuries associated with cheerleading and how such aesthetic sports affect the body, finding that fractures and concussions are prevalent and that catastrophic injuries are more common than in most other sports. Here, we provide an evidence-based discussion of 10 pertinent topics regarding cheerleading and its risks to the musculoskeletal system. The purpose of this review is to provide a comprehensive resource for orthopaedic surgeons and sports medicine physicians who care for these athletes.
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Roos, Robert. "Certification for Sports Physicians Gathers Momentum." Physician and Sportsmedicine 17, no. 2 (February 1989): 194–99. http://dx.doi.org/10.1080/00913847.1989.11709717.
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Ünsal Delialioğlu, Sibel, Sibel Mandıroğlu, and Fatih Göksel. "Awareness and attitudes of oncology physicians recommending exercise to patients with cancer." Turkish Journal of Physical Medicine and Rehabilitation 68, no. 1 (March 1, 2022): 70–75. http://dx.doi.org/10.5606/tftrd.2022.7120.
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Objectives: The aim of our study was to evaluate oncology physicians’ attitudes and awareness toward recommending exercise to their patients with cancer. Patients and methods: A total of 86 oncology physicians (52 males, 34 females; mean age: 46.7±10.9 years; range, 26 to 60 years) were included in the study between June 2019 and September 2019. A questionnaire was prepared to evaluate the physicians' perspectives about exercise and it consisted of five main sections including the physician's exercise habits, physicians’ attitudes toward recommending exercise, the effects of exercise on cancer-related symptoms and cancer treatments, whether there was an exercise unit in the hospital, and whether the physician was referring the patients and on which subjects the physicians were willing to receive training. Results: A total of 87.2% of the physicians recommended exercise to their patients. There were three reasons for physicians who did not recommend exercise: “I don’t have enough training to recommend exercise; I don’t know which type of exercise to recommend; and I don’t know what I should pay attention while recommending exercise.” A total of 83.7% physicians considered that exercise reduced the symptoms associated with cancer. A total of 73.3%, 64%, and 80.2% physicians believed that exercise increased the effectiveness of chemotherapy, radiotherapy, and immunotherapy, respectively. About 94.2% of the physicians were willing to be trained on the effects of exercise in cancer. Conclusion: Oncology physicians believe that exercise has positive effects on cancer; however, they still need training on this subject.
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Taranto, Eleanor, Michael Fishman, Holly Benjamin, and Lainie Ross. "Genetic Testing by Sports Medicine Physicians in the United States: Attitudes, Experiences, and Knowledge." Sports 6, no. 4 (November 12, 2018): 145. http://dx.doi.org/10.3390/sports6040145.
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It remains unknown whether and how sports medicine physicians currently utilize genetic testing in their clinical practice. This study sought to assess knowledge of, experience with, and attitudes towards genetic testing by sports medicine physicians in the United States (US). An email with a survey hyperlink was distributed twice to members of the American Medical Society for Sports Medicine (AMSSM) listserv in September 2016, with approximately a 10% response rate. Questions focused on knowledge of, experience with, and attitudes towards testing for different genes related to sports proficiency, injury risk, and disease risk. Few AMSSM physicians believe that genetic testing to adapt training (12%) or to choose a sport (2%) is ready for clinical adoption. Most respondents self-reported minimal knowledge about, and limited experience with, genetic testing. The main exception was screening for sickle cell trait (SCT) for which most (84%) reported moderate/significant/expert knowledge and over two-thirds had ordered testing. Although most respondents thought it appropriate to counsel and test for health conditions associated with cardiac and connective tissue disorders in the setting of a positive family history, only a minority had been asked to do so. Five or fewer respondents (2%) had been asked to test for performance-associated variants (Angiotensin Converting Enzyme (ACE) II and Alpha-Actinin 3 (ACTN3)), and five or fewer (2%) would recommend changes based on the results. Our study provides a baseline of current US sports medicine physicians’ minimal experiences with, and knowledge of, genetic testing. The findings of our study indicate that sports medicine physicians require further genetics education as it relates to sports and exercise in order to be prepared to competently engage with their patients and to develop sound professional organizational policies.
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de Borja, Celina, Cindy J. Chang, Rhonda Watkins, and Carlin Senter. "Optimizing Health and Athletic Performance for Women." Current Reviews in Musculoskeletal Medicine 15, no. 1 (January 13, 2022): 10–20. http://dx.doi.org/10.1007/s12178-021-09735-2.
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Abstract Purpose of Review The exponential growth of women participating in competitive sports throughout the years was made possible through several initiatives by the International Olympic Committee and the passage and implementation of Title IX as a federal law in the United States. However, this positive trend towards gender equity in sports has not transpired for women in medicine, especially in fields that care for elite athletes. This current review will discuss specific areas that can be tailored to help female athletes prevent injuries and optimize their athletic performance. We will also highlight how increased female team physician representation in sports may help optimize care for female athletes. Recent Findings Female athletes are considered high risk for certain conditions such as ACL tears, patellofemoral pain syndrome, bone stress injuries, sport-related concussions, and sexual violence in sport. Addressing factors specific to female athletes has been found to be valuable in preventing injuries. Strength and conditioning can optimize athletic performance but remains underutilized among female athletes. Although diversity in healthcare workforce has been found to be beneficial for multiple reasons, women remain underrepresented in sports medicine. Increasing female team physician representation may positively impact care for female athletes. Summary Team physicians must understand the physiologic, biomechanical, and anatomic factors that are unique to female athletes in order to tailor injury prevention programs and optimize their athletic performance. Advocating for gender equity in sports medicine to advance representation of women in the field will increase workforce diversity and promote excellence in sports medicine care.
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Steiner, Mark E., D. Bradford Quigley, Frank Wang, Christopher R. Balint, and Arthur L. Boland. "Team Physicians in College Athletics." American Journal of Sports Medicine 33, no. 10 (October 2005): 1545–51. http://dx.doi.org/10.1177/0363546505275491.
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Background There has been little documentation of what constitutes the clinical work of intercollegiate team physicians. Team physicians could be recruited based on the needs of athletes. Hypothesis A multidisciplinary team of physicians is necessary to treat college athletes. Most physician evaluations are for musculoskeletal injuries treated nonoperatively. Study Design Descriptive epidemiology study. Methods For a 2-year period, a database was created that recorded information on team physician encounters with intercollegiate athletes at a major university. Data on imaging studies, hospitalizations, and surgeries were also recorded. The diagnoses for physician encounters with all undergraduates through the university's health service were also recorded. Results More initial athlete evaluations were for musculoskeletal diagnoses (73%) than for general medical diagnoses (27%) (P<. 05). Four percent of musculoskeletal injuries required surgery. Most general medical evaluations were single visits for upper respiratory infections and dermatologic disorders, or multiple visits for concussions. Football accounted for 22% of all physician encounters, more than any other sport (P<. 05). Per capita, men and women sought care at an equal rate. In contrast, 10% of physician encounters with the general pool of undergraduates were for musculoskeletal diagnoses. Student athletes did not require a greater number of physician encounters than did the general undergraduate pool of students on a per capita basis. Conclusion Intercollegiate team physicians primarily treat musculoskeletal injuries that do not require surgery. General medical care is often single evaluations of common conditions and repeat evaluations for concussions.
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Neidecker, John, Nitin K. Sethi, Randolph Taylor, Raymond Monsell, Don Muzzi, Bruce Spizler, Larry Lovelace, et al. "Concussion management in combat sports: consensus statement from the Association of Ringside Physicians." British Journal of Sports Medicine 53, no. 6 (July 26, 2018): 328–33. http://dx.doi.org/10.1136/bjsports-2017-098799.
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Various organisations and experts have published numerous statements and recommendations regarding different aspects of sports-related concussion including definition, presentation, treatment, management and return to play guidelines. 1–7To date, there have been no written consensus statements specific for combat sports regarding management of combatants who have suffered a concussion or for return to competition after a concussion. In combat sports, head contact is an objective of the sport itself. Accordingly, management and treatment of concussion in combat sports should, and must, be more stringent than for non-combat sports counterparts.The Association of Ringside Physicians (an international, non-profit organisation dedicated to the health and safety of the combat sports athlete) sets forth this consensus statement to establish management guidelines that ringside physicians, fighters, referees, trainers, promoters, sanctioning bodies and other healthcare professionals can use in the ringside setting. We also provide guidelines for the return of a combat sports athlete to competition after sustaining a concussion. This consensus statement does not address the management of moderate to severe forms of traumatic brain injury, such as intracranial bleeds, nor does it address the return to competition for combat sports athletes who have suffered such an injury. These more severe forms of brain injuries are beyond the scope of this statement. This consensus statement does not address neuroimaging guidelines in combat sports.
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Zhihong, Yao. "Integrating Technology and Personalized Approaches in Sports Rehabilitation: Enhancing Performance and Preventing Sports Injuries." International Journal of Scientific and Management Research 06, no. 07 (2023): 16–29. http://dx.doi.org/10.37502/ijsmr.2023.6702.
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This study analyses how personalized therapy and technology might enhance sports performance and minimize injury risk. China used PLS to assess data. Issue Statement Athletes must avoid injuries and recuperate to perform well. Modern technologies and specific therapies may enhance recovery. This concept uses technology and individualized therapy to help athletes recover quicker and avoid injuries. Many effective study methods were used. We first researched sports rehabilitation technology and tactics. Next, a representative Chinese athlete sample was surveyed on the new training methods. PLS was used to detect correlations and other patterns that might elucidate research issues. Sports rehabilitation is enhanced by VR/AR, motion tracking, biomechanical analysis, and neurostimulation. Widely used. Kinematic analysis, balance and strength testing, and flexibility training improved athlete recovery. Research Advice This research may support various beliefs. Cutting-edge rehabilitation facilities must invest in cutting-edge technologies. Physicians must accommodate athletes. Technology and individualized training should be supported in rehabilitation and training programs to decrease sports injuries and increase athlete performance by the sport’s governing organizations and groups. This research shows that sports rehabilitation needs personalized treatment plans and technologies to improve outcomes and prevent recurrence. Physicians, sports teams, and Chinese athletes may benefit from the results.
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Yanguas, Xavier, David Dominguez, Eva Ferrer, Daniel Florit, Youssef Mourtabib, and Gil Rodas. "Returning to Sport during the Covid-19 pandemic: The sports physicians’ role." Apunts Sports Medicine 55, no. 206 (April 2020): 49–51. http://dx.doi.org/10.1016/j.apunsm.2020.06.001.
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Hughes, David, Nicole Vlahovich, Marijke Welvaert, Nicolin Tee, Peter Harcourt, Susan White, Alan Vernec, Ken Fitch, and Gordon Waddington. "Glucocorticoid prescribing habits of sports medicine physicians working in high-performance sport: a 30-nation survey." British Journal of Sports Medicine 54, no. 7 (February 5, 2020): 402–7. http://dx.doi.org/10.1136/bjsports-2019-101175.
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ObjectivesGlucocorticoids are commonly prescribed in medicine. When administered via certain routes, glucocorticoids are prohibited for incompetition use by WADA. The glucocorticoid prescribing habits of sports medicine doctors have not been reported.MethodsAn online survey was distributed internationally to physicians working in high-performance sports. The survey queried the doctors about their use of glucocorticoids with athletes and their understanding of WADA’s regulations regarding glucocorticoid use in competition.Results603 sports medicine doctors from 30 different countries participated. The majority (>85%) routinely injected glucocorticoids and/or prescribed glucocorticoids by other routes. There were substantial differences in the common routes of injection as well as types of glucocorticoid used among the physicians from various countries. A relatively small percentage of sports doctors (<25%) accurately identified which routes of glucocorticoid administration are prohibited in competition by WADA. There was a great variation in how long before competition the use of glucocorticoids would cause the doctor to consider applying for a therapeutic use exemption (TUE). A better understanding of the clearance rates of glucocorticoids from athletes’ bodies would greatly aid sports medicine doctors’ decisions on how and when to apply for a TUE. A small number of doctors had observed side effects of glucocorticoid administration, with the majority of side effects being minor in nature.ConclusionGlucocorticoids are widely prescribed by sports physicians. There is a need to better educate sports physicians on the current WADA regulations in relation to glucocorticoid administration.
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Burn, Matthew B., David M. Lintner, Pedro E. Cosculluela, Kevin E. Varner, Shari R. Liberman, Patrick C. McCulloch, and Joshua D. Harris. "Physician Rating Scales Do Not Accurately Rate Physicians." Orthopedics 41, no. 4 (April 16, 2018): e445-e456. http://dx.doi.org/10.3928/01477447-20180409-06.
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Paterick, Timothy E., Zachary R. Paterick, Nachiket Patel, Khawaja A. Ammar, Krishnaswamy Chandrasekaran, and Abdul J. Tajik. "A legal perspective on athlete screening and disqualification." Cardiology in the Young 27, S1 (January 2017): S104—S109. http://dx.doi.org/10.1017/s1047951116002328.
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AbstractPhysicians participate in the screening, routine medical supervision, and disqualification of student-athletes. In doing so, they should understand that eligibility/disqualification decisions inevitably have associated liability issues. It is the responsibility of physicians to take the lead role in the student-athlete medical assessment process to allow for optimum safety in sports programmes. The first duty of the physician is to protect the health and well-being of the student-athlete. However, because there is potential liability associated with the screening/disqualification process, physicians are wise to develop sound and reasonable strategies that are in strict compliance with the standard of care. This article focusses on cardiac screening and disqualification for participation in sports.
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Maggini, Emanuele, Mac Donald Tedah Djemetio, Isabella Husband, Luca Paganelli, Maristella F. Saccomanno, and Giuseppe Milano. "Criteria, Timing, and Factors Associated With Return to Competitive Sport After Rotator Cuff Surgery." Sports Medicine and Arthroscopy Review 32, no. 1 (March 2024): 22–32. http://dx.doi.org/10.1097/jsa.0000000000000396.
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Rotator cuff pathology in competitive athletes is common and may produce chronic symptoms and joint disability, impairing sports participation and leading to premature retirement. Athletes are a high-functioning patient population with unique characteristics. Decision-making for return to sport is a complex and multifactorial process. Literature is sparse and does not provide precise guidelines to assist physicians to make the right decision. This review aimed to highlight factors affecting outcome, timing, and criteria for return to competitive sport after rotator cuff surgery to help physicians to clearly counsel athletes and make high-quality decisions for return to sport.
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Yim, Eugene S., Edward F. Gillis, Krystin Ojala, James MacDonald, Frederick C. Basilico, and Gianmichael D. Corrado. "Focused Transthoracic Echocardiography by Sports Medicine Physicians." Journal of Ultrasound in Medicine 32, no. 2 (February 2013): 333–38. http://dx.doi.org/10.7863/jum.2013.32.2.333.
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Barták, K. "Conference report: Czechoslovak congress of sports physicians." Sports Medicine, Training and Rehabilitation 4, no. 3 (October 1993): 237–38. http://dx.doi.org/10.1080/15438629309511986.
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Cinque, Chris. "Sports Medicine Fellowships for Primary Care Physicians." Physician and Sportsmedicine 15, no. 7 (July 1987): 164–72. http://dx.doi.org/10.1080/00913847.1987.11702040.
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Ryan, Allan J. "Establishing the ldentity of Sports Medicine Physicians." Physician and Sportsmedicine 16, no. 8 (August 1988): 31. http://dx.doi.org/10.1080/00913847.1988.11709568.
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Koller, Dionne L. "Team Physicians, Sports Medicine, and the Law." Clinics in Sports Medicine 35, no. 2 (April 2016): 245–55. http://dx.doi.org/10.1016/j.csm.2015.10.005.
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Osborne, Hamish, Lynley Anderson, Peter Burt, Mark Young, and David Gerrard. "Australasian College of Sports Physicians—Position Statement." Clinical Journal of Sport Medicine 26, no. 2 (March 2016): 87–95. http://dx.doi.org/10.1097/jsm.0000000000000298.
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Robert, Nelson, and Sorrentino Anne. "American Chiropractic Board of Sports Physicians™." Journal of Chiropractic Medicine 13, no. 1 (March 2014): 76–77. http://dx.doi.org/10.1016/j.jcm.2014.02.001.
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DeFranco, Michael J., Champ L. Baker, Jerome J. DaSllva, Dana P. Plasecki, and R. Bach Bernard. "Environmental Issues for Team Physicians." American Journal of Sports Medicine 36, no. 11 (November 2008): 2226–37. http://dx.doi.org/10.1177/0363546508325922.
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As outdoor sports continue to gain popularity, understanding the environmental factors that may influence athletes is becoming a more important aspect of medical care for team physicians. Temperature, ultraviolet light, lightning, and altitude are some of the most common elements that cause illness. Understanding how to prevent, diagnose, and promptly treat conditions caused by environmental factors is essential to optimizing athletic performance in outdoor sports and avoiding morbidity.
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O’Reilly, Olivia C., Molly A. Day, William T. Cates, Jaqueline E. Baron, Natalie A. Glass, and Robert W. Westermann. "Female Team Physician Representation in Professional and Collegiate Athletics." American Journal of Sports Medicine 48, no. 3 (January 10, 2020): 739–43. http://dx.doi.org/10.1177/0363546519897039.
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Background: Although a sex-based balance in US graduate medical education has been well-documented, a discrepancy remains in orthopaedic surgery. In orthopaedic sports medicine, the representation of women as team physicians has not previously been characterized. Purpose: To quantify the sex-related composition of team physicians of select National Collegiate Athletic Association (NCAA) Division I collegiate and professional teams. Additionally, the authors assess the sex-related composition of orthopaedic surgeon team physicians specifically and compare these proportions to the sex-related composition of orthopaedic surgeon membership of the American Orthopaedic Society for Sports Medicine (AOSSM). Study Design: Cross-sectional study. Methods: Publicly available sex-related data were collected for team physicians in select NCAA Division I collegiate conferences and professional sports organizations. Subspecialty characteristics and sex distribution were described by use of percentages. Chi-square tests were used to assess whether sex distributions of team physicians in collegiate and professional sports were (1) representative between the populations of female and male physicians compared with the general public and (2) representative of the sex-based composition of orthopaedic surgeons nationally. Results: Women represented 12.7% (112/879) of all team physicians and 6.8% (30/443) of all orthopaedic surgeons ( P < .0001). More than half (53.9%; 413/767) of male and 26.8% (30/112) of female team physicians were orthopaedic surgeons. In collegiate athletics, women comprised 18.1% of all team physicians and 7.7% of orthopaedic surgeon team physicians. In professional sports, women comprised 6.7% of all team physicians and 6.3% of orthopaedic surgeon team physicians, with the greatest proportion in the Women’s National Basketball Association (31.3%). Conclusion: Women comprise a minority of team physicians in select NCAA Division I collegiate and professional sports organizations. When compared with the composition of AOSSM orthopaedic surgeon membership, expected female orthopaedic surgeon representation varies between conferences and leagues with little statistical significance. Although efforts have been made to increase sex-based diversity in orthopaedic surgery, results of this study suggest that barriers affecting female orthopaedic surgeons as team physicians should be identified and addressed.
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Sorrentino, Anne. "American Chiropractic Board of Sports Physicians Chiropractic Sports Sciences Symposium 2011." Journal of Chiropractic Medicine 10, no. 3 (September 2011): 222–24. http://dx.doi.org/10.1016/j.jcm.2011.08.001.
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Koontz, Jennifer Scott, Margo Mountjoy, Kristin E. Abbott, Cindy Miller Aron, Kathleen C. Basile, Chad T. Carlson, Cindy J. Chang, et al. "Sexual Violence in Sport: American Medical Society for Sports Medicine Position Statement." Sports Health: A Multidisciplinary Approach 12, no. 4 (June 8, 2020): 352–54. http://dx.doi.org/10.1177/1941738120929946.
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The American Medical Society for Sports Medicine (AMSSM) convened a group of experts to develop a position statement addressing the problem of sexual violence in sport. The AMSSM Sexual Violence in Sport Task Force held a series of meetings over 7 months, beginning in July 2019. Following a literature review, the task force used an iterative process and expert consensus to finalize the position statement. The objective of this position statement is to raise awareness of this critical issue among sports medicine physicians and to declare a commitment to engage in collaborative, multidisciplinary solutions to reduce sexual violence in sport.
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Moylan, Cassandra B., Britt Marcussen, Lucas J. Carr, Jeanette M. Daly, and Tyler G. Slayman. "Personal and Professional Physical Activity Practices among Sports Medicine Physicians." Current Sports Medicine Reports 22, no. 11 (November 2023): 387–94. http://dx.doi.org/10.1249/jsr.0000000000001117.
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Abstract Less than a quarter of the population achieves the recommended Physical Activity Guidelines for Americans. Physicians who achieve the guidelines themselves may be more likely to promote them to patients given strong evidence physicians' personal health habits influence their patient counseling practices. We surveyed primary care and sports medicine specialty physicians about personal exercise habits and beliefs and patient counseling practices. Sports medicine physicians were significantly more likely to meet the Physical Activity Guidelines for Americans and believe that as physicians, they have an obligation to do so. They also were more likely to ask about, counsel, and refer patients to physical activity resources than other primary care physicians. Our results are consistent with previous evidence that physicians' personal habits influence their practice recommendations. This provides support that physicians' personal beliefs about the importance of exercise and sense of obligation to achieve recommended levels themselves plays a strong role in their patient care practices.
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O’Reilly, Olivia C., Molly Ann Day, William Thomas Cates, Jacqueline Baron, and Robert W. Westermann. "The Gender Divide: Are Female Team Physicians Adequately Represented in Professional and Collegiate Athletics?" Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (July 2019): 2325967119S0040. http://dx.doi.org/10.1177/2325967119s00402.
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Objectives: The purpose of this study was to evaluate the demographics of female representation among team physicians in the National Collegiate Athletic Association (NCAA) and professional sports organizations. We hypothesized that female team physicians are underrepresented at the collegiate and professional level despite controlling for the percentage of women in orthopaedics overall. Methods: Team physicians responsible for providing medical care to athletes in the “Power Five” conferences (Southeastern Conference [SEC], Atlantic Coast Conference [ACC], BIG-10, BIG-12, PAC-12) and select professional organizations [Major League Baseball(MLB), National Football League (NFL), National Basketball Association (NBA), Women’s National Basketball Association (WNBA)] were surveyed using the most current publicly available online information for both collegiate and professional organizations (range, 2012-2018). Demographic data was used to sort physicians by gender. Team physicians were further stratified into orthopaedic and primary care sports medicine (PCSM) categories. The proportion of females in each field was analyzed using univariate analysis, with statistical significance defined as p<0.05. Results: Analysis found that 100% of the teams in the NFL, NBA, and MLB as well as 82% of teams in the WNBA had male team physician representation, including either a male orthopaedic surgeon or male PCSM provider. Females (orthopaedic and PCSM) were represented among 13.3% of NBA teams, 55% of WNBA teams, 13.3% of MLB teams, and 6.3% of NFL teams. Specifically, female orthopaedic surgeons were represented in 3.33% of NBA, 45.45% of WNBA, 10% of MLB, and 3.13% of NFL teams. In the ”Power Five” conferences, female orthopaedic surgeons were represented in 7.14% of teams in the SEC, 8.33% in the ACC, 30.77% in the BIG-10, 0% in the BIG-12, and 50% in the PAC-12. The total number of male orthopaedic surgeons was significantly higher in the “Power Five” collegiate conferences, with team orthopaedic surgeons 1,483 times more likely to identify as male compared to female (p<0.001). The representation of female orthopaedic surgeons in the PAC 12 (p=0.004) and BIG 10 (p=0.005) was significantly higher as compared to female representation among physician members of the American Academy of Orthopaedic Surgeons (AAOS).The proportion of female orthopaedic surgeons in the AAOS was 5.4% (1568/28988) versus 94.6% male physicians (27420/28988) (AAOS 2016 Consensus Report). Conclusion: There is a paucity of data describing representation of female team physicians among major athletic organizations. This analysis found that male orthopaedic surgeons represent a significantly higher proportion of team or orthopaedic physicians in several Division I collegiate conferences and professional sports compared to female physicians. Interestingly, the overall representation of female orthopaedic surgeons in the PAC12 and BIG 10 conferences was higher than their representation in the AAOS. However, female representation among team physicians has not kept pace with increasing numbers of female participation in collegiate and professional athletics. Overall, female team physicians are underrepresented in sports medicine in the United States at both the collegiate and professional levels. Further exploration of educational pathways and hiring processes for team physicians may be warranted. [Table: see text]
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Hertling, Stefan, Franziska Maria Loos, and Isabel Graul. "Telemedicine as a Therapeutic Option in Sports Medicine: Results of a Nationwide Cross-Sectional Study among Physicians and Patients in Germany." International Journal of Environmental Research and Public Health 18, no. 13 (July 2, 2021): 7110. http://dx.doi.org/10.3390/ijerph18137110.
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Background: Worldwide, the number of treatments in the field of sports medicine is increasing. However, the COVID-19 pandemic has changed everyday life. Many consultations had to be cancelled, postponed, or converted to a virtual format. Telemedicine in sports medicine could support physicians. This study analyzes the use and perception of telemedicine applications among physicians and patients in the field of sports medicine in Germany. Methods: This prospective cross-sectional study was based on a survey of sports medicine physicians and patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated. Results: We analyzed the responses of 729 patients and 702 sports medicine physicians. Most believed that telemedicine is useful. Both physicians and patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine but would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. Telemedicine was considered helpful for follow-up monitoring and prevention by both groups. Conclusion: Telemedicine in sports medicine has seen limited use but is highly accepted among physicians and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge regarding the use of telemedicine. More research in telemedicine in sports medicine is needed. This includes large-scale randomized controlled trials, economic analyses and explorations of user preferences.
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Claussen, MC, C. Gonzalez Hofmann, AR Schneeberger, E. Seifritz, A. Schorb, M. Allroggen, T. Freyer, et al. "Position paper: sports psychiatric care provision in competitive sports." Deutsche Zeitschrift für Sportmedizin/German Journal of Sports Medicine 72, no. 6 (June 1, 2021): 316–22. http://dx.doi.org/10.5960/dzsm.2021.503.
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Mental stress and illness are common health problems in competitive sports that can reduce performance and have effects beyond the end of a career as sport-specific and unspecific disorders. The promotion of mental health and safe handling of mental problems and illnesses require appropriate education and train-ing. However, child, adolescent and adult psychiatrists with specific expertise in competitive sports (sports psychiatrists) are not yet an integral part of the structure of medical care provision in competitive sports. This position paper gives an overview about existing care structures in competitive sports for the promotion of mental health, and investigated them with proposals for the further development of sports psychiatric care in competitive sports. Sports physicians, sports psychiatrists, as well as interdisci-plinary and interprofessional collaboration, are at the center of mental health efforts in competitive sports. Further aspects that will be discussed are the education and training of athletes and the environment in competitive sports, as well as the promotion of coaches’ health. Key Words: Elite sports, Prevention, Mental health problems and disorders, Sports psychiatry, Sports Medicine
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R. Paterick, Zachary, Nachiket Patel, and Timothy E. Paterick. "Preparticipation Athletic Screening, Supervision, and Disqualification of Student- Athletes: Physician Trepidation of Legal Liability." Journal of Exercise, Sports & Orthopedics 5, no. 2 (May 26, 2018): 1–8. http://dx.doi.org/10.15226/2374-6904/5/2/00172.
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Physicians participate in screening, routine medical supervision, and the disqualification process of high school and college student athletes. Physicians and schools evaluating student-athletes for athletic participation should understand the meticulous medical process necessary to make eligibility/disqualification decisions, and the associated liability issues. It is the responsibility of a team physician to take a lead role in the sports teams’ medical evaluation process. The first duty of a team physician and institution is to protect the health and well being of their collegiate student athletes. The potential liability associated with the evaluation process requires that high schools and institutions of higher education work with their physicians to develop sound and reasonable administrative strategies regarding participation in athletics. Reducing the liability risk requires an understanding and compliance with the available medical guidelines and evolving judicial framework. It is imperative physicians understand case law and available medical guidelines. As medical professional standards evolve, so will responsibilities under legal standards. Liability issues regarding the preparticipation screening of athletes, their medical supervision, and their eligibility for and disqualification from participation are of increasing concern to the practicing medical community. Court cases involving athletic field morbidity and mortality have elucidated an evolving legal framework related to the alleged failure to properly diagnose, treat, qualify, or disqualify individuals from competitive sport. This manuscript will highlight liability cases involving cardiac, neurological, musculoskeletal, and heat illness issues. These cases will identify the importance of the standard of care in evaluation/disqualification, adherence to medical guidelines, and the need for diligent follow up in determining return to play issues.
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King, D. Brett, Brittany L. Raymond, and Jennifer A. Simon-Thomas. "History of Sport Psychology in Cultural Magazines of the Victorian Era." Sport Psychologist 9, no. 4 (December 1995): 376–90. http://dx.doi.org/10.1123/tsp.9.4.376.
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The 19th century can be characterized as a time of avid public interest in team and spectator sports. As diverse and challenging new sports were developed and gained popularity, many articles on a rudimentary sport psychology began to appear in cultural magazines in the United States and Great Britain. Athletes, physicians, educators, journalists, and members of the public wrote on topics such as profiles and psychological studies of elite athletes, the importance of physical training, exercise and health, and the detrimental effects of professional sports to the role of age, gender, and culture in sports. Although a scientific foundation for such observations was largely absent, some of the ideas expressed in early cultural magazines anticipate contemporary interests in sport psychology.
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Sullivan, Charles J., Eoin C. Kavanagh, and Stephen J. Eustace. "Gaelic Sport Injuries." Seminars in Musculoskeletal Radiology 24, no. 03 (June 2020): 214–26. http://dx.doi.org/10.1055/s-0040-1708872.
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AbstractThe Gaelic sports of hurling and football, native to Ireland, are increasing in popularity worldwide. The injury profile of these sports requires multidisciplinary management by sports physicians, orthopaedic surgeons, and musculoskeletal (MSK) radiologists, among others. Advances in imaging modalities and interventional techniques have aided the diagnosis and treatment of sport injuries. In this article, we review the literature and our own institutional experience to describe common injury patterns identified in Gaelic games athletes, their main imaging features and relevant therapeutic interventions. We discuss the increasing prevalence of imaging services at sporting events and the central role of MSK radiologists in sports injury management.
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Waddington, Ivan. "The Development of Sports Medicine." Sociology of Sport Journal 13, no. 2 (June 1996): 176–96. http://dx.doi.org/10.1123/ssj.13.2.176.
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The development of sports medicine can be understood in terms of a conjuncture involving processes of medicalization and the increasing competitiveness of modern sport. It is also suggested that the growing involvement of sports physicians in the search for championship-winning performances has led them not only to develop improved mechanical and psychological techniques, but also to play an active part in the development of performance-enhancing drugs and techniques. The argument is developed via three case studies: the relationship between sports medicine and drug use in some of the former communist countries of Eastern Europe; the early development of anabolic steroids in the United States; and the development of “blood doping.”
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Austin, Shamly, Haiyan Qu, and Richard M. Shewchuk. "Age Bias in Physicians’ Recommendations for Physical Activity: A Behavioral Model of Healthcare Utilization for Adults With Arthritis." Journal of Physical Activity and Health 10, no. 2 (February 2013): 222–31. http://dx.doi.org/10.1123/jpah.10.2.222.
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Objective:To examine whether age bias exists in physicians’ recommendations for physical activity among individuals with arthritis.Methods:A cross-sectional sample with 33,071 U.S. adults, 45 years or older with physician-diagnosed arthritis was obtained from 2007 Behavioral Risk Factor Surveillance System Survey. We used logistic regression to examine physicians’ recommendations for physical activity as a function of age controlling for gender, race, education, marital status, employment, income, health insurance, personal physician, emotional support, body mass index, activity limitations, health status, and comorbidities.Results:Majority of individuals were females (65%), White (85%), had annual household income < $50,000 (67%), and with comorbidities (86%). Respondents were approximately equal across age groups: middle-aged group (53%) and older group (47%). About 36% were obese and 44% had activity limitations, and 44% did not receive any physicians’ recommendations for physical activity. Results from logistic regression indicated older adults (≥ 65 years old) were less likely (OR = 0.87; 95% CI, 0.82−0.92) to receive physicians’ recommendations for physical activity compared with the middle-aged group (45−64 years old).Conclusions:This study indicates that although the benefits associated with the physical activity is well recognized, there is age bias in physicians’ recommendations for physical activity.