Search Results (123)

Objectives: In view of a lack of evidence on the subject, we aimed to perform a scoping review to understand the impact of health education among people attending mass gatherings. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Guidelines. PubMed, EMBASE, Scopus, and Cochrane Library were searched from inception to March 2025 to identify eligible studies. Observational and interventional studies that reported the impact of health education on any health-related outcome among those attending a mass gathering were considered. A narrative synthesis of review results was performed to gather evidence. Recommendations were framed in the context of this evidence. Results: Of the 1731 records, only 17 studies met the inclusion criteria. These included cross-sectional (n = 10), pre-post design (n = 3), quasi-experimental (n = 2), randomized controlled trial (n = 1), and ethnographic (n = 1) studies. These studies involved participants attending hajj, umrah, and basketball events. The current evidence on health education in mass gatherings is highly varied in its objectives, intervention strategy, educational plan, mode of delivery, design, and reported outcomes. Most studies agreed that health education should be initiated by the country of origin and continued throughout the event. It is recommended that this education should be tailored to patient needs based on age, medical condition, and other personal factors, and given in the local language for better acceptability. Such sources can be provided in various forms, either online or offline, as per the participant’s convenience. Conclusions: The current evidence on the effectiveness of health education during mass gatherings, particularly in pilgrimage settings, is varied and inconsistent. Participant-tailored health education should be provided, preferably in the local language, through convenient formats. Full article

Osteochondritis Dissecans (OCD) is a joint condition characterized by damage to the surface of the joint and the underlying subchondral bone, leading to early-onset osteoarthritis. It predominantly affects the knee, elbow, and ankle, with higher prevalence in juveniles actively participating in sports, which complicates the condition due to slow healing processes and prolonged restrictions on physical activities. This review aims to summarize current knowledge on OCD in athletes, with emphasis on sport-specific risk factors, diagnosis, and treatment, to support clinical decision-making and future research. We conducted searches in the PubMed and Embase databases, covering the period from 2014 to 2024. The keywords used in the search covered most common sports in combination with term osteochondritis dissecans. This review examines the impacts of various sports on the development of OCD, analyzing prevalence and risk factors, with a focus on sports-specific risks across athletic disciplines like football, basketball, baseball, and gymnastics. The significance of early detection, intervention, and sport-specific conditioning is underscored to prevent the condition and manage it effectively. Moreover, the review highlights the positive prognosis for athletes, particularly adolescents, recovering from OCD, with a high rate of return to sport. Understanding the sports-specific risks, ensuring early intervention, and adopting a cautious, stepwise return to sport are critical for managing OCD effectively, thereby safeguarding the health and careers of athletes. Full article

Basketball requires intense movements like jumping and sudden changes in direction, increasing the risk of slips and falls due to poor shoe–court traction. Therefore, a significant demand is for good traction performance in basketball shoes, particularly in the heel region on different court surfaces, to prevent slipping. This study examined the traction performance of fifteen common basketball shoe designs that were considered and developed using thermoplastic polyurethane to assess the available coefficient of friction (ACOF) on popular floorings (hardwood, synthetic, and polyurethane) under dry and wet conditions using a robotic slip tester. Results indicate that the hardwood flooring provided better traction, followed by the synthetic flooring, while the polyurethane flooring showed reduced friction. The study also examined the traction with apparent contact areas. Shoes with herringbone and circular tread patterns demonstrated the highest traction on all flooring in dry conditions. This research is anticipated to help basketball shoemakers choose safer shoes for player safety and performance, providing a foundation for future research on shoe flooring interaction in basketball. Full article

Basketball referees play a crucial role in game management, yet the physical and physiological demands placed on them during a game remain understudied. This study analyzed the workload of 35 group 1 referees during a U-18 Spanish championship, examining the effects of refereeing technique (two referees vs. three referees) and competition sex (male vs. female) across game quarters. Physical and physiological demands were measured using inertial devices and heart rate monitors during 37 matches (18 men’s and 19 women’s). The results revealed that 2-referee teams experienced significantly greater physical demands, covering approximately 25% more total distance and demonstrating higher values in high-intensity running compared to 3-referee teams. Female competition elicited higher demands in specific variables, particularly in the distance covered above 16 km/h and average speed. Analysis across quarters showed distinct temporal patterns, with the first and third quarters presenting the highest demands, especially for 2-referee teams. These findings suggest that basketball referees’ physical preparation should be tailored to the officiating technique and competition sex, with a particular emphasis on developing specific conditioning programs for the 2-referee technique and implementing targeted recovery strategies between quarters to maintain optimal performance throughout the game. Full article

Background: Pre-season training is pivotal for optimizing athletic performance in collegiate basketball, yet the effectiveness of such programs in improving body composition (BC) under NCAA-mandated hourly restrictions remains underexplored. The aim of this study was to evaluate the impact of a four-week, NCAA Division II-compliant strength and conditioning (SC) program on BC in women’s basketball. Methods: Sixteen student athletes (20.6 ± 1.8 y; 173.9 ± 6.5 cm; 76.2 ± 20.2 kg) completed an eight-hour-per-week micro-cycle incorporating functional conditioning, Olympic-lift-centric resistance, and on-court skill development. Lean body mass (LBM) and body-fat percentage (BF%) were assessed using multi-frequency bioelectrical impedance on Day 1 and Day 28. Linear mixed-effects models were used to evaluate the fixed effect of Time (Pre, Post), including random intercepts for each athlete and covariate adjustment for age and height (α = 0.05). Results The LBM significantly increased by 1.49 kg (β = +1.49 ± 0.23 kg, t = 6.52, p < 0.001; 95% CI [1.02, 1.96]; R² semi-partial = 0.55), while BF% decreased by 1.27 percentage points (β = −1.27 ± 0.58%, t = −2.20, p = 0.044; 95% CI [−2.45, −0.08]; R² = 0.24). Height positively predicted LBM (β = +1.02 kg/cm, p < 0.001), whereas age showed no association (p > 0.64). Conclusions: A time-constrained, NCAA-compliant SC program meaningfully enhances lean mass and moderately reduces adiposity in collegiate women’s basketball athletes. These findings advocate for structured, high-intensity, mixed-modality training to maximize physiological readiness within existing regulatory frameworks. Future research should validate these results in larger cohorts and integrate performance metrics to further elucidate functional outcomes. Full article

Dynamic knee valgus is a biomechanical condition often linked to an increased risk of knee injuries, particularly in female athletes, due to greater hip adduction, internal rotation, and knee abduction during dynamic movements. This study aimed to assess the impact of neuromuscular fatigue on dynamic knee valgus in female basketball players during single-leg drop jumps (DJ-SL) and change of direction (COD) tests at 45° and 90°. Thirty-three athletes, divided into national and regional performance groups, performed these movements before and after a fatigue protocol. Fatigue was induced through a series of anaerobic exercises, and frontal plane projection angle (FPPA) was used to measure knee valgus. The results showed that dynamic knee valgus increased with the angle of directional change (from 24.77° ± 8.25 at 45° to 34.55° ± 10.40 at 95° pre-fatigue, and from 26.59° ± 12.30 at 45° to 35.87° ± 10.37 post-fatigue), but was not significantly affected by neuromuscular fatigue. The national group demonstrated lower valgus angles compared to the regional group, indicating potential performance differences based on competitive level. These findings suggest that while neuromuscular fatigue does not notably impact knee valgus, the higher valgus angles during directional changes warrant attention in injury prevention programs for female basketball players. Further research is needed to explore other factors influencing knee mechanics and injury risk. Full article

(1) Background: Dynamic knee valgus (DKV) is a common biomechanical risk factor for knee injuries, particularly in sports involving high-intensity movements, such as basketball. While neuromuscular control and structural alignment contribute to DKV, recent evidence indicates that lower limb muscle power (LLMP) and cardiorespiratory fitness (CRF) may significantly influence DKV. This study aims to examine the relationship among LLMP, CRF, and DKV in adolescent basketball athletes. (2) Methods: A total of 104 adolescent basketball athletes (63.5% boys), 12 to 17 years old (13.87 ± 1.46 years) participated in this study. Anthropometric and demographic characteristics such as sex, age, height, weight, and body mass index (BMI) were recorded. The Counter Movement Jump (CMJ) was used for the evaluation and prediction of the LLMP, the 20 m shuttle run test (20mSRT) was used for the evaluation and prediction of CRF, and the single-leg drop jump (SLDJ) was used for the evaluation of DKV via a two-dimensional (2D) kinematic analysis. Statistical analysis included Pearson and Spearman correlations, as well as multiple linear regression, to determine the relationship among LLMP, CRF, and DKV. (3) Results: A statistical analysis revealed strong correlations among LLMP, CRF, and DKV. Pearson’s correlation coefficients demonstrated significant associations between the VO₂max and frontal plane projection angle (FPPA) (r = 0.78, p < 0.001), as well as between LLMP and FPPA (r = 0.82, p < 0.001). Multiple linear regression analysis showed that VO₂max and LLMP together accounted for 85% of the variance in FPPA (R² = 0.85, p < 0.001). (4) Conclusions: The findings highlight that both aerobic capacity and lower limb muscle power significantly contribute to knee valgus control among adolescent basketball players. Implementing training programs focused on improving lower limb muscle power and cardiorespiratory fitness may enhance knee stability and reduce the risk of lower limb injuries. Given the strong predictive value of VO₂max and LLMP for knee control, targeted training programs focusing on neuromuscular conditioning and aerobic capacity may be effective for injury prevention. Full article

Some knee strength measuring devices have an anterior cushioning area but relies on a belt for the posterior pad adjustment, creating an uneven force distribution. This study analyzed whether the distal pad position affects knee strength measurements. Eleven professional basketball players participated in this study, with a total of 22 knees evaluated. Knee flexion and extension dynamometric measurements were performed at different angular velocities: 30°/s, 120°/s, and 240°/s. For each angular velocity, two measurements were performed with varying positions of the measuring tool pad at the anterior and posterior aspects (AA and PA). The hamstring/quadriceps (H/Q) ratio was calculated by dividing the hamstring musculature’s maximum peak strength by the quadricep musculature’s maximum peak strength at each measurement. The knee work was extracted from the device after finishing the measurements. Significant differences were found between measurement positions in the knee flexion force at 30°/s (p < 0.001) and 120°/s (p = 0.027). No differences were found for the extension forces. As for the H/Q ratio, significant differences were found between positions at 30°/s (p < 0.001). Furthermore, significant differences between positions were found for the knee work at 120°/s (p = 0.019). These findings suggest that the positioning of the pad on the leg directly influences knee flexor strength measurements, which in turn impacts critical parameters, such as the H/Q ratio and knee work. Given the importance of these variables in injury prevention, particularly for conditions such as anterior cruciate ligament (ACL) injuries, ensuring precise and reliable measurement methods is essential. We recommend using the PA position because it increases knee flexion strength values, potentially leading to more accurate assessments of the muscle function and balance. Full article

The purpose of this study was to assess the validity and reliability of an inertial measurement unit (IMU) system against an optical motion capture system in detecting motion in the dynamically complex and constraint-governed task of the basketball layup shot. Ten basketball players performed 10 trials with and 10 without a defender. Key kinematic variables (jump height, take-off angle, joint angles, and centre of mass (COM) displacement) were derived, and agreement (intraclass correlation coefficient (ICC) and Bland–Altman plots) and disagreement (root mean square difference (RMSD) and statistical parametric mapping (SPM)) calculations were carried out for each trial. The IMU system provided agreeable results for jump height and take-off angle, while joint angles and COM displacement agreement were plane-specific. A between-condition analysis demonstrated the IMU system reliably detected joint angle differences between defended and undefended conditions comparable to the optical system for nine out of twelve joint angles, with shoulder flexion-extension and external-internal and elbow external-internal joint angles showing inconclusive results. Ultimately, the IMU system was generally able to detect similar magnitudes of difference between conditions to those detected by the optical motion-based system. Therefore, conclusions can be drawn for between-condition comparisons if data are derived from either system. Full article

Background/Objectives: Primary dysmenorrhea (PD) is a condition characterized by painful pelvic cramps onsetting shortly before menses and lasting for 3 days, negatively impacting the quality of life of young females. Further, menstrual cycle disorders are common in athletes. This study investigated differences in dietary habits, hormonal and immuno-metabolic parameters, and susceptibility to disordered eating attitudes (DEAs) between dysmenorrheic (D group) and non-dysmenorrheic (no-D group) young female basketball players. It also aimed to identify risk factors for PD, focusing on nutrition, anthropometric parameters, and biochemical markers. Materials and Methods: The study included 25 female basketball players (mean age: 16 years), categorized into D and no-D groups. Blood samples were analyzed for hormonal, metabolic, and inflammatory markers, including follicle-stimulating hormone, luteinizing hormone, total testosterone, androstenedione, dehydroepiandrosterone sulfate, estradiol, sex hormone-binding globulin, cortisol, prolactin, fasting glucose, fasting insulin, C-reactive protein, lipid profile, and 25-hydroxyvitamin D3. Dietary intake was assessed via a three-day food record, and DEA susceptibility was evaluated using the Eating Attitudes Test (EAT-26). Logistic regression identified independent PD risk factors. Results: The D group had significantly higher EAT-26 scores and prolactin and cortisol levels than the no-D group (p = 0.0284, p = 0.0108, p = 0.0035, respectively). Elevated prolactin, cortisol, and EAT-26 scores were associated with increased PD risk (OR = 1.75; OR = 1.02; OR = 1.14). Conclusions: Female basketball players with PD show higher prolactin and cortisol levels and greater DEA susceptibility. These factors may contribute to PD risk, warranting further research. Full article

Fatigue causes the lower limb to land in an injury-prone state, but the underlying neuromuscular control changes remain unclear. This study aims to investigate lower limb muscle synergies during landing in basketball players, both before and after fatigue, to examine alterations in neuromuscular control strategies induced by fatigue. Eighteen male recreational basketball players performed landing tasks pre- and post-fatigue induced by 10 × 10 countermovement jumps. Electromyographic (EMG) data from eight muscles, including the erector spinae (ES), rectus abdominus (RA), gluteus maximus (GM), rectus femoris (RF), biceps femoris (BF), lateral gastrocnemius (LG), soleus (SM), and tibialis anterior (TA) muscles, were analyzed using non-negative matrix factorization to extract muscle synergies. Post-fatigue results revealed significant changes: synergy primitive 1 decreased before landing (18–30% phase) and synergy primitive 2 decreased after landing (60–100% phase). Muscle weights of the LG and SM in synergy module 2 increased. Fatigue reduced synergistic muscle activation levels, compromising joint stability and increasing knee joint loading due to greater reliance on calf muscles. These changes heighten the risk of lower limb injuries. To mitigate fatigue-induced injury risks, athletes should improve thigh muscle endurance and enhance neuromuscular control, fostering better synergy between thigh and calf muscles during fatigued conditions. Full article

Background: Basketball matches involve numerous conditioning factors which, when put together, make for a complex prediction event. However, unraveling all these elements in different studies allows the control of certain conditioning factors of the game, giving rise to more stable and controlled games. Objectives: Due to the absence of studies that analyze professional matches in women’s basketball, the aim of the present research is to analyze the influence of the result, partial result and specific positions on the load in official competition between two women’s teams that play a match simultaneously. Methods: Using an ex post facto design, 19 professional players were measured in an official match of the Spanish second division of women’s basketball, monitoring both opponents simultaneously, obtaining at all times the contrast of loads between both teams. Inertial devices were used to measure the external and internal load of each player. Parametric and non-parametric statistical difference analyses were performed, as well as two linear mixed models. Results: The results reveal significant differences in external loading when loads are analyzed as a function of match outcome. Differences between external and internal load are found when taking into account specific positions, and when including several comparisons in the analysis. The team that obtained the highest kinematic and neuromuscular load demands was the one that won the match. The specific position of guard obtained a greater physical load at the end of the match than the centers. Conclusions: Coaches should prioritize high-intensity training that replicates match demands, considering positional differences in workload to optimize player conditioning and recovery strategies for sustained performance. Full article

In elite basketball, closely contested games are often decided in the last minute, where a single possession can significantly alter the outcome. The objective of this study was to analyze the offensive patterns and effectiveness of successful play sequences executed during the last minute and overtime periods of the 2022–2023 EuroLeague men’s basketball season. Specifically, we examined how offensive strategies varied based on score conditions and team status (winning, losing, or tied) in games with a score difference of three points or fewer, representing a maximum one-possession margin. The sample consisted of 709 technical–tactical actions performed in one-possession games during the last minute and overtime periods of the men’s EuroLeague 2022–2023 season. An observational methodology was employed using the LINCE PLUS software with a purpose-designed observational instrument. Descriptive analyses and chi-square (χ²) tests were conducted using SPSS 25, and T-Pattern analysis was performed with Theme 6 software. Statistical significance was set at p < 0.05. The results showed that teams leading at the start of the possession executed a higher number of successful actions, primarily through free throws drawn from fouls committed by the opposing team. Additionally, plays involving few or no passes, executed within the first 17 s of possession, and completed by point guards or centers, were associated with higher success rates. While less frequent, fast breaks proved to be more effective than set offenses. Furthermore, the study highlights the role of elite playmakers in late-game situations, as their ability to read defenses and create scoring opportunities plays a crucial role in determining offensive success. The practical implications of this study can assist coaches in optimizing offensive strategies during high-pressure moments in elite men’s basketball by refining late-game decision-making and tactical planning. Full article

In wheelchair basketball, classes are based on competition observations. Since 2021, out-of-competition testing has been implemented; however, research remains limited. This study aimed to determine whether the quantified volume of action (VOA) can be an indicator for classification and examined the influence of a competitive wheelchair on VOA evaluation. This cross-sectional study included 47 wheelchair basketball players (21 able-bodied, 26 with physical impairments: class 1, n = 8; class 2, n = 5; class 3, n = 4; class 4, n = 9). Tests were performed in a wheelchair (wheelchair condition) and on a trainer bed (bed condition). Participants held a ball and rotated their trunks in various planes. Movements were recorded using four cameras, and position coordinates were extracted using the three-dimensional DLT method. Classes and sitting conditions were compared across five groups: classes 1, 2, 3, 4, and able-bodied. Comparisons between classes revealed significant differences in all planes, including wheelchair and bed conditions (p < 0.05). The VOA expanded in the wheelchair condition compared to the bed condition across multiple classes and planes (p < 0.05). Measuring the VOA outside the competition while sitting on a bed may effectively classify players by eliminating equipment influence. Full article

Timeouts are a widely supported strategy in the literature, recognized for directly influencing team performance during basketball games. This study aimed to analyze and define the successful patterns of actions after timeouts (ATOs) during critical moments in the 2022/23 EuroLeague season. The sample was drawn from the last two minutes and overtime of 169 games with a final point difference of 10 points or fewer, totaling 365 ATOs. An observational methodology was used, applying the LINCE PLUS software version 2.1.0 and an ad hoc observational instrument. Descriptive analysis and chi-square tests (χ²) were conducted using SPSS 25.0, and T-pattern analysis was performed with Theme 6 software. Statistical significance was set at p < 0.05. Teams in the lead often concluded successful plays through free throws following opponent fouls, while teams trailing behind attempted to close the gap by committing fouls to force free throws in defense and scoring two-point baskets on offense. The findings offer insights into ATOs strategies that can support coaches and technical staff in training and adapting these actions to meet competition demands during critical game moments. These results may assist in enhancing team performance and decision-making under high-stakes conditions. Full article