Search Results (68)

Purpose: The popliteus tendon (PT), though often overlooked, plays a vital role in the functional and mechanical stability of the posterolateral corner (PLC) of the knee. This narrative review consolidates the current anatomical, biomechanical, imaging, clinical, and surgical data on the PT, with an emphasis on its morphological variability and relevance in orthopedic sports medicine. Methods: A comprehensive review of the literature was conducted, including classical anatomical studies, recent classification systems, biomechanical evaluations, imaging protocols, and rehabilitation strategies. Particular focus was given to the anatomical classification proposed by Olewnik et al. and its implications in surgical and diagnostic contexts. Results: Anatomical investigations have demonstrated considerable variability in the PT, including bifid tendons and accessory fascicles. These variants have a measurable impact on preoperative planning, diagnostic imaging interpretation, and outcomes of surgical procedures, such as anterior cruciate ligament (ACL) and PLC reconstructions. The PT also contributes significantly to knee rotational control and meniscal stabilization, particularly in athletic populations. Imaging modalities, such as MRI and dynamic ultrasound, show high diagnostic utility, while arthroscopy remains the definitive diagnostic and therapeutic modality. Rehabilitation should emphasize neuromuscular re-education and progressive control of tibial rotation. A phase-based rehabilitation framework and clinical action table are proposed. Conclusion: The PT should be recognized as a critical structure in both the conservative and the surgical management of posterolateral and rotational knee instability. Enhanced awareness of its anatomical variability and functional importance can improve diagnostic accuracy, surgical precision, and clinical outcomes. In particular, MRI and high-resolution ultrasound can aid in identifying accessory fascicles and bifid tendons, while arthroscopy benefits from preoperative knowledge of PT variants to avoid misidentification and iatrogenic injury. Surgical planning for ACL and PLC reconstructions may be refined by applying the classification system described. Future research should focus on refining diagnostic algorithms, developing PT-specific functional tests, and integrating popliteus evaluation into high-level clinical decision-making and surgical navigation systems. Full article

The present study explores the use of Instagram as an innovative strategy in the teaching–learning process in the context of animal reproduction topics. In the current era, with digital technology and social media transforming how information is accessed and consumed, it is essential for teachers to adapt and harness the potential of these tools for educational purposes. This article delves into the need for teachers to stay updated with current trends and the importance of promoting digital competences among teachers. This research aims to provide insights into the benefits of integrating social media into the educational landscape. Students of Veterinary Science degrees, Master’s degrees in Equine Sport Medicine as well as vocational education and training (VET) were involved in this study. An Instagram account named “UCOREPRO” was created for educational use, and it was openly available to all users. Instagram usage metrics were consistently tracked. A voluntary survey comprising 35 questions was conducted to collect feedback regarding the educational use of smartphone technology, social media habits and the UCOREPRO Instagram account. The integration of Instagram as an educational tool was positively received by veterinary students. Survey data revealed that 92.3% of respondents found the content engaging, with 79.5% reporting improved understanding of the subject and 71.8% acquiring new knowledge. Students suggested improvements such as more frequent posting and inclusion of academic incentives. Concerns about privacy and digital distraction were present but did not outweigh the perceived benefits. The use of short videos and microlearning strategies proved particularly effective in capturing students’ attention. Overall, Instagram was found to be a promising platform to enhance motivation, engagement, and informal learning in veterinary education, provided that thoughtful integration and clear educational objectives are maintained. In general, students expressed positive opinions about the initiative, and suggested some ways in which it could be improved as an educational tool. Full article

This update is aimed at various specialists who deal with fractures, such as emergency physicians, general practitioners, orthopedists, and sports medicine physicians. The Global Burden of Disease 2019 Fracture Collaborators estimated the worldwide incidence to be at 178 million, i.e., 2.2 fractures per 1000 people per year. Traditionally, X-rays are the first choice for suspected fractures. However, many fractures can also be detected or excluded with ultrasound. This option is especially attractive when available at the “point of care,”, i.e., at the patient’s bedside in the ambulatory or emergency setting. Point-of-care ultrasound provides clinicians with a simple, cost-effective imaging tool without radiation and complex infrastructure. The evidence suggests that ultrasound has high diagnostic sensitivity and can reliably rule out many fractures with a high degree of certainty. When applied correctly, it could potentially save millions of radiographs and, in some cases, even compete with the accuracy of X-rays and CT scans. These findings suggest a potential paradigm shift. This update discusses the advantages of ultrasound, its examination technique, sonoanatomy of fractures, and relevant indication groups, including its application for analgesia through nerve, fascia, and fascial plane blocks. Ultrasound’s diagnostic value supports its integration into routine fracture assessment, particularly in emergency and ambulatory care settings Full article

Somatotyping is essential for assessing body composition in sports science, anthropology, and medicine. Traditional methods, such as the Heath–Carter approach, rely on manual measurements, which can be prone to errors and variability. This study evaluates the validity and reliability of 3D body scanning as an alternative to manual somatotyping. A total of 117 participants (49 males, 68 females) aged 18 to 27 years were assessed using both traditional anthropometric methods and a full-body 3D scanning system (TC² NX-16). The three somatotype components (ectomorphy, mesomorphy, and endomorphy) were calculated using the Heath–Carter method. A custom-developed application processed the scanned data to compute somatotype values. The results were compared using statistical metrics, including intraclass correlation coefficients (ICCs) and Bland–Altman analysis. The 3D scanning method showed high agreement (87.18%) with manual measurements. Minor discrepancies were observed particularly in the endomorphic component, which was slightly overestimated by 3D scanning. Mesomorphic and ectomorphic components exhibited minimal differences. Statistical analyses confirmed strong reliability with ICC values exceeding 0.87. Conclusions: Full-body 3D scanning is a viable, non-invasive, and efficient alternative to traditional somatotyping methods. Despite minor differences in endomorphy estimation, the overall accuracy and reliability supports its use in sports science, health monitoring, and anthropometric research. Future studies should refine predictive models for endomorphy estimation and integrate AI-driven classification techniques to enhance precision. Full article

Hand motion monitoring plays a vital role in medical rehabilitation, sports training, and human–computer interaction. High-sensitivity wearable biosensors are essential for accurate gesture recognition and precise motion analysis. In this work, we propose a high-sensitivity wearable glove based on a push–pull optical fiber sensor, designed to enhance the sensitivity and accuracy of hand motion biosensing. The sensor employs diagonal core reflectors fabricated at the tip of a four-core fiber, which interconnect symmetric fiber channels to form a push–pull sensing mechanism. This mechanism induces opposite wavelength shifts in fiber Bragg gratings positioned symmetrically under bending, effectively decoupling temperature and strain effects while significantly enhancing bending sensitivity. Experimental results demonstrate superior bending-sensing performance, establishing a solid foundation for high-precision gesture recognition. The integrated wearable glove offers a compact, flexible structure and straightforward fabrication process, with promising applications in precision medicine, intelligent human–machine interaction, virtual reality, and continuous health monitoring. Full article

This review aims to provide a comprehensive framework for implementing precision sports medicine, integrating genetics, pharmacogenomics, digital health solutions, and multi-omics data. Literature review was conducted using MEDLINE, EMBASE, Web of Science, and Cochrane Library databases (January 2018–April 2024), focusing on precision medicine applications in sports medicine, utilizing key terms including “precision medicine”, “sports medicine”, “genetics”, and “multi-omics”, with forward and backward citation tracking. The review identified key gene variants affecting athletic performance: endurance (AMPD1, PPARGC1A), power (ACTN3, NOS3), strength (PPARG), and injury susceptibility (COL5A1, MMP3), while also examining inherited conditions like cardiomyopathies (MYH7, MYBPC3). Pharmacogenomic guidelines were established for optimizing common sports medications, including NSAIDs (CYP2C9), opioids (CYP2D6), and cardiovascular drugs (SLCO1B1, CYP2C19). Digital health technologies, including wearables and predictive analytics, showed potential for enhanced athlete monitoring and injury prevention, while multi-omics approaches integrated various molecular data to understand exercise capacity and injury predisposition, enabling personalized assessments, training regimens, and therapeutic interventions based on individual biomolecular profiles. This review provides sports medicine professionals with a framework to deliver personalized care tailored to each athlete’s unique profile, promising optimized performance, reduced injury risks, and improved recovery outcomes. Full article

Youth sport participation provides undeniable physical, emotional, and social benefits. However, the current landscape of pediatric athletics has shifted toward early sports specialization (ESS), year-round training, and heightened competitive pressures. This has led to an increased prevalence of overuse-related traumatic injuries in adolescent patients, as well as increased risk of worsening mental health due to burnout, depression, suicide, and general psychological distress. There are numerous innovations and solutions aimed at addressing the increased risk of injury associated with current sporting trends, such as neuromuscular training programs, delayed specialization, promotion of free play, and pediatric specific surgical techniques mindful of future growth, such as those seen for anterior cruciate ligament reconstruction (ACL-R). However, the social factors associated with an injury remain problematic and are not adequately addressed; these include social isolation, depression, anxiety, and academic decline. Sport psychology is a promising solution to address many risk factors associated with poor performance, address the challenges associated with injury, and increase return-to-play in adolescent sports medicine. Integrating sport psychology into pediatric sports medicine offers the ability to directly address the emotional and cognitive demands of injury and recovery. Emphasizing mental health support and redefining success in youth sports—prioritizing enjoyment, personal growth, and long-term health over scholarships and professional aspirations—are key steps in preserving the overall benefits of pediatric sport participation. Yet sport psychology remains often underutilized and has been slow to gain traction, particularly in youth sports. This editorial serves to highlight the current state of mental health advocacy in pediatric sports medicine and how sport psychology can help young athletes manage the mental stress of high-performance athletics and mitigate the detrimental effect of injury and delayed return to sport. Full article

The interest in flexible and wearable electronics is increasing in both scientific research and in multiple industry sectors, such as medicine and healthcare, sports, and fashion. Thus, compatible power sources are needed to develop secondary batteries, fuel cells, supercapacitors, sensors, and dye-sensitized solar cells. Traditional liquid electrolytes pose challenges in the development of textile-based electronics due to their potential for leakage, flammability, and limited flexibility. On the other hand, gel electrolytes offer solutions to these issues, making them suitable choices for these applications. There are several advantages to using gel electrolytes in textile-based electronics, namely higher safety, leak resistance, mechanical flexibility, improved interface compatibility, higher energy density, customizable properties, scalability, and easy integration into manufacturing processes. However, it is also essential to consider some challenges associated with these gels, such as lower conductivity and long-term stability. This review highlights the application of gel electrolytes to textile materials in various forms (e.g., fibers, yarns, woven, knit, and non-woven), along with the strategies for their integration and their resulting properties. While challenges remain in optimizing key parameters, the integration of gel electrolytes into textiles holds immense potential to enhance conductivity, flexibility, and energy storage, paving the way for advanced electronic textiles. Full article

Orthopedics is undergoing a transformative shift driven by personalized medical technologies that enhance precision, efficiency, and patient outcomes. Virtual surgical planning, robotic assistance, and real-time 3D navigation have revolutionized procedures like total knee arthroplasty and hip replacement, offering unparalleled accuracy and reducing recovery times. Integrating artificial intelligence, advanced imaging, and 3D-printed patient-specific implants further elevates surgical precision, minimizes intraoperative complications, and supports individualized care. In sports orthopedics, wearable sensors and motion analysis technologies are revolutionizing diagnostics, injury prevention, and rehabilitation, enabling real-time decision-making and improved patient safety. Health-tracking devices are advancing recovery and supporting preventative care, transforming athletic performance management. Concurrently, breakthroughs in biologics, biomaterials, and bioprinting are reshaping treatments for cartilage defects, ligament injuries, osteoporosis, and meniscal damage. These innovations are poised to establish new benchmarks for regenerative medicine in orthopedics. By combining cutting-edge technologies with interdisciplinary collaboration, the field is redefining surgical standards, optimizing patient care, and paving the way for a highly personalized and efficient future. Full article

Return to play (RTP) decision making in professional soccer is crucial for minimising re-injury risk, reducing financial burdens on clubs, and optimising player performance. Despite its significance, there is a lack of objective criteria and consensus on RTP for adductor longus injuries, one of the most common muscle injuries in soccer. The aim of the present consensus was to validate an RTP protocol based on clinical, functional, and performance criteria through expert evaluation. This study hypothesises that a validated RTP protocol for adductor longus injuries will enhance decision making, reduce re-injury rates, and improve player performance upon return. An observational survey was designed to validate an RTP protocol through an expert panel. A total of 63 injury-management professionals (strength and conditioning coaches, physiotherapists, doctors, and rehabilitation fitness coaches) with an average experience of 12.02 ± 6.87 years participated in validating a 20-criteria RTP protocol. The protocol, divided into clinical, functional, and performance criteria, was assessed using a 5-point Likert scale. Aiken’s V coefficient was calculated for content validity, with criteria validated if Aiken’s V ≥ 0.75. Out of 20 initial RTP criteria, 14 were validated by the expert panel, with Aiken’s V ranging from 0.77 to 0.94 (overall range: 0.61–0.98). Key validated criteria included pain on palpation, flexibility, imaging, athlete feedback, strength assessments, movement quality, pre-injury GPS data, and performance under simulated match conditions. Criteria such as the Copenhagen adduction exercise and specific agility tests were not validated. The expert-validated RTP protocol for adductor longus injuries provides a structured approach to decision making, potentially reducing re-injury risk, improving rehabilitation strategies, and enhancing player performance. These findings could be integrated into clinical sports-medicine practices to enhance rehabilitation effectiveness and RTP decisions in professional soccer. Full article

Background/Objectives: Universities serve as crucibles for molding future healthcare providers, instilling medical expertise and ethical frameworks crucial for their role as custodians of health. Yet, integrating anti-doping education into university curricula remains largely underexplored, particularly among future physicians. The aim of this research was to evaluate the students’ understanding of anti-doping within the bachelor’s degree in medicine in Mexico. Methods: Five hundred and forty-nine bachelor students in medicine (151 males, 351 females, and 7 participants identifying as non-binary) from six universities in Mexico filled out a validated questionnaire regarding general anti-doping knowledge. This questionnaire was an adapted form of the World Anti-Doping Agency’s Play True Quiz and included 36 multiple-choice questions. The results were converted into a scale from 0 to 100 points to evaluate anti-doping knowledge. Results: Students scored 55.30 ± 9.08 points (range = 28–83 points). Fourteen questions indicated an error rate higher than 50% within the sample. The course had no impact on the scores achieved in the anti-doping knowledge questionnaire (p > 0.05). Students who engaged in sports demonstrated higher scores in anti-doping knowledge compared to those who did not participate in any type of exercise (56.10 ± 9.04 vs. 54.19 ± 9.10 points; p = 0.008). Conclusions: It was determined that the knowledge of essential anti-doping regulations and doping prevention strategies among bachelor’s degree medical students in Mexico was found to be suboptimal. Doping prevention should be included in the syllabus of the bachelor’s degree in medicine to help future doctors avoid professional errors, whether negligent or intentional. Full article

Background: Metabolic syndrome (MS) is a cluster of cardiovascular and metabolic risk factors that increase the likelihood of both acute events and chronic conditions. While exercise has been shown to improve individual risk factors associated with MS; research on its effects on MS as an integrated condition remains limited. This study aims to evaluate the effectiveness of a 6-month Adapted Personalized Motor Activity (AMPA) program for improving the health outcomes of individuals with MS. Methods: Seventy-one sedentary participants with MS (mean age: 63 ± 9.4 years, 46.5% female) completed a 6-month intervention, incorporating moderate-intensity aerobic and resistance training. Each participant received a personalized exercise plan prescribed by a sports medicine physician. The training was monitored via telemetry to ensure safety. No dietary recommendations were provided during the intervention. Baseline and post-intervention assessments included Cardiopulmonary Exercise Testing (CPET), anthropometric measurements, blood pressure, heart rate, lipid profile (total cholesterol, HDL, LDL, and triglycerides), fasting glucose, and HbA1c. Results: Significant improvements were observed in fasting glucose (−10.6%, p < 0.001), HbA1c (−3.88%, p < 0.001), HDL cholesterol (+20.8%, p < 0.001), LDL cholesterol (−25.1%, p < 0.001), and VO₂max (+8.6%, p < 0.001). Systolic and diastolic blood pressure also decreased significantly, with reductions of −12% (p < 0.001) and −5.9% (p < 0.001), respectively. Reductions in weight and waist circumference were statistically significant but modest and clinically irrelevant, showing no correlation with improvements in cardio-metabolic parameters. Logistic regression and correlation matrix analyses were performed to identify key predictors of changes in individual risk factors. Conclusions: While personalized exercise alone may not fully control individual risk factors of metabolic syndrome, its overall effect is comparable to low-intensity pharmacological polytherapy with minimal adverse effects. These benefits appear to be independent of dietary habits, gender, and both baseline and post-intervention physical performance and anthropometric measures. Full article

Background/Objectives: This study aimed to examine differences in motor competence and muscular fitness between children engaged in combat sports and their peers who do not participate in structured physical activity. Methods: The sample consisted of 120 healthy eight-year-old children, evenly divided into two groups: 60 children practicing combat sports (karate, judo, and wrestling) for at least one year and 60 children without structured sports involvement. Motor competence was assessed using the Test of Gross Motor Development-2 (TGMD-2), while muscular fitness was evaluated through standing broad jump, grip strength, 30 s sit-ups, bent arm hang, medicine ball throw, and push-ups. For differences between groups, the independent samples t-test was performed. Results: Results indicated that children practicing combat sports demonstrated significantly higher locomotor and manipulative skills (p < 0.01, ES = 0.76–1.25) and superior muscular fitness across all tests (p < 0.01, ES = 0.53–1.09) compared to their peers. Conclusions: These findings highlight the positive impact of combat sports on overall physical development, particularly in enhancing motor competence, muscle strength, and endurance. Given the critical role of motor competence and physical fitness at this age, integrating combat sports into daily routines can support long-term athletic development, encourage physical activity, and enhance overall health. Future research should explore the influence of specific combat sports on distinct physical attributes and consider additional factors such as total physical activity levels. Full article

The only proven method to manage glaucoma is the reduction and stabilization of intraocular pressure (IOP). A wide range of daily activities has been demonstrated to affect the IOP behavior, and eye care specialists should be aware of their effects for the prevention and treatment of glaucoma. Indeed, the impact of physical activity on IOP has gained attention in recent years, considering exercise prescription as a promising adjuvant strategy for controlling IOP in glaucoma patients. To integrate all the available information in this regard, we have conducted a clinical review based on a patient-centered approach. Previous studies have demonstrated that the IOP response to physical exercise is dependent on numerous factors such as the exercise type (e.g., endurance or resistance training), exercise intensity, subjects’ fitness level, body position (e.g., supine vs. standing) and breathing pattern adopted during exercise, underlying medical conditions, concomitant mental effort, or caffeine intake before exercise. This article summarizes the available scientific evidence on the positive and negative effects of physical exercise on IOP and provides practical recommendations for exercise prescription in glaucoma patients or those at risk. An active collaboration between eye care and sports medicine specialists would permit a better management of this ocular condition. Full article

Background/Objectives: Sports-related bone fractures are a common challenge in sports medicine, requiring accurate and timely diagnosis to prevent long-term complications and enable effective treatment. Conventional diagnostic methods often rely on manual interpretation, which is prone to errors and inefficiencies, particularly for subtle and localized fractures. This study aims to develop a lightweight and efficient deep learning-based framework to improve the accuracy and computational efficiency of fracture detection, tailored to the needs of sports medicine. Methods: We proposed a novel fracture detection framework based on the DenseNet121 architecture, incorporating modifications to the initial convolutional block and final layers for optimized feature extraction. Additionally, a Canny edge detector was integrated to enhance the model ability to detect localized structural discontinuities. A custom-curated dataset of radiographic images focused on common sports-related fractures was used, with preprocessing techniques such as contrast enhancement, normalization, and data augmentation applied to ensure robust model performance. The model was evaluated against state-of-the-art methods using metrics such as accuracy, recall, precision, and computational complexity. Results: The proposed model achieved a state-of-the-art accuracy of 90.3%, surpassing benchmarks like ResNet-50, VGG-16, and EfficientNet-B0. It demonstrated superior sensitivity (recall: 0.89) and specificity (precision: 0.875) while maintaining the lowest computational complexity (FLOPs: 0.54 G, Params: 14.78 M). These results highlight its suitability for real-time clinical deployment. Conclusions: The proposed lightweight framework offers a scalable, accurate, and efficient solution for fracture detection, addressing critical challenges in sports medicine. By enabling rapid and reliable diagnostics, it has the potential to improve clinical workflows and outcomes for athletes. Future work will focus on expanding the model applications to other imaging modalities and fracture types. Full article