Sports Health-A Multidisciplinary Approach运动健康：多学科方法
Sports Health-A Multidisciplinary Approach(英文缩写 SPORTS HEALTH),ISSN 1941-7381,eISSN 1941-0921,中文译名:运动健康：多学科方法 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 4.355 | Q1 |
| 2022 | 3.300 | Q2 |
| 2023 | 2.700 | Q1 |
| 2024 | 2.600 | Q2 |
| 2025 | 3.100 | Q2 |
Sports Health-A Multidisciplinary Approach 最新收录文献
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1. Anterior Cruciate Ligament Reconstruction and Mental Health: A Bidirectional Relationship.
1. 前交叉韧带重建与心理健康：双向关系PMID:日期:2026-10-05New-onset mental health (MH) conditions are a concern for patients undergoing anterior cruciate ligament (ACL) reconstruction. Patients with pre-existing MH conditions have been observed to experience poorer postoperative outcomes. Patients with pre-existing MH diagnoses would report poorer outcomes after ACL reconstruction, and non-sport-related injuries would be associated with a greater incidence of new MH diagnoses. Retrospective cohort study. Level 3. Adults undergoing ACL reconstruction between October 2016 and October 2023 at a large university-affiliated practice were included. Patients completed the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health and Knee Injury and Osteoarthritis Outcomes Score (KOOS) before surgery, and at multiple postoperative timepoints. MH diagnoses included anxiety, depression, bipolar disorder, and other psychiatric conditions documented through medications, International Classification of Diseases, tenth revision codes or chart notes. Continuous and categorical variables were compared using appropriate univariate tests, and mixed-model linear regression was used to compare patient-reported outcomes over time while controlling for patient sex. Out of 365 patients undergoing ACL reconstruction, 50 (13.7%) had a pre-existing MH diagnosis (mean age, 36.42; 84.0% female). Groups did not differ on any scale at baseline except PROMIS Mental Health, which was lower among patients with a pre-existing MH diagnosis (47.3 vs 53.6; < 0.001). The MH Group reported significantly worse KOOS scores at 2 weeks postoperatively, but no differences were observed thereafter. Among 315 patients without previous history of MH disorder (mean age, 32.90; 52.7% female), 8 (2.5%) developed a new MH diagnosis at 1-year follow-up. Patients aged ≤25 years demonstrated significantly higher baseline KOOS scores than patients >25 years. Among 294 sport-related injuries and 71 non-sport-related injuries, non-sport-related injuries were associated with lower baseline KOOS and PROMIS scores, and higher incidence of new MH diagnoses (7% vs 1.6%; = 0.02). No differences in KOOS outcomes beyond 2 weeks were found between patients with and without a pre-existing MH condition. Furthermore, non-sport-related injuries were associated with a higher rate of new MH diagnoses. These findings may help clinicians identify patients who could benefit from additional support during recovery.
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2. Musculoskeletal Injury Incidence Among US Military Academy and Reserve Officer Training Corps Cadets: A Scoping Review.
2. 美国军事学院和预备役军官训练团学员肌肉骨骼损伤发生率：一项范围综述PMID:日期:2026-10-05Musculoskeletal injuries (MSKI) are a leading cause of limited-duty days and attrition among United States (US) service members (SMs). Nearly half of SMs sustain a MSKI each year, which has long-term impacts on SM health and wellbeing. Despite their similar physical and operational demands, the epidemiology of MSKI among US Service Academy (SA) and Reserve Officers' Training Corps (ROTC) cadets, a key precommissioning cohort, remains poorly characterized. The objective of this review was to map and synthesize available evidence describing the incidence and distribution of MSKI among US cadets and evaluate the strength of evidence across studies. A scoping review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews guidelines. Eligible studies included English-language, US-based observational research involving cadets at SAs or ROTC programs. Searches were completed in PubMed, CINAHL, and Scopus through July 2025. Injury type, frequency, body region, and sex-specific incidence were extracted from each paper when available. Injury incidence was standardized per 1000 person-weeks to allow comparison across studies. Quality of evidence was appraised using the GRADE framework. Scoping review with quantitative incidence standardization and qualitative synthesis; GRADE ratings across included studies. Level 3. A total of 34 studies met inclusion criteria, representing 27 to 24,501 cadets per cohort. Average MSKI incidence among SA cadets was 53.7 injuries per 1000 person-weeks, and 30.6 injuries per 1000 person-weeks among ROTC cadets. Lower extremity injuries predominated, with higher rates among female cadets. Evidence quality was rated as moderate in 10 studies, low in 16, and very low in 8. Cadets experience MSKI at rates similar to active-duty personnel, particularly during initial military training. These findings establish a benchmark for future injury prevention and readiness research and emphasize the importance of clinical injury surveillance protocols.Strength-of-Recommendation Taxonomy (SORT):B. Recommendation based on inconsistent or limited-quality patient-oriented evidence.
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3. Pitch Clock Implementation and Its Differential Associations With Injury Distribution and Recovery Duration for Major League Baseball Pitchers.
3. 投球计时器的实施及其与美国职业棒球大联盟投手伤病分布和恢复时长的差异性关联PMID:日期:2026-09-30Major League Baseball (MBL) implemented the pitch clock in 2023 to accelerate game pace. Previous studies examined injury frequency but did not assess recovery duration or account for behavioral adaptations. The purpose of this study was to evaluate associations between pitch clock implementation, recovery duration, and injury distribution. Recovery duration would be longer in the post-clock era, particularly among starters, elbow injuries would comprise a greater proportion of upper extremity injuries, and these associations would persist after accounting for the concurrent increase in fastball velocity. Retrospective cohort study. Level 3. The cohort included 1086 upper extremity injuries among 625 unique MLB pitchers from 2021 to 2024, classified as occuring within the pre-clock era (2021-2022; n = 569) or post-clock era (2023-2024; n = 517). Recovery duration was defined as the days from one's injured list (IL) placement to their return to the active roster. Two-way analysis of variance tested the effects of each era and pitcher role (starter vs reliever). Linear and logistic regression models were adjusted for fastball velocity, with pace examined separately as the exposure mechanism. Sensitivity analyses addressed within-pitcher correlation. Recovery duration increased from 48.1 to 54.1 days post-clock (+6.01 days; = 0.02), with starters showing a larger increase (+9.65 days; = 0.01) than relievers (+3.65 days; = 0.26). Elbow injuries rose from 18.6% to 27.5% of the proportion of injuries (odds ratio [OR] = 1.65; < 0.001). Post-clock pace decreased by 4.89 seconds ( < 0.001) and fastball velocity increased by 0.54 mph ( = 0.006). After adjustment for velocity, recovery duration (+6.08 days; = 0.02) and elbow injury distribution (OR = 1.57; = 0.003) remained significant. The recovery association persisted when restricted to each pitcher's first injury (+6.49 days; = 0.05). Pitch clock implementation was associated with approximately 6 days of prolonged recovery and a significantly increased proportion of elbow injuries among upper extremity injuries in MLB pitchers. Neither the concurrent increase in fastball velocity nor a pitcher's accumulated injury history accounted for these associations, which remained significant in both analyses. Rule changes affecting interpitch rest may carry meaningful consequences for pitcher health that warrant consideration alongside pace-of-play objectives.
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4. Body Image, Disordered Eating, and Relative Energy Deficiency in Sport Risk in Female Athletes: Associations Across Psychological and Behavioral Factors.
PMID:日期:2026-09-28Relative energy deficiency in sport (REDs) is traditionally conceptualized as a physiological consequence of low energy availability, yet emerging evidence implicates psychological and behavioral mechanisms in its development. This study examined the associations among body image, disordered eating, social physique anxiety, and female health knowledge to clarify psychosocial antecedents of REDs risk in female athletes. Negative body image will be associated with REDs risk and disordered eating. Cross-sectional study. Level 4. A total of 105 female athletes (mean age, 21.7 ± 3.4 years) completed validated measures assessing body image, social physique anxiety, disordered eating, REDs risk, and female health knowledge. Pearson correlations, multiple regression, and mediation analyses were performed to examine psychological predictors and mediating pathways of REDs risk. Negative body image was associated strongly with REDs risk ( = 0.61; < 0.001) and remained the dominant independent correlate (β = 0.48; < 0.001). Disordered eating was identified as a significant statistical mediator of the association between negative body image and REDs risk (indirect = 1.17; 95% CI, 0.46, 1.86), while the direct effect persisted (c' = 1.89; 95% CI, 0.91, 2.87; < 0.001). Positive body image exerted a protective influence (β = -1.47; < 0.001), and social physique anxiety showed a small, nonsignificant, association (β = 0.18; = 0.05). Female health knowledge demonstrated a significant inverse bivariate association with REDs risk ( = -0.28; = 0.002), although this relationship was not retained in multivariable analyses. The model explained 44% of variance ( ² = 0.44; < 0.001). Findings support an association between body image disturbance, disordered eating behaviors, and REDs risk in female athletes. Positive body image and female health knowledge may serve protective roles. Integrating psychological screening and assets-based education into REDs prevention could shift practice from reactive physiological detection toward proactive, holistic athlete healthcare.
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5. Rehabilitative and Conditioning Exercises That Selectively Activate Individual Lower Extremity Muscles: A Systematic Review.
5. 选择性激活下肢各别肌肉的康复与体能训练 exercises：一项系统综述PMID:日期:2026-09-28Resistance training - the process of progressively overloading muscle fibers - is fundamental to muscle hypertrophy. People may benefit from intentional exercise prescription targeting selective muscle activation. There is a lack of synthesized literature on exercises targeting specific lower extremity muscles. To compile findings from studies that described exercises emphasizing selective recruitment of lower extremity muscles. A multi-database (MEDLINE via PubMed, Scopus, SportDiscus) search was performed. English-language primary research studies relating to selective lower extremity muscle activation in healthy active people were included. Studies based on healthy active people were included to establish normative activation patterns, providing a reference standard applicable to rehabilitation and injury prevention contexts. Systematic review. Level 3. Information on sample characteristics; muscle and muscle group; exercise and/or movement description; measurement modalities; and exercise intensity, and dosage, was extracted. Study quality appraisal was conducted using the Methodological Index for Non-Randomized Studies (MINORS) scale. A total of 2561 studies were identified, of which 106 met the inclusion criteria, and 56 studies were considered high-quality evidence based on MINORS quality appraisal scores. A total of 29 lower-quarter muscles (including trunk musculature) were investigated in the included studies. Surface electromyography emerged as the most frequently used modality to measure selective muscle activation. Biceps femoris emerged as the most frequently investigated muscle for selective activation. Current literature reporting selective activation of individual lower extremity muscles exists, particularly for the biceps femoris, but there remains a paucity of literature exploring exercises that effectively isolate all muscle groups of the lower extremity. Further investigation is necessary to create a comprehensive resource that can be used to guide more personalized, precise, and effective approaches to addressing muscular deficits.
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6. Hangboard Training as a Preventive Strategy for Upper Extremity Pathologies in Rock Climbers.
6. 悬吊板训练作为攀岩者上肢病变的预防策略PMID:日期:2026-09-27Rock climbing places significant mechanical demands on the fingers, wrists, elbows, and shoulders. The repetitive use of isometric gripping, extreme joint positions, and dynamic movements contributes to increasing upper extremity overuse injuries as the sport rises in popularity. Many of these injuries stem from inadequate finger and forearm strength, leading to compensation with proximal musculature and secondary stabilizers. Hangboarding has become a well-established regimen for improving finger flexor strength, but its role in injury prevention remains poorly defined. A narrative review of peer-reviewed literature was conducted using PubMed, Scopus, and Google Scholar. The search focused on upper extremity pathologies in climbers, finger and forearm biomechanics, and the physiological adaptations associated with hangboard training. Clinical review and expert opinion. Level 4. Climbers frequently develop upper extremity overuse injuries ranging from triangular fibrocartilage complex (TFCC) irritation and carpal tunnel syndrome to conditions such as medial epicondylitis and rotator cuff pathology. Across these conditions, there is a consistent biomechanical mechanism: when finger strength is insufficient, mechanical load shifts onto proximal structures not designed for high-tension, repetitive loading. By optimizing finger flexor recruitment, grip endurance, and tendon load tolerance through a structured hangboarding protocol, climbers enhance the load-bearing capacity of distal structures. The muscular and neural adaptations caused by hangboarding mitigate the maladaptive compensatory patterns that drive chronic overuse pathologies in the proximal musculature and associated joint complexes. Upper extremity overuse pathologies in climbers are tied closely to how climbing mechanics interact with the load-bearing capacity of the finger flexors and forearm muscles. The implementation of a structured hangboarding protocol serves as a targeted intervention to enhance the strength of distal structures, thereby preventing the maladaptive force redistribution to the more vulnerable wrist, elbow, and shoulder complexes. While biomechanical rationale supports hangboarding as a potential injury-prevention tool, further research is needed to confirm its protective effects and guide optimal training parameters through randomized controlled trials.Strength of Recommendation Taxonomy (SORT):C - Recommendation based on consensus and disease-oriented evidence.
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7. Assessing the Impact of Myofascial Release Versus Dry Needling for Chondromalacia in Adult Females: A Randomized Controlled Trial.
7. 评估筋膜释放与干针治疗成年女性髌骨软骨软化症的效果：一项随机对照试验PMID:日期:2026-09-27Chondromalacia patellae is a common cause of anterior knee pain in adult females and is associated with patellofemoral pain syndrome. Conservative management focuses on pain reduction and restoration of muscle function; however, limited evidence directly compares the effectiveness of myofascial release (MFR) and dry needling (DN). Both MFR and DN would reduce pain and improve quadriceps function, with MFR producing greater improvements in neuromuscular performance. Randomized controlled clinical trial. Level 2. Adult females (N = 45; age, 18-50 years) with magnetic resonance imaging-confirmed chondromalacia patellae were allocated randomly to 1 of 3 groups: DN plus exercise, MFR plus exercise, or exercise alone (control). Participants received 2 weekly treatment sessions for 3 weeks. Pain intensity was assessed using the visual analog scale, whereas the quadriceps peak torque and the hamstring-to-quadriceps (H/Q) peak torque ratio were measured using isokinetic dynamometry before and after treatment. Statistical analyses were performed using 1-way analysis of variance ( < 0.05). Pain intensity decreased significantly in all 3 groups after treatment (all < 0.001). Both intervention groups demonstrated greater pain reduction than the control group ( = 0.006 and < 0.001, respectively), with no significant difference between the 2 intervention groups ( > 0.99). Quadriceps peak torque increased significantly in the MFR plus exercise ( < 0.001) and control ( < 0.001) groups but not in the DN plus exercise group ( = 0.95). The MFR plus exercise group demonstrated greater quadriceps peak torque than the DN group ( = 0.001). The H/Q peak torque ratio improved significantly in all groups, with the MFR plus exercise group demonstrating greater improvement than the control group ( = 0.04). Both DN and MFR reduced pain effectively in females with chondromalacia patellae. However, MFR combined with exercise produced superior improvements in quadriceps muscle strength and H/Q muscle balance, suggesting greater enhancement of neuromuscular function during rehabilitation. MFR combined with exercise may be considered a valuable conservative intervention when treatment goals extend beyond pain relief to improving muscle performance and dynamic knee stability.
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8. Trait Sport Anxiety as the Only Consistent Predictor Across Injury Mechanisms in Young Taekwondo Athletes: A 6- to 10-Month Prospective Cohort Study.
8. 特质性运动焦虑是年轻跆拳道运动员各类损伤机制中唯一一致的预测因素：一项为期6至10个月的前瞻性队列研究PMID:日期:2026-09-24Injury prevention in combat sports has focused primarily on physical and biomechanical factors, whereas psychological determinants remain understudied. Because taekwondo involves both contact and noncontact injury mechanisms, a biopsychosocial approach may better explain injury risk. Biological, psychological, and training-related factors, including trait sport anxiety (TSA), aggression, training load, and functional performance deficits, would predict injury risk independently in young taekwondo athletes. Prospective cohort study. Level 3. A total of 167 taekwondo athletes were enrolled; 156, aged 15 to 30 years, completed the 6- to 10-month follow-up and were included in the final analysis. Baseline assessments included anthropometric measures, training characteristics, TSA, aggression profiles, and functional performance tests, including Landing Error Scoring System and triple crossover hop asymmetry. Injury occurrence and training exposure were recorded biweekly according to international consensus injury definitions. Generalized estimating equations with a binomial distribution, logit link function, and an exchangeable correlation structure to account for within-subject clustering identified predictors of total, contact, and noncontact injuries. Overall, 67.3% (95% CI, 60.0-74.7) of athletes sustained ≥1 injury, with an incidence density of 5.77 injuries per 1000 exposure hours (95% CI, 5.09-6.50); most injuries were mild lower-extremity injuries. TSA was the only predictor consistently associated with all 3 injury outcomes (odds ratio [OR] = 1.03). Total injuries were also predicted by female sex (OR = 1.69), left-leg dominance (OR = 1.53), higher weekly training frequency (OR = 1.15), and participation in other sports (OR = 0.65). Contact injuries were associated with greater foul-play aggression (OR = 1.07), higher training frequency (OR = 1.15), and shorter stature (OR = 0.96), whereas noncontact injuries were predicted independently by female sex (OR = 2.26) and greater interlimb asymmetry (OR = 1.06). TSA represents a consistent biopsychosocial determinant of injury risk in young taekwondo athletes, independent of injury mechanism. Injury risk appears multifactorial, with psychological, training, and functional factors contributing modest but meaningful effects. Routine psychological screening, alongside monitoring of training load and correction of functional asymmetries, may enhance injury prevention strategies in youth taekwondo and similar combat sports.
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9. From Fear to Function: How Physiotherapists Navigate Psychological Challenges in Patients Undergoing Rehabilitation After ACL Reconstruction.
9. 从恐惧到功能：物理治疗师如何应对前交叉韧带重建术后康复患者的心理挑战PMID:日期:2026-09-24Psychological readiness plays a critical role in return to sport (RTS) outcomes after anterior cruciate ligament reconstruction (ACLR), yet physiotherapists (PTs) often feel unprepared to support this aspect of recovery. Although clinical guidelines advocate for psychological strategies, practical tools and structured interventions remain scarce. Experienced PTs will actively use psychological strategies during rehabilitation to support patient readiness for RTS. PTs perceive themselves as playing a central role in addressing psychological barriers. Qualitative study using semi-structured focus group interviews. Level 5. A total of 21 experienced PTs were recruited based on their involvement in ACLR rehabilitation. Three focus group interviews were conducted in each country using a semi-structured guide, developed in English and translated into Norwegian/Dutch. Interviews conducted via video call were recorded, transcribed verbatim, and analyzed using systematic text condensation to identify key themes. PTs reported investing considerable time in building therapeutic alliances, enabling them to support psychological readiness throughout ACLR rehabilitation. Common strategies included individualized communication, goal-setting, reassurance through milestone tracking, and graded exposure to sport-specific movements. PTs also adapted their approaches based on patient responses. However, barriers such as time constraints, lack of formal psychological training, and organizational disruptions were identified. PTs play an essential role in addressing psychological readiness in ACLR rehabilitation. Key strategies include building alliances, individualized support, and gradually reintroducing patients to sport-specific activities. Despite their efforts, limited psychological training and structural challenges can hinder optimal care. Addressing these gaps may enhance rehabilitation outcomes and RTS success. This study provides practical insight into how PTs manage psychological challenges in ACLR rehabilitation. Findings highlight the need for more formal psychological training and integrated interdisciplinary approaches to better support recovery and improve RTS outcomes.
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10. Risk of Scoliosis in Adolescent Female Rhythmic Gymnasts Compared with Healthy Peers: A Cross-Sectional Study Using the Scoliosis Tele-Screening Test.
PMID:日期:2026-09-24Rhythmic gymnasts have a higher prevalence of scoliosis; however, the literature remains limited due to differences in methodologies, populations, and definitions. Considering the inadequacy and the inconsistency of screening methods and comparison groups in the literature, we aimed to screen rhythmic gymnasts for scoliosis risk, identify risk groups using the Scoliosis Tele-Screening Test (STS-Test), and compare them with healthy peers. Rhythmic gymnasts will exhibit a different risk distribution pattern and a higher scoliosis risk score on the STS-Test compared with healthy controls. Cross-sectional study. Level 4. Adolescents (10-18 years old) who had practised rhythmic gymnastics at a competitive level for ≥5 years (Tier 3, Participant Classification Framework) were included. A total of 56 gymnasts and 302 age-matched healthy controls were enrolled. Sport-specific data, pubertal maturity, hypermobility, STS-Test for scoliosis risk, and angle of trunk rotation were assessed. Rhythmic gymnasts have higher STS-Test scores than controls ( < 0.001). Fisher's exact test revealed a difference in the distribution of scoliosis risk between groups ( < 0.001). Post hoc analysis showed the difference was driven primarily by gymnasts having significantly more moderate-risk cases (adjusted residual [AR], 5.1; < 0.001) and fewer low-risk cases (AR, -4.6; < 0.001). The Healthy controls showed the opposite pattern, with significantly more low-risk cases (AR, 4.6; < 0.001) and fewer moderate-risk cases (AR, -5.1; < 0.001). Rhythmic gymnasts exhibit a higher scoliosis risk score on the STS-Test compared with healthy controls. Gymnasts had more moderate-risk and fewer low-risk cases, whereas the healthy controls exhibited the opposite pattern. Considering generalized joint hypermobility, high training volume at an early age, and risk of scoliosis, it is essential to assess scoliosis risk and closely monitor rhythmic gymnasts during growth for early diagnosis, as scoliosis can impact sports careers significantly. Gymnasts can be screened periodically for scoliosis risk using the STS-Test. It is crucial to assess rhythmic gymnasts throughout their growth to enable early diagnosis and management of scoliosis, thereby preventing career impact.