Leadership for the Team Physician

Tayne, Samantha; Hutchinson, Mark R.; O’Connor, Francis G.; Taylor, Dean C.; Musahl, Volker; Indelicato, Peter A.

doi:10.1249/jsr.0000000000000696

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…In the military, failure to manage a bone injury may result in medical discharge if optimal military readiness cannot be achieved in a timely manner. The demand for earlier return to physical activity93 should be balanced by knowledge that BSI healing takes time 94. Recent findings on skeletal strength deficits indicate that recovery may require a full 6 months, extrapolated from healing from a tibial BSI 95 5…”

Section: Discussionmentioning

confidence: 99%

Return to sport following low-risk and high-risk bone stress injuries: a systematic review and meta-analysis

et al. 2023

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ObjectiveBone stress injuries (BSIs) are classified in clinical practice as being at low- or high-risk for complication based on the injury location. However, this dichotomous approach has not been sufficiently validated. The purpose of this systematic review was to examine the prognostic role of injury location on return-to-sport (RTS) and treatment complications after BSI of the lower extremity and pelvis.DesignSystematic review and meta-analysis.Data sourcesPubMed, Web of Science, Cochrane CENTRAL and Google Scholar databases were searched from database inception to December 2021.Eligibility criteria for selecting studiesPeer-reviewed studies that reported site-specific RTS of BSIs in athletes.ResultsSeventy-six studies reporting on 2974 BSIs were included. Sixteen studies compared multiple injury sites, and most of these studies (n=11) described the anatomical site of injury as being prognostic for RTS or the rate of treatment complication. Pooled data revealed the longest time to RTS for BSIs of the tarsal navicular (127 days; 95% CI 102 to 151 days) and femoral neck (107 days; 95% CI 79 to 135 days) and shortest duration of time for BSIs of the posteromedial tibial shaft (44 days, 95% CI 27 to 61 days) and fibula (56 days; 95% CI 13 to 100 days). Overall, more than 90% of athletes successfully returned to sport. Treatment complication rate was highest in BSIs of the femoral neck, tarsal navicular, anterior tibial shaft and fifth metatarsal; and lowest in the fibula, pubic bone and posteromedial tibial shaft.ConclusionThis systematic review supports that the anatomical site of BSIs influences RTS timelines and the risk of complication. BSIs of the femoral neck, anterior tibial shaft and tarsal navicular are associated with increased rates of complications and more challenging RTS.PROSPERO registration numberCRD42021232351.

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Section: Discussionmentioning

confidence: 99%

Return to sport following low-risk and high-risk bone stress injuries: a systematic review and meta-analysis

et al. 2023

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“…One unique role of SM physicians is to work as a local sports team doctor. 20,21 The responsibility of working as a team doctor is considerably comprehensive, especially for a collision sport such as American football, 22,23 and for some high-profile teams, traveling with the team is also a part of the job. 24 In short, serving a team physician to local sports teams is a timeconsuming commitment, which explains the reason why availability of research personnel to facilitate research activities is extremely important.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Research in Pediatric Sports Medicine Practitioners: A Survey of the PRiSM Society

Sugimoto

Bel

Butler

2022

International Journal of Sports Physical Therapy

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Background Barriers and facilitators to research in sports medicine (SM) by physicians and allied health (AH) professions such as physical therapists and athletic trainers are understudied. The purpose of this research was to examine and compare research barriers, facilitators, and other research related facets including interests, comfort, knowledge, and resources among SM physicians and AH practitioners. Study Design Cross-sectional survey Methods The survey was sent to Pediatric Research in Sports Medicine (PRiSM) members. The survey was designed to ask respondents to identify their top barrier and facilitator to conducting research. Research interest (binary), self-rated comfort reading research articles (0-100 scale), self-rated knowledge conducting research independently (0-100 scale), and available research resources were evaluated. Descriptive statistics, chi-square, and t-tests were used to compare the responses between SM physicians and AH practitioners. The value of p<0.05 was set as a statistically significant criterion. Results The response rate was 35.7% (N=100). For both SM physicians and AH practitioners, the greatest research barrier was a lack of time. However, the leading research facilitators differed in the two professions. The top research facilitator for SM physicians was availability of research personnel, while availability of research mentoring was selected as a prime facilitator by AH practitioners. There were no differences in research interest between SM physicians (87.0%) and AH practitioners (95.5%, p=0.267). However, self-rated comfort reading research articles was higher in SM physicians (75.6±20.6) than AH practitioners (60.6±28.3, p=0.018). There were no differences in self-rated knowledge conducting research independently between SM physicians (70.2±18.6) and AH practitioners (63.4±24.6, p=0.163). Conclusion Lack of time was the top research barrier for both SM physicians and AH practitioners. Regarding research facilitators, having available time was the main facilitator for SM physicians while availability of mentoring was the leading facilitator in AH practitioners. Level of Evidence: 3

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“…A more participative leadership style from coaches and better communication channels could lead to more player-speci c injury management strategies with the potential bene t of lowering injury incidence rates, injury burden and improving performance [10,11,69,89]. To achieve this type of collaborative working environment in team sports, medical staff need to develop the required leadership skills that foster trusting relationships between them and the players and coaches that they work with [87, 99,100].…”

Section: Knowledge Attitudes and Behaviours Towards Injury Managementmentioning

confidence: 99%

Players', head coaches and medical personnel knowledge, understandings and perceptions of injury and injury prevention in elite-level women’s football in Ireland.

Horan

Kelly

Hägglund

et al. 2022

Preprint

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Background To manage injuries effectively, players, head coaches and medical personnel need to have excellent knowledge, attitudes and behaviours in relation to the identification of risk factors for injury, the implementation of injury prevention initiatives, and the implementation of effective injury management strategies. Understanding the injury context whereby specific personal, environmental and societal factors can influence the implementation of injury prevention initiatives and injury management strategies is critical for player welfare. To date, no qualitative research investigating the context of injury has been undertaken in elite-level women’s football. The aim of our study was to explore the knowledge, attitudes and behaviours of players, head coaches and medical personnel in the Irish Women’s National League (WNL) to injury prevention and injury management. Methods We used qualitative research methods to explore the knowledge, attitudes and behaviours of players, head coaches and medical personnel in the Irish WNL to injury prevention and injury management. Semi-structured interviews were undertaken with 17 players, 8 medical personnel and 7 head coaches in the Irish WNL. This study is located within an interpretivist, constructivist research paradigm and interviews were analysed using thematic analysis. Results The participants had incomplete knowledge of common injuries in elite-level football, and many held beliefs about risk factors for injury, such as menstrual cycle stage, which lacked evidence to support them. Jumping and landing exercises were commonly used to reduce injury but evidence-based injury prevention exercises and programmes such as the Nordic curl, Copenhagen adduction and the FIFA 11 + were rarely mentioned. Overall, there was dissatisfaction amongst players with the medical and strength and conditioning (S & C) support with resultant inadequate communication between players, head coaches and medical personnel. Conclusion Poor quality and availability of medical and S & C support was considered to be a major obstacle in the effective implementation of injury risk reduction strategies and successful return-to-sport (RTS) practices. More original research is required in elite-level women’s football exploring injury risk factors, injury prevention initiatives and contextual RTS strategies so that players, head coaches and medical personnel can use evidence that is both up-to-date and specific to their environment.

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Leadership for the Team Physician

Cited by 16 publications

References 12 publications

Return to sport following low-risk and high-risk bone stress injuries: a systematic review and meta-analysis

Return to sport following low-risk and high-risk bone stress injuries: a systematic review and meta-analysis

Barriers and Facilitators of Research in Pediatric Sports Medicine Practitioners: A Survey of the PRiSM Society

Players', head coaches and medical personnel knowledge, understandings and perceptions of injury and injury prevention in elite-level women’s football in Ireland.

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