Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Bustos, Amaranta Orejel; Belluscio, Valeria; Camomilla, Valentina; Lucangeli, Leandro; Rizzo, Francesco; Sciarra, Tommaso; Martelli, Francesco; Giacomozzi, Claudia

doi:10.3390/s21072438

Cited by 18 publications

(10 citation statements)

References 228 publications

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“…Edema and inflammation-reactions that frequently follow fractures-can be identified thanks to MRI's sharp ability to discern soft tissue subtleties. On MRI scans, the dynamic interaction between the fracture site, surrounding soft tissues, and bone marrow changes can readily be observed (Orejel Bustos, 2021).…”

Section: Detection Of Fracturesmentioning

confidence: 99%

MRI Detection of Osteoporosis Bone Fractures Opposed to DEXA Scan

Velagapudi,

Kethar

2023

J Stud Res

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The study emphasizes the advancement achieved through Magnetic Resonance Imaging (MRI) technology in identifying bone fractures, particularly in cases such as osteoporosis. The paper explores the utilization of MRI in examining bone health to determine fracture risks, particularly those caused by osteoporosis while identifying the limitations of Dual-Energy X-ray absorptiometry (DEXA) scans for comprehensive insights. As evident, the utilization of DEXA scans permits the measurement of Bone Mineral Density (BMD) and the identification of fracture susceptibility. However, the depth of information provided by DEXA scans falls short of that attainable through MRI scans. The researcher's strategy involves a comprehensive evaluation of methods for assessing bone health, encompassing the significance of BMD and the limitations associated with DEXA scans. Moreover, the study delves into the potential utilization of MRI in offering a holistic measurement of bone health and mitigating the risk of osteoporotic fractures. As revealed, MRI meticulously examines bone properties via a process involving magnetic manipulation of protons, creating cross-sectional images that offer unique insights into internal structure. MRI surpasses DEXA in detecting Osteoporotic Bone Fractures, offering a comprehensive understanding essential for treatment planning and patient recovery. Its early detection prevents complications and guides interventions effectively. This technique employs T1-weighted, T2-weighted, and proton-density imaging to analyze complex bone webs. Therefore, the researcher strongly recommends further research to harness MRI's evolving capabilities, enabling more accurate, individualized assessments of fracture risks and treatment strategies, ultimately enhancing fracture care with precise diagnoses and tailored approaches for improved health outcomes.

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Section: Detection Of Fracturesmentioning

confidence: 99%

MRI Detection of Osteoporosis Bone Fractures Opposed to DEXA Scan

Velagapudi,

Kethar

2023

J Stud Res

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“…After all, professional sport is an area where seemingly imperceptible disruptions in the human musculoskeletal system most quickly lead to health issues. This is due to the application of heavy loads and the induction of states of overload on the musculoskeletal system [ 2 , 29 , 30 ]. Considering all this, although many coaches and gymnasts are aware of GL injuries, there is limited research on the risk factors associated with this type of injury.…”

Section: Introductionmentioning

confidence: 99%

The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review

Kara

Sağiroğlu

Vurgun

et al. 2023

IJERPH

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Artistic gymnastics (AG) is a sport that demands grace, strength, and flexibility, leading to a broad spectrum of injuries. The dowel grip (DG) is widely used by gymnasts to securely hold onto the high bar or uneven bars. However, incorrect usage of the DG can result in grip lock (GL) injuries. This systematic review aims to (1) identify studies that have investigated the risk factors related to GL injuries among gymnasts and (2) synthesize the key evidence. A comprehensive electronic search was conducted in the following databases: PubMed, ScienceDirect, Elsevier, SportDiscus, and Google Scholar, covering the period from their inception until November 2022. The data extraction and analysis were independently completed by two investigators. A total of 90 relevant studies were initially identified, out of which seven clinical trials met the eligibility criteria. For the quantitative synthesis, five studies were included. The details extracted from each article include: the sample characteristics (number, gender, age, and health status), the study design, the instrumentation or intervention used, and the final results. Our results revealed that the underlying causes of the risk factors of GL injuries were the irregular checking of the dowel grip and the mating surface of the bar, the tearing of the dowel of the leather strap, and the use of the dowel grip in different competition apparatuses. In addition, GL injuries may occur either as severe forearm fractures or mild injuries. Excessive flexion of the forearm and overpronation of the wrist during rotational movements, such as the swing or backward/forward giant circle, may increase the possibility of GL injury on the high bar. Future studies should focus on GL injury prevention strategy and rehabilitation protocol for GL injuries. Further high-quality research is required to establish the validity of these findings.

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“…Throughout the course of a game or training event, fatigue naturally occurs leading to a cascade of physiological and biomechanical phenomena. Fatigue has been shown to alter normal arthrokinematics associated with running which can result in tissue overload and ultimately overuse injury [2][3][4][5]. Accordingly, repeated acute high-fatigue states are considered a major risk factor for overuse injury [5][6][7][8][9] and are therefore important to appropriately manage.…”

Section: Introductionmentioning

confidence: 99%

Fatigue Effects on Peak Plantar Pressure and Bilateral Symmetry during Gait at Various Speeds

Buxton,

Shields,

Nhean

et al. 2023

Biomechanics

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Fatigue-related changes in gait biomechanics, specifically plantar pressures, are well documented in the general population. However, research is generally confined to unilateral measures across a limited range of speeds, while changes in more well-trained populations remain largely unknown. Therefore, we sought to assess the impact of fatigue on bilateral peak plantar pressure (PP) and plantar pressure symmetry angle (SA) in well-trained runners across a range of speeds. Data from 16 (females, n = 9) well-trained runners were collected using in-sole pressure sensors pre- and post-fatigue at the following speeds: walking (1.3 m/s), jogging (2.7 m/s), running (3.3 m/s), and sprinting (4.5 m/s). Pre-fatigue PP significantly increased from walking to jogging (p < 0.001) and from jogging to running (p < 0.005) with no difference between running and sprinting (p > 0.05). Post-fatigue PP for walking was less than jogging (p < 0.002), running (p < 0.001), and sprinting (p < 0.001), with no other significant differences (p > 0.05). Post-fatigue PP was significantly greater when compared to pre-fatigue PP at all speeds (p < 0.001 for all). Though SA was not significantly different pre- to post-fatigue across speeds (p’s > 0.05) at the cohort level, noteworthy changes were observed at the individual level. Overall, fatigue effects are present at all running speeds but isolating these effects to a single side (left or right) may be inadequate.

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Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Cited by 18 publications

References 228 publications

MRI Detection of Osteoporosis Bone Fractures Opposed to DEXA Scan

MRI Detection of Osteoporosis Bone Fractures Opposed to DEXA Scan

The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review

Fatigue Effects on Peak Plantar Pressure and Bilateral Symmetry during Gait at Various Speeds

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