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Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies

CONTEXT: Despite rising awareness of the risks associated with sports participation, overuse injuries continue to increase in youth athlete populations. Physeal injuries are one type of overuse injury exclusive to pediatric populations that are often sustained during athletic practice or competition...

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Autores principales: Arnold, Amanda, Thigpen, Charles A., Beattie, Paul F., Kissenberth, Michael J., Shanley, Ellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349397/
https://www.ncbi.nlm.nih.gov/pubmed/28165873
http://dx.doi.org/10.1177/1941738117690847
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author Arnold, Amanda
Thigpen, Charles A.
Beattie, Paul F.
Kissenberth, Michael J.
Shanley, Ellen
author_facet Arnold, Amanda
Thigpen, Charles A.
Beattie, Paul F.
Kissenberth, Michael J.
Shanley, Ellen
author_sort Arnold, Amanda
collection PubMed
description CONTEXT: Despite rising awareness of the risks associated with sports participation, overuse injuries continue to increase in youth athlete populations. Physeal injuries are one type of overuse injury exclusive to pediatric populations that are often sustained during athletic practice or competition. Overuse physeal injuries are, in theory, preventable; however, little consensus has been reached surrounding the risk factors, prevention, and treatment strategies. OBJECTIVE: This systematic review summarizes the best available evidence concerning overuse physeal injuries in youth and adolescent athletes. It can be used to develop prevention and treatment programs specific to this population. DATA SOURCES: PubMed and Academic Search Complete (EBSCOhost) were explored using the keyword physeal injuries from January 1950 through May 2015 to identify 24 studies. STUDY SELECTION: Original research studies of athletic populations with mechanisms of injury related to sport were chosen. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Data were extracted as available from 24 eligible studies. Study quality was rated using the Oxford Centre for Evidence-based Medicine (OCEBM) guidelines. RESULTS: Risk factors for injury include periods of accelerated growth, chronological age, body size, training volume, and previous injury. Injury prevention strategies currently emphasize participation limitations and sport-specific training programs in skeletally immature athletes. The most effective treatment after an overuse physeal injury was an extended period of active rest and joint immobilization when necessary. CONCLUSION: Overuse physeal injuries are multifactorial in nature. Muscular imbalances after accelerated growth periods predispose young athletes to overuse injuries. Modifiable risk factors such as flexibility, strength, and training volume should be regularly monitored to prevent these injuries.
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spelling pubmed-53493972018-02-06 Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies Arnold, Amanda Thigpen, Charles A. Beattie, Paul F. Kissenberth, Michael J. Shanley, Ellen Sports Health Focus Topic: Injury Prevention CONTEXT: Despite rising awareness of the risks associated with sports participation, overuse injuries continue to increase in youth athlete populations. Physeal injuries are one type of overuse injury exclusive to pediatric populations that are often sustained during athletic practice or competition. Overuse physeal injuries are, in theory, preventable; however, little consensus has been reached surrounding the risk factors, prevention, and treatment strategies. OBJECTIVE: This systematic review summarizes the best available evidence concerning overuse physeal injuries in youth and adolescent athletes. It can be used to develop prevention and treatment programs specific to this population. DATA SOURCES: PubMed and Academic Search Complete (EBSCOhost) were explored using the keyword physeal injuries from January 1950 through May 2015 to identify 24 studies. STUDY SELECTION: Original research studies of athletic populations with mechanisms of injury related to sport were chosen. STUDY DESIGN: Systematic review. LEVEL OF EVIDENCE: Level 3. DATA EXTRACTION: Data were extracted as available from 24 eligible studies. Study quality was rated using the Oxford Centre for Evidence-based Medicine (OCEBM) guidelines. RESULTS: Risk factors for injury include periods of accelerated growth, chronological age, body size, training volume, and previous injury. Injury prevention strategies currently emphasize participation limitations and sport-specific training programs in skeletally immature athletes. The most effective treatment after an overuse physeal injury was an extended period of active rest and joint immobilization when necessary. CONCLUSION: Overuse physeal injuries are multifactorial in nature. Muscular imbalances after accelerated growth periods predispose young athletes to overuse injuries. Modifiable risk factors such as flexibility, strength, and training volume should be regularly monitored to prevent these injuries. SAGE Publications 2017-02-06 /pmc/articles/PMC5349397/ /pubmed/28165873 http://dx.doi.org/10.1177/1941738117690847 Text en © 2017 The Author(s)
spellingShingle Focus Topic: Injury Prevention
Arnold, Amanda
Thigpen, Charles A.
Beattie, Paul F.
Kissenberth, Michael J.
Shanley, Ellen
Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title_full Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title_fullStr Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title_full_unstemmed Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title_short Overuse Physeal Injuries in Youth Athletes: Risk Factors, Prevention, and Treatment Strategies
title_sort overuse physeal injuries in youth athletes: risk factors, prevention, and treatment strategies
topic Focus Topic: Injury Prevention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349397/
https://www.ncbi.nlm.nih.gov/pubmed/28165873
http://dx.doi.org/10.1177/1941738117690847
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