The analysis of physical, genetic and psychological methods of musculoskeletal system injuries prevention in elite athletes
A. S. Samoilov,
M. N. Velichko,
A. Y. Terskov,
А. S. Domozhirova,
A. M. Belyakova,
E. I. Razumets,
D. V. Volchenko,
O. A. Sozonov,
E. Ya. Shpiz https://doi.org/10.17238/ISSN2223-2524.2020.1.46
Abstract
The article reviews the existing methods of injury prevention in sport currently used in Russia and abroad. The article analyzes therapeutic exercises for injury prevention programs and the possible mechanisms of their action. The authors studied the perspectives of prophylactic exercises for injury prevention. The article presents genetic methods for musculoskeletal system injury prevention. The article raises issues of predisposition to various sports depending on the genotype. In addition, the article describes the psychological aspects of the sport injury prevention, in particular, international experience of the injury psycho-prevention in top-level sports.
Keywords
Supporting agencies: The study was performed in the framework of the research «Development of guidelines for the prevention of injuries of the musculoskeletal system in elite athletes in various sports» commissioned by Federal Medical Biological Agency of Russia
About the Authors
A. S. Samoilov
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Alexandr S. Samoylov, M.D., D.Sc. (Medicine), Prof., Head
Moscow
M. N. Velichko
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Maksim N. Velichko, M.D., Head of the Department of Sports Traumatology and Sports Medicine
Moscow
A. Y. Terskov
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Alexandr Y. Terskov, M.D., Ph.D. (Medicine), Head of the Center of Sports Traumatology and Rehabilitation
Moscow
А. S. Domozhirova
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Antonina S. Domozhirova, M.D., Physiotherapist of the Department of Sports Traumatology and Sports Medicine
Moscow
A. M. Belyakova
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Anna M. Belyakova, M.D., Traumatologist of the Department of Sports Traumatology and Sports Medicine
Moscow
E. I. Razumets
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Elena I. Razumets, Medical psychologist of the Center of Sports Traumatology and Rehabilitation
Moscow
+7(903)184-81-38
D. V. Volchenko
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Denis V. Volchenko, M.D., Ph.D. (Medicine), Traumatologist of the Department of Traumatology
Moscow
O. A. Sozonov
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Oleg A. Sozonov, M.D., Traumatologist of the Department of Traumatology
Moscow
E. Ya. Shpiz
State Research Center – Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Evgeny Ya. Shpiz, M.D., Traumatologist of the Department of Traumatology
Moscow
References
1. Runenko SD, Achkasov EE, Samamikodzhedi N, Karkishchenko NN, Talambum EA et al. The use of modern hardware-software complexes for the study of the features of adaptation of organism to physical exercises. Journal Biomed. 2011;1(2):65-72. (In Russ.)
2. Kisser R, Bauer. Sport injuries in the European Union. 16(1):A211. https://www.researchgate.net/publication/273567865_Sport_injuries_in_the_European_Union. Accessed November 7, 2019.
3. Wiese-Bjornstal DM. Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: a consensus statement. Scand J Med Sci Sports. 2010;20(2):103-111.
4. Maff ulli N, Longo UG, Gougoulias N, Caine D, Denaro V. Sport injuries: a review of outcomes. Br Med Bull. 2011;97:47-80.
5. Ivarsson A, Stambulova N, Johnson U. Injury as a career transition: Experiences of a Swedish elite handball player. International Journal of Sport and Exercise Psychology. 2016Oct;16(4):365-381.
6. Achkasov EE, Litvinenko AS, Kurshev VV. Shockwave therapy in diseases and injuries of the musculoskeletal system due sports. Bulletin of rehabilitation medicine. 2015;1(65):42-50.(In Russ.)
7. Klyuchnikov MS, Razumets EI. Monitoring of the psychophysiological state of athletes on the training camp. Sports psychologist. 2016;4(43):16-21.(In Russ.)
8. Elm EV, Altman DG, Egger M, Pocock SJ, Gøtzsche PC et al. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335:806-808.
9. Cox AJ, Gleeson M, Pyne DB, Callister R, Fricker PA et al. Cytokine gene polymorphisms and risk for upper respiratory symptoms in highly-trained athletes. Exerc Immunol Rev. 2010;16:8- 21.
10. US Department of Health and Human Services. Physical Activity and Health A Report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 1996. https://www.cdc.gov/nccdphp/sgr/pdf/sgrfull.pdf
11. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311-319.
12. Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011;39(6):1226-1232.
13. Woods C, Hawkins R, Hulse M, Hodson A. The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of preseason injuries. Br J Sports Med. 2002;36(6):436-441. DOI:10.1136/bjsm.36.6.436
14. Lauersen JB, Andersen TE, Andersen LB. Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis. Br J Sports Med. 2018;52(24):1557-1563. DOI:10.1136/bjsports-2018-099078
15. Dallinga JM, Benjaminse A, Lemmink KAPM. Which screening tools can predict injury to the lower extremities in team sports? a systematic review. Sports Med. 2012;42(9):791-815.
16. Lauersen JB, Bertelsen DM, Andersen LB.The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2014;48(11):871-877. DOI:10.1136/bjsports-2013-092538
17. Parkkari J, Kujala UM, Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2001;31(14):985-995.
18. Van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med. 1992;14(2):82-99.
19. Finch C. A new framework for research leading to sports injury prevention. J Sci Med Sport. 2006;9(1-2):3-9.
20. Cumps E, Verhagen E, Meeusen R. Efficacy of A Sports Specific Balance Training Programme on The Incidence of Ankle Sprains in Basketball. J Sports Sci Med. 2007;6(2):212-219.
21. Longo UG, Loppini M, Berton A, Marinozzi A, Maff ulli N et al. The FIFA 11+ Program Is Effective in Preventing Injuries in Elite Male Basketball Players. A Cluster Randomized Controlled Trial. Am J Sports Med. 2012;40:996-1005.
22. Junge A, Lamprecht M, Stamm H, Hasler H, Bizzini M et al. Countrywide campaign to prevent soccer injuries in Swiss amateur players. Am J Sports Med. 2011;39(1):57-63.
23. Harre D. Principles of Sports Training: Introduction to the Theory and Methods of Training (English). Sportverlag. 1982.
24. Stevenson MR. Sport, age, and sex specific incidence of sports injuries in Western Australia. Br J Sports Med. 2000;34:188- 194.
25. Abernethy L, Bleakley C. Strategies to prevent injury in adolescent sport: a systematic review. Br J Sports Med. 2007;41:627- 638.
26. Rossler R, Donath L, Verhagen E, Junge A, Schweizer T et al. Exercise-based injury prevention in child and adolescent sport: a systematic review and meta-analysis. Sports Medicine. 2014;44:1733- 1748.
27. Bizzini M, Dvorak J. FIFA 11: an effective programme to prevent football injuries in various player groups worldwide-a narrative review. Br J Sports Med. 2015;49(9):577-579.
28. Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G et al. Mechanisms for Noncontact Anterior Cruciate Ligament Injuries Knee Joint Kinematics in 10 Injury Situations from Female Team Handball and Basketball. Am J Sports Med. 2010;38:2218-2225.
29. Belli T, Crisp AH, Verlengia R. Greater muscle damage in athletes with ACTN3 R577X (RS1815739) gene polymorphism after an ultra-endurance race: a pilot study. Biol Sport. 2017;34(2):105-110.
30. Ahmetov II, Egorova ES, Gabdrakhmanova LJ, Fedotovskaya ON. Genes and Athletic Performance: An Update. Med Sport Sci. 2016;61:41-54.
31. Kim JH, Jung ES, Kim C-H, Youn H, Kim HR. Genetic associations of body composition, flexibility and injury risk with ACE, ACTN3 and COL5A1 polymorphisms in Korean ballerinas. J Exerc Nutrition Biochem. 2014;18(2):205-214.
32. Ficek K, Cieszczyk P, Kaczmarczyk M. Gene variants within the COL1A1 gene are associated with reduced anterior cruciate ligament injury in professional soccer players. J Sci Med Sport. 2013;16(5):396-400.
33. Buniello A, MacArthur JAL, Cerezo M, Harris LW, Hayhurst J et al. The NHGRI-EBI GWAS Catalog of published genome-wide association studies, targeted arrays and summary statistics2019. Nucleic Acids Research. 2019;47:D1005-1012.
34. Colbey C, Cox AJ, Pyne DB, Zhang P, Cripps AW et al.Upper Respiratory Symptoms, Gut Health and Mucosal Immunity in Athletes. Sports Med. 2018;48(1):65-77.
35. Rodriguez NR, Di Marco NM, Langley S. American College of Sports Medicine position stand. Nutritionand athletic performance. Med Sci Sports Exerc. 2009;41:709-731.
36. Ahn J, Yu K, Stolzenberg-Solomon R, Simon KC, McCullough ML et al. Genome-wide associationstudy of circulating vitamin D levels. Hum Mol Genet. 2010;19:2739-2745.
37. Johansen CT, Wang J, Lanktree MB, Cao H, McIntyre AD et al. Excess of rare variants ingenes identified by genome-wide association study of hypertriglyceridemia. Nat Genet. 2010;42:684- 687.
38. Pitsiladis YP, Tanaka M, Eynon N, Bouchard C, North KN et al. Athlome project consortium: a concerted effort to discover genomic and other «omic» markers of athleticperformance. Physiol Genomics. 2016;48(3):183-190.
39. Ardern CL, Österberg A, Tagesson S, Gauffi n H, Webster KE et al. The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction. Br J Sports Med. 2014;48(22):1613-1619.
40. Kim SK, Roos TR, Roos AK. Genome-wide association screens for Achilles tendon and ACL tears and tendinopathy. PLoS ONE. 2017;12(3):e0170422.
41. September AV, Posthumus M, Collins M. Application of genomics in the prevention, treatment and management of Achilles tendinopathy and anterior cruciate ligament ruptures. Recent Pat DNA Gene Seq. 2012;6(3):216-223.
42. Gibala MJ, Hawley JA. Sprinting Toward Fitness. Cell Metab. 2017;25(5):988-990.
43. Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36(41):2793-2867.
44. Leonov S. Experiencing sports injury.National Psychological Journal. 2012;2(8):136-143. (In Russ.)
45. Razumets E., Bakunyaeva D. Psychological features of the rehabilitation of athletes after injuries of the musculoskeletal system In the collection: Values, traditions and innovations of modern sports Materials of the International Scientific Congress. Belarusian State University of Physical Education. 2018:192-193. (In Russ.)
46. Williams JM, Andersen MB. Psychosocial antecedents of sport injury: review andcritique of the stress and injury model. J Appl Sport Psychol. 1998;10(1):5-25.
47. Ivarsson A, Johnson U, Andersen MB, Tranaeus U, Stenling A et al. Psychosocial Factors and Sport Injuries: Metaanalyses for Prediction and Prevention. Sports Med. 2017;47(2):353- 365.
48. Tranaeus U, Johnson U, Engström B, Skillgate E, Werner S. Psychological antecedents of overuse injuries in Swedish elite floorball players. Athletic Insight: The Online Journal of Sport Psychology. 2014;6(2):155-172.
49. Grooms DR, Onate JA. Neuroscience Application to Noncontact Anterior Cruciate Ligament Injury Prevention. Sports Health. 2016;8(2):149-152.
50. Stiles WB, Barkham M, Connell J, Mellor-Clark J. Responsive regulation of treatment duration in routine practice in United Kingdom primary care settings: replication in a larger sample. J Consult Clin Psychol. 2008;76(2):298-305.
51. Lipsey MW, Wilson DB. The efficacy of psychological, educational, and behavioral treatment. Confirmation from metaanalysis. Am Psychol. 1993;48(12):1181-1209.
52. Klügl M, Shrier I, McBain K, et al. The prevention of sport injury: an analysis of 12,000 published manuscripts. Clin J Sport Med. 2010;20(6):407-412.
Review
For citations:
Samoilov A.S., Velichko M.N., Terskov A.Y., Domozhirova А.S., Belyakova A.M., Razumets E.I., Volchenko D.V., Sozonov O.A., Shpiz E.Ya. The analysis of physical, genetic and psychological methods of musculoskeletal system injuries prevention in elite athletes. Sports medicine: research and practice. 2020;10(1):46-57. (In Russ.) https://doi.org/10.17238/ISSN2223-2524.2020.1.46
Views:
625
Email this article 