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Introduction Or Background: Anterior cruciate ligament (ACL) injuries from the accumulated micro-trauma that precedes non-contact mechanical fatigue-related failure in adolescent athletes are increasing. This commentary aims to increase the understanding about how boredom may provide a self-control development stimulus which, in addition to modified sport training, may decrease non-contact ACL injuries.
Sources Of Data: PubMed, Google Scholar.
Areas Of Agreement: With improved ACL load monitoring and less frequent use of rigid, unchanging practice tasks, the incidence of these injuries should decrease.
Areas Of Controversy: Because of boredom, however, adolescent athletes may continue to over train, not complying with neuromuscular control and active rest and recovery activities.
Growing Points: This dilemma provides an opportunity to enhance adolescent athlete self-control through adjusted coaching and training strategies using guided autonomy to increase injury prevention program efficacy through improved compliance. In addition to greater global physical, mental, and behavioral health development, improved self-control may also benefit the classroom.
Areas Timely For Developing Research: The conceptual theory that follows should be tested for these context-specific self-control examples: (i) improved compliance with neuromuscular control training, active rest and recovery interventions; (ii) better adherence to modified sports training program intensity, frequency and total volume; and (iii) decreased non-contact, mechanical fatigue-related ACL injury rates.
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http://dx.doi.org/10.1093/bmb/ldaf008 | DOI Listing |
Am J Case Rep
September 2025
Department of Pediatrics, Southwest Healthcare Medical Education Consortium, Temecula, CA, USA.
BACKGROUND Morel-Lavallee lesions (MLLs) are uncommon, closed soft-tissue degloving injuries caused by high-energy trauma that are often missed due to their rarity and delayed presentation, resulting in serious complications. MLLs are particularly missed and underreported in pediatric and adolescent patients. We describe the case of an adolescent MLL occurring in an atypical lesion site at the calf to increase awareness of this diagnosis and associated presentation in this patient group, which can differ from adult presentation and contribute to diagnostic uncertainty that consequently impacts clinical decision-making.
View Article and Find Full Text PDFCalcif Tissue Int
September 2025
Department of Physical Education, Center for Health and Sports Sciences, Santa Catarina State University, Rua Pascoal Simone, 358, Coqueiros, Florianópolis, State of Santa Catarina, CEP: 88080-350, Brazil.
This study investigated the association between energy and macronutrient intake and bone health in 63 adolescents of both sexes who participated in volleyball, track and field, or swimming. Bone mineral content (BMC) and density (BMD) of the total body less head (TBLH), lumbar spine (L1-L4), and femoral neck were assessed using DXA. Bone geometry parameters, including cross-sectional area (CSA), cross-sectional moment of inertia (CSMI), and section modulus, were estimated.
View Article and Find Full Text PDFJ Neurosurg Pediatr
September 2025
1Department of Neurosurgery, University of Utah, Salt Lake City.
Objective: The concept of spinal cord injury without radiographic abnormality (SCIWORA) was introduced in the 1980s. Unfortunately, the nomenclature creates confusion in the modern MRI-based era when applied to pediatric traumatic spinal injuries. The authors investigated the incidence and clinical characteristics of pediatric patients with true imaging-negative traumatic cervical spinal cord injuries (SCIs).
View Article and Find Full Text PDFJ Neurosurg Pediatr
September 2025
7Division of Neurosurgery, Hospital for Sick Children, Toronto, Ontario; and.
Objective: Traumatic spinal cord injury (SCI) in children and adolescents is uncommon but represents a substantial source of morbidity. Due in part to its rarity, there are few pediatric-specific studies on this topic. Therefore, the aim of this study was to assess demographics, injury mechanisms, treatment characteristics, and neurological outcomes in a cohort of pediatric patients with traumatic SCI, and to determine patient and injury factors associated with neurological recovery after injury.
View Article and Find Full Text PDFNeurology
October 2025
Department of Neurology, Leiden University Medical Center, the Netherlands.
Background And Objectives: Slow and highly variable disease progression in Becker muscular dystrophy (BMD) stresses the need to develop sensitive outcome measures for clinical trials. We evaluated responsiveness of different outcome measures in adult patients with BMD over 3 years and explored if the sensitivity of outcome measures can be increased by selecting on phenotype or genotype.
Methods: Genetically confirmed patients with BMD were recruited via the Dutch Dystrophinopathy Database.