基于网站来源的青少年垒球运动员在线投球建议的医学适宜性差异。
Differences in the Medical Advisability of Online Pitching Recommendations for Youth Softball Players Based on Website Source.
作者信息
Painter David F, Byrne Rory A, Dove James H, Lin Yang, Owens Brett D
机构信息
The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Department of Orthopaedics, The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
出版信息
Orthop J Sports Med. 2023 Jul 27;11(7):23259671231182743. doi: 10.1177/23259671231182743. eCollection 2023 Jul.
BACKGROUND
Guidelines regarding injury prevention in fast-pitch softball pitchers have yet to be widely adopted, risking the online dissemination of misleading advice.
PURPOSE/HYPOTHESIS: The purpose of this study was to assess the source and medical advisability of online pitching recommendations for youth softball players and highlight the risk of misinformation. It was hypothesized that many popular websites would contain content discordant with current medical guidelines regarding windmill softball pitching recommendations.
STUDY DESIGN
Cross-sectional study.
METHODS
A Google search using the phrase "youth softball pitching recommendations" was performed. Up to 100 websites were extracted and analyzed for website source type (commercial, medical/educational, or athletic organization) and informational quality (advisable, neutral, or discordant). The latter was determined with respect to the STOP Sports Injuries guidelines for arm injury prevention in youth softball players. Descriptive and inferential statistics were used to assess potential associations between website source type and the informational quality of content therein.
RESULTS
A total of 86 websites were included in the analysis. Website source type was significantly predictive of informational quality ( = .018). Among the 3 source types, medical/educational websites had the highest proportion classified as advisable (12/24 [50.0%]) and the lowest proportion classified as discordant (3/24 [12.5%]). Only 17.6% (6/34) of commercial websites were advisable, and advisable websites as a whole were more likely to be from medical/educational sources than athletic organization ( = .016) or commercial ( = .026) sources. The advisability rate among all websites was 25.6% (22/86). Although there was a significant association between position in the search results (first 10 vs remaining 76) and website source type ( = .006), there was no association between position and informational quality ( = .116). The first 10 websites, which trended toward greater advisability than the remaining 76 websites ( = .060), were more likely than the remaining websites to be medical/educational sources ( = .002).
CONCLUSION
Website source type was significantly predictive of medical advisability. Medical/educational websites were the most advisable, while commercial and athletic organization websites were especially poor in their advisability. The overall advisability rate was only 25.6%. When making recommendations to patients, sports medicine providers should highlight the prevalence of discordant online softball pitching guidelines and take the opportunity to share medically advisable resources.
背景
关于快速投球垒球投手损伤预防的指南尚未得到广泛采用，存在误导性建议在网上传播的风险。
目的/假设：本研究的目的是评估针对青少年垒球运动员的在线投球建议的来源和医学合理性，并强调错误信息的风险。研究假设是，许多流行网站会包含与当前关于风车式垒球投球建议的医学指南不一致的内容。
研究设计
横断面研究。
方法
使用短语“青少年垒球投球建议”进行谷歌搜索。提取多达100个网站，并分析网站来源类型（商业、医学/教育或体育组织）和信息质量（合理、中立或不一致）。后者是根据青少年垒球运动员手臂损伤预防的“停止运动损伤”指南确定的。使用描述性和推断性统计来评估网站来源类型与其中内容的信息质量之间的潜在关联。
结果
总共86个网站纳入分析。网站来源类型对信息质量有显著预测性（P = 0.018）。在这三种来源类型中，医学/教育网站被归类为合理的比例最高（12/24 [50.0%]），被归类为不一致的比例最低（3/24 [12.5%]）。商业网站中只有17.6%（6/34）是合理的，总体而言，合理的网站更有可能来自医学/教育来源，而不是体育组织（P = 0.016）或商业（P = 0.026）来源。所有网站的合理率为25.6%（22/86）。虽然搜索结果中的位置（前10个与其余76个）与网站来源类型之间存在显著关联（P = 0.006），但位置与信息质量之间没有关联（P = 0.116）。前10个网站比其余76个网站更倾向于合理（P = 0.060），并且比其余网站更有可能是医学/教育来源（P = 0.002）。
结论
网站来源类型对医学合理性有显著预测性。医学/教育网站最合理，而商业和体育组织网站的合理性特别差。总体合理率仅为25.6%。在向患者提供建议时，运动医学提供者应强调在线垒球投球指南不一致的普遍性，并借此机会分享医学上合理的资源。
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