1.Relationships between throwing injuries and functional movement screen in junior high school baseball players
Tomoya Uchida ; Shintaro Matsumoto ; Minoru Komatsu ; Yuki Noda ; Miya Ishida ; Michiru Tsukuda ; Ryota Nakayama ; Yuta Takeda ; Rieko Hirakawa ; Kohei Muto ; Satoshi Okubo ; Hiroyuki Furukawa ; Kenji Fujita
Japanese Journal of Physical Fitness and Sports Medicine 2016;65(2):237-242
Recently, the problem of the high incidence of throwing injuries in young people has been gaining attention. Identifying high-risk players before the onset of the throwing injury is important for prevention. One of the most widely used screening tests for sports-related injuries is the Functional Movement Screen (FMS), which assesses the quality of movement; however, its correlation with throwing injuries has not been established. The purpose of this study was to investigate the correlation between the FMS score and throwing injuries. The FMS was used during the medical check for two hundred and thirty junior high school baseball players. We allotted those who had experienced throwing injuries multiple times to the injury group and those who had never experienced throwing injury to the control group. We then calculated the FMS cutoff value using the receiver operating characteristic curve. In addition, we investigated differences in the incidence of throwing injury between above and below the cutoff value using chi-square test. The FMS cutoff score was 17. Players who scored ≤17 had a significantly higher incidence of throwing injuries than those who scored ≥18. Conclusion: We believe that FMS score is correlated to throwing injuries. In addition, the results suggest that throwing injuries might be prevented in junior high school baseball players who scored ≤17 on the FMS if they undergo training in the correct movement patterns.
2.Introduction of Laparoscopic Partial Liver Resection:Analysis of the First 60 Consecutive Cases
Masaomi ICHINOKAWA ; Koichi ONO ; Katsuhiko MURAKAWA ; Hiroki NIWA ; Hiroyuki YAMAMOTO ; Hideyuki WADA ; Jun MUTO ; Kohei KATO ; Tatsuya YOSHIOKA ; Joe MATSUMOTO ; Setsuyuki OHTAKE
Journal of the Japanese Association of Rural Medicine 2017;66(2):103-108
Safe introduction of laparoscopic partial liver resection (LPLR) requires the selection of appropriate cases not exceeding the surgeon's skills as well as standardization of surgical procedures. After introduction at our institution, 60 LPLR procedures were performed between April 2010 and May 2016. To identify indices for case selection, short-term perioperative parameters were analyzed, including operative time, blood loss, postoperative complications, and postoperative hospital stay. Operative time was significantly shorter in the last 30 cases compared with the first 30 cases (182.5 min vs. 253 min; p=0.023) and in 16 cases involving the left lobe (S2-4) compared with 44 cases involving the right lobe (S1, S5-8; 148.5 min vs. 246 min; p=0.004). Blood loss was significantly less (0 mL vs. 50 mL; p=0.028) and operative time was significantly shorter (185 min vs. 250 min; p=0.048) in 27 cases with tumor diameter <2.5 cm compared with 33 cases with tumor diameter ≥ 2.5 cm. Operative time tended to be longer in 9 cases of multiple-site resection compared with 51 cases of single-site resection (207 min vs. 260 min; p=0.085). BMI, pathology, and hepatitis virus status showed no significant difference in perioperative short-term results. For the introduction of LPLR, it may be preferable to select cases located in the left lobe with a tumor diameter <2.5 cm and to accumulate a certain amount of experience in similar cases first.