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by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Anterior cruciate ligament (ACL) ruptures often coincide with meniscal and cartilaginous injuries. These ruptures are generally treated with surgical reconstruction or non-surgical treatment. Patients who chose to delay surgical treatment may be at greater risk for increasing the severity of the associated injuries; however, this has not been demonstrated in the literature. Therefore, Fok and Yau completed a retrospective, comparative study investigating (1) if delaying ACL reconstruction is ass........ Read more »
Fok AW, & Yau WP. (2012) Delay in ACL reconstruction is associated with more severe and painful meniscal and chondral injuries. Knee Surgery, Sports Traumatology, Arthroscopy. PMID: 22552616
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
Participation in marathons has increased from 25,000 runners in 1976 to 425,000 runners in 2008. This growth in popularity has attracted runners with various levels of experience, fitness, and knowledge about potential complications of marathon running. Brown et al. examined the experience of the typical marathon participant in the 2007 Chicago Marathon regarding the potential complications of running a marathon and hydration status.... Read more »
Brown S, Chiampas G, Jaworski C, & Passe D. (2011) Lack of Awareness of Fluid Needs Among Participants at a Midwest Marathon. Sports Health: A Multidisciplinary Approach, 3(5), 451-454. info:/
by Stephen Stache, MD and Marc I. Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field
Medications that improve the transmission of dopamine, a neurotransmitter, have been shown to improve functional outcomes in animal models of concussion. Amantadine, a dopaminergic agent, has recently been shown through preliminary research and anecdotal evidence to improve post-concussion cognitive function and symptoms such as attention, concentration, impulsivity, and fatigue. This retrospective study by Reddy, et al. examined the influence of amantadine on the improvement of cognitive defi........ Read more »
Reddy CC, Collins M, Lovell M, & Kontos AP. (2012) Efficacy of Amantadine Treatment on Symptoms and Neurocognitive Performance Among Adolescents Following Sports-Related Concussion. The Journal of Head Trauma Rehabilitation. PMID: 22613947
by Katie Reuther in Sports Medicine Research (SMR): In the Lab & In the Field
. Andarawis-Puri et al. used a previously developed in vivo model of fatigue damage accumulation in the rat patellar tendon to determine if the number of applied loading cycles and initial mechanical parameters (indicative of induced damage) were predictive of the molecular response 7 days after fatigue loading.... Read more »
Andarawis-Puri N, Sereysky JB, Sun HB, Jepsen KJ, & Flatow EL. (2012) Molecular response of the patellar tendon to fatigue loading explained in the context of the initial induced damage and number of fatigue loading cycles. Journal of Orthopaedic Research. PMID: 22227881
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
There are several different concussion assessment tools (e.g., SCAT2, BESS, Headminder) to evaluate an athlete, however, little research is done on what medical professionals use to assess concussions. The purpose of this study was to describe the medical providers and medical studies used when assessing sport-related concussions, as well as, to determine the effects of medical provider type on timing of return to play, frequency of imaging, and frequency of neuropsychological testing.... Read more »
Meehan Iii WP, d'Hemecourt P, Collins CL, & Comstock RD. (2011) Assessment and Management of Sport-Related Concussions in United States High Schools. The American Journal of Sports Medicine. PMID: 21969181
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
Patients with asthma place a greater demand on their inspiratory muscles, particularly during exercise. The greater workload may increase the risk of fatigue of the inspiratory muscles and therefore exacerbate dyspnea (shortness of breath) and reduce exercise tolerance. It has been hypothesized that strength training the inspiratory muscles in patients with asthma may help decrease the intensity of dyspnea and improve exercise tolerance. Therefore, Turner et al. performed a matched double-blind ........ Read more »
Turner LA, Mickleborough TD, McConnell AK, Stager JM, Tecklenburg-Lund S, & Lindley MR. (2011) Effect of inspiratory muscle training on exercise tolerance in asthmatic individuals. Medicine and Science in Sports and Exercise, 43(11), 2031-8. PMID: 21502887
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
It has been suggested for years that knee injuries are a risk factor for developing knee osteoarthritis (OA). Unfortunately, most studies are inconsistent in how previous knee injuries are defined (e.g., type of injury, severity of injury) and this has made it challenging to accurately determine the true risk of developing knee OA after sustaining an injury. Therefore, Muthuri et al performed a meta-analysis of 24 observational studies to quantify the association between knee OA and history of k........ Read more »
Muthuri SG, McWilliams DF, Doherty M, & Zhang W. (2011) History of knee injuries and knee osteoarthritis: a meta-analysis of observational studies. Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society, 19(11), 1286-93. PMID: 21884811
by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field
Unquestionably, the glenohumeral joint and shoulder girdle as a whole can be one of the most complex and intimidating structures for a sports medicine student and professional. With the interplay between the mobile scapula and humerus there are a lot of issues that can arise, including impingement and decreased joint stability. In this article Beaudreil et al investigated the effect of dynamic humeral centering (DHC), or simply the selective activation of the humeral head depressors, on patients........ Read more »
Beaudreuil J, Lasbleiz S, Richette P, Seguin G, Rastel C, Aout M, Vicaut E, Cohen-Solal M, Lioté F, de Vernejoul MC.... (2011) Assessment of dynamic humeral centering in shoulder pain with impingement syndrome: a randomised clinical trial. Annals of the Rheumatic Diseases, 70(9), 1613-8. PMID: 21623001
by Katherine Reuther in Sports Medicine Research (SMR): In the Lab & In the Field
The purpose of this study was to determine the patient factors (modifiable and non-modifiable) associated with function and pain, based on the Western Ontario Rotator Cuff (WORC) index (a self-report questionnaire regarding quality of life) and American Shoulder and Elbow Surgeons (ASES) score (a self-report questionnaire regarding pain and function), in patients with symptomatic, atraumatic full thickness rotator cuff tears. ... Read more »
Harris JD, Pedroza A, Jones GL, & MOON (Multicenter Orthopedic Outcomes Network) Shoulder Group. (2012) Predictors of pain and function in patients with symptomatic, atraumatic full-thickness rotator cuff tears: a time-zero analysis of a prospective patient cohort enrolled in a structured physical therapy program. The American Journal of Sports Medicine, 40(2), 359-66. PMID: 22095706
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
With knee injuries, such as anterior cruciate ligament ruptures, being increasingly seen in sports, more and more emphasis has been placed on prophylactic exercises to reduce the risk of injury. Unfortunately, little is known about how different exercises challenge the hamstring muscles, which may be a key muscle group to optimize in prophylactic or rehabilitation programs. Therefore, Zebis and colleagues evaluated the levels of medial and lateral hamstring activation during selected exercises t........ Read more »
Zebis MK, Skotte J, Andersen CH, Mortensen P, Petersen MH, Viskær TC, Jensen TL, Bencke J, & Andersen LL. (2012) Kettlebell swing targets semitendinosus and supine leg curl targets biceps femoris: an EMG study with rehabilitation implications. British journal of sports medicine. PMID: 22736206
by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field
Clinicians in rehabilitation have been implementing specific exercise programs (such as Pilates) for low back pain patients as a therapeutic intervention but it is unclear how to identify patients that may respond best to certain exercise programs. ... Read more »
Stolze LR, Allison SC, & Childs JD. (2012) Derivation of a Preliminary Clinical Prediction Rule for Identifying a Sub-Group of Patients With Low Back Pain Likely to Benefit From Pilates-Based Exercise. The Journal of Orthopaedic and Sports Physical Therapy. PMID: 22281950
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
Medication use among athletes is extremely common. Previous research has shown high use of non-steroidal anti-inflammatory drugs (NSAIDs) in the soccer population. The purpose of this study was to compare medication use within 72 hours of a competition in 2010 to previous years.... Read more »
Tscholl, P., & Dvorak, J. (2012) Abuse of medication during international football competition in 2010 - lesson not learned. British Journal of Sports Medicine. DOI: 10.1136/bjsports-2011-090806
by Kris Fayock, MD and Marc Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field
One of the main goals of pre-participation screening (PPS) is to identify unknown cardiac alterations in asymptomatic athletes with the intent to prevent sudden death in athletes. In Italy, it is mandatory by law that all children entering competitive activity must receive screening that includes physical examination and electrocardiogram (ECG), which is usually first done between the ages of 8 to 12 years of age. This mandatory screening has been shown to be effective in preventing sudden car........ Read more »
Rizzo, M., Spataro, A., Cecchetelli, C., Quaranta, F., Livrieri, S., Sperandii, F., Cifra, B., Borrione, P., & Pigozzi, F. (2011) Structural cardiac disease diagnosed by echocardiography in asymptomatic young male soccer players: implications for pre-participation screening. British Journal of Sports Medicine, 46(5), 371-373. DOI: 10.1136/bjsm.2011.085696
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
It has been shown that there are deleterious acute and long-term effects (e.g., chronic traumatic brain injury) in the brain among boxing athletes. Currently, there are no objective measures sensitive enough to diagnosis a concussion or monitor the long-term effects from head impacts (e.g., neurofibrillary tangles, amyloid plaques). Therefore the purpose of this study was to evaluate the relation between cerebral spinal fluid biomarkers (an objective measure that marks the state of a biological ........ Read more »
Neselius, S., Brisby, H., Theodorsson, A., Blennow, K., Zetterberg, H., & Marcusson, J. (2012) CSF-Biomarkers in Olympic Boxing: Diagnosis and Effects of Repetitive Head Trauma. PLoS ONE, 7(4). DOI: 10.1371/journal.pone.0033606
by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field
There is no question that the topic of concussions is currently at the forefront of sports medicine. As with any injury, a structured approach must be taken regarding recognition, recovery and return to play. That said, our follow-up and treatment of concussions may need to take into account not only the athlete's age, but their gender as well. The purpose of this study was to examine how sex and age may affect post-concussion symptom reporting, postural stability and neurocognitive testi........ Read more »
Covassin T, & Bay E. (2012) Are There Gender Differences in Cognitive Function, Chronic Stress, and Neurobehavioral Symptoms After Mild-to-Moderate Traumatic Brain Injury?. The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, 44(3), 124-33. PMID: 22555349
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
The purpose of this clinical trial was to assess the short-term outcomes of PRP injections in comparison to hyaluronic acid injections, which has been demonstrated to be effective for reducing pain in knee and ankle osteoarthritis as well as ankles with talar osteochondral lesions.... Read more »
Mei-Dan, O., Carmont, M., Laver, L., Mann, G., Maffulli, N., & Nyska, M. (2012) Platelet-Rich Plasma or Hyaluronate in the Management of Osteochondral Lesions of the Talus. The American Journal of Sports Medicine, 40(3), 534-541. DOI: 10.1177/0363546511431238
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
A recent study demonstrated that athletes with patellar tendinopathy had less ankle dorsiflexion but it was unclear if limited dorsiflexion causes patellar tendinopathy or if it was a consequence of the patellar tendinopathy. To determine if limited ankle dorsiflexion contributed to the onset of patellar tendinopathy, Backman et al conducted a 1-year prospective study to examine if reduced ankle dorsiflexion range of motion increases the risk of developing patellar tendinopathy among 75 Swedish ........ Read more »
Backman LJ, & Danielson P. (2011) Low Range of Ankle Dorsiflexion Predisposes for Patellar Tendinopathy in Junior Elite Basketball Players: A 1-Year Prospective Study. The American journal of sports medicine. PMID: 21917610
by Christian Glaser in Sports Medicine Research (SMR): In the Lab & In the Field
Soccer is a popular sport throughout the world; however, female soccer athletes are much more prone to anterior cruciate ligament (ACL) injury than their male counterparts. One theory why female athletes are more prone to ACL injuries involves the different firing patterns of the muscles in the lower extremity in women compared to men, which leads to increased valgus load at the knee in females. Considering this hypothesis, is there a short, effective, and applicable intervention that could be........ Read more »
Waldén M, Atroshi I, Magnusson H, Wagner P, & Hägglund M. (2012) Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial. BMJ (Clinical research ed.). PMID: 22556050
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
espite this, a lot of research has focused on comparisons between men and women which can be very informative but has potential limitations when discussing what variables contribute to an ACL tear.... Read more »
Wahl CJ, Westermann RW, Blaisdell GY, & Cizik AM. (2012) An Association of Lateral Knee Sagittal Anatomic Factors with Non-Contact ACL Injury: Sex or Geometry?. The Journal of Bone and Joint Surgery. American volume, 94(3), 217-26. PMID: 22298053
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
The goals of anterior cruciate ligament (ACL) reconstruction surgery are to decrease symptoms, increase function, and to return to pre-injury activity status. There are numerous techniques and grafts utilized for ACL reconstruction, including autografts or allografts. Autografts are frequently selected, and can consist of patellar tendon (PT) or semitendinosus and gracilis (STG) tendons. Currently, there is no consensus as to which graft is the best option for optimal outcomes. Therefore, th........ Read more »
Sajovic M, Strahovnik A, Dernovsek MZ, & Skaza K. (2011) Quality of Life and Clinical Outcome Comparison of Semitendinosus and Gracilis Tendon Versus Patellar Tendon Autografts for Anterior Cruciate Ligament Reconstruction: An 11-Year Follow-up of a Randomized Controlled Trial. The American Journal of Sports Medicine, 39(10), 2161-9. PMID: 21712483
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