Jeffrey B. Driban, PhD, ATC, CSCS

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  • January 30, 2013
  • 12:04 AM
  • 130 views

Patellar Tendon Structure in Volleyball Athletes with and without Anterior Knee Pain

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Patellar tendinopathy is common in athletics, especially among volleyball players. The condition occurs due to degeneration and/or inflammation secondary to physical activity. Additionally, clinical imaging struggles to distinguish between inflammatory and degenerative conditions further complicating diagnosis and thus, management. Therefore, Kulig and colleagues sought to perform a detailed analysis of patellar tendon collagen bundle organization in elite male volleyball athletes.... Read more »

Kulig K, Landel R, Chang YJ, Hannanvash N, Reischl SF, Song P, & Bashford GR. (2012) Patellar tendon morphology in volleyball athletes with and without patellar tendinopathy. Scandinavian Journal of Medicine . PMID: 23253169  

  • January 28, 2013
  • 12:04 AM
  • 135 views

Football or Not…More Symptoms Equals More Time on the Bench

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Most athletes’ concussive symptoms are alleviated within 1 week; however, some athletes’ concussive symptoms may last longer. If we could identify risk factors for concussive symptoms that persists for over 1 week then this could lead to better evidence-based return-to-play policies since we could apply more cautious restrictions on patients with those risk factors. The purpose of this study was to determine the risk factors for concussive symptoms that persist for over 1 week among high school athletes. Additionally, the authors wanted to determine whether risk factors were different for football compared to other sports.... Read more »

  • January 25, 2013
  • 12:04 AM
  • 155 views

Muscle-enhancing Behaviors among Adolescent Girls and Boys

by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field

With the emphasis that is placed on sport and performance in today's society, there is no doubt that adolescents are engaging in muscle building behaviors. With the potential to earn a collegiate scholarship, it's also not out of the question that some of these adolescents might be looking to gain muscle and strength by pursuing less healthy means. In addition, socio-cultural factors may be impacting adolescents’ body image, forcing many young females to engage in muscle enhancing activities to promote leanness and muscle tone. However, it remains unknown which demographics are engaging in either the healthy or unhealthy tactics, and to what degree. Therefore, the purpose of this study was to examine the prevalence of five muscle building behaviors in male and female adolescents across various races, weight status, socio-economic status (measured by parents education level) and sport team involvement.... Read more »

Eisenberg ME, Wall M, & Neumark-Sztainer D. (2012) Muscle-enhancing Behaviors Among Adolescent Girls and Boys. Pediatrics, 130(6), 1019-26. PMID: 23166333  

  • January 23, 2013
  • 12:03 AM
  • 152 views

Post-surgical ACL Postural Control on Wii Balance Board

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

Postural control may potentially be negatively affected well after anterior cruciate ligament (ACL) reconstruction surgery. The loss of mechanoreceptors within the original ACL may contribute to these deficits, along with many other possible factors (e.g., psychological, neuromuscular). The question remains whether postural control would further be affected while performing a secondary task, which would be more similar to when athletes return to activity post-surgery. Therefore, the purpose of this cross-sectional study was to evaluate postural control with and without a secondary task among patients with ACL reconstructions compared to matched controls.... Read more »

  • January 18, 2013
  • 12:03 AM
  • 215 views

Hyaluronic Acid vs PRP for Knee Osteoarthritis

by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field

Osteoarthritis (also known as gonarthrosis) is characterized by structural and biochemical changes throughout the entire joint. Unfortunately, osteoarthritis can be challenging to treat and no treatments have been demonstrated to slow, halt, or reverse osteoarthritis progression. Recently, it has been hypothesized that hyaluronic acid (HA), a key component of synovial fluid, or platelet-rich plasma (PRP), which contains various growth factors involved in the inflammatory/healing process, may be good therapies for osteoarthritis. Therefore, Cerza and colleagues conducted a randomized trial to compare the clinical responses to HA and PRP treatment in 2 groups of patients affected by knee osteoarthritis (Kellgren-Lawrence grades 1 – 3; mild-moderate disease).... Read more »

Cerza F, Carnì S, Carcangiu A, Di Vavo I, Schiavilla V, Pecora A, De Biasi G, & Ciuffreda M. (2012) Comparison Between Hyaluronic Acid and Platelet-Rich Plasma, Intra-articular Infiltration in the Treatment of Gonarthrosis. The American Journal of Sports Medicine, 40(12), 2822-7. PMID: 23104611  

  • January 16, 2013
  • 12:03 AM
  • 199 views

Clinical and Functional Tests to Diagnosis of Patellofemoral Pain Syndrome

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Patellofemoral pain syndrome (PFPS) affects between 15 and 25% of the general population, and is more predominant in physically-active individuals. Although PFPS is prevalent in the active population, there is no “gold-standard” set of procedures for diagnosing PFPS. Therefore, Nunes and colleagues performed a systematic review to investigate the accuracy of clinical and functional tests used in diagnosing PFPS.... Read more »

  • January 11, 2013
  • 12:04 AM
  • 164 views

Age-Related Differences in Neurocognitive Recovery from Sports-Related Concussion

by Stephen Stache in Sports Medicine Research (SMR): In the Lab & In the Field

Recently, The American Medical Society for Sports Medicine released its new consensus statement on concussion in sport and commented that concussions in younger athletes have a more prolonged recovery. Zuckerman, et al. sought to verify this statement by assessing potential age-related differences in neurocognitive recovery after sports-related concussion.... Read more »

  • January 9, 2013
  • 12:03 AM
  • 160 views

Wii Pre-habilitation

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

Measuring ground reaction and contact pressure forces can be a time-intensive and expensive burden that is often difficult to justify for clinical uses; for example, injury prevention or performance improvements among the athletic population. Recent technological advancements within video gaming systems and the development of the Wii balance board may make this type of analysis more readily available to clinicians and patients in sports medicine. Therefore, the purpose of this study was to investigate the validity of the Wii balance board in assessing ground reaction forces in comparison to a laboratory force plate.... Read more »

  • January 7, 2013
  • 12:04 AM
  • 164 views

Hard to Make Connections after a Concussion?….Blame it on the Default-Mode Network

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

The default-mode network comprises several brain regions (i.e., posterior cingulate cortex, inferior parietal and medial prefrontal cortex) and is involved in brain activity at rest. When this network is altered higher cognitive functions (e.g., memory) become disrupted. Similar dysfunctions are symptoms from a mild traumatic brain injury (MTBI). Therefore, Zhou and colleagues investigated the integrity of the default-mode network among 23 patients with MTBI and 18 healthy control participants.... Read more »

Zhou Y, Milham MP, Lui YW, Miles L, Reaume J, Sodickson DK, Grossman RI, & Ge Y. (2012) Default-mode network disruption in mild traumatic brain injury. Radiology, 265(3), 882-92. PMID: 23175546  

  • January 3, 2013
  • 08:50 PM
  • 175 views

Limited Effectiveness of ACL Reconstruction with Remnant Preservation

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Recent claims suggest that a surgical procedure, which uses the remnant of the ruptured anterior cruciate ligament (ACL), would be beneficial to the long-term outcome of patients with an ACL rupture. Therefore, Hong and colleagues completed a randomized controlled trial to compare the short-term clinical outcome of remnant-preservingACL reconstruction (ACLR) to the standard ACLR.... Read more »

  • January 2, 2013
  • 12:03 AM
  • 160 views

What is the Cost of Electrocardiographic Screening in Athletes?

by Hallie Labrador in Sports Medicine Research (SMR): In the Lab & In the Field

Electrocardiographic (ECG) screening of young athletes in order to prevent sudden cardiac death (SCD) is a hotly debated topic. The European Society of Cardiology has recommended universal screening, while the American Heart Association has not made such recommendations. In this study, the researchers use a financial model to predict the cost associated with implementing a screening process in the United States.... Read more »

  • December 28, 2012
  • 12:04 AM
  • 155 views

Mom and Dad may Contribute to my Achilles Heel

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

The risk of developing Achilles tendinopathy is strongly related to intrinsic factors such as an individual’s genes (genotype). Previous research has found that 2 genes, which encode proteins in the composition of tissue, may be associated to Achilles tendinopathy (COL5A1 and TNC). COL27A1 is another gene in close in proximity to both of those genes and provides instructions for a type of collagen. Therefore, the purpose of this study was to view the association between the risk of Achilles tendinopathy and several genetic variants (specifically, single nucleotide polymorphisms;SNPs), including COL27A1 and TNC genes.... Read more »

Saunders CJ, van der Merwe L, Posthumus M, Cook J, Handley CJ, Collins M, & September AV. (2012) Investigation of variants within the COL27A1 and TNC genes and Achilles tendinopathy in two populations. Journal of Orthopaedic Research. PMID: 23192621  

  • December 26, 2012
  • 12:04 AM
  • 258 views

Knee Goniometry? There’s an App for That.

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

Measuring knee range of motion (ROM) is a common clinical practice among most healthcare professionals, especially when monitoring ROM to track post-surgical outcomes. Goniometers, accelerometers, and inclinometers are some examples of instruments that have been used to assess knee ROM. Smartphones have built in accelerometers for various uses; therefore, the purpose of this study was to evaluate the reliability of a Smartphone knee goniometry application for assessing knee ROM.... Read more »

  • December 24, 2012
  • 12:04 AM
  • 199 views

Practice Injury Rates in Collegiate Sports

by Christian Glaser in Sports Medicine Research (SMR): In the Lab & In the Field

Understanding when injuries are more likely to occur (e.g., practice vs competition, preseason vs in-season) can help us optimize injury prevention programs. To date, research has hinted at evidence that practice injury rates may be higher during pre-season compared to other parts of the season but this has not been thoroughly investigated. Therefore, Agel and Schisel evaluated the differences in practice injury rates within a competitive season (preseason, in-season, postseason) and across 15 sports and college levels (NCAA Division I, II, and III).... Read more »

Agel J, & Schisel J. (2012) Practice Injury Rates in Collegiate Sports. Clinical Journal of Sport Medicine. PMID: 23160274  

  • December 19, 2012
  • 12:03 AM
  • 241 views

Kinesio taping Does Not Improve Gastrocnemius Muscle Function in Healthy, Active Individuals

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Kinesio-tape (KT) has become increasingly popular in athletics. Theoretically, KT is used to lift the skin which will increase blood and lymphatic flow; therefore, improving muscle function. However, minimal research has been conducted to evaluate the effectiveness of KT for improving muscle function. Therefore, Stedge and colleagues conducted a randomized controlled clinical trial with 61 volunteers (23 men, 38 women, 19.9 ± 8 years old) to determine the effect of KT on the muscular endurance ratio, blood flow, and circumference and volume of the grastrocmenius muscle.... Read more »

  • December 14, 2012
  • 12:03 AM
  • 224 views

Wasted Effort or Useful Technique – What's The Truth About Scapular Repositioning and Muscle Activation

by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field

Once generally overlooked, the role of the scapula has become the focus of many injury prevention and sports performance programs. In order to achieve neuromuscular control and dynamic stability, programs call for some level of conscious scapular neutral positioning prior to exercise. However, it is unclear if this affects the main scapular rotators (trapezius muscles) during loading. Therefore, the purpose of this study was to examine the effect of conscious scapular positioning on upper (UT), middle (MT) and lower trapezius (LT) activity during 4 loaded exercises performed by overhead athletes presenting with scapular dyskinesis.... Read more »

  • December 12, 2012
  • 12:01 AM
  • 232 views

Can Laser Therapy be used to Treat Meniscal Injuries?

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

A meniscal injury is the most common cause of symptomatic knee pain. Due to the inability of the meniscus to heal, current management of these injuries involves symptomatic management, and surgery as needed. Low-level laser therapy (LLLT) for soft tissue injuries has become increasingly apparent in recent years, with claims of reduction in pain, inflammation, as well as accelerated healing time. It is currently being used for these possible benefits; however, its effectiveness for treating meniscal tears is still unknown. Therefore, the purpose of this double-blind placebo-controlled study was to assess the effectiveness of LLLT in 64 patients with symptomatic medial meniscus injuries. Half of the patients were randomized to receive LLLT and the other half was randomized to receive sham treatment.... Read more »

Malliaropoulos N, Kiritsi O, Tsitas K, Christodoulou D, Akritidou A, Del Buono A, & Maffulli N. (2012) Low-level laser therapy in meniscal pathology: a double-blinded placebo-controlled trial. Lasers in Medical Science. PMID: 23093133  

  • December 10, 2012
  • 12:01 AM
  • 221 views

More Concussion Education Needed for Pediatric Neurologists

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

The American Academy of Neurology issued a statement indicating that neurologists should be consulted on return-to-play decisions following a concussion. Therefore, pediatric neurologists are playing an increasingly important role in concussion management. This study’s objective was to assess pediatric neurologists’ current clinical practice for returning athletes to play. The authors developed the survey based on literature, personal practice, and the Zurich Guidelines.... Read more »

  • December 7, 2012
  • 12:01 AM
  • 237 views

Infectious Disease Outbreaks in Competitive Sports

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Due to the close proximity of athletes involved in competitive sports, various infections can easily be spread from athlete to athlete. It is of the utmost importance for medical professionals charged with the care of these athletes to have a current and accurate understanding of what infections are most prevalent. The last study to look at infectious disease outbreaks in competitive sports was conducted more than 5 years ago. Collins and O’Connell completed a literature review to provide a more contemporary picture of the pathogens reported in published outbreaks in athletes.... Read more »

Collins CJ, & O'Connell B. (2012) Infectious disease outbreaks in competitive sports, 2005-2010. Journal of Athletic Training, 47(5), 516-8. PMID: 23068588  

  • December 5, 2012
  • 12:01 AM
  • 254 views

Typical vs Prolonged Recovery Time and Predictors Following Concussion in High School and College Athletes

by Stephen Stache in Sports Medicine Research (SMR): In the Lab & In the Field

The authors of this 10-year prospective-cohort study sought to build upon the growing body of evidence in post-concussion management by following high school and college athletes to determine the typical clinical course of concussion recovery, the frequency of athletes who do not follow the typical recovery course, and what risk factors may be associated with prolonged recovery time.... Read more »

McCrea M, Guskiewicz K, Randolph C, Barr WB, Hammeke TA, Marshall SW, Powell MR, Woo Ahn K, Wang Y, & Kelly JP. (2012) Incidence, Clinical Course, and Predictors of Prolonged Recovery Time Following Sport-Related Concussion in High School and College Athletes. Journal of the International Neuropsychological Society : JINS, 1-12. PMID: 23058235  

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