263 posts · 110,210 views
The mission of SMR is to objectively summarize and describe the clinical relevance of research articles related to basic science, translational research, and clinical research that may be relevant to students and professionals interested in sports medicine. Furthermore, SMR aims to provide a forum for clinicians, researchers, and students in sports medicine-related fields to discuss the clinical relevance of new research.
Jeffrey B. Driban, PhD, ATC, CSCS
263 posts
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- September 29, 2011
- 12:30 AM
- 384 views
What is the Role of the Long Head of the Bicep Tendon?
by Stephen Thomas in Sports Medicine Research (SMR): In the Lab & In the Field
Su et al used 10 cadaver shoulders to examine the amount of humeral head displacement following varying degrees of anterosuperior (i.e., supraspintatus subscapularis) and posterior/superior (i.e., supraspintus infraspinatus) rotator cuff tears when loaded in a posterosuperior direction. ... Read more »
Su WR, Budoff JE, & Luo ZP. (2011) Posterosuperior Displacement Due to Rotator Cuff Tears. Arthroscopy : the journal of arthroscopic . PMID: 21908156
- September 28, 2011
- 12:20 AM
- 383 views
Lace-up Ankle Braces on Injury Rates in High School Football Players
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
Ankle injuries are common in high school sports and it has been estimated that 24% of all ankle injuries among high school athletes are sustained by football players. Lace-up braces are commonly used with the goal of preventing ankle injuries. Unfortunately, there is limited data about the efficacy of lace-up braces among adolescent football players. Therefore, McGuine et al assessed whether using a lace-up ankle brace reduced the number and severity of acute first-time and recurrent ankle injuries sustained by high school football players during one football season. Furthermore, they assessed if using lace-up ankle braces influence the incidence and severity of other lower extremity injuries. ... Read more »
McGuine TA, Hetzel S, Wilson J, & Brooks A. (2011) The Effect of Lace-up Ankle Braces on Injury Rates in High School Football Players. The American journal of sports medicine. PMID: 21926383
- July 19, 2012
- 12:01 AM
- 381 views
The Effect of Nonsteroidal Anti-Inflammatory Drugs on Tissue Healing
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Non-selective (NSAIDS) and selective (COX-2 inhibitors) nonsteroidal anti-inflammatory drugs are often used during the inflammatory stage of healing because of their analgesic and anti-inflammatory properties. The use of these drugs, especially following surgery, is controversial because some pathways of tissue healing may be disrupted by the drugs in an attempt to gain the desired effect. Therefore, Chen and Gragoo performed a review of literature to assess the evidence of an effect of NSAIDS and COX-2 inhibitors on soft tissue and bone healing. ... Read more »
Chen MR, & Dragoo JL. (2012) The effect of nonsteroidal anti-inflammatory drugs on tissue healing. Knee Surgery, Sports Traumatology, Arthroscopy. PMID: 22744434
- November 23, 2011
- 12:30 AM
- 380 views
Are Athletic Trainers a Good Form of Social Support?
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
herefore Clement and Shannon, completed a study to determine injured athlete’s perceptions regarding satisfaction, availability, and contribution for 8 types of social support (i.e., listening support, emotional support, emotional-challenges support, reality confirmation, task-appreciation support, task-challenge support, tangible support, and personal assistance) from coaches, athletic trainers, and teammates.... Read more »
Clement D, & Shannon VR. (2011) Injured athletes' perceptions about social support. Journal of Sport Rehabilitation, 20(4), 457-70. PMID: 22012499
- October 15, 2012
- 12:04 AM
- 379 views
How Accurate are Your Proximal Hamstring Tendinopathy Tests?
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
Proximal hamstring tendinopathy is an overuse injury and the main symptom is typically an ill-defined pain during activity in the area of the ischial tuberosity. Due to injuries with similar symptoms (e.g., piriformis syndrome) it is difficult to correctly diagnose proximal hamstring tendinopathy. Therefore, the objective of this study was to assess the reliability and validity as well as the sensitivity and specificity of 3 pain provocation tests for the diagnosis of proximal hamstring tendinopathy.... Read more »
Cacchio A, Borra F, Severini G, Foglia A, Musarra F, Taddio N, & De Paulis F. (2012) Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy. British Journal of Sports Medicine, 46(12), 883-7. PMID: 22219215
- November 30, 2011
- 12:03 AM
- 376 views
An Individualized Approach to ACL Reconstructions
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
The purpose of this prospective randomized study was to compare the results of 3 unique ACL reconstruction techniques (i.e., conventional single bundle-graft focused to limiting anterior translation of tibia, anatomic single bundle-graft placed closer to anatomic position of the original ACL, and anatomic double bundle-two separate and distinct graft bundles to replicate the anatomic position and composition of the original ACL) among 281 patients.... Read more »
Hussein M, van Eck CF, Cretnik A, Dinevski D, & Fu FH. (2011) Prospective Randomized Clinical Evaluation of Conventional Single-Bundle, Anatomic Single-Bundle, and Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: 281 Cases With 3- to 5-Year Follow-up. The American Journal of Sports Medicine. PMID: 22085729
- June 4, 2012
- 12:04 AM
- 373 views
Evolution of Nonoperatively Treated Symptomatic Isolated Full-Thickness Supraspinatus Tears
by Sarah Ilkhani-Pour in Sports Medicine Research (SMR): In the Lab & In the Field
Limited data exists to guide clinicians in prescribing treatment for patients with rotator cuff tears. It is believed that without surgery, rotator cuff tears will progress in size; however, few studies have investigated this theory of tear progression in small (single tendon) rotator cuff tears. In this study, 24 patients (20 male, 4 female; 20 traumatic etiology, 4 degenerative etiology; mean age 52 years, range 39-61 years) who had been diagnosed with a full-thickness supraspinatus tear but declined surgery were reevaluated at a median of forty-two months post-diagnosis using MRI and functional Constant and Murley scoring.... Read more »
Fucentese SF, von Roll AL, Pfirrmann CW, Gerber C, & Jost B. (2012) Evolution of nonoperatively treated symptomatic isolated full-thickness supraspinatus tears. The Journal of Bone and Joint Surgery. American volume, 94(9), 801-8. PMID: 22552669
- November 2, 2012
- 12:04 AM
- 369 views
Do Nitrate Patches Offer Any Additional Treatment Benefits for Chronic Patellar Tendinopathy?
by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field
Chronic patellar tendinopathy is a common condition seen in elite and recreational athletes, especially those that participate in sports that involve repetitive jumping and landing. The prevalence has been shown to be 2.5-14% in non-elite athletes and as high as 40-50% in elite basketball and volleyball athletes. Eccentric training has become the standard treatment for chronic tendinopathies, but other treatments are being investigated that try to stimulate tendon regeneration and modulation of tendon pain. Some studies, but not all, have supported the use of continuous topical glyceryl trinitrate (GTN) via patches in chronic tendinopathies including lateral epicondylosis, non-insertional Achilles tendinopathy, and supraspinatus tendinopathy. The objective of the study was to assess if continuous topical GTN treatment improved outcomes among patients with chronic patellar tendinopathy compared to placebo, while both groups underwent heavy-load eccentric training.... Read more »
Steunebrink M, Zwerver J, Brandsema R, Groenenboom P, Akker-Scheek IV, & Weir A. (2012) Topical glyceryl trinitrate treatment of chronic patellar tendinopathy: a randomised, double-blind, placebo-controlled clinical trial. British Journal of Sports Medicine. PMID: 22930695
- August 1, 2012
- 12:04 AM
- 364 views
Incidence and Outcome after Revision Anterior Cruciate Ligament Reconstruction
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Re-injury following anterior cruciate ligament (ACL) reconstruction is becoming increasingly prevalent, especially in the physically active population. Unfortunately, it is unclear how common ACL revision (ACL-rev) surgeries are, how patients perform after an ACL-rev, and what patient characteristics are related to an increase risk of ACL-rev. Therefore, Lind and colleagues utilized the Danish national ACL reconstruction registry to identify: (a) the epidemiology and risk factors for ACL-rev surgery after primary ACL reconstruction, (b) the rate of re-revision ACL reconstruction after ACL-rev, and (c) patient characteristics and clinical outcomes after ACL-rev reconstruction compared to clinical outcomes after primary ACL reconstruction.... Read more »
Lind M, Menhert F, & Pedersen AB. (2012) Incidence and outcome after revision anterior cruciate ligament reconstruction: results from the danish registry for knee ligament reconstructions. The American Journal of Sports Medicine, 40(7), 1551-7. PMID: 22562791
- July 5, 2012
- 12:04 AM
- 363 views
Taping versus Semi-rigid Bracing on Patient Outcome and Satisfaction in Ankle Sprains
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Among musculoskeletal injuries sustained during athletic activity one of the most common are inversion ankle sprains. While many effective treatments for ankle sprains exist, little research has examined patient satisfaction with regards to different treatment options. Therefore, Lardenoye and colleagues completed a prospective randomized controlled trial to assess patient satisfaction of two commonly used methods of functional treatment: semi-rigid bracing and taping.... Read more »
Sacha Lardenoye, Ed Theunissen, Berry Cleffken, Peter RG Brink, Rob A de Bie and Martijn Poeze. (2012) The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trial. BMC Musculoskeletal Disorders, 81. DOI: 10.1186/1471-2474-13-81
- August 24, 2012
- 12:04 AM
- 360 views
Are Individualized Exercise Programs for Chronic Low Back Pain Overrated?
by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field
In a recent post, SMR discussed the utilization of vertical traction to restore lumbar curvature as an effective way to reduce low back pain (LBP). Traction was compared to conservative generalized exercise measures, but was a generalized plan of exercise more appropriate than a clinically prescribed exercise regimen? Wajswelner et al. hypothesized that LBP will be significantly reduced in a patient population that undergoes a clinically prescribed and individualized Pilates exercise regimen when compared to individuals that complete a generalized exercise plan.... Read more »
Wajswelner H, Metcalf B, & Bennell K. (2012) Clinical Pilates versus general exercise for chronic low back pain: randomized trial. Medicine and Science in Sports and Exercise, 44(7), 1197-205. PMID: 22246216
- November 1, 2011
- 12:01 AM
- 359 views
Performance of Updated Recommendations for ECG Interpretations When Screening Athletes
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
SMR has summarized a few studies (see related posts below) regarding the debate about whether or not electrocardiograms (ECGs) should be included in preparticipation physical examinations. One concern is that universal ECG screening may lead to a high rate of false positive findings (summary of common diagnostic terms). To address this concern, the European Society of Cardiology (ESC), one of the organizations endorsing ECG screening, recently updated recommendations for ECG interpretation among athletes. However, the performance of these new recommendations has not been assessed in a large prospective cohort that also was assessed with echocardiograms. Therefore, Weiner et al assessed the performance of the 2010 ESC recommendations among 508 university athletes undergoing routine preparticipation cardiovascular disease screening (2006 to 2008).... Read more »
Weiner RB, Hutter AM, Wang F, Kim JH, Wood MJ, Wang TJ, Picard MH, & Baggish AL. (2011) Performance of the 2010 European Society of Cardiology criteria for ECG interpretation in athletes. Heart, 97(19), 1573-7. PMID: 21602522
- December 23, 2011
- 12:07 AM
- 357 views
ACL Reconstructions: Re-exploring Surgical Techniques
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
The purpose of this prospective randomized study was to compare the subjective and objective outcomes of the single-bundle and anatomical double-bundle ACL reconstruction techniques. ... Read more »
Ochiai S, Hagino T, Senga S, Saito M, & Haro H. (2011) Prospective evaluation of patients with anterior cruciate ligament reconstruction using a patient-based health-related survey: comparison of single-bundle and anatomical double-bundle techniques. Archives of Orthopaedic and Trauma Surgery. PMID: 22160514
- August 6, 2012
- 12:04 AM
- 352 views
Recovery Time Influences Cognitive Function After Multiple Concussions
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
Researchers have suggested that there are long-term cumulative effects that result from repetitive concussions (e.g., cognitive deficits). However, it is unknown if the time interval between repeat concussions may influence the risk of long-term issues. Therefore, the researchers wanted to determine the effect of time interval between repeat concussions on the cognitive function of mice.... Read more »
Meehan WP 3rd, Zhang J, Mannix R, & Whalen MJ. (2012) Increasing Recovery Time Between Injuries Improves Cognitive Outcome After Repetitive Mild Concussive Brain Injuries in Mice. Neurosurgery. PMID: 22743360
- November 16, 2011
- 12:01 AM
- 351 views
Serum Relaxin Concentrations and ACL tears
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
It is a well-known fact that anterior cruciate ligament (ACL) tears are more common in females than males. This increased risk has been attributed to many factors that have been investigated including biomechanics as well as hormonal differences. The purpose of this study was to prospectively investigate whether female collegiate athletes with higher levels of relaxin, a hormone associated with tissue turnover, were more susceptible to ACL tears than those with lower levels of relaxin. ... Read more »
Dragoo JL, Castillo TN, Braun HJ, Ridley BA, Kennedy AC, & Golish SR. (2011) Prospective correlation between serum relaxin concentration and anterior cruciate ligament tears among elite collegiate female athletes. The American Journal of Sports Medicine, 39(10), 2175-80. PMID: 21737831
- November 22, 2011
- 12:01 AM
- 347 views
Predictors of Self-Reported Knee Function in Nonoperatively Treated Individuals with ACL Injury
by Dustin Grooms in Sports Medicine Research (SMR): In the Lab & In the Field
The goal of this investigation was to determine if any of the 4 typically utilized hop tests (single hop for distance, crossover hop for distance, triple hop for distance, or 6-m timed hop), which are used to provide objective measures of functional status, could predict knee reported function one-year post injury in 91 patients that elected nonoperative treatment (link to hop test descriptions). ... Read more »
Grindem H, Logerstedt D, Eitzen I, Moksnes H, Axe MJ, Snyder-Mackler L, Engebretsen L, & Risberg MA. (2011) Single-legged hop tests as predictors of self-reported knee function in nonoperatively treated individuals with anterior cruciate ligament injury. The American Journal of Sports Medicine, 39(11), 2347-54. PMID: 21828364
- October 12, 2012
- 12:04 AM
- 342 views
Playing Surfaces May Influence the Risk of Football Injuries
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
Artificial playing surfaces are frequently used in athletics due to their cost-effectiveness and all-weather benefits. However, the question remains whether or not these surfaces affect injury rates. Several studies have demonstrated an increased rate of injury on artificial turf, where others have shown that there is no difference. These two papers by Dragoo and Hershman investigate this concept, and pay particular attention to “third generation” or infill artificial surfaces which have a mat of artificial fibers that is filled with rubber particles.... Read more »
Dragoo JL, Braun HJ, & Harris AH. (2012) The effect of playing surface on the incidence of ACL injuries in National Collegiate Athletic Association American Football. The Knee. PMID: 22920310
Hershman EB, Anderson R, Bergfeld JA, Bradley JP, Coughlin MJ, Johnson RJ, Spindler KP, Wojtys E, Powell JW, & for the National Football League Injury and Safety Panel. (2012) An Analysis of Specific Lower Extremity Injury Rates on Grass and FieldTurf Playing Surfaces in National Football League Games: 2000-2009 Seasons. The American Journal of Sports Medicine, 40(10), 2200-2205. PMID: 22972855
- August 10, 2012
- 12:04 AM
- 341 views
Special Tests of the Shoulder: An Update of Evidence-based Support
by Laura McDonald in Sports Medicine Research (SMR): In the Lab & In the Field
One of the barriers for many clinicians with implementing evidence-based practice is sifting through and digesting the number and variety of studies in the literature. SMR has previously posted on clinical tests for SLAP lesions and a new study by Hegedus (2012) provides a detailed systematic review and meta-analysis of not just SLAP lesion tests but other special tests for the shoulder as well. It is these types of studies that provide a framework for not only the practicing clinician but also for educating students on which tests truly provide the ability to rule in/out pathology. Hegedus et al 2008 previously examined several special tests at the shoulder and this study served as an update. The purpose of this study was to examine the evidence for special tests related to shoulder injuries and to determine their usefulness in adult patients.... Read more »
Hegedus EJ. (2012) Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. British journal of sports medicine. PMID: 22773322
- June 22, 2012
- 12:04 AM
- 335 views
The Data We Never See
by Jeffrey B. Driban in Sports Medicine Research (SMR): In the Lab & In the Field
Each month SMR filters through over 2,000 abstracts to identify approximately 20 to 30 articles to share as post or as links on social media. The hope is that these articles will spark discussions and have an influence on clinical care. Unfortunately, there is one thing we have little control over: findings that never get published and details that may be omitted from articles. To improve transparency, the International Committee of Medical Journal Editors decided that all clinical trials must be listed in a public registry (e.g., ClinicalTrials.gov) as a prerequisite for publication. Chahal and colleagues sought to review clinicaltrials.gov to determine the publication rates of randomized controlled trials in sports medicine and to compare the registration summaries of randomized trials with final published manuscripts.... Read more »
Chahal J, Tomescu SS, Ravi B, Bach BR Jr, Ogilvie-Harris D, Mohamed NN, & Gandhi R. (2012) Publication of Sports Medicine-Related Randomized Controlled Trials Registered in ClinicalTrials.gov. The American Journal of Sports Medicine. PMID: 22679295
- September 24, 2012
- 12:04 AM
- 332 views
Do NSAID’s Delay Healing in Stress Fractures?
by Kris Fayock in Sports Medicine Research (SMR): In the Lab & In the Field
Non-steroidal anti-inflammatory drugs (NSAIDs) are a commonly used medication for pain related to musculoskeletal injuries that can be obtained both over the counter and with a prescription. They act by inhibiting the effects of cyclooxygenase (COX) enzymes, which play a role in bone biology, specifically bone resorption by COX-2. Stress fractures are common injuries that affect many people of all ages and level of activity. There are studies that show negative effects of NSAIDs on complete fracture healing, but there is little data on the relationship of NSAIDs and stress fractures. Kidd et al, set out to determine the effects of three different NSAIDs on stress fracture healing and woven bone consolidation in an animal model using the rat ulna.... Read more »
Kidd LJ, Cowling NR, Wu AC, Kelly WL, & Forwood MR. (2012) Selective and non-selective cyclooxygenase inhibitors delay stress fracture healing in the rat ulna. Journal of Orthopaedic Research. PMID: 22847634
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