Sports Medicine Research (SMR): In the Lab & In the Field

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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.

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  • January 3, 2013
  • 08:50 PM
  • 198 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
  • 170 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
  • 168 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 Achill........ 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
  • 286 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
  • 214 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 s........ 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
  • 270 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 endu........ Read more »

  • December 14, 2012
  • 12:03 AM
  • 250 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........ Read more »

  • December 12, 2012
  • 12:01 AM
  • 257 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 men........ 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
  • 244 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
  • 264 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 ........ 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
  • 286 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  

  • December 3, 2012
  • 12:01 AM
  • 281 views

Is EMG Biofeedback Effective at Treating Patients with Shoulder Impingement?

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

Recently, clinicians have focused on reinstituting normal scapular motion to rehabilitate patients with subacromial impingement syndrome (SAIS) since abnormal scapular motions contribute to pain and dysfunction. These abnormal scapular motions may be caused by altered neuromuscular control; for example, the upper trapezius may be more active while the lower trapezius and serratus anterior are inhibited. This imbalance is often difficult to treat and must begin with muscle reeducation. Therefo........ Read more »

  • November 30, 2012
  • 12:01 AM
  • 288 views

10 Year Comparison of Surgery Techniques for Knee Cartilage Defects

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

Osteo- and articular- chondral defects are becoming more common problems in the athletic population. While there are many options available to treat these defects, it still remains unclear which is the best option, specifically in the long-term. Therefore, the purpose of this prospective randomized study was to compare the 10 year outcomes between defects repaired with a microfracture procedure versus those repaired with an osteochondral autologous transplantation (OAT).... Read more »

  • November 28, 2012
  • 12:04 AM
  • 250 views

Nothing to Fear but Fear Itself: Psychological Factors Related to Return to Sport Post-injury

by Laura McDonald in Sports Medicine Research (SMR): In the Lab & In the Field

An often overlooked aspect of a clinician’s responsibility is to manage and mitigate an athlete’s psychological response to injury throughout the rehabilitation process, which is often associated with tension, low self-esteem, depression, and anxiety. Self-determination theory has been applied to identify factors that may influence an athlete’s psychological response, particularly emphasizing the basic needs of autonomy (motivation), competence (fear and confidence), and relate........ Read more »

  • November 26, 2012
  • 12:04 AM
  • 187 views

Getting Closer to Tracking and Taking Down Apoptosis

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

Apoptosis is a type of cell death that regulates tissue healing and cell density. Excessive apoptosis is associated with several degenerative pathologies including tendinopathy. However, the mechanisms of degeneration and the role of apoptosis in the progression of rotator cuff tendinopathy are not well understood. Understanding the degenerative pathway in tendinopathy could lead to better care and new therapeutic interventions. Therefore, the purpose of this study was to quantify apoptosis and ........ Read more »

  • November 20, 2012
  • 12:04 AM
  • 258 views

Clothing Type Increases Disordered Eating Risk in Collegiate Cheerleaders

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

Due to the aesthetic nature of cheerleading, especially with increasing media coverage, cheerleaders are believed to have an increased risk of developing eating disorders. While studies have been completed on adolescent cheerleaders, little literature has addressed this issue in collegiate cheerleaders, especially with regards to the influence of clothing-related body image. Therefore, Torres-McGehee and colleagues completed a cross-sectional study of 136 NCAA division I and II cheerleaders (18-........ Read more »

Torres-McGehee TM, Monsma EV, Dompier TP, & Washburn SA. (2012) Eating disorder risk and the role of clothing in collegiate cheerleaders' body images. Journal of Athletic Training, 47(5), 541-8. PMID: 23068592  

  • November 14, 2012
  • 12:04 AM
  • 347 views

High School Knee Injuries

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

Sports injury risk increases with greater participation and competitiveness that is occurring at the high school level. Previous reports have demonstrated that the prevalence of knee injuries is high among the US high school population, however, there is a lack of information reported regarding gender and sport. The purpose of this observational epidemiologic study was to report knee injury rates in the high school athletic population (including sport & the injured structure).... Read more »

Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, & Comstock RD. (2012) Epidemiology of Knee Injuries Among US High School Athletes, 2005/06-2010/11. Medicine and Science in Sports and Exercise. PMID: 23059869  

  • November 12, 2012
  • 12:04 AM
  • 300 views

Are We Doing Enough to Plan for How Injuries Affect Players Later in Life?

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

Australian football players are exposed to extreme physical demands, which cause disproportionately high number of injuries compared to other sports. Due to the magnitude of the physical and psychological strains most Australian Football League players have an average career of 4.7 years inevitably meaning a player pursues a second career, and there has been little research on how their football career affects the players later in life. Therefore, the authors investigated the long-term health (m........ Read more »

King T, Rosenberg M, Braham R, Ferguson R, & Dawson B. (2012) Life after the game - Injury profile of past elite Australian Football players. Journal of Science and Medicine in Sport. PMID: 23058879  

  • November 9, 2012
  • 12:04 AM
  • 318 views

Traveling Team Doctor? You could be “Practicing without a License!”

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

At the professional and NCAA Division I competition level, it is not uncommon for an out–of-state physician to travel with his or her team. However, an important medico-legal question has been raised with regard to this scenario: Is this traveling physician practicing medicine in a state without a license? To answer this question, Viola, et al. performed a simple yet well designed survey study with the goal of investigating if state medical licensing boards have legislation in place that ........ Read more »

  • November 7, 2012
  • 12:04 AM
  • 255 views

Jumping Ability is a Risk Factor for the Development of Jumper’s Knee

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

Jumping is essential to volleyball as it is a key component of spiking, blocking, and serving. Unfortunately, this activity will often results in the development of jumper’s knee (patellar tendonitis). The jumper’s knee paradox, where symptomatic athletes perform substantially better in counter movement jumps (CMJ; ballistic movement with rapid eccentric action followed by maximal concentric contraction) compared to asymptomatic controls, has never been adequately explained in the li........ Read more »

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