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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
by Ryan Tierney in Sports Medicine Research (SMR): In the Lab & In the Field
Sports medicine personnel are more likely to identify a concussion if clinicians use a multifaceted assessment approach that incorporates the evaluation of signs and symptoms, cognition (memory, processing, decision-making), coordination, balance, and vestibular ocular function. This is because ‘concussions are like faces, they’re all different’ (Joseph Torg, MD). The standardized concussion evaluation form 2 (SCAT2) provides most of these evaluations in a convenient package and its use for sideline evaluation is recommended. Furthermore, the continued use of these assessments as well as neurocognitive testing (NCT; e.g., ImPACT) during managed return to play protocol is also recommended. The authors in the present study examined the awareness of these concussion evaluation methods among athletic trainers and football coaches in urban and rural Washington state high schools.... Read more »
Murphy A, Kaufman MS, Molton I, Coppel DB, Benson J, & Herring SA. (2012) Concussion evaluation methods among washington state high school football coaches and athletic trainers. PM , 4(6), 419-26. PMID: 22732154
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
A lot of people are using the internet to gather health information; however, not all websites are up to date with the latest accurate information. Despite the increased attention on concussion the quality of information online regarding concussions is unclear. Therefore, the purpose of this study was to evaluate concussion websites for information quality, content and readability.... Read more »
Ahmed OH, Sullivan SJ, Schneiders AG, & McCrory PR. (2012) Concussion information online: evaluation of information quality, content and readability of concussion-related websites. British journal of sports medicine, 46(9), 675-83. PMID: 21504964
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
There have been quite a few studies and SMR postings regarding anterior cruciate ligament (ACL) reconstruction and whether or not the double-bundle (DB) technique is more beneficial than the single-bundle (SB) technique. However, few studies have focused on the long-term results of these surgical outcomes. The purpose of this randomized controlled trial was to determine whether the DB has better long-term outcomes than the SB for ACL reconstruction. ... Read more »
Suomalainen P, Järvelä T, Paakkala A, Kannus P, & Järvinen M. (2012) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 5-year results. The American Journal of Sports Medicine, 40(7), 1511-8. PMID: 22691456
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
by Mark Rice in Sports Medicine Research (SMR): In the Lab & In the Field
ow back pain (LBP) can be one of the most debilitating and frustrating conditions to deal with both as an athlete and as a clinician. While there are a multitude of treatment options focusing on lumbar extension, muscle stretching, core strengthening, as well as, therapeutic modalities. However, none of these options focus on restoration or reconstituting normal lumbar spine curvature. Therefore, the purpose of the present study was to determine the effect vertical lumbar traction has on lumbar spine curvature (measured with radiographs) and to determine if the traction was effective at decreasing the participants' LBP. In this study, Diab et al. recruited 80 subjects to go through treatment for LBP.... Read more »
Diab AA, & Moustafa IM. (2012) Lumbar lordosis rehabilitation for pain and lumbar segmental motion in chronic mechanical low back pain: a randomized trial. Journal of Manipulative and Physiological Therapeutics, 35(4), 246-53. PMID: 22632584
by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field
Injuries to the anterior cruciate ligament (ACL) often necessitate surgical reconstruction. The debate continues as to whether or not the double-bundle (DB) technique is more beneficial than the single-bundle (SB) technique. The purpose of this meta-analysis was to analyze the literature and find previous clinical trials that compared the single- and double-bundle ACL surgical reconstruction techniques. ... Read more »
Ying Zhu, Ren-kuan Tang, Peng Zhao, Shi-sheng Zhu and Yong-guo Li, et al. (2012) Double-bundle reconstruction results in superior clinical outcome than single-bundle reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. DOI: 10.1007/s00167-012-2073-8
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
Athletes returning to play before their concussions fully resolve are more prone to a second concussion, which is usually associated with more severe signs and symptoms (s/s). However, there are no prognostic tests to identify athletes who are going to suffer from a concussion for longer periods of time to ensure a safe return to play. Therefore, the purpose of this study was to develop and validate prognostic criteria to identify children at risk for persistent concussion impairment. ... Read more »
Wiebe DJ, Collins MW, & Nance ML. (2012) Identification and validation of prognostic criteria for persistence of mild traumatic brain injury-related impairment in the pediatric patient. Pediatric Emergency Care, 28(6), 498-502. PMID: 22653462
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
by Kris Fayock, MD and Peter Vitanzo, MD in Sports Medicine Research (SMR): In the Lab & In the Field
The fascination of using biologics in the field of sports medicine has been a growing area of interest over the past few years. Unfortunately, much of the clinical data for its use has been anecdotal and well-designed clinical studies have been lacking in the past. However, more clinically relevant trials have and are being carried out to determine the true efficacy of autologous platelet-rich plasma (PRP) for musculoskeletal injuries. The authors in this study hoped to add a new piece to this puzzle by examining the effects of PRP injection into various normal soft tissues. ... Read more »
Harris NL, Huffer WE, von Stade E, Larson AI, Phinney S, & Purnell ML. (2012) The effect of platelet-rich plasma on normal soft tissues in the rabbit. The Journal of Bone and Joint Surgery. American volume, 94(9), 786-93. PMID: 22552667
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
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Medial tibial stress syndrome (MTSS) is a painful and debilitating condition found in both athletes and recreationally active individuals who partake in running and walking activities. Typically, MTSS is categorized by pain along the posteriomedial border of the tibia and at times, pitting edema. Literature has shown that most interventions aimed at prevention of MTSS are ineffective therefore, Newman and colleagues attempted to identify the effectiveness of two clinical screening tests to identify individuals in a presymptomatic stage of MTSS. ... Read more »
Phil Newman, Roger Adams, Gordon Waddington. (2012) Two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test. British Journal of Sports Medicine. DOI: 10.1136/bjsports-2012-090409
by Stephen Thomas in Sports Medicine Research (SMR): In the Lab & In the Field
commonly treated with non-steroidal anti-inflammatory drugs (NSAIDs) and various rehabilitation strategies. Low-level laser therapy (LLLT) has recently been shown to have success treating several overuse injuries. However, the underlying mechanisms involved in the improvement of symptoms following LLLT treatment in tendinopathy are poorly understood. Therefore, the purpose of this study was to examine the short term biochemical mechanisms following LLLT treatment in a chemically (collagenase) induced tendinitis. ... Read more »
Marcos RL, Leal-Junior EC, Arnold G, Magnenet V, Rahouadj R, Wang X, Demeurie F, Magdalou J, de Carvalho MH, & Lopes-Martins RA. (2012) Low-level laser therapy in collagenase-induced achilles tendinitis in rats: Analyses of biochemical and biomechanical aspects. Journal of Orthopaedic Research. PMID: 22674405
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 testing (NCT). ... 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
Basketball is a popular and competitive team sport across the world with injuries commonly occurring. Across all sports, there has been a recent focus on warm-up programs designed to prevent injuries. The purpose of this randomized cluster trial was to assess the effectiveness of a warm-up program involving running exercises, strengthing, balance, jumping and hamstring exercises, as well as speed training with sport specific changes in direction in elite male basketball players. ... Read more »
Longo, U., Loppini, M., Berton, A., Marinozzi, A., Maffulli, N., & Denaro, V. (2012) The FIFA 11 Program Is Effective in Preventing Injuries in Elite Male Basketball Players: A Cluster Randomized Controlled Trial. The American Journal of Sports Medicine, 40(5), 996-1005. DOI: 10.1177/0363546512438761
by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field
Concussion research has shown that the typical time for cognitive and behavioral signs and symptoms to dissipate is within 7 to 10 days after an injury, however, researchers utilizing functional neuroimaging techniques (e.g., functional magnetic resonance imaging) have reported that neuronal dysfunction may be prolonged for up to several weeks. Therefore, the purpose of this study was to examine the differences in a calculated traumatic brain injury (TBI) index (via EEG patterns) and other clinical outcomes between patients with mild or moderate severity of concussion signs and symptoms as well as among patients with short ( 14 days) return-to-play time. Sixty-five athletes who sustained a concussion were included in this study and went through a clinical evaluation (i.e., Concussion Symptom Inventory [CSI], Standardized Assessment of Concussion [SAC], Balance Error Scoring System, [BESS] and Automated Neuropsychological Assessment Metrics [ANAM]), and an electrophysiological evaluation to calculate the TBI index. ... Read more »
Prichep LS, McCrea M, Barr W, Powell M, & Chabot RJ. (2012) Time Course of Clinical and Electrophysiological Recovery After Sport-Related Concussion. The Journal of head trauma rehabilitation. PMID: 22588360
by Hallie Labrador, Marc Harwood in Sports Medicine Research (SMR): In the Lab & In the Field
Osteoarthritis has often been described as “wear and tear” on the joint. However, previous research has shown that the pathogenesis is not this clear cut. Several studies demonstrate that increased physical activity can actually prevent osteoarthritis; however, other studies have shown just the opposite. These two papers by Teichtahl and Ageberg look to further characterize the effects of physical activity on osteoarthritis incidence.... Read more »
Ageberg E, Engström G, Gerhardsson de Verdier M, Rollof J, Roos EM, & Lohmander S. (2012) Effect of leisure time physical activity on severe knee or hip osteoarthritis leading to total joint replacement: a population-based prospective cohort study. BMC musculoskeletal disorders, 13(1), 73. PMID: 22595023
Teichtahl AJ, Wluka AE, Wang Y, Forbes A, Davies-Tuck ML, English DR, Giles GG, & Cicuttini FM. (2012) Effect of long-term vigorous physical activity on healthy adult knee cartilage. Medicine and science in sports and exercise, 44(6), 985-92. PMID: 22215179
by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field
Recently in many media outlets, concerns have been raised over the long-term effects of head impacts on athlete’s cognitive function. While many studies have looked at the effects of mild traumatic brain injuries, few studies have looked at repetitive head impacts and their long-term effects. Therefore, McAllister and colleagues completed a pretest/posttest cohort study to evaluate if repetitive head impacts sustained over 1 season would affect cognitive performance.... Read more »
McAllister, T., Flashman, L., Maerlender, A., Greenwald, R., Beckwith, J., Tosteson, T., Crisco, J., Brolinson, P., Duma, S., Duhaime, A.... (2012) Cognitive effects of one season of head impacts in a cohort of collegiate contact sport athletes. Neurology, 78(22), 1777-1784. DOI: 10.1212/WNL.0b013e3182582fe7
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
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 process) and boxing exposure in elite Olympic boxers.... 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
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