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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  • February 26, 2013
  • 12:01 AM
  • 217 views

Does Posterior Capsule Thickness Change Following Rotator Cuff Repair?

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

Rotator cuff tears are common injuries in overhead athletes causing a significant increase in pain and decrease in function. Cuff tears commonly require surgical repair; however, the results after surgery are mixed with both repair failures and successful repairs not having significant pain relief. These poor outcomes may be related to anatomic adaptations at the shoulder following rotator cuff repair but it is unclear what these adaptations may be and whether they are related to pain. Theref........ Read more »

  • February 22, 2013
  • 12:04 AM
  • 130 views

Preparticipation Cardiovascular Screening among NCAA Division I Institutions

by Christian Glaser, DO and Marc I. Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field

Sudden cardiac death has recently received considerable attention; however, experts and governing bodies are unable to agree on a unanimous screening protocol. At the center of the debate is whether we should incorporate electrocardiography (EKG) into preparticipation physicals (PPEs). While this debate lingers in remains unclear how sports medicine programs in NCAA Division 1 athletic programs are incorporating non-invasive cardiovascular screening (NICS) into PPEs. Therefore, Coris and colleag........ Read more »

Coris EE, Sahebzamani F, Curtis A, Jennings J, Walz SM, Nugent D, Reese E, Zwygart KK, Konin JG, Pescasio M.... (2013) Preparticipation cardiovascular screening among National Collegiate Athletic Association Division I Institutions. British Journal of Sports Medicine, 47(3), 182-4. PMID: 22976912  

  • February 20, 2013
  • 12:04 AM
  • 146 views

“Unilateral” Muscle Overuse Isn’t So “Unilateral”

by Sarah Ilkhani-Pour in Sports Medicine Research (SMR): In the Lab & In the Field

Some studies have shown that unilateral exercise can also affect the contralateral limb. For example, strength training one limb also improves the opposite, untrained limb. Additionally, many afflictions, like painful Achilles tendinopathy, present bilaterally, but the mechanism behind this is unknown. This study sought to examine whether unilateral muscle overuse will produce bilateral muscle damage and how the tissue in both the exercised and contralateral limbs compares to control.... Read more »

  • February 18, 2013
  • 12:04 AM
  • 172 views

More is Better in Relation to Concussion Detection

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

Forming a clinical decision about whether an athlete should be removed from play or when they can return to play following a sports-related concussion is accomplished following a comprehensive set of single-task tests (e.g., neurocognitive exam, sign and symptom checklist, balance tests). However, there is concern that single-task tests may not be able to detect subtle cognitive and physical impairments. Therefore, the purpose of this systematic review was to determine the practicality of the du........ Read more »

  • February 15, 2013
  • 12:04 AM
  • 257 views

Which is Better for ACL Surgery: Right Away, Later, or Never?

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

Anterior cruciate ligament (ACL) tears occur frequently in athletics, and carry with it the potential risk of osteoarthritis (OA). ACL injury is often treated with surgical reconstruction in an effort to reduce the risk of secondary injuries and progression to OA. Some people insist that an ACL reconstruction is needed as quickly as possible; however, the timing of surgery or the lack of surgery on longer-term outcomes has yet to be determined. The purpose of this extended follow-up of a rand........ Read more »

  • February 13, 2013
  • 12:04 AM
  • 163 views

Comparing Screening Methods for ACL Injury Risk

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

Non-contact anterior cruciate ligament (ACL) injuries occur across many different sports and have been shown to be linked to long-term degenerative joint changes. If we had a gold standard for clinically screening ACL injury risk then we could identify patients at high risk for an ACL injury and determine if prevention programs are having a desired effect on their biomechanics. Screening tests however focus on 2-legged and controlled jumps rather than sidestep cutting and single-legged landing w........ Read more »

  • February 11, 2013
  • 12:01 AM
  • 254 views

Clinical Reaction Time: A Simple and Effective Assessment Tool for Concussions

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

Sports-related concussion results in slowed reaction time, which can be tested by many computer-based neurocognitive testing programs. Reaction time is related to symptom severity and reliably acts as a sensitive measure of neurocognitive improvement during concussion recovery. However, clinicians don’t always have access to computer-based neurocognitive testing programs, thus in previous research Eckner, et al. created a simple clinical assessment tool for reaction time. The purpose of t........ Read more »

  • February 8, 2013
  • 12:04 AM
  • 188 views

Who Experiences Exertional Heat Illness in High School?

by Neal Glaviano in Sports Medicine Research (SMR): In the Lab & In the Field

It has been estimated that over 9000 high school athletes are treated annually for exertional heat illness (EHI). There is limited epidemiological data on the frequency of EHI within the high school setting, which hinders the development and distribution of aggressive prevention campaigns. Therefore, the purpose of this current study was to examine epidemiological data of EHI during 2005/2006 – 2010/2011.... Read more »

Kerr ZY, Casa DJ, Marshall SW, & Comstock RD. (2013) Epidemiology of exertional heat illness among u.s. High school athletes. American Journal of Preventive Medicine, 44(1), 8-14. PMID: 23253644  

  • February 6, 2013
  • 12:04 AM
  • 233 views

Today’s Menu Special: Female College Athletes Aren’t Eating Right.

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

Collegiate athletics can be very physically demanding, requiring a delicate balance between dietary intake and energy expenditure. The number of female collegiate athlete participants is increasing over time, and in general, females may be more susceptible to nutrition-related issues. Unfortunately, their dietary habits remain unclear. The purpose of this study was to assess and compare dietary intake and eating habits in female athletes to the recommended sports nutrition minimums.... Read more »

  • February 4, 2013
  • 12:04 AM
  • 160 views

Diffusion Tensor Imaging of Sports-Related Concussion

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

The impact that a concussion has on an immature adolescent brain is largely unknown. Magnetic resonance imaging advancements such as diffusion tensor imaging may help us understand these changes because it provides quantitative measure of the subtle changes within the white matter tissue in the brain following a concussion. Therefore, the purpose of this study was to use diffusion tensor imaging to investigate the short-term structural differences between 12 adolescents that had sustained a rece........ Read more »

Virji-Babul N, Borich MR, Makan N, Moore T, Frew K, Emery CA, & Boyd LA. (2013) Diffusion tensor imaging of sports-related concussion in adolescents. Pediatric Neurology, 48(1), 24-9. PMID: 23290016  

  • February 1, 2013
  • 12:04 AM
  • 150 views

Is it Time to Revise the Bethesda Guidelines for Athletes with Long QT Syndrome?

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

The current Bethesda and the European Society of Cardiology (ESC) guidelines are used to determine the cardiac risk of athletes’ participation with long QT-syndrome (LQTS). While the Bethesda guidelines stratify athletes with LQTS into different classes the ESC strictly prohibits athletes with LQTS from sport participation. Johnson and Ackerman looked at these rather strict guidelines by examining outcomes among patients that chose to continue sport participation after being diagnosed with........ Read more »

Johnson JN, & Ackerman MJ. (2013) Return to play? Athletes with congenital long QT syndrome. British Journal of Sports Medicine, 47(1), 28-33. PMID: 23193325  

  • January 30, 2013
  • 12:04 AM
  • 148 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
  • 158 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 ........ Read more »

  • January 25, 2013
  • 12:04 AM
  • 169 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 enhanci........ 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
  • 170 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 o........ Read more »

  • January 18, 2013
  • 12:03 AM
  • 251 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........ 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
  • 230 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
  • 186 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
  • 187 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 inv........ Read more »

  • January 7, 2013
  • 12:04 AM
  • 187 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  

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