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All posts; Tags Include "Rehabilitation"

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  • April 12, 2013
  • 12:04 AM
  • 501 views

Isolation or Integration Core Exercises? That is the Question...

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

Take Home Message: Exercises that elicit abdominal/lumbar co-contraction coupled with shoulder and hip activation (integration exercise) provoke greater core muscle activation than muscle isolation exercises.

It is widely accepted that a strong core will benefit the individual in sports performance, rehabilitation, and general fitness. However, knowing what type of exercises to select to aid performance and prevent injuries is absolutely paramount. While most studies have focused on isolatio........ Read more »

Gottschall JS, Mills J, & Hastings B. (2013) Integration core exercises elicit greater muscle activation than isolation exercises. Journal of Strength and Conditioning Research, 27(3), 590-6. PMID: 22580983  

  • April 2, 2013
  • 12:04 AM
  • 535 views

What’s the Answer to Low Back Pain: Back School, or McKenzie’s?

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

Take Home Message: Back School and McKenzie exercises reduce pain and disability. McKenzie exercises may provide slightly more efficient improvements in short-term disability.

Low back pain affects many active people at some point throughout their lives. The cause and diagnosis are rarely specific and unfortunately it remains unclear which intervention program is most effective for alleviating pain and improving function. The purpose of this randomized comparative effectiveness clinical tria........ Read more »

  • March 29, 2013
  • 11:26 AM
  • 374 views

Blast-related Traumatic Brain Injury and fMRI

by William Yates, M.D. in Brain Posts

Blast-related traumatic brain injury (TBI) is an important research topic.  Over 100,000 armed services personnel experienced a significant traumatic brain event in the last decade.  A majority of these were explosion or blast-related in nature.However, standard brain imaging techniques (computed tomographay, structural MRI) typically fail to demonstrate changes following blast TBI.  New imaging strategies are needed to assess severity and progression.Graner and colleagues from Wa........ Read more »

  • March 29, 2013
  • 12:04 AM
  • 351 views

The Questionable Long-Term Effectiveness of Physiotherapy and Corticosteroid Injections for Tennis Elbow

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

Take Home Message: Corticosteroid injections and structured physiotherapy are not associated with improved patient-reported measures of pain and disability following one year of treatment.

With epicondylalgia, or tennis elbow, the patient experiences pain along the lateral epicondyle during gripping and wrist extension. This condition is usually treated with a combination of corticosteroid injection and physiotherapy. While the short-term effects of this treatment strategy appears favorable, ........ Read more »

  • March 28, 2013
  • 12:09 PM
  • 321 views

Football and the Blood Brain Barrier

by William Yates, M.D. in Brain Posts

A variety of research tools are being utilized to study the effect of trauma on the brain.  In a previous post, I summarized some of the research using diffusion brain imaging or DTI.A recent study looked at the function of the blood-brain barrier (BBB) in a group of football players.  The BBB is an important brain protective mechanism.  A variety of blood proteins and other compounds have the potential to cause inflammation and other damage to neurons and other brain cells.Marchi........ Read more »

Marchi N, Bazarian JJ, Puvenna V, Janigro M, Ghosh C, Zhong J, Zhu T, Blackman E, Stewart D, Ellis J.... (2013) Consequences of repeated blood-brain barrier disruption in football players. PloS one, 8(3). PMID: 23483891  

  • March 6, 2013
  • 12:04 AM
  • 493 views

Psychological "Insight" into ACL Recovery

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

Rehabilitation following anterior cruciate ligament (ACL) reconstruction is a relatively long, arduous, physical, as well as mental process. During ACL rehabilitation, psychological interventions such as imagery, goal-setting, and modeling are effective for improving recovery (e.g., decrease pain, improve function). A novel psychological intervention not yet tested among patients undergoing ACL rehabilitation is Videoinsight, which includes a video of contemporary art selected with the intent ........ Read more »

  • February 20, 2013
  • 12:04 AM
  • 377 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 »

  • January 23, 2013
  • 12:03 AM
  • 373 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 9, 2013
  • 12:03 AM
  • 410 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 »

  • December 14, 2012
  • 12:03 AM
  • 447 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 5, 2012
  • 10:55 AM
  • 432 views

Exercise and the Brain: Anxiety-related Receptors

by William Yates, M.D. in Brain Posts

Aerobic exercise appears to have significant therapeutic benefits in the treatment of anxiety and depression.  This effect has been demonstrated in animal models as well as in humans.  However, there has been limited study of the potential brain mechanisms that produce an anti-anxiety or an anti-depressant effect.Brain serotonin neurotransmitter receptors have been implicated in anxiety and depressive disorders.  Additionally, selective serotonin reuptake inhibitor drugs such as f........ Read more »

  • November 14, 2012
  • 11:33 AM
  • 478 views

Math Disorder: Brain Imaging Research

by William Yates, M.D. in Brain Posts

In previous posts, I have reviewed research related to the definition and prevalence of mathematics disorder.  Mathematics disorder was compared to reading disability and the role of genetic and environmental influences in math disorder was examined.Advances in brain imaging technology provide additional tools to understand brain function including performing calculations and other math cognitive skills.An early important brain imaging study in mathematics disorders has been published by Da........ Read more »

  • October 30, 2012
  • 11:39 AM
  • 450 views

Driving Simulation and Sleep Apnea

by William Yates, M.D. in Brain Posts

In a previous post, I examined a research study simulator of the effect of mild to moderateAlzheimer's disease on driving performance.  This study found that even mild probable Alzheimer'sdisease subjects demonstrated significant impairment in a variety of driving performance domains.In this post, I will summarize three research studies related to driving performance in the sleepdisorder sleep apnea.  The first study focused on changes in driving performance following theinitiatio........ Read more »

Vakulin A, Baulk SD, Catcheside PG, Antic NA, van den Heuvel CJ, Dorrian J, & McEvoy RD. (2011) Driving simulator performance remains impaired in patients with severe OSA after CPAP treatment. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 7(3), 246-53. PMID: 21677893  

Tippin J, Sparks J, & Rizzo M. (2009) Visual vigilance in drivers with obstructive sleep apnea. Journal of psychosomatic research, 67(2), 143-51. PMID: 19616141  

  • October 24, 2012
  • 05:30 PM
  • 419 views

Learning and retention in patients with Parkinsons Disease playing exergames Wii Fit

by Stephen P. Yang, Ph.D. in ExerGame Lab

Can patients with early-stage Parkinson's Disease improve scores on a functional reach test before and after exergame intervention training? Mendes and colleagues (2012) were interested in answering this question using Wii Fit as the intervention tool. I haven't see the entire paper yet but from the abstract it looks like some of the results are mixed. It appears that some of the cognitive demands of the game (attention, response inhibition, working memory) interfered and contributed t........ Read more »

  • October 1, 2012
  • 04:25 PM
  • 369 views

Injury Prevention Research – What works, and what doesn’t?

by Tony Ingram in BBoy Science

What doesn’t work is a recurring theme on this website. There are good reasons for that – myth busting is a good way to learn science, it prevents you from wasting time and money, and it’s actually quite fun. But … ... Read more »

  • September 22, 2012
  • 05:00 PM
  • 499 views

Wii Balance Board Good for PD?

by Stephen P. Yang, Ph.D. in ExerGame Lab

:Impaired postural stability places individuals with Parkinson's at an increased risk for falls. Given the high incidence of fall-related injuries within this population, ongoing assessment of postural stability is important.Objective:To evaluate the validity of the Nintendo Wii(®) balance board as a measurement tool for the assessment of postural stability in individuals with Parkinson's.... Read more »

  • August 30, 2012
  • 11:15 AM
  • 552 views

Brain Imaging in PTSD: Part III

by William Yates, M.D. in Brain Posts

Two previous posts examined structural brain imaging and functional connectivity in the anxiety disorder post-traumatic stress disorder (PTSD).   For the final post in this series, I will summarize the findings of of quantitative meta-analysis of fMRI and PET in PTSD.Jasmeet P. Hayes and colleagues from the VA Boston Healthcare System reviewed 79 functional neuroimaging studies published before February of 2011.  This review included over 300 PTSD subjects and controls.  Data from........ Read more »

  • August 29, 2012
  • 12:04 AM
  • 728 views

Kinesio Tape and Cervical Manipulation Help Decrease Mechanical Neck Pain

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

Mechanical neck pain is a common ailment which can affect as much as 33% of the population. While manual therapy is often performed, a gold standard for managing mechanical neck pain has yet to be determined. Also supported for managing mechanical neck pain is the use of Kinesio Tape, although there is limited evidence to support this. Therefore, Saavedra-Hernández and colleagues completed a randomized clinical trial comparing manual therapy to Kinesio Taping.... Read more »

Saavedra-Hernández M, Castro-Sánchez AM, Arroyo-Morales M, Cleland JA, Lara-Palomo IC, & Fernández-de-Las-Peñas C. (2012) Short-Term Effects of Kinesiotaping Versus Cervical Thrust Manipulation in Patients With Mechanical Neck Pain: A Randomized Clinical Trial. The Journal of Orthopaedic and Sports Physical Therapy. PMID: 22523090  

  • August 24, 2012
  • 12:04 AM
  • 646 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 ........ 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  

  • August 21, 2012
  • 12:06 PM
  • 604 views

Imaging the Effects of Mild Traumatic Brain Injury

by William Yates, M.D. in Brain Posts

Commonly available clinical brain imaging techniques do not provide reliable or valid information in mild traumatic brain injury (TBI).  This has led to increased research on evolving imaging techniques.Diffusion tensor imaging (DTI) hold promise as a potential future clinical brain imaging.  DTI can assess microstructure changes in brain white matter.   Aoki and colleagues from Japan recently summarized the current knowledge of DTI in mild traumatic brain injury.This review used ........ Read more »

Aoki Y, Inokuchi R, Gunshin M, Yahagi N, & Suwa H. (2012) Diffusion tensor imaging studies of mild traumatic brain injury: a meta-analysis. Journal of neurology, neurosurgery, and psychiatry, 83(9), 870-6. PMID: 22797288  

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