Fair Play as an Injury Prevention Intervention: Do Yellow Card Accumulation Policies Reduce High School Soccer Injuries?
Conclusions: Yellow card policies were ineffective in lowering HS soccer athlete–athlete CCI rates, although injuries resulting in>3 weeks' TL were less prevalent in states with YCPs. Implementation of YCPs alone, without proper enforcement, may not be a sufficient injury prevention strategy. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Male Youth Ice Hockey Concussion Incidence in a USA Hockey Membership–Adjusted Population: A Peak in 2011 and the Impact of Major Rule Changes
Objective: To investigate the incidence of youth ice hockey–related concussions preceding and following the implementation of new body-checking and head contact rules by USA hockey in 2011. We hypothesized a decrease in concussions after the rule change. Design: Retrospective analysis. Setting: United States emergency department (ED) data queried in the National Electronic InjurySurveillance System (NEISS). Patients: National Electronic Injury Surveillance System reported male youth (≤18 years) ice hockey concussion cases from January 1, 2002, to December 31, 2016. In total, 848 players were di...
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Specialty-Specific Diagnoses in Pediatric Patients With Postconcussion Syndrome: Experience From a Multidisciplinary Concussion Clinic
Conclusions: Patients seen in a MDCC setting receive a high number of treatable diagnoses that are potentially related to patients' PCS symptoms. The MDCC approach may (1) increase access to interventions for PCS-related impairments, such as visual rehabilitation, physical therapy, and psychological counseling; (2) provide patients with coordinated medical care across specialties; and (3) hasten recovery from PCS. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Assessment of Saccades and Gaze Stability in the Diagnosis of Pediatric Concussion
Conclusions: A VVE including a higher threshold level of repetitions for saccades and gaze stability has improved discriminatory ability for concussion, with an optimized AUC of 0.79 at ≤20 repetitions. Clinical Relevance: The findings in this study suggest that a higher threshold level of repetitions of 2 commonly used visio-vestibular assessments enables clinicians to more accurately diagnose youth concussion. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Findings From Cardiovascular Evaluation of National Collegiate Athletic Association Division I Collegiate Student-Athletes After Asymptomatic or Mildly Symptomatic SARS-CoV-2 Infection
Conclusions: These data support recent publications which recommend the de-escalation of cardiovascular testing such as cardiac MRI or echocardiogram for athletes who have recovered from asymptomatic or mildly symptomatic SARS-CoV-2 infection. Continued follow-up of these athletes for sequelae of SARS-CoV-2 is critical. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Beneath the Surface: Mental Health and Harassment and Abuse of Athletes Participating in the FINA (Aquatics) World Championships, 2019
Conclusion: Targeted initiatives are required to address mental health issues and harassment and abuse in sport in the FINA aquatic disciplines. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

High-School Football and Midlife Brain Health Problems
Conclusions: Men who played high-school football did not report worse brain health compared with those who played other contact sports, noncontact sports, or did not participate in sports during high school. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Concussion Management Guidelines Neglect Auditory Symptoms
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

“Nothing About Us, Without Us”: Empowering the Youth Athlete Voice in #SafeSport
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

Gender, Testosterone, and Sport
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - March 1, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

In Response to: Preworkout Supplement–Induced Hemorrhagic Stroke: A Case Report
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Letter to the Editor Source Type: research

Rare Cause of Syncope in an Athlete, Matter of Brain and Heart Electricity
Abstract: A 17-year-old elite triathlete presented with recurrent loss of consciousness events. Implantable loop recorder (ILR) documented sinus node asystoles of up to 21 seconds. She underwent cardiac neuromodulation ablation. After ablation, a generalized tonic–clonic seizure (GTCS) occurred, without concomitant asystole on the ILR. Temporal lobe seizures were diagnosed and supported by interictal epileptic activity on electroencephalogram. We assumed that the syncope episodes were ictal asystole (IA) and that the IA terminated the epileptic seizures early after their onset. The cardiac ablation prevented IA, enab...
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Case Report Source Type: research

A Half-Century of Evidence-Based Cardiac Rehabilitation: A Historical Review
Conclusions: Research conducted in Toronto and elsewhere has established the benefits of exercise-centered cardiac rehabilitation. However, there remains a need to define the optimum timing of program onset, and the frequency, intensity, and duration of supervised training sessions. Return to blue-collar occupations also needs to be boosted, and the limited participation of eligible patients in available programs remains a continuing challenge. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Epidemiology of Achilles Tendon Rupture in Italian First Division Football (Soccer) Players and Their Performance After Return to Play
Conclusions: An overall ATR rate of 0.007 per 1000 hours of soccer play and an incidence proportion of 0.17% were reported. All footballers return to play; however, up to 40% players decreased the level of play by reducing the number of games or participating in a lower Division 2 seasons after an ATR. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Consequences and Prognosis of Running-Related Knee Injuries Among Recreational Runners
Conclusions: Nonrecovered participants adjusted running speed more often and had knee imaging more often than recovered participants. At follow-up, one-third of the participants were not recovered. This emphasizes the need for injury prevention programs for runners. More knowledge on the role of running in knee OA seems important, given the high number of participants with knee OA symptoms. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - December 24, 2021 Category: Sports Medicine Tags: Original Research Source Type: research