Morel-Lavall ée Lesions (Internal degloving injuries) of the Lower Extremity in the Pediatric and Adolescent Population.
CONCLUSION: In contrast to adult injury literature, pediatric MLLs are more common in the leg/knee than hip/thigh region and caused mostly by sports injuries. Primary care physicians are the initial treating providers for the majority of the patients. Intervention is more often needed in the hip/thigh MLLs as opposed to non-operative management for lower leg injuries. This large case series on MLL in the pediatric population demonstrates differences in the management of hip and thigh lesions when compared to the management of the knee and leg lesions in the majority of these patients. Non-operative management in the majori...
Source: The Physician and Sportsmedicine Online - August 2, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Physical Therapy Referral and Medication for Ankle Sprain Visits to Physician Offices: An Analysis of the National Ambulatory Medical Care Survey.
CONCLUSIONS: NSAIDs and opioid medication combined were administered, supplied or ordered more frequently than a referral to physical therapy. These findings provide evidence that suggest many ankle sprain patients reporting to an office-based physician are not receiving the recommended care; physical therapy. Rather, medication appears to be the primary type of care provided to patients. These data are important because it gives a focused area to improve the treatment of an ankle sprain by developing strategies that ensure all patients are provided the recommended care from the onset of entering the healthcare system. ...
Source: The Physician and Sportsmedicine Online - July 31, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Sport-related femoral artery occlusion detected by near-infrared spectroscopy and pedal power measurements: a case report.
CONCLUSION: Combining post-exercise ankle-brachial index, near-infrared spectroscopy, and pedal power measurements as routine diagnostic functional testing suggested a severe arterial flow inflow limitation. Conventional diagnostics encompassing duplex-Doppler echography and magnetic resonance angiography confirmed a femoral artery occlusion. CLINICAL TRIAL REGISTRATION: https://www.trialregister.nl/ identifier is Trial NL8557.Abbreviations: NIRS: Near-Infrared Spectroscopy; PPM: Pedal Power Measurements; ABI: Ankle Brachial Index; PSV: Peak Systolic Velocity. PMID: 32713244 [PubMed - as supplied by publisher] (Sou...
Source: The Physician and Sportsmedicine Online - July 28, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Arthroscopic Confirmation of Femoral Button Deployment Avoids Post Operative X-ray in ACL Reconstruction.
Conclusions: This technique could allows identification and correction of femoral button malalignment in the setting of soft tissue interposition and could reduce the use of postoperative x-ray. Level of evidence: Level III. PMID: 32669026 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - July 18, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Anterior cruciate ligament reconstruction combined to partial knee replacement in active patients with ACL deficiency and knee osteoarthritis.
CONCLUSIONS: The combination of UKR and ACL reconstruction appears a safe and effective procedure providing satisfying outcomes and limited complications in selected patients with medial OA and ACL insufficiency. Further comparative studies reporting long-term outcomes are needed, as high-level studies on this topic are lacking. PMID: 32654576 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - July 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Muscular strength and cardiovascular risk factors in adults: systematic review.
CONCLUSION: Higher MS values were related with lower WC in adults. More evidence from longitudinal studies with high methodological rigor is needed to elucidate the relationship between MS and CVD among adults. PMID: 32660293 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - July 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Physiological factors which influence the performance potential of athletes:Analysis of sports medicine performance testing in Nordic combined.
CONCLUSION: In this study, test speed on the treadmill [m/s] at a lactate concentration of 4 mmol/l showed the strongest influence that was independent of other parameters on the sporting performance of the Nordic combined athletes. Regardless of how the lactate threshold is determined, a lactate value of 4 mmol/l should almost always be above an indicative anaerobic threshold, meaning that the application of this parameter is more valid than using an arbitrary individual threshold, both physiologically and mathematically. In this vein, the test speed at a lactate concentration of 4 mmol/l can be recommended as a robuster,...
Source: The Physician and Sportsmedicine Online - July 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The effectiveness of exercise training in treating venous thromboembolism: a systematic review.
This study aims to (1) evaluate the clinical safety of an exercise-based rehabilitation intervention for patients with venous thromboembolism (VTE); (2) separately summarize the effects of exercise training in deep vein thrombosis (DVT), pulmonary embolism (PE) and postthrombotic syndrome (PTS) survivors; and (3) identify commonly used exercise prescriptions and describe treatment progression. The Medline, Cochrane Library, and Embase databases were searched for randomized control trials and cohort studies published prior to February 2020 comparing exercise training interventions with non-exercise interventions for patient...
Source: The Physician and Sportsmedicine Online - July 11, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Cross-Cultural Exploration of Baseline ImPACT Quick Test Performance Among Football Athletes in Zambia.
CONCLUSION: Results of the current study show that Zambian athletes are able to complete the ImPACT QT, despite any language or cultural differences that may exist. In addition, preliminary percentile ranks suggest Zambian football athletes have average scores on Attention and Memory and below average scores on Motor Speed. These data are the first to explore Zambian athletes' performance on a cognitive concussion measure. PMID: 32605469 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - July 3, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Characterizing Opioid Consumption in the 30-day Post-Operative Period Following Shoulder Surgery: Are we over prescribing?
Conclusion : All patients achieved adequate pain control, with 60 (75%) patients having excess pills. Opioid utilization differed based on surgery-significantly lower use in RSA patients compared to RCR. Only 13 (16.25%) patients required more than 20 5mg oxycodone-equivalent pills. Tobacco use, history of psychiatric illness, and PCS were risk factors for requiring more prescriptions. PMID: 32597282 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - July 1, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Inclusion of Resistance Routines in a Hypoxia Training Program Does not Interfere with Prevention of Acute Mountain Sickness.
CONCLUSION: The inclusion of resistance workouts in combination with endurance exercises, all performed in hypoxic conditions, does not interfere with an optimal adaptation to altitude and to prevent acute mountain sickness. PMID: 32578478 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - June 25, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Brief Cycles of Lower Limb Occlusion Accelerates Recovery Kinetics In Soccer Players.
Authors: Daab W, Bouzid MA, Lajri M, Bouchiba M, Rebai H Abstract The aim of this study was to assess the effect of intermittent vascular occlusion (IVO) on recovery following simulated soccer physical demand test in soccer players. Twelve soccer players completed the Loughborough Intermittent Shuttle Test (LIST) in two conditions placebo (PLA) and IVO followed by intermittent lower limb occlusion. Physical performance (Squat jump: SJ, countermovement jump: CMJ, maximal voluntary contraction: MVC, and 20 meters sprint: SP), muscle damage parameters (creatine kinase: CK, Lactate dehydrogenase: LDH), inflammatory par...
Source: The Physician and Sportsmedicine Online - June 24, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Prevalence of Poor Sleep Quality in Athletes Before Competition.
Authors: Andrade A, Bevilacqua GG, Casagrande PO, Brandt R, Coimbra D Abstract OBJECTIVES: The purpose of this study was to investigate athletes sleep quality before competition and its relationship with age, gender, sport modality, competitive level, competition result, and practice time. Methods: The sample was 1010 Brazilian athletes (656 men and 354 women; 511 young and 499 adults), with an age of 20±7 years old. Participants answered the question "How would you evaluate the quality of your sleep in the past few days?" Participants rated their sleep quality on a Likert-type scale as follows: 1=...
Source: The Physician and Sportsmedicine Online - June 24, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Frequency of overtime and consecutive games and their impact on injury rate in the National Hockey League (NHL).
Conclusion: The weak positive correlation between the number of overtime games within 3 days of a previous overtime game and total injuries in professional ice hockey players suggests that overtime games played within a short period of time places athletes at increased risk for injury. Further studies are necessary to address this on an athlete-by-athlete level. PMID: 32543250 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - June 18, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Proteinuria in a high-altitude 161-km (100-mile) ultramarathon.
CONCLUSION: A majority of runners developed abnormalities in their UDA. Proteinuria was common and found to be associated with serum CK concentration. PMID: 32529961 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - June 14, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Track and Field Injuries Resulting in Emergency Department Visits from 2004 through 2015: An Analysis of the National Electronic Injury Surveillance System.
Conclusions: To develop appropriate injury preventive interventions for track and field athletes, additional studies exploring associations between injury characteristics, namely the mechanisms of injury, and gender, are necessary. PMID: 32510262 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - June 10, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Factors associated with musculoskeletal injuries in an infantry commanders course.
CONCLUSION: With a high prevalence of soldiers injured during and following a commanders course, a somatosensory intervention program should be generalized into the practical daily preparation and training routines of the soldiers for improving somatosensory abilities, optimizing military physical readiness, and for preventing future musculoskeletal injuries. PMID: 32511050 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - June 10, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Sacral stress fracture in an amateur golf player: a case report and literature review.
Authors: Kavukcu E, Akdeniz M Abstract Sacral stress fractures are rare injuries among professional and amateur athletes and are considered to be an uncommon source of low back pain. These type of fractures are mainly seen in competitive, high-impact sports, most commonly in long-distance runners. Sacral stress fractures are usually overlooked in young patients presenting with low back pain without any trauma history. Diagnosis of sacral stress fractures is often delayed because the history and physical examination of these patients are not specific and conventional radiographic images are frequently inadequate. A ...
Source: The Physician and Sportsmedicine Online - June 4, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Head impact exposures in women's collegiate rugby.
Conclusion: The incidence and magnitude of head impacts in collegiate level women's rugby over one season of practices and games were fewer than those reported in other comparable studies. These findings give insight into the impact burden that female collegiate rugby athletes withstand throughout a competitive season. PMID: 32419585 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - May 19, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Herculean mistake: mephentermine associated cardiomyopathy.
Authors: Singal AK, Deepti S, Sharma G, Kothari SS Abstract Case presentation: A 32-year-old professional bodybuilder presented with acute decompensated heart failure. He gave a history of anabolic androgenic steroids (AAS) use for>2 years and mephentermine use for the preceding 3 months.Management: Transthoracic echocardiography showed severe left ventricular (LV) dysfunction with a large pedunculated, mobile thrombus attached to the ventricular apex. The patient had an embolic stroke during the hospital stay, with complete neurological recovery. Following the cessation of mephentermine use, there was...
Source: The Physician and Sportsmedicine Online - May 16, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Tennis-Related Adult Maxillofacial Trauma Injuries.
Conclusions: Facial trauma incurred secondary to tennis may follow patient-specific patterns. The incidence of tennis-related facial trauma is smaller compared to other sports, but the severity of such injuries remain a danger. Facial protection and enforcement in tennis is virtually absent, and these findings strengthen the need to educate athletes, families, and physicians on injury awareness and prevention. PMID: 32400246 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - May 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Did the prevalence of suprascapular neuropathy in professional volleyball players decrease with the changes occurred in serving technique?
Conclusion: A lower prevalence of suprascapular neuropathy was found as compared with that previously reported in the 1980s and 1990s. A reduction in the popularity of the float serve seems to be a possible explanation. Thus, the jump topspin serve could be safe for suprascapular neuropathy and associated injuries in volleyball. The findings of this study should be considered by athletes and coaches for prevention of activity-related injuries. PMID: 32372683 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - May 8, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Initially concealed concussion lowers in-game performance of NCAA Division I football players: A case series.
Conclusions: We reported three college football players who suffered concussions but did not immediately disclose their symptoms. Each had a marked decrease in performance grades after their concussion. If the performance effect of a concussion can be quantified, athletes and coaches may begin to change their mindset that a concussion can be "played through." This case series should serve as a first step in quantifying concussion effects on performance. PMID: 32345080 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - May 1, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Injuries outside of horseracing: is it time to focus on injury prevention of jockeys outside of races?
Conclusion: Injuries to professional jockeys, whilst not as frequent outside of racing, tend to be serious and can affect jockeys financially and impact their availability to ride. Prioritising injury prevention strategies to maximise availability of jockeys to race is important. Education on the importance of reporting all injuries regardless of where they occur is important to ensure their management and rehabilitation. PMID: 32326866 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 26, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Autologous adipose stem cell therapy for knee osteoarthritis: where are we now?
ConclusionsADSCs and SVF seem to produce promising good to excellent clinical results for the treatment of knee OA. However, the length and modalities of follow-up in the different conditions are extremely variable. Nevertheless, it appears that the use of adipose-derived stem cells is associated with clinical and radiological improvements and minimal complication rates. To avoid bias deriving from the use of biological adjuvants or surgical procedures, randomized controlled trials comparing ADSCs or SVF and other treatments (for example platelet rich-plasma or hyaluronic acid injections) should be performed. PMID: 323...
Source: The Physician and Sportsmedicine Online - April 22, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The Effects of Aerobic Exercise on Corpus Callosum Integrity: Systematic Review.
Conclusion: This review provides evidence to suggest that aerobic exercise, and in turn, enhanced cardiorespiratory fitness, are associated with structural and functional outcomes increasing CC integrity. PMID: 32315243 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 22, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Update on Integrative Treatment of Psychiatric Symptoms and Disorders in Athletes.
CONCLUSIONS: Development of specific models of psychiatric intervention for athletes with significant psychopathology and impairment appears to be warranted. These interventions should include individual, family/marital, and group psychotherapy with or without medication using evidence-based treatments. PMID: 32298189 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 18, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Parameters of Cardiac Symptoms in Young Athletes using the Heartbytes Database.
CONCLUSIONS: This study identified several clinical parameters that are associated with symptoms suggestive of abnormal cardiac conditions. Larger studies need to be done to better sort out the clinical history that may contribute to false positives to further reduce false positives at heart screenings. PMID: 32281468 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Comparison of Pediatric Sports Fracture Outcomes Based on Provider Type.
Conclusions: Patients seen by pediatric primary care sports medicine physicians and sports medicine orthopedic surgeons have similar patient-reported fracture outcomes and similar satisfaction with care. Pediatric patients with fractures will likely have favorable outcomes when cared for by either of these subspecialty providers. PMID: 32283983 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The Safety of Sportive Chokes: A Cross-Sectional Survey Based Study.
Conclusion: Based on a convenience sample of 4307 respondents' self-reported data, sportive choking appears to be safe. Only 0.05% experienced ongoing symptoms, which were likely not related to brain ischemia. PMID: 32271638 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 11, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Smoking is an Independent Risk Factor for Complications Following Open Rotator Cuff Repair.
Authors: Best MJ, Aziz KT, Nayar SK, Patten IS, Bansal A, Huish E, Srikumaran U Abstract Objectives: Smoking has been associated with poor cuff healing and worse long-term outcomes in patients undergoing rotator cuff repair. The effects of smoking on short-term complications following open rotator cuff repair are not well defined. The purpose of this study is to analyze the effects of smoking on 30-day outcomes following open rotator cuff repair.Methods: The American College of Surgeons National Surgical Quality Improvement Program was used to identify patients who underwent open rotator cuff repair from 2011 to 20...
Source: The Physician and Sportsmedicine Online - April 9, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The influence of fatiguing exercise on Sport Concussion Assessment Tool (SCAT) scoring in a female pediatric population.
Conclusion: Clinicians using the Child SCAT as a sideline assessment tool during youth sport should have confidence that individual component scores are uninfluenced by aerobic exercise completed immediately prior to assessment. But, clinicians should also be cautioned against using Child SCAT data from consecutive testing days when making decisions about patient recovery and return-to-sport timelines. PMID: 32223686 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 2, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Preliminary investigation of a multimodal enhanced brain function index among high school and collegiate concussed male and female athletes.
This study was registered on clinicaltrials.gov (Objective Brain Function Assessment of mTBI/Concussion in College/high school Athletes NCT02477943, NCT02661633, CAS 13-25 NCT03963804).Results: Concussed athletes exhibited impaired eBFI within 72 h of SRC and at Day 5 compared to controls (p
Source: The Physician and Sportsmedicine Online - April 2, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Youth American Football Quarterback Injuries: A Descriptive Study of 15-years of Retrospective Data.
CONCLUSIONS: The shoulder is the most commonly injured body part among young QBs seeking care in a regional pediatric medical center, although the knee is the most commonly injured body part that requires surgery. Most QB injuries are acute in mechanism and the majority of these acute injuries occur during games. PMID: 32228392 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - April 2, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Prevalence of asymptomatic radiological findings in the groin region: a systematic review.
Conclusions: Asymptomatic adductor and pubic abnormalities on MRI are frequently present but vary greatly between selected studies. No exact conclusions can be drawn about the prevalence of asymptomatic adductor or pubic findings on MRI due to high heterogeneity between studies. Furthermore, the one article about ultrasound was not enough to draw conclusions for ultrasound findings. It is nonetheless clear that clinicians should be careful to make diagnoses purely based on radiologic findings. A thorough clinical examination and individual interpretation conducted by the clinician remains indispensable. PMID: 32213080 ...
Source: The Physician and Sportsmedicine Online - March 29, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Effects of muscular injuries on the technical and physical performance of professional soccer players.
Conclusions: After a moderate or severe muscular injury (causing>8 days lay off), player performance is significantly lower in high-intensity efforts and technical skills such as sprints, maximal running speed, or successful passes. PMID: 32200688 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - March 25, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Adductor Injuries in the National Basketball Association: An Analysis of Return to Play and Player Performance from 2010 to 2019.
Conclusion: Following adductor injury, NBA players returned to gameplay after missing an average of 16 to 17 days, or 7 to 8 games. Adductor injury did not affect player performance, nor game availability or career longevity. PMID: 32202444 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - March 25, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Psychosocial Interventions Help Facilitate Recovery Following Musculoskeletal Sports Injuries: A Systematic Review.
Conclusion: This systematic review demonstrates that psychosocial interventions can facilitate post-injury recovery in athletes by promoting a positive emotional state and rehabilitation adherence. Further research is necessary to determine the most effective psychosocial interventions for specific psychological factors, the ideal duration of interventions, the best method of implementation following sports injury, and the impact of these interventions on return to play. PMID: 32186423 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - March 20, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The Prevalence of Sickle Cell Trait in Division I University Athletics Programs.
CONCLUSIONS: Student-athletes with SCT were a small proportion of the student-athlete population. The majority of SCT student-athletes had no prior knowledge of personal or family history; therefore, it is insufficient to rely on self-reported history. No difference was found between actual and expected prevalence of SCT student-athletes. Due to high proportion of student-athletes who are unaware of their SCT status, institutions should facilitate SCT screening with confirmatory testing for all student-athletes to prevent missed identification of those with SCT. PMID: 32149552 [PubMed - as supplied by publisher] (Sourc...
Source: The Physician and Sportsmedicine Online - March 10, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Concussions in the National Football League: The Evolution of Video Review for Assessing the Frequency and Reliability of Visible Signs.
Authors: Zuckerman SL, Elbin RJ, Sills AK, Crandall JR, Lessley DJ, Moran CM, Moran CD, Solomon GS Abstract Background: The use of video review to document visible signs (VS) of sport-related concussion in the National Football League (NFL) is a novel method to recognize head injuries.Hypothesis/Purpose: The current pilot studies used varying methodologies to: 1) examine the frequency of VS in concussed NFL players using the Australian Football League's (AFL) checklist, and 2) assess the reliability of VS between non-expert and expert raters.Study Design: Cohort studyMethods: In the first pilot study, two non-exper...
Source: The Physician and Sportsmedicine Online - February 19, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Neuromuscular Training for the Prevention of Ankle Sprains in Female Athletes: A Systematic Review.
The objective of this systematic review was to examine the sex-specific effectiveness of neuromuscular training (NMT) programs in reducing the risk of ankle sprains in female athletes. A search of PubMed, Ovid Medline, Embase, and Web of Science databases was performed using the terms: (proprioception OR proprioceptive OR balance OR neuromuscular OR stability OR sensorimotor) AND training AND (ankle sprain OR ankle injury OR inversion injury OR ankle instability) AND (sport* OR athlet* or basketball OR volleyball OR soccer OR handball OR tennis OR netball OR hockey OR softball OR gymnastics OR danc* OR ballet OR cheerlead*...
Source: The Physician and Sportsmedicine Online - February 19, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Understanding Concussion Knowledge and Behavior Among Mixed Martial Arts, Boxing, Kickboxing, and Muay Thai Athletes and Coaches.
Conclusions: Relevant key gaps of knowledge and behavior were verified in combat sports athletes and coaches. The awareness of basic concepts may improve injury reporting and safer behavior in athletes. Knowledge translation strategies with accessible language are recommended for coaches, in particular on how to identify acute symptoms and perform basic assessment. PMID: 32067547 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - February 19, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Lack of Standardization Among Clinical Trials of Injection Therapies for Knee Osteoarthritis: A Systematic Review.
CONCLUSIONS: Research efforts to find the most effective injection therapy for knee OA continue, with a tremendous number of injection therapies still being evaluated. Substantial heterogeneity exists in these completed and ongoing trials in terms of patient demographics, OA grades, outcome scores and relatively short-term timing of assessments, with no clear standardization of testing protocol despite proposing to answer the same clinical question. We recommend that studies of this genre going forward be standardized in terms of outcome measures and longer-term follow-up time points, and should incorporate functional asse...
Source: The Physician and Sportsmedicine Online - February 8, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Injury in elite women's soccer: a systematic review.
Conclusion: The risk of injury in elite female soccer players is multifactorial, complex, and associated with a range of intrinsic, and extrinsic factors. More high-quality studies are needed to investigate each identified risk factor in order to inform effective injury screening. PMID: 32027203 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - February 8, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The Effects of Methylphenidate on Stress Fractures in Patients Age 10-29: A National Database Study.
This study further investigates this effect utilizing a large national database. We hypothesized that individuals on MP would have a reduced risk of SF compared against controls.Methods: This study utilized the Humana insurance data set within the PearlDiver Patient Records Database (PearlDiver Inc, Fort Wayne, Indiana). All patients' ages 10-29 were included and patients were identified without ADHD, with ADHD not on MP, and with ADHD on MP. ADHD and stress fracture diagnoses were identified by International Classification of Disease, Tenth Revision codes. Bivariate analysis of stress fracture occurrence was conducted usi...
Source: The Physician and Sportsmedicine Online - February 7, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Does the MLB's Collision at Home Plate Rule Change Prevent Concussion Injuries in Catchers?
Conclusions: The MLB's rule limiting home plate collisions significantly reduced the number of concussions suffered by MLB catchers.Clinical Relevance: This study provides important insight regarding patterns and injury rates in professional baseball catchers and can serve as a benchmark for discussion about injury prevention in players of this position. To our knowledge, no other study has focused on rule 7.13 and its effect on concussion rates in MLB catchers. PMID: 31961751 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - January 23, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Athletic Trainer Employment, Physician Access and Care Delivery in Secondary Schools.
Conclusions: The majority of ATs have assigned team physicians and a third are employed by a medical group. A high number of ATs reported not having a policy and procedure manual that was developed and reviewed with their team physician. Sports medicine teams within secondary schools, particularly in private schools, should strive to develop and maintain an up-to-date policy and procedure manual that is frequently reviewed with their team physician. PMID: 31961763 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - January 23, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The prevalence of depressive symptoms in high-performance athletes: a systematic review.
Conclusions: Prevention of mental illness in high-performance sports is a novel and emerging field of research interest. This review highlights the prevalence of high depression symptom scores among high-performance athletes. The data collection methods, sample size, sport and athlete population, and tools used to assess depression vary across studies; thus, findings cannot be generalized. This review establishes the need for data collection enhancements with robust longitudinal study designs and standardized depression assessment tools to guide the development of evidence-based mental wellbeing interventions. PMID: 31...
Source: The Physician and Sportsmedicine Online - January 23, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

An Epidemiological Analysis of Yoga-Related Injury Presentations to Emergency Departments in Australia.
This study aimed to analyse the characteristics and trend of yoga-related emergency department (ED) presentations from July 2009 to June 2016 in Victoria, Australia.Methods: The Victorian Emergency Minimum Dataset (VEMD) was used to collect the de-identified data. The data were first analysed using descriptive statistics and Spearman`s correlation. Further injury trend was analysed by calculating percentage change of the number of yoga-related injuries during the seven-year study period. Results: There were 118 yoga-related injury cases that significantly (p
Source: The Physician and Sportsmedicine Online - January 20, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

A two-year prospective study of injuries and illness in an elite national junior tennis program.
CONCLUSION: These findings can inform injury and illness preventative strategies to minimise absence from tennis play and should be prioritised in the under-16 group. Due to the different injury profile between males and females, tailored preventative programs should be developed for males and females individually. PMID: 31928289 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)
Source: The Physician and Sportsmedicine Online - January 15, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research