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Disabled athlete

Leslie Swartz, Jason Bantjes, Bradley Knight, Greg Wilmot, Wayne Derman
PURPOSE: To describe how athletes with disabilities talk about their experiences of participating in competitive disability sport in South Africa. METHOD: In-depth semi-structured interviews were conducted with 20 athletes with disabilities. Data were analysed via thematic content analysis using an inductive data driven process. RESULTS: Participants described their involvement in competitive sport as a positive experience; they described it as a catalyst for the recasting of identities and reframing an understanding of physical impairment, a context for empowerment and resistance of disablist attitudes, and an arena in which a sense of inclusion and belonging is experienced...
October 19, 2016: Disability and Rehabilitation
Andreas Reinke, Michael Behr, Alexander Preuss, Jimmy Villard, Bernhard Meyer, Florian Ringel
OBJECT: Total disc replacement (TDR) is typically indicated in young patients with a cervical soft disc herniation. To date, there are few data on the activity level of patients after cervical TDR; in particular, from young patients who are expected to have a high activity level with frequent exercising. The expectation is that returning to active sports after cervical TDR is not restricted. METHODS: Fifty patients were treated with a monosegmental cervical TDR at our department between May 2006 and March 2012...
October 14, 2016: World Neurosurgery
Raffy Mirzayan, Michael J Lim
BACKGROUND: Osteochondritis dissecans (OCD) of the capitellum is a rare yet debilitating injury seen in young athletes. This is the first report in the literature describing fresh osteochondral allograft transplantation (FOCAT) to treat OCD of the capitellum. METHODS: Nine male baseball players (mean age, 15.3; range, 14-18 years), with OCD of the capitellum were treated with FOCAT. There were 6 pitchers and 3 position players. A ligament-sparing, mini-open approach was used...
November 2016: Journal of Shoulder and Elbow Surgery
Charles E Gaudet, Lisa L Weyandt
OBJECTIVE: Computerized neuropsychological assessment of concussion has rapidly expanded and Immediate Post-Concussion and Cognitive Testing (ImPACT) is among the most commonly used measures in this domain. ImPACT was primarily developed for use with athletic populations but continues to expand beyond athletics to settings such as the workplace and schools where motivational dispositions may vary. The purpose of the present study was to conduct a systematic review of existing research investigating the prevalence of invalid baseline results and the effectiveness of ImPACT's embedded invalidity indicators in detecting suspect effort...
August 10, 2016: Clinical Neuropsychologist
Stephen Pack, Sasha Kelly, Monna Arvinen-Barrow
PURPOSE: The purpose of this study was to explore the role of swimming on Paralympic athletes' perceptions of self and identity development. METHOD: A hermeneutic phenomenological approach was taken. During semi-structured interviews, five Paralympic swimmers (aged 20-24 years) were asked questions about their swimming career, perceptions of self, integration, and impairment. Interviews were audio-recorded and transcribed verbatim. RESULTS: An Interpretative Phenomenological Analysis yielded three superordinate themes: (a) "One of the crowd"; none of the participants viewed themselves as disabled, nor as supercrips; these perceptions stemmed from family-, school-, and swimming-related experiences, (b) "Becoming me"; participation in swimming facilitated self- and social-acceptance, and identity development, and c) "A badge of honor"; swimming presented opportunity to present and reinforce a positive identity...
September 27, 2016: Disability and Rehabilitation
M Szczupak, M E Hoffer, S Murphy, C D Balaban
Traumatic brain injury is an increasingly common public health issue, with the mild variant most clinically relevant for this chapter. Common causes of mild traumatic brain injury (mTBI) include motor vehicle accidents, athletics, and military training/deployment. Despite a range of clinically available testing platforms, diagnosis of mTBI remains challenging. Symptoms are primarily neurosensory, and include dizziness, hearing problems, headaches, cognitive, and sleep disturbances. Dizziness is nearly universally present in all mTBI patients, and is the easiest symptom to objectify for diagnosis...
2016: Handbook of Clinical Neurology
Megan N Houston, Johanna M Hoch, Bonnie L Van Lunen, Matthew C Hoch
CONTEXT: Health-related quality of life (HRQOL) is a broad term for the impact of injury or illness on physical, psychological, and social health dimensions. Injury has been associated with decreased HRQOL in athletes. However, the influence of injury history, participation status, time since last injury, and injury severity on HRQOL remains unclear. OBJECTIVE: To compare HRQOL in collegiate athletes based on injury history, participation status, time since last injury, and injury severity and to examine relationships between HRQOL outcomes...
August 24, 2016: Journal of Sport Rehabilitation
Jonathan A Weiss, Priscilla Burnham Riosa, Suzanne Robinson, Stephanie Ryan, Ami Tint, Michelle Viecili, Jennifer A MacMullin, Rebecca Shine
BACKGROUND: Many individuals with intellectual disabilities experience challenges to participating in organized sport, despite its known benefits. The aim of this qualitative study was to understand the experiences of participating in sport (Special Olympics) from the perspectives of athletes with intellectual disabilities. METHODS: Five participants (13-33 years of age) took part in a photo-elicitation project during a 1-month period. RESULTS: Our thematic analysis of participant photographs and descriptions revealed the following athlete themes: 'Connectedness' and 'Training in Sport'...
September 14, 2016: Journal of Applied Research in Intellectual Disabilities: JARID
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ronald J Feise, Ebrahim Entezary
AIM: To validate the culturally-adapted Persian Functional Rating Index (PFRI) for assessing neck pain (NP) in athletes. METHODS: In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated and responded to the PFRI. Fifty athletes with NP completed the PFRI for at least 7 d later to establish test-retest reliability. RESULTS: The athletes with NP responded to all items, indicating excellent clinical utility. No floor and ceiling effects were found, indicating content validity and responsiveness...
August 18, 2016: World Journal of Orthopedics
Amol Saxena, Andrew Yun, Rajan Patel, Ludger Gerdesmeyer, Nicola Maffulli
The purpose of the present study was to evaluate the efficacy of radial soundwave therapy (RSW) for the management of sesamoiditis, symptomatic bipartite sesamoids, and avascular necrosis in athletic patients. The data from 10 patients undergoing RSW for sesamoiditis were retrospectively studied. Three treatments at 2.4 Bar and 13 Hz, for a total of 2500 pulses in each session, were administered to the affected sesamoid approximately 1 week apart. The Roles and Maudsley score and the visual analog scale (VAS) were used to assess disability and pain...
September 8, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Timothy E Hewett, Gregory D Myer, Kevin R Ford, Mark V Paterno, Carmen E Quatman
Economic and societal pressures influence modern medical practice to develop and implement prevention strategies. Anterior cruciate ligament (ACL) injury devastates the knee joint leading to short term disability and long term sequelae. Due to the high risk of long term osteoarthritis in all treatment populations following ACL injury, prevention is the only effective intervention for this life-altering disruption in knee health. The 'Sequence of Prevention' Model provides a framework to monitor progress towards the ultimate goal of preventing ACL injuries...
September 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Alessandra Di Cagno, Carlo Minganti, Federico Quaranta, Eugenio M Pistone, Federica Fagnani, Giovanni Fiorilli, Arrigo Giombini
BACKGROUND: The aim of this intervention study was to determine the effects of a new experimental cervical pillow, on symptomatic adults affected by chronic mechanical neck pain. METHODS: Twelve recreational athletes of both sexes (mean age 40.5 years; range 35-55), affected by grade II chronic mechanical neck pain, were evaluated with a daily diary type of self- report questionnaire, which incorporated an 11-point Numerical Rating Pain Scale, to collect the primary outcome measures of pre and post-sleep neck pain and with the Neck Pain Disability Scale...
September 8, 2016: Journal of Sports Medicine and Physical Fitness
V M Morey, H Singh, P Paladini, G Merolla, V Phadke, G Porcellini
QUESTIONS/PURPOSES: Although the posterior labral tears of the shoulder are known for their disabling clinical course, especially in overhead athletes, no clinical test used in isolation can diagnose it accurately in the preoperative period. We wanted to: (1) introduce "Porcellini test" with its radiological verification furnishing the anatomical basis of its mechanism; (2) determine its accuracy; and (3) compare its accuracy with that of the other established tests for diagnosing posterior labral tears of the shoulder...
September 3, 2016: Musculoskeletal Surgery
Odysseas Paxinos, Alexandra Karavasili, Manolis Manolarakis, Thrasivoulos Paxinos, Athanasios Papavasiliou
We report the case of a 16-year-old elite gymnast who presented with recurring pain in the left shoulder after training. The athlete recalled an injury to the shoulder 2 years ago. Clinically a localized tenderness to the anterior shoulder and loss of strength and range of motion was noted. Imaging investigation suggested a neglected lesser tuberosity avulsion. The athlete was treated with open excision of the deformed tuberosity and direct repair of the subscapularis to the humeral head. Following a careful postoperative rehabilitation protocol the athlete was able to return to unrestricted gymnastics after 6 months...
July 2014: Shoulder & Elbow
Kristina Fagher, Jenny Jacobsson, Toomas Timpka, Örjan Dahlström, Jan Lexell
BACKGROUND: Paralympic sport provides sporting opportunities for athletes with a disability, with the Paralympic Games as the main event. Participation in sport is, however, associated with a significant risk for sustaining injuries and illnesses. Our knowledge of sports-related injuries and illnesses in Paralympic sport is very limited and there are no large-scale epidemiological cohort studies. The purpose here is to present a protocol for a prospective longitudinal study: The Sports-Related Injuries and Illnesses in Paralympic Sport Study (SRIIPSS)...
2016: BMC Sports Science, Medicine and Rehabilitation
Simon Lee, Andrew Kuhn, Pete Draovitch, Asheesh Bedi
Femoroacetabular impingement may be particularly disabling to the high-demand athlete, especially those with significant cutting and pivoting requirements. If nonoperative treatment fails to adequately alleviate symptoms or sufficiently restore function in the athlete, hip arthroscopy can lead to improved pain, improved range of motion, and high rates of return to play with proper postoperative rehabilitation. The rate of return to previous level of competition is also high with accurate diagnosis and well-executed correction of deformity...
October 2016: Clinics in Sports Medicine
Andrea Halim, Arnold-Peter C Weiss
Wrist and hand injuries are common among athletes, and can lead to considerable disability. Dislocations and soft tissue injuries are common and require prompt recognition and treatment. Accurate diagnosis and early immobilization are often key to getting players back to their sport early. Some injuries require surgery; operative intervention allows the player to return to their sport more quickly or with less long-term disability. This article discusses the spectrum of injury from distal radius fractures to mallet fingers, and offers some general guidelines for the surgeon in how to counsel and treat athletes with these problems...
October 2016: Clinics in Sports Medicine
M Brett Raynor, Marilee P Horan, Joshua A Greenspoon, J Christoph Katthagen, Peter J Millett
BACKGROUND: Outcomes after arthroscopic pancapsular capsulorrhaphy (APC) with suture anchors for multidirectional instability (MDI) of the shoulder are not widely reported. PURPOSE: To compare intraoperative findings and midterm outcomes of APC with suture anchors for MDI between female and male athletes and between a classic, atraumatic onset versus clinical onset of MDI after a traumatic event. STUDY DESIGN: Cohort study; Level of evidence, 3...
August 19, 2016: American Journal of Sports Medicine
Rachel Patrick, Josh McGinty, Ann Lucado, Beth Collier
BACKGROUND: Ulnar collateral ligament (UCL) tears and associated Tommy Johns surgical intervention from excessive and poor quality pitching has increased immensely-with more college and professional pitchers undergoing the surgery in 2014 alone than in the 1990s as a whole.(1) Faulty mechanics developed at young ages are often well-engrained by the late adolescent years and the minimal healing ability of the largely avascular UCL often leads to delayed safe return to sport.(2). PURPOSE: The purpose of this case study was to describe an innovative, multimodal approach to conservative management of a chronic UCL injury in a college-aged baseball pitcher...
August 2016: International Journal of Sports Physical Therapy
Rachel Arnold, Christopher R D Wagstaff, Lauren Steadman, Yasmin Pratt
Organisational stressors have been found to be prevalent and problematic for sport performers, with research identifying demographic differences in the stressors encountered. Nevertheless, extant sport psychology research on the topic of stress has generally focused on able-bodied athletes; whilst that which has been conducted on performers with a disability has typically recruited relatively small samples to explore a narrow selection of organisational stressors, or examined other components of the stress process...
July 29, 2016: Journal of Sports Sciences
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