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Disability in sport

Niveditha Devasenapathy, Ralph Maddison, Rajesh Malhotra, Sanjay Zodepy, Saket Sharma, Daniel L Belavy
Background: One-third of individuals report limitations in activities of daily living even 6 months after total knee arthroplasty (TKA). Moderate-quality evidence exists for several sociodemographic and clinical predictors of patient-reported outcome measures of perceived functionality. Objectively measured performance-based measures (PBMs) provide a less subjective approach to informing patient treatment after TKA; however, there is a dearth of information on predictors of functionally relevant PBMs...
October 17, 2018: Physical Therapy
Mauro A S Melloni, Josiel De Almeida Ávila, Mauro Alexandre Páscoa, Camila Justino De Oliveira Barbeta, Vagner Xavier Cirolini, Ezequiel M Gonçalves, Gil Guerra-Júnior
BACKGROUND: Musculoskeletal injuries are the main cause of premature discharge from military service and can sometimes lead to permanent disabilities. Some intrinsic risk factors are well discussed in the literature. However, the relation between body composition variables and the risk for musculoskeletal injury is not well known or recognized. METHODS: This prospective study evaluated 205 Brazilian military students. At the beginning of military service, health status and sports experience prior to military service were registered...
October 17, 2018: BMC Musculoskeletal Disorders
Kimiko Tomioka, Norio Kurumatani, Keigo Saeki
BACKGROUND: Participation in leisure activities (LA) is essential for successful aging. Our aim was to investigate the cross-sectional association of types of LA with self-rated health (SRH) by gender and work status. METHODS: The target population was all residents aged ≥65 years in a municipality (n = 16,010, response rate of 62.5%). We analyzed 4,044 men and 4,617 women without disabilities. LA were categorized into 14 types. SRH was assessed through the SF-8...
October 13, 2018: Journal of Epidemiology
Tamir Ailon, Jin Tee, Neil Manson, Hamilton Hall, Ken Thomas, Y Raja Rampersaud, Albert Yee, Nicolas Dea, Andrew Glennie, Chris Bailey, Sean Christie, Michael H Weber, Andrew Nataraj, Jerome Paquet, Mike Johnson, Jonathan Norton, Henry Ahn, Greg McIntosh, Charles G Fisher
STUDY DESIGN: Retrospective review of results from a prospectively collected Canadian cohort in comparison to published literature. OBJECTIVES: (1) To investigate whether patients in a universal health care system (HCS) have different outcomes than those in a multi-tier HCS in surgical management of degenerative spondylolisthesis (DS). (2) To identify independent factors predictive of outcome in surgical DS patients. SUMMARY OF BACKGROUND DATA: Canada has a national health insurance program with unique properties...
October 9, 2018: Spine Journal: Official Journal of the North American Spine Society
A Sundén, K Lidengren, E M Roos, L S Lohmander, E Ekvall Hansson
BACKGROUND: The Hip disability and Osteoarthritis Outcome Score (HOOS) is a self-administered hip-specific questionnaire intended to evaluate symptoms and functional limitations, and it is commonly used to evaluate interventions in individuals with hip dysfunction or hip osteoarthritis. The HOOS consists of 43 questions in five subscales: Pain, Symptoms, Function in daily living, Function in sport and recreation and Hip-Related Quality of Life. This study aimed to establish population-based reference values for the HOOS and to describe the variation of hip-related symptoms in an adult population...
October 11, 2018: Health and Quality of Life Outcomes
Bethapudi S, R S D Campbell
The pattern and mechanism of sports injuries in disabled athletes and the challenges to overcome such injuries is well documented. However, there is limited information regarding the specifics of medical imaging of the injured disabled athletes. This article, reflects on the experience gained during the organisation and provision of the imaging services for the London 2012 Paralympic games. The knowledge gained during these games, in conjunction with information from the existing literature on sporting injuries in disabled athletes can help planning and delivery of well-coordinated imaging services at major disability sporting events...
July 20, 2018: European Journal of Radiology
Adam J Kruse, Andrew S Nugent, Andrew R Peterson
Purpose: Traumatic brain injury (TBI) is a significant cause of death and disability in the United States. Many patients with TBI are initially treated in the emergency department (ED), but there is no evidence-based method of detecting or grading TBI in patients who have normal structural neuroimaging. This study aims to evaluate the validity of two common sideline concussion tests. The Concussion Symptom Severity Score (CSSS) and modified Balance Error Scoring System (mBESS) tests are well-validated sideline tests for concussion, but have not been validated in the setting of non-sport-related concussion, in settings other than the sideline or athletic training room or in moderate or severe TBI...
2018: Open Access Emergency Medicine: OAEM
Cheri A Blauwet
Although people with disabilities make up a large proportion of our global population and are known to be disproportionately impacted by sedentary lifestyles leading to chronic disease, programs promoting physical activity often fail to address their unique needs. Both environmental and attitudinal factors also act as barriers to full participation. In this context, increasing evidence shows the positive impact of physical activity and sport on outcomes related to physical health, mental health, community participation, and, in some cases, neurorecovery for people with disabilities...
October 4, 2018: American Journal of Physical Medicine & Rehabilitation
Mario Ciccotti, Anna Raguzzini, Tommaso Sciarra, Giovina Catasta, Paola Aiello, Cosimo Buccolieri, Raffaella Reggi, Maura Palmery, Florigio Lista, Ilaria Peluso
Veterans with disability represent a big burden worldwide and often require long-term rehabilitation. Unhealthy dietary and lifestyle habits, including smoke and alcohol abuse, are common in veterans. In the context of integrative medicine approaches, the "complementary and alternative medicine" has been suggested for the management of chronic diseases. However, the potential risk of interaction between herbal products, dietary supplements and drugs must be considered in veterans. The Mediterranean diet has been suggested as a natural, non-pharmacological nutraceutical for healthy ageing...
October 3, 2018: Current Pharmaceutical Design
Diane W Braza, Moriah Iverson, Kenneth Lee, Candace Hennessy, David Nelson
OBJECTIVE: To i) initiate community-academic partnerships in the area of adaptive sports and recreation (ASR) and ii) develop an understanding of local ASR opportunities and how they are used by individuals with disabilities (ID). DESIGN: Clinicians at an academic medical center (AMC) identified a lack of knowledge regarding local ASR opportunities as a barrier to developing strategies to increase physical activity (PA) among ID. Partnerships with community organizations serving ID were formed to increase awareness of ASR opportunities...
2018: Progress in Community Health Partnerships: Research, Education, and Action
Jeffrey G Caron, Kathleen A Martin Ginis, Meredith Rocchi, Shane N Sweet
OBJECTIVE: To create a parsimonious, psychometrically-sound measure of experiential aspects of participation (MeEAP) for people with physical disabilities. DESIGN: Cross-sectional. SETTING: Online survey PARTICIPANTS: Respondents were a purposive sample of 228 adults (n = 118 female, Mage = 49.66, SD = 14.71, Range = 19-83). Each respondent indicated having a physical disability and participating in employment, mobility, sport, and/or exercise life domains...
September 27, 2018: Archives of Physical Medicine and Rehabilitation
Jesús Guodemar-Pérez, Montserrat Ruiz-López, Elena Rodríguez-López, Pablo García-Fernández, Juan Pablo Hervás-Pérez
The aim of this study is to offer physiotherapists a synthesis of the main therapeutic tools available for the treatment of musculoskeletal pathologies in patients with haemophilia, according to the scientific literature. Although bleeds are recognised as no longer being a cause of death for people with haemophilia, the accompanying musculoskeletal injuries now represent the main problem associated with this disorder. There is a lack of clear guidelines to date regarding the physiotherapy treatment of these disorders...
August 2018: Hämostaseologie
Sergio E Flores, Joseph R Sheridan, Kristina R Borak, Alan L Zhang
BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) has been shown to improve patient outcomes, especially for returning to sport. Although previous studies often evaluated outcomes 2 years after hip arthroscopy, there has been no analysis of the progression of patient improvement over time or with respect to achieving the minimal clinically important difference (MCID). Hypothesis/Purpose: The purpose of this study was to prospectively evaluate changes in patient-reported outcome (PRO) scores during the first 2 years after hip arthroscopy for FAI and to analyze when the MCID is achieved...
September 18, 2018: American Journal of Sports Medicine
Amelia J H Arundale, Mario Bizzini, Airelle Giordano, Timothy E Hewett, David S Logerstedt, Bert Mandelbaum, David A Scalzitti, Holly Silvers-Granelli, Lynn Snyder-Mackler
The Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy have an ongoing effort to create evidence-based clinical practice guidelines (CPGs) for orthopaedic and sports physical therapy management and prevention of musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability and Health (ICF). This particular guideline focuses on the exercise-based prevention of knee injuries. J Orthop Sports Phys Ther. 2018;48(9):A1-A42...
September 2018: Journal of Orthopaedic and Sports Physical Therapy
Gregor Wolbring, Brian Martin
From recreational to elite levels, sport has many benefits for disabled people. At the same time, it is acknowledged that there is a trickle-down problem from para-elite sport to sport participation of disabled people, in general. Newspapers are one form of media that sets agendas and influences public opinion. Many studies have highlighted problematic aspects of parasport and para-athlete coverage in newspapers. Paratriathlon was one of two new events added to the Paralympics in Rio 2016, which increased its visibility in the public domain...
August 29, 2018: Sports
Claire Gross, Monica Rho, Daniel Aguilar, Maria Reese
Hip problems are common in ballet dancers, and it is likely that dancers' perceived quality of life is impaired by their presence. There are no instruments to detect functional impairments related to hip injuries in young, athletic populations. The aim of this study was to evaluate the impact of hip related problems on the quality of life in professional ballet dancers. Thirty-seven professional ballet dancers, ages 18 to 33, completed a post-hire health screening prior to the start of their company's season...
September 15, 2018: Journal of Dance Medicine & Science
Christopher Tomlinson, Alastair Campbell, Alison Hurley, Eoin Fenton, Neil Heron
Down syndrome (DS) is a clinical syndrome comprising typical facial features and various physical and intellectual disabilities due to extra genetic material on chromosome 21, with one in every 1000 babies born in the United Kingdom affected. Patients with Down syndrome are at risk of atlantoaxial instability (AAI). Although AAI can occur in other conditions, such as rheumatoid arthritis, this position statement deals specifically with patients with DS and asymptomatic AAI. Atlantoaxial instability, also referred to as atlantoaxial subluxation, is defined as increased movement between the first (atlas) and second (axial) cervical vertebra joint articulation, the atlantoaxial joint...
August 15, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Saskia J Te Velde, Kristel Lankhorst, Maremka Zwinkels, Olaf Verschuren, Tim Takken, Janke de Groot
BACKGROUND: Little evidence is available about how sports participation influences psychosocial health and quality of life in children and adolescents with a disability or chronic disease. Therefore, the aim of the current study is to assess the association of sports participation with psychosocial health and with quality of life, among children and adolescents with a disability. METHODS: In a cross-sectional study, 195 children and adolescents with physical disabilities or chronic diseases (11% cardiovascular, 5% pulmonary, 8% metabolic, 8% musculoskeletal/orthopaedic, 52% neuromuscular and 9% immunological diseases and 1% with cancer), aged 10-19 years, completed questionnaires to assess sports participation, health-related quality of life (DCGM-37), self-perceptions and global self-worth (SPPC or SPPA) and exercise self-efficacy...
August 15, 2018: Sports Medicine—Open
Jill G Putnam, Ryan M DiGiovanni, Sean M Mitchell, Paulo Castañeda, Scott G Edwards
PURPOSE: Currently, there is no consensus on the optimal treatment for scaphoid nonunion with avascular necrosis (AVN). Various techniques, often involving vascularized corticocancellous bone grafting, have been proposed. The authors hypothesized that similar outcomes might be possible with volar plate fixation augmented with autogenous pure cancellous graft. METHODS: The authors performed a retrospective chart review of 13 cases of scaphoid nonunions with AVN in 12 patients treated with plate fixation and pure cancellous bone grafting...
August 10, 2018: Journal of Hand Surgery
Sarah Stewart, Angela Brenton-Rule, Nicola Dalbeth, Ashok Aiyer, Christopher Frampton, Keith Rome
OBJECTIVE: To determine characteristics of the foot and ankle in people with systemic lupus erythematosus (SLE). METHODS: Medline, CINAHL, Sports-Discus, Scopus and Cochrane Library databases were searched up to January 2018. Studies reporting foot- and ankle-related outcomes in the following domains were included: vascular, neurological, musculoskeletal, cutaneous (skin and nail) or pain/function. The Quality Index tool was used to assess methodological quality...
August 6, 2018: Seminars in Arthritis and Rheumatism
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