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Disability in sport

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
Ning Li, Tie Yang, Peng Yu, Junling Chang, Liao Zhao, Xingang Zhao, Imad H Elhajj, Ning Xi, Lianqing Liu
Stroke has become the leading cause of disability and the second-leading cause of mortality worldwide. Dyskinesia complications are the major reason of these high death and disability rates. As a tool for rapid motion function recovery in stroke patients, exoskeleton robots can reduce complications and thereby decrease stroke mortality rates. However, existing exoskeleton robots interfere with the wearer's natural motion and damage joints and muscles due to poor human-machine coupling. In this paper, a novel ergonomic soft bionic exoskeleton robot with 7 degrees of freedom was proposed to address these problems based on the principles of functional anatomy and sports biomechanics...
August 8, 2018: Bioinspiration & Biomimetics
Julius Jooste, Alliance N Kubayi
BACKGROUND: An understanding of psychological welfare in sport is essential for the advancement of coach development frameworks and practices to meet the needs of contemporary disabled athletes. OBJECTIVE: This study investigated the perceived coach leadership style and psychological well-being (PWB) of South African senior national level male wheelchair basketball players (n = 16, Mage  = 32.13, SD = 6.62 years). METHODS: An exploratory, quantitative cross-sectional study design was employed in which the Leadership Scale for Sport, Subjective Vitality Scale, and Ryff's Psychological Well-being Scale were utilised to collect the data...
July 25, 2018: Disability and Health Journal
Georgina L Clutterbuck, Megan L Auld, Leanne M Johnston
BACKGROUND: Modified sport interventions run by physiotherapists have shown potential as cost-effective, engaging, and effective interventions to improve gross motor skills and support transition to real-world sports participation for children with cerebral palsy. At present, this population demonstrates decreased participation in physical activities and sport compared to peers due to barriers ranging from body function to accessibility challenges. Sport provides culturally relevant opportunities for social integration, community participation and physical activity and has been shown to improve the fitness, self-esteem, confidence and quality of life of children with disabilities...
August 2, 2018: BMC Pediatrics
Michael K Cerny, Philipp Moog, Anna-Theresa Bauer, Daniel Schmauss, Laszlo Varga, Matthias M Aitzetmueller, Hans-Günther Machens, Dominik Duscher, Holger Erne
INTRODUCTION: Regardless of the good outcomes of conservatively treated fingertip injuries, many patients complain about volume defects and hypoesthesia. Injection of autologous fat into the defect zone may resolve the volume problem and stimulate digital nerve regeneration by adipose derived stem cell transplantation. METHODS: We analyzed 5 volume defects resulting from conservatively treated fingertip injuries in 4 patients (male to female ratio, 2:2), 6 months after the injection of autologous abdominal fat into the defect zone retrospectively...
July 31, 2018: Annals of Plastic Surgery
R Ricchiuti, N Postiglione, F Gallé, G Liguori
The promotion of physical activity is one of the main prevention strategies because of its fundamental role in reducing the risk of developing the major chronic diseases causing disability and death. Consistently with the approach of "health in all policies" for different age classes and health conditions, the Italian Ministry of Health identifies physical activity as a valid and economically sustainable instrument of prevention and health promotion for all the community. By highlighting the preventive role of physical activity, the Italian Government has recently inserted specific services regarding physical activity promotion among the Essential Levels of Care...
September 2018: Annali di Igiene: Medicina Preventiva e di Comunità
Daniel M Costello, Andrew H Kaye, Terence J O'Brien, Sandy R Shultz
Sport-related concussion is a common form of mild traumatic brain injury that is now recognised as a serious health issue. Growing evidence suggests concussion may result in long-term and severe neurological disabilities. Recent research into the diagnosis and management of concussion may provide new approaches to concussion management that limit the potential long-term adverse effects of concussion. This paper summarises the problem of sport-related concussion and reviews key factors (sex, age, genetics) that may modify concussion outcomes...
July 25, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Sandeep Mannava, Marilee P Horan, Salvatore J Frangiamore, Zaamin B Hussain, Erik M Fritz, Jonathan A Godin, Jonas Pogorzelski, Peter J Millett
Background: Patients are staying active longer and expect to return to sports or continue participating in recreational activities after total shoulder arthroplasty (TSA) for primary glenohumeral osteoarthritis. Purpose/Hypothesis: The purpose of this study was to assess the ability of patients to return to recreational sports following TSA. We hypothesized that TSA would allow a high rate of return to recreational sports. Study Design: Case series; Level of evidence, 4...
July 2018: Orthopaedic Journal of Sports Medicine
Steven Nagib, Shelley W Linens
Clinical Scenario: Every year, millions of people suffer a concussion. A significant portion of these people experience symptoms lasting longer than ten days, and are diagnosed with post-concussion syndrome. Dizziness is the second most reported symptom associated with a concussion, and may be a predictor of prolonged recovery. Clinicians are beginning to incorporate vestibular rehabilitation therapy in their post concussion treatment plan, in order to address the dysfunctional inner ear structures that could be causing this dizziness...
July 24, 2018: Journal of Sport Rehabilitation
Srino Bharam, Daniel P Feghhi, David A Porter, Priyal V Bhagat
Background: Sports-related groin injuries are common among athletes. However, traumatic proximal adductor avulsion injuries are relatively rare groin injuries in the athletic population, with limited case reports describing suture anchor repair. Purpose: To report on the outcomes of surgical reattachment of proximal adductor avulsion injuries in athletes utilizing a suture anchor repair technique. Study Design: Case series; Level of evidence, 4...
July 2018: Orthopaedic Journal of Sports Medicine
Nikolaus W Lang, Adam Bukaty, Geraldine D Sturz, Patrick Platzer, Julian Joestl
INTRODUCTION: There remains as of yet no consensus on the optimal treatment for total or partial distal biceps tendon repairs. As such, the purpose of this study was to assess functional outcome, the impact of complications and cost effectiveness, in patients undergoing primary distal biceps tendon repair by either cortical button (CB), transosseous suture (TO) or suture anchor (SA). HYPOTHESIS: There is no difference in functional outcome and cost effectiveness, in patients undergoing distal biceps tendon repair...
July 20, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Kade L Paterson, Kim L Bennell, Tim V Wrigley, Ben R Metcalf, Penny K Campbell, Jessica Kazsa, Rana S Hinman
BACKGROUND: Knee osteoarthritis (OA) is a leading cause of musculoskeletal pain and disability globally, and abnormal knee loading is central to disease pathogenesis. Clinical guidelines recommend clinicians provide advice regarding appropriate footwear for people with knee OA, yet there is little research comparing the effects of different footwear on knee OA symptoms. Research suggests that wearing flat flexible shoes is associated with lower knee joint loads compared to stable supportive shoe styles...
July 18, 2018: BMC Musculoskeletal Disorders
Farzin Farahbakhsh, Maryam Akbari-Fakhrabadi, Ardalan Shariat, Joshua A Cleland, Farbod Farahbakhsh, Tohid Seif-Barghi, Mohammad Ali Mansournia, Mohsen Rostami, Ramin Kordi
This population-based, cross-sectional study aimed to determine the frequency of neck pain, low back pain (LBP) and also the LBP related functional disability in five sport categories including football, volleyball, basketball, wrestling, and other sports in one of the Iranian sport Olympiads. The prevalence of neck pain and LBP in different time points was evaluated with the use of an interview questionnaire. A visual analogue scale was used to evaluate the athlete's current pain. Furthermore, the functional disability related to LBP was assessed by the Athletes Disability Index Questionnaire (ADI)...
June 2018: Journal of Exercise Rehabilitation
Derek T Bernstein, Patrick C McCulloch, Leland A Winston, Shari R Liberman
BACKGROUND: Treatment of thumb ulnar collateral ligament (UCL) ruptures in elite athletes aims to restore thumb stability while minimizing lost playing time. Thus, surgical repair with early protected return to play in a thumb spica cast has been advocated. The purpose of this study was to document adjacent joint dislocations after primary surgical repair sustained during protected return to play with thumb spica casting in elite-level football players. METHODS: Three Division I collegiate starting linemen sustaining adjacent joint dislocations in thumb spica casts following acute surgical repair of ipsilateral thumb UCL ruptures were retrospectively reviewed...
July 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
Gary N Siperstein, Avery B Albert, Holly E Jacobs, Karen J Osborne, Jeffrey E Stokes
BACKGROUND AND AIMS: The use of the word retard ("the r-word") among adolescents sheds light on societal views about individuals with intellectual disability and the need to address the colloquial use of this word and its underlying stigma. Schools provide an important platform for intervening to promote social change among youth. The present study examined the impact of a schoolwide social inclusion program on students' bystander behavior against the use of the r-word. METHODS AND PROCEDURES: 1233 students from 5 high schools were surveyed about the prevalence of the r-word in their school, the contexts in which it is used, and their bystander behavior in response to the word...
September 2018: Research in Developmental Disabilities
Alexander Klug, Yves Gramlich, Johannes Buckup, Dennis Wincheringer, Reinhard Hoffmann, Kay Schmidt-Horlohé
BACKGROUND: Comminuted fractures of the proximal ulna remain a great challenge in orthopedic surgery. The purpose of this study was to report the outcomes of comminuted proximal ulna fractures treated with a new construct type-anatomically preformed polyaxial locking compression plates. METHODS: Between 2013 and 2016, 46 patients with isolated comminuted fractures were treated with a 2.7-/3.5-mm VA-LCP Olecranon Plate (Synthes, Umkirch, Germany). Of these, 44 were available for an assessment after a mean follow-up period of 2...
July 10, 2018: Journal of Shoulder and Elbow Surgery
Emily A Hall, Andrea K Chomistek, Jackie J Kingma, Carrie L Docherty
CONTEXT:   Assessing global, regional, and fear-of-reinjury outcomes in individuals with chronic ankle instability (CAI) is critical to understanding the effectiveness of clinical interventions. OBJECTIVE:   To determine the improvement of patient-reported outcomes after balance- and strength-training and control protocols among participants with CAI. DESIGN:   Randomized controlled clinical trial. SETTING:   Athletic training research laboratory...
June 2018: Journal of Athletic Training
J R Silver
The disabled sports movement is considered to have started in 1948 when, under the aegis of Ludwig Guttmann, England hosted the first wheelchair games at Stoke Mandeville Hospital. In this review, we challenge the assumption that sport for disabled people started after the Second World War and contend that it was already practised in an organised fashion in France, Germany and the UK before and after the First World War.
June 2018: Journal of the Royal College of Physicians of Edinburgh
Andrea Morris, Christine Imms, Claire Kerr, Brooke Adair
PURPOSE: Short-term physical activity programs may encourage adolescents with cerebral palsy to participate in physical activity but how to sustain their involvement is not well known. This qualitative study aimed to identify facilitators that successfully sustain physical activity participation by adolescents with cerebral palsy. MATERIALS AND METHODS: Adolescents (12-18 years) with cerebral palsy [Gross Motor Function Classification System (GMFCS) levels I-V, without moderate-severe intellectual disability] who participated in regular physical activity were eligible, as well as one parent and an individual who facilitated their physical activity...
July 10, 2018: Disability and Rehabilitation
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