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Return to play protocol

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https://www.readbyqxmd.com/read/28218561/scandcleft-randomised-trials-of-primary-surgery-for-unilateral-cleft-lip-and-palate-3-descriptive-study-of-postoperative-nursing-care-following-first-stage-cleft-closure
#1
Patricia Bannister, Nina Lindberg, Karin Jeppesen, Ulla Elfving-Little, Ann-Margritt Semmingsen, Anna Paganini, Annica Gustavsson, Emma Slevin, Gry Jacobsen, Phil Eyres, Gunvor Semb
BACKGROUND: Cleft lip and palate is one of the most common congenital anomalies requiring surgical treatment in children, normally commenced in the first year of life. Following the initiation of a group of multicentre surgical trials of primary surgery, variations in postoperative recovery and management became apparent. An agreement was made for a nurse-led survey in eight surgical centres to document postoperative care and recovery. MATERIALS AND METHODS: A postoperative recovery clinical report form was developed to capture relevant data for the children participating in the four arms of the trials...
February 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28211600/feasibility-of-early-physical-therapy-for-dizziness-after-a-sports-related-concussion-a-randomized-clinical-trial
#2
J C Reneker, A Hassen, R S Phillips, M C Moughiman, M Donaldson, J Moughiman
The purpose of this study was to (a) assess the feasibility of recruitment/retention of participants, protocol/resource management, and participant safety, and (b) estimate the size of the effect between the experimental and control groups. This was a feasibility study conducted as a prospective pilot double-blind randomized clinical trial. Subjects aged 10-23 years old with acute concussion and dizziness were enrolled from sports medicine centers. Forty-one participants were randomized into treatment and were seen for physical therapy beginning at 10 days post-concussion...
February 17, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28188336/injuries-of-the-obturator-muscles-in-professional-soccer-players
#3
Manuel Wong-On, Antonio Turmo-Garuz, Rafael Arriaza, Jose Manuel Gonzalez de Suso, Luis Til-Perez, Xavier Yanguas-Leite, David Diaz-Cueli, Xavier Gasol-Santa
PURPOSE: Obturator externus and internus muscular tears are uncommon injuries. Only a few case reports exist, mainly in high-level athletes. Our aim is to describe a series of obturator externus and internus muscular tears in professional soccer players. METHODS: Injury data from four teams from the First Division of the Spanish Soccer League were collected over a total of four seasons. Any soccer player who sustained an injury to either the obturator externus or internus identified on magnetic resonance (MRI) was included...
February 10, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28152320/fighting-to-keep-a-sport-safe-toward-a-structured-and-sport-specific-return-to-play-protocol
#4
Bryce Nalepa, Amy Alexander, Sarah Schodrof, Charles Bernick, Jamie Pardini
Combat sports are growing in popularity, viewership, and participation. The nature of these sports involves repetitive head contact, yet unlike most other professional contact sports, there are no endorsed guidelines or mandates for graduated and systematic return to play following concussion. Here, we review the literature related to concussion and fighting sports, and propose guidelines for concussion management and safe return to play following concussion.
February 2, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28130573/-school-re-integration-after-child-brain-dislocation-the-trauma-surgeon-s-role
#5
A Gänsslen, T Neubauer, C Hartl, N Moser, E Rickels, H Lüngen, M Nerlich, W Krutsch
Concussion injury of the brain is still a frequently underestimated injury, which can be associated with long-lasting consequences. Compared to adults, the recovery phase is often prolonged in childhood. Primary treatment consists of symptom-dependent physical and mental activities. Re-integration into daily life is crucial. In childhood, the primary focus is therefore on returning to school. New symptoms, or an increased presence of symptoms must be detected, to avoid prolonged recovery courses. School restrictions have to be minimized...
January 27, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28065992/challenges-surrounding-return-to-play-rtp-for-the-sports-clinician-a-case-highlighting-the-need-for-a-thorough-three-step-rtp-model
#6
Roger Menta, Kevin D'Angelo
Return-to-play (RTP) is a multifactorial process of retuning an injured athlete back to competition when risk for re-injury is minimized. Traditionally, these decisions are made by medical practitioners based on experience or anecdotal evidence. RTP decisions continue to be a challenging task for the medical practitioner. In the interest of advancing sports medicine for the betterment of athletes, improving the RTP decision-making process with a new paradigm has been suggested.1 It stands to clarify the intricacies used by clinicians when making RTP decisions by providing insight into the multiple factors that must be considered; not only by the athlete and medical practitioner, but all relevant parties (i...
December 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/28054910/examining-effects-of-physical-exertion-on-the-dynamic-visual-acuity-test-in-collegiate-athletes
#7
Jessie N Patterson, Anna M Murphy, Julie A Honaker
BACKGROUND: Acute symptoms of dizziness and/or imbalance commonly experienced in athletes postconcussion are speculated to arise from dysfunction at multiple levels (i.e., inner ear or central vestibular system) to appropriately integrate afferent sensory information. Disruption along any pathway of the balance system can result in symptoms of dizziness, decreased postural control function (vestibulospinal reflex), and reduced vestibulo-ocular reflex function. This may also lead to decreased gaze stability with movements of the head and may account for symptoms of blurred vision or diplopia reported in almost half of athletes sustaining a concussion...
January 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/27973770/effects-on-biotransformation-oxidative-stress-and-endocrine-disruption-in-rainbow-trout-oncorhynchus-mykiss-exposed-to-hydraulic-fracturing-flowback-and-produced-water
#8
Yuhe He, Erik J Folkerts, Yifeng Zhang, Jonathan W Martin, Daniel S Alessi, Greg G Goss
The effects of hydraulic fracturing (HF) flowback and produced water (HF-FPW), a complex saline mixture of injected HF fluids and deep formation water that return to the surface, was examined in rainbow trout (Oncorhynchus mykiss). Exposure to HF-FPWs resulted in significant induction of ethoxyresorufin-O-deethylase (EROD) activity in both liver and gill tissues. Increased lipid peroxidation via oxidative stress was also detected by thiobarbituric acid reactive substances (TBARS) assay. The mRNA expressions of a battery of genes related to biotransformation, oxidative stress, and endocrine disruption were also measured using quantitative real-time polymerase chain reaction (Q-RT-PCR)...
December 27, 2016: Environmental Science & Technology
https://www.readbyqxmd.com/read/27934692/in-the-midst-of-life-cell-death-what-is-it-what-is-it-good-for-and-how-to-study-it
#9
John Silke, Ricky W Johnstone
Cell death, one of the most fundamental biological processes, has not made it into the public consciousness in the same way that genetic inheritance, cell division, or DNA replication has. Everyone knows they get their genes from their parents, but few would be aware that even before they were born a lot of essential cell death has shaped their development. The greater population, for the most part, is blissfully unaware that every day millions of their own cells die in a programmed way and that this is essential for normal human physiology-their well-being, in fact...
December 1, 2016: Cold Spring Harbor Protocols
https://www.readbyqxmd.com/read/27893509/educating-providers-in-return-to-play-suggested-guidelines-postconcussion
#10
Angela Macci Bires, Amanda L Leonard, Brandon Thurber
As the awareness of concussions increases, it is imperative to be able to evaluate, diagnose, and treat concussed individuals properly to prevent further complications or death. The primary purpose of this study was to compare a provider's current awareness and comfort level as it relates to the return-to-play guidelines for concussions. A secondary aim was to evaluate current protocols that are in use and determine whether they coincide with the suggested guidelines. An educational intervention was implemented to assess the knowledge and confidence of health care providers...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27834557/external-match-workloads-during-the-first-week-of-australian-open-tennis-competition
#11
David Whiteside, Machar Reid
PURPOSE: With a view to informing athlete preparation leading into tournament play, this study examined external hitting and movement workloads during the first week of the 2012-2016 Australian Open tournaments. METHODS: Using Hawk-Eye, on-court movement and stroke data were captured for 39 players (21 women, 18 men) during the first four rounds of singles competition. Hitting and movement workloads were compared between sexes and rounds of competition. RESULTS: On average, males traversed approximately 4 more kilometres and hit 785 more shots than females across the first four aggregated rounds of the Australian Open...
November 11, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27834505/concussion-like-symptoms-in-child-and-youth-athletes-at-baseline-what-is-typical
#12
Anne Williams Hunt, Melissa Paniccia, Nick Reed, Michelle Keightley
CONTEXT: After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting a return-to-play protocol. However, many concussion symptoms are nonspecific and may be present in individuals without concussion. Limited evidence exists regarding the presence of "typical" or preinjury (baseline) symptoms in child and youth athletes. OBJECTIVE: To describe the frequency of symptoms reported at baseline by child and youth athletes and identify how age, sex, history of concussion, and learning factors influence the presence of baseline symptoms...
October 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27805614/detection-of-the-ph-dependent-activity-of-escherichia-coli-chaperone-hdeb-in-vitro-and-in-vivo
#13
Jan-Ulrik Dahl, Philipp Koldewey, James C A Bardwell, Ursula Jakob
Bacteria are frequently exposed to environmental changes, such as alterations in pH, temperature, redox status, light exposure or mechanical force. Many of these conditions cause protein unfolding in the cell and have detrimental impact on the survival of the organism. A group of unrelated, stress-specific molecular chaperones have been shown to play essential roles in the survival of these stress conditions. While fully folded and chaperone-inactive before stress, these proteins rapidly unfold and become chaperone-active under specific stress conditions...
October 23, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27802962/incidence-and-epidemiology-of-foot-and-ankle-injuries-in-elite-collegiate-athletes
#14
Kenneth J Hunt, Daniel Hurwit, Kevin Robell, Corey Gatewood, Itamar B Botser, Gordon Matheson
BACKGROUND: Foot and ankle injuries are increasing in competitive professional and collegiate athletics. Many of these injuries result in considerable missed time from sports and often require surgical intervention. To develop and implement effective practice participation strategies, return-to-play protocols, and injury prevention programs, an understanding of injury trends and epidemiology is vital. PURPOSE: This study aimed to evaluate the incidence of foot and ankle injuries in elite athletes participating in 37 sports at a single National Collegiate Athletics Association (NCAA) Division 1 institution...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27789472/a-positive-vestibular-ocular-motor-screening-voms-is-associated-with-increased-recovery-time-after-sports-related-concussion-in-youth-and-adolescent-athletes
#15
Anthony J Anzalone, Damond Blueitt, Tami Case, Tiffany McGuffin, Kalyssa Pollard, J Craig Garrison, Margaret T Jones, Robert Pavur, Stephanie Turner, Jonathan M Oliver
BACKGROUND: Vestibular and ocular motor impairments are routinely reported in patients with sports-related concussion (SRC) and may result in delayed return to play (RTP). The Vestibular/Ocular Motor Screening (VOMS) assessment has been shown to be consistent and sensitive in identifying concussion when used as part of a comprehensive examination. To what extent these impairments or symptoms are associated with length of recovery is unknown. PURPOSE: To examine whether symptom provocation or clinical abnormality in specific domains of the VOMS results in protracted recovery (time from SRC to commencement of RTP protocol)...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27747752/concussion-in-community-australian-football-epidemiological-monitoring-of-the-causes-and-immediate-impact-on-play
#16
Lauren V Fortington, Dara M Twomey, Caroline F Finch
BACKGROUND: Head injuries, particularly concussion, are a major cause of concern in many sports, particularly the football codes, driving a need to better understand injury mechanisms and potential methods of prevention. The aim of this study was to describe the mechanisms and follow up care of concussion injuries sustained in adult male community Australian football to identify target areas for prevention and management. METHODS: Secondary analysis of injury data collected in a cluster randomised controlled trial in community Australian football across two states of Australia in 2007 and 2008...
December 2015: Injury Epidemiology
https://www.readbyqxmd.com/read/27737281/foot-and-ankle-injuries-in-american-football
#17
REVIEW
Andrew R Hsu, Robert B Anderson
Physicians need to be aware of a variety of foot and ankle injuries that commonly occur in American football, including turf toe, Jones fractures, Lisfranc injuries, syndesmotic and deltoid disruption, and Achilles ruptures. These injuries are often complex and require early individual tailoring of treatment and rehabilitation protocols. Successful management and return to play requires early diagnosis, a thorough work-up, and prompt surgical intervention when warranted with meticulous attention to restoration of normal foot and ankle anatomy...
September 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27703965/occupational-practitioner-s-role-in-the-management-of-a-crisis-lessons-learned-from-the-paris-november-2015-terrorist-attack
#18
Alexis Descatha, Alice Huynh Tuong, Pierre Coninx, Michel Baer, Thomas Loeb, Thomas Despréaux
In massive catastrophic events, occupational health practitioners are more and more frequently involved in the management of such situations. We aim to describe the multiple aspects of the role that occupational health practitioners might play, by focusing on the recent example of the Paris terrorist attack of November 2015. During and after the Paris attack, occupational practitioners, in collaboration with emergency and security professionals, were involved in psychological care, assembling information, follow-up, return-to-work, and improving in-company safety plans...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27678542/motor-control-exercise-for-symptomatic-lumbar-disc-herniation-protocol-for-a-systematic-review-and-meta-analysis
#19
Mohammad Reza Pourahmadi, Morteza Taghipour, Ismail Ebrahimi Takamjani, Mohammad Ali Sanjari, Mohammad Ali Mohseni-Bandpei, Abbas Ali Keshtkar
INTRODUCTION: Lumbar disc herniation (LDH) is a common condition in adults and can impose a heavy burden on both the individual and society. It is defined as displacement of disc components beyond the intervertebral disc space. Various conservative treatments have been recommended for the treatment of LDH and physical therapy plays a major role in the management of patients. Therapeutic exercise is effective for relieving pain and improving function in individuals with symptomatic LDH...
September 27, 2016: BMJ Open
https://www.readbyqxmd.com/read/27660661/accelerated-rehabilitation-after-arthroscopic-bankart-repair-in-professional-footballers
#20
Jo Gibson, Jim Kerss, Chris Morgan, Peter Brownson
BACKGROUND: Advances in arthroscopic surgery have resulted in biomechanically stronger repairs that might allow for accelerated rehabilitation protocols and hence faster return to play. Evidence for such regimes in the shoulder, particularly in elite athletes, is lacking. METHODS: This prospective single surgeon (PB) series included 34 professional footballers undergoing an accelerated rehabilitation programme following arthroscopic soft tissue stabilization subsequent to traumatic anterior shoulder dislocation...
October 2016: Shoulder & Elbow
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