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https://www.readbyqxmd.com/read/29227374/collateral-ligament-knee-injuries-in-pediatric-and-adolescent-athletes
#1
Dennis E Kramer, Patricia E Miller, Iman K Berrahou, Yi-Meng Yen, Benton E Heyworth
BACKGROUND: The majority of research on medial (MCL) and lateral (LCL) collateral ligament injuries has focused on adults and combined collateral/cruciate injuries. The purpose of this study was to determine characteristics associated with isolated collateral ligament injuries in adolescents, and assess timing for return to sports. METHODS: Electronic medical records were queried to identify patients aged below 17 years who sustained a magnetic resonance imaging-confirmed isolated MCL or LCL injury over an 8-year period...
December 8, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29222606/hypothalamic-pituitary-adrenal-hpa-axis-functioning-in-overtraining-syndrome-findings-from-endocrine-and-metabolic-responses-on-overtraining-syndrome-eros-eros-hpa-axis
#2
Flavio A Cadegiani, Claudio E Kater
BACKGROUND: Overtraining syndrome (OTS) results from excessive training load without adequate recovery and leads to decreased performance and fatigue. The pathophysiology of OTS in athletes is not fully understood, which makes accurate diagnosis difficult. Previous studies indicate that alterations in the hypothalamus-pituitary-adrenal (HPA) axis may be responsible for OTS; however, the data is not conclusive. This study aimed to compare, through gold standard and exercise-independent tests, the response of the HPA axis in OTS-affected athletes (OTS group) to healthy physically active subjects (ATL group) and healthy non-active subjects (NCS group)...
December 8, 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/29212492/using-patient-data-to-optimize-an-expert-based-guideline-on-convalescence-recommendations-after-gynecological-surgery-a-prospective-cohort-study
#3
Esther V A Bouwsma, Johannes R Anema, A Vonk Noordegraaf, Henrica C W de Vet, Judith A F Huirne
BACKGROUND: Convalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms of resumption of various daily activities including work, following different laparoscopic and abdominal surgery in order to optimize an expert-based guideline on convalescence recommendations. METHODS: This is a prospective cohort study conducted in nine general and one university hospital in the Netherlands...
December 6, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29207262/transcranial-electrical-stimulation
#4
Sven Bestmann, Vincent Walsh
Transcranial electrical stimulation (tES) is a neuromodulatory technique in which low voltage constant or alternating currents are applied to the human brain via scalp electrodes. The basic idea of tES is that the application of weak currents can interact with neural processing, modify plasticity and entrain brain networks, and that this in turn can modify behaviour. The technique is now widely employed in basic and translational research, and increasingly is also used privately in sport, the military and recreation...
December 4, 2017: Current Biology: CB
https://www.readbyqxmd.com/read/29202169/psychological-impact-of-cognitive-rest-following-sport-related-concussion-on-low-socioeconomic-status-adolescent-patients
#5
Tamerah N Hunt, Laura L Harris
PURPOSE: Describe the psychological impact of cognitive rest in adolescents recovering from concussion from sport-related concussion. METHODS: Eight male football players with a previous sport concussion and full recovery completed semi-structured interviews during focus group sessions. Using content analysis, the researchers independently analyzed notes and transcriptions to identify themes associated with the psychological impact of cognitive rest. RESULTS: Common themes included: 1) sport as social support, and 2) boredom-complicated recovery following cognitive rest...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/29194058/gait-deviations-associated-with-concussion-a-systematic-review
#6
Thaer S Manaseer, Douglas P Gross, Liz Dennett, Kathryn Schneider, Jackie L Whittaker
BACKGROUND: Gait deviations resulting from concussion are important to consider in the diagnosis, treatment progression, and return to activity after a concussion. OBJECTIVE: To identify quantifiable gait deviations associated with concussion across populations and time since injury. METHODS AND MATERIALS: Six electronic databases were systematically searched from January 1974 to September 2016. Studies selected included original data, had an analytic design, and reported a quantifiable gait parameter in individuals who had sustained a concussion as defined by the American Congress of Rehabilitation Medicine or related definitions...
November 21, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29190849/concussion-recovery-phase-affects-vestibular-and-oculomotor-symptom-provocation
#7
Kelly M Cheever, Jane McDevitt, Ryan Tierney, W Geoffrey Wright
Vestibular and oculomotor testing is emerging as a valuable assessment in sport-related concussion (SRC). However, their usefulness for tracking recovery and guiding return-to-play decisions remains unclear. Therefore the purpose of this study was to evaluate their clinical usefulness for tracking SRC recovery. Vestibular and oculomotor assessments were used to measure symptom provocation in an acute group (n=21) concussed≤10 days, prolonged symptoms group (n=10) concussed ≥16 days (median=84 days), healthy group (n=58) no concussions in >6 months...
November 30, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29189587/the-effect-of-cold-14-%C3%A2-c-versus-ice-5%C3%A2-c-water-immersion-on-recovery-from-intermittent-running-exercise
#8
Daniel Anderson, James Nunn, Christopher J Tyler
The purpose was to compare 14°C (CWI14°C) and 5°C (CWI5°C) cold water immersion following intermittent running. On three occasions, nine male team-sport players undertook 12 min of CWI14°C, CWI5°C or non-immersed seated recovery (CON) following 45 min of intermittent running exercise. Maximal cycling performance and markers of recovery were measured before and in the 0 - 72 h after exercise. Peak power output (PPO) was immediately reduced following all interventions (d = 1.8). CWI5°C was more effective at restoring PPO than CWI14°C (d = 0...
November 16, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29189585/muscle-damage-and-metabolic-responses-to-repeated-sprint-running-with-and-without-deceleration
#9
Clare L Minahan, Daniel P Poke, Jaime Morrison, Phillip M Bellinger
This study aimed to determine whether repeated-sprint running with deceleration aggravates markers of muscle damage or delays the recovery of performance compared to repeated-sprint running without deceleration. Fourteen male team-sport athletes performed two randomly ordered testing sessions on a non-motorised treadmill with one session requiring participants to decelerate (TMd) within 4 s before stopping, or immediately step to the side of the treadmill belt at the completion of each sprint (TMa). Peak and mean velocities, speed decrement, blood lactate concentrations and oxygen uptake were monitored during the repeated-sprint running protocols...
November 16, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29189336/history-of-high-motion-sickness-susceptibility-predicts-vestibular-dysfunction-following-sport-recreation-related-concussion
#10
Alicia M Sufrinko, Nathan E Kegel, Anne Mucha, Michael W Collins, Anthony P Kontos
OBJECTIVE: To compare vestibular dysfunction at 1 to 10 and 11 to 20 days following sport/recreation-related concussion (SRC) in athletes with and without history of motion sickness susceptibility. Secondary aims of this study were to investigate differences in neurocognitive performance and affective symptoms in these groups. DESIGN: Cross-sectional. SETTING: Concussion Specialty Clinic. PARTICIPANTS: One hundred twenty-four adolescents and adults (82 males, 42 females) aged 14 to 26 (16...
November 20, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29188026/is-temperature-an-important-variable-in-recovery-after-mild-traumatic-brain-injury
#11
REVIEW
Coleen M Atkins, Helen M Bramlett, W Dalton Dietrich
With nearly 42 million mild traumatic brain injuries (mTBIs) occurring worldwide every year, understanding the factors that may adversely influence recovery after mTBI is important for developing guidelines in mTBI management. Extensive clinical evidence exists documenting the detrimental effects of elevated temperature levels on recovery after moderate to severe TBI. However, whether elevated temperature alters recovery after mTBI or concussion is an active area of investigation. Individuals engaged in exercise and competitive sports regularly experience body and brain temperature increases to hyperthermic levels and these temperature increases are prolonged in hot and humid ambient environments...
2017: F1000Research
https://www.readbyqxmd.com/read/29182431/impact-induced-muscle-damage-and-contact-sport-aetiology-effects-on-neuromuscular-function-and-recovery-and-the-modulating-effects-of-adaptation-and-recovery-strategies
#12
Mitchell Naughton, Joanna Miller, Gary J Slater
Athletes involved in contact-sports are habitually exposed to skeletal muscle damage as part of their training and performance environments. This often leads to exercise-induced muscle damage (EIMD) resulting from repeated eccentric and/or high-intensity exercise, and impact-induced muscle damage (IIMD) resulting from collisions with opponents and the playing surface. Whilst EIMD has been an area of extensive investigation, IIMD has received comparatively little research, with the magnitude and timeframe of alterations following IIMD not presently well understood...
November 28, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/29176505/sex-specific-outcomes-and-predictors-of-concussion-recovery
#13
Cecilia Davis-Hayes, James D Gossett, William N Levine, Tanzid Shams, Jumpei Harada, Jeremy Mitnick, James Noble
INTRODUCTION: Sports-related concussion (SRC) is a substantial concern in collegiate athletics. Some studies of SRC that make comparisons by sex are limited by sample size, follow-up duration, or referral bias. Sex-specific predictors of occurrence and recovery are uncertain. METHODS: A 15-year retrospective cohort study identified 1,200 Columbia University varsity athletes (822 male [68.5%], 378 female [31.5%]) at risk of collegiate SRC. RESULTS: A total of 228 athletes experienced at least one collegiate concussion, including 88 female athletes (23...
December 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29173126/racial-bias-in-sport-medical-staff-s-perceptions-of-others-pain
#14
James N Druckman, Sophie Trawalter, Ivonne Montes, Alexandria Fredendall, Noah Kanter, Allison Paige Rubenstein
Unequal treatment based on race is well documented in higher education and healthcare settings. In the present work, we examine racial bias at the intersection of these domains: racial bias in pain-related perceptions among National Collegiate Athletic Association (NCAA) Division 1 sport medical staff. Using experimental vignettes about a student-athlete who injured his/her anterior cruciate ligament (ACL), we find, like prior work, that respondents perceived Black (vs. White) targets as having higher initial pain tolerance...
November 27, 2017: Journal of Social Psychology
https://www.readbyqxmd.com/read/29164163/neurocognitive-deficits-of-concussed-adolescent-athletes-at-self-reported-symptom-resolution-in-the-zurich-guidelines-era
#15
Peter K Kriz, Rebekah Mannix, Alex M Taylor, Danielle Ruggieri, William P Meehan
Background: Previous studies have evaluated high school and collegiate athletes in the pre-Zurich guidelines era; whether adolescent athletes demonstrate similar neurocognitive decrements in the current concussion management era remains unclear. Purpose: To assess for the presence of neurocognitive deficits in adolescents with a sport-related concussion at the time of self-reported symptom resolution. Study Design: Cross-sectional study; Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29164130/comparison-of-an-innovative-rehabilitation-combining-reduced-conventional-rehabilitation-with-balneotherapy-and-a-conventional-rehabilitation-after-anterior-cruciate-ligament-reconstruction-in-athletes
#16
Laetitia Peultier-Celli, Didier Mainard, Frank Wein, Nicolas Paris, Patrick Boisseau, Alexandre Ferry, René Gueguen, Isabelle Chary-Valckenaere, Jean Paysant, Philippe Perrin
Background: Instability of the knee, related to anterior cruciate ligament injury, is treated by surgical reconstruction. During recovery, a loss of proprioceptive input can have a significant impact. Few studies have evaluated the benefits of rehabilitation of the knee in aquatic environment on functional outcomes. Objective: This study aimed to compare an innovative rehabilitation protocol combining reduced conventional rehabilitation with aquatic rehabilitation, with a conventional rehabilitation, according to the National French Health Authority, in terms of kinetics, development of proprioceptive skills, and functional improvement of the knee...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29161748/whole-body-cryotherapy-as-a-recovery-technique-after-exercise-a-review-of-the-literature
#17
Catriona Rose, Kate M Edwards, Jason Siegler, Kenneth Graham, Corinne Caillaud
This review aims to evaluate the current body of literature investigating the effect of whole body cryotherapy on recovery after exercise. A systematic search was conducted to investigate the effect of whole body cryotherapy (WBC, exposure to temperatures between -110 to -190°C) on markers of recovery after damaging exercise in healthy, physically active subjects. Of the 16 eligible articles extracted, ten induced muscle damage using controlled exercise in a laboratory setting, while six induced damage during sport-specific training...
November 21, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29156929/-role-of-the-egg-in-the-diet-of-athletes-and-physically-active-people
#18
Ana M López Sobaler, Aránzazu Aparicio Vizuete, Rosa M Ortega
The practice of sport and medium-high intensity exercise increases the needs of energy and nutrients. Proper nutrition is very important for reaching the maximum performance, reducing the risk of injury, and ensuring the best recovery. It must also ensure the achievement of optimum nutritional status and prevent health problems at the present and in the future time. Eggs are a very nutritious food that can help athletes to achieve a correct diet. It contains proteins of high quality and bioavailability, a profile of fatty acids very favorable from the cardiovascular point of view, and vitamins and minerals involved in energy and protein metabolism, in defense against oxidative stress and inflammation, in cell growth and tissue repair...
October 15, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29154694/gait-and-quiet-stance-performance-among-adolescents-after-concussion-symptom-resolution
#19
Justin Berkner, William P Meehan, Christina L Master, David R Howell
OBJECTIVE:   To prospectively examine adolescent athletes' gait and quiet-stance performance while concurrently completing a cognitive task acutely after concussion and after symptom resolution. SETTING:   Sport concussion clinic. DESIGN:   Participants diagnosed with a concussion completed a symptom inventory and single- and dual-task quiet-stance and gait evaluations within 21 days of injury and then again after symptom resolution...
November 20, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29152521/isokinetic-strength-deficit-6-months-after-adductor-canal-blockade-for-anterior-cruciate-ligament-reconstruction
#20
James E Christensen, Natalie E Taylor, Scott J Hetzel, John A Shepler, Tamara A Scerpella
Background: Recent evidence shows a delayed return to sport in children and delayed quadriceps recovery in both adults and children who have undergone anterior cruciate ligament (ACL) reconstruction with concomitant femoral nerve blockade (FNB) compared with those who had no blockade. We evaluated the use of adductor canal blockade (ACB), as an alternative to FNB, at the time of ACL reconstruction. Hypothesis: Patients who receive ACB will have greater isokinetic strength at 6 months postoperative compared with patients who receive FNB at the time of ACL reconstruction...
November 2017: Orthopaedic Journal of Sports Medicine
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