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General sports medicine

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299 papers 100 to 500 followers Myofascial pain, use of contemporary medical acupuncture in Sports Medicine and miofascial complaints, and general Sports medicine
By Hugo Silva Pinto Sports medicine MD, neuromuscular pain and dysfunctions private practice
https://www.readbyqxmd.com/read/28902756/sacroiliac-joint-dysfunction-in-the-athlete-diagnosis-and-management
#1
Rebecca Peebles, Christopher E Jonas
Sacroiliac joint (SIJ) dysfunction is a common cause of low back pain in the athlete, especially in sports with repetitive, asymmetric loading. Complex anatomy and broad pain referral pattern make diagnosis difficult. Identifying three or more positive physical examination maneuvers for the SIJ improves examination sensitivity and specificity. Imaging is rarely helpful in establishing the diagnosis but is often used to rule out other pathology. Conservative management with activity modification, medication, physical therapy, manipulation and bracing is first line treatment...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28776086/the-mechanisms-of-action-of-metformin
#2
REVIEW
Graham Rena, D Grahame Hardie, Ewan R Pearson
Metformin is a widely-used drug that results in clear benefits in relation to glucose metabolism and diabetes-related complications. The mechanisms underlying these benefits are complex and still not fully understood. Physiologically, metformin has been shown to reduce hepatic glucose production, yet not all of its effects can be explained by this mechanism and there is increasing evidence of a key role for the gut. At the molecular level the findings vary depending on the doses of metformin used and duration of treatment, with clear differences between acute and chronic administration...
August 3, 2017: Diabetologia
https://www.readbyqxmd.com/read/28895622/sciatic-nerve-conductivity-is-impaired-by-hamstring-strain-injuries
#3
Karina Kouzaki, Koichi Nakazato, Masuhiko Mizuno, Tooru Yonechi, Yusuke Higo, Yoshiaki Kubo, Tokuyoshi Kono, Kenji Hiranuma
The aim of this study was to assess sciatic nerve conductivity in athletes with a history of hamstring strain injuries. Twenty-seven athletes with a history of hamstring strain injuries were included in the injured group. The control group consisted of 16 uninjured participants. We measured the proximal and distal latencies and calculated the sciatic nerve conduction velocity to evaluate neuronal conductivity. The results were expressed as median values and interquartile ranges. Both proximal latency and distal latency of the injured limb in the injured group were significantly longer than those of the uninjured limb (p<0...
September 11, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28921683/corticospinal-responses-following-strength-training-a-systematic-review-and-meta-analysis
#4
REVIEW
Dawson J Kidgell, Daniel R Bonanno, Ashlyn K Frazer, Glyn Howatson, Alan J Pearce
Strength-training results in changes in skeletal muscle, however, changes in the central nervous system also occur. Over the last 15 years, non-invasive brain stimulation techniques, such as transcranial magnetic stimulation, have been used to study the neural adaptations to strength-training. This review explored the hypothesis that the neural adaptations to strength-training may be due to changes in corticospinal excitability and inhibition and, such changes, contribute to the gain in strength following strength-training...
September 18, 2017: European Journal of Neuroscience
https://www.readbyqxmd.com/read/28900862/the-influence-of-growth-and-maturation-on-stretch-shortening-cycle-function-in-youth
#5
REVIEW
John M Radnor, Jon L Oliver, Charlie M Waugh, Gregory D Myer, Isabel S Moore, Rhodri S Lloyd
Hopping, skipping, jumping and sprinting are common tasks in both active play and competitive sports. These movements utilise the stretch-shortening cycle (SSC), which is considered a naturally occurring muscle action for most forms of human locomotion. This muscle action results in more efficient movements and helps optimise relative force generated per motor unit recruited. Innate SSC development throughout childhood and adolescence enables children to increase power (jump higher and sprint faster) as they mature...
September 12, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28912731/long-term-athletic-development-in-youth-alpine-ski-racing-the-effect-of-physical-fitness-ski-racing-technique-anthropometrics-and-biological-maturity-status-on-injuries
#6
Lisa Müller, Carolin Hildebrandt, Erich Müller, Christian Fink, Christian Raschner
Alpine ski racing is known to be a sport with a high risk of injuries. Because most studies have focused mainly on top-level athletes and on traumatic injuries, limited research exists about injury risk factors among youth ski racers. The aim of this study was to determine the intrinsic risk factors (anthropometrics, biological maturity, physical fitness, racing technique) for injury among youth alpine ski racers. Study participants were 81 youth ski racers attending a ski boarding school (50 males, 31 females; 9-14 years)...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28916931/physical-exercise-prescription-in-metabolic-chronic-disease
#7
Laura Stefani, Giorgio Galanti
Metabolic syndrome as a consequence of the association to overweight, hypertension, and diabetes is at high risk of coronary events. Regular physical training has been recently promoted to reduce cardiovascular risks factors, by the improved lifestyle and also by the "anti-inflammatory effectiveness." A positive impact has been shown in case of cancer survived patients either with or without comorbidities and especially in those subjects where the inflammatory process is globally represented. The American College of Sports Medicine (ACSM) guidelines and more recently a new Italian model both support the role of "exercise as therapy" at moderate level of energy expenditure...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/26618058/current-concepts-of-plyometric-exercise
#8
George Davies, Bryan L Riemann, Robert Manske
As knowledge regarding rehabilitation science continues to increase, exercise programs following musculoskeletal athletic injury continue to evolve. Rehabilitation programs have drastically changed, especially in the terminal phases of rehabilitation, which include performance enhancement, development of power, and a safe return to activity. Plyometric exercise has become an integral component of late phase rehabilitation as the patient nears return to activity. Among the numerous types of available exercises, plyometrics assist in the development of power, a foundation from which the athlete can refine the skills of their sport...
November 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27343394/iliopsoas-pathology-diagnosis-and-treatment
#9
REVIEW
Christian N Anderson
Disorders of the iliopsoas can be a significant source of groin pain in the athletic population. Commonly described pathologic conditions include iliopsoas bursitis, tendonitis, impingement, and snapping. The first-line treatment for iliopsoas disorders is typically conservative, including activity modification, physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections. Surgical treatment can be considered if the patient fails conservative measures and typically involves arthroscopic lengthening of the musculotendinous unit and treatment of concomitant intra-articular abnormality...
July 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27871658/rehabilitation-principles-of-the-anterior-cruciate-ligament-reconstructed-knee-twelve-steps-for-successful-progression-and-return-to-play
#10
REVIEW
Kevin E Wilk, Christopher A Arrigo
The rehabilitation process begins immediately after injury to the anterior cruciate ligament (ACL). The goal of preoperative rehabilitation is to prepare the patient for surgery. Current rehabilitation programs focus on strengthening exercises and proprioceptive and neuromuscular control drills to provide a neurologic stimulus. It is also important to address preexisting factors, especially for the female athlete, that may predispose to future injury, such as hip and hamstring weakness. Our goal in the rehabilitation program is to restore full, unrestricted function and to assist the patient to return to 100% of the preinjury level while achieving excellent long-term outcomes...
January 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28886819/nutritional-aspects-of-the-female-athlete
#11
REVIEW
Kelly A Rossi
Athletes have specific needs based on sex, size, sport, exercise intensity, duration of activity, phase of training, and the season in which the sport is played. Nutritionally, the female athlete is unique, with needs that may vary based on hormonal fluctuations related to the menstrual cycle. This article provides an overview of the distinct nutritional needs and concerns of the physically active female, including energy availability, macronutrient needs, micronutrient needs, hydration, supplements, and other nutritional issues...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28886821/female-athlete-triad-future-directions-for-energy-availability-and-eating-disorder-research-and-practice
#12
REVIEW
Nancy I Williams, Siobhan M Statuta, Ashley Austin
Despite more than 3 decades of research on the Female Athlete Triad, research gaps remain. Although low energy availability (EA) is the key etiologic factor in the Triad and the pathways to low EA are varied, its effects can be modified by several factors. Accurate screening, diagnosis, and treatment of disordered eating are a challenge; however, recent techniques combined with novel educational and behavior interventions prove promising. Recently published practice-based guidelines have helped to translate Triad science and should improve as they are refined...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28886822/osteopenia-and-osteoporosis-in-female-athletes
#13
REVIEW
John M MacKnight
Disorders of bone density are especially prevalent among athletic women. The severity of bone loss ranges from osteopenia to frank osteoporosis. In female athletes, a higher incidence of osteoporosis is due to a decreased rate of bone accretion in youth, often as a result of hormonal deficiency and/or excessive exercise. Low bone mass poses a particular challenge for athletes because it predisposes to stress-related bone injuries and increases the risk of osteoporosis and insufficiency fractures with aging...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28886823/update-on-anterior-cruciate-ligament-rupture-and-care-in-the-female-athlete
#14
REVIEW
Jeremy M Burnham, Vonda Wright
As female athlete sports participation has continued to increase, the rate of anterior cruciate ligament (ACL) rupture in female athletes has also increased. Individualized, patient-specific treatment is crucial to achieving optimal outcomes; ACL reconstruction must accurately restore native ACL anatomy and address any concomitant injury to secondary stabilizers. Rehabilitation programs should target hip, core, and trunk neuromuscular control; allow adequate time for graft ligamentization; and address the psychosocial needs of the athlete...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28886825/exercise-in-pregnancy
#15
REVIEW
Vanessa H Gregg, James E Ferguson
Routine exercise should be recommended to healthy pregnant women after consultation with an obstetric provider. Even pregnant women who have not been exercising regularly can gradually increase their exercise during pregnancy. Regular exercise during pregnancy promotes overall wellness and helps maintain appropriate gestational weight gain and appropriate fetal weight gain. Exercise in pregnancy may also reduce hypertensive disorders of pregnancy and gestational diabetes, and may be associated with shorter first stage of labor and decreased risk for cesarean section...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28725437/towards-evidence-based-strength-training-a-comparison-of-muscle-forces-during-deadlifts-goodmornings-and-split-squats
#16
Florian Schellenberg, William R Taylor, Silvio Lorenzetti
BACKGROUND: To ensure an efficient and targeted adaptation with low injury risk during strength exercises, knowledge of the participant specific internal loading conditions is essential. The goal of this study was to calculate the lower limb muscles forces during the strength exercises deadlifts, goodmornings and splits squats by means of musculoskeletal simulation. METHODS: 11 participants were assessed performing 10 different variations of split squats by varying the step length as well as the maximal frontal tibia angle, and 13 participants were measured performing deadlift and goodmorning exercises...
2017: BMC Sports Science, Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28850495/transcranial-magnetic-stimulation-paravertebral-muscles-training-and-postural-control-in-chronic-low-back-pain
#17
Cecilie Røe
No abstract text is available yet for this article.
July 2016: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/28742602/is-there-a-relationship-between-the-functional-movement-screen-star-excursion-balance-test-and-balance-error-scoring-system
#18
Nicole D Harshbarger, Barton E Anderson, Kenneth C Lam
OBJECTIVE: To evaluate associations between the Functional Movement Screen (FMS), Star Excursion Balance Test (SEBT), and Balance Error Scoring System (BESS) scores. DESIGN: Correlational. SETTING: College athletic training facilities. PARTICIPANTS: Fifty-two intercollegiate athletes (men = 36 and women = 16) representing 8 sports and cleared for unrestricted sport participation. INTERVENTIONS: Participants completed the FMS, SEBT, and BESS, in random order, during 1 testing session...
July 21, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28742611/a-rare-presentation-of-a-morel-lavallee-lesion-of-the-lower-leg-successfully-treated-with-ultrasound-guided-aspiration
#19
Audrey Falconi, Holly Crellin, Chelsea Tagawa
A Morel-Lavallee lesion (MLL) is a relatively rare condition that is caused by a traumatic shearing force. This force leads to a closed degloving injury of the subcutaneous tissue and fascia that creates a potential space that can fill with lymph, blood, and necrotic fat. The MLLs are traditionally seen after high impact trauma and typically located at the greater trochanter and pelvis, although recent reports have found them to be located at the knee, thigh, and lower leg. The MLLs typically present as swelling at the site of injury, which can be difficult to differentiate from several other diagnoses...
July 21, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28829346/return-to-sports-after-multiple-trauma-which-factors-are-responsible-results-from-a-17-year-follow-up
#20
Christian D Weber, Klemens Horst, Anthony R Nguyen, Magdalena J Bader, Christian Probst, Boris Zelle, Hans-Christoph Pape, Thomas Dienstknecht
OBJECTIVE: We hypothesize that the majority of polytraumatised patients are unable to maintain their preinjury level of sporting activity, and that musculoskeletal injuries are a major contributing factor. We assessed the impact of such injuries on sporting prowess, with a focus on isolating, particularly debilitating musculoskeletal trauma. METHODS: We conducted a cohort study of 637 patients at a level 1 trauma centre, to assess the long-term outcome of severe trauma on return to sporting activities (RTS)...
September 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
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