Sports Medicine Research: In the Lab & In the Field (Sports Med Res)
Friday, April 17, 2015

Clinical recommendations for sport practice in diabetic patients (RECORD Guide). Diabetes Mellitus Working Group of the Spanish Society of Endocrinology and Nutrition (SEEN).

Clinical recommendations for sport practice in diabetic patients (RECORD Guide). Diabetes Mellitus Working Group of the Spanish Society of Endocrinology and Nutrition (SEEN).

Gargallo-Fernández M1, Escalada San Martín J2, Gómez-Peralta F3, Rozas Moreno P4, Marco Martínez A5, Botella-Serrano M6, Tejera Pérez C7, López Fernández J8; en representación del Grupo de Trabajo de Diabetes Mellitus de la Sociedad Española de Endocrinología y Nutrición (SEEN). Endocrinol Nutr. 2015 Mar 31. pii: S1575-0922(15)00074-1. doi: 10.1016/j.endonu.2015.02.004. [Epub ahead of print]

The Diabetes Mellitus Working Group of the Spanish Society of Endocrinology and Nutrition has published a set of clinical recommendations for sports practice in patients with diabetes.

Wednesday, April 15, 2015

Hurts So Good: Eccentric Hamstrings to Prevent Strains

The preventative effect of the Nordic hamstring exercise on hamstring injuries in amateur soccer players: a randomized controlled trial

Van der Horst N, Smits DW, Petersen J, Goedhart EA, & Backx FJG. The American Journal of Sports Medicine. Online ahead of print, March 20, 2015.

Take Home Message: A program focused on eccentric hamstring strengthening may prevent hamstring injuries.

Hamstring strains are common, especially in soccer, and can result in significant recovery times. Eccentric hamstring strengthening may be a modifiable risk factor of hamstring strains but it remains unknown if eccentric strengthening will prevent hamstring injuries.  Therefore, Van der Horst and colleagues conducted a randomized controlled trial to evaluate the effectiveness of an eccentric hamstring strengthening program (Nordic Hamstring Exercise [NHE]) in comparison to no intervention on hamstring injury incidence rates, severity, and time loss among a male amateur soccer population.
Monday, April 13, 2015

Low Back Pain? Work It Out

Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomized controlled trials

Searle A, Spink M, Ho A, Chuter V. (2015). Clinical Rehabilitation.
doi: 10.1177/0269215515570379

Take Home Message:  Exercise reduces pain in patients with nonspecific low back pain.  Exercise protocols involving strength training and stabilization with a whole-body approach appear to provide the greatest relief.

Chronic low back pain affects up to 70% of adults and a majority do not know the underlying cause of this pain. There is some evidence in the literature that exercise can help improve low back pain. However, there is little about which specific exercises or exercise protocols are most effective at reducing pain. Therefore the purpose of this meta-analysis was to determine specific exercises that are more effective than other interventions or control protocols to reduce pain.
Friday, April 10, 2015

Athletes, Alcohol Abuse, and Violence- Is There a Connection?

Relationships Between Sport Participation, Problem Alcohol Use, and Violence: A Longitudinal Study of Young Adults in Australia.            

Scholes-Balog KE, Hemphill SA, Kremer PJ, Toumbourou JW. Journal of Interpersonal Violence 2015 March 11. [Epub ahead of print]

Take Home Message: Participating in athletics isn’t a risk factor for violence outside of competition. However, sports participants with alcohol use problems are more likely to later be violent than those without alcohol use problems.

Does sports participation create a violent person, or is it problematic alcohol use that fosters violence in a community? Data suggest both may play a role separately, but little is known about the influence each has on one another.  Therefore, the authors conducted a longitudinal survey study to investigate whether there was a relationship between sports participation, alcohol use problems, and violence among a community of Australian young adults.
Wednesday, April 8, 2015

ACL Injuries Are Getting on My Nerves

Quadriceps neural alterations in anterior cruciate ligament reconstructed patients: A 6-month longitudinal investigation.

Lepley AS, Gribble PA, Thomas AC, Tevald MA, Sohn DH, and Pietrosimone BG. Scand J Med Sci Sports. 2015; [Epub Ahead of Print]

Take Home Message: Patients who sustained an anterior cruciate ligament tear often suffer quadriceps weakness, altered spinal-reflexive excitability during the first few weeks after the injury, and altered corticospinal excitability a few months after the injury.

Quadriceps muscle strength deficits are common following an anterior cruciate ligament (ACL) injury and reconstruction. This deficit may be partly due to neural inhibition and has implications with regards to return to activity and long-term joint health. Treating neural inhibition is often overlooked in rehabilitation because we need a better understanding about if and when these issues arise after an ACL reconstruction. Therefore, Lepley and colleagues completed a longitudinal, case-control study to assess changes in quadriceps spinal-reflexive and corticospinal excitability, quadriceps strength, and voluntary activation following ACL injury and reconstruction.
Monday, April 6, 2015

Concussions and Depression… Is There a Connection?

Predictors and Prevalence of Post-concussion Depression Symptoms in Collegiate Athletes

Vargas G, Rabinowitz A, Meyer J & Arnett P. Journal of Athletic Training. 2015;50(3):250-255. Doi: 10.4085/1062-6050-50.3.02

Take Home Message: Athletes demonstrated greater rates of depression post-concussion. Older age, baseline depression symptoms, and increased concussion-related symptoms were factors most associated with post-concussion depression.

Depression following a concussion has received significant attention recently due to the high profile cases covered in the media. Depression symptoms may be characterized in a variety of ways in athletes, including increases in anger and frustration, declines in physical performance, and/or diminished motivation to participate. Although depression is common post-concussion, few studies have recognized risk factors associated with its development. The purpose of this case-control study was to identify the prevalence of depression, compare symptom changes between groups of athletes with and without a concussion, and identify predictors of depression following a concussion.
Wednesday, April 1, 2015

Predicting Elbow Injuries in Youth Baseball with a Preseason Checklist

A Preseason Checklist for Predicting Elbow Injury in Little League Baseball Players

Yukutake T, Kuwata M, Yamada M, Aoyama T. The Orthopaedic Journal of Sports Medicine 3.1 (2015): 1-7 doi: 10.1177/2325967114566788
  
Take Home Message: Using a preseason checklist with Little League Baseball Players may help to determine which young athletes are at risk of developing elbow injuries.

Little league elbow, epicondylitis, and osteochondrosis dissecans are just a few conditions that affect many young baseball players in the early years of their careers. These conditions occur due to a number of different circumstances including; overuse, improper pitching mechanics, repetitive microtraumas to the elbow, etc. Identifying risk factors that contribute to injury would allow us to educate parents and coaches to assist in preventative efforts. Therefore, the purpose of this prospective cohort study was to use a risk-evaluation checklist to predict injuries over the course of a season among young baseball players.