Sports Medicine Research: In the Lab & In the Field (Sports Med Res)
Wednesday, July 1, 2015

The Power of the Mind May not be as Well Utilized as it could be

Athletes' use of mental skills during sport injury rehabilitation

Arvinen-Barrow M, Clemen D, Hamson-Utley JJ, Zakrajsek RA, Lee S, Kamphoff C, Lintunen T, Hemmings B, and Martin SB. J Sports Rehab. 2015. 24, 189-197.

Take Home Message: Of 1283 survey respondents, only 27% of athletes reported using mental skills such as goal setting, positive self-talk, imagery, and relaxation. Of the 249 respondents who used mental skills 72% reported they felt it helped expedite their recovery process.

The use of mental skills (e.g., imagery, goal setting) during rehabilitation from injury is beneficial to athletes. Clinicians could optimize and integrate mental skills into rehabilitation programs if they better understood what skills are most utilized, and who teaches these skills. Therefore, Arvinen-Barrow and colleagues completed a cross-sectional survey study to determine what mental skills are used during rehabilitation, and who taught the athletes the mental skill.
Monday, June 29, 2015

The Surgical Management of Symptomatic Articular Cartilage Defects of the Knee: Consensus Statements from United Kingdom Knee Surgeons

The surgical management of symptomatic articular cartilage defects of the knee: Consensus statements from United Kingdom knee surgeons

Biant LC, McNicholas MJ, Sprowson AP, Spalding T. Knee. 2015 Jun 23. pii: S0968-0160(15)00129-5. doi: 10.1016/j.knee.2015.06.001. [Epub ahead of print]

A new consensus statement on the surgical management of symptomatic articular cartilage defects of the knee has been released by the UK Cartilage Consensus Meeting. The consensus statement focused on “an isolated defect of the knee…where alignment was normal or surgically corrected by osteotomy, and free of inflammatory joint disease and with some functional meniscal tissue remaining.” Furthermore, surgery was considered only after there was no response to conservative care. The document provides a brief overview of surgical treatment strategies and 7 consensus statements.

Wednesday, June 24, 2015

Check Out Our Regular Contributors' Presentations at NATA 2015

Bony and Soft Tissue Adaptations of the Shoulder in Professional Baseball Pitchers
  • Stephen Thomas
  • Wednesday, June 24, 2015 9:15 to 9:30am

Biomarker Response After an Acute Running Bout in Participants With and Without an Acute Knee Injury History
  • Nicole Cattano
  • Thursday, June 25, 2015 10:00 to 11:15am

The Inconvenient Truth: A Discussion of the Risk of  Post-Traumatic Osteoarthritis Development Following Acute Knee Injury 
  • Jeffrey Driban
  • Friday, June 26, 2015 10:45 to 12:45pm

Patellar Tendon Straps Reduce Pain and Decrease Peak Vertical Ground Reaction Forces during a Single Leg Landing 
  • Adam Rosen
  • Friday, June 26, 2015 11:15-11:30am
Monday, June 22, 2015

Differences in Symptom Reporting Between Male and Female Athletes Before and After a Concussion

Differences in Symptom Reporting Between Males and Females at Baseline and After a Sports-Related Concussion: A Systematic Review and Meta-Analysis.

Brown DA, Elsass JA, Miller AJ, Reed LE and Reneker JC. Sports Med. 2015; [Epub ahead of print].

Take Home Message: Females are more likely to report concussion-related symptoms at baseline testing than males. However, following a concussion there are no differences in symptom reporting between male and female athletes.

To evaluate a concussion, clinicians need to understand factors that influence the prevalence of symptoms at baseline testing and after a concussion. For example, if males and females report concussion-related symptoms differently at baseline testing and after concussions then they may need different criteria to determine severity and recovery. Therefore, Brown and colleagues completed a systematic review and meta-analysis to determine if a difference exists between sexes with regards to self-reporting individual symptoms in high school and college athletes.
Friday, June 19, 2015

International Olympic Committee Consensus Statement on Youth Athletic Development

International Olympic Committee consensus statement on youth athletic development

Bergeron MF, Mountjoy M, Armstrong N, Chia M, Côté J, Emery CA, Faigenbaum A, Hall Jr G, Kriemler S, Léglise M, Malina RM, Pensgaard AM, Sanchez A, Soligard T, Sundgot-Borgen J, van Mechelen W, Weissensteiner JR, Engebretsen L. Br J Sports Med 2015;49:843-851.

The International Olympic Committee has released a consensus statement on youth athletic development. The IOC asked an expert panel to “highlight key considerations and challenges in competitive youth sport, and critically evaluate the current state of science and practice of youth athlete development” and to “create guidelines for a sustainable model to develop healthy, resilient and capable youth athletes, while providing opportunities for all levels of sport participation and success.” The document covers assessments of biological maturity status and timing, physiological and performance changes across maturation, as well as the challenges to health, well-being and performance (specialization, injury, other health concerns, prevention strategies, psychological overload from excessive demands/expectations, nutrition, eating disorders, environmental challenges). There is also a section devoted to youth athletic development. The document concludes with a list of the IOC recommendations and a call to action.

Wednesday, June 17, 2015

Concussion Rates Differ Depending on Amount of Equipment and Type of Practice

Association of equipment worn and concussion injury rates in National Collegiate Athletic Association football practices: 2004-2005 to 2008-2009 academic years

Kerr ZY., Hayden R., Dompier TP., Cohen R. Am J Sport Med. 2015;43(5):1134-1141

Take Home Message: Practice concussion rates are highest during fully padded practices, preseason, and scrimmages.

Preventing a concussion or subconcussive impact in collision sports like football is difficult. Initiatives such as the release of the NCAA practice contact restrictions are put into place to reduce the risk of sustaining brain injuries. However, the effectiveness of these restrictions has not been determined. Additionally, cofactors associated with practice, like equipment worn, has yet to be investigated and may be associated with concussion risk. Therefore, the authors estimated concussion rates during practices with different equipment worn and identified whether equipment-specific practice concussion rates varied by division, time of season, or type of practice.
Wednesday, June 10, 2015

Most Bang for your Buck = Autograft ACL Reconstruction

Economic Analyses in Anterior Cruciate Ligament Reconstruction: A Qualitative and Systematic Review

Saltzman BM, Cvetanovich GL, Nwachukwu BU, Mall NA, Bush-Joseph CA, and Bach BR. American Journal of Sports Medicine. 2015; E pub ahead of print. April 30, 2015.

Take Home Message: Anterior cruciate ligament reconstruction (ACLR) using an autograft appears to have the best outcomes and minimal costs per year of improved quality of life in comparison to allograft or conservative management.    

The number of anterior cruciate ligament reconstruction (ACLR) surgeries increased by 150% in the United States over a 12 year period (1994 to 2006). With rising healthcare costs, there is an increasing emphasis on the evidence behind medical procedures like ACLR and their cost-effectiveness.  The authors of this systematic review investigated the factors that influence the cost of ACLR among studies published up to October 2014.