Sports Medicine Research: In the Lab & In the Field (Sports Med Res)
Wednesday, September 28, 2016

No Need to Supplement What You Don’t Need

Dietary Intakes and Supplement Use in Pre-Adolescent and Adolescent Canadian Athletes

Parnell JA, Wiens KP, & Erdman KA.  Nutrients. 2016; 8(9), 526. doi: 10.3390/nu8090526

Take Home Message: Dietary intake in young athletes seem to meet most recommendations, therefore supplementing may only be necessary for a few select micronutrients based on age and gender. 

Athletes face obstacles such as travel, energy needs, and time demands when trying to eat healthy. Establishing healthy nutritional intakes as a younger athlete is very important for founding healthy long-term behaviors.  Therefore, these authors investigated the dietary and supplement intake of 168 young pre-adolescent and adolescent Canadian athletes (ages 11-18 years).
Monday, September 26, 2016

Exergaming Brings Postural Control Rehabilitation Up to a Whole New Level

Exergaming (XBOX Kinect™) versus traditional gym-based exercise for postural control, flow and technology acceptance in healthy adults: a randomised controlled trial

Barry G., van Schaik P., MacSween A., Dixon J., Martin D. BMC Sports Sci Med Rehabil. 2016;8(25):1–11.

Take Home Message: Exergaming using the XBOX KinectTM system has the potential to enhance postural control compared to standard gym-based exercise.

Exergaming – exercise using an interactive computer-generated environment – is increasingly implemented during physical rehabilitation. Gaming equipment can help a patient increase postural control. However, most of the research has been done among older adults using a WiiTM fit board, and not a KinectTM system, which allows a patient to move freely. Therefore, the authors developed a randomized control trial to investigate the effectiveness of exergaming using the XBOX KinectTM system compared with traditional gym-based exercise on postural control, technology acceptance, flow experience, and exercise intensity.
Friday, September 23, 2016

The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement

The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.

Griffin DR, Dickenson EJ, O'Donnell J, Agricola R, Awan T, Beck M, Clohisy JC, Dijkstra HP, Falvey E, Gimpel M, Hinman RS, Hölmich P, Kassarjian A, Martin HD, Martin R, Mather RC, Philippon MJ, Reiman MP, Takla A, Thorborg K, Walker S, Weir A, Bennell KL.
Br J Sports Med. 2016 Oct;50(19):1169-1176. doi: 10.1136/bjsports-2016-096743.

“The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome.” The document provides recommended terminology and addresses keys questions: 1) What is FAI syndrome? 2) How should FAI syndrome be diagnosed? 3) What is the appropriate treatment of FAI syndrome?, 4) What is the prognosis of FAI syndrome, 4) How should someone with asymptomatic hip with cam or pincer morphology be managed? 5) Which outcome measure should be used to assess treatment for FAI syndrome? 6) What future research needs to be conducted?

Wednesday, September 21, 2016

Limb Symmetry Indices…It May Not Be as Accurate as We Thought

The Utility of Limb Symmetry Indices in Return-to-Sport Assessment in Patients With Bilateral Anterior Cruciate Ligament Reconstruction

Zwolski C, Schmitt LC, Thomas S, Hewett TE, and Paterno MV. Am J Sports Med. 2016. [Epub Ahead of Print].

Take Home Message: Limb symmetry indices may not be sufficient to identify strength and performance deficits, particularly in patients who have a history of bilateral anterior cruciate ligament (ACL) reconstruction.

Clinicians commonly use limb symmetry indices to determine if a patient who sustained an ACL rupture is able to return to play. However, it is unclear if these indices are useful when an athlete has a history of bilateral ACL ruptures because both limbs may have strength deficits. Therefore, Zwolski and colleagues completed a cross-sectional study of 45 female athletes to evaluate limb symmetry indices among patients who had sustained bilateral or unilateral ACL ruptures.
Monday, September 19, 2016

AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current Evidence, Knowledge Gaps, Recommendations, and Future Directions.

AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current Evidence, Knowledge Gaps, Recommendations, and Future Directions.

Drezner JA, OʼConnor FG, Harmon KG, Fields KB, Asplund CA, Asif IM, Price DE, Dimeff RJ, Bernhardt DT, Roberts WO. Clin J Sport Med. 2016 Sep;26(5):347-61. doi: 10.1097/JSM.0000000000000382.

“The American Medical Society for Sports Medicine (AMSSM) formed a task force to address the current evidence and knowledge gaps regarding preparticipation CV screening in athletes from the perspective of a primary care sports medicine physician.” The document includes a 17 point executive summary and discusses the incidence of sudden cardiac arrest and death in young athletes, prevalence of disorders associated with sudden cardiac death, history and physical examination for the cardiovascular screening of athletes, electrocardiogram for the cardiovascular screening of athletes, outcomes for early detection of cardiovascular disease, physician resources and infrastructure, recommendations, and future research directions.

Wednesday, September 14, 2016

Stabilization Exercises or Manual Therapy for Low Back Pain

Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis

Neto MG, Lopes JM, Conceição CS, Araujo A, Brasileiro A, Sousa C, Carvalho VO, & Archanjo FL.  Physical Therapy in Sport. 2016; Epub ahead of print Accepted August 9, 2016. doi: 10.1016/j.ptsp.2016.08.004

Take Home Message: Stabilization exercises are better than general exercises for people with chronic non-specific low back pain and possibly as effective as manual therapy.

Supervised exercise is often recommended for people with chronic non-specific low back pain.  A common type of exercise is stabilization exercises, which try to enable a person to better control and coordinate their spine and pelvis. Unfortunately, there is conflicting research as to whether it is successful in reducing pain and disability.  The authors of this systematic review aimed to compare the effectiveness of stabilization exercises to general exercises or manual therapy in people with chronic non-specific low back pain.
Monday, September 12, 2016

Acute Pain Reduced Following 3 Minute Acupressure Treatment

Does Acupressure Hit the Mark? A Three-Arm Randomized Placebo-Controlled Trial of Acupressure for Pain and Anxiety Relief in Athletes with Acute Musculoskeletal Sports Injuries

Macznik AK., Schneider AG., Athens J., Sullivan SJ. Clin J Sport Med. 2016;0:1–6

Take Home Message: Three minutes of acupressure was effective in decreasing pain in athletes that sustained an acute musculoskeletal injury; however, it failed to help decrease anxiety levels.

Alternative medicine techniques like acupressure (pressure applied by fingers to specific points on the body) are gaining attention in the sports medicine field due to its affordability, ease of technique, and quick delivery. Acupressure is an effective treatment to manage pain for several conditions (headaches, chronic musculoskeletal pain, dysmenorrhea); however, whether it lessens pain for acute musculoskeletal injuries has yet to be investigated. Therefore, the authors developed a randomized control trial to investigate the efficacy of a 3-minute acupressure program compared to a sham acupressure program or no acupressure among athletes with musculoskeletal pain the day of an injury.