Sports Medicine Research: In the Lab & In the Field (Sports Med Res)
Friday, December 19, 2014

FIFA11+ Improves Performance and Reduces Injuries in Soccer

The Impact of the FIFA11+ Training Program on Injury Prevention in Football Players: A Systematic Review

Barengo NC, Meneses-Echavez JF, Ramierez-Velez R, Cohen DD, Tovar G, & Bautista JE. Int J Envrion Res Public Health. 2014. 11: 11986-12000.

Take Home Message: The FIFA11+ program reduced injuries and improved functional performance.  It is more effective if compliance and adherence are high, both of which are better if a coach educated on the program administers the program to the team.

FIFA 11+ injury prevention program is an exercise program that can be easily incorporated into a team’s warm-up to help prevent sports injury.  The exercises include core stability, proprioception, dynamic stability, and plyometric strengthening and only take less than 15 minutes to complete.  The authors of this systematic review aimed to evaluate the effectiveness of the FIFA11+ program in soccer players on injury risk and performance.
Wednesday, December 17, 2014

Some More Education on Exertional Heat Stroke Could go a Long Way

National Collegiate athletic association strength and conditioning coaches’ knowledge and practices regarding prevention and recognition of exertional heat stroke.

Valdes AS, Hoffman JR, Clark MH, and Stout JR. J Strength Conditioning Res. 2014; 28(11), 3013-3023.

Take Home Message: While multiple certifications exist for strength and conditioning coaches, both the CSCS and SCCC do not adequately prepare coaches to recognize or prevent exertional heat stroke during high-intensity training sessions.

Strength and conditioning coaches (SCC) are vital parts of the sports medicine team, often designing, implementing, and supervising strengthening and conditioning programs. They sometimes work in environments where athletes are at an increased risk exertional heat stroke. Understanding SCC’s knowledge and practices regarding exertional heat stroke will allow certifying bodies to change their curriculum to better address exertional heat stroke, thus providing preventative care for athletes. Therefore, Valdes and colleagues completed a survey study to assess the SCC’s knowledge of exertional heat stroke and attempt to identify any differences between certification types (CSCS vs. SCCC).
Monday, December 15, 2014

Returning to play in the same season following a traumatic shoulder dislocation or subluxation. Is it worth the risk?

Return to play and recurrent instability after in-season anterior shoulder instability: a prospective multicenter study.

Dickens JF, Owens BD, Cameron KL, Kilcoyne K, Allred CD, Svoboda SJ, Sullivan R, Tokish JM, Peck KY, Rue JP. Am J Sports Med. 2014 Dec;42(12):2842-50. doi: 10.1177/0363546514553181. Epub 2014 Nov 5.

Take Home Message: Returning the same season from a traumatic anterior shoulder dislocation or subluxation likely results in additional episodes of instability even after undergoing a strengthening and stability protocol.  Self-report questionnaires immediately after initial injury may be useful in determining a return to play timeline.

Recommendations for the management of shoulder instability vary greatly, with no consensus among clinicians on the ideal treatment guidelines and return to play criteria.  Therefore, the authors sought to identify outcomes after an acute bout of shoulder instability including the ability of an athlete to return-to-play, the amount of time lost, and the recurrence of shoulder instability upon returning to play in the same season as the initial injury.
Wednesday, December 10, 2014

Knee or Hip Strengthening Improves Patellofemoral Pain

Strengthening of the Hip and Core Versus Knee Muscles for the Treatment of Patellofemoral Pain: A Multicenter, Randomized Controlled Trial

Ferber R, Bolgla L, Earl-Boehm JE, Emery C, & Hamstra-Wright K. Journal of Athletic Training. 2014. 40(3): Epub ahead of print.

Take Home Message: A randomized clinical trial revealed that 6 week rehabilitation protocols focusing on either hip/core or knee strengthening both improve symptoms associated with patellofemoral pain. 

Patellofemoral pain (PFP) is a chronic and debilitating condition that affects many physically active individuals.  Hip and core strengthening in combination with knee strengthening has proven to be successful in managing PFP.  However, no one has compared a PFP rehabilitation program focused on hip-core exercises with a program focused on knee exercises. The authors of this randomized clinical trial tested if either rehabilitation program was better for managing PFP.
Monday, December 8, 2014

Athletes Rely on Athletic Trainers for Social Support Following Injury

Social support from the athletic trainer and symptoms of depression and anxiety at return to play

Yang J., Schaefer JT., Zhang N., Covassin T., Ding K., Heiden E. J Athl Train. 2014;49(3)00-00.

Take Home Message: More than 80% of injured college athletes reported social support from their athletic trainers during their recovery, and athletes reporting higher levels of satisfaction with the social support from their athletic trainers were less likely to report depression or anxiety at return to play.

Social support following an injury is important for an athlete’s health because it can help the athlete cope with an injury and improve motivation during rehabilitation. Many universities provide psychological services; however, they are not always specifically trained to satisfy the need of injured athletes. Athletic trainers who are active in the day-to-day rehabilitation tasks are an important source of emotional social support for the athlete, but there are few studies that examined if athletic trainers are effective in providing social support to the athletes. Therefore, the authors examined the effect of social support received from athletic trainers during injury recovery on reported symptoms of depression and anxiety at return to play among a cohort of collegiate athletes.
Friday, December 5, 2014

Consensus Statement: Oral Health and Elite Sport Performance

Oral Health and Elite Sport Performance

Ian Needleman, Paul Ashley, Peter Fine, Fares Haddad, Mike Loosemore, Akbar de Medici2, Nikos Donos, Tim Newton, Ken van Someren, Rebecca Moazzez, Rod Jaques, Glenn Hunter, Karim Khan, Mark Shimmin, John Brewer, Lyndon Meehan, Steve Mills, Stephen Porter. Br J Sports Med 2014: epub ahead of print. doi:10.1136/bjsports-2014-093804

The British Journal of Sports Medicine and British Dental Journal have published a consensus statement regarding oral health among elite athletes. The authors hope “to raise awareness of the issues of oral health in elite sport and recommends strategies for prevention and health promotion in addition to future research strategies.” This four page document concludes with a summary and recommendations regarding oral health in elite athletes.

Wednesday, December 3, 2014

Is One Ankle Brace as Good as Another?

Biomechanical comparison of 3 ankle braces with and without free rotation in the sagittal plane.

Alfuth M, Klein D, Koch R, Rosenbaum D. J of Athl Training. 2014; 49(5): 608-616.

Take Home Message: In both passive and dynamic conditions, hinged and unhinged ankle braces increased ankle stability compared with no brace. There was no clinical relevant differences between braces.

Lateral ankle sprains are commonly sustained during physical activity. Ankle braces are recommended to reduce the risk of an ankle sprain; however, there are various ankle brace designs. A better understanding of how well different ankle brace designs limit ankle range of motion would help clinicians recommend ankle brace models that would best to reduce the risk of a lateral ankle sprain. Therefore, Alfuth and colleagues completed a within-subject crossover study to assess the ability of 3 different ankle braces to limit ankle range of motion during dynamic and passive motion.