Sports Medicine Research: In the Lab & In the Field (Sports Med Res)

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Wednesday, September 19, 2018

Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention

Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention

Arundale AJH, Bizzini M, Giordano A, Hewett TE, Logerstedt DS, Mandelbaum B, Scalzitti DA, Silvers-Granelli H, Snyder-Mackler L. J Orthop Sports Phys Ther. 2018 Sep;48(9):A1-A42. doi: 10.2519/jospt.2018.0303.

The Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy created an evidence-based clinical practice guideline on the exercise-based prevention of knee injuries. A summary of 12 recommendations is available on the first page. Each recommendation is accompanied by a description of the objective, evidence, and evidence synthesis.


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Monday, September 17, 2018

Getting to the Heart of the Problem: What is the Cost of Saving a Life?

Outcomes of Cardiac Screening in Adolescent Soccer Players

Malhotra A, Dhutia H, Finocchiaro G, Gati S, Beasley I, Clift P, Cowie C, Kenny A, Mayet J, Oxborough D, Patel K, Pieles G, Rakhit D, Ramsdale D, Shapiro L, Somauroo J, Stuart G, Varnava A, Walsh J, Yousef Z, Tome M, Papadakis M, Sharma S. N Engl J Med. 2018 Aug 9;379(6):524-534.

Take Home Message: Cardiac screening can identify some high-risk athletes, but no screening strategy is likely to be perfect.

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The debate lingers about the use of cardiac screening to reduce the risk of sudden death among athletes. This debate is impaired by the lack of systematic registries, which could help estimate the incidence of sudden death and impact of screening. Malhotra and colleagues sought to determine the incidence and causes of sudden cardiac death among adolescent players in the English Football Association (soccer), which started a cardiac screening program in 1996.
Wednesday, September 12, 2018

How Much Rest in Between Soccer Matches is Beneficial to Prevent Injuries?

Muscle injury rate in professional football is higher in matches played within 5 days since the previous match: a 14-year prospective study with more than 130 000 match observations.

Bengtsson H, Ekstrand J, Waldén M, Hägglund M. Br J Sports Med. 2018 Sep;52(17):1116-1122. doi: 10.1136/bjsports-2016-097399. Epub 2017 Nov 3.

Take Home Message: A professional athlete with 6 or 7 days rest between soccer matches may be less likely to have a muscular injury during a match than a player with 3 or fewer days between matches.

Numerous investigators have studied the possible relationship of the time between matches and injury rates in professional football (soccer).  For example, prior researchers showed that if a team plays 2 matches within 4 days compared to 6 or more days they are more likely to have greater muscular injury rates. However, prior studies have small sample sizes or study teams instead of individuals, which can make interpreting the findings challenging. Hence, the authors analyzed the associations between match congestion and match injury rates at an individual player level in a large population of professional soccer players. 
Tuesday, September 11, 2018

Recommendations for participation in competitive sports of athletes with arterial hypertension: a position statement from the sports cardiology section of the European Association of Preventive Cardiology (EAPC)

Recommendations for participation in competitive sports of athletes with arterial hypertension: a position statement from the sports cardiology section of the European Association of Preventive Cardiology (EAPC)

Niebauer J, Börjesson M, Carre F, Caselli S, Palatini P, Quattrini F, Serratosa L, Adami PE, Biffi A, Pressler A, Schmied C, van Buuren F, Panhuyzen-Goedkoop N, Solberg E, Halle M, La Gerche A, Papadakis M, Sharma S, Pelliccia A. Eur Heart J. 2018 Aug 24. doi: 10.1093/eurheartj/ehy511. [Epub ahead of print]

This position statement is an update of the 2005 recommendations and offers guidance to physicians who must decide on the risk of an athlete during sport participation (amateur or professional). The document reviews proper classification, evaluation, risk stratification, and management.


Monday, September 10, 2018

Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children

Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children

Lumba-Brown A, Yeates KO, Sarmiento K, et al. JAMA Pediatr. Published online September 04, 2018. doi:10.1001/jamapediatrics.2018.2853

“The Centers for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control Board of Scientific Counselors, a federal advisory committee, established the Pediatric Mild Traumatic Brain Injury Guideline Workgroup…. The CDC guideline includes 19 sets of recommendations on the diagnosis, prognosis, and management/treatment of pediatric mTBI that were assigned a level of obligation (ie, must, should, or may) based on confidence in the evidence” from a systematic review (see below).


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Wednesday, September 5, 2018

Parents are Not Aware of Sport Volume Recommendations to Prevent Pediatric Injuries

Parents' Awareness and Perceptions of Sport Specialization and Injury Prevention Recommendations

Bell DR, Post EG, Trigstead SM, Schaefer DA, McGuine TA, Brooks MA. Clin J Sport Med. 2018. [Epub ahead of print]

Take Home Message: Many parents are unfamiliar with sport volume recommendations. However, over half of parents feel that sport specialization is a problem.

Parents play a major role in their child’s sport experiences. Therefore, parents need to be knowledgeable about recommendations that aim to improve child/athlete safety (e.g., children should participate in no more than 8 months out of the year, participate in organized sport for no more hours per week than their age, and should not be participating in multiple leagues simultaneously). Though, this information is available in the literature and media, no one has evaluated whether parents know about these recommendations. Therefore, the author’s surveyed 1,000 parents with a child between 10-18 years of age who participated in sport within the past 12 months to determine their knowledge of sport participation recommendations and examine their perceptions toward sports specialization.
Tuesday, September 4, 2018

Put it All Together for Better Outcomes for Patients with Chronic Ankle Instability

Efficacy of non-surgical interventions on dynamic balance in patients with ankle instability: A network meta-analysis

Tsikopoulos K, Mavridis D, Gerogiannos D, and Cain MS. J Sci Med Sport. 2018. [Epub Ahead of Print].

Take Home Message: A patient with chronic ankle instability is likely to get the best gains in dynamic balance when completing a rehabilitation program with balance and supervised strength training.

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While many patients with chronic ankle instability (CAI) are treated with non-surgical interventions, there is no consensus on which intervention is best at improving dynamic balance among people with CAI. A better understanding of what non-surgical treatment methods is most effective would allow clinicians to improve function in patients with CAI. Therefore, Tsikopoulos and colleagues completed a systematic review and meta-analysis of randomized trials to compare the results of different non-surgical interventions on dynamic balance in people with CAI.