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

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Wednesday, November 14, 2018

AOFAS Position Statement Regarding Patient-Reported Outcome Measures

AOFAS Position Statement Regarding Patient-Reported Outcome Measures.

Kitaoka HB, Meeker JE, Phisitkul P, Adams SB Jr, Kaplan JR, Wagner E. Foot Ankle Int. 2018 Oct 31:1071100718809066. doi: 10.1177/1071100718809066. [Epub ahead of print]

The American Orthopaedic Foot & Ankle Society (AOFAS) released a position statement on patient-reported outcomes to assess patient general health, functional status, and outcomes of treatment. The authors note “It is not possible to recommend a single instrument to collect quality orthopedic data as the selection is dependent on the population being examined and the question being asked. We support the use of the PROMIS Physical Function Computerized Adaptive Test (PF CAT) or Lower Extremity Computerized Adaptive Test (LE CAT), which can be assessed with other domains such as Pain Interference. In addition, a disease-specific measure can be used when available.”

Monday, November 12, 2018

11+ Kids Program Prevents Severe Injuries

Effects of the '11+ Kids' injury prevention programme on severe injuries in children's football: a secondary analysis of data from a multicentre cluster-randomised controlled trial.

Florian Beaudouin, Roland Rössler, Karen aus der Fünten, Mario Bizzini, Jiri Chomiak, Evert Verhagen, Astrid Junge, Jiri Dvorak, Eric Lichtenstein, Tim Meyer, Oliver Faude. Br J Sports Med. 2018. [Epub ahead of print]

Take Home Message: A youth football (soccer) player performing the 11+ Kids program was 58% less likely to have a serious injury during one season compared with a player doing a usual youth soccer warm-up regimen.

An injury prevention program can increase performance and decrease the risk of injury. We recently described two reports from a randomized clinical trial where the authors found that the 11+ Kids program reduced the risk of injury in youth soccer players (7 to 13 years of age) and reduced healthcare costs. It remains unclear if the 11+ Kids program can specifically reduce the risk of severe injuries that prevent a patient from practicing/competing for 28 days or more and increase the risk for poor long-term health outcomes. Therefore, the authors performed a secondary analysis of a cluster-randomized trial to assess the effect of the 11+ Kids program on reducing severe injuries in 7 to 13-year-old football (soccer) players during 1 season (2014/2015).
Wednesday, November 7, 2018

When it Comes to Chronic Traumatic Encephalopathy (CTE): Perhaps Mother Doesn’t Know Best

Chronic traumatic encephalopathy: what do parents of youth athletes know about it?

Daugherty J, Sarmiento K. Brain Injury. 2018. [Epub ahead of print] DOI: 10.1080/02699052.2018.1530801

Take Home Message:  Most parents of youth athletes (aged 5-18 years) are lacking access to evidence-based educational materials about chronic traumatic encephalopathy (CTE).

Chronic traumatic encephalopathy (CTE) is widely discussed in popular media and often with sensationalized headlines based on cases studies/series. The public may have a hard time finding scientific research on CTE and thus may poorly understand CTE while relying on popular media sources. To explore this further, researchers explored parental knowledge regarding CTE in the summer of 2017.
Tuesday, November 6, 2018

National Athletic Trainers' Association Position Statement: Management of Individuals With Patellofemoral Pain.

National Athletic Trainers' Association Position Statement: Management of Individuals With Patellofemoral Pain.

Bolgla LA, Boling MC, Mace KL, DiStefano MJ, Fithian DC, Powers CM. J Athl Train. 2018 Sep;53(9):820-836. doi: 10.4085/1062-6050-231-15.

The National Athletic Trainers’ Association released a new position statement on the management of individuals with patellofemoral pain. The authors start the document with 22 recommendations related to risk factors, pain and functional outcome measures, nonsurgical treatment, and surgical treatment. In the next section they offer a review of the literature related to these recommendations.


Monday, November 5, 2018

2019 Canadian guideline for physical activity throughout pregnancy

2019 Canadian guideline for physical activity throughout pregnancy.

Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras VJ, Gray CE, Jaramillo Garcia A, Barrowman N, Adamo KB, Duggan M, Barakat R, Chilibeck P, Fleming K, Forte M, Korolnek J, Nagpal T, Slater LG, Stirling D, Zehr L. Br J Sports Med. 2018 Nov;52(21):1339-1346. doi: 10.1136/bjsports-2018-100056.

The Society of Obstetricians and Gynaecologists of Canada’s (SOGC) and the Canadian Society for Exercise Physiology (CSEP) released a joint clinical practice guideline to “provide evidence-based recommendations regarding physical activity throughout pregnancy in the promotion of maternal, fetal and neonatal health”. The document offers 6 recommendations related to who should be physically active during pregnancy and what physical activity is recommended during pregnancy. The authors also addresses safety precautions, reasons to stop physical activity, and how to start being active during pregnancy.

Wednesday, October 31, 2018

Give a Heads Up to Your Club Sports on Concussions

Sport-Related Concussion: Knowledge and Reporting Behaviors Among Collegiate Club-Sport Athletes

Beidler E, Bretzin A, Hanock C, Covassin T. J Athl Train. 2018. [Epub ahead of print]

Take Home Message: Many club-sport athletes had good concussion knowledge; however, many viewed concussions as not serious enough to report.

Many collegiate-club sports lack medical coverage. Hence, club-sport athletes are responsible for their own injury knowledge and return-to-play decisions. This can be problematic with injuries like concussions because there are no standards for club sports regarding concussion management. To develop concussion education programs for club-sport athletes we need to identify their knowledge and current concussion reporting practices. Therefore, the authors surveyed 410 club-sport athletes (60% male) from 4 different institutions to identify concussion knowledge and reporting habits. They also assessed whether there were differences in concussion knowledge and reporting between traditional club sports (e.g., lacrosse, soccer, volleyball) and non-traditional club sport (e.g., rugby, quidditch, boxing) athletes.
Wednesday, October 24, 2018

Concussions During Adolescence and Cognitive Function

Concussion history and cognitive function in a large cohort of adolescent athletes.

Taylor KM, Kioumourtzoglou MA, Clover J, Coull BA, Dennerlein JT, Bellinger DC, and Weisskopf MG. Am J Sports Med. 2018. [Epub Ahead of Print].

Take Home Message: An adolescent athlete with a history of concussion, especially at a young age, is likely to have lower cognitive function than their peers.

While the number of concussions among adolescents has recently risen, we know little about how a history of concussion among this populations affects the brain. Therefore, Taylor and colleagues completed a retrospective study to evaluate the relationship between concussion and cognitive function in a large cohort of adolescents. From 2009 to 2014, 5,616 student-athletes (1,370 females, 13-19 years old) from Southern California had mandatory preparticipation physicals, some of which  required a cognitive test.