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    2179 results match your criteria Clinical Journal of Sport Medicine[Journal]

    1 OF 44

    Pain Management in Athletes With Impairment: A Narrative Review of Management Strategies.
    Clin J Sport Med 2018 May 16. Epub 2018 May 16.
    Royal Netherlands Lawn Tennis Association, Amersfoort, the Netherlands.
    Objective: To review the literature related to different treatment strategies for the general population of individuals with amputation, spinal cord injury, and cerebral palsy, as well as how this may impact pain management in a correlated athlete population.

    Data Sources: A comprehensive literature search was performed linking pain with terms related to different impairment types.

    Main Results: There is a paucity in the literature relating to treatment of pain in athletes with impairment; however, it is possible that the treatment strategies used in the general population of individuals with impairment may be translated to the athlete population. Read More

    Musculoskeletal Injury in Paddle Sport Athletes.
    Clin J Sport Med 2018 May 16. Epub 2018 May 16.
    Trauma and Orthopaedic Research Unit, College of Health and Medicine, Australian National University, Canberra, Australia.
    Introduction: Kayak racing has been an Olympic sport since 1936. The sport is evolving with the introduction of ocean skis and stand-up-paddle boards (SUP). Musculoskeletal injury incidence surveys have been conducted for ultra-marathon events, but no data have been published for other racing formats. Read More

    Novel Interventions for Recalcitrant Achilles Tendinopathy: Benefits Seen Following High-Volume Image-Guided Injection or Extracorporeal Shockwave Therapy-A Prospective Cohort Study.
    Clin J Sport Med 2018 May 16. Epub 2018 May 16.
    Department of Sport & Exercise Medicine, University Hospitals of Leicester NHS Trust, United Kingdom.
    Objective: To compare the outcomes for patients with chronic noninsertional Achilles tendinopathy following extracorporeal shockwave therapy (ESWT) and high-volume image-guided injection (HVIGI).

    Design: Prospective cohort study.

    Setting: Hospital-based Sports Medicine Outpatient Clinic. Read More

    Injectable Nonsteroidal Anti-Inflammatory Drugs in Sport.
    Clin J Sport Med 2018 May 10. Epub 2018 May 10.
    Department of Orthopedic Surgery, Washington University, St. Louis, Missouri.
    Objective: The primary objective of this article is to review the basic science of nonsteroidal anti-inflammatory drugs (NSAIDs), their clinical effects, indications, potential complications, and ethical issues associated with the use of injectable NSAIDs in the treatment of athletes. These objectives are presented taking into consideration the contemporaneous issues associated with the treatment of amateur and professional athletes.

    Data Sources: A nonformal review of the published medical literature and lay media focusing on the use of injectable NSAIDs in athletes was used for this article. Read More

    Implementation of Injury and Illness Surveillance Protocols in Varsity Athletes.
    Clin J Sport Med 2018 May 2. Epub 2018 May 2.
    Human Health and Nutritional Sciences Department, University of Guelph, Guelph, ON, Canada.
    Objective: To develop and implement a prospective varsity athlete surveillance system to identify injury and illness trends in a multisport varsity-level university setting.

    Design: Longitudinal prospective surveillance study.

    Setting: Varsity-level sport program at the University of Guelph, Guelph, ON, Canada. Read More

    Urine Reagent Strips Are Inaccurate for Assessing Hypohydration: A Brief Report.
    Clin J Sport Med 2018 Apr 11. Epub 2018 Apr 11.
    Hydration Science Lab, University of Arkansas, Fayetteville, Arkansas.
    Objective: To assess the diagnostic ability of urine reagent strips to identify hypohydration based on urine specific gravity (USG).

    Design: This study examined the agreement of USG between strips and refractometry with Bland-Altman, whereas the diagnostic ability of the strips to assess hypohydration was performed by receiver operating characteristic analysis.

    Setting: Arkansas high school football preseason practice. Read More

    Efficacy of Intra-articular Polynucleotides Associated With Hyaluronic Acid Versus Hyaluronic Acid Alone in the Treatment of Knee Osteoarthritis: A Randomized, Double-Blind, Controlled Clinical Trial.
    Clin J Sport Med 2018 Apr 10. Epub 2018 Apr 10.
    Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopedic Institute, Bologna, Italy.
    Objective: Pain and range of motion loss are the main clinical features of osteoarthritis (OA). Hyaluronic acid (HA) is one of the infiltrative therapies for OA treatment; however, its effectiveness is a matter of an ongoing debate in clinical practice. Polynucleotides (PNs), a DNA-derived macromolecule with natural origin and trophic activity, were found to favor cell growth and collagen production, in preclinical and clinical studies regarding cartilage regeneration. Read More

    Cross-Sectional Investigation of Self-reported Concussions and Reporting Behaviors in 866 Adolescent Rugby Union Players: Implications for Educational Strategies.
    Clin J Sport Med 2018 Apr 20. Epub 2018 Apr 20.
    Department of Science, Institute of Technology, Tallaght, Dublin, Ireland.
    Objective: To examine the self-recalled concussion and bell ringer (BR) prevalence, reporting rates, and reporting behaviors in adolescent rugby players.

    Design: Cross-sectional survey.

    Setting: School classroom. Read More

    Etiology of Sudden Cardiac Arrest and Death in US Competitive Athletes: A 2-Year Prospective Surveillance Study.
    Clin J Sport Med 2018 Apr 20. Epub 2018 Apr 20.
    Department of Family Medicine, Center for Sports Cardiology, University of Washington, Seattle, Washington.
    Objective: To determine the etiology of sudden cardiac arrest and death (SCA/D) in competitive athletes through a prospective national surveillance program.

    Design: Sudden cardiac arrest and death cases in middle school, high school, college, and professional athletes were identified from July 2014 to June 2016 through traditional and social media searches, reporting to the National Center for Catastrophic Sports Injury Research, communication with state and national high school associations, review of the Parent Heart Watch database, and search of student-athlete deaths on the NCAA Resolutions List. Autopsy reports and medical records were reviewed by a multidisciplinary panel to determine the underlying cause. Read More

    Clinical Outcome After Lateral Ulnar Collateral Ligament Reconstruction in an Adolescent Baseball Player: A Case Report.
    Clin J Sport Med 2018 Apr 20. Epub 2018 Apr 20.
    The Andrews Institute for Orthopaedics & Sports Medicine, Gulf Breeze, Florida.
    Lateral ulnar collateral ligament (LUCL) reconstruction is a commonly used surgical procedure to treat posterolateral rotatory instability (PLRI) of the elbow. We report a 17-year-old right-handed pitcher with symptomatic PLRI after an injury to his LUCL during a baseball game. Having failed 8 months of conservative treatment, a LUCL reconstruction using the modified O'Driscoll technique was performed with the contralateral gracilis autograft. Read More

    Exertional Medial Compartment Syndrome of the Foot: Referred Pain and Sequelae of Delayed Diagnosis-A Case Report.
    Clin J Sport Med 2018 Apr 4. Epub 2018 Apr 4.
    Department of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.
    In a 31-year-old man, the diagnosis of medial compartment syndrome of foot was delayed for 8 days. In contrast to previously reported cases, the patient presented with mainly bilateral lateral thigh-referred pain rather than foot pain. Although delayed decompression of the medial compartment provided dramatic relief of the referred pain, the patient complained of sensory deficit at the medial side of the foot and flexion deformity of the great toe at the final follow-up visit. Read More

    ImPACT Normative Data of Ethnically Diverse Adolescent Athletes.
    Clin J Sport Med 2018 Apr 4. Epub 2018 Apr 4.
    Department of Kinesiology and Rehabilitation Science, University of Hawaii at Manoa, Honolulu, Hawaii.
    Objective: The aim of this research was to develop preliminary norms for the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) administered to a large sample of adolescent athletes from diverse ethnic backgrounds.

    Design: A retrospective records review.

    Setting: Middle and high school athletic departments. Read More

    Hamstring Muscle Injury Prediction by Isokinetic Ratios Depends on the Method Used.
    Clin J Sport Med 2018 Apr 4. Epub 2018 Apr 4.
    Physical Medicine and Rehabilitation Center, University Hospital of Nantes, Nantes, France.
    Objectives: Hamstring muscle injury prediction by isokinetic strength ratios is low but could result from the method-depending either on the use of the limbs or of the sportsmen as references. We aimed to establish a predictive model including unilateral and bilateral ratios calculated from the dominant, nondominant, right, and left limb in injured and uninjured professional soccer players.

    Design: Cohort study. Read More

    Do Initial Symptom Factor Scores Predict Subsequent Impairment Following Concussion?
    Clin J Sport Med 2018 Mar 28. Epub 2018 Mar 28.
    Department of Orthopaedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, Pennsylvania.
    Objective: Symptom factors present during the first week following concussion may predict subsequent concussion outcomes and recovery duration. We hypothesized that a high loading on cognitive-fatigue-migraine and somatic factors would be predictive of neurocognitive impairment following concussion. We also hypothesized that the affective factor would be related to vestibular symptoms and impairment. Read More

    How Useful Is the Flexion-Adduction-Internal Rotation Test for Diagnosing Femoroacetabular Impingement: A Systematic Review.
    Clin J Sport Med 2018 Mar 28. Epub 2018 Mar 28.
    Division of Orthopedic Surgery, Department of Surgery, McMaster UniversityHamilton, ON, Canada.
    Objective: Clinicians use the flexion, adduction, and internal rotation (FADIR) test in the diagnosis of femoroacetabular impingement (FAI). However, the diagnostic utility of this test remains unclear. The purpose of this review was to determine the utility of the FADIR test in diagnosing FAI. Read More

    Facilitators and Barriers to the Implementation of iSPRINT: A Sport Injury Prevention Program in Junior High Schools.
    Clin J Sport Med 2018 Mar 29. Epub 2018 Mar 29.
    Sport Injury Prevention Research Centre, Roger Jackson Centre for Health and Wellness Research, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
    Objectives: Sport injury is the leading cause of hospitalization in Canadian youth and represents a high burden to the health care system. This study aims to describe the facilitators and barriers to implementation of a sport injury prevention program in junior high school physical education (known as iSPRINT), previously shown to reduce the risk of sport-related injury in youth (age, 11-15 years).

    Methods: Focus group data were mapped onto constructs from the Consolidated Framework for Implementation Research (CFIR). Read More

    Methods of Identifying Limb Dominance in Adolescent Female Basketball Players: Implications for Clinical and Biomechanical Research.
    Clin J Sport Med 2018 Mar 29. Epub 2018 Mar 29.
    Athletic Training, Congdon School of Health Sciences, High Point University, High Point, North Carolina.
    Objective: To identify relationships between self-reported limb preferences and performance measures for determining limb dominance in adolescent female basketball players.

    Design: Cross-sectional cohort study.

    Participants: Forty adolescent female basketball players. Read More

    Factors Associated With Self-Reported Concussion History in Middle School Athletes.
    Clin J Sport Med 2018 Mar 27. Epub 2018 Mar 27.
    Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.
    Objective: Identifying personal characteristics associated with sustaining a concussion is of great interest, yet only a few have examined this in children. The purpose of this study was to examine the association between sex, neurodevelopmental disorders, health history, and lifetime history of self-reported concussion in 12- and 13-year-old athletes.

    Design: Cross-sectional study. Read More

    Association Between a Physical Activity Vital Sign and Cardiometabolic Disease in High-Risk Patients.
    Clin J Sport Med 2018 Mar 27. Epub 2018 Mar 27.
    Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, SC.
    Objective: To determine the association between the physical activity vital sign (PAVS) and markers of cardiometabolic disease.

    Design: Patients were assessed through the PAVS, a validated tool self-reporting the frequency and duration of physical activity. Patients were categorized into 3 groups: inactive (0 minutes per week), underactive (1-149 minutes per week), and active (>150 minutes per week). Read More

    Test-Retest Reliability and the Effects of Exercise on the King-Devick Test.
    Clin J Sport Med 2018 Mar 27. Epub 2018 Mar 27.
    Department of Kinesiology, University of Virginia, Charlottesville, Virginia.
    Objective: To determine the test-retest reliability and the influence of exercise on King-Devick (K-D) test performance.

    Design: Crossover study design.

    Setting: Controlled laboratory. Read More

    Low Bone Mineral Density in Elite Female Athletes With a History of Secondary Amenorrhea in Their Teens.
    Clin J Sport Med 2018 Mar 27. Epub 2018 Mar 27.
    Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan.
    Objective: To determine whether secondary amenorrhea during teenage years influences bone mineral density (BMD) in female athletes in their 20s.

    Design: Original research.

    Setting: Japan Institute of Sports Sciences. Read More

    Anterior Cruciate Ligament Injuries in the National Hockey League: Epidemiology and Performance Impact.
    Clin J Sport Med 2018 Mar 27. Epub 2018 Mar 27.
    Pan Am Clinic, Winnipeg, Manitoba, Canada.
    Objective: To determine the incidence of anterior cruciate ligament (ACL) injuries in the National Hockey League (NHL) and to examine the effects of this injury on return-to-play status and performance.

    Design: Case series; level of evidence, 4.

    Methods: This was a 2-phase study. Read More

    Orthopedic Injuries in Professional Surfers: A Retrospective Study at a Single Orthopedic Center.
    Clin J Sport Med 2018 Mar 23. Epub 2018 Mar 23.
    Kramer Orthopedics, Newport Beach, CA.
    Background: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Read More

    Hip Joint Effusion-Synovitis Is Associated With Hip Pain and Sports/Recreation Function in Female Professional Ballet Dancers.
    Clin J Sport Med 2018 Mar 23. Epub 2018 Mar 23.
    School of Allied Health, La Trobe University, Bundoora, Victoria, Australia.
    Objective: To compare hip joint effusion-synovitis prevalence in professional ballet dancers with nondancing athletes and to evaluate the relationship between effusion-synovitis and clinical measures and cartilage defects.

    Design: Case-control study.

    Setting: Elite ballet and sport. Read More

    A Prospective Transcranial Doppler Ultrasound-Based Evaluation of the Effects of Repetitive Subconcussive Head Trauma on Neurovascular Coupling Dynamics.
    Clin J Sport Med 2018 Feb 14. Epub 2018 Feb 14.
    School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC, Canada.
    Objective: To determine the effects of repetitive subconcussive head trauma on neurovascular coupling (NVC) responses.

    Design: Prospective cohort study collected between September 2013 and December 2016.

    Setting: University laboratory. Read More

    Use of Pocket-Sized Ultrasound Device in the Diagnosis of Shoulder Pathology.
    Clin J Sport Med 2018 Feb 14. Epub 2018 Feb 14.
    Division of Shoulder and Sports Medicine Surgery, Department of Orthopaedic Surgery, University of California San Francisco Medical Center, San Francisco, California.
    Objective: Musculoskeletal ultrasound imaging is increasingly being used for static and dynamic imaging of tendons, muscles, ligaments, and bones. New, hand-held, pocket-sized ultrasounds are more portable and affordable. The purpose of this study was to evaluate the feasibility of pocket-sized ultrasound to diagnose shoulder pathology. Read More

    Analysis of Football Injuries by Position Group in Division I College Football: A 5-Year Program Review.
    Clin J Sport Med 2018 Feb 12. Epub 2018 Feb 12.
    Biomechanics Laboratories, Sports Medicine Center, Mayo Clinic, Minneapolis and Rochester, Minnesota.
    Objective: The purpose of this study was to evaluate injury characteristics by position groups.

    Design: Prospective, observational study.

    Setting: A single, major Division I collegiate football program. Read More

    Combined Anterolateral, Anterior, and Anteromedial Ankle Impingement in an Adolescent Soccer Player-A Case Report and Review of the Literature.
    Clin J Sport Med 2018 Jan 24. Epub 2018 Jan 24.
    Department of Pediatric Orthopedics, University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucharest, Romania.
    A unique case of combined anterolateral, anterior, and anteromedial ankle impingement in an adolescent soccer player is presented in this article. To the best of our knowledge, this is the only report of circumferential, massive, anterior ankle impingement in children described in the literature. The importance of proper diagnosis and treatment of such a lesion is illustrated in this case report. Read More

    Match Situations Leading to Head Injuries in Professional Male Football (Soccer)-A Video-based Analysis Over 12 Years.
    Clin J Sport Med 2018 Jan 19. Epub 2018 Jan 19.
    Institute of Sports and Preventive Medicine, Saarland University, FIFA-Medical Centre of Excellence, Saarbrücken, Germany.
    Objective: To identify risk situations promoting head injuries in professional male football (soccer) and to investigate the impact of a rule change in 2006 punishing elbow-head contacts.

    Design: Analysis of video sequences of head events leading to head injury.

    Participants: Professional football players of the first male German Bundesliga. Read More

    Oral Hypertonic Saline Is Effective in Reversing Acute Mild-to-Moderate Symptomatic Exercise -Associated Hyponatremia.
    Clin J Sport Med 2018 Jan 23. Epub 2018 Jan 23.
    Oakland University, Rochester, Michigan.
    Objectives: To determine whether oral administration of 3% hypertonic saline (HTS) is as efficacious as intravenous (IV) 3% saline in reversing symptoms of mild-to-moderate symptomatic exercise-associated hyponatremia (EAH) in athletes during and after a long-distance triathlon.

    Design: Noninferiority, open-label, parallel-group, randomized control trial to IV or oral HTS. We used permuted block randomization with sealed envelopes, containing the word either "oral" or "IV. Read More

    Athletic Remodeling in Female College Athletes, the "Morganroth Hypothesis" Revisited.
    Clin J Sport Med 2018 Jan 23. Epub 2018 Jan 23.
    Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California.
    Background: There is limited data regarding ventricular remodeling in college female athletes, especially when appropriate scaling of cardiac dimensions to lean body mass (LBM) is considered. Moreover, it is not well established whether cardiac remodeling in female athletes is a balanced process with proportional increase in left ventricular (LV) mass and volume or the right and LV size.

    Methods: During the preparticipation competitive screening, 72 female college athletes volunteered to undergo dual energy x-ray absorptiometry scan for quantification of LBM and comprehensive 2D echocardiography including assessment of longitudinal myocardial strain. Read More

    Continuing Play, Symptom Severity, and Symptom Duration After Concussion in Youth Athletes.
    Clin J Sport Med 2018 Jan 15. Epub 2018 Jan 15.
    The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.
    Objective: To determine whether continuing to play after a concussion is associated with higher symptom burden or prolonged symptom duration.

    Design: Patients who presented for care at a sport concussion clinic within the first 3 weeks of injury were asked whether they continued to play immediately after their injury.

    Setting: Sport concussion clinic within a regional tertiary care hospital. Read More

    Update on the Role of Actovegin in Musculoskeletal Medicine: A Review of the Past 10 Years.
    Clin J Sport Med 2018 Jan 15. Epub 2018 Jan 15.
    WelshBone, Cardiff University, Grantham and District Hospital.
    Background: Actovegin is a biological drug with a controversial history of use in the treatment of sports injuries during the past 60 years. Particular concerns have been raised about its ergogenic potential to enhance performance, but some of these have been based on little more than anecdote.

    Objectives: In this article, we review the most recent scientific evidence to determine the clinical efficacy, safety profile, and legal status of Actovegin. Read More

    Concussion Symptom Underreporting Among Incoming National Collegiate Athletic Association Division I College Athletes.
    Clin J Sport Med 2018 Jan 11. Epub 2018 Jan 11.
    Center of Alcohol Studies, Rutgers, The State University of New Jersey, New Brunswick, New Jersey.
    Objective: Accurate diagnosis of sport-related concussions relies heavily on truthful self-reporting of symptom severity. Previous studies have emphasized lack of knowledge as a factor in symptom nondisclosure. This study sought to examine concussion knowledge and the relationship of knowledge to reasons for symptom nondisclosure. Read More

    Return to Sport After Arthroscopic Autologous Matrix-Induced Chondrogenesis for Patients With Osteochondral Lesion of the Talus.
    Clin J Sport Med 2017 12 22. Epub 2017 Dec 22.
    IRCCS Istituto Ortopedico Galeazzi, C.A.S.C.O. - Foot and Ankle Unit, Milan, Italy.
    Objective: To determine the rate of return of patients to sport after arthroscopic autologous matrix-induced chondrogenesis (AT-AMIC) for outcomes 2 years after surgery.

    Design: Retrospective observational cross-sectional study.

    Setting: C. Read More

    Ability of Functional Performance Tests to Identify Individuals With Chronic Ankle Instability: A Systematic Review With Meta-Analysis.
    Clin J Sport Med 2017 Dec 22. Epub 2017 Dec 22.
    Department of Physical Therapy & Athletic Training, Northern Arizona University, Flagstaff, Arizona.
    Objective: The purpose of this systematic review with meta-analysis was to determine the effectiveness of functional performance tests (FPTs) in differentiating between individuals with chronic ankle instability (CAI) and healthy controls.

    Data Sources: The National Library of Medicine Catalog (PubMed), the Cumulative Index for Nursing and Allied Health Literature (CINAHL), and the SPORTDiscus, from inception to June 2017 were searched. Search terms consisted of: "Functional Performance Test*" OR "Dynamic Balance Test*" OR "Postural Stability Test*" OR "Star Excursion Balance Test*" OR "Hop Test*" AND "Ankle Instability" OR "Ankle Sprain. Read More

    Screening Tool to Determine Risk of Having Muscle Dysmorphia Symptoms in Men Who Engage in Weight Training at a Gym.
    Clin J Sport Med 2018 Mar;28(2):168-173
    Department of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University, Alicante, Spain.
    Objective: Although 2 screening tests exist for having a high risk of muscle dysmorphia (MD) symptoms, they both require a long time to apply. Accordingly, we proposed the construction, validation, and implementation of such a test in a mobile application using easy-to-measure factors associated with MD.

    Design: Cross-sectional observational study. Read More

    Spinal Cord Injury Impairs Cardiovascular Capacity in Elite Wheelchair Rugby Athletes.
    Clin J Sport Med 2017 Dec 19. Epub 2017 Dec 19.
    International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
    Objective: To examine differences in heart rate (HR) responses during international wheelchair rugby competition between athletes with and without a cervical spinal cord injury (SCI) and across standardized sport classifications.

    Design: Observational study.

    Setting: The 2015 Parapan American Games wheelchair rugby competition. Read More

    Changes on Tendon Stiffness and Clinical Outcomes in Athletes Are Associated With Patellar Tendinopathy After Eccentric Exercise.
    Clin J Sport Med 2017 Dec 19. Epub 2017 Dec 19.
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
    Objective: Eccentric exercise is commonly used as a form of loading exercise for individuals with patellar tendinopathy. This study investigated the change of mechanical properties and clinical outcomes and their interrelationships after a 12-week single-legged decline-board exercise with and without extracorporeal shockwave therapy (ESWT).

    Design: Randomized controlled trial. Read More

    Stress-Dosed Glucocorticoids and Mineralocorticoids Before Intensive Endurance Exercise in Primary Adrenal Insufficiency.
    Clin J Sport Med 2017 Dec 19. Epub 2017 Dec 19.
    Endocrinology and Metabolism, Wake Forest University, Winston-Salem, NC.
    Patients with primary adrenal insufficiency (PAI) require increased doses of glucocorticoids and mineralocorticoids during stressors, such as surgery, trauma, and sepsis. Although current guidelines exist for dose adjustments in these situations, there is no accepted dosing regimen for patients with PAI participating in intensive endurance exercise. Given the extensive physiologic stress of events, such as marathons, triathlons, and similar events, it is likely that a "stress-dose" of adrenal replacement therapy will not only prevent adrenal crisis, but also improve performance. Read More

    Is There Any Association Between Foot Posture and Lower Limb-Related Injuries in Professional Male Basketball Players? A Cross-Sectional Study.
    Clin J Sport Med 2017 Dec 19. Epub 2017 Dec 19.
    Physiotherapy, University of Malaga, Malaga, Spain.
    Background: Several studies have shown that foot posture is related to the incidence of ankle sprains in athletes and in nonathletic populations, but this association has not previously been considered in basketball players. This study investigates the relationship between foot posture and lower limb injuries in elite basketball players.

    Design And Method: Two hundred twenty participants were recruited as a convenience sample. Read More

    Safety and Prognostic Utility of Provocative Exercise Testing in Acutely Concussed Adolescents: A Randomized Trial.
    Clin J Sport Med 2018 Jan;28(1):13-20
    From the *UBMD Orthopaedics and Sports Medicine, SUNY Buffalo, Buffalo, New York;†Department of Biostatistics, SUNY Buffalo, Buffalo, New York;‡Excelsior Orthopedics and the Department of Family Medicine, SUNY Buffalo, Buffalo, New York;§Nuclear Medicine, SUNY Buffalo, Buffalo, New York;¶Department of Internal Medicine, SUNY Buffalo, Buffalo, New York; and‖Department of Psychiatry, SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York.
    Objective: To evaluate (1) systematic assessment of exercise tolerance in adolescents shortly after sport-related concussion (SRC) and (2) the prognostic utility of such assessment.

    Design: Prospective randomized controlled trial.

    Setting: University and community sports medicine centers. Read More

    Influence of Sex and Previous Concussion History on Postconcussive Recovery in Young Athletes.
    Clin J Sport Med 2017 Dec 14. Epub 2017 Dec 14.
    Levitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, Florida.
    Objective: To determine whether concussed female athletes with a previous history of concussion have longer postconcussive recovery than that of male counterparts.

    Design: Retrospective cohort study.

    Setting: Outpatient sports medicine clinic in an academic practice. Read More

    Defining the Process of a Cardiovascular Risk Assessment Program: Lessons Learnt From Cardiac Assessment of Elite Soccer Players in the United Kingdom.
    Clin J Sport Med 2017 Dec 14. Epub 2017 Dec 14.
    West Bromwich Albion F.C. Sports Medicine and Sports Science Department, West Bromwich, England.
    Objective: Retrospectively analyze the cardiac assessment process for elite soccer players, and provide team physicians with a systematic guide to managing longitudinal cardiac risk.

    Design: Descriptive Epidemiology Study.

    Setting: Cardiac assessments incorporating clinical examination, 12-lead ECG, echocardiography, and health questionnaire. Read More

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