16,656 results match your criteria Overuse Injury


Changes in Cerebral Blood Flow after Erenumab Treatment in Good and Non-Responders-A Pilot Study of Migraine Patients.

J Clin Med 2021 Jun 7;10(11). Epub 2021 Jun 7.

Department of Sensory Organs Examination, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, M. Skłodowskiej-Curie 9, 85-090 Bydgoszcz, Poland.

Erenumab showed efficacy in migraine prevention, however we cannot identify which patients to treat by predicting efficacy response. The aim of this study was to compare changes in cerebral blood flow (CBF) reflected by transcranial Doppler (TCD) in erenumab good responders (GR) and non-responders, in order to identify a parameter that could predict the treatment response. In this study, migraineurs treated with erenumab underwent clinical and TCD evaluations before and 6 weeks after the treatment, including data on migraine type, monthly migraine days (MMD), medication overuse headache (MOH) presence, mean blood flow velocity (Vm) and pulsatility index (PI) in cerebral arteries (CA). Read More

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Traumatic injury and atrial fibrillation among deployed service members.

J Cardiovasc Electrophysiol 2021 Jul 1. Epub 2021 Jul 1.

Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Introduction: Atrial fibrillation and atrial flutter (AF/AFL), the most common atrial arrhythmias, have never been examined in combat casualties. In this study, we investigated the impact of traumatic injury on AF/AFL among service members with deployment history.

Methods: Sampled from the Department of Defense (DoD) Trauma Registry (n = 10,000), each injured patient in this retrospective cohort study was matched with a non-injured service member drawn from the Veterans Affairs/DoD Identity Repository. Read More

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Leveraging implementation science to prevent and reduce musculoskeletal overuse injury in musicians: A proposal for the study of a conceptual framework.

J Hand Ther 2021 Apr-Jun;34(2):315-322. Epub 2021 May 28.

Global and Academic Affairs, Hospital for Special Surgery, New York, NY, USA.

Background: Musician health and wellness, a fundamental requirement for safe, effective and optimal musical performance, is not guaranteed. Performance related musculoskeletal disorders (PRMD) affect between 60% and 90% of all musicians, and have serious consequences on musculoskeletal health, performance ability and the overall healthcare burden of musculoskeletal injury. The high prevalence of PRMD in musicians can be prevented and reduced via health-education programs designed to address risk factors and practice habits. Read More

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The forgotten radial nerve: A conceptual framework for treatment of lateral elbow pain.

J Hand Ther 2021 Apr-Jun;34(2):323-329. Epub 2021 Jun 27.

Leon Root, MD Motion Analysis Laboratory, Department of Rehabilitation, Hospital for Special Surgery, New York, NY, USA; Physical Medicine and Rehabilitation, Weill Cornell Medicine, New York, NY, USA.

Background: Lateral elbow pain is a prevalent musculoskeletal overuse disorder that has serious consequences for musculoskeletal health, occupational performance, and overall healthcare burden. Available treatment options (traditional therapy and steroid injections) have been studied rigorously, yet supporting evidence is weak. The majority of treatment options available are targeted at the local pathology of the common extensor tendon as the apparent source of pain, and do not adequately address the cause, the source of overuse, and mechanism of injury. Read More

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The Impact of Certificate of Need Status on the Utilization and Reimbursement of Open and Endoscopic Carpal Tunnel Release.

J Surg Orthop Adv 2021 ;30(2):90-92

Stanford University, VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Redwood City, California.

A certificate of need (CON) permits a healthcare organization to build new facilities only if significant medical needs exist. Many states have implemented CON programs to prevent procedure overutilization and price inflation. We hypothesized that there are no differences in reimbursement or utilization for open and endoscopic carpal tunnel release (CTR) when comparing states with and without CON programs. Read More

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The throwing shoulder in youth elite handball: adaptions of inferior but not anterior capsule thickness differ between the two sexes.

Res Sports Med 2021 Jun 28:1-13. Epub 2021 Jun 28.

Department for Diagnostic and Interventional Radiology, University Hospital Tuebingen, Tuebingen, Germany.

The aim was to investigate side-to-side and sex differences of anterior and inferior capsule thickness (ACT, ICT) between the throwing and non-throwing shoulder (TS, NTS) in youth elite handball players. 125 youth female and male elite handball players (14.1±0. Read More

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Sport-related injuries in Iranian basketball players: evidence from a retrospective epidemiologic study (2019-20).

Phys Sportsmed 2021 Jul 2:1-8. Epub 2021 Jul 2.

Department of Corrective Exercise & Sport Injury, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.

Objectives: Basketball is a contact sport with complex movements that include jumps, turns, and changes in direction, which cause frequent musculoskeletal injuries in all regions of the body. Also, injury patterns among athletes, particularly basketball players, continue to evolve and change. The current retrospective epidemiologic study aimed to investigate the incidence, severity, and sports-related risk factors of injuries in Iranian basketball players from 2019 to 2020. Read More

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One-Year Clinical and Imaging Follow-up After Exercise-Based Treatment for Acute Complete Adductor Longus Tendon Avulsions in Athletes: A Prospective Case Series.

Am J Sports Med 2021 Jun 23:3635465211015996. Epub 2021 Jun 23.

Erasmus MC Center for Groin Injuries, Department of Orthopaedics, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.

Background: Complete avulsions of the adductor longus tendon are serious injuries, yet we have few data to inform clinical decisions on management. Previous studies are limited by a lack of detailed follow-up.

Purpose: To describe detailed clinical and imaging measures 1 year after complete proximal adductor longus avulsion injuries in athletes who received exercise-based treatment. Read More

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A musician-centered approach to management of performance-related upper musculoskeletal injuries.

J Hand Ther 2021 Apr-Jun;34(2):208-216. Epub 2021 Apr 14.

Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY, USA; The Juilliard School, New York, NY, USA. Electronic address:

Study Design: Invited Clinical Commentary BACKGROUND: Performance related musculoskeletal disorders (PRMD) are common in instrumental musicians and often affect the upper extremities. These overuse injuries typically result from inadequate attention to the musculoskeletal demands required for the high-level performance of musician-students and experienced instrumentalists. PRMDs often interfere with career trajectory, and in extreme cases, can be career ending. Read More

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The Impacts of ICD-10-CM on U.S. Army Injury Surveillance.

Am J Prev Med 2021 07;61(1):e47-e52

Injury Prevention Program, Clinical Public Health and Epidemiology Directorate, U.S. Army Public Health Center, Aberdeen Proving Ground, Maryland.

Introduction: Injuries are the leading cause of medical encounters and lost work days in the U.S. Army, affecting more than half of active-duty soldiers annually. Read More

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Injuries in Japanese university handball: a study among 1017 players.

Res Sports Med 2021 Sep-Oct;29(5):475-485. Epub 2021 Jun 20.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

The aim of this study was to examine the injury profile of Japanese university handball players. In this cross-sectional study, a total of 1017 participants who played in the 2018 Japanese National University Handball Championship were followed. The incidence within the previous year was 0. Read More

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Pain and body position on the bicycle in competitive and recreational road cyclists: A retrospective study.

Sports Biomech 2021 Jun 18:1-14. Epub 2021 Jun 18.

Holsworth Research Initiative, La Trobe Rural Health School, La Trobe University, Bendigo, Australia.

This study compared the presence of pain in recreational and competitive road cyclists and body position on the bicycle between cyclists with and without pain. Seventy-one cyclists completed a survey reporting existing cycling-related sites of pain and comfort. Static sagittal and frontal plane images were taken to analyse body position on the bicycle. Read More

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The FIFA 11+ Shoulder Injury Prevention Program Was Effective in Reducing Upper Extremity Injuries Among Soccer Goalkeepers: A Randomized Controlled Trial.

Am J Sports Med 2021 Jul 17;49(9):2293-2300. Epub 2021 Jun 17.

Discipline of Exercise and Sport Science, Faculty of Medicine and Health Sciences, University of Sydney, Sydney, Australia.

Background: Soccer is one of the most popular sports worldwide. Goalkeepers are more likely to injure their upper limbs, particularly their shoulders, than outfield players. To reduce upper extremity injuries, the FIFA 11+ Shoulder Injury Prevention Program (FIFA 11+S) was developed. Read More

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Ulnar two-point discrimination following endoscopic carpal tunnel release.

Medicina (B Aires) 2021 ;81(3):318-322

Department of Orthopedic Surgery, Denver Health Medical Center, Denver, CO, USA.

Carpal tunnel syndrome is median nerve symptomatic compression at the level of the wrist, characterized by increased pressure within the carpal tunnel and decreased nerve function at the level. Carpal tunnel release decreases pressure in Guyon's canal, via open techniques, with symptom and two-point discrimination improvement in the ulnar nerve distribution. We hypothesize that endoscopic carpal tunnel release improves two-point discrimination in the ulnar nerve distribution as well. Read More

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The Relationship Between Workload and Non-Contact Musculoskeletal Injury in College Swimmers: A Prospective Cohort Study.

J Athl Train 2021 Jun 15. Epub 2021 Jun 15.

Department of Exercise Science, University of South Carolina, Colombia, SC,

Context: Swimmers are known for high training loads and overuse injuries, but few studies have investigated the relationship between the two at the college level.

Objective: To determine the association between workload and non-contact musculoskeletal injury in college swimmers. We hypothesized (1) higher overall workload (kilometers swum throughout the season) would be associated with increased odds of injury and (2) the ratio of the current week's (acute) workload divided by the current month's (chronic) workload (i. Read More

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Trauma-related differences in socio-emotional functioning predict housing and employment outcomes in homeless veterans.

Soc Sci Med 2021 07 2;281:114096. Epub 2021 Jun 2.

Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, 01655, USA; Center for Healthcare Organization and Implementation Research, Bedford VA Medical Center, Bedford, MA, 01730, USA.

Rationale: Mental health and substance use disorders are strong risk factors for homelessness. Understanding the role of transdiagnostic factors could help inform efforts to reduce homelessness among veterans with a range of disorders. Homeless veterans have high rates of trauma exposure, which can result in the depletion of social and emotional resources that may contribute to housing and employment stability. Read More

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Pharmacy Technicians' Perceptions of Risk Reduction Strategies Implemented in Response to the Repetitive Strain Injury Associated with Sterile Compounding.

Int J Pharm Compd 2021 May-Jun;25(3):182-186

Pharmacy Department, Eastern Health, Melbourne, Victoria, Australia.

Following a 240% increase in the number of compounded sterile preparations between 2012 and 2013, three pharmacy technicians at a metropolitan public hospital suffered hand-related, repetitive strain injuries. This study describes the main safety measures implemented to reduce the risk of repetitive strain injuries associated with sterile compounding at the study hospital, and reports pharmacy technicians' perceptions of their effectiveness. The implemented risk reduction strategies were categorized into five domains of 1) equipment and consumables, 2) training and assessment, 3) Lean waste reduction, 4) roster and shift limits, and 5) workload allocation score. Read More

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Identifying Risk Factors of Upper Extremity Injuries in Collegiate Baseball Players: A Pilot Study.

Int J Sports Phys Ther 2021 Jun 1;16(3):797-806. Epub 2021 Jun 1.

University of Kentucky, Lexington, KY, USA.

Background: Repetitive pitching places tremendous forces on the shoulder and elbow which can lead to upper extremity (UE) or lower extremity (LE) overuse injuries.

Purpose: The purpose of this study was to evaluate pre-season physical measurements in collegiate baseball players and track in-season baseball throwing volume to determine which factors may predict throwing overuse injuries.

Study Design: Retrospective Cohort study. Read More

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New Viscoelastic Hydrogel Hymovis MO.RE. Single Intra-articular Injection for the Treatment of Knee Osteoarthritis in Sportsmen: Safety and Efficacy Study Results.

Front Pharmacol 2021 28;12:673988. Epub 2021 May 28.

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.

Viscosupplementation by hyaluronic acid (HA) is recommended for non-surgical management of knee osteoarthritis (OA). This study investigated the efficacy and safety of a single i.a. Read More

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Dance Exposure, Individual Characteristics, and Injury Risk over Five Seasons in a Professional Ballet Company.

Med Sci Sports Exerc 2021 Jun 10. Epub 2021 Jun 10.

Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, United Kingdom Ballet Healthcare, The Royal Ballet, Royal Opera House, London, United Kingdom Institute of Sport Science, Dance Science, University of Bern, Bern, Switzerland Department for Health, University of Bath, Bath, United Kingdom Division of Surgery and Interventional Science, University College London, London, United Kingdom.

Purpose: To describe the relationships between dance exposure, dancer characteristics, and injury risk across five seasons in a professional ballet company.

Methods: Dance exposure time and clinician-reported time-loss and medical attention injury data were prospectively collected from 118 professional dancers of The Royal Ballet between 2015/16 and 2019/20. Cox proportional hazards and shared frailty models were fitted to overuse and traumatic injuries; individualized robust Z-scores for 7-day and 28-day accumulated exposure, and week-to-week change in exposure, age, sex, company rank, and injury history were included as time-varying covariates. Read More

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Low-value injury admissions in an integrated Canadian trauma system: A multicentre cohort study.

Int J Clin Pract 2021 Jun 9:e14473. Epub 2021 Jun 9.

Department of Social and Preventive Medicine, Université Laval, Québec, QC, Canada.

Background: Injury represents 260 000 hospitalisations and $27 billion in healthcare costs each year in Canada. Evidence suggests that there is significant variation in the prevalence of hospital admissions among emergency department presentations between countries and providers, but we lack data specific to injury admissions. We aimed to estimate the prevalence of potentially low-value injury admissions following injury in a Canadian provincial trauma system, identify diagnostic groups contributing most to low-value admissions and assess inter-hospital variation. Read More

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Medication-overuse headache in patients with secondary headache disorders: Need for revision?

Headache 2021 May;61(5):790-791

Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, AZ, USA.

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Leg Stiffness, Joint Stiffness, and Running-Related Injury: Evidence From a Prospective Cohort Study.

Orthop J Sports Med 2021 May 25;9(5):23259671211011213. Epub 2021 May 25.

H.H. Morris Human Performance Laboratories, Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana, USA.

Background: The spring-like behavior of the leg and the joints of the lower body during running are thought to influence a wide range of physiologic and mechanical phenomena, including susceptibility to overuse injury. If leg and joint stiffness are associated with running-related injuries, altering joint or leg stiffness may be a useful avenue for injury rehabilitation and injury prevention programs.

Purpose: To test the associations between running-related injury and leg stiffness, knee stiffness, and ankle stiffness in a prospective study of recreational runners. Read More

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Modified Carpal Tunnel Release: A New Approach to Minimizing Pillar Pain.

Ann Plast Surg 2021 06;86(6S Suppl 5):S503-S509

From the Prisma Health/University of South Carolina School of Medicine, Columbia SC.

Introduction: Pillar pain is a frequent postoperative complication of carpal tunnel release (CTR). The precise definition of pillar pain is lacking, but most authors describe it as diffuse aching pain and tenderness in the thenar and hypothenar area. The etiology of pillar pain is unclear. Read More

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Biomechanical analysis of wheelchair athletes with paraplegia during cross-training exercises.

J Spinal Cord Med 2021 Jun 8:1-16. Epub 2021 Jun 8.

Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.

Context: Extreme conditioning programs (ECPs), such as CrossFit, are a relatively new method of fitness with rapid growth in individuals with paraplegia. However, it is unknown if wheelchair users are at an additional risk of musculoskeletal injury during these exercises. Biomechanical characterization is necessary to determine the safety and efficacy of ECPs as an exercise modality for wheelchair users with paraplegia. Read More

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Injury Incidence and Severity in Musical Theatre Dance Students: 5-year Prospective Study.

Int J Sports Med 2021 Jun 7. Epub 2021 Jun 7.

Institute of Human Sciences, University of Wolverhampton, Walsall, United Kingdom of Great Britain and Northern Ireland.

Dance injury research has mainly focused on ballet and modern dance with little data on musical theatre dancers. The purpose was to assess the incidence and severity of injuries in a musical theatre dance college over a 5-year period; 198 pre-professional musical theatre dancers (3 cohorts on a 3-year training course) volunteered for the study; 21 students left the course over the study period. Injury aetiology data were collected by an in-house physiotherapy team. Read More

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The Epidemiology, Risk Factors, and Nonsurgical Treatment of Injuries Related to Endurance Running.

Curr Sports Med Rep 2021 Jun;20(6):306-311

Sea Mar Community Health Centers, Seattle, WA.

Abstract: Running is a popular form of exercise that is easily accessible to various populations; endurance running, defined as distances beyond 5 km, continues to grow within the sport. Endurance running-related injuries are common in the lower extremities and are primarily overuse related. A multitude of risk factors for injury exist, including extrinsic factors, such as running distance and frequency, and intrinsic factors, such as biomechanics and nutrition status. Read More

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Within- and between-day loading response to ballet choreography.

Res Sports Med 2021 Jun 4:1-12. Epub 2021 Jun 4.

Sports Injuries Research Group, Department of Sport & Physical Activity, Edge Hill University, Ormskirk, Lancashire, UK.

Overuse pathologies are prevalent in ballet injury. Ten amateur ballet dancers (age: 23.20 ± 3. Read More

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Comparison of Cellular Responses to TGF-β1 and BMP-2 Between Healthy and Torn Tendons.

Am J Sports Med 2021 06;49(7):1892-1903

Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Background: Tendons heal by fibrotic repair, increasing the likelihood of reinjury. Animal tendon injury and overuse models have identified transforming growth factor beta (TGF-β) and bone morphogenetic proteins (BMPs) as growth factors actively involved in the development of fibrosis, by mediating extracellular matrix synthesis and cell differentiation.

Purpose: To understand how TGF-β and BMPs contribute to fibrotic processes using tendon-derived cells isolated from healthy and diseased human tendons. Read More

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The role of loading in murine models of rotator cuff disease.

J Orthop Res 2021 Jun 3. Epub 2021 Jun 3.

Department of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, New York, USA.

Rotator cuff disease pathogenesis is associated with intrinsic (e.g., age, joint laxity, muscle weakness) and extrinsic (e. Read More

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