Sports Medicine Research (SMR): In the Lab & In the Field

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The mission of SMR is to objectively summarize and describe the clinical relevance of research articles related to basic science, translational research, and clinical research that may be relevant to students and professionals interested in sports medicine. Furthermore, SMR aims to provide a forum for clinicians, researchers, and students in sports medicine-related fields to discuss the clinical relevance of new research.

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  • September 18, 2013
  • 12:05 AM
  • 744 views

Short and Sweet: ACL Prevention Programs are Effective

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

ACL prevention programs, that are effective at reducing ACL injuries when focusing on stretching, strength, and agility activities, can be done in relatively short warm up periods with little to no disruption to practice activities.
... Read more »

  • September 16, 2013
  • 12:05 AM
  • 671 views

Genetic Variations may Increase OR Decrease your risk of Non-Union Fractures

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Genetic variations within genes involved in the early stages of bone tissue healing have been associated with either protection (FGFR1, FAM5C) or increased risk (BMP4 & FGFR1) of non-union fractures.... Read more »

Guimarães JM, Guimarães IC, Duarte ME, Vieira T, Vianna VF, Fernandes MB, Vieira AR, & Casado PL. (2013) Polymorphisms in BMP4 and FGFR1 genes are associated with fracture non-union. Journal of Orthopaedic Research. PMID: 23939983  

  • September 11, 2013
  • 12:05 AM
  • 1,099 views

Comparison of Three New Concussion Guidelines

by Andrew W. Albano, Jr. DO and Marc I. Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field

Take-Home Message: Despite methodological differences, consensus statements from AMSSM, AAN, and 4th International Conference on Concussion in Sports reach similar broad conclusions about evaluating and treating concussions. Unfortunately, we still need more evidence to optimize our diagnostic approach and management strategies.

The increased incidence of sport-related concussion has raised public concern resulting in increased legislation and evaluations by medical providers. In an effort........ Read more »

  • September 9, 2013
  • 12:05 AM
  • 1,135 views

Muscle Activation During Standing Hip Strengthening Exercises

by Meghan Maume Miller in Sports Medicine Research (SMR): In the Lab & In the Field

Standing hip exercises with elastic tubing resistance do not selectively activate or provide sufficient resistance for strength training the gluteus maximus and medius muscles in healthy collegiate-aged subjects, and as such, may not provide the desired outcome when implemented clinically.
... Read more »

  • September 3, 2013
  • 12:05 AM
  • 1,039 views

Fear of Reinjury or Knee Pain May Inhibit Full Return to Sport Following an ACL Reconstruction

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Following an ACL reconstruction, persistent knee pain and/or fear of reinjury may contribute to whether or not a patient will return to their preinjury level of activity.
... Read more »

  • August 29, 2013
  • 12:05 AM
  • 910 views

PRP Injections for Chronic Rotator Cuff Tendinopathy

by Michelle Noreski in Sports Medicine Research (SMR): In the Lab & In the Field

Despite its popularity as a promising new treatment option, the use of PRP injection for rotator cuff tendinopathy did not result in improved pain or functional outcome when compared to placebo injection... Read more »

  • August 26, 2013
  • 12:05 AM
  • 740 views

Cartilage Adaptation after ACL Injury

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Cartilage adaption is detectable approximately 2 years follow-up. In this time many changes which occur to the cartilage are a progression of the blunt trauma which the joint is subject to following injury.... Read more »

  • August 21, 2013
  • 12:05 AM
  • 693 views

ACL Injuries May Lead to Greater Changes in Cartilage Turnover

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

While young physically-active cadets experience biochemical changes that reflect cartilage turnover during a four-year period, a cadet with an ACL injury may have more pronounced changes. These changes may provide insight for detecting individuals at risk for OA and developing interventions to prevent this.... Read more »

Svoboda SJ, Harvey TM, Owens BD, Brechue WF, Tarwater PM, & Cameron KL. (2013) Changes in Serum Biomarkers of Cartilage Turnover After Anterior Cruciate Ligament Injury. The American Journal of Sports Medicine. PMID: 23831890  

  • August 19, 2013
  • 05:00 AM
  • 1,048 views

Fish Oil Benefits Your Joints, Heart, and BRAIN....Oh My!

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Pre-injury supplementation with omega-3-fatty acids may improve cognitive and physiologic recovery following brain injury.... Read more »

Wang T, Van KC, Gavitt BJ, Grayson JK, Lu YC, Lyeth BG, & Pichakron KO. (2013) Effect of fish oil supplementation in a rat model of multiple mild traumatic brain injuries. Restorative Neurology and Neuroscience. PMID: 23835930  

  • August 14, 2013
  • 12:05 AM
  • 900 views

Posttraumatic Migraine as a Predictor of Recovery and Cognitive Impairment After Sport-related Concussion

by Andrew W. Albano, Jr. DO and Marc I. Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field

Headache with post-traumatic migraine symptoms (nausea, photosensitivity, phonosensitivity) may be clinical predictors for prolonged recovery among patients with sport-related concussion.... Read more »

Kontos AP, Elbin RJ, Lau B, Simensky S, Freund B, French J, & Collins MW. (2013) Posttraumatic migraine as a predictor of recovery and cognitive impairment after sport-related concussion. The American Journal of Sports Medicine, 41(7), 1497-504. PMID: 23698389  

  • August 12, 2013
  • 12:05 AM
  • 837 views

Metabolic Syndrome Risk Factors Among Football Players

by Michelle Noreski, DO and Marc I. Harwood, MD in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Elevated body mass index and percent body fat predict for the presence of several cardiovascular risk factors for metabolic syndrome in college and high school football players. Increased activity levels in these athletes does not necessarily protect against these risk factors.... Read more »

Steffes GD, Megura AE, Adams J, Claytor RP, Ward RM, Horn TS, & Potteiger JA. (2013) Prevalence of Metabolic Syndrome Risk Factors in High School and NCAA Division I Football Players. Journal of Strength and Conditioning Research, 27(7), 1749-57. PMID: 22996023  

  • August 5, 2013
  • 12:05 AM
  • 952 views

Better Attitudes May Improve Concussion Reporting Habits

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Over half of the athletes recalled concussive events in this study but did not report their problem to their supervising adult. Additionally, both concussion knowledge and attitude may play a role in reporting concussive events.

Many athletes continue to practice and play games while experiencing concussion-related symptoms. Knowledge and attitude regarding concussions are changeable factors that may contribute to concussion-reporting and care-seeking behaviors; however, fe........ Read more »

  • August 2, 2013
  • 12:05 AM
  • 926 views

Pediatrician Concussion Management Strategies and Medication Use

by Stephen Stache in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: A vast majority of pediatricians who care for patients with concussions follow available treatment guidelines, use medications as part of their treatment plan, use neuropsychological testing, and desire additional training in the management of sports-related concussion.... Read more »

  • July 31, 2013
  • 12:05 AM
  • 907 views

Phase of Menstrual Cycle may be a Risk Factor for ACL Tears in Female Athletes

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

A recreational female skier may be more likely to suffer an ACL injury in the pre-ovulatory phase than during the luteal phase of her menstrual cycle. This may provide more evidence that female hormone fluctuations should be considered when we try to reduce the risk of ACL tears among females.... Read more »

  • July 24, 2013
  • 12:05 AM
  • 898 views

Potentially Modifiable Osteoarthritis Risk Factors

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Osteoarthritis prevention programs could focus on certain risk factors, such as joint injury, obesity, and occupational activities.

Osteoarthritis (OA), a degenerative joint disease, affects millions of adults worldwide. There are many potential risk factors for OA, including several of interest in sports medicine: obesity, repetitive tasks (physical or occupational activity), and joint injury. It is important to understand what modifiable risk factors may exist so that w........ Read more »

  • July 22, 2013
  • 12:05 AM
  • 1,099 views

Preliminary Baseline ImPACT Data for Those with ADHD or Learning Disabilities

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Athletes with attention deficit hyperactivity disorder and/or learning disabilities have lower baseline ImPACT neurocognitive scores compared to athletes without attention deficit hyperactivity disorder and learning disabilities.

Developmental, behavioral, and learning disabilities affect approximately 1 in 6 children in the United States. Children with attention deficit hyperactivity disorder (ADHD) suffer more head injuries compared with those without the disorder. Unfort........ Read more »

  • July 17, 2013
  • 12:04 AM
  • 815 views

Pronated and Neutral Wins the Race…or at Least Keeps the Runners in it

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Novice runners with pronated feet may sustain fewer injuries than neutral feet, when they wear neutral running shoes.

Among runners foot pronation is believed to be a strong predictor for athletic injury. While certain athletic shoes are commonly prescribed for individuals with pronated and supinated feet, there has been conflicting evidence to support this. Therefore, Neilsen and colleagues completed a prospective cohort study “to investigate if running distance to f........ Read more »

  • July 12, 2013
  • 12:05 AM
  • 820 views

Higher Heading Counts May Impair Memory and Brain Tissue

by Jane McDevitt in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Heading was associated with abnormal white-matter microstructure and poorer neurocognitive performance. History of concussion was not associated with altered structure.

Long-term cognitive impairments following repeated sport-related head injury is a major concern. However, the role of subconcussive impacts from soccer heading as an additional mechanism of cumulative brain injury has not been well examined. If repetitive heading causes adverse effects on the brain there cou........ Read more »

  • July 10, 2013
  • 05:00 AM
  • 1,028 views

Clinical Prediction Rule for Meniscal Tears?

by Nicole Cattano in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Joint line tenderness and McMurray's tests used together do not necessarily improve meniscal lesion diagnosis.

Clinical prediction rules, such as the Ottawa Ankle Rules, improve clinical care and reduce healthcare costs from unnecessary diagnostic imaging. Knee meniscal clinical tests may be coupled together to yield similar results; however, the accuracy of combining meniscal special tests remains unclear. Therefore, the authors investigated the accuracy of joint l........ Read more »

  • July 3, 2013
  • 12:04 AM
  • 775 views

Diagnostic Methods Using a Computer-based Cognitive Test May Lead to False-Positives

by Kyle Harris in Sports Medicine Research (SMR): In the Lab & In the Field

Take Home Message: Computer-based neurocognitive testing methods of deciphering if a patient has a concussion may lead to false-positives, thus a gold standard is still needed.

Baseline computer-based cognitive testing is commonplace in athletics; however, more information is needed regarding the validity of comparing post-injury results with baseline performance. Therefore, Roebuck-Spencer and colleagues completed a study of 8,002 military service members (91% male, ~27 years old) to examine........ Read more »

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