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Dixon BC, Fischer RSB, Zhao H, O’Neal CS, Clugston JR, Gibbs SG. Contact and SARS-CoV-2 Infections Among College Football Athletes in the Southeastern Conference During the COVID-19 Pandemic. JAMA Netw Open 2021; 4:e2135566. [PMID: 34714347 PMCID: PMC8556620 DOI: 10.1001/jamanetworkopen.2021.35566] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
This cohort study of college football players in a single athletic conference examines the association of close contact events among players on opposing teams and subsequent positive SARS-CoV-2 tests.
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Affiliation(s)
- Benika C. Dixon
- Department of Epidemiology & Biostatistics, School of Public Health, Texas A&M University, College Station
| | - Rebecca S. B. Fischer
- Department of Epidemiology & Biostatistics, School of Public Health, Texas A&M University, College Station
| | - Hongwei Zhao
- Department of Epidemiology & Biostatistics, School of Public Health, Texas A&M University, College Station
| | - Catherine S. O’Neal
- Department of Medicine, Louisiana State University Health Sciences Center, Baton Rouge
| | - James R. Clugston
- Department of Community Health & Family Medicine and Neurology, College of Medicine, University of Florida, Gainesville
| | - Shawn G. Gibbs
- Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station
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Miller TL, Jones GL, Hutchinson M, Vyas D, Borchers J. Evolving Expectations of the Orthopedic Team Physician: Managing the Sidelines and Landmines. Curr Sports Med Rep 2021; 20:553-561. [PMID: 34622821 DOI: 10.1249/jsr.0000000000000896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ABSTRACT The role of orthopedic team physicians has evolved greatly over the past decade having been influenced by advances in sports science and performance, new surgical and biologic technologies, social media, medicolegal liability, marketing, and sexual misconduct cases by some team physicians. The great variety of events and sports that are covered from high school and collegiate to the Olympic and professional levels requires a myriad of skills outside of the traditional medical training curriculum. In the current climate of increasing media scrutiny from a 24-h news cycle it is imperative for orthopedic team physicians, whether operative or nonoperative, to continually adapt to the needs and expectations of athletes who also are patients. This is especially true in the wake of the COVID-19 pandemic. Orthopedic team physicians' responsibilities continue to evolve ensuring their relevance and necessity on the sidelines and in the training room as well as in the operative suite.
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Affiliation(s)
- Timothy L Miller
- Orthopaedics and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Grant L Jones
- Orthopaedics and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
| | - Mark Hutchinson
- Orthopaedic Surgery and Sports Medicine, University of Illinois Chicago College of Medicine, Chicago, IL
| | - Dharmesh Vyas
- Orthopaedic Surgery and Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
| | - James Borchers
- Family Medicine and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, OH
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Frank RM, Bradsell H, Thompson SR. What's New in Sports Medicine. J Bone Joint Surg Am 2021; 103:653-659. [PMID: 33849047 DOI: 10.2106/jbjs.21.00152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Rachel M Frank
- Department of Orthopaedic Surgery (R.M.F.), University of Colorado School of Medicine (R.M.F. and H.B.) , Aurora , Colorado
| | - Hannah Bradsell
- Department of Orthopaedic Surgery (R.M.F.), University of Colorado School of Medicine (R.M.F. and H.B.) , Aurora , Colorado
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McKinney J, Connelly KA, Dorian P, Fournier A, Goodman JM, Grubic N, Isserow S, Moulson N, Philippon F, Pipe A, Poirier P, Taylor T, Thornton J, Wilkinson M, Johri AM. COVID-19-Myocarditis and Return to Play: Reflections and Recommendations From a Canadian Working Group. Can J Cardiol 2020; 37:1165-1174. [PMID: 33248208 PMCID: PMC7688421 DOI: 10.1016/j.cjca.2020.11.007] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 10/27/2020] [Accepted: 11/10/2020] [Indexed: 02/07/2023] Open
Abstract
The COVID-19–related pandemic has resulted in profound health, financial, and societal impacts. Organized sporting events, from recreational to the Olympic level, have been cancelled to both mitigate the spread of COVID-19 and protect athletes and highly active individuals from potential acute and long-term infection-associated harms. COVID-19 infection has been associated with increased cardiac morbidity and mortality. Myocarditis and late gadolinium enhancement as a result of COVID-19 infection have been confirmed. Correspondingly, myocarditis has been implicated in sudden cardiac death of athletes. A pragmatic approach is required to guide those who care for athletes and highly active persons with COVID-19 infection. Members of the Community and Athletic Cardiovascular Health Network (CATCHNet) and the writing group for the Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes recommend that highly active persons with suspected or confirmed COVID-19 infection refrain from exercise for 7 days after resolution of viral symptoms before gradual return to exercise. We do not recommend routine troponin testing, resting 12-lead electrocardiography, echocardiography, or cardiac magnetic resonance imaging before return to play. However, medical assessment including history and physical examination with consideration of resting electrocardiography and troponin can be considered in the athlete manifesting new active cardiac symptoms or a marked reduction in fitness. If concerning abnormalities are encountered at the initial medical assessment, then referral to a cardiologist who cares for athletes is recommended.
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Affiliation(s)
- James McKinney
- Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
| | - Kim A Connelly
- Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Paul Dorian
- Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Anne Fournier
- Centre Hospitalier Universitaire Sainte-Justine, University of Montréal, Montréal, Québec, Canada
| | - Jack M Goodman
- Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Nicholas Grubic
- Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - Saul Isserow
- Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Nathaniel Moulson
- Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - François Philippon
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada
| | - Andrew Pipe
- University of Ottawa Heart Institute, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Paul Poirier
- Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada
| | - Taryn Taylor
- Department of Sports Medicine, Carleton Sport Medicine Clinic, Ottawa, Ontario, Canada
| | - Jane Thornton
- Department of Sports Medicine, Western University, London, Ontario, Canada
| | - Mike Wilkinson
- Department of Sports Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Amer M Johri
- Division of Cardiology, Queen's University, Kingston, Ontario, Canada
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Hadizadeh M, Kawchuk GN, Prasad N, Fritz JM. Predicting who responds to spinal manipulative therapy using a short-time frame methodology: Results from a 238-participant study. PLoS One 2020; 15:e0242831. [PMID: 33232379 PMCID: PMC7685475 DOI: 10.1371/journal.pone.0242831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 11/09/2020] [Indexed: 11/25/2022] Open
Abstract
Background Spinal manipulative therapy (SMT) is among the nonpharmacologic interventions that has been recommended in clinical guidelines for patients with low back pain, however, some patients appear to benefit substantially more from SMT than others. Several investigations have examined potential factors to modify patients’ responses prior to SMT application. The objective of this study was to determine if the baseline prediction of SMT responders can be improved through the use of a restricted, non-pragmatic methodology, established variables of responder status, and newly developed physical measures observed to change with SMT. Materials and methods We conducted a secondary analysis of a prior study that provided two applications of standardized SMT over a period of 1 week. After initial exploratory analysis, principal component analysis and optimal scaling analysis were used to reduce multicollinearity among predictors. A multiple logistic regression model was built using a forward Wald procedure to explore those baseline variables that could predict response status at 1-week reassessment. Results Two hundred and thirty-eight participants completed the 1-week reassessment (age 40.0± 11.8 years; 59.7% female). Response to treatment was predicted by a model containing the following 8 variables: height, gender, neck or upper back pain, pain frequency in the past 6 months, the STarT Back Tool, patients’ expectations about medication and strengthening exercises, and extension status. Our model had a sensitivity of 72.2% (95% CI, 58.1–83.1), specificity of 84.2% (95% CI, 78.0–89.0), a positive likelihood ratio of 4.6 (CI, 3.2–6.7), a negative likelihood ratio of 0.3 (CI, 0.2–0.5), and area under ROC curve, 0.79. Conclusion It is possible to predict response to treatment before application of SMT in low back pain patients. Our model may benefit both patients and clinicians by reducing the time needed to re-evaluate an initial trial of care.
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Affiliation(s)
- Maliheh Hadizadeh
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Gregory Neil Kawchuk
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
- * E-mail:
| | - Narasimha Prasad
- Department of Mathematical and Statistical Sciences, University of Alberta, Edmonton, Canada
| | - Julie M. Fritz
- College of Health, University of Utah, Salt Lake City, Utah, United States of America
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Lubowitz JH, Brand JC, Rossi MJ. Arthroscopy, Sports Medicine, and Rehabilitation (ASMAR): A New, Open Access, Electronic Journal. Arthroscopy 2019; 35:2253-2254. [PMID: 31395154 DOI: 10.1016/j.arthro.2019.05.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 05/28/2019] [Indexed: 02/02/2023]
Abstract
Arthroscopy, Sports Medicine, and Rehabilitation (ASMAR) is our new, open-access, electronic, companion journal to Arthroscopy and Arthroscopy Techniques. While there is already "so much to read, so little time," bearing in mind the context that some submissions are not accepted for publication in Arthroscopy despite admirable quality, the necessity of ASMAR becomes clear.
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Wojtys EM. Making Progress. Sports Health 2019; 11:299-300. [PMID: 31253068 DOI: 10.1177/1941738119854691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Pandya T, Marino K. Embedding sports and exercise medicine into the medical curriculum; a call for inclusion. BMC Med Educ 2018; 18:306. [PMID: 30545345 PMCID: PMC6293537 DOI: 10.1186/s12909-018-1422-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 12/05/2018] [Indexed: 05/27/2023]
Abstract
The UK is currently facing an inactivity crises, with 1 in 5 children currently meeting physical activity guidelines (Health Survey for England, Children's Health, 2016). To combat this growing problem there has been increased interest in promoting exercise and healthy lifestyle advise to patients as a method for improving public health. In line with this, the specialty of Sports and Exercise Medicine (SEM) has been gaining momentum and is now a recognised specialty with a higher specialist training programme. This postgraduate speciality aims to produce doctors who are experts in exercise and musculoskeletal medicine. Increasing numbers of NHS departments are employing SEM doctors to better manage musculoskeletal (MSK) issues and prescribe exercise (Morrissey et. al, Muscles Ligaments Tendons J 3:190-195, 2013). In keeping with this increased opportunity for SEM in postgraduate training, we believe that we should not forget that SEM should not be exclusive to postgraduates and there is increasing interest and need for teaching to medical students (Cullen et al, Br J Sports Med 34:244-245, 2000). This article provides an overview to students and clinicians into the current state of undergraduate SEM education in the UK, and highlights the importance of incorporating SEM into the medical curricula.
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Affiliation(s)
- Tej Pandya
- Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Katherine Marino
- University of Sheffield Medical School, University of Sheffield, Sheffield, UK
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Abstract
Orthobiologics are a group of biological materials and substrates that promote bone, ligament, muscle, and tendon healing. These substances include bone autograft, bone allograft, demineralized bone matrix, bone graft substitutes, bone marrow aspirate concentrate, platelet-rich plasma, bone morphogenetic proteins, platelet-derived growth factor, parathyroid hormone, and vitamin D and calcium. Properties of orthobiologics in bone healing include osteoconduction, osteoinduction, and osteogenesis. This article discusses the important properties of orthobiologics in bone healing, many of the orthobiologics currently available for bone healing, the related literature, their current clinical uses in sports medicine, and systemic factors that inhibit bone healing.
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Affiliation(s)
- Jacob G Calcei
- Department of Sports Medicine and Shoulder, Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
| | - Scott A Rodeo
- Department of Sports Medicine and Shoulder, Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA
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Bravo D, Jazrawi L, Cardone DA, Virk M, Passias PG, Einhorn TA, Leucht P. Orthobiologics A Comprehensive Review of the Current Evidence and Use in Orthopedic Subspecialties. Bull Hosp Jt Dis (2013) 2018; 76:223-231. [PMID: 31513506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Orthobiologics are organic and synthetic materials that are used in and outside of the operating room to augment both bone and soft tissue healing. The orthobiologics portfolio has vastly expanded over the years, and it has become imperative for orthopedic surgeons to understand the role and function of this new class of biologic adjuvants. This review will highlight key components and product groups that may be relevant for the practicing orthopedic surgeon in any subspecialty. This by no means is an extensive list of the available products but provides an important overview of the most highlighted products available in the market today. Those discussed include, bone void fillers, extracelluar matrix (ECM) products, platelet-rich plasma (PRP), bone morphogenetic protein-2 (BMP-2), bone marrow aspirate (BMA), bone marrow aspirate concentrate (BMAC), and mesenchymal stem cells (MSCs). These are further categorized into their uses in several subspecialties including, traumatology, sports medicine, sports surgery, and spine surgery.
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Stanton R. The Mission of the American Orthopaedic Society for Sports Medicine: A 10-Year Update. Sports Health 2018; 10:398-399. [PMID: 30153099 PMCID: PMC6116109 DOI: 10.1177/1941738118793380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Hainline B, Stern RA. Future directions. Handb Clin Neurol 2018; 158:473-480. [PMID: 30482374 DOI: 10.1016/b978-0-444-63954-7.00043-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Brian Hainline
- National Collegiate Athletic Association, Indianapolis, IN, United States.
| | - Robert A Stern
- Departments of Neurology, Neurosurgery, and Anatomy and Neurobiology, and Boston University Alzheimer's Disease Center and CTE Center, Boston University School of Medicine, Boston, MA, United States
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Schilaty ND, Bates NA, Hewett TE. Relative dearth of 'sex differences' research in sports medicine. J Sci Med Sport 2017; 21:440-441. [PMID: 29248307 DOI: 10.1016/j.jsams.2017.10.028] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 10/26/2017] [Accepted: 10/29/2017] [Indexed: 01/11/2023]
Affiliation(s)
- Nathan D Schilaty
- Department of Orthopedic Surgery, Mayo Clinic, United States; Sports Medicine Center, Mayo Clinic, United States; Department of Physiology & Biomedical Engineering, Mayo Clinic, United States.
| | - Nathaniel A Bates
- Department of Orthopedic Surgery, Mayo Clinic, United States; Sports Medicine Center, Mayo Clinic, United States; Department of Physiology & Biomedical Engineering, Mayo Clinic, United States
| | - Timothy E Hewett
- Department of Orthopedic Surgery, Mayo Clinic, United States; Sports Medicine Center, Mayo Clinic, United States; Department of Physiology & Biomedical Engineering, Mayo Clinic, United States; Department of Physical Medicine & Rehabilitation, Mayo Clinic, United States; Department of Biomedical Engineering, The Ohio State University, United States
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Abstract
The most important element in achieving athlete compliance with anti-doping rules is the certainty of detection. Thus, scientific research plays a mission critical role in achieving clean competition. Many factors contribute to the advances in detection. Incremental advances in the ability to detect prohibited substances and methods, and identification of long-lived metabolites continue to lengthen detection windows. While the athlete biological passport hematological and steroidal modules hold great promise, experience shows that new research is needed to improve the sensitivity and specificity of the approach for current doping techniques. Indirect detection strategies using biomarkers or transcriptomic techniques have been increasingly investigated. The incorporation of more cost-effective sampling strategies using dried blood and plasma spots, oral fluid, and breath analysis show great promise toward increasing the number of tests while remaining within testing budget constraints. Despite the importance of research to ensuring rule compliance, a major challenge for anti-doping research is achieving and maintaining sufficient funding in the reality of the myriad of new substances introduced for disease treatment but abused for performance enhancement. In addition, obtaining metabolism and population reference range data, particularly for new drugs or designer drugs that have not obtained approval for administration to human subjects, remains a significant problem. Nevertheless, research continues to contribute important data to support anti-doping efforts.
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Dirks-Naylor AJ, Griffiths CL, Gibson JL, Luu JA. The prevalence of exercise prescription-related course offerings in United States pharmacy school curricula: Exercise is Medicine. Adv Physiol Educ 2016; 40:319-322. [PMID: 27445279 DOI: 10.1152/advan.00070.2016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Accepted: 05/26/2016] [Indexed: 06/06/2023]
Abstract
Exercise training has proven to be beneficial in the prevention of disease. In addition, exercise can improve the pathogenesis and symptoms associated with a variety of chronic disease states and can attenuate drug-induced adverse effects. Exercise is a drug-free polypill. Because the benefits of exercise are clear and profound, Exercise is Medicine, a joint initiative between the American Medical Association and American College of Sports Medicine, was launched in 2007 to call on all health care providers to counsel patients and prescribe exercise in the prevention and treatment of chronic disease states. Pharmacists play an increasing role in direct patient care and are the most accessible health care providers in the community. Thus, pharmacists should be knowledgeable in counseling patients on the frequency, intensity, time, and type of exercise that is appropriate for various conditions and disease states. The aim of the present study was to determine the prevalence of didactic course offerings in United States pharmacy school curricula regarding training in exercise prescription. School websites were accessed for information regarding course offerings in PharmD programs. No United States pharmacy schools offered courses that were dedicted to the role of exercise in disease prevention or exercise prescription in disease management. Ninety percent of pharmacy schools did not offer courses with the keywords "exercise," "fitness, or "physical activity" in the title or description. The data suggest that student pharmacists are not adequately trained to counsel patients on the benefits of exercise or exercise prescription.
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Affiliation(s)
| | | | - Jacob L Gibson
- School of Pharmacy, Wingate University, Wingate, North Carolina
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Fredericson M. The Evolution of Physical Medicine and Rehabilitation in Sports Medicine. PM R 2016; 8:S1-7. [PMID: 26972258 DOI: 10.1016/j.pmrj.2015.09.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 09/11/2015] [Accepted: 09/30/2015] [Indexed: 11/19/2022]
Affiliation(s)
- Michael Fredericson
- Department of Orthopaedic Surgery, PM&R Sports Medicine, Stanford University School of Medicine, Stanford, CA(∗).
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Best R, Brucker PU, Hinterwimmer S. [Journal Sportverletzung Sportschaden--Quo vadis 2016?]. Sportverletz Sportschaden 2016; 30:25. [PMID: 27002705 DOI: 10.1055/s-0042-104034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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R Yashina ER, Kurashvili VA, Turzin PS. INFLUENCE OF AEROSPACE MEDICINE ACHIEVEMENTS ON THE DEVELOPMENT OF SPORT MEDICINE METHODOLOGY. Aviakosm Ekolog Med 2016; 50:56-62. [PMID: 29553596 DOI: 10.21687/0233-528x-2016-50-5-56-62] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Modern technologies of aerospace medicine develop at rapid pace pulling on its orbit all spheres of the human activity, including sport. Innovations play a major role in the progress of sport medicine areas related to the biomedical support of precontest training. Overview of the most important aerospace medicine achievements and their methodical implications for sport medicine is presented. Discussion is devoted to how the aerospace medicine technologies can raise effectiveness of the biomedical support to different sectors of sport and fitness.
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Kerins C. CTE - Learning what we don't know. J Med Assoc Ga 2016; 105:16-17. [PMID: 27209674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Stiefelhagen P. [Quo vadis sports medicine?]. MMW Fortschr Med 2015; 157:12. [PMID: 26985481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Jenouri I, Bubly G. This Is Not Your Grandfather's Emergency Department. R I Med J (2013) 2015; 98:17. [PMID: 26020256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Ilse Jenouri
- Associate Medical Director, Department of Emergency Medicine, The Miriam Hospital; Clinical Associate Professor, Department of Emergency Medicine, Alpert Medical School of Brown University
| | - Gary Bubly
- Medical Director, Department of Emergency Medicine, The Miriam Hospital, Clinical Professor of Emergency Medicine and Medicine, Alpert Medical School of Brown University
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[Dear readers]. Sportverletz Sportschaden 2014; 28:e3. [PMID: 25296121 DOI: 10.1055/s-0034-1394313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Redaktion. [Dear readers]. Sportverletz Sportschaden 2014; 28:e1. [PMID: 24665015 DOI: 10.1055/s-0034-1372412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Abstract
INTRODUCTION Acute muscle injury is one of the commonest injuries that often result in loss of training and competition time. The best management for muscle injury has not been identified. Sports medicine practitioners used several approaches in attempt to accelerate time to recovery from muscle injury. More recently growing interest focussed on autologous blood product injection. METHODS A literature search was conducted systematically using OvidMEDLINE, PubMed, EMBASE, SPORTDiscus and CINAHL databases to retrieve articles published until December 2012. Controlled trials and controlled laboratory studies comparing different strategies to promote early recovery of muscle injury were included. The methodological quality of studies was assessed. RESULTS There are limited studies on the effects of PRP therapy for muscle injury. Three in vivo laboratory studies and one pilot human study were reviewed. The laboratory studies reported histological evidence on significant acceleration of muscle healing in animals treated with autologous conditioned serum (ACS), platelet-rich plasma (PRP) and platelet rich fibrin matrix (PRFM). A pilot human study found athletes treated with repeated ACS injection recovers significantly faster than retrospective controls. CONCLUSION Several in vivo laboratory studies suggest beneficial effects of ACS, PRP and PRFM in accelerating muscle recovery. Evidence to suggest similar effects on humans is however limited, as valuable information from robust human controlled trials is still not available at this moment. Hence, more studies of satisfactory methodological quality with platelet-rich plasma interventions on muscle injury are justified.
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Affiliation(s)
| | - Ashril Yusof
- Sports Centre, University of Malaya, Kuala Lumpur, Malaysia
| | - Mohamed Razif Mohamed Ali
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
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Girard O, Amann M, Aughey R, Billaut F, Bishop DJ, Bourdon P, Buchheit M, Chapman R, D'Hooghe M, Garvican-Lewis LA, Gore CJ, Millet GP, Roach GD, Sargent C, Saunders PU, Schmidt W, Schumacher YO. Position statement--altitude training for improving team-sport players' performance: current knowledge and unresolved issues. Br J Sports Med 2013; 47 Suppl 1:i8-16. [PMID: 24282213 PMCID: PMC3903313 DOI: 10.1136/bjsports-2013-093109] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2013] [Indexed: 01/09/2023]
Abstract
Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports.
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Affiliation(s)
- Olivier Girard
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Markus Amann
- Department of Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Robert Aughey
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
- Western Bulldogs Football Club, Melbourne, Australia
| | | | - David J Bishop
- Exercise and Active Living, Institute of Sport, Victoria University, Melbourne, Australia
| | | | | | - Robert Chapman
- Department of Kinesiology, Indiana University, High Performance Department, USA Track & Field, Indianapolis, Indiana, USA
| | - Michel D'Hooghe
- Fédération Internationale de Football Association (FIFA) Medical Commission and FIFA Medical Assessment and Research Centre (F-MARC), Langerei, 71, 8000 Brugge, Belgium
| | - Laura A Garvican-Lewis
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Christopher J Gore
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- Exercise Physiology Laboratory, Flinders University, Adelaide, Australia
| | - Grégoire P Millet
- Department of Physiology—Faculty of Biology and Medicine, ISSUL—Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Gregory D Roach
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Charli Sargent
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Australia
| | - Philo U Saunders
- Department of Physiology, Australian Institute of Sport, Canberra, Australia
- University of Canberra, Canberra, Australia
| | - Walter Schmidt
- Department of Sports Medicine/Sports Physiology, University of Bayreuth, Bayreuth, Germany
| | - Yorck O Schumacher
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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[Mental illness -- Sports psychiatric consultation on UKJ for professional athletes]. Sportverletz Sportschaden 2013; 27:6-8. [PMID: 23519923 DOI: 10.1055/s-0033-1341566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Kau U. [Physician monitoring of elite athletes. Why are not more general practitioners involved?]. MMW Fortschr Med 2013; 155:25. [PMID: 23573741 DOI: 10.1007/s15006-013-0098-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Ulrich Kau
- Facharzt für Allgemeinmedizin und Sportmedizin, Gartenstrasse 4, D-65375 Oestrich-Winkel
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Abstract
Appropriate physical activity is one of the bases of healthy lifestyle. In fact, physical exercise and playing sport may be associated with both improvements and injury to both general and reproductive health. A biologically normal testosterone secretion appears fundamental in males to guarantee both a physiological exercise adaptation and safe sport participation. The reproductive system is highly sensitive to the effects of exercise-related stress and the reproductive hormones may both increase and decrease after different acute or chronic exercises. Exercise and sport participation may positively or negatively influence andrological health status depending on the type, intensity and duration of performed physical activity and on individual health status. In addition, prohibited substances administration (e.g. androgenic-anabolic steroids, and so forth) in competitive and non-competitive athletes represents the main cause of iatrogenic andrological diseases. Preventing and treating andrological problems in active healthy and unhealthy individuals is as important as promoting a correct lifestyle. Physicians need to be educated on the relationships between the male reproductive system and sport participation and on the great role of the pre-participation physical examination in the prevention of andrological diseases.
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Affiliation(s)
- Luigi Di Luigi
- Unit of Endocrinology, Department of Health Sciences, University of Rome Foro Italico, Piazza Lauro de Bosis, 15, 00135 Rome, Italy.
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Abstract
London 2012 is the first Olympic and Paralympic Games to explicitly try and develop socioeconomic legacies for which success indicators are specified - the highest profile of which was to deliver a health legacy by getting two million more people more active by 2012. This editorial highlights how specialists in Sport and Exercise Medicine can contribute towards increasing physical activity participation in the UK, as well as how the National Centre for Sport and Exercise Medicine might be a useful vehicle for delivering an Olympic health legacy. Key challenges are also discussed such as acquisition of funding to support new physical activity initiatives, appropriate allocation of resources, and how to assess the impact of legacy initiatives.
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Affiliation(s)
- Garry A Tew
- Centre for Sport and Exercise Science, Sheffield Hallam University, Collegiate Hall, Collegiate Crescent, Sheffield, UK, S10 2BP
| | - Robert J Copeland
- Centre for Sport and Exercise Science, Sheffield Hallam University, Collegiate Hall, Collegiate Crescent, Sheffield, UK, S10 2BP
| | - Simon H Till
- Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Glossop Road, Sheffield, UK, S10 2JF
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Kawamori R. [Roles of sportology for the prevention of diabetes mellitus]. Nihon Rinsho 2012; 70 Suppl 5:653-658. [PMID: 23156474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Ryuzo Kawamori
- Sportology Center, Juntendo University Graduate School of Medicine
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Grubb BP, Karabin B. Syncope in the athlete. Herzschrittmacherther Elektrophysiol 2012; 23:72-75. [PMID: 22836673 DOI: 10.1007/s00399-012-0185-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2012] [Accepted: 06/08/2012] [Indexed: 06/01/2023]
Abstract
Syncope in the athlete requires a complete evaluation, as this may be the only warning prior to an episode of sudden cardiac death. This should include a detailed history which includes specific details of the event as well as bystander descriptions when possible. Following the history should be a careful physical examination and subsequent diagnostic testing based on the individual's needs. The purpose of the evaluation is to determine if structural or electrical heart disease is present that may lead to sudden death. If absent, the patient, family and staff can be reassured that it is safe to resume athletic activity. Careful attention to the athlete with syncope may both prevent potential disasters in some, while at the same time enjoyment of intense physical activity in others.
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Affiliation(s)
- B P Grubb
- Cardiology, The University of Toledo College of Medicine, 3000 Arlington Avenue, 43614, Toledo, OH, USA.
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Manchester RA. Performing arts medicine-past, present and future. Med Probl Perform Art 2012; 27:55-56. [PMID: 22739817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Israel C. [Sport and cardiac arrythmia: new aspects are exciting!]. Herzschrittmacherther Elektrophysiol 2012; 23:64. [PMID: 22842840 DOI: 10.1007/s00399-012-0184-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Abstract
The sudden death of a young athlete is a devastating event that impacts the lay public and medical community and has attracted efforts to screen for underlying cardiovascular diseases associated with sudden death in this population. Electrocardiography (ECG) screening has been shown to increase the sensitivity of finding structural heart diseases in competitive athletes. Recent research in diverse populations of athletes has led to refinements in ECG-interpretation standards designed to improve its diagnostic accuracy. This review summarizes relevant information regarding cardiovascular screening and ECG interpretation in athletes.
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Affiliation(s)
- E S Williams
- Department of Medicine, Division of Cardiology, University of Washington Medical Center, 1959 N.E. Pacific Street, 98195, Seattle, WA, USA
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Best R, Henke T. [Interview -- sports injuries -- prevention is better than cure]. Z Orthop Unfall 2012; 150:1-7. [PMID: 22451976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Visser RJA, Tol JL. Sports medicine in Wonderland? Keep on running. Br J Sports Med 2011; 45:1014-5. [PMID: 21926074 PMCID: PMC3177242 DOI: 10.1136/bjsports-2011-090467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Macknight JM, Mistry DJ. Updates and advances in sports medicine. Preface. Clin Sports Med 2011; 30:xiii-xiv. [PMID: 21658543 DOI: 10.1016/j.csm.2011.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bangsbo J, Elbe AM, Andersen M, Poulsen AL. International Consensus Conference "Performance in top sports involving intense exercise". Scand J Med Sci Sports 2011; 20 Suppl 2:ii-iv. [PMID: 20840556 DOI: 10.1111/j.1600-0838.2010.01183.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Penn CL. Te sport of healing. Team physicians share a passion for helping players. J Ark Med Soc 2010; 107:102-104. [PMID: 21090027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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