Sports Medicine Commons^™

The Association Between Payer Source And Traumatic Brain Injury Rehabilitation Outcomes: A Tbi Model Systems Study, Anthony H Lequerica, Angelle M Sander, Monique R Pappadis, Jessica M Ketchum, Marissa Jaross, Stephanie Kolakowsky-Hayner, Amanda Rabinowitz, Librada Callender, Michelle Smith

Faculty, Staff and Students Publications

OBJECTIVE: To examine the relationship between payer source for acute rehabilitation, residential median household income (MHI), and outcomes at rehabilitation discharge after traumatic brain injury (TBI).

SETTING: Acute inpatient rehabilitation facilities.

PARTICIPANTS: In total, 8558 individuals enrolled in the Traumatic Brain Injury Model Systems (TBIMS) National Database who were admitted to inpatient rehabilitation between 2006 and 2019 and were younger than 64 years.

DESIGN: Secondary data analysis from a multicenter longitudinal cohort study.

MAIN MEASURES: Payer source was divided into 4 categories: uninsured, public insurance, private insurance, and workers' compensation/auto. Relationships between payer source with residential MHI, rehabilitation length of …

Perceived Care Partner Burden At 1-Year Post-Injury And Associations With Emotional Awareness, Functioning, And Empathy After Tbi: A Tbi Model Systems Study, Daniel W Klyce, Kritzianel Merced, Alexander Erickson, Dawn M Neumann, Flora M Hammond, Angelle M Sander, Jennifer A Bogner, Tamara Bushnik, Joyce S Chung, Jacob A Finn

Faculty, Staff and Students Publications

BACKGROUND: People with traumatic brain injury (TBI) can lack awareness of their own emotions and often have problems with emotion dysregulation, affective disorders, and empathy deficits. These impairments are known to impact psychosocial behaviors and may contribute to the burden experienced by care partners of individuals with TBI.

OBJECTIVE: To examine the associations of emotional awareness, emotional functioning, and empathy among participants with TBI with care partner burden.

METHOD: This multisite, cross-sectional, observational study used data from 90 dyads (participants with TBI and their care partner) 1-year post-injury. Participants with TBI completed the Difficulty with Emotional Regulation Scale (DERS; Awareness, …

Advances In Prosthetic Technology: A Perspective On Ethical Considerations For Development And Clinical Translation, Hayden Gavette, Cody L Mcdonald, Kristin Kostick-Quenet, Ashley Mullen, Bijan Najafi, M G Finco

Faculty, Staff and Students Publications

Technological advancements of prostheses in recent years, such as haptic feedback, active power, and machine learning for prosthetic control, have opened new doors for improved functioning, satisfaction, and overall quality of life. However, little attention has been paid to ethical considerations surrounding the development and translation of prosthetic technologies into clinical practice. This article, based on current literature, presents perspectives surrounding ethical considerations from the authors' multidisciplinary views as prosthetists (HG, AM, CLM, MGF), as well as combined research experience working directly with people using prostheses (AM, CLM, MGF), wearable technologies for rehabilitation (MGF, BN), machine learning and artificial intelligence …

Core Muscle Injuries: Functional Outcomes And Return To Sport In A Consecutive Series Of Twenty Athletes, Nicholas Tsouris, Jack Tesoriero, James A. Vosswinkel, James Penna

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: Core muscle injury can cause significant dysfunction in athletes. A variety of surgical procedures have been described. This study examines an orthopaedic and general surgeon’s technique and patient reported outcomes of adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis.

Hypothesis: Surgical treatment of core muscle injuries with adductor tenotomy and rectus abdominus imbrication with ilioinguinal nerve neurolysis will result in decreased symptoms and high rates of return to play.

Study Design: Operative technique; retrospective case series.

Methods: Our electronic medical record system was searched for patients who underwent core muscle injury surgery by the treating surgeons. The …

The Utility Of The Axillary Shoulder Radiograph In The Management Of Clavicle Fractures, Stephen Bowen, Ryan Tantoe, Daniel Botros, Samer Al-Humadi, Nicholas Tsouris, Nicholas Divaris

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: Prior literature is mixed on the necessity of an axillary shoulder radiograph in the setting of presumably isolated clavicle fractures, with some authors endorsing its need for any shoulder girdle trauma and others stating it is unnecessary. However, no studies to date have specifically evaluated this.

Hypothesis: We hypothesize that an axillary shoulder radiograph will offer no management changing information in the setting of clavicle fractures.

Methods: Ninety-five patients presented for follow-up for management of a clavicle fracture. Analysis was performed to determine if the axillary view was useful based on the discovery of a glenohumeral dislocation or a …

Outcomes In Early Versus Delayed Management Of Pediatric Femoral Shaft Fractures, Daniel Botros, Sofia Hidalgo Perea, Rachel Loyst, James Barsi

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: There is a paucity of literature regarding the timing of treatment for pediatric femur fractures.

Purpose: The purpose of this study was to analyze whether early versus delayed management of pediatric femoral shaft fractures would impact outcomes regarding time to union and return to baseline function.

Methods: Pediatric patients presenting with femoral shaft fractures from 01/01/2010-01/01/2021 were identified using the Database at a single level one Trauma Center and retrospectively reviewed. Demographic information, surgical details, associated injuries, length of follow-up, time to union, and return to baseline function was collected. Patients were then divided into two groups; the early …

Suture Tape Stabilization Of The Distal Ulna Following Darrach Procedure. A Biomechanical Study, Miles S. Parsons, Evan C. Olsen, David E. Komatsu, Samantha Muhlrad

Stony Brook Orthopaedic and Musculoskeletal Journal

Introduction: The Darrach procedure (complete resection of distal ulna) is commonly used for definitive treatment of end- stage distal radioulnar joint (DRUJ) arthritis. This resection alone often results in treatment failure due to ulnar stump instability in a dorsal-palmar direction and ulnar convergence. Modified Darrach procedures with tenodesis have improved outcomes, but none have completely resolved these issues. Thus, we propose a novel technique of fixation via an internal brace.

Purpose: To evaluate stability and degree of dorsal-palmar displacement with an internal brace fixation (IBF) versus a modified extensor carpi ulnaris tenodesis (ECUT) following a Darrach procedure.

Methods: We tested …

The Sport Concussion Assessment Tool: A Multidimensional Symptom Model For Detecting Elevated Post-Concussion Symptoms, Eric Ingram

Theses and Dissertations--Psychology

Following sport-related concussions, a multidimensional symptom interpretation may identify athletes with domain-specific problems when beginning to return-to-play (RTP). This study investigated whether a four-factor model of post-concussion symptoms (i.e., cognitive, physical, affective, and sleep-arousal) would identify student-athletes with persistent concerns not reflected by their total symptom score. Collegiate student-athletes (N=24,696) from the Concussion Assessment Research and Education consortium completed the Sport Concussion Assessment Tool – 3rd edition Symptom Evaluation at baseline and two post-injury follow-ups (i.e., beginning RTP and 6-month). Confirmatory factor analysis was used to compare one- and four-factor models of post-concussions symptoms. Normative reference data were …

The Effect Of Water Temperature And Carbohydrate Drink On Intestinal Epithelial Injury, Endotoxemia, Splanchnic Perfusion, And Core Temperature, During Running In The Heat, Warot Rangsimahariwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Prolonged exercise can result in splanchnic hypoperfusion and elevated core body temperature (Tcore), which can contribute to gastrointestinal injury and endotoxemia. The effects of fluid temperature and carbohydrate consumption during exercise on these variables are less clear. Objectives: The study aimed to determine the effects of the temperature of water and carbohydrate drinks on intestinal epithelial injury, endotoxemia, splanchnic perfusion, and Tcore during 60-minute of moderate-intensity running. Methods: Ten participants completed four 60-minute running trials at 70% VO2max with different types of hydration: no water (NW), ambient temperature water (ATW), cold water (CW), and cold carbohydrate water (CW+CHO). Doppler …

การเปรียบเทียบผลการฟื้นฟูผ่านระบบกายภาพบำบัดทางไกล กับที่สถานพยาบาล จากรายงานผู้ป่วยหลังผ่าตัดกระดูกสันหลังแบบแผลเล็ก, พงศ์ธนา โรจนรัตนางกูร

Chulalongkorn University Theses and Dissertations (Chula ETD)

การออกกำลังกายกล้ามเนื้อแกนกลางลำตัวเพื่อฟื้นฟูหลังผ่าตัดกระดูกสันหลังแบบแผลเล็กเป็นหนึ่งในวิธีที่ได้รับความนิยมสำหรับการลดอาการไม่พึงประสงค์ แต่จำเป็นต้องทำหลายครั้งและต่อเนื่อง ปัจจัยอื่น ๆ รบกวนจนไม่สามารถทำได้ครบจำนวน จึงมีการใช้ระบบการภาพบำบัดทางไกลเข้ามาทดแทน แต่ยังขาดการศึกษาวิจัยเกี่ยวกับรูปแบบการให้บริการ การศึกษาวิจัยนี้จึงมีวัตถุประสงค์ เพื่อศึกษาผลด้านระดับคุณภาพชีวิต ระดับความปวด ระดับความเชื่อในการหลีกเลี่ยงความกลัว ความสามารถในการปฏิบัติกิจวัตรประจำวัน และความแข็งแรงของกล้ามเนื้อแกนกลางลำตัว จากการออกกำลังกายฟื้นฟูกล้ามเนื้อแกนกลางลำตัวของผู้ป่วยหลังผ่าตัดกระดูกสันหลังแบบแผลเล็กผ่านระบบกายภาพบำบัดทางไกล เปรียบเทียบกับการฟื้นฟูที่สถานพยาบาล ศึกษาวิจัยในผู้ป่วยหลังผ่าตัดกระดูกสันหลังแบบแผลเล็กที่พักฟื้นมาแล้วอย่างน้อยสี่สัปดาห์ อายุสี่สิบถึงเจ็ดสิบปี จำนวนสามสิบแปดคน โดยแบ่งออกเป็นสองกลุ่มจำนวนเท่ากัน กลุ่มละสิบเก้าคน ได้แก่กลุ่มที่ออกกำลังกายฟื้นฟูผ่านระบบกายภาพบำบัดทางไกลหรือกลุ่มทดลอง และกลุ่มออกกำลังฟื้นฟูที่สถานพยาบาลหรือกลุ่มควบคุม ทั้งสองกลุ่มการศึกษาวิจัย จะได้รับการสอนออกกำลังกายเพื่อฟื้นฟูกล้ามเนื้อแกนกลางลำตัว สองครั้งต่อสัปดาห์ เป็นเวลาหกสัปดาห์ ผลการศึกษาวิจัยพบว่า ผู้เข้าร่วมวิจัยออกกำลังกายฟื้นฟูกล้ามเนื้อแกนกลางลำตัวครบสิบสองครั้ง ทั้งกลุ่มใช้ระบบกายภาพบำบัดทางไกลและกลุ่มออกกำลังกายฟื้นฟูที่สถานพยาบาล ผลจากรายงานผู้เข้าร่วมวิจัยพบว่า ทั้งสองกลุ่มการศึกษาไม่แตกต่างกัน ในด้านระดับคุณภาพชีวิต ระดับความปวด ความสามารถในการปฏิบัติกิจวัตรประจำวัน และความแข็งแรงของกล้ามเนื้อแกนกลางลำตัว สรุปผลการศึกษาวิจัยคือ การออกกำลังกายฟื้นฟูกล้ามเนื้อแกนกลางผ่านระบบกายภาพบำบัดทางไกล มีผลไม่ด้อยไปกว่าการออกกำลังกายฟื้นฟูที่สถานพยาบาล ในผู้ป่วยหลังผ่าตัดกระดูกสันหลังแบบแผลเล็ก

Return To Sport Following Acl Reconstruction With Slope-Correcting High Tibial Osteotomy In The Elite Athlete, Walter R Lowe, Alfred Mansour, Steven Higbie, Connor Galloway, Jacquelyn Kleihege, Lane Bailey

Faculty, Staff and Student Publications

Background: Increased posterior tibial slope is a strong predictor of anterior cruciate ligament (ACL) graft re-injury. A concomitant slope-reducing high tibial osteotomy (HTO) has been suggested to decrease re-tear risk in these cases although little is known regarding outcomes following ACL reconstruction with HTO, especially in elite athletic patients.

Indications: A 19-year-old National Collegiate Athletics Association (NCAA) Division 1 running back presented with an ACL tear, lateral meniscus tear, and posterior tibial slope of 19° (case 1). A 19-year-old NCAA Division 1 soccer forward presented with an ACL graft re-tear and posterior tibial slope of 21° (case 2).

Technique: Anterior …

Reduced Serum Concentrations Of Reactive Oxygen And Nitrogen Species Following Strenuous Exercise In The Heat Are Not Associ-Ated With An Upregulation In Serum Antioxidative Capacity, Sebastian Keller, Hannah Lisa Notbohm, Wilhelm Bloch, Moritz Schumann

Baltic Journal of Health and Physical Activity

Introduction: Reactive oxygen and nitrogen species (RONS) are produced as a response to exercise and play a part in guiding the adaptive response to physical training. Exercise in the heat has been shown to further increase accumulation of RONS in systemic circulation; however, a high antioxidative response or heat acclimatization mechanisms could attenuate this response. In a previous study, we found reduced RONS concentrations in trained athletes following strenuous cycling in the heat. Therefore, this secondary analysis assessed whether these reduced RONS serum concentrations are induced by an increased serum antioxidant capacity. Methods: Twelve male cyclists (V̇O_2peak: 60 …

Physical Exercise As Cytokine Modulator In Inflammatory Immune Response: A Systematic Review, Kartika Ratna Pertiwi, Evy Yulianti, Ukhti Jamil Rustiasari

Jurnal Keolahragaan

Physical exercise contributes to maintain our health, through its role in inflammatory immune response. Cytokines are proteins that mediate communication between immune cells, either as pro- or anti-inflammation agents. Nonetheless, the dominance of pro- over anti-inflammatory cytokines during a workout, is harmful to health. This systematic review aimed at determining the effect of physical activity in modulating pro- and anti-inflammatory cytokines during immune response. Following Preferred Reporting Items for Systematic Reviews (PRISMA) guideline, literature searching was conducted in 3 databases which were PUBMED/MEDLINE, DOAJ and GARUDA, using keywords, citation tracking and snowballing. Inclusion and exclusion criterias were used to screen, …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhadap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP). Nosocomial pneumonia that occurs in 48 hours or more after the patient admitted to the hospital, without any signs of pulmonary infection. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce the work of the accessory muscles of breathing, improve breathing …

Health Outcomes Of Fitbit, Garmin Or Apple Watch-Based Interventions: A Systematic Review Of Systematic Reviews, Hossein Motahari-Nezhad, Fateme Zare, Hadi Akbari, Aslan Sadeghdaghighi

Baltic Journal of Health and Physical Activity

Introduction: A rising number of systematic reviews of smartwatch clinical effectiveness have been published; however, the findings are conflicting and need further investigation. Our purpose was to assess the methodological and evidence synthesis quality of meta-analyses of the therapeutic efficacy of Fitbit, Garmin, or Apple Watch-based interventions. Material and Methods: Systematic searches were carried out with three electronic databases from inception to October 2021. Full text systematic reviews originally published in English in peer-reviewed journals describing meta-analyses of all clinical outcomes of Fitbit-, Garmin-, or Apple Watch -based interventions were eligible for this study. The Amstar-2 scale and GRADE were …

The Effect Of Core Training On Dynamic Balance And Strength Endurance In Junior Field Hockey Players, Senthilkumar Ramasamy, John Franklin, Pitchaimani Govindhara, Suganya Panneerselvam

Baltic Journal of Health and Physical Activity

Introduction: The objective of this study is to find the effectiveness of core muscle strength training on dynamic balance and muscle endurance among junior field hockey players. Material and Methods: The study was conducted with 30 regular junior hockey players (15 in the control group and another 15 in the experimental group). The modified Star Excursion Balance Test (mSEBT) and Biering-Sorensen muscle endurance tests are used to assess dynamic balance and endurance. In the control group, the participants continued their formal training without undergoing any intervention. At the same time, the players in the experimental group performed the core muscle …

Assessment Of Posture, Spinal Mobility And Emg Data In Patients With Spinal Stenosis, Ahu Zileli, Tamer Çankaya

Baltic Journal of Health and Physical Activity

Introduction: This study aims to analyze the difference in muscle activation, posture and vertebral mobility values between healthy individuals and patients with lumbar spinal stenosis. Material and Methods: This study involved 48 lumbar spinal stenosis (LSS) patients of the average age of 55.19 ± 10.41 years and 48 healthy individuals with of the average age of 58.15 ± 8.44 years. Posture and spinal mobility of the participants were measured in the standing position, and the maximum flexion posture with spinal mouse. Muscle activation of rectus femoris, biceps femoris, tibialis anterior and medial head of the gastrocnemius muscle was measured during …

Does A Six-Week Intervention With Added Respiratory Dead Space Volume In Swimming Improve Haematological And Immunological Status?, Stefan Szczepan, Kamil Michalik, Rafał Hebisz

Baltic Journal of Health and Physical Activity

Background: The aim of study was to investigate if differences appeared in haematological parameters after a 6-week moderate-intensity swimming intervention with added respiratory dead space volume (ARDSV) in recreational swimmers.

Material and methods: A sample of 22 individuals were divided into an experimental (E) and a control (C) group, tested for maximal oxygen uptake (VO₂max). The intervention involved 50 min. of front crawl swimming performed at 60%VO₂max twice weekly for 6 weeks. ARDSV was induced via tube breathing (1000ml) in group E during each intervention session. Haematological parameters measured before and after the intervention included red …

Relationships Between Technical And Physical Match Performance In Elite Soccer, Lukasz Radziminski, Andrzej Szwarc, Zbigniew Jastrzebski, Agata Rzeszutko-Belzowska

Baltic Journal of Health and Physical Activity

Introduction: The purpose of this study was to investigate the potential associations between physical and technical match performance and to compare these activities in relation to the match outcome. Materials and methods: The research was based on an analysis of 622 matches of the Polish Ekstraklasa during three consecutive seasons. Such variables as total distance, distance covered in different speed zones, effective playing time, ball possession, number of passes and passing accuracy were taken into account. Results: Effective playing time (E_t) was significantly and fairly correlated with total distance (r = 0.39, p < 0.001), ball possession (r = 0.50, p …

Return To Recreational Sports Participation Following Rotator Cuff Repair In Adults Over 40 Years Of Age: Outcomes And Return To Play Analysis, John Hayden Sonnier, Gregory Connors, Michael P. Campbell, Matthew Sabitsky, Ryan W. Paul, Hayden E. Sando, William D. Emper, Steven B. Cohen, Michael G. Ciccotti, Fotios P. Tjoumakaris, Kevin B. Freedman

Rothman Institute Papers

Background: Despite the high prevalence of rotator cuff (RTC) tears in older adults, there is limited literature evaluating the return to recreational sport after repair. The purpose of this study was (1) to assess the patient-reported outcomes and return to sport rates following rotator cuff repair in patients aged more than 40 years with minimum 2-year follow-up; (2) to compare baseline, preoperative and postoperative outcomes, and level of play following repair of self-reported athletes with nonathletes; and (3) to compare return to sport rates in overhead athletes compared to nonoverhead athletes. Methods: Patients undergoing arthroscopic rotator cuff repair between January …