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Disability in sport

Mark H Halliday, Alessandra N Garcia, Anita B Amorim, Gustavo C Machado, Jill A Hayden, Evangelos Pappas, Paulo H Ferreira, Mark J Hancock
STUDY DESIGN: Systematic review. BACKGROUND: Mechanical Diagnosis and Therapy (MDT) is a treatment-based classification system founded on three core principles; classification into diagnostic syndromes, classification-based intervention and appropriate application of force. Many randomized controlled trials have investigated the efficacy of MDT for low back pain (LBP); however, results have varied. The inconsistent delivery of MDT across trials may explain the different findings...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Dhinu J Jayaseelan, Matthew J Weber, Holly Jonely
STUDY DESIGN: Case report. BACKGROUND: Tendinopathy is a condition often associated with pain, functional and sport performance limitations. While targeted exercise prescriptions are often effective, many patients with tendinopathy develop persistent symptoms. Emerging evidence suggests a possible link between nervous system sensitization and tendinopathy. If so, identifying and treating specific pain mechanisms may improve outcomes. CASE DESCRIPTION: Three patients were seen in physical therapy for complaints of ongoing chronic tendon pain and self-reported disability, despite being treated previously and receiving evidence-informed care...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Andrew D Williams, Albert H Vette
Postural perturbations, motion tracking, and sensory feedback are modern techniques used to challenge, assess, and train upright sitting, respectively. The goal of the developed protocol is to construct and operate a sitting platform that can be passively destabilized while an inertial measurement unit quantifies its motion and vibrating elements deliver tactile feedback to the user. Interchangeable seat attachments alter the stability level of the device to safely challenge sitting balance. A built-in microcontroller allows fine-tuning of the feedback parameters to augment sensory function...
January 20, 2019: Journal of Visualized Experiments: JoVE
Sule Temizkan, Fahrettin Kelestimur
PURPOSE: This review aimed to evaluate the data underlying the pathophysiology of TBI-induced hypothalamo-pituitary dysfunction. METHODS: Recent literature about the pathophysiology of TBI-induced hypothalamo-pituitary dysfunction reviewed. RESULTS: Traumatic brain injury (TBI) is a worldwide epidemic that frequently leads to death; TBI survivors tend to sustain cognitive, behavioral, psychological, social, and physical disabilities in the long term...
February 7, 2019: Pituitary
Hirofumi Ochi
Multiple sclerosis (MS) is a complex immune-mediated disease of the central nervous system. It is characterized by inflammatory and neurodegenerative processes that result in progressive neurological disability. In the past two decades, there have been major therapeutic advances in the treatment of MS, and a substantial number of disease-modifying drugs (DMDs) have been used in clinical practice. The currently available DMDs are effective in controlling inflammatory activity, but not neurodegenerative processes...
February 2019: Brain and Nerve, Shinkei Kenkyū No Shinpo
Kimitaka Nakazawa
Brain recognization in Paralympic athletes occurs in a manner dependent on both disability type and sport-specific trainings. The mechanisms underlying this reorganization likely include use-dependent plasticity and disability-specific compensations. Studies of the brains of Paralympic athletes and neurorehabilitation aim to better understand the neural mechanisms responsible for brain reorganization following physical rehabilitation interventions and/or athletic trainings.
February 2019: Brain and Nerve, Shinkei Kenkyū No Shinpo
Chris Hammer, Leslie Podlog, Ross Wadey, Nick Galli, Anjali J Forber-Pratt, Maria Newton
PURPOSE: To understand the cognitive processing that occurs in relation to a disabling life event among para sport athletes, as well as the role of para sport participation in shaping these cognitions, and subsequent perceptions of posttraumatic growth or distress. METHODS: Participants were 75 para sport athletes with acquired disability. Serial multiple mediation analysis was conducted to identify the various pathways through which posttraumatic growth or distress is experienced...
January 31, 2019: Disability and Rehabilitation
Parisa Nejati, Afsaneh Safarcherati, Farshid Karimi
BACKGROUND: The sacroiliac joint dysfunction (SIJD) has been found to be the primary culprit for lower back pain (LBP), but it is still overlooked and treated as LBP. There are no guidelines or appropriate therapeutic protocols for SIJD. Thus, there is a need for an effective treatment strategy for SIJD. OBJECTIVE: To compare exercise therapy (ET), manipulation therapy (MT), and a combination of the 2 (EMT) in terms of their effectiveness in treating SIJD. STUDY DESIGN: A comparative, prospective, single-blind randomized controlled trial ...
January 2019: Pain Physician
Joffrey Drigny, Emmanuel Reboursière, Antoine Desvergée, Alexis Ruet, Christophe Hulet
Exertional leg pain is a common and disabling condition in athletes with challenging diagnosis and management. We report the case of a 29-year-old rugby player with history and clinical examination consistent with chronic exertional compartment syndrome (CECS). Compartment pressure measurements was supportive of the diagnosis. However, magnetic resonance angiography (MRA) with provocative maneuvers showed functional popliteal artery entrapment syndrome (PAES). For the treatment of CECS, bilateral fasciotomy of the anterolateral compartments permitted to return to full sport participation in 8 weeks...
January 28, 2019: PM & R: the Journal of Injury, Function, and Rehabilitation
Maziah Mat Rosly, Mark Halaki, Hadi Mat Rosly, Glen M Davis, Nazirah Hasnan, Ruby Husain
PURPOSE: The Physical Activity Scale for Individuals with Physical Disabilities questionnaire provides an assessment of physical activity after spinal cord injury. This study sought to adapt, with cultural competence, the English questionnaire and translate it into Bahasa Malaysia, including evaluation of content and face validity, internal consistency and test-retest reliability, and completion of a factor analysis in order to validate the Malaysian version. MATERIALS AND METHODS: A total of 250 participants completed the questionnaire that was distributed via email, postal mail, the internet, physically and by word of mouth...
January 27, 2019: Disability and Rehabilitation
Fred C Holtkamp, Eveline J M Wouters, Maarten J Verkerk
Patients with orthopedic problems often use assistive devices, e.g., ankle-foot orthoses and therapeutic footwear, to support their mobility. However, many users are not satisfied with their devices or do not use them at all, resulting in a decrease of quality of life. It has been shown that a main cause for dissatisfaction and non-use lies in the process of drawing up requirements. It appears that orthopedic engineers have too little insight in the different areas of life of patients leading to deficient design requirements...
January 24, 2019: International Journal of Environmental Research and Public Health
Marta Anna Szychlinska, Michelino Di Rosa, Alessandro Castorina, Ali Mobasheri, Giuseppe Musumeci
Osteoarthritis (OA) is a degenerative disease of the articular cartilage, resulting in pain and total joint disability. Recent studies focused on the role of the metabolic syndrome in inducing or worsening joint damage suggest that chronic low-grade systemic inflammation may represent a possible linking factor. This finding supports the concept of a new phenotype of OA, a metabolic OA. The gut microbiome is fundamental for human physiology and immune system development, among the other important functions. Manipulation of the gut microbiome is considered an important topic for the individual health in different medical fields such as medical biology, nutrition, sports, preventive and rehabilitative medicine...
January 2019: Heliyon
Raymond W Yu, James M McLean, Jasvir S Bahl, Lucian B Solomon
The primary aim of this study was to determine whether an electronic, multicenter data collection system could be used to establish normal population reference values for the Hip Disability and Osteoarthritis Outcome Score (HOOS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The secondary aim was to investigate differences in asymptomatic HOOS and WOMAC values reported in 2 geographically distinct English-speaking countries and compare these with a symptomatic arthritic patient cohort...
January 22, 2019: Orthopedics
Svein Bergem
PURPOSE: Access to adaptive equipment is a crucial factor that can determine if a child or youth with disabilities is going to participate in physical activities, sports and play in different local settings. A prerequisite for success is awareness of and specific knowledge concerning the equipment and its use among relevant actors. The aim of this paper is to explore how important groups of actors working with young people with disabilities perceive their level of knowledge concerning adaptive equipment and discuss these actors' role in children and youths' opportunities to obtain relevant equipment to participate in activities...
January 21, 2019: Disability and Rehabilitation. Assistive Technology
José L Arias-Buría, Joshua A Cleland, Youssef R El Bachiri, Gustavo Plaza-Manzano, César Fernández-de-Las-Peñas
STUDY DESIGN: Case report. BACKGROUND: Patients with lateral elbow pain are often diagnosed of lateral epicondylalgia (LE). Lateral elbow pain is often associated with dysfunction of the wrist extensor muscles; however, in some cases, it can also mimic signs and symptoms of radial nerve dysfunction. CASE DESCRIPTION: A 43-year-old male originally referred with a diagnosis of LE as a result of playing table tennis and who previously responded favorably to manual therapy and exercise presented to the clinic for treatment...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
Lirios Dueñas, Mercè Balasch-Bernat, Marta Aguilar-Rodríguez, Filip Struyf, Mira Meeus, Enrique Lluch
STUDY DESIGN: Case series. BACKGROUND: Manual therapy has been demonstrated to reduce pain and improve function in patients with frozen shoulder contracture syndrome (FSCS), but no evidence exists to support one form of manual therapy over another. The purpose of this case series was to describe both short and long-term outcomes after a manual therapy program and home stretching exercises based on specific impairments in shoulder mobility and level of tissue irritability in patients with FSCS...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
Filippo Calderazzi, Alessandro Nosenzo, Cristina Galavotti, Francesco Pogliacomi, Francesco Ceccarelli
BACKGROUND AND AIM OF THE WORK: Fractures of the pelvis classically occur in adolescent during sports activities with forceful and repetitive contractions or passive lengthening acting on not yet ossified growth plates. Their misdiagnosis lead to disability, chronic pain and decrease of performances. Evidence based treatment guidelines do not exist; aim of this paper is to point out clinical outcomes, return to sport rates and complications of surgical and conservative approach. METHODS: A systematic search based on MEDLINE database was performed in August 2017 to identify all published articles from 2010 to 2017 reporting outcomes, return to sport and complications rates after surgical and non-operative treatment of avulsion fractures of the pelvis...
November 15, 2018: Acta Bio-medica: Atenei Parmensis
Jason Bantjes, Leslie Swartz, Jeanine Botha
Despite the increasing prominence of competitive disability sport, the literature on the experiences of disabled athletes, particularly in low- and middle- income countries, is sparse. We aimed to describe the participation experiences of a group of athletes in competitive disability sport in South Africa, as well as exploring the ways they talk about issues of identity and self-representation in the context of elite disability sport. Data were collected via in-depth, semistructured interviews with a purposefully sampled group of 22 athletes competing at a national level...
January 15, 2019: Journal of Community Psychology
Justin E Hellwinkel, Eric C McCarty, Morteza Khodaee
Sports-related injuries to the shoulder are common causes of disability. Injuries to the sternoclavicular joint (SCJ) in sports are more rare, though have been reported in a small number of cases. SCJ injury classification is determined by the degree of joint displacement and direction of clavicular displacement. Direction of displacement is particularly important due to risk of injury to intrathoracic structures, which has the potential to result in fatal outcomes. These injuries are important to identify in athletes and can be difficult to assess on the field...
January 15, 2019: Physician and Sportsmedicine
Peter R Camfield, Danielle Andrade, Carole S Camfield, Jaime Carrizosa-Moog, Richard Appleton, Michel Baulac, Lawrence Brown, Eleonor Ben Menachem, Helen Cross, Isabelle Desguerre, Christina Grant, Hassan Hosny, Laura Jurasek, Marco Mula, Margarete Pfäfflin, Sylvain Rheims, Howard Ring, Renée A Shellhaas, K P Vinayan, Elaine Wirrell, Rima Nabbout
Objective evidence is limited for the value of transition programs for youth with chronic illness moving from pediatric to adult care; however, such programs intuitively "make sense". We describe the strengths and weaknesses of a variety of transition programs from around the world for adolescents with epilepsy. Consequences of poorly organized transition beyond suboptimal seizure control may include an increased risk of sudden unexpected death in epilepsy (SUDEP), poor psychological and social outcome, and inadequate management of comorbidities...
January 11, 2019: Epilepsy & Behavior: E&B
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