Publications by authors named "Cynthia J Stein"

Article Synopsis
  • Research indicates a higher prevalence of upper lumbar spondylolysis in young athletes than previously thought, highlighting a lack of sport-specific studies on this condition.
  • The study aimed to identify risk factors associated with upper lumbar stress injuries in pediatric and adolescent athletes by reviewing medical records from two academic centers.
  • Results showed that the majority of diagnosed athletes had lower level injuries, while a smaller percentage experienced upper level injuries, which were linked to being older at diagnosis and shorter durations of low back pain.
View Article and Find Full Text PDF

Background: Fencing is a unique and increasingly popular sport, but limited data exist regarding related injuries.

Purpose: To examine the types of injuries incurred by fencing athletes, and to analyze associations between age, sex, and hand dominance with type and location of injury.

Study Design: Cross-sectional.

View Article and Find Full Text PDF

Background  Medical educators face many challenges, including the absence of defined roles, lack of standard career paths, and limited support in systems that generally prioritize research and clinical productivity over educational activities. Providers also teach to widely varying degrees. This study was designed to specifically examine the professional rewards and obstacles experienced by physicians who have dedicated significant energy and career focus to medical education.

View Article and Find Full Text PDF

Background As a result of the coronavirus disease 2019 (COVID-19) pandemic, graduate medical education, along with most of daily life, was disrupted. The goal of this study was to explore the experiences of fellows in primary care/medical sports medicine (MSM) and view the changes made to training programs through their eyes. Methodology A questionnaire was developed to collect qualitative and quantitative data regarding the fellow's experiences in training from March to June 2020.

View Article and Find Full Text PDF

Objective: Hallux sesamoid injuries are well described and can be debilitating and chronically disabling. The role of orthobiologics such as platelet-rich plasma (PRP) in sesamoid injuries has not been reported. This study describes three cases of recalcitrant hallux sesamoid injuries in teenage athletes who returned to impact activities, pain free, following one treatment of PRP.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness of limb-lead (LL) ECG versus standard 12-lead (12L) ECG in detecting cardiac abnormalities linked to sudden cardiac death (SCD) in athletes.
  • It involved four physicians analyzing 100 ECGs (50 normal and 50 abnormal) to evaluate their accuracy and agreement in interpreting the results.
  • Findings showed that while both LL ECG and 12L ECG had similar sensitivity (86%), LL ECG had lower specificity (75%) compared to 12L ECG (82%), but both methods demonstrated substantial agreement in interpretation accuracy.
View Article and Find Full Text PDF

Background: Strategies to reduce anxiety prior to injection procedures are not well understood. The purpose is to determine the effect of a meditation monologue intervention delivered via phone/mobile application on pre-injection anxiety levels among patients undergoing a clinical injection. The following hypothesis was tested: patients who listened to a meditation monologue via phone/mobile application prior to clinical injection would experience less anxiety compared to those who did not.

View Article and Find Full Text PDF

: To describe the evaluation, management and recovery time of hallux sesamoid fractures in young athletes.: A retrospective chart review was performed in a large academic teaching institution over a 5-year period (1/1/2010-12/31/2014). All patients with a sesamoid injury were initially included.

View Article and Find Full Text PDF

The purpose of this study was to investigate associations between sedentary behaviors, sleep hours, and body mass index (BMI) in 12- to 17-year-old dancers. This was a cross sectional survey in which bivariate correlation and simple linear regression were used to determine associations between self-reported components. One hundred fifteen dancers were queried, 91.

View Article and Find Full Text PDF

This study assessed whether between-sex differences in concussion reporting intention and behavior among young adults are explained by the extent to which the individual conforms to traditional masculine norms that often characterize contemporary sport culture. A survey of college athletes in the United States (n = 328) found greater symptom reporting intention among females as compared to males, but no difference in their likelihood continued play while experiencing symptoms of a possible concussion. Greater conformity to the norms of risk-taking was associated with greater likelihood of continued play while symptomatic among female athletes but not among male athletes.

View Article and Find Full Text PDF

Objective: To describe musculoskeletal conditions in children with Ehlers-Danlos syndrome (EDS).

Study Design: A retrospective medical record review was performed, which evaluated 205 patients with EDS (ages 6-19 years) seen in sports medicine or orthopedic clinic at a large pediatric hospital over a 5-year period.

Results: Female (n = 147) and male (n = 57) patients were identified (mean age 12.

View Article and Find Full Text PDF

Questionnaires were distributed to investigate body mass index (BMI) and menstrual patterns in female dancers aged 12 to 17 years. The study cohort consisted of 105 dancers, mean age 14.8 ± 1.

View Article and Find Full Text PDF

Objective: Few studies have examined the experience and concerns of the concussed athlete. The purpose of this study was to identify the most pressing concerns of athletes with concussion.

Design: Cross-sectional survey of athletes who presented for evaluation of a new sport-related concussion during an 8-month period.

View Article and Find Full Text PDF

Background: Limited data exist regarding the effect of the growth process on anterior cruciate ligament (ACL) injury risk in male versus female children.

Hypothesis: The proportion of ACL injuries/sports injuries presenting to clinic will vary by age, sex, and body mass index (BMI).

Study Design: Cross-sectional epidemiologic study.

View Article and Find Full Text PDF

Objective: To identify independent predictors of and use recursive partitioning to develop a multivariate regression tree predicting symptom duration greater than 28 days after a sport-related concussion.

Methods: We conducted a prospective cohort study of patients in a sports concussion clinic. Participants completed questionnaires that included the Post-Concussion Symptom Scale (PCSS).

View Article and Find Full Text PDF

Objective: To characterize knee injury patterns in Irish dancers.

Methods: A retrospective chart review was performed for Irish dancers under age 19 who presented with knee injuries to the sports medicine or orthopedic clinic from January 1, 2000 to December 31, 2010. Data were collected on all knee injuries partially or directly related to Irish dance.

View Article and Find Full Text PDF

Sport-related concussion is a topic of increasing public and media attention; the medical literature on this topic is growing rapidly. However, to our knowledge no published papers have described concussion specifically in the dancer. This case series involved a retrospective chart review at a large teaching hospital over a 5.

View Article and Find Full Text PDF

Background: There is still much that we do not know about differences in sports injuries between young male and female athletes and the factors that may increase the risk for injuries in this regard.

Purpose: To describe and compare differences between males and females in pediatric sports-related injuries.

Study Design: Cross-sectional study; Level of evidence, 3.

View Article and Find Full Text PDF

Irish dance is growing in popularity and competitiveness; however, very little research has focused specifically on this genre of dance. The purpose of this study was to analyze the types of dance injuries incurred by Irish dancers. A chart review was performed to identify all injuries associated with Irish dance seen in the sports medicine or orthopaedic clinics at the investigators' hospital over an 11-year period.

View Article and Find Full Text PDF

Although youth sports participation is beneficial on many levels, it is also associated with an increased risk of injury. Risk factors for injury in children and adolescents include the presence of growth cartilage, existence of muscle imbalance, and pressure to compete despite pain and fatigue. Overuse injuries, such as patellofemoral pain, Osgood-Schlatter disease, calcaneal apophysitis, Little League elbow, Little League shoulder, spondylolysis, and osteochondritis dissecans, are common injuries in organized sports.

View Article and Find Full Text PDF

As the obesity epidemic spreads, concern about the significant health and economic consequences has also grown. Obesity has been linked to a variety of chronic diseases, almost 300,000 deaths each year, and 117 billion dollars in direct and indirect annual costs in the United States alone. In this article we review the recent trends in overweight and obesity, summarize the lifestyle factors that influence the increasing prevalence of obesity, and discuss the health and economic impact of the obesity epidemic.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_sessionj952cfkpgonh6irm1o39ag3agvud12ki): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once