1,017 results match your criteria: "Cervical Sprain and Strain"

Pediatric neck injuries associated with trampoline use.

Am J Otolaryngol

December 2024

Department of Otolaryngology-Head and Neck Surgery, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY 14209, USA. Electronic address:

Objective: Trampolines are popular among children, but trampoline injuries constitute a large number of emergency department visits. The purpose of this study was to determine how often neck injuries occur among children with trampoline-related injuries and to identify the mechanism of injury.

Methods: We analyzed the National Electronic Injury Surveillance System (NEISS) database to characterize patient demographics, injury types, injury subsite, and emergency department disposition status associated with trampoline related neck injuries between 2012 and 2021 in the United States.

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Article Synopsis
  • - Bone stress injuries (BSIs) are overuse injuries that occur when there's repetitive strain on bone, either from excessive physical activity on healthy bone or normal activity on already weakened bone, often seen in younger athletes and those with medical conditions affecting bone density.
  • - Stress fractures are a severe form of BSIs, representing about 20% of cases and show clear signs on imaging; untreated, they can lead to complete fractures, with the main symptoms being localized pain and tenderness in response to increased physical loads.
  • - Treatment involves early intervention, focusing on modifying risk factors like nutrition and activity; imaging such as X-rays and MRIs help confirm BSIs, with management approaches varying based on the injury's severity and location, necessitating specialist
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  • The study aimed to evaluate the effectiveness of adding cervical spine manual therapy (CMT) to conventional physical therapy (PT) for improving outcomes in patients with carpal tunnel syndrome (CTS).
  • Forty-eight patients were split into two groups: one received PT alone, while the other received PT plus CMT, with various assessments conducted at baseline, after treatment, and six months later.
  • Results indicated that the CMT group experienced significantly better improvements in pain levels and nerve function compared to the PT-only group, suggesting that combining CMT with PT could be a more effective treatment for CTS.
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  • Overuse injuries in children and adolescents are a significant public health concern, with a study aiming to determine their prevalence and contributing factors in various areas of Manipur.
  • The research involved 3,600 schoolchildren aged 7-15, revealing an overall injury prevalence of 14.39%, particularly high in Imphal West and among males, with common injuries affecting the lower extremities.
  • The findings stress the need for urgent public health interventions and health education to address the increasing rates of injuries like back pain and neck/arm pain among students.
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  • Cervical hyperlordosis, a rare condition in children, was treated using Chiropractic Biophysics (CBP®) techniques on a 15-year-old girl suffering from chronic migraines and neck pain after a martial arts injury.
  • The treatment involved cervical distraction traction and corrective exercises over 12 weeks, resulting in a significant reduction in neck curve and complete recovery from her symptoms.
  • This case is the first documented instance in peer-reviewed literature of using CBP® to effectively address cervical spine hyperlordosis, suggesting that both excessive and insufficient neck curvature can negatively impact surrounding tissues.
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  • The study aimed to analyze head and neck injuries in young ice hockey players in the U.S., excluding concussions.
  • It reviewed injury data from 2010 to 2021, focusing on children aged 1-18, and found that most injuries involved lacerations, primarily from hockey sticks or falls.
  • The results indicated that female players were generally younger and sustained injuries at an earlier age compared to males, highlighting differences possibly linked to protective gear usage.
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  • Physiotherapeutic management is crucial for treating carpal tunnel syndrome (CTS), with neurodynamic interventions often employed, although their mechanisms remain unclear.
  • The MONET study will investigate how neurodynamic exercise affects nerve structure and function in 108 participants, including patients with confirmed mild to moderate CTS and healthy individuals.
  • This randomized trial will compare the effects of a 6-week neurodynamic exercise program, steroid injections, and a control group on various health outcome measures, aiming to improve treatment effectiveness and understanding of the interventions.
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This retrospective study aimed to identify the characteristics of Korean medical care utilization in patients with traffic injury (TI) and to explore the clinical effectiveness of Korean medical interventions for TI through a multicenter chart review. This multicenter, retrospective registry study gathered electronic health records from 3 hospitals between January 1, 2018 and December 31, 2021. Data included treatment dates, demographic information, the Korean Standard Classification of Diseases codes, collision data, Korean medicine treatment modalities, and treatment outcomes.

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  • A study found that 31.7% of medical students suffer from text neck syndrome, which is linked to excessive smartphone use.
  • The syndrome predominantly affects females, with various factors like overweight, low physical activity, and prolonged sitting also contributing.
  • Most students diagnosed reported only mild neck disabilities but highlighted the growing concern of device use among young adults.
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Polar Thigh and Other Medical Observations During the Longest Solo Unsupported One-Way Polar Ski Expedition in Antarctica.

Wilderness Environ Med

September 2024

Charité Universitätsmedizin Berlin and Berlin Institute of Health, Institute of Physiology, Center for Space Medicine and Extreme Environments, Berlin, Germany.

Article Synopsis
  • Antarctic expeditions present significant health challenges, including nutritional deficiencies, cold injuries, and severe fatigue.
  • A case study of a 33-year-old female adventurer highlights her experience during a 1484.53 km solo ski expedition in extreme cold (-12 to -50°C) and high winds, where she developed a neck injury and a serious cold injury on her calf.
  • Post-expedition, she faced a 26.7% reduction in body mass, alongside muscle soreness and sleep issues, underscoring the need for further research on medical conditions related to polar exploration.
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  • Chronic neck pain (cNP) is a major worldwide disability, often resistant to standard treatments, prompting the investigation of electrical stimulation methods like the H-Wave device.
  • A study analyzed patient-reported outcome measures from 11,503 pain management patients, narrowing down to 1,482 with cNP, and found significant reductions in pain, improved daily functioning, and decreased medication use.
  • Results indicated that users of the H-Wave device experienced effective relief and benefits comparable to those reported in patients with chronic low back pain, with no reported adverse effects.
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Preoperative Electrodiagnostic Study Findings Differ Between Patients With Double-crush Syndrome and Carpal Tunnel Syndrome: A Propensity Matched Analysis.

J Am Acad Orthop Surg

September 2024

From the Department of Orthopedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA (Pohl, Narayanan, Brush, Lee, Kanhere, Micou, Fras, Kaye, Mangan, Kurd, Canseco, Hilibrand, Vaccaro, Kepler, Schroeder), Department of Orthopedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA (Dr. Qureshi), and the Department of Physical Medicine & Rehabilitation, Rothman Institute, Thomas Jefferson University, Philadelphia, PA (Mehnert).

Article Synopsis
  • Double-crush syndrome (DCS) involves both peripheral nerve compression and spinal nerve root impingement, and this study aimed to compare electrodiagnostic results in patients undergoing carpal tunnel release (CTR) versus those also receiving cervical diskectomy and fusion for DCS.
  • The study analyzed data from 54 DCS patients and 137 CTR-only patients, noting that DCS patients had shorter sensory latencies, slower wrist motor velocity, and positive EMG findings in muscles like the biceps and triceps.
  • The findings suggest that DCS patients exhibit distinct electrodiagnostic patterns compared to CTR-only patients, emphasizing the need for healthcare providers to consider cervical issues when encountering related EMG abnormalities.
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  • The study investigates how a history of concussions may increase the risk of sprains or strains in young athletes, particularly focusing on the use of virtual reality (VR) testing to detect subtle impairments in physical responses.
  • It involved 68 high school athletes who underwent a VR test measuring their eye, neck, and arm movements in response to visual stimuli, followed by tracking any injuries throughout the season.
  • Findings indicated that female athletes with multiple concussions showed higher vulnerability to injuries when they had slower arm reach response times, revealing specific risk factors that can vary by sex.
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Epidemiology of Craniofacial Injuries from Exercise and Weightlifting: A 10-Year Analysis.

J Craniofac Surg

March 2024

Division of Plastic Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, FL.

Article Synopsis
  • Exercise is crucial for health but has seen a rise in craniofacial injuries, particularly during weightlifting, prompting an analysis of trends and demographics over the past decade.
  • A review of National Electronic Injury Surveillance System data revealed nearly 583,000 injuries from 2013 to 2022, with males and adolescents aged 15-19 being the most affected groups.
  • Findings highlight the necessity for targeted injury prevention strategies and increased awareness of the risks linked to craniofacial injuries during exercise, especially for certain vulnerable populations.
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  • The study analyzed the rates of neck and back strains and sprains among Major League (MLB) and Minor League (MiLB) baseball players from 2011 to 2016, utilizing a retrospective case series approach.
  • A total of 3,447 injuries were recorded, with MLB players accounting for 721 cases and MiLB players for 2,726, resulting in significant player downtime and impacting overall participation.
  • Pitchers were found to have more than double the injury rate compared to other position players, underscoring the unique stresses placed on their bodies during gameplay.
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  • Endoscopy-related musculoskeletal injuries (ERIs) are prevalent among gastroenterologists and surgeons, with significant issues such as carpal tunnel syndrome and pain syndromes reported.
  • A systematic review of 12 studies found that 5.3% of respondents experienced carpal tunnel syndrome, while 8.5% reported de Quervain's tenosynovitis, alongside notable rates of thumb, neck, and back pain.
  • Despite a high incidence of these injuries, only a small number of professionals have received training in ergonomics, with many expressing a desire for more education on the topic.
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  • * A total of 79 patients participated, with 35 undergoing surgeries on different days and 33 receiving both procedures in one session.
  • * Results showed that the simultaneous surgery group had shorter operative times, reduced hospital stays, and less temporary disability, along with improved clinical outcomes at discharge, although other measured parameters did not show significant differences.
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  • This study aimed to compare discomfort levels in three different positions for ultrasound-guided carpal tunnel injections (USCTI) to enhance tolerability for patients with carpal tunnel syndrome (CTS).
  • 30 Veterans were evaluated using three positions: Hypersupination, Airplane, and Total Supported Abduction (TSA), with participants rating their pain and ease of holding each position.
  • Results showed that Hypersupination was the most painful and least preferred position, while Airplane and TSA were not significantly different in terms of discomfort, suggesting they may be better options for patient comfort during the procedure.
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Article Synopsis
  • * Initial assessment for neck pain without red flags typically involves x-rays, while MRI is recommended for cases with severe symptoms or evidence of serious conditions.
  • * Most patients with non-critical neck pain respond to conservative treatments, although there's limited evidence for their effectiveness, and options include medications and alternative therapies; surgical intervention may be necessary for those experiencing significant neurological issues.
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Jumping Trends In Trampoline-Related Craniofacial Injuries.

J Craniofac Surg

October 2024

DeWitt Daughtry Family Department of Surgery, Division of Plastic Surgery, University of Miami, Miami, FL.

Article Synopsis
  • - The American Academy of Pediatrics has recommended halting trampoline sales in the U.S. due to documented injury risks, yet trampoline parks continue to be popular and are associated with serious injuries, particularly craniofacial trauma among youth.
  • - A study reviewing data from 2013 to 2022 found approximately 206,866 trampoline-related craniofacial injuries, with males affected more often than females, and common injury types including lacerations and internal injuries.
  • - There is a notable increase in head and facial injuries, especially among children aged 3 to 11, highlighting the need for better regulations and targeted safety measures to prevent these injuries in trampoline activities.
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Test procedures and positive diagnostic criteria of the upper limb tension tests differ: a systematic review of the DiTA database.

Braz J Phys Ther

December 2023

School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Sydney Spine Institute Research Group, Sydney Spine Institute, Burwood, Sydney, Australia.

Article Synopsis
  • The study investigates the effectiveness of the Upper Limb Tension Test (ULTT) by reviewing existing diagnostic accuracy research, as current practices vary significantly.
  • Nine studies involving 681 participants were analyzed, focusing on conditions like cervical radiculopathy and carpal tunnel syndrome, with some bias in study design noted.
  • The authors recommend a standardized procedure for the ULTT1 to improve diagnostic consistency, outlining specific movements to better assess nerve stress and symptom response.
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Capsular and retinaculum thickening in type II mucopolysaccharidosis: a novel MRI finding.

Skeletal Radiol

June 2024

Department of Radiology, Escola Paulista de Medicina/Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros, 800 - Vila Clementino, São Paulo, SP, 04024-002, Brazil.

Article Synopsis
  • - Mucopolysaccharidoses (MPS) are inherited disorders caused by enzyme deficiencies leading to harmful accumulation of glycosaminoglycans (GAGs) in various body tissues, often causing skeletal and joint problems.
  • - This study explores four male patients with type II MPS who, aged 14 to 35, presented with joint stiffness and carpal tunnel syndrome, undergoing seven MRI exams of joints including the spine and knee.
  • - MRI results showed significant thickening of capsuloligamentous structures, with measurements up to eight times greater than what is considered normal, highlighting a previously undocumented imaging feature in MPS patients.
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  • - The study analyzed how 30 young adults (15 men and 15 women) used smartphones in different postures (standing, supported sitting, unsupported sitting) and head angles (0°-40°), measuring muscle activity, neck flexion, and discomfort scores.
  • - Results indicated that both head angle and posture significantly impacted muscle strain and discomfort, with neck and shoulder strain increasing notably when head angle exceeded 20°.
  • - Unsupported sitting was linked to poorer outcomes across all variables, while standing and supported sitting showed benefits; notably, women had different muscle activity patterns compared to men in the standing position.
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  • * During surgery, an intramuscular lipoma (a benign tumor) was found in the muscle and removed, along with a procedure to relieve pressure on the ulnar nerve.
  • * The patient experienced complete recovery, highlighting the need to consider unusual anatomical issues when diagnosing neuropathy.
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