Early vestibular rehabilitation initiation is associated with faster recovery after sport related concussion.

Objectives: Vestibular rehabilitation is a recommended treatment after sport related concussion (SRC), but the optimal timing is not fully understood. This research examined the association between the timing of vestibular rehabilitation initiation and recovery time in adolescent patients with SRC.

Design: Retrospective cross-sectional.

Association between days for concussion recovery and initial specialty clinic evaluation within 48 hours.

Background: Researchers have highlighted the importance of early access to concussion care within one week of injury in reducing recovery times. However, a persisting question for concussion researchers is "just how early is important?" The purpose of this study was to examine differences in recovery time as predicted by the number of days elapsed since injury (DSI) to initial evaluation among patients who had access to a specialty concussion clinic within seven days. We hypothesized that DSI group membership, even within seven days, would significantly predict risk of protracted recovery (i.

Prospective evaluation of 24-hour movement behaviors among adolescents recovering from a sport-related concussion.

This study aimed to describe the 24-hour composition of movement behaviors, including sleep, sedentary behavior, and physical activity (PA), among pediatric sports-related concussion (SRC) patients over their recovery period, assess the association between movement compositions and recovery time, and understand feasibility of 24-hour accelerometry in the study population. A cohort of 50 pediatric SRC patients were asked to wear a wrist-worn accelerometer continuously for the duration of their recovery. Among all enrolled participants, the sample was primarily 14 or 15 years of age (65%), female (55%), and recovered in under 28 days (88%).

Metrics of OsteoChondral Allografts (MOCA) Group Consensus Statements on the Use of Viable Osteochondral Allograft.

Background: Osteochondral allograft (OCA) transplantation has evolved into a first-line treatment for large chondral and osteochondral defects, aided by advancements in storage protocols and a growing body of clinical evidence supporting successful clinical outcomes and long-term survivorship. Despite the body of literature supporting OCAs, there still remains controversy and debate in the surgical application of OCA, especially where high-level evidence is lacking.

Purpose: To develop consensus among an expert group with extensive clinical and scientific experience in OCA, addressing controversies in the treatment of chondral and osteochondral defects with OCA transplantation.

A Prospective Pilot Study of Anxiety Sensitivity and Adolescent Sports-Related Concussion.

Objective: This study examined the relationship of that anxiety sensitivity (AS) with the initial and ongoing symptoms reported by adolescents after sustaining a sports-related concussion (SRC).

Method: Participants were 40 adolescents, ages 13-18, presenting for treatment at a children's sports medicine specialty clinic following a diagnosis of either an SRC or a musculoskeletal injury. After the initial clinic intake, participants completed an online survey at three-time points.

Bidirectional Day-to-Day Associations of Reported Sleep Duration With Accelerometer Measured Physical Activity and Sedentary Time Among Dutch Adolescents: An Observational Study.

Objectives: To examine the bidirectional association of sleep duration with proportions of time spent in physical behaviors among Dutch adolescents.

Methods: Adolescents ( = 294, 11-15 years) completed sleep diaries and wore an accelerometer (ActiGraph) over 1 week. With linear mixed-effects models, the authors estimated the association of sleep categories (short, optimal, and long) with the following day's proportion in physical behaviors.

Management of Osteochondritis Dissecans Lesions of the Knee, Elbow and Ankle.

Although osteochondritis dissecans (OCD) has been a recognized condition for more than 100 years, our understanding of the etiology, natural history, and treatment remains poorly characterized. OCD most commonly affects the knee, followed by the elbow and ankle. Adolescents and young adults are most commonly affected.