391 results match your criteria: "the Micheli Center for Sports Injury Prevention[Affiliation]"

Objective: To assess differences in physical therapists' exercise prescription and confidence in return-to-sport readiness between girl and boy patients undergoing rehabilitation post-ACLR.

Design: Cross-sectional survey.

Methods: 115 physical therapist responses were collected in an electronic survey.

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Background: Residual interlimb deficits after anterior cruciate ligament reconstruction (ACLR) can lead to functional maladaptation and increase the risk of reinjury. The tuck jump assessment (TJA) may offer a more effective evaluation of ACLR status as compared with traditional tasks owing to increased risk of altered landing mechanics, asymmetrical landing, and increased knee valgus attributed to the cyclical nature of the task. However, it remains unclear whether altered TJA kinetics resolve over time or persist through return-to-play phases of rehabilitation.

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Kember, LS, Riehm, CD, Schille, A, Slaton, JA, Myer, GD, and Lloyd, RS. Residual biomechanical deficits identified with the tuck jump assessment in female athletes 9 months after ACLR surgery. J Strength Cond Res 38(12): 2065-2073, 2024-Addressing biomechanical deficits in female athletes after anterior cruciate ligament reconstruction (ACLR) is crucial for safe return-to-play.

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Kember, LS, Riehm, CD, Schille, A, Slaton, JA, Myer, GD, and Lloyd, RS. Residual biomechanical deficits identified with the tuck jump assessment in female athletes 9 months after ACLR surgery. J Strength Cond Res XX(X): 000-000, 2024-Addressing biomechanical deficits in female athletes after anterior cruciate ligament reconstruction (ACLR) is crucial for safe return-to-play.

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Background: While allografts are commonly used for anterior cruciate ligament reconstruction (ACLR), evidence to guide specific allograft selection is lacking.

Purpose: To compare clinical and graft failure rates after ACLR using soft tissue-only allografts and bone-soft tissue allografts in adults.

Study Design: Systematic review and meta-analysis; Level of evidence, 4.

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Article Synopsis
  • Young athletes (≤18 years) face a high risk of ACL graft failure, with current studies indicating significant variation in failure rates among different autograft types used for reconstruction.
  • A systematic review analyzed 24 studies and found that hamstring tendon (HT) autografts had the highest failure rate at 11.8%, while bone-patellar tendon-bone (BPTB) and quadriceps tendon (QT) had lower failure rates at 7.9% and 2.7%, respectively.
  • The findings suggest that while HT is commonly used, BPTB and QT may be more effective options for reducing reinjury risk in young athletes undergoing ACL reconstruction.
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Introduction: 3D Markerless motion capture technologies have advanced significantly over the last few decades to overcome limitations of marker-based systems, which require significant cost, time, and specialization. As markerless motion capture technologies develop and mature, there is increasing demand from the biomechanics community to provide kinematic and kinetic data with similar levels of reliability and accuracy as current reference standard marker-based 3D motion capture methods. The purpose of this study was to evaluate how a novel markerless system trained with both hand-labeled and synthetic data compares to lower extremity kinematic and kinetic measurements from a reference marker-based system during the drop vertical jump (DVJ) task.

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Background: Legal performance enhancing substance (PES) use is increasing in young athletes and may lead to banned PES use. This study examines legal PES use and consideration of banned PES use in young athletes with a season-ending injury (SEI) compared to young athletes with non-SEI/no previous injury.

Hypothesis: Young athletes sustaining SEI or concussions have increased odds of reporting legal PES use and consideration of banned PES use compared with non-SEI or no injury.

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Characteristics of Lumbar Pars Interarticularis and Pedicle Stress Injuries by Sport in 902 Pediatric and Adolescent Athletes: A Retrospective Study.

Am J Sports Med

November 2024

Division of Sports Medicine, Department of Orthopedics and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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.
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Article Synopsis
  • The study investigates the link between psychological readiness and physical recovery in patients who have undergone ACL reconstruction, noting that this relationship is not well understood.
  • Researchers hypothesized that patients with greater psychological readiness would perform better in functional tests six months post-surgery.
  • Their findings showed significant correlations between psychological readiness measures (like the ACL-RSI scale) and physical performance metrics, indicating that those who felt more psychologically prepared were likely to have better functional outcomes.
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This study investigated differences in electroencephalography (EEG) activity within motor-related brain areas during three phases of a single-leg squat (SLS)-i.e., descending, holding, and ascending phases.

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Article Synopsis
  • Sport specialization in young soccer players may increase the risk of overuse injuries, but this risk can vary based on the sport and cultural factors.
  • The study involved 841 male youth soccer players, showing that those who specialized early and trained extensively were more likely to report serious overuse injuries.
  • Results indicate that engaging in multiple sports before age 12 and high training volume during grades five and six are linked to a higher incidence of these injuries.
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Article Synopsis
  • T1 mapping and Quantitative Susceptibility Mapping (QSM) are being studied as methods to measure changes in knee osteoarthritis, focusing on their effectiveness in analysis of articular cartilage.* -
  • The study involved 20 healthy participants who underwent MRI with different spin lock times, aiming to assess how these combinations impact T1 estimation and correlate with QSM data.* -
  • Results showed longer T1 times with higher spin lock periods and noted significant depth-specific differences in both T1 and QSM, suggesting these methods together can enhance the understanding of cartilage microstructure changes.*
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Background: While changes in brain metabolites after injury have been reported, relationships between metabolite changes and head impacts are less characterized.

Purpose: To investigate alterations in neurochemistry in high school athletes as a function of head impacts, concussion, and the use of a jugular vein compression (JVC) collar.

Study Type: Prospective controlled trial.

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Differential neural mechanisms for movement adaptations following neuromuscular training in young female athletes with a history of sports-related concussion.

Neuroscience

October 2024

Emory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA.

Article Synopsis
  • Sports-related concussions (SRC) in teen athletes can lead to a higher chance of lower leg injuries, and neuromuscular training (NMT) may help reduce these injuries, but the neural changes from NMT in athletes with a history of SRC are not well known.
  • A study involved 32 adolescent female athletes, comparing those with a history of SRC to those without, to look at changes in their movement and brain activity after a six-week NMT program using 3D motion analysis and fMRI.
  • Findings showed that after NMT, there was a notable decrease in knee movement patterns and changes in brain activity, suggesting that NMT can lead to different neural responses in managing knee movements, especially for athletes with
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The concept of youth sport specialization has evolved over the past decade, from a focus on the risk of overuse injury to a broader awareness of its effects on mental health, social well-being, quality of life, growth and maturation, sport performance, and long-term athletic success. This review article considers a recently revised definition of youth sport specialization, as well as guidelines and consensus statements from various sports medicine organizations, with practical applications for young athletes.

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Objective: To determine risk factors for second anterior cruciate ligament (ACL) injury following primary ACL reconstruction (ACLR) using return-to-sport (RTS) tests consisting of qualitative and quantitative measures in young athletes.

Methods: A case-control study design was used, and a retrospective review of adolescent athletes after primary ACLR was performed. All athletes completed an RTS test consisting of qualitative and quantitative assessments and psychological assessments with the Tampa Scale of Kinesiophobia.

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To investigate quality of life (QoL) measures in a cohort of young female dancers. Cross-sectional survey study design was utilized to study dancers 8 to 17 years enrolled in two elite dance schools in the Boston area. The main outcome measure was the Pediatric Quality of Life (PedsQL 4.

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Article Synopsis
  • - The study investigates the use of all-soft tissue quadriceps tendon (ASTQT) autografts for ACL reconstruction in young athletes, focusing on return-to-sport (RTS) rates and reinjury rates.
  • - A total of 656 patients aged 14-22 underwent primary ACLR, with 395 responding to a follow-up survey, revealing high RTS rates of 87.7% for males and 82.8% for females, and low revision rates.
  • - The findings suggest that ASTQT autografts lead to favorable outcomes in ACLR, with similar rates of subsequent ACL injuries for both genders, emphasizing the graft's utility in young athletes.
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Moeskops, S, Oliver, JL, Radnor, JM, Haff, GG, Myer, GD, Ramachandran, AK, Kember, LS, Pedley, JS, and Lloyd, RS. Effects of neuromuscular training on muscle architecture, isometric force production, and stretch-shortening cycle function in trained young female gymnasts. J Strength Cond Res 38(9): 1640-1650, 2024-This study evaluated the effects of a 10-month neuromuscular training (NMT) intervention on muscle architecture, isometric force production, and stretch-shortening cycle (SSC) function.

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Purpose: To examine age- and sex-related differences in postoperative functional outcomes at approximately 6 months after anterior cruciate ligament reconstruction (ACLR).

Methods: In this study, patients who underwent primary ACLR performed a series of return-to-sport functional tests at 5 to 8 months after surgery. Functional tests included strength tests (knee extensors, knee flexors, hip abductors, and hip extensors), a balance test (Y-balance composite score), and hop tests (single, triple, crossover, and 6-m timed hop tests).

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Research Letter: Concussion-Related General Startle Suppression in Adolescent Athletes.

J Head Trauma Rehabil

January 2025

Author Affiliations: Department of Physical Medicine and Rehabilitation (Dr Oldham), Virginia Commonwealth University School of Medicine, Richmond, Virginia; Department of Psychology (Ms DeFalco), Colorado State University, Fort Collins, Colorado; The Warren Alpert Medical School of Brown University (Ms Willwerth), Providence, Rhode Island; Division of Sports Medicine (Ms Nagle), The Micheli Center for Sports Injury Prevention (Dr Meehan), Waltham, Massachusetts; Division of Sports Medicine (Dr Meehan and Ms Nagle), Division of Emergency Medicine (Dr Mannix), Boston Children's Hospital, Boston, Massachusetts; Oregon State University (Ms Whittaker), Corvallis, Oregon; and School of Psychological Science (Dr Bradford), Oregon State University, Corvallis, Oregon; and Departments of Pediatrics and Orthopedics (Dr Meehan), Departments of Pediatrics and Emergency Medicine (Dr Mannix), Harvard Medical School, Boston, Massachusetts.

Objectives: We investigated the acoustic startle reflex in recently concussed adolescent athletes compared to healthy controls and those with concussion history (>1 year prior) but no current symptoms. We hypothesized that individuals with recent concussion would have a suppressed startle response compared to healthy controls.

Methods: We conducted a cross-sectional study on 49 adolescent athletes with a recent concussion (n = 20; age: 14.

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Quantitative methods to characterize bone contusions and associated cartilage injury remain limited. We combined standardized voxelwise normalization and 3D mapping to automate bone contusion segmentation post-anterior cruciate ligament (ACL) injury and evaluate anomalies in articular cartilage overlying bone contusions. Forty-five patients (54% female, 26.

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Usefulness of Current Patient-Reported Outcome Scales for ACL Injury: A Mixed-Methods Evaluation of Stakeholder-Perceived Utility of Specific Constructs and Items Across the Rehabilitation Timeline.

Orthop J Sports Med

March 2024

Emory SPARC, Flowery Branch, Georgia, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia, USA; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology & Emory University, Atlanta, GA, USA; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA; Youth Physical Development Centre, Cardiff Metropolitan University, Wales, UK.

Article Synopsis
  • The study investigates the effectiveness of patient-reported outcome measures (PROMs) used in anterior cruciate ligament reconstruction (ACLR) recovery, highlighting overlapping themes and the complexity that makes them less useful for both patients and practitioners.
  • A mixed-methods approach involved 77 participants identifying the most valuable PROM items for recovery phases, confirming strong agreement between patients and practitioners on the importance of certain measures.
  • Findings emphasize psychological burden and physical function as critical aspects of recovery, with specific items rated as highly useful, underlining the need for streamlined measures to assess treatment progress and readiness to return to sport.
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