Tag: evaluations

Rest Days are Unrelated with Concussion Rates

National Rugby League Match Scheduling and Rate of ConcussionGardner AJ, Howell DR, Iverson GL. J Sci Med Sport. 2019 [Epub ahead of print] Home Message: A rugby player was most likely to sustain a concussion during the first rugby match of the year compared with any other match. The number of rest days before a match was unrelated to concussions.Rugby athletes are at high risk of suffering a concussion during a match. Over the past 12 years in Australia, the National Rugby League (NRL) added matches on Mondays (beginning of 2007 season) and Thursdays (beginning of 2012) rather than just on weekends. The scheduling changes resulted in fewer rest days during the 24-game season. Additionally, the NRL introduced the “concussion interchange rule” at the beginning of the 2014 season to allow for proper concussion medical care. This rule allows for a brief (up to 15 minutes) sideline concussion evaluation to decide if a player has a concussion and should be removed from play or if not then to return without costing the team one of its 12 player interchanges. No one has studied if the decreased rest time is associated with a higher rate of concussion or was more likely to…

PASS Passes to Evaluate Success of Anterior Cruciate Ligament Reconstruction

Prospective Evaluation of the Patient Acceptable Symptom State to Identify Clinically Successful Anterior Cruciate Ligament Reconstruction        Vega JF, Jacobs CA, Strnad GJ, Farrow L, Jones MH, Miniaci A, Parker RD, Rosneck J, Saluan P, Williams JS, Spindler KP. Am J Sports Med. 2019 [Epub ahead of print] Home Message: A single Patient Acceptable Symptom State question may be enough to identify a patient who views their knee recovery as unsuccessful after an anterior cruciate ligament reconstruction. Many clinicians omit patient-reported outcome measuresduring evaluations because they are at least in part to time consuming. For example, the Knee Injury and Osteoarthritis Outcome Score (KOOS), which is commonly used following an anterior cruciate ligament reconstruction to measure a patient’s view of their recovery, has over 40 questions. One way to reduce the burden on a patient is to use a single-item, patient-reported outcome measure such as the Patient Acceptable Symptom State (PASS). However, there has been no research to determine if a PASS question could be a surrogate for a lengthier joint-specific patient-reported outcome measure. Hence, the authors conducted a cohort study to determine if the response to a PASS question would relate to a successful outcome 1 year after an…

International consensus definitions of video signs of concussion in professional sports.

International consensus definitions of video signs of concussion in professional sports.Davis GA, Makdissi M, Bloomfield P, Clifton P, Echemendia RJ, Falvey ÉC, Fuller GW, Green G, Harcourt P, Hill T, McGuirk N, Meeuwisse W, Orchard J, Raftery M, Sills AK, Solomon GS, Valadka A, McCrory P. Br J Sports Med. 2019 Apr 6. pii: bjsports-2019-100628. doi: 10.1136/bjsports-2019-100628. [Epub ahead of print]Full Text is Not Freely AvailableRepresentatives from seven sporting bodies (Australian Football League, Cricket Australia, Major League Baseball, NFL, NHL, National Rugby League, World Rugby) reached consensus on video signs considered most useful in identifying a possible concussion. The key signs were lying motionless, motor incoordination, impact seizure, tonic posturing, no protective action – floppy, and blank/vacant look. These signs are defined in the consensus statement. View 191 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

An Evaluation of Patient-Reported Outcome Measure Usage in Secondary School ATs

The Use of Patient-Reported Outcome Measures: Secondary School Athletic Trainers' Perceptions, Practices, and Barriers.Coulombe BJ, Games KE, Eberman LE; J Athl Train. 2019 Feb;54(2):142-151. doi:10.4085/1062-6050-86-17. Epub 2018 Aug 10.Full Text Freely AvailableTake Home Message: Many secondary school athletic trainers viewed patient-reported outcomes as beneficial; however, skip using them because of time constraints (e.g., time to fill-out, score, or analyze).A clinician can use patient-reported outcome (PRO) measures to assess how a patient perceives their symptoms, function, and rehabilitation progress. PROs are an essential way to inform how patient-centered care is provided after an injury. Unfortunately, clinicians, especially secondary school athletic trainers, may skip using PROs for many reasons. Understanding how and why a secondary school athletic trainer uses PROs may lead to strategies to promote the use of PROs. Hence, the authors used a web-based survey to evaluate the views that exist regarding the application, benefits, and problems associated with implementing PROs in the clinical practice of secondary school athletic trainers.Read more »…