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  1. Article ; Online: Hamstring Strain Injury Rehabilitation.

    Hickey, Jack T / Opar, David A / Weiss, Leigh J / Heiderscheit, Bryan C

    Journal of athletic training

    2022  Volume 57, Issue 2, Page(s) 125–135

    Abstract: Hamstring strain injuries are common among athletes and often require rehabilitation to prepare players for a timely return to sport performance while also minimizing reinjury risk. Return to sport is typically achieved within weeks of the injury; ... ...

    Abstract Hamstring strain injuries are common among athletes and often require rehabilitation to prepare players for a timely return to sport performance while also minimizing reinjury risk. Return to sport is typically achieved within weeks of the injury; however, subsequent athlete performance may be impaired, and reinjury rates are high. Improving these outcomes requires rehabilitation practitioners (eg, athletic trainers and physical therapists) to understand the causes and mechanisms of hamstring strain injury, know how to perform a thorough clinical examination, and progress loading to the site of injury safely and effectively. This narrative review discusses current clinical concepts related to these aspects of rehabilitation for hamstring strain injury, with the aim of helping practitioners improve athletes' outcomes. Collectively, this knowledge will inform the implementation of evidence-based rehabilitation interventions.
    MeSH term(s) Athletes ; Athletic Injuries/diagnosis ; Athletic Performance ; Hamstring Muscles/injuries ; Humans ; Leg Injuries/rehabilitation ; Return to Sport
    Language English
    Publishing date 2022-02-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2070051-9
    ISSN 1938-162X ; 1062-6050
    ISSN (online) 1938-162X
    ISSN 1062-6050
    DOI 10.4085/1062-6050-0707.20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Team Approach: Diagnosis, Management, and Prevention of Sudden Cardiac Arrest in the Athlete.

    Cusano, Antonio / Inclan, Paul M / Jackson, Tyler / Weiss, Leigh J / Barnes, Ronnie P / Kinderknecht, James J / Taylor, Samuel A / Rodeo, Scott A

    JBJS reviews

    2024  Volume 12, Issue 3

    Abstract: Sudden cardiac events during sports competition are rare but tragic occurrences that require a timely, comprehensive response by well-prepared athletic trainers and medical providers. This sequence should prioritize prompt emergency medical system ... ...

    Abstract » Sudden cardiac events during sports competition are rare but tragic occurrences that require a timely, comprehensive response by well-prepared athletic trainers and medical providers. This sequence should prioritize prompt emergency medical system activation, immediate initiation of cardiopulmonary resuscitation (CPR), automated early defibrillation (AED), and comprehensive advanced life support efforts.» Exercise-induced cardiac remodeling, referred to as the "athlete's heart," refers to a host of adaptive changes that increase cardiac chamber size and wall thickness to allow for greater pressures and volumes during exercise. This remodeling phenotype may overlap with other inherited cardiomyopathies and cardiac abnormalities, which can complicate clinical care. The long-term implications of this electrical and structural remodeling on cardiac function are unknown.» Although the best screening strategies to optimize primary prevention of sudden cardiac arrest is an evolving topic, the effectiveness of CPR and early defibrillation use in treating out-of-hospital sudden cardiac arrest has been well-established, despite their reported underuse.
    MeSH term(s) Humans ; Death, Sudden, Cardiac/etiology ; Death, Sudden, Cardiac/prevention & control ; Athletes ; Sports ; Cognition
    Language English
    Publishing date 2024-03-06
    Publishing country United States
    Document type Journal Article
    ISSN 2329-9185
    ISSN (online) 2329-9185
    DOI e23.00225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Incidence of Lower Extremity Injury in the National Football League: 2015 to 2018.

    Mack, Christina D / Kent, Richard W / Coughlin, Michael J / Shiue, Kristin Y / Weiss, Leigh J / Jastifer, James R / Wojtys, Edward M / Anderson, Robert B

    The American journal of sports medicine

    2020  Volume 48, Issue 9, Page(s) 2287–2294

    Abstract: Background: Lower extremity injuries are the most common injuries in professional sports and carry a high burden to players and teams in the National Football League (NFL). Injury prevention strategies can be refined by a foundational understanding of ... ...

    Abstract Background: Lower extremity injuries are the most common injuries in professional sports and carry a high burden to players and teams in the National Football League (NFL). Injury prevention strategies can be refined by a foundational understanding of the occurrence and effect of these injuries on NFL players.
    Purpose: To determine the incidence of specific lower extremity injuries sustained by NFL players across 4 NFL seasons.
    Study design: Descriptive epidemiology study.
    Methods: This retrospective, observational study included all time-loss lower extremity injuries that occurred during football-related activities during the 2015 through 2018 seasons. Injury data were collected prospectively through a leaguewide electronic health record (EHR) system and linked with NFL game statistics and player participation to calculate injury incidence per season and per 10,000 player-plays for lower extremity injuries overall and for specific injuries. Days lost due to injury were estimated through 2018 for injuries occurring in the 2015 to 2017 seasons.
    Results: An average of 2006 time-loss lower extremity injuries were reported each season over this 4-year study, representing a 1-season risk of 41% for an NFL player. Incidence was stable from 2015 to 2018, with an estimated total missed time burden each NFL season of approximately 56,700 player-days lost. Most (58.7%) of these injuries occurred during games, with an overall higher rate of injuries observed in preseason compared with regular season (11.5 vs 9.4 injuries per 10,000 player-plays in games). The knee was the most commonly injured lower extremity region (29.3% of lower body injuries), followed by the ankle (22.4%), thigh (17.2%), and foot (9.1%). Hamstring strains were the most common lower extremity injury, followed by lateral ankle sprains, adductor strains, high ankle sprains, and medial collateral ligament tears.
    Conclusion: Lower extremity injuries affect a high number of NFL players, and the incidence did not decrease over the 4 seasons studied. Prevention and rehabilitation protocols for these injuries should continue to be prioritized.
    MeSH term(s) Athletic Injuries/epidemiology ; Football/injuries ; Humans ; Incidence ; Ligaments/injuries ; Lower Extremity/injuries ; Muscle, Skeletal/injuries ; Retrospective Studies ; Rupture/epidemiology ; Sprains and Strains/epidemiology
    Language English
    Publishing date 2020-06-02
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 197482-8
    ISSN 1552-3365 ; 0363-5465
    ISSN (online) 1552-3365
    ISSN 0363-5465
    DOI 10.1177/0363546520922547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Management of Rotator Cuff Injuries in the Elite Athlete.

    Weiss, Leigh J / Wang, Dean / Hendel, Michael / Buzzerio, Philip / Rodeo, Scott A

    Current reviews in musculoskeletal medicine

    2018  Volume 11, Issue 1, Page(s) 102–112

    Abstract: Purpose of review: Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries.: Recent findings: Conservative ... ...

    Abstract Purpose of review: Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries.
    Recent findings: Conservative management of rotator cuff injuries continues to be the "gold standard" in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness. Rotator cuff injuries can range from contusions and tendinopathy to full-thickness tears. A comprehensive evaluation is needed to determine the extent of injury and appropriate plan of care. Management strategies can range from rehabilitation to operative intervention and are guided by the size of the tear, time of season, sport, performance limitations, and presence of concomitant pathology.
    Language English
    Publishing date 2018-01-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2407827-X
    ISSN 1935-9748 ; 1935-973X
    ISSN (online) 1935-9748
    ISSN 1935-973X
    DOI 10.1007/s12178-018-9464-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lower Extremity Compartment Syndrome in National Football League Athletes.

    Lamplot, Joseph D / Wang, Dean / Weiss, Leigh J / Baum, Michael / Zeidler, Kristina / Mack, Christina / Barnes, Ronnie P / Warren, Russell F / Taylor, Samuel A / Rodeo, Scott A

    Sports health

    2021  Volume 13, Issue 2, Page(s) 198–202

    Abstract: Background: The purpose of this study was to evaluate the incidence of lower extremity compartment syndrome in National Football League (NFL) athletes and report the mechanisms of injury, methods of treatment, and subsequent days missed. We review the ... ...

    Abstract Background: The purpose of this study was to evaluate the incidence of lower extremity compartment syndrome in National Football League (NFL) athletes and report the mechanisms of injury, methods of treatment, and subsequent days missed. We review the existing literature on lower extremity compartment syndrome in athletic populations.
    Hypothesis: Lower extremity compartment syndrome occurs with a low incidence in NFL athletes, and there is a high return-to-play rate after surgical management of acute compartment syndrome.
    Study design: Case series.
    Level of evidence: Level 4.
    Methods: A retrospective review of recorded cases of lower extremity compartment syndrome from 2000 to 2017 was performed using the NFL Injury Surveillance System and electronic medical record system. Epidemiological data, injury mechanism, rates of surgery, and days missed due to injury were recorded.
    Results: During the study period, 22 cases of leg compartment syndrome in 21 athletes were recorded. Of these injuries, 50% occurred in games and 73% were the result of a direct impact to the leg. Concomitant tibial fracture was noted in only 2 cases (9.1%) and there was only 1 reported case of chronic exertional compartment syndrome. Surgery was documented in 15 of 22 cases (68.2%). For acute nonfracture cases, the average time missed due to injury was 24.2 days (range, 5-54 days), and all were able to return to full participation within the same season.
    Conclusion: NFL athletes with acute leg compartment syndrome treated with surgery exhibited a high rate of return to play within the same season.
    Clinical relevance: Although compartment syndrome is a relatively rare diagnosis among NFL players, team physicians and athletic trainers must maintain a high index of suspicion to expediently diagnose and treat this potentially limb-threatening condition.
    MeSH term(s) Athletic Injuries/epidemiology ; Athletic Injuries/surgery ; Comorbidity ; Compartment Syndromes/epidemiology ; Compartment Syndromes/surgery ; Fasciotomy ; Football/injuries ; Humans ; Incidence ; Lower Extremity/injuries ; Retrospective Studies ; Return to Sport ; Tibial Fractures/epidemiology ; United States/epidemiology
    Language English
    Publishing date 2021-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2508802-6
    ISSN 1941-0921 ; 1941-7381
    ISSN (online) 1941-0921
    ISSN 1941-7381
    DOI 10.1177/1941738120973674
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review.

    Wang, Dean / Weiss, Leigh J / Abrams, Madeline / Barnes, Ronnie P / Warren, Russell F / Rodeo, Scott A / Taylor, Samuel A

    Orthopaedic journal of sports medicine

    2018  Volume 6, Issue 12, Page(s) 2325967118813083

    Abstract: Background: Prior to the annual National Football League (NFL) Draft, the top college football prospects are evaluated by medical personnel from each team at the NFL Scouting Combine. On the basis of these evaluations, each athlete is assigned an ... ...

    Abstract Background: Prior to the annual National Football League (NFL) Draft, the top college football prospects are evaluated by medical personnel from each team at the NFL Scouting Combine. On the basis of these evaluations, each athlete is assigned an orthopaedic grade from the medical staff of each club, which aims to predict the impact of an athlete's injury history on his ability to participate in the NFL.
    Purpose: (1) To identify clinical predictors of signs, symptoms, and subsequent professional participation associated with football-related injuries identified at the NFL Combine and (2) to assess the methodological quality of the evidence currently published.
    Study design: Systematic review; Level of evidence, 3.
    Methods: A systematic review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We reviewed all studies that examined musculoskeletal injuries identified among athletes at the NFL Combine and associated outcomes. Data on signs, symptoms, and subsequent NFL participation were collected, and the methodological quality of the studies was assessed.
    Results: Overall, 32 studies, including 30 injury-specific studies, met the inclusion criteria. Twenty studies analyzed data collected at the NFL Combine from 2009 and later. When compared with matched controls, athletes with a history of a cervical or lumbar spine injury, rotator cuff repair, superior labrum anterior-posterior repair, anterior cruciate ligament reconstruction, full-thickness chondral lesions of the knee, or Lisfranc injury played in significantly fewer games early in their NFL careers. Additionally, athletes with a history of a cervical or lumbar spine injury, rotator cuff repair, and navicular injury had decreased career lengths versus controls. Defensive players and linemen were found to have decreased participation in the NFL for several injuries, including prior meniscectomy, anterior cruciate ligament reconstruction, and shoulder instability. Career length follow-up, measures of athletic participation, and matching criteria were highly variable among studies.
    Conclusion: For medical professionals caring for professional football athletes, this information can help guide orthopaedic grading of prospects at the NFL Combine and counseling of athletes on the potential impact of prior injuries on their professional careers. For future studies, improvements in study methodology will provide greater insight into the efficacy of current treatments and areas that require further understanding.
    Language English
    Publishing date 2018-12-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2706251-X
    ISSN 2325-9671
    ISSN 2325-9671
    DOI 10.1177/2325967118813083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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