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Patient-Reported Outcomes Following Vestibular Rehabilitation on Concussion-Induced Vertigo: A Critically Appraised Paper

Stephanie P. Thompson and Tamara Valovich McLeod

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Continuing Education Assessment

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Volume 27 (2022): Issue 2 (Mar 2022)

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Fibular Glide Mobilization With Movement for the Treatment of Acute Lateral Ankle Sprains: A Critically Appraised Topic

Robert J. Bonser, Bethany L. Hansberger, Rick A. Loutsch, Christy L. Gendron, and Russell T. Baker

What are the effects of the Mulligan Concept™ posterior fibular mobilization with movement (MWM) on clinical outcomes in patients who sustain an acute lateral ankle sprain (LAS)? The evidence reviewed was level C–Recommendation based on “consensus, usual practice, opinion, disease-oriented evidence, or case series for studies of diagnosis, treatment, prevention or screening.” In the studies examined, patients who received Mulligan Concept™ posterior fibular mobilizations in combination with other treatments significantly improved (Minimal Clinically Important Difference met) on the Numeric Rating Scale (NRS) and Disablement of Physically Active (DPA) scale. All patients in the studies were discharged within 2-18 days. However, due to the low level of evidence and the use of traditional conservative treatments in conjunction with mobilization, it is difficult to ascertain whether the Mulligan LAS treatment aided recovery more than traditional methods of treating acute LAS. Therefore, Mulligan Concept™ posterior fibular MWM may be useful clinically in conjunction with traditional conservative treatments for reduction of pain, disability and discharge time for patients with acute LAS, but future research must be conducted to determine if MWMs offer any benefits above and beyond traditional methods of treatment.

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Injuries in Masters Field Hockey Players Competing in the 2018 World Cup: Comparisons of Prevalence, Location, and Type by Age, Sex, and Field Hockey Experience

Karen Croteau, Nina B. Eduljee, Laurie Murphy, and John Rosene

This study examined prevalence, body location, and type of injuries reported by Masters Field Hockey players competing in the 2018 Masters and Grand Masters Field Hockey World Cups. There were 465 participants (284 females and 181 males) from 21 countries, ranging in age from 35 to 76 years. Participants completed The Health and Well-being of Masters Field Hockey Athletes Survey, which included injury type and location. The lower leg was the most common injury location and muscle strain the most common type of injury. Significant differences were found between females and males in upper extremity injuries and contusions.

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What Are the Acute Effects of Reactive Neuromuscular Training on Frontal Plane Knee Kinematics During Squatting Movements? A Critically Appraised Topic

Josh Zimmerman, Ian Brewer, Marcie Fyock-Martin, Nelson Cortes, and Joel Martin

Clinical Question: What are the acute effects of reactive neuromuscular training on frontal plane knee kinematics during squatting movements? Clinical Bottom Line: There is Grade B evidence suggesting that there are no significant improvements in measures of frontal plane knee kinematics when reactive neuromuscular training is performed via looped band resistance applied to the distal thighs during squatting movements. However, current literature has only investigated a one-time exposure to reactive neuromuscular training during squatting movements, and little is known of the training effect over time or when the band is removed.

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Acute Kidney Injury in a High School Athlete

Tessa Portlock, Natalie A. Hunt, Jason L. Zaremski, Asim Merchant, and Patricia M. Tripp

A 17-year-old African American male high school athlete was diagnosed with an acute kidney injury secondary to severe dehydration following a football game. After administering intravenous fluids and obtaining multiple blood tests, the athlete was released from the emergency department. Following the care in the emergency department, the athlete was restricted from all physical exertion for 2 weeks. Furthermore, after a gradual, monitored return-to-play protocol, he returned back to sport without complications. This case is unique in its presentation because acute kidney injury is often found, in sports medicine literature, to occur in older endurance athletes; it is rarer to encounter it in the adolescent population within a team sport. This case also highlights the need for interprofessional collaboration in order to enhance and facilitate a safe return to play for all athletes.

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Anterolateral Ligament Reconstruction in a Collegiate Lacrosse Athlete

Carly Routman, Tommy Stich, Giorgio Zippieri, Michael Moser, and Patricia M. Tripp

A 21-year-old female lacrosse athlete with a prior left knee anterior cruciate ligament reconstruction sustained an acute, noncontact injury to the same knee during practice. Clinical examination showed adequate sagittal plane joint stability, with reduced rotational support. Radiologist’s findings following magnetic resonance imaging suggested an increased signal at the anterior cruciate ligament, presence of a subacute medial meniscus tear, and Grade II strain of the semimembranosus tendon. Surgical intervention included anterolateral ligament reconstruction and debridement. The clinical team used patient-reported outcome measures and symmetry of strength and balance to progress therapy. Although cleared for exercise, her National Collegiate Athletic Association (NCAA) eligibility expired and she never returned to sport.

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Evaluating the Relationship Between Ballet Dancers and Incidence of Femoroacetabular Impingement

Rebekah Minter, Alex Springer, and Patricia M. Tripp

Dance demands performers engage in rigorous artistic and physical movement patterns. Classical ballet dancers repeatedly perform extreme ranges of motion, which can lead to irregular stresses on the hip joints that may cause pathologies, such as femoroacetabular impingement of the cam, pincer, or mixed type. These pathologies can be detrimental in the long term to the dancing body. Is participation in classical ballet correlated to the incidence of femoroacetabular impingement? This paper will appraise the current evidence regarding hip injury incidence to identify potential factors, which may correlate with incidence of femoroacetabular impingement in ballet dancers.

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Health Literacy Levels of Collegiate Student-Athletes

Jodee M. Roberts, Matthew J. Rivera, Zachary K. Winkelmann, and Lindsey E. Eberman

This study used a web-based survey and a cross-sectional design to investigate the health literacy levels of collegiate student-athletes. The survey included a demographic questionnaire and the Short Test of Functional Health Literacy Assessment, which scores an individual’s ability to understand relevant health care information. We calculated descriptive statistics for demographic characteristics and Short Test of Functional Health Literacy Assessment scores. All participants (n = 160) displayed adequate health literacy (mean = 34 ± 2; range = 27–36; adequate = 160/160, 100%). The mean Short Test of Functional Health Literacy Assessment score for both White (range = 27–36; adequate = 133/133, 100%), and non-White participants (range = 28–36, adequate = 27/27, 100%) was 34 ± 2. Health care professionals should feel confident in collaborating with individual patients throughout the decision-making process.