Acute Hamstring Injuries in Swedish Elite Football: A Prospective Randomised Controlled Clinical Trial Comparing Two Rehabilitation Protocols.
Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols.
Br J Sports Med. 2013 Mar 27;
Askling CM, Tengvar M, Thorstensson A
BACKGROUND: Hamstring injury is the single most common injury in European professional football and, therefore, time to return and secondary prevention are of particular concern. OBJECTIVE: To compare the effectiveness of two rehabilitation protocols after acute hamstring injury in Swedish elite football players by evaluating time needed to return to full participation in football team-training and availability for match selection. STUDY DESIGN: Prospective randomised comparison of two rehabilitation protocols. METHODS: Seventy-five football players with an acute hamstring injury, verified by MRI, were randomly assigned to one of two rehabilitation protocols. Thirty-seven players were assigned to a protocol emphasising lengthening exercises, L-protocol and 38 players to a protocol consisting of conventional exercises, C-protocol. The outcome measure was the number of days to return to full-team training and availability for match selection. Reinjuries were registered during a period of 12 months after return. RESULTS: Time to return was significantly shorter for the players in the L-protocol, mean 28 days (1SD±15, range 8-58 days), compared with the C-protocol, mean 51 days (1SD±21, range 12-94 days). Irrespective of protocol, stretching-type of hamstring injury took significantly longer time to return than sprinting-type, L-protocol: mean 43 vs 23 days and C-protocol: mean 74 vs 41 days, respectively. The L-protocol was significantly more effective than the C-protocol in both injury types. One reinjury was registered, in the C-protocol. CONCLUSIONS: A rehabilitation protocol emphasising lengthening type of exercises is more effective than a protocol containing conventional exercises in promoting time to return in Swedish elite football. HubMed – rehab
Speech disorders from Parkinson’s disease: Try to sing it! A case report.
Mov Disord. 2013 Mar 27;
Ferriero G, Bettoni E, Picco D, Massazza G, Franchignoni F
Early radial digital neuropathy of the thumb due to flexor pollicis longus tendinitis: Value of ultrasound in an uncommon mild neuropathy.
Muscle Nerve. 2012 Nov 21;
Yalcin E, Akyuz M, Onder B
INTRODUCTION: A 50-year-old man developed intermittent paresthesia of the outer portion of the right thumb. Paresthesia increased with thumb abduction and flexion. The remainder of the physical examination was normal. METHODS: Routine motor and sensory examinations of the median and ulnar nerves were within normal ranges. RESULTS: Ultrasonographic studies revealed that a tenosynovitis of the flexor pollicis longus of the right thumb was compressing the radial digital nerve of the thumb. CONCLUSIONS: Ultrasonographic evaluation was used in conjunction with nerve conduction studies to diagnose digital neuropathy. Ultrasound is a beneficial, complementary tool to electrodiagnostic studies, especially for uncommon focal neuropathies. Muscle Nerve, 2013. HubMed – rehab
Experimental study on the facilitative effects of miR-125b on the differentiation of rat bone marrow mesenchymal stem cells into neuron-like cells.
Cell Biol Int. 2013 Mar 28;
Wu R, Wang N, Li M, Zang W, Xu Y
To observe the effects of miR-125b on the differentiation of rat bone marrow mesenchymal stem cells (BMSCs) into neuron-like cells, rat BMSCs were isolated and transfected with Syn-rno-miR-125b* miScript miRNA Mimic (Mimic?+?BME group), with anti-rno-miR-125b* miScript miRNA Inhibitor (Inhibitor?+?BME group) and BME control was set up without transfection. Blank controls without transfection and induction by BME was also set up. BMSCs of 3 groups including Mimic?+?BME group, Inhibitor?+?BME group and BME group were induced to differentiate into neuron-like cells by ?-mercaptoethanol (BME). Cells in the Blank group were not treated by BME. mRNA expression of miR-125b was determined with qRT-PCR in each group. mRNA and protein expressions of 7 nerve cell markers, including ?3 tubulin, neural microtubule associated protein (MAP-2), neurofilament protein (NF), neuron-specific enolase(NSE), glial fibrillary acidic protein (GFAP), Nestin and Vimentin in the 4 groups were determined by RT-PCR and Western-blots. GFAP and Nestin were detected by immunofluorescent and immunocytochemistry assays. Compared with BME group, mRNA and protein expression of ?3 tubulin, MAP-2, NF, NSE, GFAP, Nestin were significantly increased in the Mimic?+?BME group (P<0.01), but significantly decreased in the Inhibitor?+?BME group (P<0.01). Cells in the Mimic?+?BME group were more like nerve cells in morphology than cells in the BME groups. Thus miR-125b can promote BME to induce rat BMSCs differentiation into neuron-like cells. HubMed – rehab
Update on stress fractures in female athletes: epidemiology, treatment, and prevention.
Curr Rev Musculoskelet Med. 2013 Mar 28;
Chen YT, Tenforde AS, Fredericson M
Stress fractures are a common type of overuse injury in athletes. Females have unique risk factors such as the female athlete triad that contribute to stress fracture injuries. We review the current literature on risk factors for stress fractures, including the role of sports participation and nutrition factors. Discussion of the management of stress fractures is focused on radiographic criteria and anatomic location and how these contribute to return to play guidelines. We outline the current recommendations for evaluating and treatment of female athlete triad. Technologies that may aid in recovery from a stress fracture including use of anti-gravity treadmills are discussed. Prevention strategies may include early screening of female athlete triad, promoting early participation in activities that improve bone health, nutritional strategies, gait modification, and orthotics. HubMed – rehab
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