Journal•ISSN: 1941-0921
Sports Health: A Multidisciplinary Approach
SAGE Publishing
About: Sports Health: A Multidisciplinary Approach is an academic journal published by SAGE Publishing. The journal publishes majorly in the area(s): Medicine & Context (language use). It has an ISSN identifier of 1941-0921. Over the lifetime, 1137 publications have been published receiving 30551 citations. The journal is also known as: SPH.
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TL;DR: The unique and complex structure of articular cartilage makes treatment and repair or restoration of the defects challenging for the patient, the surgeon, and the physical therapist.
Abstract: Articular cartilage is the highly specialized connective tissue of diarthrodial joints. Its principal function is to provide a smooth, lubricated surface for articulation and to facilitate the transmission of loads with a low frictional coefficient (Figure 1). Articular cartilage is devoid of blood vessels, lymphatics, and nerves and is subject to a harsh biomechanical environment. Most important, articular cartilage has a limited capacity for intrinsic healing and repair. In this regard, the preservation and health of articular cartilage are paramount to joint health.
Figure 1.
Gross photograph of healthy articular cartilage in an adult human knee.
Injury to articular cartilage is recognized as a cause of significant musculoskeletal morbidity. The unique and complex structure of articular cartilage makes treatment and repair or restoration of the defects challenging for the patient, the surgeon, and the physical therapist. The preservation of articular cartilage is highly dependent on maintaining its organized architecture.
1,835 citations
TL;DR: The BESS has moderate to good reliability to assess static balance and can detect balance deficits in participants with concussion and fatigue, and correlates with other measures of balance using testing devices.
Abstract: Balance or postural control is a necessary component of activities of daily living and sport. Static balance involves feedback from the somatosensory, visual, and vestibular systems to achieve steadiness.16,27 Instrumented testing devices attempt to objectively measure balance and are becoming the gold standard of balance testing.24 Common variables include sway area and sway velocity using force plates. The NeuroCom Smart Balance System (NeuroCom International, Inc, Clackamas, Oregon) uses the Sensory Organization Test to measure vertical ground reaction forces produced from the body’s center of gravity moving around a fixed base of support. The test systematically disrupts the sensory selection process by altering available somatosensory and/or visual information while measuring the ability to minimize postural sway.17 An equilibrium score can be calculated on the basis of a person’s limit of stability.
Clinicians do not often have access to instrumented balance testing devices. The Balance Error Scoring System (BESS) consists of 3 stances: double-leg stance (hands on the hips and feet together), single-leg stance (standing on the nondominant leg with hands on hips), and a tandem stance (nondominant foot behind the dominant foot) in a heel-to-toe fashion (Figure 1). The stances are performed on a firm surface and on a foam surface with the eyes closed, with errors counted during each 20-second trial. An error is defined as opening eyes, lifting hands off hips, stepping, stumbling or falling out of position, lifting forefoot or heel, abducting the hip by more than 30°, or failing to return to the test position in more than 5 seconds.
Figure 1.
Stances used in Balance Error Scoring System: A, double-leg stance; B, single-leg stance (standing on the nondominant limb); C, tandem stance; D, double-leg stance with foam; E, single leg on foam; F, tandem stance on foam.
446 citations
TL;DR: There is an increased risk of ACL graft rupture in patients who have undergone allograft reconstruction, and patients in the age group of 10 to 19 years had the highest percentage of graft failures, suggesting allografted ACLRs should be performed with caution in the younger patient population.
Abstract: Background:
Tearing an anterior cruciate ligament (ACL) graft is a devastating occurrence after ACL reconstruction (ACLR). Identifying and understanding the independent predictors of ACLR graft failure is important for surgical planning, patient counseling, and efforts to decrease the risk of graft failure.
416 citations
TL;DR: This study highlights the structural, compositional, and functional characteristics of the menisci, which may be relevant to clinical presentations, diagnosis, and surgical repairs.
Abstract: Once described as a functionless embryonic remnant,162 the menisci are now known to be vital for the normal function and long-term health of the knee joint.§ The menisci increase stability for femorotibial articulation, distribute axial load, absorb shock, and provide lubrication and nutrition to the knee joint.4,91,152,153
Injuries to the menisci are recognized as a cause of significant musculoskeletal morbidity. The unique and complex structure of menisci makes treatment and repair challenging for the patient, surgeon, and physical therapist. Furthermore, long-term damage may lead to degenerative joint changes such as osteophyte formation, articular cartilage degeneration, joint space narrowing, and symptomatic osteoarthritis.36,45,92 Preservation of the menisci depends on maintaining their distinctive composition and organization.
361 citations
TL;DR: For most sports, there is no evidence that intense training and specialization before puberty are necessary to achieve elite status and such intense training in a single sport to the exclusion of others should be delayed until late adolescence to optimize success while minimizing injury, psychological stress, and burnout.
Abstract: Context:Sports specialization is intense training in 1 sport while excluding others. Sports specialization in early to middle childhood has become increasingly common. While most experts agree that...
345 citations