Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
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To critically evaluate the evidence for the use of physical examination procedures for diagnosing superior labrum anterior posterior (SLAP) lesions, by means of a systematic review. ⋯ The accuracy of Speed's and Yergason's tests for diagnosing a SLAP lesion was poor in the only methodologically robust study reviewed. The likelihood ratios for these tests could not rule in, or rule out, the presence of a SLAP lesion when compared with arthroscopic results. Assessments of numerous other tests could not be considered valid because of the serious shortcomings in the studies' methods.
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Comparative Study
Comparison of 3 airway access techniques during suspected spine injury management in American football.
To determine how head movement and time to access airway were affected by 3 emergency airway access techniques used in American football. ⋯ The PMI technique should be used to gain rapid airway access when managing a football athlete experiencing respiratory arrest in the presence of a suspected cervical spine injury. In the event the athlete does not present with respiratory arrest, the facemask may be removed carefully with a pocket mask ready. Medical professionals must be familiar with differences in equipment and the effects these may have on the management of the spine-injured athlete.
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To compare the effectiveness of supervised exercise therapy with usual care on self-reported recovery, pain, and function in persons with patellofemoral pain syndrome. ⋯ Supervised exercise therapy improved patients' pain at rest and during activity, and self-reported function improved faster than with no supervised intervention. The patients' perception of recovery from patellofemoral pain syndrome was not greater among the supervised exercise group.
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To investigate how self-reported sport-related concussion history affects health-related quality of life in collegiate athletes. ⋯ Results suggest that a collegiate athlete's perception of bodily pain, vitality, social functioning, and headache is adversely affected by previous sport-related concussions. However, by incorporating general and specific outcome measures into the standard evaluation of sport-related concussion, the clinician can better determine how the athlete is responding to treatment and recovery.