scholarly journals CORR Insights®: What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

2014 ◽  
Vol 473 (3) ◽  
pp. 855-857 ◽  
Author(s):  
Michael J. Joyce
Keyword(s):  
Activity Levels ◽  
Sports Activity

scholarly journals Return to Sport and Activity after Total Ankle Arthroplasty and Arthrodesis: A Systematic Review

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0027
Author(s):  
William L. Johns ◽  
Christopher Sowers ◽  
Kempland C. Walley ◽  
J. Ben Jackson ◽  
David B. Thordarson ◽  
...  
Keyword(s):  
Surgical Management ◽  
Sport Participation ◽  
Sport Activity ◽  
Return To Sport ◽  
Participation Rate ◽  
Ankle Arthrodesis ◽  
Cochrane Library ◽  
Activity Participation ◽  
Activity Levels ◽  
Sports Activity

Category: Ankle Arthritis; Ankle; Other Introduction/Purpose: There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). Better understanding on this topic will allow orthopaedic foot and ankle surgeons to set evidence-based goals and expectations with their patients in regards to postoperative activity recommendations and quality of life. We aimed to summarize the evidence on return to sport and activity after surgical management with either TAR or AA for ankle osteoarthritis (OA). Methods: A literature search of PubMed, MEDLINE, EMBASE, CINAHL, and Cochrane Library databases was performed in January 2020. The bibliographies of all relevant publications were searched for further applicable studies. Included studies were required to report sport and activity outcomes in patients undergoing TAR and AA, with primary outcomes being percentage of sport participation and level of sport participation. Excluded studies were non-English and did not assess level of sport activity after TAR or AA. Results: Twelve studies met inclusion criteria for analysis. There were 1,270 ankle procedures, of which 923 TAR and 347 AA were performed. Mean reported patient age was 59.2 years old and mean BMI was 28 kg/m2. Mean follow-up was 43 months. Fifty-four percent of patients were active in sports preoperatively compared to 63.7% postoperatively (Figure 1). Mean preoperative activity participation rate was 41% in the TAR cohort, but improved to 59% after TAR, whereas preoperative activity participation rate of 73% was similar to postoperative rate of 70% in the AA cohort. The most common sports in TAR and AA groups were swimming, hiking, cycling, and skiing. Conclusion: Participation in sports activity is nearly 10% improved after surgical management of ankle OA. The existing literature demonstrated a large improvement in pre-to postoperative activity levels after TAR, with minimal change in activity after AA, however, AA patients were more active at baseline. The most frequent postoperative sports activities after surgical management of ankle OA are: swimming, hiking, cycling, and skiing. Despite preoperative participation in high-impact sports such as tennis, soccer, and running, these were consistently limited after surgery. This review of the literature will equip patients and physicians with the knowledge to appropriately establish realistic expectations for postoperative physical activity and return to sport goals. [Table: see text]

scholarly journals Comparing Sports Activity Following Total Ankle Replacement Versus Ankle Arthrodesis

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003 ◽  
Author(s):  
Seth Richman ◽  
Tyler Rutherford ◽  
Timothy Rearick ◽  
John T. Campbell ◽  
Rebecca Cerrato ◽  
...  
Keyword(s):  
Decision Making ◽  
The United States ◽  
Ankle Arthrodesis ◽  
Total Ankle Replacement ◽  
Activity Level ◽  
Activity Levels ◽  
Sports Activity ◽  
Ankle Replacement ◽  
Foot Function

Category: Ankle, Ankle Arthritis, Sports Introduction/Purpose: Total ankle replacement (TAR) and ankle arthrodesis (AA) are two common surgical treatment modalities for end stage tibiotalar arthritis. A key deciding point between the two is anticipated functional outcome postoperatively, especially in regards to sports related activities. However, there is a paucity of data available to help advise patients in their decision making. While TAR provides a theoretical benefit of improved functionality, the outcomes of several European studies have shown mixed results. These studies are limited by small sample size, obsolete TAR implants not used in the United States, and nonspecific outcome measures. The purpose of this study was to compare postoperative sports activity levels following modern TAR and AA in a U.S. population, which may benefit surgical decision making and guide patient expectations. Methods: We conducted a retrospective comparative study that consisted of patients who underwent a TAR (N=62) or AA (N=51) between 2009-2015. The mean age of the arthrodesis group was 57.7 years ± 12.12 (28.84-85.26). There were 27 male participants and 24 female participants. The TAR group had 31 male and 31 female participants with a mean age of 64.9 years ± 8.57 (45-79.6). Exclusion criteria included paralysis, rheumatoid arthritis, revision surgery, incomplete pre- and post-operative scores, and follow up less than 2 years. General health and foot-ankle function were assessed using the SF-12 Health Survey and the revised Foot Function Index (FFI-R) preoperatively and at final follow-up. In addition, activity levels were assessed using a Return to Activities Following Surgery questionnaire that was administered at final follow up. This form included a Visual Analog Scale for Pain, satisfaction questions, and a list of 25 activities. Patients were asked to record their current level of activity, ability to participate pre- and post-surgery, and whether their desired level was met. All three measurements tools were compared between both treatment groups. Results: The SF-12 physical score both groups significantly increased postoperatively from 33.18 ± 10.37 to 43 ± 10.32 for AA’s and from 32.88 ± 9.44 to 45.81 ± 12.94 (p < 0.001) for TAR’s. The FFI scores showed a significant increase in both groups (p < 0.001). In the AA group, 88% of patients returned to work and would repeat the surgery, compared to 92% of patients in the TAR group. In terms of satisfaction and pain, the TAR group was more satisfied (1.78 vs. 1.44) and had less postoperative pain (1.32 vs. 2.56 p < 0.05). The AA group reported a significant increase in six activities including: golf (p < 0.05), weight lifting, and walking (p<0.001), while the TAR group reported significant increase in 15 activities, including hiking, tennis, and yoga (p<0.001). Conclusion: Our study revealed a significant increase in general physical function, foot function, and activity level in both groups. The TAR group was able to perform a wider range of activity and sports compared to the AA group. Overall, TAR patients were significantly more satisfied with their procedure compared to AA patients.

scholarly journals Role of parents as a protective factor against adolescent athletes’ doping susceptibility

2015 ◽  
Vol 27 (3) ◽  
pp. 87-91
Author(s):  
C Blank ◽  
V Leichtfried ◽  
D Müller ◽  
W Schobersberger
Keyword(s):  
Goal Orientation ◽  
Parental Influence ◽  
Protective Factor ◽  
Sports Psychology ◽  
Future Research ◽  
Data Sets ◽  
Activity Levels ◽  
Sports Activity ◽  
Situational Variables ◽  
Role Of Parents

Background. Although literature on sports psychology outlines parental influence in various areas,  research has not focused on its potential in the framework of doping.Objective. To assess whether parents’ knowledge about doping effects, and their behaviour and beliefs might act as a protecting factor for Austrian junior (14 - 18 years) elite athletes’ doping susceptibility (DS).Methods. Questionnaires were distributed to 1 818 student athletes and their parents. As well as collecting sociodemographic data, information about current sports activity levels and the former sports careers of parents, the following categories were included: (i) knowledge about effects of doping; (ii) parental behaviour; (iii) parental beliefs about athletes’ skills to become a professional athlete; and (iv) DS.Results. In total 527 data sets were entered for analysis. Current state of knowledge was significantly different between mothers (0.72 (0.2)) and fathers (0.76 (0.2)) (p=0.003). Next to situational variables, only fathers’ behaviour, which was moderated by fathers’ beliefs, was a significant predictor of athletes’ DS.Conclusion. Fathers have the potential of acting as a protective factor for DS in athletes, but only if their level of belief is moderate. Doping prevention strategies should include parents, but need to be careful on  the role they are planning to fulfil, with an emphasis on soft skills (e.g. communication). Future research might include variables from sports psychology such as motivational climate, goal orientation and belief in success as possible mediators of the influence of parents on their adolescent children in the sport  setting.

scholarly journals The difficulty of continuing sports activities after open-wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2-year-minimum follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Shugo Maeda ◽  
Daisuke Chiba ◽  
Eiji Sasaki ◽  
Tetsushi Oyama ◽  
Tomoyuki Sasaki ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Case Series ◽  
Tibial Osteotomy ◽  
Activity Levels ◽  
Open Wedge ◽  
Retrospective Case ◽  
Sports Activity ◽  
Wedge High Tibial Osteotomy ◽  
The Mean

Abstract Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post-operatively. Methods Thirty-five patients (40 knees) who underwent open-wedge high tibial osteotomy (OW-HTO) in medial knee osteoarthritis were included in this study. The mean age of the patients who underwent surgery was 55.1 ± 10.7 years, and the mean follow-up period was 41.0 ± 24.7 months. Clinical results and radiographic parameters calculated in standing whole-leg radiographs preoperatively, post-operatively, and at the final follow-up were evaluated. Results Thirty-one patients (88.6%) were able to return to preoperative sports activity; however, only 14 patients (40.0%) completely returned to preoperative sports activity levels. Of the 31 patients who returned to sports activity, 10 patients (32.3%) maintained post-operative sporting activity levels at the final follow-up. In radiographic parameters, the weight-bearing line ratio was considered loss of correction in the post-operative period leading to the final follow-up. Patients who completely returned to sports and maintained sporting activity levels at the final follow-up had significantly higher the Knee Injury and Osteoarthritis Outcome Score pain subscale values and lower visual analogue scale of knee pain at pre-surgery and final follow-up than other patients, including those who partially returned to sports. Conclusions The proportion of patients who returned to sports after OW-HTO and were able to participate in competitions at the same activity level as before surgery was low and insufficient. Level of evidence Retrospective case series, IV

scholarly journals Outcomes of the calcaneo-stop procedure for the treatment of juvenile flatfoot in young athletes

2018 ◽  
Vol 12 (6) ◽  
pp. 582-589 ◽  
Author(s):  
V. Pavone ◽  
A. Vescio ◽  
C. A. Di Silvestri ◽  
A. Andreacchio ◽  
G. Sessa ◽  
...  
Keyword(s):  
Sport Activity ◽  
Radiographic Evaluation ◽  
Activity Levels ◽  
Young Athletes ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Sport Practice ◽  
Radiographic Outcomes ◽  
Flexible Flatfoot ◽  
Declination Angle

Purpose Flexible flatfoot (FFF) is a widespread condition in juvenile patients. If symptomatic, FFF can require surgical treatment. The calcaneo-stop procedure has shown excellent clinical and radiographic outcomes and low rates of complications. The aim of the present study was to assess the sport practice of young athletes affected by FFF having undergone the calcaneo-stop procedure. Methods Between 2008 and 2016, 68 sport practitioners were bilaterally treated by the calcaneo-stop procedure, for a total of 136 FFF cases. Clinical evaluation, including the American Orthopedic Foot and Ankle Score (AOFAS), the Yoo et al score and The Foot & Ankle Disability Index (FADI) and FADI Sport scores were assessed. Radiographic evaluation was based on measurement of talar declination, Costa-Bertani’s angle and calcaneal pitch. Results Mean follow-up was 57.6 months (sd 16.8). The AOFAS score mean increased from 79.3 (sd 5.7) to 97.3 (sd 4.5) three years after surgery. The Yoo score improved from 3.1 (sd 1.0) preoperatively to 11.7 (sd 0.6) three years after surgery. The FADI Sport subscale mean improved from 74.1 (sd 10.4) preoperatively to 95.9 (sd 4.9) three years after surgery. Costa-Bertani’s angle decreased from 156.1° (sd 4.2°) to 135.8° (sd 7.3°) at three years postoperatively; mean talar declination angle decreased from 44.2° (sd 6.3°) to 30.6° (sd 3.2°) at three years postoperatively and mean calcaneal pitch increased from 12.6° (sd 2.3°) to 16.3° (sd 1.3°) at three years postoperatively. Conclusion Adolescent patients who underwent the calcaneo-stop procedure reported satisfactory outcomes in terms of clinical and radiological evaluations. Moreover, our results showed an improvement of sport activity levels, with patients recovering sports activity within three months of surgery and without limitation in the execution of preferred activities. Level of Evidence: IV

Neer Modified Inferior Capsular Shift Procedure for Recurrent Anterior Instability of the Shoulder in Judokas

2009 ◽  
Vol 37 (5) ◽  
pp. 995-1002 ◽  
Author(s):  
Yoshiyasu Uchiyama ◽  
Kazutoshi Hamada ◽  
Seiji Miyazaki ◽  
Akiyoshi Handa ◽  
Hiroaki Fukuda
Keyword(s):  
External Rotation ◽  
Case Series ◽  
Activity Levels ◽  
Anterior Instability ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Capsular Shift ◽  
Minimal Restriction ◽  
Average Loss

Background Little has been written about the operative repair of recurrent anterior instability of the shoulder in a single sport: in this case, Judo. Purpose The clinical efficacy of the Neer modified inferior capsular shift as an open procedure for injured judokas was investigated. Study Design Case series; Level of evidence, 4. Methods Fifty athletes (42 male and 8 female, 52 shoulders) took part in this study. The average age at surgery was 20 years (range, 14-38 years), and the mean follow-up period was 61 months (range, 24-172 months). The operation was performed on 29 tsurité (a lapel grip) shoulders and on 23 hikité (a sleeve grip) shoulders. The 2 grips are functionally and technically different from each other. Results Three cases of shoulder instability (5.8%) recurred after surgery. The average loss of external rotation was 9.6° with the arm at the side and 11.6° with the arm in 90° of abduction. The average Rowe and UCLA scores were 37.3 and 20.8 points preoperatively and 86.7 and 32.4 points at the final follow-up, respectively (P < .05). The return rate to the near-preinjury sports activity levels (>90% recovery: grades 1 and 2) was significantly lower in the tsurité shoulders (48.1%) than in the hikité shoulders (85.7%). Conclusion The overall recovery of more than 90% of preinjury activity levels in judo was 65% after modified inferior capsular shift for traumatic anterior instability of the shoulder. The tsurité shoulder should be treated with minimal restriction limitation in external rotation so that it is not limited postoperatively.

scholarly journals Sport Ability during Walking Age in Clubfoot-Affected Children after Ponseti Method: A Case-Series Study

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 181
Author(s):  
Vito Pavone ◽  
Andrea Vescio ◽  
Alessia Caldaci ◽  
Annalisa Culmone ◽  
Marco Sapienza ◽  
...  
Keyword(s):  
Case Series ◽  
Sport Performance ◽  
Ponseti Method ◽  
Activity Levels ◽  
Foot And Ankle ◽  
Sports Activity ◽  
Congenital Talipes Equinovarus ◽  
Assessment Protocol ◽  
Case Series Study ◽  
Talipes Equinovarus

Background: The Ponseti method (PM) of manipulative treatment for congenital talipes equinovarus (CTEV) or clubfoot became widely adopted by pediatric orthopedic surgeons at the beginning of the mid-1990s with reports of long-term successful outcomes. Sports are crucial for children’s development and for learning good behavior. This study aimed to evaluate the sports activity levels in children treated with PM and to assess the different outcomes, according to gender and bilaterality. Methods: A total of 25 patients (44 feet) with CTEV treated by the PM were included in the study. The patients were clinically evaluated according to the Clubfoot Assessment Protocol, American Orthopedic Foot and Ankle Society, Ankle–Hindfoot score, the Foot and Ankle Disability Index (CAP, AOFAS, and FADI, respectively), and FADI Sport scores. Results: The overall mean CAP, AOFAS, FADI, and FADI Sport scores were 97.5 ± 6.4 (range 68.75–100), 97.5 ± 5.8 (range 73.00–100), 99.9 ± 0.6 (range 97.1–100), and 100, respectively. Gender and bilaterality did not affect outcome (p > 0.05). Conclusions: The data confirmed good-to-excellent outcomes in children with CTEV managed by PM. No limitations in sport performance or activity could be observed. In particular, male and female patients and patients with unilateral or bilateral involvement performed equally well.

A Rationale for Assessing Sports Activity Levels and Limitations in Knee Disorders

1989 ◽  
Vol &NA; (246) ◽  
pp. 238???249 ◽  
Author(s):  
FRANK R. NOYES ◽  
SUE D. BARBER ◽  
LISA A. MOOAR
Keyword(s):  
Activity Levels ◽  
Sports Activity ◽  
Knee Disorders

scholarly journals Therapeutic Response of Extracorporeal Shock Wave Therapy for Insertional Achilles Tendinopathy Between Sports-Active and Nonsports-Active Patients With 5-Year Follow-up

2020 ◽  
Vol 8 (1) ◽  
pp. 232596711989811 ◽  
Author(s):  
Shurong Zhang ◽  
Hong Li ◽  
Wei Yao ◽  
Yinghui Hua ◽  
Yunxia Li
Keyword(s):  
Extracorporeal Shock Wave Therapy ◽  
Achilles Tendinopathy ◽  
Activity Level ◽  
Control Group ◽  
Activity Levels ◽  
Sports Activity ◽  
Extracorporeal Shock Wave ◽  
Active Patients ◽  
Tegner Activity Level

Background: Insertional Achilles tendinopathy (IAT) is a common cause of posterior heel pain. Extracorporeal shock wave therapy (ESWT) has proven to be an effective treatment, but the relationship between therapeutic responses and sports activity levels has not been studied. Purpose: To compare the clinical outcomes of ESWT used to treat IATs between sports-active and nonsports-active patients over 5 years. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective study was conducted on 33 patients with IAT who received ESWT from October 2012 to September 2013. Patients were classified into 2 groups according to their preinjury Tegner activity level: a sports-active group, defined as patients who self-reported to be regular joggers (SA group; Tegner activity level >3; n = 16), and a nonsports-active group (control group; Tegner activity level ≤3; n = 17). The mean age was 31 ± 7 years for the SA group and 37 ± 10 years for the control group. The Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire scores and visual analog scale (VAS) pain scores were used to evaluate the clinical outcomes before treatment, immediately after treatment, and 5 years after treatment. Ultrasonography was also used to assess the insertional Achilles tendon quality. Results: Before treatment, there were no significant differences between the groups with regard to VAS scores, while the VISA-A score in the SA group was higher than that in the control group. After ESWT, both groups had increased VISA-A scores and decreased VAS scores, indicating improvement. At 5-year follow-up, the SA group had a significantly lower mean VAS score (0.3 ± 0.8 vs 1.6 ± 1.3; P = .001) and a significantly higher mean VISA-A score (90 ± 4 vs 78 ± 7; P < .001) compared with the control group. There was no significant difference between the groups regarding the calcification and neovascularization of the Achilles tendon based on ultrasonography. Conclusion: ESWT can improve the symptoms of Achilles tendinopathy, and patients with IAT who had greater sports activity levels had better therapeutic responses than nonsports-active patients after 5-year follow-up.

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