Can ACL Tears be Restricted to Sports Injuries Alone? A Retrospective Analysis

ABSTRACT Aim To analyze etiology, incidence and management of facial trauma over a period of 5 years in a tertiary care center in North India. Materials and methods Records of 195 patients with 274 facial fractures were analyzed retrospectively from 2009 to 2013. Fractures were classified according to anatomical area involved (zygoma, maxilla, mandible, teeth), and etiology was divided into road traffic accidents (RTAs), falls, sports injuries and assaults. It was found that RTA was most common etiologic factor for facial trauma, followed by falls, assaults and sports injuries. Mandibular fractures were most common, followed by midface fractures and dental injuries. Various treatment options were also evaluated. Results Mandibular fractures were more common than midface fractures. Most common line of treatment was open reduction and internal fixation with mini-plate fixation. Mandible reconstruction was done in one case of bone defect following a gun-shot injury. Coronoidectomy had to be performed in one case of zygoma fracture. Conclusion Patient's best interest, affordability and general well being should be kept in mind while managing trauma of maxillofacial region. Surgeon should utilize his knowledge to the best possible level as any injury to this region has a direct impact on psyche as well as general well being of patient. How to cite this article Sharma R, Esht V, Goomer P. Retrospective Analysis of Etiology, Incidence and Management of Facial Trauma Over 5 Years in North India: A Clinical Audit. J Postgrad Med Edu Res 2015;49(2):59-61.

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Continuum of Care Following Sports-Related Concussion

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-19-00131 ◽

2020 ◽

Vol 29 (3) ◽

pp. 1389-1403

Author(s):

Jessica Brown ◽

Kelly Knollman-Porter

Keyword(s):

Young Adults ◽

Life Span ◽

Sports Injuries ◽

Continuum Of Care ◽

Medical Professional ◽

Structured Interviews ◽

Youth Athletes ◽

Speech Language Pathologist ◽

History Of ◽

Injury Reporting

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.

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Sound Production Treatment for Acquired Apraxia of Speech: An Examination of Dosage in Relation to Probe Performance

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-19-00110 ◽

2020 ◽

pp. 1-16

Author(s):

Julie L. Wambaugh ◽

Lydia Kallhoff ◽

Christina Nessler

Keyword(s):

Retrospective Analysis ◽

Sound Production ◽

Apraxia Of Speech ◽

Practice Schedule ◽

Practice Schedules ◽

Baseline Performance ◽

The Mean ◽

Number Of Treatment ◽

The Impact

Purpose This study was designed to examine the association of dosage and effects of Sound Production Treatment (SPT) for acquired apraxia of speech. Method Treatment logs and probe data from 20 speakers with apraxia of speech and aphasia were submitted to a retrospective analysis. The number of treatment sessions and teaching episodes was examined relative to (a) change in articulation accuracy above baseline performance, (b) mastery of production, and (c) maintenance. The impact of practice schedule (SPT-Blocked vs. SPT-Random) was also examined. Results The average number of treatment sessions conducted prior to change was 5.4 for SPT-Blocked and 3.9 for SPT-Random. The mean number of teaching episodes preceding change was 334 for SPT-Blocked and 179 for SPT-Random. Mastery occurred within an average of 13.7 sessions (1,252 teaching episodes) and 12.4 sessions (1,082 teaching episodes) for SPT-Blocked and SPT-Random, respectively. Comparisons of dosage metric values across practice schedules did not reveal substantial differences. Significant negative correlations were found between follow-up probe performance and the dosage metrics. Conclusions Only a few treatment sessions were needed to achieve initial positive changes in articulation, with mastery occurring within 12–14 sessions for the majority of participants. Earlier occurrence of change or mastery was associated with better follow-up performance. Supplemental Material https://doi.org/10.23641/asha.12592190

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