Preparticipation examination: Role of the Upper Extremity Specialist and Sports Medicine Team

The COVID-19 pandemic has affected the ability of the sports medicine physician to be present to participate in in-person sideline evaluation of the injured athlete. The purpose of this review is to assess existing literature regarding the utilization of telehealth for sideline evaluation and management of the injured athlete, as well as to identify further areas of research. With the rapid incorporation of telehealth visits, the utilization and capabilities of telemedicine continue to expand. A number of evidence-based resources are available to support medical providers to develop and utilize video evaluation for the sideline evaluation of sports-related injuries. Future research, including the development of validated, modified examination techniques and technologies, will allow for improved interactive physical examinations, which may be better utilized for sideline evaluation.

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Potential Moderating Role of Upper Extremity Activity on Metabolic Effects of Sedentary Behavior in People With Stroke

Physical Therapy ◽

10.2522/ptj.2016.96.1.122 ◽

2016 ◽

Vol 96 (1) ◽

pp. 122-123

Author(s):

Ryan R. Bailey

Keyword(s):

Sedentary Behavior ◽

Upper Extremity ◽

Metabolic Effects ◽

Moderating Role

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Relationship between the Corticospinal and Corticocerebellar Tracts and Their Role in Upper Extremity Motor Recovery in Stroke Patients

Journal of Personalized Medicine ◽

10.3390/jpm11111162 ◽

2021 ◽

Vol 11 (11) ◽

pp. 1162

Author(s):

Jungsoo Lee ◽

Won Hyuk Chang ◽

Yun-Hee Kim

Keyword(s):

Upper Extremity ◽

Predictive Accuracy ◽

Diffusion Tensor ◽

Stroke Onset ◽

Patient Specific ◽

Stroke Patients ◽

Predictive Values ◽

The Relationship ◽

Diffusion Tensor Imaging Dti

The corticospinal tract (CST) and corticocerebellar tract (CCT) are both involved in the upper extremity (UE) function after stroke. Understanding the relationship between the tracts and their functions can contribute to developing patient-specific rehabilitative strategies. Seventy ischemic stroke patients who underwent diffusion tensor imaging (DTI) two weeks after the stroke onset and motor function assessments two weeks and three months after the stroke onset were included in this study. To obtain the CST and CCT integrity, the functional anisotropy (FA) values of both tracts were extracted from the DTI data. Linear regression was used to identify the relationship and predictive accuracy. The CST FA data had predictive values, but CCT FA did not. There were interaction effects between the CST and CCT FA values (p = 0.011). The CCT was significantly associated with high CST FA but not low CST FA. When the CST or CCT FA were applied to patients depending on the CST status, the stratified model showed higher predictive accuracy (R2 = 0.380) than that of the CST-only model (R2 = 0.320). In this study, the conditional role of CCT depending on CST status was identified in terms of UE recovery in stroke patients. This result could provide useful information about individualized rehabilitative strategies in stroke patients.

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Chapter-19 Role of Sports Medicine in Talent Searching

Step by Step Diagnosis in Wound Healing ◽

10.5005/jp/books/10809_19 ◽

2007 ◽

pp. 129-136

Author(s):

Laila Das

Keyword(s):

Sports Medicine

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Role of Sports Medicine in Talent Searching

Textbook of Sports Medicine ◽

10.5005/jp/books/10956_19 ◽

2006 ◽

pp. 129-129

Author(s):

Laila Das

Keyword(s):

Sports Medicine

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Upper-Extremity Arteries

Interventional Radiology ◽

10.1093/med/9780190276249.003.0019 ◽

2018 ◽

pp. 219-236

Author(s):

Adam Zybulewski ◽

Ilya Livshitz ◽

Bhumika Patel ◽

Aaron Fischman

Keyword(s):

Upper Extremity ◽

Upper Limb ◽

Treatment Options ◽

Clinical Manifestations ◽

Limb Ischemia ◽

Arterial Injury ◽

Arterial Access ◽

Imaging Characteristics ◽

Ischemic Syndrome

This chapter evaluates the spectrum of pathologic diseases that affect the upper-extremity arteries, their clinical manifestations, imaging characteristics, and treatment options. We review the role of surgical and endovascular intervention for the treatment of acute upper limb ischemia (AULI) and chronic upper limb ischemia (CULI), the clinical and imaging findings associated with Raynaud’s phenomenon, hypothenar hammer syndrome, distal hypoperfusion ischemic syndrome (DHIS), thromboangittis obliterans (TOA), thoracic outlet syndrome (TOS), giant cell arteritis, Bechet’s disease, radiation arteritis, and traumatic arterial injury, including compartment syndrome and pseudoanuerysm formation. Finally, the evolution of upper-extremity arterial access and use of transradial access (TRA), including benefits and risks, technique, and complications, are discussed.

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