scholarly journals Elbow examination in the athlete

2019 ◽  
Vol 67 (3) ◽  
Keyword(s):  
Primary Care ◽  
Sports Medicine ◽  
Clinical Exam ◽  
Elbow Pathology ◽  
Clinical Problems

The elbow is a frequently underestimated and commonly misunderstood joint, leading to a considerable amount of clinical problems. A large part of this due to the largely overlapping and often unspecific symptoms of various diseases and injuries. A better understanding of elbow symptoms and the clinical exam of the elbow is the key to unlocking elbow pathology. This paper reviews a comprehensive and concise exam of the elbow that can easily be employed in a primary care sports medicine setting.

Masked Depression: Its Interrelations with Somatization, Hypochondriasis and Conversion

1988 ◽  
Vol 17 (4) ◽  
pp. 367-379 ◽  
Author(s):  
Robert Z. Fisch
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Somatic Symptoms ◽  
Somatic Complaints ◽  
Diagnosis And Treatment ◽  
Clinical Phenomenon ◽  
Clinical Problems

Masked depression appears to be a common clinical phenomenon. Most depressions present with some somatic complaints in addition to affective and cognitive ones. About one half of all depressions seen by primary care physicians initially present predominantly or exclusively with somatic symptoms. Many of these depressions are not recognized or are misdiagnosed and mistreated. The possible reasons for this are discussed here. The phenomenon of somatization in depressions and other conditions is reviewed and the interface with other related clinical problems like hypochondriasis and conversion is delineated. It is hypothesized that the proportion of depressions that are masked is positively correlated to the patients' tendency to somatize and negatively correlated to the doctors' ability to recognize depressions that hide behind somatic complaints. Suggestions for the diagnosis and treatment of masked depressions are given.

Primary Care Sports Medicine: A Full-Timer's Perspective

1988 ◽  
Vol 16 (6) ◽  
pp. 57-65
Author(s):  
William E. Moats ◽  
Douglas B. McKeag
Keyword(s):  
Primary Care ◽  
Sports Medicine

scholarly journals A comparative study of the effectiveness of an osteopathic primary care sports medicine led intervention on performance in men’s collegiate lacrosse players

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Naresh C. Rao ◽  
Hallie Zwibel ◽  
Jenny Berezanskaya ◽  
Paul Pena ◽  
Min-Kyung Jung
Keyword(s):  
Primary Care ◽  
Health Outcomes ◽  
Body Fat ◽  
Sports Medicine ◽  
Core Competencies ◽  
Control Group ◽  
Winning Percentage ◽  
Sf 36 ◽  
Fat Composition ◽  
Experimental Group

Abstract Context Comprehensive sports medicine care goes beyond the treatment of injuries resulting from athletic activities. Ultimately, it is a competence that includes knowledge in physical therapy, training, nutrition, coaching, motivation, competition, mentoring, psychology, and spirituality that allows the physician and patient to collaborate on promoting the patient’s health goals. The current literature demonstrates a lack of knowledge in the Osteopathic Primary Care Sports Medicine Model’s effectiveness in performance. Objectives To determine whether a comprehensive osteopathic primary care sports medicine approach can improve performance and health outcomes in collegiate athletes. Methods A randomized controlled trial commenced just prior to the start of the lacrosse season and concluded at the end of the season. All the New York Institute of Technology (NYIT) collegiate lacrosse players were educated first in a 1-day seminar of the core competencies, and all participants had access to ask questions on their own volition. Then they were randomized into two groups, either the experimental group receiving the direct osteopathic primary care sports medicine intervention (n=18) or the control group not having active intervention (n=19). Also, the overall team winning percentage for that season was computed and compared to that for the previous years and the following year. Participants were assessed before and after the intervention with the Patient Health Questionnaire (PHQ-9), the 36-Item Short Form Survey (SF-36), custom Osteopathic Primary Care Sports Medicine questionnaire, and body fat composition, and their changes were compared between the experimental group and the control group. Collected data were analyzed using the repeated-measures analysis of variance. Results Thirty-seven participants were enrolled in the study. After 14 participants were excluded due to being lost to follow-up, 23 athlete records were analyzed. The winning percentage of the team was highest during the year of the study period time than in the 3 previous years and the following year. The test group did not have any statistically significant change in the PHQ-9, SF-36, custom Osteopathic Primary Care Sports Medicine questionnaire, as well as in body fat composition. Conclusions When used during a collegiate lacrosse season, this Osteopathic Primary Care Sports Medicine intervention did not significantly improve health outcomes. This preliminary study, despite its limitations in compliance and study population size, did demonstrate improvement in overall team performance when comparing the intervention sport season to other seasons but was not statistically significantly. Therefore, further studies are warranted to improve the understanding in this approach to athlete health outcomes and performance.

scholarly journals A-13 Return-to-Learn: Academic Accommodations for Concussion Recovery

2020 ◽  
Vol 35 (5) ◽  
pp. 609-609
Author(s):  
B Davis ◽  
K Creed ◽  
C Keshvnani ◽  
D Blueitt ◽  
C Garrison
Keyword(s):  
Primary Care ◽  
Sports Medicine ◽  
Care Center ◽  
Care Physician ◽  
Cognitive Symptoms ◽  
Academic Accommodations ◽  
School Work ◽  
Medicine Physician ◽  
Return To Learn ◽  
Concussion Recovery

Abstract Objective To evaluate academic accommodations offered to student athletes following a concussive injury. Method Participants were identified during regularly scheduled visits to the participating fellowship-trained, board-certified primary care sports medicine physician (D.B.). A total of 127 participants (mean ± SD age, 14.8 ± 1.5 years [range, 12–18 years]) diagnosed with a concussion from December 2018 to October 2019 were surveyed. The participants were provided a questionnaire in which the following information was collected: age at injury, date of injury, locations of treatment, cognitive symptoms experienced, academic accommodations received, implementation of accommodation by educators, and school related problems. Results Cognitive symptoms were reported by 117 (92.1%) participants with trouble concentrating (81.2%), and feeling “slow” (78.7%) being the most common. Participants treated at the participating, sports-medicine concussion center had the highest rate of receiving academic accommodations (95.3%), while those also treated at an emergency or acute care center, primary care physician, or pediatrician’s office had significantly lower rates (<5%). Participants reported their accommodations as helpful (94.5%), with extra time (88.2%), and ability to take breaks (80.3%) having the highest frequency of recommendation. While symptomatic, 110 (86.6%) participants reported having difficulty completing school work and tests, 58 (45.7%) reported experiencing anxiety about completing their school work, and 55 (43.3%) reported a decline in their grades. Conclusions These data display the high frequency of cognitive symptoms and hindered academic performance associated with concussion recovery. The implementation of academic accommodations was demonstrated to be beneficial; however, not all medical centers are providing accommodations.

scholarly journals Unverifiable Academic Work by Applicants to Primary Care Sports Medicine Fellowship Programs in the United States

2016 ◽  
Vol 8 (5) ◽  
pp. 767-770
Author(s):  
Robert B. Stevens ◽  
John R. Hatzenbuehler ◽  
William W. Dexter ◽  
Amy E. Haskins ◽  
Christina T. Holt
Keyword(s):  
United States ◽  
Primary Care ◽  
Sports Medicine ◽  
The United States ◽  
Medical Society ◽  
Medical Librarian ◽  
Conference Organization ◽  
Fellowship Programs ◽  
Medical Subspecialty ◽  
Application Requirements

ABSTRACT Background  In 2008, it was shown that 11% of applications to a primary care sports medicine program contained unverifiable citations for publications. In 2009, the American Medical Society for Sports Medicine changed the application requirements, requiring proof that all claimed citations (publications and presentations) be included with the fellowship application. Objective  We determined the rate of unverifiable academic citations in applications to primary care sports medicine fellowship programs after proof of citations was required. Methods  We retrospectively examined all applications submitted to 5 primary care sports medicine fellowship programs across the country for 3 academic years (2010–2013), out of 108 to 131 programs per year. For claimed citations that did not include proof of publication or presentation, we attempted to verify them using PubMed and Google Scholar searches, a medical librarian search, and finally directly contacting the publisher or sponsoring conference organization for verification. Results  Fifteen of 311 applications contained at least 1 unverifiable citation. The total unverifiable rate was 4.8% (15 of 311) for publications and 11% (9 of 85) for presentations. These rates were lower than previously published within the same medical subspecialty. Conclusions  After requiring proof of publication and presentation citations within applications to primary care sports medicine fellowship programs, unverifiable citations persisted but were less than previously reported.

scholarly journals European Respiratory Society International Congress, Paris, 2018: highlights from the Clinical Assembly

2019 ◽  
Vol 5 (1) ◽  
pp. 00176-2018
Author(s):  
Lowie E.G.W. Vanfleteren ◽  
Iñigo Ojanguren ◽  
Claire M. Nolan ◽  
Frits M.E. Franssen ◽  
Vasileios Andrianopoulos ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Chronic Care ◽  
International Congress ◽  
European Respiratory Society ◽  
Interventional Pulmonology ◽  
Thoracic Imaging ◽  
Wide Range ◽  
Clinical Problems ◽  
Selection Of

This article contains highlights and a selection of the scientific advances from the European Respiratory Society's Clinical Assembly (Assembly 1 and its five respective groups) that were presented at the 2018 European Respiratory Society International Congress in Paris, France. The most relevant topics from each of the groups will be discussed, covering a wide range of areas including clinical problems, rehabilitation and chronic care, thoracic imaging, interventional pulmonology, and general practice and primary care. The newest research, actual data and highlight sessions will be discussed.

Sign in / Sign up

Export Citation Format

Share Document