ABSTRACT
Respiratory symptoms and infections are common among athletes. Viral upper respiratory infection symptoms may precede dyspneic symptoms seen in asthmatics or worsen symptoms of exercise-induced bronchoconstriction Knowing how to instruct an athlete on use of inhalers and having an asthma action plan are critical in management of these athletes. Other life-threatening conditions that may be seen are pneumothorax and laryngeal/pharyngeal perforation. Prompt recognition and treatment are crucial if an athlete is suspected to have pulmonary compromise. Laryngeal/pharyngeal perforations are a rare cause of issues within the training room but require a high degree of suspicion to be diagnosed and managed properly.
Subject(s)
Asthma/drug therapy , Bronchoconstriction , Exercise/physiology , Pneumothorax , Respiratory Tract Infections , Return to Sport , Asthma/diagnosis , Humans , Larynx/injuries , Performance-Enhancing Substances , Pharynx/injuries , Pneumothorax/diagnosis , Respiratory Tract Infections/diagnosis , Respiratory Tract Infections/therapy , Vocal Cord Dysfunction/diagnosis , Wounds and Injuries/diagnosisABSTRACT
BACKGROUND: Meniscal tears often accompany knee osteoarthritis, a disabling condition affecting 14 million individuals in the United States. While several randomized controlled trials have compared physical therapy to surgery for individuals with knee pain, meniscal tear, and osteoarthritic changes (determined via radiographs or magnetic resonance imaging), no trial has evaluated the efficacy of physical therapy alone in these subjects. METHODS: The Treatment of Meniscal Tear in Osteoarthritis (TeMPO) Trial is a four-arm multi-center randomized controlled clinical trial designed to establish the comparative efficacy of two in-clinic physical therapy interventions (one focused on strengthening and one containing placebo) and two protocolized home exercise programs. DISCUSSION: The goal of this paper is to present the rationale behind TeMPO and describe the study design and implementation strategies, focusing on methodologic and clinical challenges. TRIAL REGISTRATION: The TeMPO Trial was first registered at clinicaltrials.gov with registration No. NCT03059004 . on February 14, 2017.
Subject(s)
Exercise Therapy/methods , Osteoarthritis, Knee/complications , Tibial Meniscus Injuries/therapy , Aged , Aged, 80 and over , Exercise Therapy/adverse effects , Humans , Middle Aged , Musculoskeletal Manipulations/adverse effects , Osteoarthritis, Knee/diagnostic imaging , Osteoarthritis, Knee/physiopathology , Pain/prevention & control , Patient Compliance , Resistance Training/adverse effectsABSTRACT
Bilateral epidural hematoma is a rare complication of blunt head trauma. Few cases of bilateral epidural hematomas have been described in the literature and there have been no cases that have been described in a college or professional athlete. This case report presents an unusual case of a Division I collegiate football athlete who sustained a bilateral epidural hematoma with parietal skull fracture after falling down a flight of stairs. It highlights the initial presentation to rehabilitation up until eventual return-to-play 4 months later. There were no setbacks or complications in rehabilitation process.
