Clinical Journal of Sport Medicine最新文献

{"title":"Targeting the Sweet Spot: A Systematic Review With Meta-Analysis of Anterior Versus Posterior Glenohumeral Joint Injections for Adhesive Capsulitis.","authors":"Hye Chang Rhim, Jason M Schon, Raylin Xu, Sean Schowalter, Jane Ha, Connie Hsu, Michael Andrew, David M Robinson, Adam S Tenforde, Daniel H Daneshvar","doi":"10.1097/JSM.0000000000001228","DOIUrl":"10.1097/JSM.0000000000001228","url":null,"abstract":"<p><strong>Objective: </strong>To compare clinical outcomes following steroid injections using the anterior and posterior approaches.</p><p><strong>Design: </strong>Systematic review with meta-analysis.</p><p><strong>Setting: </strong>Embase, Web of Science, and Cochrane Center Register of Controlled Trials were searched for randomized control trials (RCTs) and prospective comparative studies.</p><p><strong>Patients: </strong>Patients with adhesive capsulitis.</p><p><strong>Interventions: </strong>Glenohumeral steroid injections using either anterior or posterior approach.</p><p><strong>Main outcome measures: </strong>Pain visual analog scale (VAS) and shoulder range of motion (ROM) at 12 weeks, accuracy, and adverse events. Standardized mean difference (SMD) for VAS and weighted mean difference (WMD) for ROMs.</p><p><strong>Results: </strong>We identified 6 RCTs and one prospective comparative study with a total of 468 patients. While there was no difference in pain VAS at 12 weeks between the 2 approaches (SMD, -0.86; 95% CI, -1.76 to 0.04), the anterior approach resulted in greater improvements in external rotation (WMD, 8.08; 95% CI, 0.79-15.38) and abduction (WMD, 6.76; 95% CI, 3.05-10.48) compared with the posterior approach. Subgroup analysis with RCTs that utilized steroid injection with hydrodilatation for both approaches demonstrated greater reduction in pain VAS at 12 weeks with the anterior approach (SMD, -0.52; 95% CI, -0.98 to -0.07). Overall, procedures were well tolerated without major complications.</p><p><strong>Conclusions: </strong>While pain reduction is similar, the anterior approach may be more beneficial in restoring shoulder external rotation and abduction compared with the posterior approach at 12 weeks. Steroid injection combined with hydrodilatation may further improve pain control when performed with the anterior approach at 12 weeks.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Antigravity Treadmill as a Postoperative and Injury Rehabilitation Tool: Reduction in Contact Forces and Muscle Activity With Reduced Weight Running.","authors":"Sergei O Alexeev, Rishi Trikha, Steven Short, Kenneth J Hunt","doi":"10.1097/JSM.0000000000001264","DOIUrl":"10.1097/JSM.0000000000001264","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of reduced weight running on the antigravity (AG) treadmill on maintenance of normal muscle activation and reduction of plantar forces in healthy subjects.</p><p><strong>Design: </strong>Descriptive laboratory study.</p><p><strong>Setting: </strong>Clinical sports medicine center.</p><p><strong>Participants: </strong>Twenty healthy subjects (10 male and 10 female) aged 18 to 29 years.</p><p><strong>Independent variables: </strong>Subjects running at 6.5 miles per hour on a standard treadmill and on the AG treadmill at 100%, 90%, 80%, 70%, 60%, and 50% of bodyweight levels.</p><p><strong>Main outcome measures: </strong>Dynamic plantar loading data were recorded using pressure insoles. Surface electromyography electrodes with imbedded accelerometers were used to estimate timing and magnitude of muscle activity, stride length, and cadence.</p><p><strong>Results: </strong>There was a significant, sequential reduction in peak pressure, maximum force, and force time integral (FTI) with decreasing bodyweight. A 50% bodyweight reduction resulted in a 51% reduction in maximum force and a 59% reduction in FTI in the heel, as compared with 19% to 28% at the metatarsal heads. There was reduced contact area in the heel and midfoot at and below 70% BW. Lower limb muscle activity decreases with reduced bodyweight while maintain normal muscle recruitment timing.</p><p><strong>Conclusions: </strong>The AG treadmill provides a reduction in loading forces while maintaining normal muscle recruitment patterns. Decreased BW running preferentially unloads the hindfoot. The AG treadmill can be an effective rehabilitation tool following foot or ankle injury and may prove superior to other limited weight-bearing methods.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"45-51"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age of First Exposure to Contact Sports Is Not Associated With Worse Later-In-Life Brain Health in a Cohort of Community-Dwelling Older Men.","authors":"Jacob Jo, Gunther Wong, Kristen L Williams, Philip J Davis, Grant H Rigney, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001251","DOIUrl":"10.1097/JSM.0000000000001251","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate whether early age of first exposure to contact sports (AFE-CS) is associated with worse long-term brain health outcomes.</p><p><strong>Design: </strong>A cross-sectional, survey study of older men with a history of contact sport participation was completed.</p><p><strong>Setting: </strong>Tertiary care facility.</p><p><strong>Participants: </strong>A cohort of community-dwelling older men dichotomized by using AFE-CS (<12 years vs ≥12 years).</p><p><strong>Interventions: </strong>Independent variables included a dichotomized group of AFE-CS (<12 years vs ≥12 years).</p><p><strong>Main outcome measures: </strong>Brain health outcomes measured by depression, anxiety, cognitive difficulties, and neurobehavioral symptoms. Endorsements of general health problems, motor symptoms, and psychiatric history were also collected. Age of first exposure groups was compared using t tests, χ 2 tests, and multivariable linear regressions, which included the following covariates: age, number of prior concussions, and total years of contact sport.</p><p><strong>Results: </strong>Of 69 men aged 70.5 ± 8.0 years, approximately one-third of the sample (34.8%) reported AFE-CS before age 12 years. That group had more years of contact sports (10.8 ± 9.2 years) compared with those with AFE-CS ≥12 (5.6 ± 4.5 years; P = 0.02). No differences were found after univariate testing between AFE-CS groups on all outcomes ( P -values >0.05). Multivariable models suggest that AFE-CS is not a predictor of depression or anxiety. Those in the AFE-CS <12 group had fewer cognitive difficulties ( P = 0.03) and fewer neurobehavioral symptoms ( P = 0.03).</p><p><strong>Conclusions: </strong>Those with AFE-CS <12 to contact sports did not have worse long-term brain health outcomes compared with those with AFE-CS ≥12. Individuals with AFE-CS <12 had significantly lower British Columbia Cognitive Complaints Inventory and Neurobehavioral Symptom Inventory scores compared with those with AFE-CS ≥12.</p><p><strong>Clinical relevance: </strong>The benefits of earlier AFE-CS may outweigh the risks of head strikes and result in comparable long-term brain health outcomes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"52-59"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of Multiple Allergies and Gradual Onset Running-Related Injuries in Distance Runners: SAFER XXXV.","authors":"Chanel van Vreden, Martin Schwellnus, Dimakatso Ramagole, Sonja Swanevelder, Esme Jordaan, Nicola Sewry","doi":"10.1097/JSM.0000000000001245","DOIUrl":"10.1097/JSM.0000000000001245","url":null,"abstract":"<p><strong>Objective: </strong>To determine if any gradual onset running-related injury (GORRI) was associated with any allergies, multiple allergies (allergies to animals, plants, medication), and allergy medication use.</p><p><strong>Design: </strong>Cross-sectional descriptive study.</p><p><strong>Setting: </strong>Two Oceans Marathons (56 km, 21.1 km), South Africa.</p><p><strong>Participants: </strong>A total of 76 654 race entrants (2012-2015).</p><p><strong>Independent variables: </strong>The prevalence (%) and prevalence ratios (PR; 95% confidence intervals) for history of (1) any allergies, (2) multiple allergies to broad categories of allergens (animal material, plant material, allergies to medication, and other allergies), and (3) allergy medication use.</p><p><strong>Main outcome measures: </strong>Using a compulsory online screening questionnaire, the outcome was a history of any GORRIs, and subcategories of GORRIs (muscle, tendon) in the past 12 months and history of GORRIs (and subtypes of GORRIs) were reported.</p><p><strong>Results: </strong>In 68 258 records with injury and allergy data, the following were significantly associated with reporting any GORRIs: a history of any allergy (PR = 2.2; P < 0.0001), a history of allergies to broad categories of allergens (animal, plant, medication allergy, other) ( P < 0.0001), and the use of allergy medication ( P < 0.0001). A history of any allergies (PR = 2.4; P < 0.0001), all broad categories of allergies, and allergy medication use were significantly associated with muscle ( P < 0.0001) and tendon injuries ( P < 0.0001). The risk of reporting a GORRI increased as the number of reported categories of allergies increased ( P < 0.0001).</p><p><strong>Conclusions: </strong>A novel finding was the cumulative risk effect with a history of multiple allergies. Further studies should aim to determine the underlying mechanism relating allergies and GORRIs.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"35 1","pages":"67-74"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-Guided Intraosseous Injection of Bone Marrow Aspirate Concentrate for a Basketball Player With Bilateral Tibial Nonunion Fractures.","authors":"Farah S Hussain, Oluseun A Olufade","doi":"10.1097/JSM.0000000000001328","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001328","url":null,"abstract":"<p><strong>Abstract: </strong>We present a case of a professional basketball player who suffered from nonunion bilateral chronic tibial fractures, successfully treated with ultrasound-guided intraosseous injection with bone marrow aspirate concentrate. The patient was able to return to play full time after recovery from the procedure.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Time to Recovery Between Initial and Repeat Concussion in Athletes.","authors":"Brandon S Wright, Sara Dykowski, Abigail C Bretzin, Mark T Roberts, Ingrid K Ichesco, Andrea A Almeida, Michael J Popovich, Matthew T Lorincz, James T Eckner","doi":"10.1097/JSM.0000000000001325","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001325","url":null,"abstract":"<p><strong>Objective: </strong>Compare time to recovery between initial and repeat concussions.</p><p><strong>Design: </strong>Retrospective review of electronic medical record.</p><p><strong>Setting: </strong>An interdisciplinary concussion clinic.</p><p><strong>Patients: </strong>Fifty patients (14.4 years old [±2.5]; 24 [48%] female) who sustained >1 concussion between 2016 and 2020 and were evaluated within 30 days of their concussion.</p><p><strong>Intervention: </strong>Injuries were divided into first, second, and/or last concussions.</p><p><strong>Main outcome measures: </strong>The primary outcome was time to recovery, as defined by clearance for return to sport. This was compared between first versus second concussion (primary analysis) and first versus last concussion (secondary analysis) using Cox regression. Multivariable models accounted for time from concussion to initial clinic visit and Sport Concussion Assessment Tool symptom severity score at initial encounter. Sensitivity analyses explored potential influences of initial encounter timing and interval between concussions.</p><p><strong>Results: </strong>Time to recovery did not differ between initial and repeat concussion in univariate or multivariable models (HR = 1.02, 95% CI, 0.65-1.62, P = 0.92; HR = 1.01, 95% CI, 0.64-1.62, P = 0.91 for multivariable models comparing first (ref) versus second and first (ref) versus last concussion, respectively). Similar results were obtained in sensitivity analyses stratifying by time to initial visit (≤7 days vs >7 days) or time between injuries (≤1 year vs >1 year).</p><p><strong>Conclusions: </strong>There were no differences in time to recovery between initial and repeat concussions sustained by the same athlete. A nonsignificant trend of shorter recovery after repeat concussions was observed for patients presenting within 1 week of injury and when repeat injuries occurred within 1 year.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT Can Often Respond Adequately to Common Patient Questions Regarding Femoroacetabular Impingement.","authors":"Jeremy M Adelstein, Margaret A Sinkler, Lambert T Li, Luc M Fortier, Ajit M Vakharia, Michael J Salata","doi":"10.1097/JSM.0000000000001327","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001327","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the ability of ChatGPT to answer frequently asked questions (FAQs) regarding FAI. We hypothesize that ChatGPT can provide accurate and thorough responses when presented with FAQs regarding FAI.</p><p><strong>Design: </strong>Ten FAQs regarding FAI were presented to ChatGPT 3.5 and initial responses were recorded and analyzed against evidence-based literature. Responses were rated as \"excellent response requiring no further clarification,\" \"satisfactory response requiring minimal clarification,\" \"satisfactory response requiring moderate clarification,\" or \"unsatisfactory response requiring substantial clarification.\"</p><p><strong>Setting: </strong>Institutional.</p><p><strong>Independent variables: </strong>Frequently asked questions regarding femoroacetabular impingement.</p><p><strong>Main outcome measures: </strong>Accuracy and thoroughness of ChatGPT responses to FAQs. Hypothesis was formulated before data collection.</p><p><strong>Results: </strong>Most responses from ChatGPT were rated as satisfactory and required only minimal clarification. Two responses received an excellent rating and required no further clarification, while only 1 response from ChatGPT was rated unsatisfactory and required substantial clarification.</p><p><strong>Conclusions: </strong>ChatGPT provided largely accurate and thorough responses to FAQs regarding FAI while appropriately reiterating the importance of always consulting a medical professional.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Changes in Ulnar Collateral Ligament Reconstruction Surgery Patterns Among Professional Baseball Players.","authors":"Thomas Almonroeder, Margaret T Jones, Jennifer B Fields, Jacob L Erickson, Wayne A Taylor, Michael H Bittner, Andrew R Jagim","doi":"10.1097/JSM.0000000000001319","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001319","url":null,"abstract":"<p><strong>Objective: </strong>To retrospectively analyze publicly available elbow ulnar collateral ligament reconstruction (UCLR) injury data for professional baseball players.</p><p><strong>Design: </strong>Descriptive epidemiology study.</p><p><strong>Setting: </strong>A retrospective analysis using an open-source database was performed. The database contained all known UCLR surgeries among Major League Baseball (MLB) and Minor League Baseball (MiLB) players.</p><p><strong>Participants: </strong>In total, 1801 professional male professional baseball pitchers (age: 24.5 ± 3.9 years) who have undergone UCLR between 1974 and 2024.</p><p><strong>Main outcome measures: </strong>The number of UCLR procedures each year.</p><p><strong>Independent variables: </strong>Change-point analysis was used to identify changes in the number of UCLR surgeries over time among MLB and MiLB players. For MLB players, number of UCLR surgeries from 1974 to 2023 was analyzed, while for MiLB players, data starting from 1981 to 2024 were analyzed.</p><p><strong>Results: </strong>For MLB players, 3 change points were identified, occurring around 1989 (95% confidence interval [CI], 1988-1990), 2000 (95% CI, 2000-2000), and 2012 (95% CI, 2011-2017). For MiLB players, 3 change points were identified occurring around 2001 (95% CI, 2001-2001), 2009 (95% CI, 2008-2010), and 2013 (95% CI, 2013-2015).</p><p><strong>Conclusions: </strong>Overall, there has been a rise in the number of UCLR surgeries per year for the past 50 years in professional baseball, with distinct time points identified, representing increases in the number of UCLR surgeries each year. A higher number of UCLR surgeries are performed per year in the MiLB than in the MLB.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between the Pain Intensity at the Time of the Hamstring Muscle Injury and the Hyperintense T2 Weighted Volume of the Hamstring Muscle Lesion Measured by MRI.","authors":"Sylvain Grange, Ronan Plancher, Gustaav Reurink, Pierre Croisille, Pascal Edouard","doi":"10.1097/JSM.0000000000001306","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001306","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study was to analyze the correlation between the pain experienced at the time of a hamstring muscle injury and the hyperintense T2 weighted volume of the lesion measured on MRI. The secondary objectives were to analyze the differences in this pain with the lesion grade and the hamstring muscle head involved.</p><p><strong>Design: </strong>We performed a retrospective analysis of the data collected in a prospective, multicenter, noninterventional cohort study (HAMMER).</p><p><strong>Patients: </strong>A total of 61 patients were included in this analysis.</p><p><strong>Interventions: </strong>Patients with suspected hamstring muscle injury had an MRI after the injury.</p><p><strong>Main outcomes measures: </strong>They were evaluated for their pain intensity experienced at the time of injury with a Numeric Pain Rating Scale (NPRS) from 0 to 10.</p><p><strong>Results: </strong>There was a significant but weak correlation between the pain experienced at the time of hamstring muscle injury and the hyperintense T2 weighted volume (r = 0.287; P = 0.025). There were no significant differences in the pain according to the lesion grade (F(3,57) = 0.982; P = 0.408) nor according to the muscle involved (F(3,57) = 1.013; P = 0.394).</p><p><strong>Conclusions: </strong>Pain at the time of injury seemed to be weakly correlated with the extent of muscle lesion at medical imaging. Pain at the time of injury alone seems not enough to give us a clinical meaningful indication of the MRI hyperintense T2 weighted volume.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The MPCETT: Assessing the Safety and Utility of Exercise Tolerance Testing in Children With Concussion Ages 6 to 12.","authors":"Michael Heitzman, Jason Krystofiak, Diana Toto, Jennifer Norton, Mustafa Naematullah, Sydney Asselstine, Katelan Rybak, Puja Joshi","doi":"10.1097/JSM.0000000000001326","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001326","url":null,"abstract":"<p><strong>Objective: </strong>Treadmill test protocols for concussion assessment have been validated for patients aged 13 years and older; however, no evidence-based guidelines exist for younger children. We designed and assessed the safety and utility of the Morahan Pediatric Concussion Exercise Tolerance Test (MPCETT) for assessing exercise tolerance in symptomatic children (SC) and recovered, asymptomatic children (AC) from 6 to 12 years of age.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>Secondary care center.</p><p><strong>Participants: </strong>Children were diagnosed with concussion using consensus guidelines. At assessment, SC [n = 17; median (range) 10 (6-12) years; 18% female; 28 (13-50) days since injury] had persistent concussive symptoms, while AC [n = 24; 9 (7-12) years; 21% female; 21 (8-37) days since injury] required assessment for return to activity.</p><p><strong>Interventions: </strong>The MPCETT is a modified Buffalo Concussion Treadmill Test for pediatric populations. The test was administered to establish exercise tolerance and was terminated for increased symptoms or self-reported exhaustion.</p><p><strong>Main outcome measures: </strong>Presence of adverse events and exercise intolerance.</p><p><strong>Results: </strong>The number of adverse events was 0 in both groups. Exercise intolerance occurred in 64.7% (95% CI, 38.3%-85.8%) of children within the SC group versus 12.5% (95% CI, 2.7%-32.4%) within the AC group (P < 0.001).</p><p><strong>Conclusions: </strong>Pediatric exercise tolerance testing is safe and effective for assessing exercise intolerance in concussed children.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}