Adapting the Dynamic, Recursive Model of Sport Injury to Concussion: An Individualized Approach to Concussion Prevention, Detection, Assessment, and Treatment

Schneider, Kathryn; Emery, Carolyn A.; Black, Amanda M.; Yeates, Keith; Debert, Chantel T.; Lun, Victor; Meeuwisse, Willem

doi:10.2519/jospt.2019.8926

Cited by 20 publications

(12 citation statements)

References 120 publications

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“…Although there are still many problems to be solved, with the deepening of research, the details of sports rehabilitation therapy for hip injuries will eventually be fully understood. At that time, more treatment methods will also be applied in the clinic, and by combining various methods and taking advantage of their advantages, a convenient, stable, and less traumatic treatment method will surely be found, so as to overcome the problem of repairing hip joint injury [19,20].…”

Section: Patients With Hip Injurymentioning

confidence: 99%

[Retracted] Application of Nanoscaffold Material Combined with Exercise Rehabilitation Therapy in the Treatment of Athletes with Hip Injuries

Xiang

Cao

Peng

et al. 2022

Journal of Nanomaterials

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A nanoscaffold is a porous scaffold. It injects antibiotics, cells, and polymer particles into damaged cavities in the form of injectables and forms hydrogels after the molecules self-assemble at the injection site. Sports rehabilitation is a new frontier field integrating sports, health, and medicine, also known as physical therapy. It is the use of various sports methods for the injured or disabled, so that they can fully recover their physical functions and spirits, and can make them reintegrate into society. It mainly studies the relationship between sports and health. Among the tissue engineering scaffolds used as seed cell carriers, nanomaterials are playing an increasingly important role in the study of joint injury and repair due to their unique effects such as cell adhesion and proliferation. The purpose of this paper is to study a reliable nanoscaffold material for the treatment of patients with hip injuries in athletes and to observe its actual effect in combination with sports rehabilitation therapy. In this paper, an electrospinning method was proposed to prepare nanoscaffold materials, and the nanoscaffold materials were applied to the exercise rehabilitation process of two groups of hip patients, and the data of the patients’ rehabilitation were calculated. The results showed that the OD value of the cells in the exercise rehabilitation therapy using nanofiber scaffolds increased significantly, and the average daily growth rate of the OD value was 0.112. And the rehabilitation after 5 months was 19.8 points higher in hip range of motion score, 11.3 points higher in overall function score, and 6.2% lower in complication rate compared with ordinary exercise rehabilitation therapy. Therefore, it can be concluded that the therapy of the nanofiber scaffold material combined with exercise rehabilitation can more efficiently help patients with hip joint injury to recover, and the probability of complications is lower compared with the traditional exercise rehabilitation therapy.

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Section: Patients With Hip Injurymentioning

confidence: 99%

[Retracted] Application of Nanoscaffold Material Combined with Exercise Rehabilitation Therapy in the Treatment of Athletes with Hip Injuries

Xiang

Cao

Peng

et al. 2022

Journal of Nanomaterials

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“…To break the existing pattern of achievement in the field of competitive sports, we should analyze the causes of the problems of nonadvantageous projects and compensate for the shortcomings while maintaining the traditional advantageous field projects, to promote the overall balanced development of each project and finally achieve a new situation of all-round development of each project. From the point of view of sports, our development and performance in physically demanding and fierce confrontation projects have been unsatisfactory, such as track and field and the three major ball games [ 3 ]. Therefore, we should follow the overall trend and future direction of international competitive sports development, study the successful experience of international first-class athletes in training and correctly grasp the laws of project training and development according to the actual situation, scientifically develop physical training, and then promote the overall development of other competitive elements such as skills, and combat energy.…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy and Prevention of Common Sports Injuries for Special Physical Training

Lei

Huang

Zhou

2022

Occupational Therapy International

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This paper provides an in-depth study of occupational therapy and the prevention of common sports injuries in special physical training. The issue of sports injuries and rehabilitation has always been a hot topic in special training. With the continuous development of sports, the increasing intensity of competition, and more stringent requirements for special techniques, the increase in difficulty and intensity of training has led to the increasing frequency of sports injuries, so how to prevent injuries in special physical training and rehabilitation and recovery of athletes after the injury is particularly important. Since the most common musculoskeletal injuries occur in the lower quadrant, this paper proposes a lower extremity functional test (LEFT) model as a means of identifying injury risk and guiding the implementation of training programs to prevent sports injuries. In this paper, a knee injury is used as an example, and an occupational therapy program of TCM physical therapy + aquatic rehabilitation is adopted for the already occurred sports injuries. Through interviews and clinical examinations of athletes, coaches, and medical personnel, this paper summarizes the sites, types, characteristics, and probability of occurrence of common sports injuries in special physical training. Experiments were conducted through clinical rehabilitation of common sports injuries with the addition of TCM manual massage. A series of effects of this modality on the rehabilitation of sports injuries were examined by monitoring physiological and biochemical indexes and by comparative analysis before and after testing physical function indexes using the Omega Wave system. Sports injuries are diverse. Traditional Chinese medicine physical therapy + water rehabilitation therapy is an effective physical therapy method. According to the relevant theories of traditional Chinese medicine treatment, diagnosis and treatment through meridians and related acupuncture points have significant curative effects. Traditional Chinese medicine, massage, and acupuncture have irreplaceable roles in the rehabilitation and treatment of sports injuries and can effectively improve and cure sports injuries.

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“…From its etiology and pathophysiology, to its individual clinical presentation and variable recovery trajectories, clinical management has been especially challenging for the clinician or primary care physician. Research has varied widely in how it has dealt with this increasing complexity, with some seeming to lean into the complexity by highlighting systems approaches and recursive modeling (Schneider et al, 2019 ), while others argue that its heterogeneity is associated with mutually reinforcing biopsychosocial symptoms rather than a single entity (Iverson, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

“…Concussion reflects in a variety of affected systems and areas of co-occurring disruption that requires interdisciplinary management, an approach that is universally recommended in consensus statements and best-practice clinical guidelines (Collins et al, 2016 ; McCrory et al, 2017 ; Schneider et al, 2019 ). It is the heterogeneous nature of concussion, from its etiology and pathophysiology, to its individual clinical presentation and variable recovery trajectories, that has made its management especially challenging for the clinician or primary care physician.…”

Section: Introductionmentioning

confidence: 99%

Machine Learning for Subtyping Concussion Using a Clustering Approach

Rosenblatt

Harriss

Babul

et al. 2021

Front. Hum. Neurosci.

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Background: Concussion subtypes are typically organized into commonly affected symptom areas or a combination of affected systems, an approach that may be flawed by bias in conceptualization or the inherent limitations of interdisciplinary expertise.Objective: The purpose of this study was to determine whether a bottom-up, unsupervised, machine learning approach, could more accurately support concussion subtyping.Methods: Initial patient intake data as well as objective outcome measures including, the Patient-Reported Outcomes Measurement Information System (PROMIS), Dizziness Handicap Inventory (DHI), Pain Catastrophizing Scale (PCS), and Immediate Post-Concussion Assessment and Cognitive Testing Tool (ImPACT) were retrospectively extracted from the Advance Concussion Clinic's database. A correlation matrix and principal component analysis (PCA) were used to reduce the dimensionality of the dataset. Sklearn's agglomerative clustering algorithm was then applied, and the optimal number of clusters within the patient database were generated. Between-group comparisons among the formed clusters were performed using a Mann-Whitney U test.Results: Two hundred seventy-five patients within the clinics database were analyzed. Five distinct clusters emerged from the data when maximizing the Silhouette score (0.36) and minimizing the Davies-Bouldin score (0.83). Concussion subtypes derived demonstrated clinically distinct profiles, with statistically significant differences (p < 0.05) between all five clusters.Conclusion: This machine learning approach enabled the identification and characterization of five distinct concussion subtypes, which were best understood according to levels of complexity, ranging from Extremely Complex to Minimally Complex. Understanding concussion in terms of Complexity with the utilization of artificial intelligence, could provide a more accurate concussion classification or subtype approach; one that better reflects the true heterogeneity and complex system disruptions associated with mild traumatic brain injury.

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Adapting the Dynamic, Recursive Model of Sport Injury to Concussion: An Individualized Approach to Concussion Prevention, Detection, Assessment, and Treatment

Cited by 20 publications

References 120 publications

[Retracted] Application of Nanoscaffold Material Combined with Exercise Rehabilitation Therapy in the Treatment of Athletes with Hip Injuries

[Retracted] Application of Nanoscaffold Material Combined with Exercise Rehabilitation Therapy in the Treatment of Athletes with Hip Injuries

Occupational Therapy and Prevention of Common Sports Injuries for Special Physical Training

Machine Learning for Subtyping Concussion Using a Clustering Approach

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