May 2018 - Volume 28 - Issue 3

  • Christopher Hughes, MBBS, MSc
  • 1050-642X
  • 1536-3724
  • 6 issues / year
  • Orthopedics 24/76
    Sport Sciences 23/81
    Physiology 44/84
  • 2.189
​​​​Welcome to the May 2018 Issue of the Clinical Journal of Sport Medicine.  

Following the very successful American Medical Society for Sports Medicine (AMSSM) 27th Annual Conference last month in Florida, we look forward to the forthcoming 2018 Canadian Academy of Sport and Exercise Medicine (CASEM) Annual Symposium which is being held this year in Halifax. 

In this Issue, we present all of the 2018 CASEM Podium Presentations, Injury Prevention Podium Presentations, and Poster Presentations for the Conference. There is a wealth of Original Research within these abstracts, so take a good look and enjoy. 

We at CJSM are proud of our reputation as a Sports Medicine Journal in which a high proportion of our content consists of Original Research articles, and this Issue we bring you yet another diverse selection. 

On the subject of Concussion in Sport, there are two new studies. 

Howell and colleagues reported on 18 patients with a diagnosis of concussion of less than 2 weeks' duration presenting to a sports injury clinic, who underwent near point of convergence and gait assessments and were compared with an asymptomatic population. The authors found that those with receded near point of convergence testing showed significant gait-related deficits compared with controls, whereas those with normal near point convergence testing did not suggesting that vergance and gross motor system dysfunction may be associated post-concussion. 

Heyer and colleagues report on a large prospective study of 510 patients (aged 9-19 years) presenting to a concussion injury clinic within 30 days of the injury event, where the presence and severity of light-headedness in relation to post-concussion vertigo and dizziness was examined, in order to determine whether light-headedness influences overall symptom duration. The authors found that post-concussion lightheadedness was common amongst the cohort, and were highly correlated with prolonged concussion recovery. They conclude that this finding may support an association between concussion and autonomic dysfunction. 

How long should one wait until returning to driving following a hip arthroscopy? 

Our General Review article this Issue by Kunstler and colleagues is a Systematic Review and Meta-analysis of Physiotherapy-Led Physical Activity Interventions targeted at increasing physical activity levels in order to address non-communicable disease risks. The main study finding was that Physiotherapy-Led physical activity interventions delivered in a variety of settings were found to be effective in increasing physical activity levels in adults at risk of non-communicable diseases, but that the effect did not last for longer than 1 year and was not enhanced by using longer interventions. This research echoes many previous studies suggesting short-term benefits of physical activity interventions led by a variety of healthcare providers, which return to baseline in the short-to-medium term.

We also present a Critical Review article by Riaz and colleagues who constructed a Meta-analysis of Quadriceps tendon-bone versus Patellar tendon-bone autografts for ACL reconstruction, aiming to compare outcomes from using these two graft types.​ Five studies were included with a total of 806 patients. The authors found that survival rates and joint stability were comparable between both graft types, but that fewer adverse donor site symptoms were present with quadriceps tendon-bone autografts compared with patellar tendon-bone autografts. They suggest that the quadriceps tendon-bone autologous graft type should be favoured in primary ACL reconstructions, particularly amongst those who are required to kneel regularly due to occupation or social activity behaviours. 

You can keep up to date with events at the CASEM Conference on our social media channels on Twitter @CJSMonline , FaceBook  , and on our blog at ​

Enjoy the Issue, and have a great time at the CASEM Conference. 

With best wishes, 
Christopher Hughes MBBS MSc


Injuries Among Recreational Football Players: Results of a Prospective Cohort Study

Dönmez, Gürhan; Korkusuz, Feza; Özçakar, Levent; More

Clinical Journal of Sport Medicine. 28(3):249-254, May 2018.

Injuries Among Recreational Football Players: Results of a Prospective Cohort Study

Physiotherapist-Led Physical Activity Interventions Are Efficacious at Increasing Physical Activity Levels: A Systematic Review and Meta-analysis

Kunstler, Breanne E.; Cook, Jill L.; Freene, Nicole; More

Clinical Journal of Sport Medicine. 28(3):304-315, May 2018.

Physiotherapist-Led Physical Activity Interventions Are Efficacious at Increasing Physical Activity Levels: A Systematic Review and Meta-analysis