Tuesday Tidbits 10/06/2020

Tuesday Tidbits.


On Friday.

10/09/2020

Here are this week’s tidbits to keep you up to date or just interested in what’s going on around you. Some recent news and research pertaining to helmet use and concussion, efficacy of a certain knee surgery, and some achilles pain relief efforts!

Does a helmet prevent my concussion?

-Research from the Journal of Surgical Research (2020) evaluated 906 bicycle riders who crashed and sustained injury over a 9-year period. The bikers were sorted into those who chose to wear helmets and those who did not. Results showed no significant difference in regard to concussion rates amongst bikers who crashed with or without a helmet. However, those wearing a helmet were significantly less likely to sustain a serious head injury, facial, or skull fracture. The lesson remains, wear your helmet kids!

Alfrey EJ, Tracy M, Alfrey JR, Carroll M, Aranda-Wikman ED, Arora T, Maa J, Minnis J. Helmet Usage Reduces Serious Head Injury Without Decreasing Concussion After Bicycle Riders Crash. Journal of Surgical Research. 2020 Sep 12;257:593-6.

Achilles Pain Relief

-Is exercise or an orthotic with specific heel lift better for your Achilles pain? Recent research from the highly regarded British Journal of Sports Medicine (2020) shows that patients with mid-portion Achilles pain rated their function significantly higher after 12 weeks of wearing a heel lift orthotic when compared to a 12-week eccentric exercise program.

Rabusin CL, Menz HB, McClelland JA, Evans AM, Malliaras P, Docking SI, Landorf KB, Gerrard JM, Munteanu SE. Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (HEALTHY): a randomised trial. British Journal of Sports Medicine. 2020 Sep 27.

Knee Surgery: Worth the wait?

- 146 adults were selected who had partial medial meniscus tears confirmed by MRI. These patients then underwent a partial meniscus removal or a placebo (exploratory diagnostic) surgery. At 5-year follow-up, there was a consistent, slightly greater risk for progression of radiographic knee osteoarthritis in the meniscus removal group as compared with the placebo surgery group. Additionally, there were no differences between groups in regards to patient reported pain levels after exercise.

Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Kalske J, Nurmi H, Kumm J, Sillanpää N, Kiekara T, Turkiewicz A. Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. British Journal of Sports Medicine. 2020 Aug 27.

Happy thanksgiving from all of us at PPA Therapy!