Background: Tissue flossing bands are a relatively new treatment modality that have increased in popularity in recent years. There is evidence suggesting that tissue flossing could decrease pain and increase joint range of motion, but there is still a need for further studies in this matter. Thus, this study aimed to assess the effect of a single tissue flossing treatment on the perceived pain and upper extremity function among healthy collegiate baseball pitchers. Methods: Twenty apparently healthy collegiate baseball pitchers (age: 21 ± 2.49) participated in this study. Tissue flossing treatment was performed from the wrist to the elbow on the participant’s throwing arm. Before and after treatment, perceived pain and upper extremity function was evaluated. Results: Following one round of tissue flossing treatment, the participants experienced a 27% decrease in perceived pain from baseline (3.05 ± 1.95 to 2.22 ± 2.04, p < 0.05). Participants did not experience a significant increase in perceived upper extremity function. In addition, participants did not report any complications as a result of the intervention. Conclusion: These findings demonstrated that in healthy collegiate baseball pitchers, tissue flossing bands treatment were capable of decreasing perceived pain.
Background: Keinböck's disease (KD) is an uncommon medical condition characterized by avascular necrosis of the lunate. Conservative treatment of this condition consists of immobilization, strengthening and range of motion (ROM) exercises of the surrounding musculature of the wrist. Tissue flossing is a relatively new treatment technique that incorporates wrapping latex bands around the targeted body part, followed by a brief period of exercise. Tissue flossing is thought to provide similar therapeutic effects to blood reperfusion and/or blood flow restriction therapy. Purpose: Present a clinical case detailing the use of flossing bands in the treatment of a collegiate men's basketball player suffering from KD of the right wrist. Treatment: A 21-year old basketball player reported to the athletic training clinic complaining of worsening wrist pain and stiffness. The patient had attempted conservative treatment with little relief. Following evaluation with magnetic resonance imaging, the patient was diagnosed with KD. At this time, the use of tissue flossing to attempt to restore pain free ROM and to potentially increase blood flow began. After two weeks of treatment, the patient's symptoms and reported function had improved. The patient continued treatment and rehabilitation program until the beginning of his competitive season, at which point he began a maintenance program. Uniqueness: The KD diagnosis would increase likelihood of surgical intervention later on. However, in this case, the patient was able to return to full function without surgical intervention to date. We are unaware of any case report describing the use of tissue flossing bands as an adjunct treatment for KD. Conclusion: Tissue flossing bands may be a viable therapeutic procedure for symptoms such as pain and/or decreased ROM. Further studies need to be conducted in order to determine the potential therapeutic application and methodology of tissue following bands.
Purpose: Attention deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that impacts an individual’s ability to maintain attention span and focus their concentration at a normal level. While ADHD is one of the most well studied behavioral disorders, multiple researchers have stated the need for further research on the effects of ADHD on participation in sports. Therefore, the purpose of this study was to describe the prevalence of self-reported ADHD symptoms among collegiate student-athletes at an NCAA institution. A secondary purpose was to determine differences in self-reported ADHD symptoms based on demographic information and history of concussion. Methods: Subjects were selected for this study by retrospective review of pre-participation medical paperwork of the student-athletes of an NCAA Division II institution (n=418). A total of 110 student-athletes opened and completed the voluntary survey as part of pre-participation medical paperwork (access and response rate = 26.3%). Subjects were sent an electronic survey via email that collected demographic information and asked them to rate self-reported symptoms of ADHD using the Adult ADHD Self-Report Scale (ASRS). Results: Individuals who reported having been previously diagnosed with Attention Deficit Disorder (ADD) or ADHD reported significantly higher scores on the first six questions of the ASRS than those who had not (ADD or ADHD Diagnosis = 21.8 ± 3.9, No ADD or ADHD Diagnosis = 14.4 ± 5.0, t(108) = 5.85, p < .001). Individuals who exceeded the threshold of 15 or higher reported significantly higher scores on the first six questions of the ASRS than those who did not report a score of 15 or higher (15 or higher = 18.7 ± 3.4, Less than 15 = 10.6 ± 2.4, t(91) = -13.45, p < .001). Of the individuals who had not been diagnosed with ADD or ADHD, 43 reported scores on the first six questions of the ASRS of 15 or higher (n=43, 46.2%). Individuals who reported English as their first language reported significantly higher scores on the first six questions of the ASRS (English as first language = 15.9 ± 5.5, English not as first language = 12.3 ± 4.5, t(108) = 2.09, p =0.039). We did not identify any significant differences in severity of self-reported ADHD symptoms between groups for sport, gender, academic year, athletic year, race, ethnicity, nationality, or history of concussion in the past 12 months. Conclusions: A substantial portion of the collegiate student-athletes surveyed reported symptoms that warrant further evaluation for ADD and ADHD despite never being diagnosed with either condition. ADHD has been shown to increase prevalence of concussion and musculoskeletal injury. Within the athletic population, ADHD often goes undiagnosed throughout childhood and early adolescence. When caring for large populations of athletes, a screening instrument for ADHD symptoms can be a valuable tool for clinicians seeking to identify patients who may require further evaluation. Better recognition of ADHD symptoms may lead to improvements in diagnosing and treating the condition.
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