Abstract:
BACKGROUND:Growth factor technologies are increasingly used to enhance healing in musculoskeletal injuries, particularly in sports medicine. Two such products; platelet-rich plasma (PRP) and autologous blood, have a growing body of supporting evidence. No previous trial has directly compared the efficacy of these two methods. HYPOTHESIS:Growth factor administration improves tissue regeneration in patients who have failed to respond to conservative therapy. STUDY DESIGN:A prospective, double-blind, randomised trial. METHODS:Elbow tendinopathy patients who had failed conservative physical therapy were divided into two patient groups: PRP injection (N=80) and autologous blood injection (ABI) (N=70). Each patient received two injections at 0 and 1 month. Patient-related tennis elbow evaluation (PRTEE) was recorded by a blinded investigator at 0, 1, 3 and 6 months. The main outcome measure was PRTEE, a validated composite outcome for pain, activities of daily living and physical function, utilising a 0-100 scale. RESULTS:At 6 months the authors observed a 66% success rate in the PRP group versus 72% in the ABI group, p=NS. There was a higher rate of conversion to surgery in the ABI group (20%) versus the PRP group (10%). CONCLUSION:In patients who are resistant to first-line physical therapy such as eccentric loading, ABI or PRP injections are useful second-line therapies to improve clinical outcomes. In this study, up to seven out of 10 additional patients in this difficult to treat cohort benefit from a surgery-sparing intervention.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Creaney L,Wallace A,Curtis M,Connell Ddoi
10.1136/bjsm.2010.082503subject
Has Abstractpub_date
2011-09-01 00:00:00pages
966-71issue
12eissn
0306-3674issn
1473-0480pii
bjsm.2010.082503journal_volume
45pub_type
杂志文章,随机对照试验abstract::Recent anecdotal reports that some synchronized swimmers have become dizzy or disorientated towards the end of their performance, and in the worst cases fainted underwater, have caused concern. However, the rules of synchronized swimming encourage slow performance of compulsory figures, and an analysis of the competit...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.29.1.16
更新日期:1995-03-01 00:00:00
abstract::Osteoarthritis (OA) is a common degenerative disease of joints. The major clinical features are pain and stiffness, leading to a decline in physical function, which may ultimately require joint replacement surgery. As no cure exists, current medical intervention focuses on symptomatic relief. Moreover, as no cure is i...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2004.011841
更新日期:2005-01-01 00:00:00
abstract::A focus on low body weight and body fat content, combined with regulations in some weight-sensitive sports, are considered risk factors for extreme dieting, eating disorders (EDs) and related health consequences among athletes. At present there are, from a health perspective, no generally accepted optimum values for b...
journal_title:British journal of sports medicine
pub_type: 共识发展会议,杂志文章
doi:10.1136/bjsports-2013-092966
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To describe the anthropometric and physical performance characteristics of a sample of senior A club rugby players and to highlight differences between the positional categories of the players within the forwards and backs. METHODS:94 senior A male rugby players were assessed on a number of anthropometric an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.1.53
更新日期:1996-03-01 00:00:00
abstract::A total of 266 patients with injuries to the knee sustained during sports activities were managed by arthroscopy and/or arthrotomy. All of them received systemic examination and a standard battery of knee stability tests. Fifty-three were examined by arthrography and all underwent arthrotomy for surgical correction of...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.2.87
更新日期:1993-06-01 00:00:00
abstract::Sexual harassment and abuse occur in all sports and at all levels with an increased risk at the elite level. The physical and psychological consequences of sexual harassment and abuse are significant for the athlete, their team and for the health and integrity of sport in general. The sports medicine health profession...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2011-090345
更新日期:2012-10-01 00:00:00
abstract::This study was conducted to compare the effectiveness of the traditional method of ankle bandaging and the new method of ankle taping for judo athletes in Japan, and to introduce a functionally effective taping method for judo players. Four university judo athletes with ankle instability were selected to undertake rad...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.2.110
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:The equivocal findings in the literature on efficacy of massage makes it difficult to assess the requirement for, or justify the use of, specialist massage personnel at major athletics events. However, the use of massage by athletes during training and competition remains popular. OBJECTIVES:To quantify the...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.003145
更新日期:2004-04-01 00:00:00
abstract::Tournament water skiing is an increasingly popular and internationally successful sport in Great Britain, despite the climate. The kinematics and injury patterns of the three disciplines will be unfamiliar to most clinicians and are described, with estimation of the stresses. Advances in equipment over the last 15 yea...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.2.90
更新日期:1996-06-01 00:00:00
abstract::To determine the rate of current or previous use of anabolic steroids by students at a UK college of technology, a questionnaire survey of 687 day students was conducted. The questionnaire began with a general section for all of the students, which ended with the question 'Have you ever used anabolic steroids?'. A fur...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.3.200
更新日期:1993-09-01 00:00:00
abstract::In order to identify injury-proneness in female competitive gymnasts, 20 measures of flexibility, hypermobility, spinal posture and anthropometry were performed on 40 competitive gymnasts and injury scores were derived from the severity and extent of previous gymnastic injury and inherent hypermobility traits. Results...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.20.1.31
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVES:To compare cardiorespiratory responses between incremental treadmill (non-specific) and field (sport specific) tests in elite squash players. METHODS:Seven elite players (ranked 1 to 25 in their national federation including the World number 1) randomly performed an incremental treadmill test (TT) and a squ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2005.018101
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:The menstrual cycle can affect sports participation and exercise performance. There are very few data on specific menstrual cycle symptoms (symptoms during various phases of the cycle, not only during menstruation) experienced by exercising women. We aimed to characterise the most common symptoms, as well as...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102792
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:The mechanism that causes pain in chronic Achilles tendinosis is not known. However, high resolution colour Doppler ultrasound has shown that neovascularisation may be involved. OBJECTIVE:To investigate if sclerosing the neovessels would affect the level of tendon pain. METHODS:The effect of colour Doppler...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.36.3.173
更新日期:2002-06-01 00:00:00
abstract::Intravascular haemolysis has been found to result from prolonged endurance competition, rigorous military training and participation in impact sports. Haematological research involving the recreational runner is sparse. Recreational runners frequently vary their training to avoid monotony and improve endurance capacit...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.25.4.183
更新日期:1991-12-01 00:00:00
abstract::A 14 month retrospective study was undertaken to determine the cost implications of the opening of a roller skating rink to the local hospital accident and emergency department (A and E). A total of 398 patients attended following injury at the roller skating rink, of whom 384 were included in the study. The estimated...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.24.4.240
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND:Studies failing to show a negative effect of rapid weight loss (RWL) on performance have been conducted in athletes who have been cycling weight for years. It has been suggested that chronic weight cycling could lead combat athletes to become resistant to the stresses associated with weight loss. To investig...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092689
更新日期:2013-12-01 00:00:00
abstract::A central debate in the exercise sciences is the cause of the fatigue that develops especially during high intensity exercise of short duration. The most popular theory holds that this form of exercise is limited by a peripherally based, metabolite induced failure of skeletal muscle contractile function, independent o...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.009761
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE AND METHOD:To outline the direct and indirect approaches in the fight against blood doping in sports, the different strategies that have been used and are currently being used to fight efficiently against blood doping are presented and discussed. RESULTS AND CONCLUSIONS:The paper outlines the different appro...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.027532
更新日期:2006-07-01 00:00:00
abstract::An élite athlete engaged in a longitudinal programme of physiological assessment suffered a loss of performance that was later ascribed to an asymptomatic viral illness. In this 15-month, single subject, repeated measures study it was possible to demonstrate a severe decrease of exercise performance following viral il...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.3.157
更新日期:1993-09-01 00:00:00
abstract:BACKGROUND:There are controversial data about the relation between foot morphology and athletic injuries of the lower extremity. Studies in soldiers have shown some relationship, whereas those involving athletes have not shown any significant relationship. The reason for these differences is not clear. OBJECTIVE:To de...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.011478
更新日期:2005-02-01 00:00:00
abstract::The case is presented of a professional half pipe snowboarder with a large post-traumatic subdural haematoma, which allowed close to normal functioning and socialisation. It is an example of a potentially life threatening sports injury in an increasingly commercialised and popular winter sport. It highlights that a kn...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.011882
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:During the COVID-19 pandemic, it is essential to understand if and how to screen SARS-CoV-2-positive athletes to safely resume training and competitions. The aim of this study is to understand which investigations are useful in a screening protocol aimed at protecting health but also avoiding inappropriate ex...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102789
更新日期:2021-01-01 00:00:00
abstract::One-third of orbital blowout fractures are sustained during sport. Soccer is most commonly involved. Though visual acuity recovery is usually complete, permanent loss of binocular visual field is almost universal. Typically high-energy blows by opponent's finger, fist, elbow, knee or boot are responsible. Injuries to ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.28.4.272
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:To investigate psychological correlates of exercise dependence in experienced and inexperienced bodybuilders and weightlifters. Secondary objectives included measuring social physique anxiety, bodybuilding identity, and social support among bodybuilders and weightlifters. METHODS:Thirty five experienced bod...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.34.6.431
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To determine the interobserver and intraobserver reliability of the interpretation of MRIs for supraspinatus tendinosis. METHODS:In the interobserver trial, the MRIs of 52 athletes' shoulders were observed by 3 observers on one occasion within a 2-month period. All 52 images were read by the most experienced...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.2006.034421
更新日期:2007-08-01 00:00:00
abstract::In Part II of the study, the British Olympic track (sprint) squad cyclists demonstrated reductions in body fat index, % body fat and endomorphy (p greater than .05), increased Hb and PCV % (p greater than .05), and lowered HR at rest and in warm-up exercise (p greater than .05), but no change in leg power. Repeated in...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.16.1.13
更新日期:1982-03-01 00:00:00
abstract::This paper focuses on biceps injuries in shoulder surgery. This topic is currently of great interest, and there has been much discussion about diagnosis, treatment and prevention. Biceps tendon pathology exists in many forms and is frequently associated with other shoulder disorders. These facts must be taken into con...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2009.064139
更新日期:2010-04-01 00:00:00
abstract::A professional rugby league player sustained a left eyebrow laceration during a match which immediately started to bleed. Within seconds he was taken to the sideline and had the laceration closed with six staples by the team doctor. Bleeding was arrested and he returned to play, taking the ball within 80 s of sufferin...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.005470
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To examine whether acute glucocorticoid (GC) intake alters performance and selected hormonal and metabolic variables during submaximal exercise. METHODS:In total, 14 recreational male athletes completed two cycling trials at 70-75% maximum O(2) uptake starting 3 h after an ingestion of either a lactose place...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2007.039040
更新日期:2008-04-01 00:00:00