| Clinical management of musculoskeletal injuries in active children and youth. | |
| | |
MedLine Citation:
|
PMID: 20606509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe how different health care specialists manage musculoskeletal injury in children and examine factors influencing return to play decisions. DESIGN: National survey. SETTING: Secure Web site hosting online questionnaire. PARTICIPANTS: Medical doctors, physical therapists, and athletic therapists who were members of their respective sport medicine specialty organizations. INDEPENDENT VARIABLES: Professional affiliation and the effect of the following factors were examined: pushy parent, cautious parent, protective equipment, previous injury, musculoskeletal maturity, game importance, position played, team versus individual sport, and time since injury. MAIN OUTCOME MEASURES: Recommendation of return to activity after common injuries seen in children and adolescents as described in 5 vignettes; consistency of responses across vignettes. RESULTS: The survey was completed by 464 respondents (34%). There were several differences between the professional groups in their recommendations to return to activity. Most factors studied did not tend to influence the decision to return to activity, although protective equipment often increased the response to return sooner. The number of participants who would return a child to activity sooner or later for each factor varied greatly across the 5 vignettes, except for pushy parent or cautious parent. CONCLUSIONS: Management practices of sport medicine clinicians vary according to profession, child, clinical factors, and sport-related factors. Decisions regarding return to play vary according to 5 specific characteristics of each clinical case. These findings help establish areas of consensus and disagreement in the management of children with injuries and safe return to physical activity. |
| | |
Authors:
|
Barbara Mazer; Ian Shrier; Debbie Ehrmann Feldman; Bonnie Swaine; Annette Majnemer; Eileen Kennedy; Gevorg Chilingaryan |
Related Documents
:
|
20970799 - Controversies in the management of splenic trauma. 18316969 - Prevention and management of infections associated with combat-related central nervous ... 1674129 - Management of associated dental injuries in maxillofacial trauma. 8489379 - Sports medicine. 5. the physiatrist as team physician. 11314409 - The management of traumatic ankylosis during orthodontics: a case report. 8066319 - Bladder management for adults following head injury. 10276679 - Systems management: strategies to increase effectiveness. 9762629 - Comparison of the views of junior doctors, consultants and managers on work and training. 10160679 - What does it cost, and does it help the patient?. interview by wesley curry. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine Volume: 20 ISSN: 1536-3724 ISO Abbreviation: Clin J Sport Med Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-07 Completed Date: 2010-10-29 Revised Date: 2011-08-25 |
Medline Journal Info:
|
Nlm Unique ID: 9103300 Medline TA: Clin J Sport Med Country: United States |
Other Details:
|
Languages: eng Pagination: 249-55 Citation Subset: IM |
Affiliation:
|
McGill University, School of Physical and Occupational Therapy, Montreal, Quebec, Canada. barbara.mazer@mcgill.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Athletic Injuries / therapy* Attitude of Health Personnel Child Decision Making* Humans Parents Physical Therapy (Specialty) Physician's Practice Patterns* Questionnaires Risk Assessment Sports Equipment Sports Medicine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Predictors of the use of performance-enhancing substances by young athletes.
Next Document: Upper extremity sports injury: risk factors in comparison to lower extremity injury in more than 25 ...