2013 Research Annual Report

Sports Medicine

Division Details

Division Data Summary

Research and Training Details

Number of Faculty9
Number of Joint Appointment Faculty1
Number of Support Personnel8
Direct Annual Grant Support$265,698
Peer Reviewed Publications40

Clinical Activities and Training

Number of Clinical Staff5
Number of Clinical Fellows2
Outpatient Encounters4944

Division Photo

Sports Medicine

Row 1: K Logan, K Berz

Row 2: C Quatman-Yates, M Paterno, G Myer, A Kiefer

Row 3: G Walker, N Edwards



Significant Accomplishments

Significant Accomplishments

Research Team Earns Neuromuscular Training Awards

Greg Myer, PhD, Sports Medicine Research Director, continues to lead a team of successful researchers in neuromuscular training. His team won the 2013 American Journal of Sports Medicine Systematic Review Award and the 2013 Clint Thompson Recognition for Clinical Advancement award in the Journal of Athletic Training. Myer also collaborated with Eric Wall in Orthopedics to win the 2012 AOSSM Innovative Outcomes Assessment Grant for “Optimization and External Validation of Non-invasive Outcome Prediction Algorithm for Knee Osteochondritis Dissecans in Children.”

Expanding Staff and Programs

Adam Kiefer, PhD, a researcher in virtual reality and postural coordination, joined us this year. We also added clinical faculty Kate Berz, DO, Greg Walker, MD, and new Division Director Kelsey Logan, MD, MPH, all of whom share research interests in concussion. Over the past year, a new Sports Medicine Outreach Program has been funded and staffed to provide training coverage and services to local high schools, clubs, organizations and local tournaments.


Significant Publications

Berz K, Divine J, Foss KB, Heyl R, Ford KR, Myer GDSex-specific differences in the severity of symptoms and recovery rate following sports-related concussion in young athletesPhys Sportsmed. 2013. 41(2): 58-63.
This publication led by our new clinical faculty member is significant because it has provided the early evidence that young female athletes may take longer to become symptom free following sports-related concussion. This important finding outlines the critical sex specific factors to consider in returning a young athlete to sport following sport related concussion.  
Kiefer AW, Ford KR, Paterno MV, Schmitt LC, Myer GD, Riley MA, Shockley K, Hewett TEInter-segmental postural coordination measures differentiate athletes with ACL reconstruction from uninjured athletesGait Posture. 2013. 37(2): 149-153.
This significant publication was focused on the use of innovation analyses techniques to identify altered lower extremity coordination patterns in athletes following ACL reconstruction and return to sports participation. The results also indicate that dynamical coordination measures may provide objective measures of sensorimotor deficits following ACL reconstruction and can potentially guide rehabilitation interventions following reconstruction.  Dr. Kiefer will join our research team in FY 14.
Myer GD, Sugimoto D, Thomas S, Hewett TE. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysisAm J Sports Med. 2013. 41(1): 203-215.
This landmark study was one of the first to assimilate the entire body of evidence related to Anterior Cruciate Ligament injury prevention into a single meta-analysis. The robust dataset allowed for the determination of age specific effects of interventions aimed at the reduction of knee injury. The significance of this published manuscript is reflected in its recognition for excellence with the American Journal of Sports Medicine Systematic Review Award.
Hewett TE, Myer GD, Ford KR, Paterno MVQuatman CE. The 2012 ABJS Nicolas Andry Award: The sequence of prevention: a systematic approach to prevent anterior cruciate ligament injuryClin Orthop Relat Res. 2012. 470(10): 2930-2940. 
This manuscript was recognized as the recipient of the Nicolas Andry Award of the Association of Bone and Joint Surgeons and is significant because it represents an entire body of work performed in the Division of Sports Medicine. This systematic presentation of the research innovations focused on the prevention of Anterior Cruciate Ligament injury is included in this manuscript.
Sugimoto D, Myer GD, Bush HM, Klugman MF, Medina McKeon JM, Hewett TE. Compliance with neuromuscular training and anterior cruciate ligament injury risk reduction in female athletes: a meta-analysisJ Athl Train. 2012. 47(6): 714-723.
This systematic review indicated a potential inverse dose-response relationship between neuromuscular training compliance and ACL incidence in young female athletes. The study findings implied that attending and completing the prescribed neuromuscular training sessions is an integral component of ACL prevention. This manuscript was distinguished for its contributions to the field with Clint Thompson Recognition for Clinical Advancement.

Division Publications

Sports Medicine Publications

  1. Barber Foss KD, Myer GD, Chen SS, Hewett TE. Expected prevalence from the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening. J Athl Train. 2012; 47:519-24.
  2. Bates NA, Ford KR, Myer GD, Hewett TE. Kinetic and kinematic differences between first and second landings of a drop vertical jump task: Implications for injury risk assessments. Clin Biomech (Bristol, Avon). 2013; 28:459-66.
  3. Bates NA, Ford KR, Myer GD, Hewett TE. Impact differences in ground reaction force and center of mass between the first and second landing phases of a drop vertical jump and their implications for injury risk assessment. J Biomech. 2013; 46:1237-41.
  4. Berz K, Divine J, Foss KB, Heyl R, Ford KR, Myer GD. Sex-specific differences in the severity of symptoms and recovery rate following sports-related concussion in young athletes. Phys Sportsmed. 2013; 41:58-63.
  5. Brent JL, Myer GD, Ford KR, Paterno MV, Hewett TE. The effect of sex and age on isokinetic hip-abduction torques. J Sport Rehabil. 2013; 22:41-6.
  6. Carson DW, Myer GD, Hewett TE, Heidt RS Jr, Ford KR. Increased plantar force and impulse in American football players with high arch compared to normal arch. Foot (Edinb). 2012; 22:310-4.
  7. Chambers HG, Shea KG, Anderson AF, Jojo Brunelle TJ, Carey JL, Ganley TJ, Paterno M, Weiss JM, Sanders JO, Watters WC 3rd, Goldberg MJ, Keith MW, Turkelson CM, Wies JL, Raymond L, Boyer KM, Hitchcock K, Sluka P, Boone C, Patel N, American Academy of Orthopaedic S. American Academy of Orthopaedic Surgeons clinical practice guideline on: the diagnosis and treatment of osteochondritis dissecans. J Bone Joint Surg Am. 2012; 94:1322-4.
  8. Faigenbaum AD, Chu DA, Paterno MV, Myer GD. Responding to exercise-deficit disorder in youth: integrating wellness care into pediatric physical therapy. Pediatr Phys Ther. 2013; 25:2-6.
  9. Faigenbaum AD, Farrell AC, Fabiano M, Radler TA, Naclerio F, Ratamess NA, Kang J, Myer GD. Effects of detraining on fitness performance in 7-year-old children. J Strength Cond Res. 2013; 27:323-30.
  10. Faigenbaum AD, Lloyd RS, Sheehan D, Myer G. The Role of the Pediatric Exercise Specialist in Treating Exercise Deficit Disorder in Youth. Strength and Conditioning Journal. 2012; 35:34-41.
  11. Faigenbaum AD, Myer GD. Exercise deficit disorder in youth: play now or pay later. Curr Sports Med Rep. 2012; 11:196-200.
  12. Ford KR, Taylor-Haas JA, Genthe K, Hugentobler J. Relationship between hip strength and trunk motion in college cross-country runners. Med Sci Sports Exerc. 2013; 45:1125-30.
  13. Hewett TE, Di Stasi SL, Myer GD. Current concepts for injury prevention in athletes after anterior cruciate ligament reconstruction. Am J Sports Med. 2013; 41:216-24.
  14. Hewett TE, Myer GD, Ford KR, Paterno MV, Quatman CE. The 2012 ABJS Nicolas Andry Award: The sequence of prevention: a systematic approach to prevent anterior cruciate ligament injury. Clin Orthop Relat Res. 2012; 470:2930-40.
  15. Hewett TE, Myer GD, Roewer BD, Ford KR. Letter to the editor regarding "Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention". J Biomech. 2012; 45:2058-9; author reply 2059-60.
  16. Kiefer AW, Ford KR, Paterno MV, Schmitt LC, Myer GD, Riley MA, Shockley K, Hewett TE. Inter-segmental postural coordination measures differentiate athletes with ACL reconstruction from uninjured athletes. Gait Posture. 2013; 37:149-53.
  17. Kovacs CJ, Paterno MV, Chandran S. Hip pain in a young athlete. J Orthop Sports Phys Ther. 2013; 43:106.
  18. McCambridge TM, Myer GD. (2013) ACL Injuries in Young Athletes. STOP Sports Injuries-Sports Tips. Rosemont, IL, American Society for Sports Medicine. .
  19. Mendiguchia J, Alentorn-Geli E, Idoate F, Myer GD. Rectus femoris muscle injuries in football: a clinically relevant review of mechanisms of injury, risk factors and preventive strategies. Br J Sports Med. 2013; 47:359-66.
  20. Myer GD, Khoury J, Succop P, Hewett TE. Clinic-based algorithm to identify female athletes at risk for anterior cruciate ligament injury: letter to the editor. Am J Sports Med. 2013; 41:NP1-3.
  21. Myer GD, Martin L Jr, Ford KR, Paterno MV, Schmitt LC, Heidt RS Jr, Colosimo A, Hewett TE. Author's response. Am J Sports Med. 2013; 41:NP19-20.
  22. Myer GD, Martin L Jr, Ford KR, Paterno MV, Schmitt LC, Heidt RS Jr, Colosimo A, Hewett TE. Author's response. Am J Sports Med. 2013; 41:NP17-8.
  23. Myer GD, Martin L Jr, Ford KR, Paterno MV, Schmitt LC, Heidt RS Jr, Colosimo A, Hewett TE. Author's response. Am J Sports Med. 2013; 41:NP14-5.
  24. Myer GD, Martin L Jr, Ford KR, Paterno MV, Schmitt LC, Heidt RS Jr, Colosimo A, Hewett TE. No association of time from surgery with functional deficits in athletes after anterior cruciate ligament reconstruction: evidence for objective return-to-sport criteria. Am J Sports Med. 2012; 40:2256-63.
  25. Myer GD, Stroube BW, DiCesare CA, Brent JL, Ford KR, Heidt RS Jr, Hewett TE. Augmented feedback supports skill transfer and reduces high-risk injury landing mechanics: a double-blind, randomized controlled laboratory study. Am J Sports Med. 2013; 41:669-77.
  26. Myer GD, Sugimoto D, Thomas S, Hewett TE. The influence of age on the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a meta-analysis. Am J Sports Med. 2013; 41:203-15.
  27. Parikh SN, Allen M, Wall EJ, May MM, Laor T, Zbojniewicz AM, Eismann EA, Myer GD. The reliability to determine "healing" in osteochondritis dissecans from radiographic assessment. J Pediatr Orthop. 2012; 32:e35-9.
  28. Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Hewett TE. Altered postural sway persists after anterior cruciate ligament reconstruction and return to sport. Gait Posture. 2013; 38:136-140.
  29. Quatman-Yates CC, Myer GD, Ford KR, Hewett TE. A Longitudinal Evaluation of Maturational Effects on Lower Extremity Strength in Female Adolescent Athletes. Pediatr Phys Ther. 2013; 25:271-276.
  30. Quatman-Yates CC, Quatman CE, Meszaros AJ, Paterno MV, Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness?. Br J Sports Med. 2012; 46:649-55.
  31. Reed CA, Ford KR, Myer GD, Hewett TE. The effects of isolated and integrated 'core stability' training on athletic performance measures: a systematic review. Sports Med. 2012; 42:697-706.
  32. Roewer BD, Ford KR, Myer GD, Hewett TE. The 'impact' of force filtering cut-off frequency on the peak knee abduction moment during landing: artefact or 'artifiction'?. Br J Sports Med. 2012; .
  33. Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012; 42:750-9.
  34. Stracciolini A, Myer GD, Faigenbaum AD. Exercise-deficit disorder in children: are we ready to make this diagnosis?. Phys Sportsmed. 2013; 41:94-101.
  35. Stroube BW, Myer GD, Brent JL, Ford KR, Heidt RS Jr, Hewett TE. Effects of task-specific augmented feedback on deficit modification during performance of the tuck-jump exercise. J Sport Rehabil. 2013; 22:7-18.
  36. Sugimoto D, Myer GD, Bush HM, Klugman MF, Medina McKeon JM, Hewett TE. Compliance with neuromuscular training and anterior cruciate ligament injury risk reduction in female athletes: a meta-analysis. J Athl Train. 2012; 47:714-23.
  37. Sugimoto D, Myer GD, McKeon JM, Hewett TE. Evaluation of the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a critical review of relative risk reduction and numbers-needed-to-treat analyses. Br J Sports Med. 2012; 46:979-88.
  38. Taxter A, Foss KB, Melson P, Ford KR, Shaffer M, Myer GD. Juvenile idiopathic arthritis and athletic participation: are we adequately preparing for sports integration?. Phys Sportsmed. 2012; 40:49-54.
  39. Thomas S, Sil S, S K-Z, Myer G. Can modified neuromuscular training be used to support treatment of chronic pain in adolescents?. Strength and Conditioning Journal. 2013; 35:12.
  40. Wordeman SC, Paterno MV, Quatman CE, Bates NA, Hewett TE. Arthrometric curve-shape variables to assess anterior cruciate ligament deficiency. Clin Biomech (Bristol, Avon). 2012; 27:830-6.

Faculty, Staff, and Trainees

Faculty Members

Teri McCambridge, MD, Associate Professor
Leadership Division Director; Fellowship Director
Research Interests Dr. McCambridge's research interests include nutrition, running injuries, and strength training in youth.
Kate Berz, DO, Assistant Professor
Research Interests Dr. Berz's research interests are in injuries of the female athlete, nutrition, and Osteopathic Manipulative Therapy.
Nicholas Edwards, MD,MPH, Assistant Professor
Research Interests o Nicholas M. Edwards, MD, MPH is an NIH-funded clinician-scientist focused on the areas of physical activity promotion and cardiovascular disease prevention.
Kevin Ford, PhD, Adjunct
Research Interests Sports injury prevention, biomechanical modeling techniques, lower extremity sports injuries
Timothy Hewett, PhD, Adjunct
Research Interests Dr. Hewett's research interests lie in neuromuscular, biomechanical and molecular adaptation of the muscular, boney and nervous systems to stresses such as growth, development and neuromuscular training.
Greg Myer, PhD, Assistant Professor
Leadership Director of Research
Research Interests Dr. Myer’s primary research interests are related to injury biomechanics, pediatric exercise science and exercise prevention strategies.
Michael Shaffer, DO, Assistant Professor
Research Interests Injury prevention, altered foot mechanics, manipulative treatment of spine and pelvis related dysfunction, treatment of female athlete's medical and physical issues related to sport
Catherine Quatman-Yates, PT, DPT, PhD, Assistant Professor
Research Interests Dr. Quatman-Yates is interested in optimizing post-concussion evaluation and rehabilitation processes for children and adolescents.
Laura Schmitt, PhD, Adjunct
Research Interests Dr. Schmitt is interested in outcomes after ACL reconstruction,injury biomechanics,

Joint Appointment Faculty Members

Mark Paterno, PhD,PT, MS, MBA, SCS, ATC, Associate Professor (Occupational Therapy and Physical Therapy)
Research Interests Clinical Outcomes after Lower Extremity Injury, Rehabilitation Intervention Outcomes, Outcome after ACL Reconstruction

Clinical Staff Members

  • Corey Ellis, MD

Trainees

  • Nate Bates, PhD Candidate
  • Randon Hall, MD, PGY-IV
  • Gregory Walker, MD, PGY-IV
  • Dai Sugimoto, PhD Candidate

Division Collaboration

Orthopaedics » Eric Wall, MD
Bone Bruise Study
Heart Institute » Jeff Robbins, PhD ; Jeffrey Anderson, MD, Richard Czosek, MD, Michelle Grenier, MD, Timothy Knilans, MD.
These long-term, ongoing studies involve Molecular Cardiovascular Biology and Sports Medicine examine the congenital basis for heart disease especially diseases that involve sudden death in the young. This collaboration will utilize a unique screening protocol to study sudden deaths in athletes.
Preventive Cardiology » Elaine Urbina, MD
This new five year study will measure the rate of cardiovascular aging in adolescents and young adults and determine which risk factors best predict accelerated aging.
Rheumatology » Susan Thompson, PhD
This collaborative effort between Sports Medicine and Rheumatology involved an examination of genetic risk factors for ACL tears and long-term knee osteoarthritis.
Physical Medicine and Rehabilitation; » Brian Hang, MD, Brad Kurowski, MD
This collaborative effort between Sports Medicine and PMR is a prospective assessment of risk factors for and effects of sports related concussions.
Occupational Therapy/Physical Therapy » Becky Reder
This collaborative effort between Sports Medicine and OT/PT includes working on projects related to the effects of interventions on injury risk, concussion and foot/ankle research.
Comprehensive Children's Injury Center »
Development of multi-disciplinary head injury/concussion clinic, prevention program and treatment pathways.
Center for Better Health and Nutrition » Robert Siegel, MD
This project will evaluate advanced methods of physical activity assessment and feedback and their utility in children.
Behavioral Medicine and Clinical Psychology » Susmita M Kashikar-Zuck, PhD
The Divisions of Sports Medicine and Behavioral Therapy/Clinical Psychology have collaborated for a project entitled FIT (Fibromyalgia Integrative Training) Teens, during which adolescent patients with fibromyalgia are treated with our combined treatment protocol involving both Cognitive Behavioral Therapy and Integrative Neuromuscular Training to improve their coping abilities, improve their strength, mechanics, and postural control to overall enhance their ability to lead more active lifestyles.

Grants, Contracts, and Industry Agreements

Sports Medicine Grants

Grant and Contract AwardsAnnual Direct

Edwards, N

Effects of Physical Activity on Cardiovascular Risk Factors in Youth
KL2 TR 00007804/01/11-03/31/13$101,505

Hewett, T

Effects of Physical Activity & Marijuana Use on Frontolimbic Functioning During Adolescence: An fMRI Study
R01 DA 03035409/01/11-02/29/16$27,292

Myer, G

Optimization and External Validation on Non-Invasive Outcome Prediction Algorithm for Knee Osteochondritis Dissecans in Children
AOSSM-Myer07/01/12-06/30/13$25,000
The Effects of the 2011 NFL Lockout on Musculotendinous and Ligamentous Injury Incidence Rates During the Competitive Season
Wellington-Myer08/01/12-07/31/13$11,901

Paterno, M

Neuromuscular Predictors of Outcome following Anterior Cruciate Ligament Reconstruction: a Prospective and Longitudinal Study of the Effect of Meniscus Injury
01/01/13-12/31/13$100,000
Current Year Direct$265,698
Total$265,698