Todd Lazenby | Ithaca College (original) (raw)
Papers by Todd Lazenby
Journal of Athletic Training, May 1, 2018
International Journal of Athletic Therapy and training, May 1, 2017
Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of ... more Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of which have persisted over time despite a lack of objective evidence to support their validity. Evidence-based practice compels practicing clinicians to not only seek out and produce evidence that informs their decision-making, but also to challenge existing paradigms of thought and practice, especially when favorable treatment outcomes remain elusive. Insidious, load induced lateral knee pain around the iliotibial band in runners, cyclists, military personnel, rowers, and other athletes has for decades now been conceptualized as iliotibial band friction syndrome, a biomechanically based and unsubstantiated paradigm based on Renne’s 1975 theory that the iliotibial band slips back and forth over the lateral femoral epicondyle during flexion and extension movements of the knee, primarily irritating the underlying bursa and even the iliotibial band itself. Newer evidence about the anatomy and biomechanics of the iliotibial band, the physiology of the condition, and interventional outcomes is now available to challenge that long-held paradigm of thought for iliotibial band related pathology. Given this plethora of new information available for clinical scientists, iliotibial band impingement syndrome is proposed here as a new, evidence-informed paradigm for evaluating and treating this problematic overuse syndrome.
Athletic Training & Sports Health Care, Mar 1, 2011
Athletic Training & Sports Health Care, Sep 1, 2010
Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagno... more Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagnostic and managerial challenges. In atraumatic cases, peripheral nerve injuries are rare, but they should be considered when certain features exist. The authors present a case of glenohumeral multidirectional instability induced intermittent traction of the axillary nerve in a collegiate baseball pitcher.
Athletic Training & Sports Health Care, 2010
Journal of Athletic Training, 2017
Background: A collegiate women's soccer player sustained an isolated anterior cruciate ligam... more Background: A collegiate women's soccer player sustained an isolated anterior cruciate ligament (ACL) tear and expressed a desire to continue her season without surgical intervention. Design: Case report. Intervention(s): Using the results of a randomized controlled trial and published clinical guidelines, the clinicians classified the patient as an ACL-deficient coper. The patient completed her soccer season without incident, consistent with the findings of the established clinical guidelines. However, 6 months later, she sustained a meniscal tear, which was not unexpected given that 22% of ACL-deficient copers in the randomized controlled trial incurred a meniscal tear within 24 months of ACL injury. Conclusion: The external evidence was helpful in making informed clinical decisions regarding patient care.
International Journal of Athletic Therapy and Training, 2017
Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of ... more Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of which have persisted over time despite a lack of objective evidence to support their validity. Evidence-based practice compels practicing clinicians to not only seek out and produce evidence that informs their decision-making, but also to challenge existing paradigms of thought and practice, especially when favorable treatment outcomes remain elusive. Insidious, load induced lateral knee pain around the iliotibial band in runners, cyclists, military personnel, rowers, and other athletes has for decades now been conceptualized as iliotibial band friction syndrome, a biomechanically based and unsubstantiated paradigm based on Renne’s 1975 theory that the iliotibial band slips back and forth over the lateral femoral epicondyle during flexion and extension movements of the knee, primarily irritating the underlying bursa and even the iliotibial band itself. Newer evidence about the anatomy an...
Athletic Training & Sports Health Care, 2010
Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagno... more Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagnostic and managerial challenges. In atraumatic cases, peripheral nerve injuries are rare, but they should be considered when certain features exist. The authors present a case of glenohumeral multidirectional instability induced intermittent traction of the axillary nerve in a collegiate baseball pitcher.
Athletic Training Education Journal, 2009
Objective: To address the need for a more definitive approach to critical thinking during athleti... more Objective: To address the need for a more definitive approach to critical thinking during athletic training educational experiences by introducing the clinical reasoning model for critical thinking. Background: Educators are aware of the need to teach students how to think critically. The multiple domains of athletic training are comprehensive and complex. Thinking is the fundamental connection between didactic and experiential components. Therefore, clinical thinking must be viewed as a critical part of experiential education in athletic training. Description: Research from educational journals in medicine, physical therapy and athletic training, as well as relevant texts, were searched to investigate the theoretical and practical underpinnings of clinical thinking models. Definitions, applications, and the historical underpinnings of the clinical thinking processes in allied health were reviewed and presented to highlight the need for athletic training educators to better apprecia...
Objective: To address the need for a more definitive approach to critical thinking during athleti... more Objective: To address the need for a more definitive approach to critical thinking during athletic training educational experiences by introducing the clinical reasoning model for critical thinking. Background: Educators are aware of the need to teach students how to think critically. The multiple domains of athletic training are comprehensive and complex. Thinking is the fundamental connection between didactic and experiential components. Therefore, clinical thinking must be viewed as a critical part of experiential education in athletic training. Description: Research from educational journals in medicine, physical therapy and athletic training, as well as relevant texts, were searched to investigate the theoretical and practical underpinnings of clinical thinking models. Definitions, applications, and the historical underpinnings of the clinical
BACKGROUND Although athletes are typically at low risk for developing venous thromboembolism (V... more BACKGROUND Although athletes are typically at low risk for developing venous thromboembolism (VTE), injured and noninjured athletes alike can be exposed to many acquired risk factors, including intense training, dehydration, trauma, immobilization, oral contraceptive use, and long-distance travel. Additionally, the risk of developing VTE might be increased by unidentified genetic clotting disorders. Due to the potential for fatal outcomes, knowledge of VTE pathoetiology and recognition of deep vein thrombosis (DVT) presentation should be an inherent part of the evaluation process for all who attend to athletes, regardless of age and apparent risk profile. OBJECTIVE To present an exploration clinical case series consisting of 2 otherwise healthy, college-aged female athletes who, despite their ages and relative low risk profiles, experienced DVTs after lower extremity trauma. Each case will be discussed relative to known clinical prediction rules (CPRs) and published evidence. CO...
Journal of Athletic Training, May 1, 2018
International Journal of Athletic Therapy and training, May 1, 2017
Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of ... more Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of which have persisted over time despite a lack of objective evidence to support their validity. Evidence-based practice compels practicing clinicians to not only seek out and produce evidence that informs their decision-making, but also to challenge existing paradigms of thought and practice, especially when favorable treatment outcomes remain elusive. Insidious, load induced lateral knee pain around the iliotibial band in runners, cyclists, military personnel, rowers, and other athletes has for decades now been conceptualized as iliotibial band friction syndrome, a biomechanically based and unsubstantiated paradigm based on Renne’s 1975 theory that the iliotibial band slips back and forth over the lateral femoral epicondyle during flexion and extension movements of the knee, primarily irritating the underlying bursa and even the iliotibial band itself. Newer evidence about the anatomy and biomechanics of the iliotibial band, the physiology of the condition, and interventional outcomes is now available to challenge that long-held paradigm of thought for iliotibial band related pathology. Given this plethora of new information available for clinical scientists, iliotibial band impingement syndrome is proposed here as a new, evidence-informed paradigm for evaluating and treating this problematic overuse syndrome.
Athletic Training & Sports Health Care, Mar 1, 2011
Athletic Training & Sports Health Care, Sep 1, 2010
Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagno... more Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagnostic and managerial challenges. In atraumatic cases, peripheral nerve injuries are rare, but they should be considered when certain features exist. The authors present a case of glenohumeral multidirectional instability induced intermittent traction of the axillary nerve in a collegiate baseball pitcher.
Athletic Training & Sports Health Care, 2010
Journal of Athletic Training, 2017
Background: A collegiate women's soccer player sustained an isolated anterior cruciate ligam... more Background: A collegiate women's soccer player sustained an isolated anterior cruciate ligament (ACL) tear and expressed a desire to continue her season without surgical intervention. Design: Case report. Intervention(s): Using the results of a randomized controlled trial and published clinical guidelines, the clinicians classified the patient as an ACL-deficient coper. The patient completed her soccer season without incident, consistent with the findings of the established clinical guidelines. However, 6 months later, she sustained a meniscal tear, which was not unexpected given that 22% of ACL-deficient copers in the randomized controlled trial incurred a meniscal tear within 24 months of ACL injury. Conclusion: The external evidence was helpful in making informed clinical decisions regarding patient care.
International Journal of Athletic Therapy and Training, 2017
Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of ... more Clinical practice in sports medicine is often guided by axioms or paradigms of practice, some of which have persisted over time despite a lack of objective evidence to support their validity. Evidence-based practice compels practicing clinicians to not only seek out and produce evidence that informs their decision-making, but also to challenge existing paradigms of thought and practice, especially when favorable treatment outcomes remain elusive. Insidious, load induced lateral knee pain around the iliotibial band in runners, cyclists, military personnel, rowers, and other athletes has for decades now been conceptualized as iliotibial band friction syndrome, a biomechanically based and unsubstantiated paradigm based on Renne’s 1975 theory that the iliotibial band slips back and forth over the lateral femoral epicondyle during flexion and extension movements of the knee, primarily irritating the underlying bursa and even the iliotibial band itself. Newer evidence about the anatomy an...
Athletic Training & Sports Health Care, 2010
Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagno... more Idiopathic shoulder injuries are common in overhead throwers, yet they present significant diagnostic and managerial challenges. In atraumatic cases, peripheral nerve injuries are rare, but they should be considered when certain features exist. The authors present a case of glenohumeral multidirectional instability induced intermittent traction of the axillary nerve in a collegiate baseball pitcher.
Athletic Training Education Journal, 2009
Objective: To address the need for a more definitive approach to critical thinking during athleti... more Objective: To address the need for a more definitive approach to critical thinking during athletic training educational experiences by introducing the clinical reasoning model for critical thinking. Background: Educators are aware of the need to teach students how to think critically. The multiple domains of athletic training are comprehensive and complex. Thinking is the fundamental connection between didactic and experiential components. Therefore, clinical thinking must be viewed as a critical part of experiential education in athletic training. Description: Research from educational journals in medicine, physical therapy and athletic training, as well as relevant texts, were searched to investigate the theoretical and practical underpinnings of clinical thinking models. Definitions, applications, and the historical underpinnings of the clinical thinking processes in allied health were reviewed and presented to highlight the need for athletic training educators to better apprecia...
Objective: To address the need for a more definitive approach to critical thinking during athleti... more Objective: To address the need for a more definitive approach to critical thinking during athletic training educational experiences by introducing the clinical reasoning model for critical thinking. Background: Educators are aware of the need to teach students how to think critically. The multiple domains of athletic training are comprehensive and complex. Thinking is the fundamental connection between didactic and experiential components. Therefore, clinical thinking must be viewed as a critical part of experiential education in athletic training. Description: Research from educational journals in medicine, physical therapy and athletic training, as well as relevant texts, were searched to investigate the theoretical and practical underpinnings of clinical thinking models. Definitions, applications, and the historical underpinnings of the clinical
BACKGROUND Although athletes are typically at low risk for developing venous thromboembolism (V... more BACKGROUND Although athletes are typically at low risk for developing venous thromboembolism (VTE), injured and noninjured athletes alike can be exposed to many acquired risk factors, including intense training, dehydration, trauma, immobilization, oral contraceptive use, and long-distance travel. Additionally, the risk of developing VTE might be increased by unidentified genetic clotting disorders. Due to the potential for fatal outcomes, knowledge of VTE pathoetiology and recognition of deep vein thrombosis (DVT) presentation should be an inherent part of the evaluation process for all who attend to athletes, regardless of age and apparent risk profile. OBJECTIVE To present an exploration clinical case series consisting of 2 otherwise healthy, college-aged female athletes who, despite their ages and relative low risk profiles, experienced DVTs after lower extremity trauma. Each case will be discussed relative to known clinical prediction rules (CPRs) and published evidence. CO...