Browsing by Author "Johnston, Kenzie"

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    A Small Bowel Perforation in a Goalkeeper: A Case Report and Return-to-Play Progression.
    (Journal of athletic training, 2021-11) Johnston, Kenzie; Condon, Tara A; Ciocca, Mario; Aguilar, Alain
    Sport-related intra-abdominal injuries are rare and may be associated with significant morbidity if missed. We present the case of a 21-year-old male collegiate goalkeeper who sustained a small bowel perforation after colliding with a teammate in practice. The athlete underwent laparoscopic primary repair of his small bowel perforation, a relatively uncommon type of surgical intervention for this injury given that similar patients are typically treated via laparotomy. Due to the rarity of small intestine injuries in athletes, information regarding the success of surgical interventions and return-to-play (RTP) standards is lacking, as is information on outcomes and return to sport after a laparoscopic repair. In this case report, we discuss the unique challenge of constructing an RTP protocol for this high-level athlete and propose a protocol for RTP after an intra-abdominal injury treated laparoscopically.
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    Brain Health Considerations in the Modern Lacrosse Athlete
    (The Journal of Cartilage & Joint Preservation) Johnston, Kenzie; Bytomski, Jeff; Lau, Brian; Vomer, Rock
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    Sports Medicine: Relative Energy Deficiency in Sport.
    (FP essentials, 2022-07) Johnston, Kenzie
    Exercise without proper nutrition can lead to a syndrome called relative energy deficiency in sport (RED-S). Athletes at greatest risk of RED-S are those who restrict intake, exercise for extended periods, and limit the types of foods that they will eat. Early detection of athletes at risk of RED-S is essential to prevent long-term consequences; however, validated screening tools for RED-S are limited. Often, athletes will present with a consequence of RED-S, such as a bone stress injury, amenorrhea, or performance impairments. Initial management for RED-S should be focused on increasing energy availability either by increasing caloric intake or decreasing energy expenditure during exercise. Prevention of RED-S should be a priority for coaches, parents, physicians, and sport organizations, but knowledge on this condition often is limited.