sports injury – Seite 6

exercise is medicine sports and youth sports injury knee ligament

Evidence for the management of anterior cruciate ligament rupture in children and adolescents

ACL injuries in children and adolescents have increased substantially in recent years. Nevertheless, treatment algorithms are domiated by predjudice more than by evidence, eventhough the scientific basis, summarized in this paper, is sound. The likelihood of an ACL tear in a traumatic hemarthros, even without contact, is 52%. More than half of the cases show concurrent injuries. Methods and criteria for success of conservative treatment are published in detail, however, surgical treatment produces a better clinical outcome in most cases. Various surgical techniques exist, and age appropriate treatment can elimate the risk of a growth disturbance and restore the normal function of the knee.

exercise is medicine sports radiology pain spine

Physical activity and chronic low back pain

Non-specific chronic low back pain is a multifactorial pathology with a significant impact on quality of life. Physical activity is a major axis of treatment to improve pain and functional capacity through structured exercises, but also to fight against physical deconditioning. It is therefore advised to perform leisure time physical activity regularly and in an adapted way. There is no contraindication to practice sports activities but they should be performed with special attention not to increase the symptoms. This article aims to evaluate the effects of different types of physical activity in chronic low back pain to help the practitioner to advise at best his patients and prescribe appropriate physical activity, source of pleasure and health benefits.

sports injury foot & ankle sports physiotherapy muscle

Foot core strengthening: relevance in injury prevention and rehabilitation for runners

The human foot is a flexible structure characterized by a pronounced medial longitudinal arch (MLA) that compresses and recoils during running. That process is actively driven by the intrinsic foot muscles and requires a proper stability of the MLA. This introduces the concept of foot core stability. Because the intrinsic foot muscles are often neglected by clinicians and researchers, the purpose of this article is to provide some guidelines for incorporating foot core training in prevention or rehabilitation programmes for runners.

sports injury shoulder & elbow tendon sports physiotherapy

Tennis and golf elbow

“Tennis and golfer’s elbow” are common pathologies due to overload of forearm extensors and flexors, and actually occur mostly outside tennis and golf sports. Several differential diagnoses of medial and lateral epicondylitis have to be excluded as there are a number of other conditions with similar clinical symptoms. The high rate of spontaneous recovery has to be considered in treatment. Evidence based conservative treatment comprises excentric physiotherapy, local injections, and physical methods. Surgery is reserved for patients with persistence of symptoms for more than one year despite non-surgical treatment.

sports injury knee tendon sports physiotherapy

Tendon problems around the knee

The knee joint is affected in up to 30% of all sport injuries. A minor precentage of it are tendon injuries. For acute tendon injuries, quadriceps tendon rupture and patellar tendon rupture are most frequent. Beside that, ruptures of distal hamstring tendons or the popliteus tendon may occur. For chronic tendon injuries in sports, the jumpers knee and the runners knee are most frequent. Also insertional enthesopathy of the quadriceps tendon, of the iliotibial band, of the hamstring tendons may occur, furthermore a tendinitis or bursitis at the pes anserinus. These injuries are explained in this article focussing on symptoms, diagnostics and therapy.

sports injury foot & ankle tendon sports physiotherapy

Rare tendon pathologies at the foot level

While lesions of the achilles tendon and posterior tibial tendon are common and well known, lesions of other ankle bridging tendons are rare and literature is sparse. However, many of these lesions are equally relevant in terms of maintaining the complex functionality of the foot. Such pathologies include tendinitis, tenosynovitis as well as partial and complete tears. If the continuity of the affected tendon is maintained, conservative treatment is appropriate. In cases of ruptures, operative therapy is often needed. Depending on the defect size and retraction of the tendon, auto- or allograft have to be used.

exercise physiology sports injury tendon

Tendons – Morphology, biology and biomechanics

The tendon has to be seen functionally within the muscle-tendon-unit. The tendon has to transmit the force that is produced by the muscle, but acts also as a spring that stores energy. The tendon itself consists of three parts: the tendon-bone insertion, the mid-portion area, and the muscle-tendon junction. The biomechanical properties belong primarily on type I collagen, that degenerates in case of tendinopathy.

elite sports sports and youth preparticipation sports injury team management

Epidemiology and prevention of injuries in young sportsmen. A 35 year observational study of the sport and art classes in the Canton of Geneva

Injury prevention is a priority in the field of sports medicine and in physical activity promotion, in particular for youth. Injuries can lead to long term handicaps and disengagement from physical activity. The follow up of young sportsmen in the canton of Geneva over the last 35 years has permitted to get an idea of the prevalence of injuries in young sportsmen and allows a comparison with the general population. It has also permitted to get an idea of the influence prevention has had on injuries.

sports physiotherapy ligament RTS sports science foot & ankle ligament

Responsiveness of the Star Excursion Balance Test on Firm and Unstable Underground

Objectives: To evaluate the responsiveness of the classic Star Excursion Balance Test (SEBT) and of a modified version performed on a soft surface (Airex Balance-Pad). The classic Star Excursion Balance Test is widely used in persons with chronic ankle instability. For the use in healthy athletes, the test can be made more difficult by performing it on a soft surface. Design: Pre-post study with balance assessment before and after a five-week intervention. Setting and participants: A convenience sample of 28 healthy adults performed both SEBT variants at baseline and after five weeks (9 sessions) of sensorimotor and strength training.

sports injury foot & ankle knee tendon sports medicine sports physiotherapy tendon

Use of Platelet-rich Plasma for the Treatment of Patellar and Achilles Tendinopathies

The purpose of this study was to retrospectively evaluate the effectiveness of Platelet-Rich Plasma Injection (PRP) for Achilles and patellar tendinopathy refractory to conventional conservative treatments. For this, we compared the data from 34 patients treated with one or two injections of PRP. Pain, functional ability, athletic recovery and satisfaction of patients were evaluated.