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Paul Grace

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Michael S. Ferrara, W. E. Buckley and Connie L. Peterson

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Nancy Theberge

This article offers an analysis of the social sources of biomedical interest in women’s sports injuries through a case study of anterior cruciate ligament (ACL) injuries. Although both men and women incur them, there is extensive research interest in women’s ACL injuries. Drawing on interviews with researchers who have contributed to this research, the investigation examines the social sources of this interest. Explanations lie largely in the evolution of the agenda in sport medicine to a concern with injury prevention, which coincides with a movement toward the inclusion of women in health research. The article concludes with a consideration of the political and ideological implications of the interaction of the prevention and inclusion agendas in research on women’s sport injuries.

Cet article propose une analyse des sources sociales de l’intérêt biomédical pour les blessures dans les sports féminins à travers l’étude du cas des blessures au ligament croisé antérieur (LCA). Bien que les hommes et les femmes en soient tous deux victimes, il y a énormément d’intérêt en recherche pour les blessures au LCA chez les femmes. S’appuyant sur des entrevues avec des chercheurs qui ont contribué à ce projet, l’étude examine les sources sociales de cet intérêt. Les explications reposent grandement sur l’évolution de l’agenda en médecine du sport vers un souci de prévention des blessures, ce qui coïncide avec un mouvement vers l’inclusion des femmes dans la recherche sur la santé. L’article conclut par une considération des implications politiques et idéologiques de l’interaction des agendas de prévention et d’inclusion en recherche sur les blessures sportives chez les femmes.

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Cynthia M. Ferrara and Emily Hollingsworth

Purpose:

To examine relationships between physical characteristics and injuries in adult figure skaters.

Methods:

One hundred thirty adult figure skaters (113 women and 17 men, 43 ± 9 and 55 ± 10 y old, respectively) completed study questionnaires concerning health, height and weight, exercise habits, and injuries in the preceding year.

Results:

The men were older and taller and weighed more than the women (P < .05). Approximately 80% had normal body-mass index (BMI, weight [kg]/height [m]2), and the other 20% were overweight or obese based on BMI. Study participants had been skating for 12 ± 10 y (range 1 to 68 y). Most skate 4 to 5 h/wk (competitive > recreational skaters, P < .05). Although approximately 50% of competitive skaters always warm up or stretch before skating, less than 30% of the recreational skaters always do so (P < .05). Seventy-two skaters (56%) reported at least 1 injury in the preceding year. Most of the injuries were acute injuries to the lower extremity and were related to skating (76%). There were no differences in the incidence of stretching or warm-up activities or the number of hours per week spent skating in those who had incurred a skating-related injury compared with those who had not been injured (P > .05).

Conclusions:

The results suggest that adult skaters have training and exercise habits that might increase their risk of injury and impair athletic performance. This suggests the importance of educational programming for adult skaters designed to address injury prevention and basic exercise-training principles.

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André Bateman and Kai A.D. Morgan

even threaten their success. 2 It follows that injuries may have the potential to terminate an athlete’s career and, as such, may be interpreted as a stressful or traumatic life event. In fact, some studies have reported that these sport-related injuries may be associated with postinjury sequelae

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Damien McKay, Carolyn Broderick and Katharine Steinbeck

With the advent of long-term athlete development programs and early sport specialization, the training of elite athletes now spans the period of adolescence. Adolescence represents a period of physical, psychosocial and cognitive development, but also a time of physical and psychological vulnerability. Changes in skeletal and physiological attributes coincide with an increased risk of sport related injury. A window of vulnerability is shaped by the properties of the musculoskeletal system, the influence of pubertal hormones and the lag time between physical and cognitive development. This article aims to challenge the assumption of adolescence as a time of increased vigor alone, by highlighting the presence of specific vulnerabilities, and proposing that the hormonal, musculoskeletal, and neurocognitive changes of adolescence may represent intrinsic risk factors for sport related injury.

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Michelle L. Weber, Kenneth C. Lam and Tamara C. Valovich McLeod

Clinical Question:

In youth and adolescent athletes, are jumping/plyometric exercises more effective than balance exercises in preventing sport-related injuries?

Objective:

The aim of this article is to examine the meta-analysis by Rössler et al.1 as it relates to the clinical question.

Conclusion:

Evidence in this meta-analysis suggests that injury prevention programs provide beneficial effects in injury reduction for youth and adolescent athletes. Prevention programs that contained jumping or plyometric exercises and were targeted toward females appeared to be especially beneficial for decreasing injury risk.

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Brett Krueger, Laura Becker, Greta Leemkuil and Christopher Durall

Clinical Scenario:

Ankle sprains account for roughly 10% of sport-related injuries in the active population. The majority of these injuries occur from excessive ankle inversion, leading to lateral ligamentous injury. In addition to pain and swelling, limitations in ankle range of motion (ROM) and self-reported function are common findings. These limitations are thought to be due in part to loss of mobility in the talocrural joint. Accordingly, some investigators have reported using high-velocity, low-amplitude thrust-manipulation techniques directed at the talocrural joint to address deficits in dorsiflexion (Df) ROM and function. This review was conducted to ascertain the impact of talocrural joint-thrust manipulation (TJM) on DF ROM, selfreported function, and pain in patients with a history of ankle sprain.

Focused Clinical Question:

In patients with a history of inversion ankle sprain, does TJM improve outcomes in DF ROM, self-reported function, and/or pain?

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Joan L. Duda, Alison E. Smart and Marlene K. Tappe

This study examined the relationship between the three facets of subjective meaning—personal incentives, sense of self, and perceived behavioral options—and adherence behaviors in the athletic injury rehabilitation setting. Subjects were 40 intercollegiate athletes who had sustained a sport related injury; all completed a questionnaire assessing the three components of meaning specific to sport and injury rehabilitation. Adherence was defined as a composite of attendance at the prescribed sessions, degree of completion of the prescribed exercise protocol, and the athlete's intensity or effort exerted in performing the prescribed exercise. Multiple-regression analyses indicated that each dimension significantly predicted adherence behaviors. Athletes who demonstrated greater adherence believed in the efficacy of the treatment, perceived more social support for their rehabilitation, were more goal directed or self-motivated, and placed more emphasis on mastery or task-involved goals in sport.