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Dancer Injuries

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81. Developmental rheumatology in children. Scenario: Growing pains

problems (for example pain, scoliosis, neurological symptoms, systemic illness) — orthopaedics. Suspected neurological problem; possible cancer; milestone delay or regression; suspected non-accidental injury; bladder or bowel problems — paediatrics. Other features may also be present for which specialist assessment is necessary, but with less urgency. Have I got the right topic? Have I got the right topic? From birth to 16 years. This CKS topic covers when to consider community management or referral (...) , acute or stress fracture, nerve injury). Structural conditions (for example slipped capital femoral epiphysis, joint hypermobility syndrome, patellofemoral syndrome). Metabolic conditions (for example vitamin D deficiency). Non-inflammatory pain syndromes (for example fibromyalgia and restless leg syndrome). In contrast with these conditions, the physical examination in a child with growing pains is usually normal [ ]. Heel pain Heel pain Heel pain is commonly reported in young children

2019 NICE Clinical Knowledge Summaries

82. Developmental rheumatology in children

(for example pain, scoliosis, neurological symptoms, systemic illness) — orthopaedics. Suspected neurological problem; possible cancer; milestone delay or regression; suspected non-accidental injury; bladder or bowel problems — paediatrics. Other features may also be present for which specialist assessment is necessary, but with less urgency. Have I got the right topic? Have I got the right topic? From birth to 16 years. This CKS topic covers when to consider community management or referral of children (...) is a diagnosis of exclusion. The list of more serious conditions that need to be considered which can present similarly to growing pains is extensive and includes [ ; ]: Autoimmune and inflammatory conditions (for example juvenile dermatomyositis, juvenile idiopathic arthritis); infectious conditions (for example osteomyelitis, septic arthritis, cellulitis). Malignancy (for example leukaemia, Ewing sarcoma, metastatic lesions). Trauma (for example sprains and strains, acute or stress fracture, nerve injury

2019 NICE Clinical Knowledge Summaries

83. Amenorrhoea

guidance to CKS topic structure. The evidence base has been reviewed in detail, and recommendations are more clearly justified and transparently linked to the supporting evidence. There are no major changes to the recommendations. March 2009 — minor update to include hypopituitarism following traumatic brain injury as a cause of amenorrhoea. Issued in April 2009. July to September 2006 — reviewed. Validated in December 2006 and issued in January 2007. October 2005 — minor technical update. Issued (...) occurring less frequently than every 35 days [ ]. Prevalence How common is it? Primary amenorrhoea is rare and has a prevalence of about 0.3% [ ]. Secondary amenorrhoea is more common, with a reported prevalence of about 3–4% in women of reproductive age [ ; ], 5–60% in competitive endurance athletes, and 19–44% in ballet dancers [ ]. Causes What causes it? Causes of primary amenorrhoea What are the causes of primary amenorrhoea? Causes of primary amenorrhoea in those with normal secondary sexual

2018 NICE Clinical Knowledge Summaries

84. Patellofemoral Pain

, soleus, lateral reti- naculum, or iliotibial band. EXAMINATION – OUTCOME MEASURES: ACTIVITY LIMITATIONS/SELF-REPORT MEASURES A Clinicians should use the Anterior Knee Pain Scale (AKPS), the patellofemoral pain and osteoarthritis sub- scale of the Knee injury and Osteoarthritis Outcome Score (KOOS-PF), or the visual analog scale (VAS) for activity or Eng and Pierrynowski Questionnaire (EPQ) to measure pain and func- tion in patients with PFP . In addition, clinicians should use the VAS for worst pain (...) Subjective Knee Evaluation Form ITBS: iliotibial band syndrome JOSPT: Journal of Orthopaedic & Sports Physical Therapy KOOS: Knee injury and Osteoarthritis Outcome Score KOOS-PF: patellofemoral pain and osteoarthritis subscale of the Knee injury and Osteoarthritis Outcome Score KOS-ADLS: Knee Outcome Survey-Activities of Daily Living Scale KOS-SAS: Knee Outcome Survey-Sports Activity Scale KQoL-26: Knee Quality of Life 26-item questionnaire LEFS: Lower Extremity Functional Scale –LR: negative likelihood

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

85. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

activity that exceeds the rate of osteoblastic new bone formation. This results in bone weakening and microtrabecular disruption (stress injury) and eventually may lead to a cortical break (stress fracture). Stress fractures are encountered frequently and account for up to 20% of all injuries seen in sports medicine clinics [3]. Stress fractures are particularly common in athletes participating in activities that require running and jumping, as well as in ballet dancers and military recruits [4,5 (...) Varies Tc-99m bone scan whole body with SPECT area of interest 1 ??? US area of interest 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Suspected stress (fatigue) fracture, hip. Negative radiographs. Next imaging study. Radiologic Procedure Rating Comments RRL* MRI hip without IV contrast 9 O Tc-99m bone scan whole body with SPECT hip 6 Timing of the study after injury and age of the patient are important

2016 American College of Radiology

87. Naproxen impairs load-induced bone formation, reduces bone toughness, and diminishes woven bone formation following stress fracture in mice. (Abstract)

Naproxen impairs load-induced bone formation, reduces bone toughness, and diminishes woven bone formation following stress fracture in mice. Debilitating stress fractures are surprisingly common in physically active individuals, including athletes, military recruits, and dancers. These individuals are overrepresented in the 30 million daily users of non-steroidal anti-inflammatory drugs (NSAIDs). We hypothesized that regular use of NSAIDs would predispose habitually loaded bones to stress (...) fracture and delay the repair of these injuries. In this project, we used repetitive axial forelimb compression in mice as a model to test these hypotheses. First, adult mice were subjected to six bouts of forelimb compression over a period of two weeks, with aspirin, naproxen, or vehicle continuously administered through drinking water. Naproxen-treated mice had diminished load-induced bone formation as well as a significant loss in toughness in non-loaded bone, which were not observed in aspirin

2019 Bone

88. Closed atraumatic complete rupture of the flexor halluces longus tendon during forward lunge exercise: A case report. Full Text available with Trip Pro

Closed atraumatic complete rupture of the flexor halluces longus tendon during forward lunge exercise: A case report. Acute rupture of the flexor halluces longus (FHL) tendon due to trauma or laceration is a well-known phenomenon. Partial rupture of the FHL tendon caused by tendinitis or stenosing tenosynovitis is common in ballet dancers and athletes. However, atraumatic complete rupture of the FHL is rare: as of 2018, only 7 cases of closed atraumatic complete rupture of the FHL tendon have (...) be understood that this injury can occur not only in professional athletes but also in the general public, and we recommend educating personal trainers on how to prevent it.

2019 Medicine

89. Achilles Pain, Stiffness, and Muscle Power Deficits; Midportion Achilles Tendinopathy Revision

activities on the development of Achilles tendinopathy. 121 However, elderly individuals with diabetes who participated in sports were found to be at increased risk for Achilles tendinopathy. 1 III The review by Magnan et al 129 also identified extrin - sic factors in the development of Achilles tendi- nopathy to include environmental conditions, shoes, equipment, surfaces, and physical activity/sport par- ticipation. One study of professional ballet dancers noted overuse injuries to be more common (...) 2018 journal of orthopaedic & sports physical therapy | volume 48 | number 5 | may 2018 | a7 PREVALENCE 2010 Summary Disorders of the Achilles tendon rank among the most fre- quently reported overuse injuries in the literature. 30,116,128,130 The majority of those suffering from Achilles tendinopathy are active individuals, often involved in recreational or com- petitive sports. 114 Estimates of the annual incidence of Achil- les tendinopathy in runners range between 7% and 9%. 101,114 However

2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

90. Dancing Dorsal Quadrilaterals: A Novel Peripherally Induced Movement Disorder. Full Text available with Trip Pro

Dancing Dorsal Quadrilaterals: A Novel Peripherally Induced Movement Disorder. Recognized peripherally induced movement disorders include the painful legs moving toes syndrome, postamputation dyskinesias, and belly dancer dyskinesias.To introduce and characterize the dancing dorsal quadrilaterals, a novel peripherally induced movement disorder that predominantly affects dorsal quadrilateral muscles (trapezius and rhomboids) after upper spine instrumentation.Between 1990 and 2015, a total of 4 (...) movements of the scapular region with distinctive rotatory motions. They are referred to as the dancing dorsal quadrilaterals because they predominantly affected the bilateral trapezius and rhomboids (dorsal quadrilateral muscles) but could spread to adjacent muscles, and they are similar in appearance and possibly pathogenesis to "belly dancer" dyskinetic movements. The movements of the dancing dorsal quadrilaterals occur when upright but not when lying down or during voluntary muscle activation

2018 JAMA neurology

91. Artistry on Ice: the physical and athletic demands of figure skating and the vital role physiotherapists play Full Text available with Trip Pro

sports review and position statement on behalf of the Ad Hoc Research Working Group on Body Composition, Health and Performance, under the auspices of the IOC Medical Commission. Br J Sports Med. 2013;47:1012-1022. Han, J. S., Geminiani, E. T., & Micheli, L. J. Epidemiology of Figure Skating Injuries: A Review of the Literature. Sports Health , 2018. 10(6), 532–537. Weber, A. E., Bedi, A., Tibor, L. M., et al. The Hyperflexible Hip: Managing Hip Pain in the Dancer and Gymnast. Sports Health . 2015. 7 (...) (4), 346–358. Campanelli, V., Piscitelli, F., Verardi, L., et al. Lower Extremity Overuse Conditions Affecting Figure Skaters During Daily Training. Orthopaedic Journal of Sports Medicine . 2015. Porter, E.B. Common Injuries and Medical Problems in Singles Figure Skaters. Current Sports Medicine Reports . September/October 2013 – Volume 12 – Issue 5 – p 318–320. d’Hemecourt, P.A., Luke, A. Sport-specific biomechanics of spinal injuries in aesthetic athletes (dancers, gymnasts, and figure skaters

2019 British Journal of Sports Medicine Blog

92. Twisting Somersaults, Triple Axels, Tours en l’air, The Firework, Silks

McKinven is chartered physiotherapist with a special interest in dance medicine and performance science. He is the program chair for IADMS, is the dance representative for the ACPSEM and has been told looks great in a kilt. References Kenny SJ, Whittaker JL, Emery CA. Risk factors for musculoskeletal injury in preprofessional dancers: a systematic review (2016) British Journal of Sports Medicine 50:997-1003. Shirer I, Hallé M. (2011) Psychological predictors of injuries in circus artists (...) Principles and Injuries Current Sports Medicine Reports 16,5:351–356 Molnar, M & Karin J (2017) The Complexities of Dancers’ Pain Journal of Dance Medicine and Science 21,1:3-4(2) McNeil, W & Jones S (2018) The Pilates client on the hypermobility spectrum 22,1:209-216 DiFiori JP, Benjamin HJ, Brenner JS , et al (2014) Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine British Journal of Sports Medicine 48:287-288. Soligard T

2019 British Journal of Sports Medicine Blog

94. Synergistic interactions of steroid hormones

this condition. However, there was an increase in soft tissue injury during the winter months that could, in part, be linked to low vitamin D levels impacting muscle strength. The novel finding of this study was that female dancers on the combined oral contraceptive pill (OCP) showed significant differences, relative to their eumenorrhoeic counterparts not on the OCP, in terms of higher levels of vitamin D and associated reductions of bone resorption markers and PTH. The potential mechanism could (...) vitamin D and had increased secretion of salivary IgA, which could improve . Muscle There is evidence that supplementing vitamin D3 at 4,000IU per day has a positive effect on in terms of repair and remodelling following a bout of eccentric exercise. In the longer term, dancers supplemented with 2,000IU over 4 months reported not only , but an increase in quadriceps isometric strength of 18% and an increase of 7% in vertical jump height. Synergistic actions of steroid hormones No hormone can

2018 British Journal of Sports Medicine Blog

95. #BJSMCoverComp2018 – Win prizes!

. All those who take part will enter a draw for prizes which includes a free conference registration and a copy of Brukner & Khan’s Clinical Sports Medicine. Today we reveal the first set of covers which were featured between January 2017 and October 2017. Happy Voting! January 2017 – Our Issue 1 cover highlighted the injury rates at the most recent Youth Winter Olympic Games. For those interested in OPEN access to the original article ‘ Sports injuries and illnesses in the Lillehammer 2016 Youth (...) on the health of youth athletes in sport: October 2017 – suddenly we got a dose of rhythm with two dancers captured mid performance. The VSG (Vereniging voor Sportgeneeskunde/Dutch Sports Medicine Association) used the edition to highlight how Salsa and other forms of dance can impact health – September 2017 – The last cover for the ‘semi-final’ stage of this year’s cover competition featured another example from the glut of striking landscapes in Switzerland. The Swiss Sports Medicine Conference took

2018 British Journal of Sports Medicine Blog

96. 2018 UPDATE: Relative Energy Deficiency in Sport (RED-S)

exercisers in Australia, half were unaware that menstrual dysfunction impacts bone health. Note that these concerning statistics relate to the female athlete triad and the lack of awareness of RED-S in is even more marked. RED-S as a condition impacting males, as well as females, was described in the initial IOC consensus statement published in 2014. However there is evidence of the occurrence of RED-S in pre-dating this. Identification Identifying an athlete/dancer with RED-S is not always straight (...) ), with a corresponding increase in energy intake. Performance effects Performance is paramount to any athlete or dancer. Apart from physical ability, being driven and determined are important characteristics to achieve success. If weight loss is perceived as achieving a performance advantage, then this can become a competitive goal in its own right: in terms of the individual and amongst teammates. This underlies the interactive effect of in the development and progression in the severity of RED-S. There is both

2018 British Journal of Sports Medicine Blog

97. Part 2: Health, Hormones and Human Performance take centre stage

in multiple endocrine axes. Dr Wolman discussed his recent research studies in dancers revealing an intriguing synergistic action between oestrogen and vitamin D, which is itself a steroid hormone. Evidence was presented to demonstrate how being replete in vitamin D has beneficial effects on bone, immunity and muscle function. Thus it is key in preventing injury and supporting health in athletes, with particular relevance in premenarchal and postmenopausal women, who are in relative oestrogen deficient (...) Part 2: Health, Hormones and Human Performance take centre stage Part 2: Health, Hormones and Human Performance take centre stage | BJSM blog - social media's leading SEM voice by By Dr Nicky Keay Chair of BASEM Spring Conference 2018 Endocrine and Metabolic aspects of Sports and Exercise Medicine (SEM) are crucial determinants of health and human performance, from the reluctant exerciser through to the elite athlete and the professional dancer. This is what the recent BASEM spring conference

2018 British Journal of Sports Medicine Blog

98. Surprisingly low levels of Vitamin D in cyclists

Vitamin D is a type of steroid hormone. An discussed the synergistic action of steroid hormones, in particular vitamin D and the sex steroids. In dancers who train in studios inside, away from the sun then there is evidence that levels of vitamin D can become low, particularly during winter months. Supplementing with vitamin D in these elite female dancers reduced injuries and significantly improved . What about athletes that train outside? What about male athletes? You might think that competitive

2018 British Journal of Sports Medicine Blog

99. What is Dance Medicine?

on the ability of the dancers to forge an emotional connection with the audience. As with athletes, injuries are always an important topic for dancers: how to recognise the aetiology of injuries and thus develop prevention strategies. Dance UK have published two reports on national enquiries into the health of dancers. Dance UK has now evolved into the organisation which includes the National Institute of Dance Medicine and Science (NIDMS). One Dance provides delivery of the Healthier Dancer Programme (HDP (...) ) whose talks regularly engage 1500+ dancers and dance professionals per year and which will be a part of the One Dance UK conference at the end of November, an overarching event for the entire dance sector. One Dance holds a list of healthcare professionals with experience and expertise in dance. One Dance is an especially an important resource for independent dancers who will not have access to the provision for those working in larger dance companies. However, beyond injury management

2018 British Journal of Sports Medicine Blog

100. Evaluating Multivariate MRI Maps of Body Awareness

to the breath (e.g., chronic pain conditions that are not well-managed), or impact neural functioning (e.g., multiple sclerosis, neurological diseases, brain injury); currently experiencing a mental health condition (e.g., anxiety, depression, panic disorder, post-traumatic stress disorder, attention deficit and hyperactivity disorder) or past severe mental illness such as bipolar disorder, schizophrenia, or severe substance abuse disorder. use of psychotropic medications in the past year current use (...) impact body awareness and is not associated with mind-body practices (e.g., professional athletes or dancers, marathon runners); lack of ability to speak and read English fluently (instructions and questionnaires will be in English only and foreign language translations will have to await future studies); For participants who consent to the fMRI study, exclusion criteria include contra-indications for safety and data quality in the MRI scanner (see MRI screening form): presence of ferromagnetic metal

2017 Clinical Trials

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