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Dancer Injuries

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141. Reflections from the Scandinavian Sports Conference: Norefjell 2016

schedule keeping us fully occupied. Strong start… The conference was attended by 500 sports doctors, surgeons, physios, and other therapists. It opened with a welcoming ceremony and traditional Norwegian dance called the ‘Halling’ and was an impressive show of grace, strength, and acrobatic skill from the dancer. After the dancing and introductions, the eminent Norwegian surgeon gave us the first talk of his review of 50 years in sports medicine. It was an interesting to see Lars perspectives on how (...) as clear as I wanted, apologies to all those who did attend for being very rushed. After coffee the final session of the day was some short abstract presentations on various topics around sports injury. from the , which is churning out some good quality research and researchers gave us a talk on Ski Jumping injuries. Lars showed us that there is a high prevalence of non traumatic injuries in this sport and this is possibly due to a crazy schedule these athletes have to endure with only 1 day of rest

2016 The Sports Physio blog

143. CADTH Therapeutic Review Clinical and Economic Overview. Biological Response Modifier Agents for Adults with Rheumatoid Arthritis

is it intended to replace professional medical advice. While CADTH has taken care in the preparation of this document to ensure that its contents are accurate, complete, and up to date, as of the date of publication, CADTH does not make any guarantee to that effect. CADTH is not responsible for the quality, currency, propriety, accuracy, or reasonableness of any statements, information, or conclusions contained in the source documentation. CADTH is not responsible for any errors or omissions or injury, loss (...) trials evaluated infliximab (ATTRACT 2000, ATTEST 2008). Three trials evaluated abatacept (Kremer 2003, AIM 2006, and ATTEST 2008). Two trials evaluated anakinra (Cohen 2002, Cohen 2004). One trial evaluated rituximab (DANCER 2006). The remaining trials were not included in the MTC meta-analysis for the following reasons: use of a biologic agent with no concomitant DMARD, background DMARD therapy may not have consistently included methotrexate, or low concomitant methotrexate doses were noted

2010 Canadian Agency for Drugs and Technologies in Health - Common Drug Review

144. Performing Arts Medicine: How can it add to one’s clinical practice?

of Injury & Illness in Sport: Posters: Epidemiology of injuries among elite pre-professional ballet students. Br J Sports Med 2011;45:4 347 D Hamilton, P Aronsen, J H Løken, I M Berg, R Skotheim, D Hopper, A Clarke, N K Briffa. Dance training intensity at 11–14 years is associated with femoral torsion in classical ballet dancers. Br J Sports Med 2006;40:4 299-303 Nolet, R. Virtuoso hands. Clin Rheumatol (2013) 32:435–438 ************************************8 Dr Farrah Jawad is currently a ST5 doctor (...) , and are subject to acute and chronic injury and illness just like athletes. As a part-time PAM MSc student whilst continuing with my full-time Sport and Exercise Medicine training, I have been learning about these issues pertaining to the performing artist in lectures and in seminars. Last term we had a seminar with David Hockings, Principal Percussionist with the BBC Symphony Orchestra and Head of Percussion at the Royal College of Music, who talked to us about the challenges musicians can face, often

2015 British Journal of Sports Medicine Blog

145. Hamstring Rehabilitation: Criteria based progression protocol and clinical predictors for return to play

measurement to keep track of the progression. In our experience, nearly all of the hamstring injuries were due to running. If you see dancers (and maybe martial artists) you probably need to take our advice with a grain of salt. We agree with Askling that stretch type injuries are a different beast, but we can’t help you there as we really hardly ever see these. However for our patients, all rehab protocols must include running. Specifically, running as close as you can get to what would be required (...) strain injury rehabilitation. Not wanting to be left out, we developed a hamstring rehabilitation protocol at the , based on available literature and clinical experience (that magic combination that doesn’t always like each other, but oh how sweet when they do). Our initial assessment and treatment includes elements that will form part of most protocols. So I will focus on three critical elements that we were able to identify: The most important measurement is strength, especially outer range

2015 British Journal of Sports Medicine Blog

146. The American Dream? Lessons from an elective in Orthopaedics & Sports medicine

at Boston Children’s Hospital; 2) The Hospital for Special Surgery (HSS), Cornell University; and finally 3) The Cleveland Clinic Sports Health. My few-month stint resulted in travelling to 3 USA states, 2 Ivy League institutions, 2 #1 ranked Orthopaedic programs (paediatrics and adults) and working with sports doctors and athletes from professional and college teams for hockey, basketball, baseball, football and rrestling, as well as dancers and ballet companies. It really was that busy (...) . For example, baseball is a great arena to study the ‘Throwing Shoulder’ and American football has injury profiles similar to rugby. Overall, if you plan ahead, put yourself out there and dive into it! Make your elective, the trip of your lifetime. David Bui is a final year medical student at the University of New South Wales, Sydney Australia. He is the current President of the University of New South Wales Sports Medicine Society Twitter: ( ) Dr. Liam West BSc (Hons) MBBCh PGCert SEM ( ) is a graduate

2015 British Journal of Sports Medicine Blog

147. Cuboid subluxation: a case study and review of the literature. (PubMed)

some insights, although much remains to be learned about this imaging modality in cuboid subluxation. Treatment focuses on conservative measures, including cuboid manipulation, bracing and taping, activity modification, and orthotics. Immobilization may be warranted in cases in which instability is noted, such as after acute traumatic injury. Most athletes and dancers with this disorder return to full participation after successful treatment. Adequate awareness and understanding of this condition (...) Cuboid subluxation: a case study and review of the literature. Cuboid subluxation involves displacement of the cuboid, resulting in pain and problems with push off during dancing or running. Its incidence varies with the population being studied, being apparently highest in ballet dancers. Most cuboid subluxations are plantar and medial, with rare dorsal subluxations. Diagnosis rests on adequate clinical evaluation, and traditional imaging tends to be unhelpful. Ultrasound imaging may offer

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2017 Current Sports Medicine Reports

148. Highlights from the Female Athlete, BASEM Spring Conference 2015

the importance of energy availability for optimal health and performance but presents a more comprehensive approach than the triad’s limited triangular view. Risk factors for developing relative energy deficiency include; restrictive eating, injuries and illness, specialisation, decline in performance level, casual misinformed comments by coaches on physical appearance. Risk of developing RED-S can be minimised by: educational programs for athletes and coaches, re-emphasising weight as a performance (...) in amenorrhoeic athletes. Vitamin D deficiency is an independent risk factor for stress fractures. Treatment options for low bone mineral density include; calcium and vitamin D supplements, impact exercise, addressing contributory lifestyle factors. Ballet: The Vitamin D and Bone Mineral Density Story – Professor Matthew Wyon Ballet dancers undertake rigorous training; 38 hours per week at least. They are considered prime candidates for developing the female athlete triad. The research examining

2015 British Journal of Sports Medicine Blog

149. Highlights from the Sixth London School of Sport and Exercise Medicine Conference – Sport and Exercise for All

has been involved with Dance Medicine at a high level since the late 1980s, and has a great wealth of experience in the field. He highlighted the injury pattern and predisposing factors that are specific to an aesthetic athlete such as a dancer. Mental health in sport Dr Justin Yeoh, an ST6 in SEM who is an experienced physician in the world of football, delivered perspectives from his own experience on mental health in sport, with a particular emphasis on depression. He highlighted how common yet (...) by Holborn Bars, March 11, 2015) certainly lived up to high expectations. 145 candidates from diverse backgrounds attended the expert presentations on key issues including: physical activity for the old, young, elite and the less athletic. Below, we summarize highlights from the day. Tales from the Ballet: common problems encountered with performing athletes and dancers In the morning, we heard from Dr Roger Wolman, Consultant Rheumatologist and Sports Physician, about ‘Tales from the Ballet’. Dr Wolman

2015 British Journal of Sports Medicine Blog

150. The delegate view of 6th London School of SEM Conference– What lessons were learnt?

of the important lessons learnt by those in attendance, and add in some links to related BJSM material. Tales from the ballet: common problems encountered with performing athletes and dancers – Dr Roger Wolman Dancers are often lumped as a single group, however movement patterns vary significantly between forms of dance Injury risk factors – Poor nutrition. The movements desired by dance coaches require demanding biomechanics. Aesthetic requirements of low body weight and knee hyper-flexion Demands – Highly (...) competitive environment means that dancers do not reveal injuries for fear of being held back. Tours are often long, with inadequate rest Support – Limited financial resources, therefore there is inadequate medical and scientific support. The first NHS specialist dance injury clinics were set up in 2012. There is often an on-going battle between dance teachers and sports therapists and a balance must be met to ensure protection of athlete’s health and performance capability Mental health in sport – Dr

2015 British Journal of Sports Medicine Blog

151. Interacting with the arts in medicine: a web-based repository for teaching and learning

to patients’ experience of illness to challenges faced at the end of life. Winthrop Chandler - Dr. William Gleason, 1785 Oil Ohio Historical Society Many of the works included in the site are the result of personal relationships I’ve cultivated with artists around a mutual interest in medicine. Once while reading the newspaper, I came across an article about a dancer, Ciao-Ping Li, who had choreographed a work entitled “Painkillers.” The article described how Ciao-Ping Li created this work in response (...) to a serious car accident that had among other injuries crushed her foot. The performance chronicles her ordeal as she tried unsuccessfully to return to dance. Seeing that Ciao-Ping was in town to premiere this work, I attended her event and afterwards introduced myself. I asked if I could post her story on my website and she graciously agreed. She not only sent me pictures of her surgeries, but included clips from her choreographic work as well. In a similar way, I have connected with musicians

2015 The AFP Community Blog

152. Image of the Week: Candoco Dance Company

and misconceptions about disability, both in the UK and around the world. This week’s image of the week celebrates their achievements. The photograph was taken by Samuel Bradley and was as part of ‘Doing Disability Differently’ on Mosaic. It shows a group of dancers from Candoco – a professional dance company that integrates disabled and non-disabled dancers. The company had its beginnings in a series of dance workshops at a spinal injury centre in London in 1991 and in the years since then has overcome (...) Image of the Week: Candoco Dance Company Image of the Week: Candoco Dance Company | Wellcome Trust Blog Life from a Wellcome Trust perspective Image of the Week: Candoco Dance Company 6 Nov, 2015 tags: , , , , by Portrait of dancers from Candoco dance company by Samuel Bradley This Sunday (8th November 2015) marks 20 years since the (DDA) was passed by parliament in the UK. The Act made discrimination against disabled people unlawful for the first time – or to put it another way – before

2015 Wellcome Trust Blog

153. All thats wrong with sports physios…

allowed to be used by those suitably qualified, and I am informed he is not actually a qualified physiotherapist. In fact I have been reliably informed that his only offical qualification is one he obtained in the USA in the early 90s in soft tissue massage. This means he has no other qualifications that allow him to assess, diagnose or treat musculoskeletal injuries. So it does surprise me to see him doing just this with Paula in this in his interview, but thanks to a legal loop hole in Ireland where (...) Dave you muppet’, yet in professional sport it’s seen as ‘normal’ behaviour… It’s not!!! Now many argue that its different in professional sport, the demands on the body are higher, the recovery times shorter and so the risk of injury is higher. And I agree, sort off, but this is not an excuse for over treatment or reinforcing beliefs of fragility or higher risks of injury. Most of these ‘pre comp’ routines and injury preventative rituals that infiltrate elite sports are complete and utter nonsense

2015 The Sports Physio blog

154. High Ankle Sprains… A guest blog by Tom Whittamore

helpful to read & your timing is uncanny, have just been dealing with one of these with a dancer who suffered a hyperdorsiflexion injury mechanism (bad landing from a flip). Was missed initially & treated as ‘standard’ ATFL sprain, but conservative management and getting back to proper classes 5 months down the line now. Stability and range demands obviously quite extreme… Hi Sudbury Physio, Many thanks for your comment. For me the mechanism is one of the key factors in considering the involvement (...) of the syndesmosis alongside the assessment of course. A dorsiflexion and/or external rotation mechanism would lead me to suspect that we are possibly dealing with the syndesmosis and should always be considered until it can be ruled out. Glad to hear that the dancer is back doing their classes, good work!! Hi Ade, Many thanks for your comments. Conservative management all depends on the severity of the injury and number of ligaments injured. I would tend to go for conservative if it was an isolated ligament

2015 The Sports Physio blog

155. Patient Modesty: Volume 71

that on someone else. We, even more so than the average person, are more aware and respecting of other people's values of modesty. These are the exact same dynamics and the patient is left with a feeling of a loss of control of their person. Insult is further added to the injury with the attitude of entitlement to our bodies, the denial that we have been traumatized, and the implication that we are mentally disturbed or an anomaly. I believe that the same thinking is used in healthcare that perpetrators

2015 Bioethics Discussion Blog

157. Female Athlete Triad (Overview)

history, dietary concerns/restrictions, and a bone health history. [ ] Simple inquiries such as these may reveal the first warning signs of an athlete at risk or suffering from the female athlete triad. A study that categorized athletes into low-, moderate-, and high-risk groups for bone stress injuries using the Female Athlete Triad Cumulative Risk Assessment score found that moderate-risk athletes were twice as likely to sustain a bone stress injury when compared to the low-risk group and high-risk (...) were 4 times as likely. The study also found that bone stress injuries were most common in cross-country runners. [ ] Previous Next: Prognosis For many athletes, the long-term prognosis is good. Few athletes with the female athlete triad are admitted to the hospital for inpatient treatment, and few die from their disease. However, significant long-term morbidity may affect these women later in life. The diagnosis of the female athlete triad was established in the early 1990s, although this set

2014 eMedicine.com

158. Ankle Impingement Syndrome (Follow-up)

such as ballet, correct technique can help prevent injury. Previous Next: Prognosis According to multiple follow-up studies, excellent and good postoperative results can be expected for approximately 84% of patients. [ , , ] Previous References Ferkel RD. Soft tissue pathology of the ankle. McGinty JB, Caspari RB, Jackson RW, Poehling GG, eds. Operative Arthroscopy . 2nd ed. Philadelphia, Pa: Lippincott Raven; 1996. 1141-55. Ferkel RD. Ankle and foot injuries. Fu FH, Stone DA, eds. Sports Injuries (...) about the ankle joint in classical ballet dancers. Am J Sports Med . 1977 Mar-Apr. 5(2):84-8. . Maquirriain J. Posterior ankle impingement syndrome. J Am Acad Orthop Surg . 2005 Oct. 13(6):365-71. . Alfredson H, Cook J, eds. Pain in the Achilles region. Brukner P, Khan K. Clinical Sports Medicine . 2nd ed. New York: McGraw-Hill; 2000. Lee JC, Calder JD, Healy JC. Posterior impingement syndromes of the ankle. Semin Musculoskelet Radiol . 2008 Jun. 12(2):154-69. . McCarthy CL, Wilson DJ, Coltman TP

2014 eMedicine.com

159. Femoral Neck Stress and Insufficiency Fractures (Diagnosis)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NjY5MS1vdmVydmlldw== processing > Femoral Neck Stress and Insufficiency Fractures Updated: Feb 12, 2018 Author: Michael S Wildstein, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Femoral Neck Stress and Insufficiency Fractures Overview Background Femoral neck stress fractures are a common cause of in select populations. Chronic, repetitive activity that is common to runners and military recruits predisposes these populations to femoral neck . These injuries must (...) be a complete fracture (possibly displaced) of the femoral neck. Even isolated, this injury could be devastating to a performance athlete. The sequelae of this fracture include and fracture nonunion, both of which can adversely impact athletic careers. The pain associated with femoral neck stress fractures can be both irritating and disabling to these high-performance individuals. Because the onset of this pathologic entity is insidious and because the results of conventional radiography are frequently

2014 eMedicine Surgery

160. Achilles Tendon Pathology (Diagnosis)

Achilles Tendon Pathology (Diagnosis) Achilles Tendon Injuries: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzA5MzkzLW92ZXJ2aWV3 processing > Achilles Tendon Injuries (...) Updated: Sep 12, 2018 Author: Anthony J Saglimbeni, MD; Chief Editor: Dean H Hommer, MD Share Email Print Feedback Close Sections Sections Achilles Tendon Injuries Overview Practice Essentials Achilles tendon pathologies include rupture and tendonitis. Many experts now believe, however, that tendonitis is a misleading term that should no longer be used, because signs of true inflammation are almost never present on histologic examination. Instead, the following histopathologically determined

2014 eMedicine Surgery

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