The Impact Of Achilles Tendon Pathology On Lower Limb Joint Stiffness Regulation During Hopping Tasks
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Author |
: Kevin Lieberthal |
Publisher |
: |
Total Pages |
: 160 |
Release |
: 2015 |
ISBN-10 |
: OCLC:1091859280 |
ISBN-13 |
: |
Rating |
: 4/5 (80 Downloads) |
Synopsis The Impact of Achilles Tendon Pathology on Lower Limb Joint Stiffness Regulation During Hopping Tasks by : Kevin Lieberthal
Achilles tendinopathy (AT) is a debilitating running injury affecting 50% of distance runners over their lifetime. Ultrasound (US) imaging studies have shown that pathological changes are present in 11-52% of asymptomatic individuals. Impairments of the lower leg muscle-tendon function may develop with AT however alteration of lower limb loading strategies has not been examined in runners with asymptomatic Achilles tendon pathology. The primary aim of the thesis was to determine if Achilles tendon pathology changes lower limb loading patterns. It was hypothesised that there would be a different loading pattern between the ankle and knee in runners with Achilles tendon pathology. In order to investigate this primary aim, secondary aims were developed to determine the prevalence of Achilles tendon pathology in an asymptomatic running population and to determine any associated factors of tendon pathology. This study initially assessed the prevalence of tendon pathology and a number of associated risk factors for 37 experienced, high mileage male endurance runners with no history of Achilles tendon pain. The tendon was assessed using US by a musculoskeletal radiologist and classified as either normal or abnormal. Height, body mass, waist circumference, and weight bearing ankle dorsiflexion range of motion (ROM) with the knee in a flexed and extended position were measured. A survey quantified the running history of participants. Following the initial study, 14 runners with no history of Achilles tendon pain and a normal Achilles tendon on US imaging, and 12 runners with asymptomatic Achilles tendon pathology were assessed in a series of further studies. A third group of 12 runners with symptomatic AT were also studied. Each runner completed single leg hopping for both limbs on a level and inclined surface. Embedded in the surface was a force plate (1000Hz) that was synchronised with a three dimensional motion capture system (250Hz). Nonparametric statistics were used to examine the effect of surface angle and group on hopping biomechanics. All results are reported as median and interquartile range (IQR). Almost half (46%) of the asymptomatic distance runners had at least one abnormal tendon. The runners with asymptomatic Achilles tendon pathology had significantly more years of running history (Median 20.0 years, IQR 6.0-25.5, p=0.024) than the runners with no pathology on US (Median 7.0 years, IQR 5.0-15.0). No significant differences between the groups was identified for age, height, mass, waist circumference, ankle ROM, number of weekly running sessions, weekly mileage and number of long distance (marathon and half marathon) running events completed in their lifetime. Symptomatic runners had significantly less active ankle joint stiffness (Level – Median = 8.2 Nm/kg/rad, IQR = 7.7-9.2; Incline - Median= 8.1 Nm/kg/rad, IQR = 7.2-9.7) when compared to the normal group (Level – Median = 9.8 Nm/kg/rad, IQR = 9.0-10.5; Incline - Median= 10.2 Nm/kg/rad, IQR = 8.7-10.4) for both the level (p=0.044) and inclined (p=0.042) surfaces. No differences were identified for leg stiffness between the three groups. Asymptomatic male distance runners had a high incidence of tendon pathology compared to other populations (e.g. soccer players) and cumulative load in running years is an associated factor of tendon change. This thesis identified that the presence of Achilles tendon pathology without a history or presence of pain did not alter lower limb loading strategies. However, runners with symptomatic AT had reduced ankle stiffness. This may explain the recalcitrant and recurrent nature of AT if runners are not able to increase their ankle stiffness following rehabilitation and recovery after injury.
Author |
: Paul W. Ackermann |
Publisher |
: Springer |
Total Pages |
: 299 |
Release |
: 2016-08-17 |
ISBN-10 |
: 9783319339436 |
ISBN-13 |
: 3319339435 |
Rating |
: 4/5 (36 Downloads) |
Synopsis Metabolic Influences on Risk for Tendon Disorders by : Paul W. Ackermann
This book will be of considerable interest to students, practitioners (Doctors, Physiotherapists, and other health care professionals), and researchers who deal with the complex structure of tendons and the need to effectively address tendon disorders. The book is divided into three sections: (1) Basic Biology and Biochemical Markers; (2) Metabolic Disorders; and (3) Novel Therapies. The first section, devoted to the basic biology of tendons, is aimed at those individuals who want to gain basic information on tendons and the subsection on biochemical markers is chiefly aimed at researchers who are developing new studies within this field. The section on metabolic disorders is mainly directed at practitioners who desire to know how metabolic disorders can affect tendons in order to optimize treatment for their patients. Finally, the section on novel therapies is focused on some new treatment options within this field, and discussions regarding how management of tendon disorders needs to incorporate perspectives on current understanding of tendon metabolism.
Author |
: Mahmut Nedim Doral |
Publisher |
: Springer Nature |
Total Pages |
: 3295 |
Release |
: 2015-06-29 |
ISBN-10 |
: 9783642365690 |
ISBN-13 |
: 3642365698 |
Rating |
: 4/5 (90 Downloads) |
Synopsis Sports Injuries by : Mahmut Nedim Doral
Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.
Author |
: Savio L-Y. Woo |
Publisher |
: John Wiley & Sons |
Total Pages |
: 248 |
Release |
: 2008-04-15 |
ISBN-10 |
: 9780470757970 |
ISBN-13 |
: 0470757973 |
Rating |
: 4/5 (70 Downloads) |
Synopsis Tendinopathy in Athletes by : Savio L-Y. Woo
This concise volume in the Encyclopaedia of Sports Medicine series, published under the auspices of the International Olympic Committee, provides a dependable source of current knowledge available on tendinopathy and covers both the basic science and clinical aspects of the subject. Despite its high incidence, the precise etiopathogenesis and effective treatment of tendinopathy remain elusive. Tendinopathy in Athletes draws on the expertise of an international and prolific collection of contributors, both clinicians and scientists, who provide new insights into this specialized area. This book: provides a comprehensive resource for both clinicians and researchers with information organized logically, with an easy-to-follow progression from the basic scientific findings to clinical applications discusses the full range of treatment modalities, including new molecular and biological approaches, plus surgical and alternative approaches to tendinopath contains “What We Need to Know” sections that suggest future areas of research for young investigators. As tendinopathy remains one of the most common injuries encountered, both in sports and at the workplace, this essential volume is sure to be a source of frequent consultation.
Author |
: Jón Karlsson |
Publisher |
: |
Total Pages |
: 426 |
Release |
: 2014 |
ISBN-10 |
: 0955887348 |
ISBN-13 |
: 9780955887345 |
Rating |
: 4/5 (48 Downloads) |
Synopsis Achilles Tendon Disorders by : Jón Karlsson
Author |
: Hajo Thermann |
Publisher |
: Springer |
Total Pages |
: 143 |
Release |
: 2017-04-20 |
ISBN-10 |
: 9783662540749 |
ISBN-13 |
: 3662540746 |
Rating |
: 4/5 (49 Downloads) |
Synopsis The Achilles Tendon by : Hajo Thermann
This book, written by leading experts in the field, is a comprehensive guide to the best available techniques in Achilles tendon surgery. Each surgical procedure is described step by step, covering all of the approaches employed for the most common and important Achilles tendon pathologies. The clear descriptions are complemented by superb drawings prepared by a medical artist on the basis of photographs supplied by the authors. Pearls and possible pitfalls are identified to ensure optimal outcomes for patients. The book is the outcome of a collaboration among international Achilles tendon experts – the Achilles Tendon Study Group – that has already resulted in four other books on current concepts relating to the Achilles tendon. Like these previous volumes, The Achilles Tendon – An Atlas of Surgical Procedures is based on the highest level of evidence and expertise. It will be invaluable for orthopaedic surgeons, trauma surgeons, and residents, assisting them in their daily clinical work.
Author |
: Rita de Cassia Marqueti |
Publisher |
: Frontiers Media SA |
Total Pages |
: 157 |
Release |
: 2022-03-07 |
ISBN-10 |
: 9782889745838 |
ISBN-13 |
: 288974583X |
Rating |
: 4/5 (38 Downloads) |
Synopsis Trends in Muscle and Tendon Molecular and Cell Biology by : Rita de Cassia Marqueti
Author |
: Anna L. Waterbrook |
Publisher |
: Cambridge University Press |
Total Pages |
: 439 |
Release |
: 2016-04-25 |
ISBN-10 |
: 9781316425527 |
ISBN-13 |
: 1316425525 |
Rating |
: 4/5 (27 Downloads) |
Synopsis Sports Medicine for the Emergency Physician by : Anna L. Waterbrook
Written by sports-trained emergency physicians Sports Medicine for the Emergency Physician: A Practical Handbook is the only resource of its kind, created specifically for the emergency medicine provider. It is designed to be used as a reference tool, and includes high-yield physical exam skills and key management of sport injuries in the emergency department. Each chapter is dedicated to a specific joint (or joints) and includes the basics of a high-yield physical examination including inspection, palpation, range of motion, special tests, as well as neurovascular and skin exams. Corresponding figures of essential anatomy, pictures of physical exam maneuvers, and clinical correlations are also featured. Emergent and common musculoskeletal conditions for each joint(s) are discussed, as well as the appropriate emergency department management for each condition. Additional chapter topics include sports concussions, sports cardiology, heat illness, and common splints used in the emergency department.
Author |
: Gian Luigi Canata |
Publisher |
: Springer |
Total Pages |
: 440 |
Release |
: 2017-05-10 |
ISBN-10 |
: 9783662541845 |
ISBN-13 |
: 366254184X |
Rating |
: 4/5 (45 Downloads) |
Synopsis Muscle and Tendon Injuries by : Gian Luigi Canata
This book explores in a comprehensive manner the causes and symptoms of muscle and tendon pathologies, the available diagnostic procedures, and current treatment approaches. Specific aspects of the anatomy, biomechanics, and function of muscles and tendons are analyzed, and detailed guidance is provided on the most innovative methods – both conservative and surgical – for ensuring that the athlete can make a safe and quick return to sporting activity. Optimal care of tendon and muscle injuries in sportspeople requires effective cooperation of sports scientists and medical practitioners to identify the best ways of preserving muscle and tendon structures and to develop new strategies for their rehabilitation and regeneration. Muscle and Tendon Injuries is an excellent multidisciplinary reference written by the leading experts in the field and published in collaboration with ISAKOS. It will appeal to all specialists in sports medicine and sports traumatology who are seeking a state of the art update on the management of muscle and tendon disorders.
Author |
: Ola Grimsby |
Publisher |
: Lulu.com |
Total Pages |
: 558 |
Release |
: 2008-09-16 |
ISBN-10 |
: 9780615254517 |
ISBN-13 |
: 0615254519 |
Rating |
: 4/5 (17 Downloads) |
Synopsis Science, Theory and Clinical Application in Orthopaedic Manual Physical Therapy: Applied Science and Theory by : Ola Grimsby
This long awaited textbook from The Ola Grimsby Institute provides decades of clinical experience and reasoning, with both historical and current evidence, with rationale for both passive and active treatments in orthopaedic manual therapy. Practical guidelines for joint mobilization and exercise rehabilitation are presented with this logical and exciting work. Incorporating experience and science, this book provides new approaches and treatment principles to make what you already do more effective. Extensive Content: Over 535 pages and 275 illustrations, photographs and tables Ola Grimsby and his co-authors have compiled a significant resource for the practicing physical therapist, manual therapist or osteopath.