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Author: Clinton A. Rubin Publisher: ISBN: Category : Languages : en Pages : 24
Book Description
The stress fracture is one of the most frequent injuries in peacetime military populations, responsible for the military's greatest drain of both lost recruit time and medical resources. Unfortunately, not until we prove our understanding of the causative agents of this pathology can we expect to take effective measures in diminishing its appearance. Thus far, the studies we have undertaken have demonstrated that the origins of the lesion stem from tissue remodeling, not material microdamage. As importantly, the site of the lesion, when correlated to the mechanical environment to which the bone is subjected, emphasizes that the pathology predominates in areas of least strain, not those areas subject to greatest deformation. Finally, the pathology observed in two animal models is histologically identical to that which occurs in the human condition, demonstrating the appropriateness of the extrapolation towards the pathogenesis of the human condition. These observations have led to the development of a new hypothesis which holds major implications towards the design and modification of recruit training regimen. Keywords: Military training; Exercise; Stress fractures; Bone remodeling; Training; Muscle fatigue; Strain. (kt).
Author: Clinton A. Rubin Publisher: ISBN: Category : Languages : en Pages : 24
Book Description
The stress fracture is one of the most frequent injuries in peacetime military populations, responsible for the military's greatest drain of both lost recruit time and medical resources. Unfortunately, not until we prove our understanding of the causative agents of this pathology can we expect to take effective measures in diminishing its appearance. Thus far, the studies we have undertaken have demonstrated that the origins of the lesion stem from tissue remodeling, not material microdamage. As importantly, the site of the lesion, when correlated to the mechanical environment to which the bone is subjected, emphasizes that the pathology predominates in areas of least strain, not those areas subject to greatest deformation. Finally, the pathology observed in two animal models is histologically identical to that which occurs in the human condition, demonstrating the appropriateness of the extrapolation towards the pathogenesis of the human condition. These observations have led to the development of a new hypothesis which holds major implications towards the design and modification of recruit training regimen. Keywords: Military training; Exercise; Stress fractures; Bone remodeling; Training; Muscle fatigue; Strain. (kt).
Author: Timothy L. Miller Publisher: Springer Nature ISBN: 3030469190 Category : Medical Languages : en Pages : 285
Book Description
Now completely revised and expanded, this second edition not only includes updated chapters detailing treatment of the most common and troublesome sites for stress fractures, but also more recent research regarding risk factors for the development of stress fractures. As in the original edition, general principles of evaluation, healing considerations and management strategies are discussed in three thematic sections. However, unlike the previous text, this edition will focus on a holistic approach to the treatment of these increasingly common injuries with new chapters on nutritional optimization of athletes at risk for stress fractures, systemic treatment strategies for healing including vitamin D supplementation and parathyroid hormone stimulation, and surgical and injectable biologic treatment modalities for enhanced bone healing. This edition will also include guidelines for on-the-field and training room management of stress fractures for team physicians. This revision is timely, given the increasing rate and severity of bony stress injuries encountered in elite and professional athletes related to single-sport specialization and the increased popularity of endurance sports such as cross-fit, obstacle course racing, and ultramarathon competitions. It will be an ideal resource for sports medicine practitioners including orthopedic surgeons, primary care sports medicine specialists, athletic trainers, and physical therapists.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309173639 Category : Medical Languages : en Pages : 131
Book Description
The incidence of stress fractures of the lower extremities during U.S. military basic training is significantly higher among female military recruits than among male recruits. The prevalence of this injury has a marked impact on the health of service personnel and imposes a significant financial burden on the military by delaying completion of the training of new recruits. In addition to lengthening training time, increasing program costs, and delaying military readiness, stress fractures may share their etiology with the longer-term risk of osteoporosis. As part of the Defense Women's Health Research Program, this book evaluates the impact of diet, genetic predisposition, and physical activity on bone mineral and calcium status in young servicewomen. It makes recommendations for reducing stress fractures and improving overall bone health through nutrition education and monitored physical training programs. The book also makes recommendations for future research to evaluate more fully the effects of fitness levels, physical activities, and other factors on stress fracture risk and bone health.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309060915 Category : Medical Languages : en Pages : 132
Book Description
The incidence of stress fractures of the lower extremities during U.S. military basic training is significantly higher among female military recruits than among male recruits. The prevalence of this injury has a marked impact on the health of service personnel and imposes a significant financial burden on the military by delaying completion of the training of new recruits. In addition to lengthening training time, increasing program costs, and delaying military readiness, stress fractures may share their etiology with the longer-term risk of osteoporosis. As part of the Defense Women's Health Research Program, this book evaluates the impact of diet, genetic predisposition, and physical activity on bone mineral and calcium status in young servicewomen. It makes recommendations for reducing stress fractures and improving overall bone health through nutrition education and monitored physical training programs. The book also makes recommendations for future research to evaluate more fully the effects of fitness levels, physical activities, and other factors on stress fracture risk and bone health.
Author: Adam S. Tenforde, MD Publisher: Springer Publishing Company ISBN: 0826144241 Category : Medical Languages : en Pages : 219
Book Description
“This book gives a nice summary of the current state of diagnosis, treatment, and prevention of bone stress injuries. It is particularly useful for sports medicine fellows and residents with an interest in athletes and active patients." ---Doody's Review Service, 3 stars Bone stress injuries are commonly seen in athletes and active individuals across a full spectrum of physical activity, age, and gender. While most overuse injuries can be addressed through non-operative care, injuries may progress to full fractures that require surgery if misdiagnosed or not correctly managed. Written by leaders in sports medicine including physical medicine and rehabilitation, orthopaedics, endocrinology and allied health professionals of biomechanics, physical therapy and dietetics, Bone Stress Injuries offers state-of-the-art guidelines and up-to-date science and terminology to practitioners. Using a holistic approach to understand the management of bone stress injuries, this book highlights specific considerations by injury, gender, and risk factor to ensure that a comprehensive treatment plan can be developed to optimize bone health, neuromuscular re-education, gait mechanics, and injury prevention. Organized into four parts, opening chapters cover the general need-to-know topics, including clinical history, imaging, and risk factors including biological and biomechanical factors. The book proceeds anatomically through the body from upper extremity to foot and ankle injuries, with each chapter underscoring diagnostic and treatment strategies specific to that region. Chapters dedicated to special populations discuss the differences in injury evaluation and management according to age, gender, and military background. Final chapters review the prevention of injuries and examine both common and novel treatment strategies, such as medications, nutrition, gait retraining, orthobiologics, and other interventions. Invaluable in its scope and approach, Bone Stress Injuries is the go-to resource for sports medicine physicians, physiatrists, and primary care providers who manage the care of athletes and individuals leading active lifestyles. Key Features: Promotes evidence-based practice for diagnosis, treatment, and prevention of bone stress injuries Covers specific anatomy that is prone to bone stress injuries with dedicated chapters on upper and lower extremities, pelvis and hip, spine, and foot and ankle Considers evaluation and management differences according to specific populations of pediatric, male, female, and military personnel Discusses emerging strategies to treat bone stress injuries, such as gait retraining, orthobiologics, and other non-pharmacological treatments
Author: Greg A. J. Robertson Publisher: Springer Nature ISBN: 3030720365 Category : Medical Languages : en Pages : 516
Book Description
This textbook provides a practically applicable sport-centred guide to fracture management for athletes. It features extensive evidence-based guidance on how fracture management can be adapted in athletic patients, to facilitate an accelerated return to sport. Descriptions of a variety of both acute and stress fracture types are included, covering both the appendicular and axial skeleton, in locations such as the shoulder, knee, ankle and spine. Throughout the book, the focus is on enabling the reader to develop a deeper understanding of the ideal management principles that are available for managing fractures in high-functioning patients. Fractures in Sport comprehensively covers the available strategies for managing fractures in professional and amateur athletes, and is ideal for use by practising and trainee orthopaedic surgeons, sports physicians, and general practitioners.
Author: Catherine M. Gordon Publisher: Springer ISBN: 148997525X Category : Medical Languages : en Pages : 187
Book Description
This is the first book of its kind to focus solely on the female athlete triad - its origins, its recognition, and most importantly, its management. Since the symptoms themselves cover a range of medical specialties, chapters are written by experts in a number of relevant fields - sports medicine, orthopedics, endocrinology, and pediatrics - with an eye toward overall care of the young female athlete. Additionally, each chapter includes suggestions on how to educate and communicate with young athletes and their parents, as well as trainers and coaches, on how to manage the illness outside of the direct clinical setting. The female athlete triad is often seen in sports where low body weight is emphasized, such as gymnastics, figure skating, and running, though it can appear in any sport or activity. The interrelated symptoms - eating disorders, amenorrhea, and low bone mass - exist on a spectrum of severity and are serious and potentially life-threatening if not properly treated. Psychological problems, in addition to medical ones, are not uncommon. The Female Athlete Triad: A Clinical Guide discusses all of these areas for a well-rounded and in-depth approach to the phenomenon and will be a useful reference for any clinician working with female athletes across the lifespan.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309091594 Category : Social Science Languages : en Pages : 469
Book Description
The U.S. military's concerns about the individual combat service member's ability to avoid performance degradation, in conjunction with the need to maintain both mental and physical capabilities in highly stressful situations, have led to and interest in developing methods by which commanders can monitor the status of the combat service members in the field. This report examines appropriate biological markers, monitoring technologies currently available and in need of development, and appropriate algorithms to interpret the data obtained in order to provide information for command decisions relative to the physiological "readiness" of each combat service member. More specifically, this report also provides responses to questions posed by the military relative to monitoring the metabolic regulation during prolonged, exhaustive efforts, where nutrition/hydration and repair mechanisms may be mismatched to intakes and rest, or where specific metabolic derangements are present.
Author: Karen Hertz Publisher: Springer ISBN: 3319766813 Category : Medical Languages : en Pages : 169
Book Description
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Author: Clinton A. Rubin
Author: Clinton A. Rubin
Author: Timothy L. Miller
Author: David B. Burr
Author: Institute of Medicine
Author: Institute of Medicine
Author: Adam S. Tenforde, MD
Author: Greg A. J. Robertson
Author: Catherine M. Gordon
Author: Institute of Medicine
Author: Karen Hertz