Posts by Andy

When are the use of B2 agonist anabolic agents justified?

So, we work in a field where strength based rehabilitation is paramount and in many conditions from Osteoarthritis to tendinopathy rehabilitation has been shown to be superior or at least as successful as surgical intervention yet we struggle with innovation. Studies dabble between concentric versus eccentric, slow versus fast and the trend flip flops between…

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Does FAI effect athletic performance?

Femoroacetabular impingement (FAI) is a bony condition of the hip caused by repetitive abnormal contact between the femoral head and the acetabulum of the pelvis and has been found to be highly prevalent in young athletes with a peak risk ae of 12-13 year of age, before the epiphyseal plates fuse. Repetitive movements, mainly involving…

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How do running mechanics change with fatigue?

Injury risk during running is associated with high-weekly training distance as well as lack of running experience, putting both competitive long-distance runners and novice runners at risk of developing overuse injuries. The development of overuse injuries has been associated with kinematic variables of all lower limb joints. Some of these variables, such as increased ankle…

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Myotendinous junction & muscle fibers response to heavy resistance training

The myotendinous junction (MTJ) as the interface between muscle and tendon is known to be the weakest link in the muscle-tendon chain, and ultrasonographic visualization of muscle strain injury in humans indicates that tissue damage involves the MTJ. Microscopy of experimental load-to-failure strain injuries in animals has revealed that the actual site of rupture is…

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Concomitant cartilage lesion with ACL rupture show same outcome at 5- 9 Years

Anterior cruciate ligament (ACL) injuries are often associated with other knee injuries. The prevalence of concomitant partial-thickness and full-thickness cartilage lesions at the time of anterior cruciate ligament reconstruction (ACLR) has been reported to be 20.2 and 6.4 %, respectively, in the Norwegian and Swedish knee ligament registries, and similar rates have been found in…

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Swimming warm ups: Challenges and current practice

In preparation for competitive events, swimming coaches prescribe a pre-competition warm-up, typically an active, pool-based warm-up. The effectiveness of a warm-up strategy is determined by the intensity and duration of the swimming and dryland elements, as well as the time between warm-up and the onset of the race, the transition phase. Completion of an active…

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The business of sport at football clubs

As the “best soccer team of the 20th century,” Real Madrid won two UEFA Champion League Cups between 1998 and 2001 while paradoxically spiraling into debt. Real Madrid’s situation was not unique; other european football clubs were similarly facing financial hardship. At the time, income generation for a football club was suffering from limited stadium…

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Incomplete Rehabilitation or Physiological failure of Hamstring tear

Reinjury rates after acute hamstring injuries are reported to range from 14% to 63% within the same playing season or up to 2 years after the initial injury. Despite relatively high reinjury risk after hamstring injuries, there is a lack of exact knowledge about their severity, location, and timing. Thus far, the location and severity,…

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Management and Prevention of Osteoporosis

Osteoporosis is a skeletal disorder characterized by loss of bone mass, reduced bone mineral density, and deterioration of bone microarchitecture, which lead to bone fragility. Bisphosphonates that are currently approved by the FDA for the prevention or treatment (or both) of osteoporosis include alendronate, ibandronate, risedronate, and zoledronic acid. This review discusses the rationale for…

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Stress fractures in Royal Marines training

Though the incidence of stress fractures in the military is almost half of that of elite athletes (12% vs 21%), recruits who sustain stress fractures are four times more likely to be discharged from training programs and are at a higher risk for sustaining a subsequent stress fracture. Rehabilitation from stress fractures requires personnel and…

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