...Diagnosis Despite the high incidence of ankle sprains in athletes, syndesmotic injuries are rarely diagnosed. It is stressed through multiple reviews that the correct use of HIP/HOPS is initiated in order to prevent long term effects from the original injury. Diagnosis of the injury can be made easier by the associated pain on the medial aspect of the ankle, ballottable fibula, proximal fibular tenderness, swelling and crepitus that may be seen during inspection (7). If the patient is experiencing pain between the tibia and fibula, the distance, tenderness length, needs to be determined because it has been reported to be correlate with the degree of injury and time to return to play (2). There are many clinical tests that can be utilized for diagnosis of distal tibiofibular syndesmotic disruption, but research supports the use of four special tests. The Cotton Test, involves side-to-side movement of the talus on the involved leg compared with the contralateral side. In the External Rotation Test, there is...
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...The n e w e ng l a n d j o u r na l of m e dic i n e clinical practice Rotator-Cuff Failure Frederick A. Matsen III, M.D. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. A 63-year-old woman presents with a 2-year history of progressive weakness and discomfort in her right shoulder, especially when she puts dishes on the top shelf in her kitchen. She is otherwise healthy and has had no injuries. Her physician diagnosed “bursitis” and gave her four subacromial corticosteroid injections; the first two seemed to relieve her symptoms temporarily, but the last two were ineffective. Physical examination reveals some atrophy of the muscles of the right shoulder and weakness when her right arm is elevated. Magnetic resonance imaging (MRI) reveals a large defect in the rotator cuff. How should her case be managed? The Cl inic a l Probl e m From the Department of Orthopaedics and Sports Medicine, University of Washington, Seattle. N Engl J Med 2008;358:2138-47. Copyright © 2008 Massachusetts Medical Society. The rotator cuff is a synthesis of the capsule of the glenohumeral joint with the tendons of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles (Fig. 1).1 The rotator-cuff mechanism precisely centers the humeral head by...
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...full-thickness tear causes enough damage to sever the tendon into two separate pieces (Armstrong). The main reasons for a rotator cuff tear are from an injury or damage over time. An acute tear happens because of an injury, like trying to lift more than you can handle. A degenerative tear...
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...target specific muscle groups and types of movement. ~BASICS~ To begin with, there are fourteen main muscles in a human body which we need to know for basic knowledge. Triceps, Biceps, Extensors/Flexors, deltoids, pectorals, trapezes, erectors, gluteals, lats, quadriceps, hamstrings, gastronemus, abdominals and abdominal obliques. Weight training helps us tone, build and metabolize these muscles by using various machines such as- lat pulls, tricep or bicep extensions, bench press, dumb bells, etc. ~PRINCIPLES~ The basic principles of weight training are essentially identical to those of strength training, and involve a manipulation of the number of repetitions (reps), sets, tempo, exercise types, and weight moved to cause desired increases in strength, endurance, and size. The specific combinations of reps, sets, exercises, and weights depends on the aims of the individual performing the exercise. Sets with fewer reps can be performed with heavier weights, as well as sets with higher reps with lighter weights. In addition to the basic principles of strength training, a further consideration added by weight training is the equipment used. Types of equipment include barbells, dumbbells, pulleys and stacks in the form of weight machines, and the body's own weight in the case of chin-ups and push-ups. Different types of weights will give different types of resistance, and often the same absolute weight can have different relative weights depending on the type of equipment used...
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...Acromioclavicular Joint Separations: Operative and Nonoperative Considerations Mark P. Cote, PT, DPTa, Karen E. Wojcik, MSPT, ATCb, Gregg Gomlinski, MSPT, CSCSb, Augustus D. Mazzocca, MS, MDa,* Acromioclavicular joint (AC) separations are one of the most common injuries seen in orthopedic and sports medicine practices, accounting for 9% of all injuries to the shoulder girdle.1–3 Various operative and nonoperative treatment schemes have been described for the management of AC joint injuries.4–33 Although considerable controversy exists over the efficacy of surgical reconstruction versus nonoperative intervention for grade III type injuries, grade I and II separations seem to respond favorably to conservative management. Conversely, grades IV, V, and VI often require surgical reconstruction. Regardless of the type of injury, rehabilitation as a part of conservative management and postoperative care plays an important role in the management of these injuries. This article presents the authors’ rehabilitation approach to treatment of acromioclavicular separations pre- and postoperatively. CONCEPTUAL FRAMEWORK To provide instruction and insight for rehabilitation clinicians, protocols are often provided for a specific injury or procedure. A protocol is a system of rules or procedures for a given situation. Although intended to be informative, protocols often result in a restrictive list of exercises and arbitrary time frames that a clinician is expected to follow. It is...
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...performing the dips exercise. Within this portion there will be several areas covered to fully expand on full exercising a dip and developing the muscles use to complete a successful dip. Areas covered will include three phases of motor learning, learning cues, common errors, general feedback to use, the stages of learning, types of motor skills, information for use within a curriculum, and useful information for lesson plans to include one example lesson plan. When the average person looks at the body they would probably only consider the basics to the body such as; the arms, legs, head and the basic parts that help it operate such as the heart, lungs, blood, etc. This could all be called the anatomy of the body. Anatomy can be defined as the study of the structure and the relationship between body parts (Rodgers, 2009). But, does the average person ever think about the biomechanical aspects of the body parts? Biomechanics is the science of movement of a living body, including how...
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...was referred to the office after falling onto his left shoulder while playing football. At presentation, he denied any numbness, tingling or loss of sensation of his left upper extremity. Examination of his shoulder girdles revealed an internally rotated left shoulder and shortened clavicular distance. He did have a visible deformation of his left clavicle when compared to the contralateral, uninjured side and had excruciating pain to palpation of the clavicular and sternoclavicular area. The patient had full flexion and extension at the elbow. Shoulder deltoid was intact as were internal and external rotation of his shoulder. Furthermore, the patient denied being short of breath, feeling dizzy, or with difficulty swallowing. Radiographs of the left clavicle and sternoclavicular joint (SCJ) at the initial visit were remarkable for a posterior dislocation of the clavicle. A magnetic resonance imaging (MRI) study of the left clavicle and SCJ revealed that it was posteriorly displaced and edema was present at the fracture site. The physeal attachment to the manubrium was intact. Furthermore, the anterior portion of the clavicle was abutting the brachiocephalic and left subclavian vein (Figure 1). The patient was admitted and a closed reduction was attempted. Postoperatively, the patient developed paresthesia of the fingers of his left hand. An urgent CT scan with contrast was performed to evaluate any potential bleeding from the subclavian vessels. No active...
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...Bodyweight Strength Training Anatomy Bret Contreras Human Kinetics Library of Congress Cataloging-in-Publication Data Contreras, Bret, 1976Bodyweight strength training anatomy / Bret Contreras. pages cm 1. Bodybuilding--Training. 2. Muscle strength. I. Title. GV546.5.C655 2013 613.7'13--dc23 2013013580 ISBN-10: 1-4504-2929-7 (print) ISBN-13: 978-1-4504-2929-0 (print) Copyright © 2014 by Bret Contreras All rights reserved. Except for use in a review, the reproduction or utilization of this work in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and in any information storage and retrieval system, is forbidden without the written permission of the publisher. This publication is written and published to provide accurate and authoritative information relevant to the subject matter presented. It is published and sold with the understanding that the author and publisher are not engaged in rendering legal, medical, or other professional services by reason of their authorship or publication of this work. If medical or other expert assistance is required, the services of a competent professional person should be sought. Acquisitions Editor: Tom Heine Developmental Editor: Cynthia McEntire Assistant Editor: Elizabeth Evans Copyeditor: Annette Pierce Graphic Designer: Fred Starbird Graphic Artist: Kim McFarland Cover Designer: Keith Blomberg Photographer (for cover and interior illustration...
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...D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems instead of sensory challenges to more discreet portions of the body. Conclusion: For chiropractic patients who are not responding to discreet treatment programs, this method of evaluation may be valuable as it tests underlying system problems within the CNS. Nearly all the functional systems have a related motor activity that results in inhibition and facilitation patterns. Case series...
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...drinking or eating that made her unconscious and she fall on the ground. In the following question answers, I am going to discuss the lay terms and medical terms. Further, about the role of the integumentary system in contributing Mrs. Loiselle condition. Moreover, negative feedback helps her to return the body to homeostasis. Although, what kind of sports drink helps her to regain her energy level. After that, I discuss the location and functions of the accessory structure of the integumentary system. 1. Lay term Medical term Sweating Perspiration or diaphoresis Fainting Syncope Meal Prandial Dizzy Vertigo Back to knee Popliteal Arm Brachial Buttock Gluteal Hip Coxa Mouth Oral cavity Shoulder Deltoid Navel Umbilicus Skin Integumentary system Hand Manual Leg Crus Sole of her foot Plantar Above Superior Below Inferior ( Donald venes, 2013). 2. The integumentary system consists of the skin, hair, nails, and sweat glands. Its main function is to act as a barrier to protect the body from the outside world. It also functions to retain body fluids, protect against disease, eliminate waste products, and regulate body temperature. Skin: "First of all the skin protects the underlying structures by providing a physical barrier against the external environment. This can include anything from pathogens to abrasions. The skin helps to regulate temperature by perspiring when the body becomes too hot. When the body has become too cold...
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...Nutrition for Performance CRN: 6978 October 7, 2013 ------------------------------------------------- Testosterone ------------------------------------------------- History & Uses Scott Livingston How did knowledge of testosterone come about? Well, in 1849 Arnold Berthold, a German scientist conducted the first formal experiment pertaining to hormones. He noticed that chickens that were castrated during development grew up to be passive (lacking fighting and mating behaviors) compared to normal roosters. Arnold Berthold decided to implant testes into the abdomens of castrated chickens. The chickens with implanted testes grew up to behave like normal roosters. Thus, Berthold concluded that the testes much secret some sort of substance since they were not connected to nerves. He said, “ The testes act upon the blood, and the blood acts upon the whole organism.” (Berthold, 1849). In 1889 Charles-Édouard Brown-Séquard, a Harvard professor, decided to inject himself with substance containing extracts from guinea pig and dog testicles; he called this concoction a “rejuvenating elixir” (Brown-Séquard, 1889). Brown-Séquard published in The Lancet that his energy, vigor, and overall health were restored, but the effects did not last long; Brown-Séquard attributed this to placebo effect. Because of these findings, Brown-Séquard was mocked by his colleagues, forcing him to give up on his research. In 1927 Fred C. Koch, a professor at the University of Chicago, realized...
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...9883616 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use GARDASIL safely and effectively. See full prescribing information for GARDASIL. GARDASIL [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant] Suspension for intramuscular injection Initial U.S. Approval: 2006 --------------------------- RECENT MAJOR CHANGES --------------------------Indications and Usage (1) Girls and Women (1.1) 12/2010 Boys and Men (1.2) 12/2010 Limitations of GARDASIL Use and Effectiveness (1.3) 04/2011 ----------------------------INDICATIONS AND USAGE ---------------------------GARDASIL is a vaccine indicated in girls and women 9 through 26 years of age for the prevention of the following diseases caused by Human Papillomavirus (HPV) types included in the vaccine: • Cervical, vulvar, vaginal, and anal cancer caused by HPV types 16 and 18 • Genital warts (condyloma acuminata) caused by HPV types 6 and 11 And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, and 18: • Cervical intraepithelial neoplasia (CIN) grade 2/3 and Cervical adenocarcinoma in situ (AIS) • Cervical intraepithelial neoplasia (CIN) grade 1 • Vulvar intraepithelial neoplasia (VIN) grade 2 and grade 3 • Vaginal intraepithelial neoplasia (VaIN) grade 2 and grade 3 • Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3 GARDASIL is indicated in boys and men 9 through 26 years of age for the prevention of the following diseases...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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...BTEC Edexcel Level 2 BTEC First Certificate and Edexcel Level 2 BTEC First Diplomas in Sport For first teaching from September 2006 Issue 2 March 2007 Specification Edexcel Level 2 BTEC First Certificate and Edexcel Level 2 BTEC First Diplomas in Sport Edexcel, a Pearson company, is the UK’s largest awarding body offering academic and vocational qualifications and testing to more than 25,000 schools, colleges, employers and other places of learning here and in over 100 countries worldwide. We deliver 9.4 million exam scripts each year, with 3 million marked onscreen in 2005. Our qualifications include GCSE, AS and A Level, GNVQ, NVQ and the BTEC suite of vocational qualifications from entry level to BTEC Higher National Diplomas and Foundation Degrees. We also manage the data collection, marking and distribution of the National Curriculum Tests at Key Stages 2 and 3, and the Year 7 Progress Tests. References to third party material made in this specification are made in good faith. Edexcel does not endorse, approve or accept responsibility for the content of materials, which may be subject to change, or any opinions expressed therein. (Material may include textbooks, journals, magazines and other publications and websites.) Authorised by Jim Dobson Prepared by Dominic Sutton Publications Code BF017349 All the material in this publication is copyright © Edexcel Limited 2007 Essential principles for delivering a BTEC This specification contains the rules...
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...First Aid/CPR/AED PARTICIPANT’S MANUAL American Red Cross First Aid/CPR/AED PARTICIPANT’S MANUAL This participant’s manual is part of the American Red Cross First Aid/CPR/AED program. By itself, it does not constitute complete and comprehensive training. Visit redcross.org to learn more about this program. The emergency care procedures outlined in this book reflect the standard of knowledge and accepted emergency practices in the United States at the time this book was published. It is the reader’s responsibility to stay informed of changes in emergency care procedures. PLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE AGREEING TO ACCESS AND DOWNLOAD THE AMERICAN RED CROSS MATERIALS. BY DOWNLOADING THE MATERIALS, YOU HEREBY AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. The downloadable electronic materials, including all content, graphics, images and logos, are copyrighted by and the exclusive property of The American National Red Cross (“Red Cross”). Unless otherwise indicated in writing by the Red Cross, the Red Cross grants you (“recipient”) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions: ■ The recipient is prohibited from selling electronic versions of the materials. ■ The recipient is prohibited from revising, altering, adapting or modifying the materials. ■ The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials...
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