Wrist Injuries in the Immature Athlete

Kozin, Scott H.; Abzug, Joshua M.

doi:10.1053/j.otsm.2016.01.001

Cited by 5 publications

(10 citation statements)

References 24 publications

(20 reference statements)

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“…1 -experimental group; 2 -control group Discussion Analysis of literature and our own results showed that this work is the first, meaning development of theoretical-methodic principles of individualization of sportsmen's training. With it authors touch on working out of certain parameters of individualization of sportsmen's training and do not regard process of individual training from the point of view of system; analysis of wide complex of fitness's [7,11,12,24,25]. Before the present research individualization of sportsmen's training was regarded as specific problem [26,27,36], without creation of theoretical conception, principles, algorithms, apparatus of indicators' analysis, methods of research and certain methodic of optimization of training process.…”

Section: Table 1 Results Of Regression Analysis Of "Positive" Scores'mentioning

confidence: 99%

“…For example at stage of port selection [2] it is necessary to determine what kind of sport a child should practice. At stages of initial training [36,37,38], of sport perfection [5,7,11,12,18,24], and, especially, at stage of highest sportsmanship [20,21,23,26] construction of individual training programs for sportsmen is especially required. There is no "universal" sportsman, for whom standard training programs would be ideal.…”

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confidence: 99%

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The concept of individual approach in sport

Kozina

Prusik

2015

PPS

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Annotation. Purpose: prove the concept of individual approach to sports training. Develop a common scheme ways individualization process of training athletes. Material: the study involved 149 athletes: 38 volleyball players and 111 players. Was carried out comprehensive testing athletes for 33 pedagogical, psycho-physiological, biochemical parameters. Also conducted an analysis of indicators of competitive activity. Results: we propose the following areas of the individualization process of preparation of athletes: 1 -systematization of mathematical indicators of preparedness and condition of the athlete in a single point in time; 2 -regression analysis of the dynamics of individual game performance athletes; 3 -the use of universal methods of individualization of various aspects of the training process. It is established that the individual characteristics of players in basketball and volleyball are connected not only with the anthropometric data, but also depend on the physiological and psychophysiological indicators. In this aspect there is provided use of cluster and factor analysis for the construction of individual training programs for players. It was found that the dynamics of the gaming performance is described by quadratic, cubic and sinusoidal functions. In the case of sinusoidal oscillation period of regression models in girls is 25-30 days, 31-38 days in boys. This allows to determine the most preferred times of increasing and reducing the efficiency of competitive. Conclusions: the concept of individual approach in sport involves the separation of a wide range of indicators leading factors in the individual structure of athletes, in the analysis and prediction of individual dynamics of competitive performance, to develop universal methods of individualization with the activation of awareness of various aspects of the training process.

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Section: Table 1 Results Of Regression Analysis Of "Positive" Scores'mentioning

confidence: 99%

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confidence: 99%

The concept of individual approach in sport

Kozina

Prusik

2015

PPS

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“…7,8 Because gymnastics is a highly repetitive sport, the growth plates are at increased risk of being damaged by persistent weight-bearing forces on the upper extremities. 7,9 The distal radius physeal plate, which begins to ossify around ages 8 to 18 months, is made up of cartilage and bony tissues. 4,10 The cartilage is divided into three zones: reserve, proliferative, and hypertrophic.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with a physeal bar about the distal radius and/or ulnar abutment syndrome often benefit from surgery, such as a physeal bar resection, epiphysiodesis (completion of the growth arrest), and/or an ulnar shortening osteotomy (Figure 3). 4,7,8,16 Surgery has been shown to reduce wrist pain and lead to satisfactory outcomes. 17,18 Athletes and coaches can prevent gymnast wrist from occurring or worsening by using proper technique and safety equipment (such as tiger paws or taping) to prevent end-range hyperextension.…”

Section: Discussionmentioning

confidence: 99%

What is causing this young athlete's wrist pain?

Jacobs,

May,

Abzug

2024

Jaapa

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“… 24 , 25 , 26 , 27 , 28 , 29 , 30 Sources of dorsal/central wrist pain, such as scapholunate injury, ulnar abutment from distal radius growth arrest, Kienböck disease, or Madelung deformity, are often discernable on physical examination and plain radiographs. 31 , 32 , 33 , 34 , 35 However, no consensus exists regarding strategies to further evaluate chronic, nonspecific global and mid-dorsal wrist pain with negative radiographs. 2 Some authors have recommended routine magnetic resonance or computed tomography imaging, whereas other recommend diagnostic arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Grip-Strengthening Algorithm for the Initial Treatment of Chronic, Nonspecific Wrist Pain in Adolescents

Dorich

Cornwall

2022

Journal of Hand Surgery Global Online

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Purpose: Chronic, nonspecific wrist pain in adolescents can be challenging to assess and treat. We hypothesized that an algorithmic approach beginning with grip strengthening can alleviate pain, improve function, and identify patients in need of further intervention. Methods: We retrospectively reviewed the results of a grip-strengthening protocol for adolescents with chronic, nonspecific wrist pain. Before and after treatment, grip strength was measured using handheld dynamometry, and patient-reported pain and function were measured using the adolescent selfreported Pediatric Outcomes Data Collection Instrument's (PODCI's) Pain/Comfort and Upper Extremity Function domains (PODCI/pain and PODCI/UE, respectively). Results: Thirty-two patients (28 female, 4 male) were included, with a mean age of 14 years (range, 10 e18 years) and the dominant hand affected in 19, nondominant hand in 9, and bilateral impacts in 4. The mean symptom duration prior to presentation was 9 months (range, 1e63 months); 17 patients had undergone prior immobilization and 5 prior occupational/physical therapy. Grip-strengthening treatment, lasting a mean of 40 days (range, 21e82 days) with a median of 4 therapy visits (range, 2e6), was associated with significantly improved grip strength (mean, 32e48 lbs), PODCI/pain scores (mean, 49.0 e78.2 points), and PODCI/UE scores (mean, 78.2e91.2 points). Improvements in grip strength correlated with improvements in PODCI/pain and PODCI/UE scores (r ¼ 0.64 and 0.70, respectively). Eight patients (25%) had either no or incomplete pain relief: 5 underwent successful further intervention (2 ganglion cyst excisions, 1 triangular fibrocartilage complex repair, 1 arthroscopic debridement, 1 steroid injection), 2 received ongoing pain management for generalized pain syndromes, and 1 was lost to further followup. No pretreatment variables were identified that predicted failure. Conclusions: Grip strengthening relieves pain and improves function in the majority of adolescents with chronic, nonspecific wrist pain. Systematic use of this protocol helps to identify patients who require further intervention. Type of study/level of evidence: Therapeutic IV.

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Wrist Injuries in the Immature Athlete

Cited by 5 publications

References 24 publications

The concept of individual approach in sport

The concept of individual approach in sport

What is causing this young athlete's wrist pain?

Evaluation of a Grip-Strengthening Algorithm for the Initial Treatment of Chronic, Nonspecific Wrist Pain in Adolescents

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