Treatment and Rehabilitation of Common Spine/Trunk/Head Injuries
Larry Nassar
College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA
Search for more papers by this authorLarry Nassar
College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA
Search for more papers by this authorDennis J. Caine PhD
Professor and Interim Dean, Education and Human Development, University of North Dakota, Grand Forks, ND, USA
Search for more papers by this authorKeith Russell PhD
President, Scientific Commission, Federation Internationale de Gymnastique (FIG); Professor, College of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada
Search for more papers by this authorLiesbeth Lim MD
Former National Sports Physician of the Royal Dutch Gymnastics Federation, 1997–2012; Sports Physician, Sports Medical Advice Center Aalsmeer, Aalsmeer; Sports Medical Advice Center Annatommie (Centers for Orthopedics and Movement), Amsterdam, The Netherlands
Search for more papers by this authorSummary
Spinal and head injuries are of great concern in all athlete populations. Gymnasts are at risk for acute traumatic and chronic overuse spinal injuries and acute traumatic brain injuries. This chapter reviews the treatment and rehabilitation of the most common spinal pathologies and the most common traumatic brain injury known as a concussion. This information may enhance coach and medical professionals' understanding and management of these injuries.
References
- Bo, K. (2004) Urinary incontinence, pelvic floor dysfunction in exercise and sport. Sports Medicine, 34 (7), 451–464.
- Boden, S., Davis, D., and Dina, T. (1990) Abnormal magnetic resonance scans of the lumbar spine in asymptomatic subjects; a prospective investigation. Journal of Bone and Joint Surgery, America, 72, 403–408.
- Cavalier, R., Herman, M., Cheung, E., and Pizzutillo, P. (2006) Spondylolysis and spondylolisthesis in children and adolescents: diagnosis, natural history, and nonsurgical management. Journal of the American Academy of Orthopedic Surgeons, 14 (7), 417–424.
- Cohen, S. and Raja, S. (2007) Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology, 106 (3), 591–614.
- Daneshvar, D., Nowinski, C., McKee, A., and Cantu, R. (2011) The epidemiology of sport-related concussion. Clinics in Sports Medicine, 30 (1), 1–17.
- Eliasson, K., Larsson, T., and Mattsson, E. (2002) Prevalence of stress incontinence in nulliparous elite trampolinists. Scandinavian Journal of Medicine and Science in Sports, 12 (2), 106–110.
- Ghormley, R. (1933) Low back pain with special reference to the articular facets, with presentation of an operative procedure. Journal of the American Medical Association, 101, 1773–1777.
10.1001/jama.1933.02740480005002 Google Scholar
- Guskiewicz, K. and McLeod, T. (2011) Pediatric sports-related concussion. Physical Medicine and Rehabilitation, 3, 353–364.
- Harringe, M., Renstrom, P., and Werber, S. (2007) Injury incidence, mechanism and diagnosis in top-level team gymnastics: a prospective study conducted over one season. Scandinavian Journal of Medicine and Science in Sports, 17, 115–119.
- Jull, G. and Janda, V. (1987) Muscles and motor control in low back pain. In: L.T. Twomey and J.R. Taylor (eds), Physical Therapy for the Low Back: Clinics in Physical Therapy, pp. 253–278. Churchill Livingstone, New York.
- Katz, D. and Scerpella, T. (2003) Anterior and middle column thoracolumbar spine injuries in young female gymnasts. Report of seven cases and review of literature. The American Journal of Sports Medicine, 31, 611–616.
- Kruger, J., Dietz, H., and Murphy, B. (2007) Pelvic floor function in elite nulliparous athletes. Ultrasound in Obstetrics & Gynecology, 30, 81–85.
- Lonstein, J. (1999) Spondylolisthesis in children: cause, natural history, and management. Spine, 24, 2640–2648.
- Marek, S., Cramer, J., Fincher, A., Massey, L., Dangelmaier, S., Purkayastha, S., Fitz, K., and Culbertson, J. (2005) Acute effects of static and proprioceptive neuromuscular facilitation stretching on muscle strength and power output. Journal of Athletic Training, 40 (2), 94–103.
- McCrory, P., Meeuwisse, W., Johnston, K., Dvorak, J., Aubry, M., Molloy, M., and Cantu, R. (2009) 2008 consensus statement on concussion in sport – the 3rd International Conference on concussion in sport held in Zurich. South African Journal of Sports Medicine, 21 (2), 36–46.
- Meyerding, H. (1932) Spondylolisthesis. Surgery, Gynecology & Obstetrics, 54, 371–377.
- Nygaard, I., Thompson, F., Svengalis, S., and Albright, J. (1994) Urinary incontinence in elite nulliparous althetes. Obstetrics & Gynecology, 84, 183–187.
- O'Kane, J., Levy, M., Pietila, K., Caine, D., and Schiff, M. (2011) Survey of injuries in Seattle area levels 4 to 10 female club gymnasts. ClinicalJournal of Sport Medicine, 21, 486–492.
- Sorensen, K. (1964) Scheuermann's Juvenile Kyphosis: Clinical Appearances, Radiography, Aetiology, and Prognosis. Munksgaard, Copenhagen.
- Standaert, C. (2005) The diagnosis and management of lumbar spondylolysis. Operative Techniques in Sports Medicine, 13, 101–107.
- Standaert, C. and Herring, S. (2000) Spondyloysis: a critical review. British Journal of Sports Medicine, 34, 415–422.
- Tanchev, P., Dzherov, A., Parushev, A., Dikov, D., and Todorov, M. (2000) Scoliosis in rhythmic gymnasts. Spine, 25, 1367–1372.
- Tribus, C. (1998) Scheuermann's kyphosis in adolescents and adults: diagnosis and management. Journal of the American Academy of Orthopedic Surgeons, 6, 36–43.
- Wiltse, L., Widell, E., and Jackson, D. (1975) Fatigue fracture: the basic lesion isthmic spondylolisthesis. Journal of Bone and Joint Surgery, 57, 17–22.
- Recommended Reading
- Akuthota, V., Ferreiro, A., Moore, T., and Fredericson M. (2008) Core stability exercise principles. Current Sports Medicine Reports, 7 (1), 39–44.
- Bennett, D., Nassar, L., and Delano, M. (2006) Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiology, 35 (7), 503–509.
- Caine, D. and Nassar, L. (2005) Gymnastics injuries. In: D.J. Caine and N. Maffulli (eds), Epidemiology of Pediatric Sports Injuries; Individual Sports, vol. 48, pp. 18–58., Karger, Basel.
10.1159/000084282 Google Scholar
- Faulkner, K. (2010) The female pelvic floor in women's artistic gymnastics. Sport Health, 28 (2), 32–33.
- Kokkonen, J. and Lauritzen, S. (1995) Isotonic strength and endurance gains through PNF stretching. Medicine and Science in Sports and Exercise, 27 (Suppl.), S22.
10.1249/00005768-199505001-00127 Google Scholar
- Kruse, D. and Lemmen, B. (2009) Spine Injuries in the sport of gymnastics. Current Sports Medicine Reports, 8 (1), 20–28.
- Marshall, S., Covassin, S., Dick, R., Nassar, L., and Agel, J. (2007) Descriptive epidemiology of collegiate women's gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. Journal of Athletic Training, 42 (2), 234–240.
- McNeal, J. and Sands, W. (2001) Static stretching reduces power production in gymnasts. Technique, 21 (10), 5–6.