Dr. Richard Chmielewski, DO, FACEP, NMM/OMM gave a lecture on the ins and outs of Osteopathy and Osteopathic Medicine, including various techniques used by the Doctor on a daily basis.
Dr. Richard Chmielewski, DO, FACEP, NMM/OMM gave a lecture on the ins and outs of Osteopathy and Osteopathic Medicine, including various techniques used by the Doctor on a daily basis.
Treatment options of Tendinopathy in Athletes: Tendon Overload
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
If you have ever treated runners, having them stop or modify activity during rehabilita- tion is nearly impossible. As someone who specializes in the treatment of endurance
athletes, I am always looking for an edge
to return them to activity as soon as possible.
TENDINOPATHY I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
Post Stroke Upper Extremity Rehabilitation - A Clinical PerspectivePhinoj K Abraham
Guest Speak at 3rd Annual national conference of Indian Federation of Neurorehabilitation (IFNRCON 2015) at Mumbai by Phinoj K. Abraham, Neuro Occupational Therapy on "Post Stroke Upper Extremity rehabilitation - A Clinical Perspective"
For Video: http://youtu.be/uCnwdzLtPSQ
A Study to compare the effect of Open versus Closed kinetic chain exercises i...IOSR Journals
Abstract: Background And Purpose Of The Study: Patello-femoral arthritis is the most common type of
arthritis especially older people sometimes it is called as degenerative joint disease. Patello- femoral arthritis is
one of the common causes of physical disability in adults. It is the second most common cause of chronic
conditions. 50% of older persons after 55 years are affected. Some of the young people get arthritis from the
joint injuries. Arthritis is the leading cause of disability in our nation more than other systemic diseases like
heart diseases, cancer and diabetes. There are many therapeutic interventions for the treatment of patellofemoral
arthritis. The study is to determine whether closed kinetic chain exercise offer any advantages over
open kinetic chain exercises.
Method: The patients are randomly selected based on inclusion and exclusion criteria and divided into two
groups. Group A and Group B. Group A is trained with closed kinetic chain exercise and Group B is trained
with open kinetic chain exercises for a period of 12 weeks. the pre and post treatment readings of VAS and
KUJALA scale are taken in both groups for statistical analysis.
Results: The results showed reduction in pain and improvement in functional activity in both Group A and
Group B, significant improvement has been noted in Group A after 12 weeks of training.
Conclusion: This study shows that there was significant improvement in functional ability and reduction of pain
as a result of both open and closed kinetic chain exercises program. There are only few significant differences
between closed kinetic chain exercises (GROUP-A) and open kineticchain exercises (GROUP-B). It reviles that
closed kinetic chain exercises are more effective in the treatment of patello-femoral arthritis than the
(GROUP-B) open kinetic chain exercises
Treatment options of Tendinopathy in Athletes: Tendon Overload
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
If you have ever treated runners, having them stop or modify activity during rehabilita- tion is nearly impossible. As someone who specializes in the treatment of endurance
athletes, I am always looking for an edge
to return them to activity as soon as possible.
TENDINOPATHY I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
Post Stroke Upper Extremity Rehabilitation - A Clinical PerspectivePhinoj K Abraham
Guest Speak at 3rd Annual national conference of Indian Federation of Neurorehabilitation (IFNRCON 2015) at Mumbai by Phinoj K. Abraham, Neuro Occupational Therapy on "Post Stroke Upper Extremity rehabilitation - A Clinical Perspective"
For Video: http://youtu.be/uCnwdzLtPSQ
A Study to compare the effect of Open versus Closed kinetic chain exercises i...IOSR Journals
Abstract: Background And Purpose Of The Study: Patello-femoral arthritis is the most common type of
arthritis especially older people sometimes it is called as degenerative joint disease. Patello- femoral arthritis is
one of the common causes of physical disability in adults. It is the second most common cause of chronic
conditions. 50% of older persons after 55 years are affected. Some of the young people get arthritis from the
joint injuries. Arthritis is the leading cause of disability in our nation more than other systemic diseases like
heart diseases, cancer and diabetes. There are many therapeutic interventions for the treatment of patellofemoral
arthritis. The study is to determine whether closed kinetic chain exercise offer any advantages over
open kinetic chain exercises.
Method: The patients are randomly selected based on inclusion and exclusion criteria and divided into two
groups. Group A and Group B. Group A is trained with closed kinetic chain exercise and Group B is trained
with open kinetic chain exercises for a period of 12 weeks. the pre and post treatment readings of VAS and
KUJALA scale are taken in both groups for statistical analysis.
Results: The results showed reduction in pain and improvement in functional activity in both Group A and
Group B, significant improvement has been noted in Group A after 12 weeks of training.
Conclusion: This study shows that there was significant improvement in functional ability and reduction of pain
as a result of both open and closed kinetic chain exercises program. There are only few significant differences
between closed kinetic chain exercises (GROUP-A) and open kineticchain exercises (GROUP-B). It reviles that
closed kinetic chain exercises are more effective in the treatment of patello-femoral arthritis than the
(GROUP-B) open kinetic chain exercises
این پاورپوینت در کارگاه ارزیابی و توانبخشی مشکلات راه رفتن در کودکان فلج مغزی توسط دکتر محمد خیاط زاده ارائه شده است.
برای مطالعه مطالب بیشتر در این زمینه به وب سایت فروردین مراجعه کنید.
www.farvardin-group.com
Diabetic Peripheral Neuropathy- 6 Months Follow up Using Resisted Exercises a...inventionjournals
Introduction: An alarming global increase in type 2 diabetes, with second maximum known diabetic subjects in India, peripheral neuropathy which remain unfocussed with complications such as falls, ulcers, amputation, decreased mobility, dependence for ADL and disability associated along with. Aims and Objectives of This Research: To analyse obesity, glycemic control and neuropathy on a diabetic subject. Materials and Methodology: This original study was on a subject for 30 years with known type 2 diabetes and for 10 years with peripheral neuropathy, where the impact of resisted exercises and Proprioceptive training were analysed for 6 months period from October 2016 to March 2017. Results: A marginal reduction in obesity and improved glycemic control by 0.5% and slight lowering of Toronto clinical scoring system for diabetic neuropathy were recorded. Conclusion: The findings of this study could implicate benefits of larger population in the society as nearly 50% of diabetic develop neuropathy. Also this was an innovative and first research study among diabetic neuropathy subjects using RET and proprioceptive exercises. Key Words: HbA1C – Glycosylated Hemoglobin, IDF - International Diabetes Federation, TCSS - Toronto clinical scoring system, BMI – Body Mass Index, WC – Waist Circumference, UKPDS – United Kingdom Prospective Diabetes Study, NCV – Nerve Conduction Velocity, ACSM – American College of Sports Medicine, TENS – Transcutaneous Electrical Nerve Stimulation, VAS – Visual Analogue Scale, ADL – Activities of Daily Life
Nikos Malliaropoulos - Rehabilitation of hamstring injuries MuscleTech Network
Nikos Malliaropoulos
Director of the Athletics National Sports Medicine Centre Thessaloniki Greece. Consultant SEM Physician Barts and The London Clinical Senior Lecturer QMUL CSEM.
-
The rehabilitation of Hamstring injuries - Can we be more injury specific?
(6th MuscleTech Network Workshop)
14th October, Barcelona
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
How to Give Better Lectures: Some Tips for Doctors
Tendon Loading Program for Long Distance Runner
1. Lauren Jarmusz, PT, DPT
Orthopedic Physical Therapy Resident
Orthopedic and Sports Medicine - Physical Therapy Department
Stanford Healthcare
March 22th, 2017
Insertional Achilles Tendinopathy: Tendon Loading
Program for a Long Distance Runner
2. Pt reports left heel/achilles tendon discomfort began when training
for a marathon in Dec 2015. In March 2015, his heel "discomfort"
progressed to heel pain after pt rapidly increased training schedule.
Since March 2015, pt had trialed a few different PT clinics, but has not
experienced significant relief.
PT NPV: February 6th, 2017
Radiology: MRI May 2015, per MD. report, “achilles tendinopathy”
MD Referral Dx: Left Heel Pain
3. PLOF: When not training for a marathon, runs 8-12 miles every other
day and 20miles on sat. Runs on pavement, wears off the shelf insoles
for pes planus.
CLOF: Running 4-6 miles every other day- Pushing through ankle pain
(4/10 max), but unable to train at higher mileage secondary to achilles
pain. Pain begins at ½ mile and continues throughout run.
GOALS: Return to running (training for marathons) without pain
4.
5. Aggravating Factors Easing Factors SINNS
• Running > ½ mile
• Descending Stairs
• Standing > 30min
• Avoiding Agg. Activities
• Wearing boot with daily
ambulation if Irritated after
running
Severity: Low, max 4/10 pain
Irritability: Moderate, Irritated for 1 day post run
Nature: Localized & Sharp
Stage: Chronic (since March 2015)
Stability: Stable, Irritated by known mechanical factors.
Systems Review:
CardioPulm (clear)
Neuro (clear)
Integumentary (clear)
GI/Urinary (clear)
6. Objective Relevant Findings
MMT (Bilat.) • HF, Glute Med, Glute Max, Posterior Tib, Peroneals, Plantarflexors 4/5 *Global Core & LE Weakness
• Dorsiflexors 5/5 Quads, HS 4+/5
ROM (deg) Left: Talocrural DF neutral; Talocrural PF 40; Subtalar Inv. 20; Subtalar Ever. 5
Right: Talocrural DF 7; Talocrural PF 40 Subtalar Inv. 20 Subtalar Ever. 8
Muscle Length
(Bilat.)
(+) Elys (L>R); (+) Modified Thomas Test (HF, ITB, Quads) L>R ; (+) SLR (R- 75deg; L-65deg); max Gastroc-
soleus shortening *muscle length restrictions t/o entire LE
Jt Play Left: Max hypomobility talocruel jt (AP glide): Grade 3 Assessment; mod-max hypomobility subtalar
eversion: Grade 3 Assessment.
Right: Mod hypomobility talocruel jt (AP glide): Grade 3 Assessment; min-mod hypomobility subtalar
eversion: Grade 3 Assessment.
Functional
Testing
• Dynamic knee valgus with single leg squat (L>R)
• Decreased squat range secondary to impaired DF range
• SL Heel Raise: unable to maintain longitudinal arch upon eccentric heel descent
Palpation (+) TTP calcaneal insertion of achilles tendon 1; (-) TTP retrocalcaneal bursa; (-) TTP mid achilles tendon.
Static Foot
Assessment
Bilateral: neutral forefoot and rearfoot, pes planus, pronated, decrease in midfoot locking mechanism.
Dynamic Foot
Assessment
Excessive pronation noted with ambulation throughout gait cycle secondary to ankle equinus (L>R); no re-
supination from mid-stance to heel off.
7. 1. Insertional Achilles tendinopathy (+)
2. Midsubstance Achiles tendinopathy (-)
3. Retrocalcaneal bursitis (-)
• Acute Achilles tendon rupture (-)
• Partial tear of the Achilles tendon (-)
• Irritation or neuroma of the sural nerve (-)
• Os trigonum syndrome (-)
• Accessory soleus muscle (-)
• Systemic inflammatory disease (-)
Differential Diagnosis 2
* Clinical Practice Guidelines: Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis, JOSPT 2010
Google Image
8. Pt. Presents with signs and sx. consistent with left insertional achilles
tendinopathy. Primary PT movement impairment: Pronatory
Movement Dysfunction. Pt’s primary impairments include: ankle
equinus restricted talocrural DF, excessive pronation t/o gait cycle, LE
muscle length restrictions, impaired midfoot locking mechanics,
proximal & distal LE and core weakness, and running motor control
abnormalities.
PSFS: Running 7
LEFS: 73
9. Fair: secondary to chronicity (chronic - march 2015) and location (insertional) of
structural impairment.
Study Patient Population Prognosis
Hutchison et al.
Clinical Practice
Guidelines 1
Athletic; acute- subacute
midsubstance achilles tendinopathy
71% - 100% of pts return to
their PLOA with min- no
complaints
Alfredson et al.
Eccentric Achilles
Tendon Loading
Program 3,8,9,10
chronic insertional achilles
tendinopathy
32% of pts returned to PLOA
with min- no complaints
Rees. et al
Management of
Tendinopathy 4
nonathletic patients with Achilles
tendinopathy
despite a high compliance rate,
eccentric training produced
good results in < 60% of
patients
10.
11. Pathological Impairments
Cook et al. “Is tendon pathology a continuum? A pathology model to explain the
clinical presentation of load-induced tendinopathy”
Cook et al. “Revisiting the continuum model of tendon pathology: what is its merit in clinical
practice and research?”
12. 3 Stages of Tendon Pathology5
Reactive Dysrepair Degeneration
• Non-inflammatory cell
response
• metaplastic change in the cells
and cell proliferation.
• No change in neurovascular
structures
IMAGING :
• Increase in diameter
• no/minimal increased signal
CLINICAL :
• Acutely overloaded tendon
• Tendons chronically exposed to
low levels of load (detrained
athlete returning from injury)
• Same as reactive
• matrix breakdown
• Increase in vascularity and
neuronal ingrowth
IMAGING:
• increased matrix disorganization
• Increase in diameter
• increased signal
CLINICAL:
• Thick tendon with localized
changes in one area of tendon
• Older pt’s may develop with
lower loads
• Significant matrix breakdown
• cellular death
• Filled with vessels and neuronal ingrowth
• Little capacity for reversibility
IMAGING:
• Significant hypoechoic regions
• Numerous and larger vessels present
• Increase in diameter
CLINICAL:
• Chronically overloaded tendon
• 1+ focal nodule areas with or without
thickening
• Hx: repeated bouts of tendon pain, resolved,
but returning as tendon load changes.
• Rupture possible
14. Malliaras et al. “Achilles and Patellar Tendinopathy Loading
Programs: A Systematic Review” 2013 7
• There is little clinical or mechanistic evidence for isolating
the eccentric component when utilizing tendon loading
program for achilles tendinopathy
• Clinicians should consider eccentric-concentric loading
alongside or instead of eccentric loading in achilles and
patellar tendinopathy
15. There is no convincing clinical evidence to demonstrate that
isolated eccentric loading exercise improves clinical outcomes
more than other loading therapies.
However, the great variation and sometimes insufficient reporting of
the details of treatment protocols may hamper the interpretation of
what may be the optimal exercise regime with respect to
parameters such as load magnitude, speed of movement, and
recovery period between exercise sessions.
Couppe et al. "Eccentric or Concentric Exercises for
the Treatment of Tendinopathies?“ 14 2015
16. Week 1: New Patient Initial Evaluation
HEP
1) Bilateral heel lift with slow eccentric descent 3x15, 2x/day
2) Gastroc/Soleus Stretch, towel under arch, 2x30s, 2x/day
3) Quad Stretch, 2x 30s, 2x/day
4) Hip Flexor Stretch, 2x 30s, 2x/day
17. Week 2 Focus 1. Gain DF ROM
2. Progress Tendon Loading Program
Subjective Pt had been compliant with gastroc soleus stretching
2x/day. Pt compliant with tendon loading program,
completed 3-4x/week 2x/day. Pt reports if he completes
stretching each morning, he has not been experiencing
pain descends stairs during day.
Objective - Pt noted 2pt (Baseline 0/10 today) increase in achilles
tendon discomfort with SL heel raise with 5 sec
isometric hold at top (3x15).
- DF (preintervention) neutral (post intervention) 5deg
HEP 1) unilateral & blateral heel lift with 5sec isometric hold
3x15, 2x/day
2) Gastroc/Soleus Stretch, towel under arch, 2x30s, 2x/day
3) AROM DF, towel under arch, 2x30s, 2x/day
4) Quad & HF Strech, 2x30s, 2x/day
18. Week 3
Focus 1. Review HEP
2. Initiate functional deficit strength training
3. Progress tendon loading program
Subjective Pt reports increase compliance with tendon loading program- 2x/day
3(15) and HEP. Ran 5-6miles (Monday-Wed) without Achilles related
pain, but does note he feels more fatigue in his Proximal LE
musculature. Pt purchased shoes with increased arch support for daily
ambulation- pt. reports new shoes have made ambulation more
comfortable.
Objective - Pt noted 2pt (Baseline 0/10 today) increase in achilles
tendon discomfort with SL heel raise with 5 sec isometric
hold at top (3x15).
- DF (preintervention) neutral (post intervention) 5deg
HEP 1) Unilateral heel lift with 3 sec isometric hold)- 15lbs 3x15,
2x/day & Bilateral heel lift with 5 sec isometric hold
2) Gastroc/Soleus Stretch, towel under arch, 2x30s, 2x/day
3) AROM DF, towel under arch, 2x30s, 2x/day
4) Quad Strech, 2x30s, 2x/day
5) Side Plank, 4x30, 1x/day
19. Week 4 (1 hr)
Focus 1. Running Assessment
2. Progress tendon loading program
3. Progress functional deficit strength training
4. Initiation of return to running protocol
Subjective Pt reports his achilles had been feeling significantly
better and therefore he trialed 9 miles of running.
Experienced -mod heel pain following run.
Objective Re-Assessment (no manual intervention)
DF (KF) 14deg
DF (KE) 10deg (improvement from neutral)
HEP • All exercises completed in clinic
• Tendon loading protocol 1x/day, 3x15
• Stretching 2x/day, 2x30s
• Proximal LE/Core Strength training, 5x/wk, 1x/day
23. Week 4 (1 hr)
Focus 1. Running Assessment
2. Progress tendon loading program
3. Progress functional deficit strength training
4. Initiation of return to running protocol
Subjective Pt reports his achilles had been feeling significantly
better and therefore he trialed 9 miles of running.
Experienced -mod heel pain following run.
Objective Re-Assessment (no manual intervention)
DF (KF) 14deg
DF (KE) 10deg (improvement from neutral)
HEP • All exercises completed in clinic
• Tendon loading protocol 1x/day, 3x15
• Stretching 2x/day, 2x30s
• Proximal LE/Core Strength training, 5x/wk, 1x/day
24. Week 4 (1 hr)
Focus 1. Running Assessment
2. Progress tendon loading program
3. Progress functional deficit strength training
4. Initiation of return to running protocol
Subjective Pt reports his achilles had been feeling significantly
better and therefore he trialed 9 miles of running.
Experienced -mod heel pain following run.
Objective Re-Assessment (no manual intervention)
DF (KF) 14deg
DF (KE) 10deg (improvement from neutral)
HEP • All exercises completed in clinic
• Tendon loading protocol 1x/day, 3x15
• Stretching 2x/day, 2x30s
• Proximal LE/Core Strength training, 5x/wk, 1x/day
25. Progressively increase the
demand on the tendon by
controlling the intensity,
duration, and frequency of
Achilles tendon loading.
Prior to Running:
• minimal (0-2/10 pain) with all
ADLs.
Important Concepts:
• Rehabilitation program must be
continued daily while running
• 2 to 3 days of recovery between
heavy Achilles tendon–loading
activities. 12,5
Return to Running Concepts 12
Silbernagel et al: A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation
26. Week 6 (Wk 5 -> off)
Focus 1. Provide exercises to specifically address running
mechanic impairments
2. Progresses running distance (per sub. Report)
3. Review Tendon Loading Program
Subjective Pt reports that he ran 5-6 miles 3x/week (Mon, Fri,
Sunday). Pt reported achilles pain during first 1/2
mile of running but resolved following first 1/2
mile. Pt. Reported no pain following run.
Objective - Muscle Length: Max restriction L > R --> HF, Rec
Fem, Gastroc/Soleus
HEP • All exercises completed in clinic
• Tendon loading protocol 1x/day, 3x15
• Stretching 2x/day, 2x30s
• Proximal LE/Core Strength training, 4-5x/wk,
1x/day
27. Week 7
NOTE:
Pt arrived to PT appointment 20 minutes late. Therefore, billed PT treatment was not
completed.
Spoke with patient about running progression. Pt. Reported achilles tendon soreness
for 2 days (with ambulation and stairs) following 12 mile run (no pain experienced
during run).
Pt able to tolerate 9 miles of running with minimal tendon pain (<2/10) following run.
Pt educated to wait 2-3 days following high intensity runs to allow for appropriate
tendon regeneration/healing
28. Exercise MS Impairment Addressed Running Biomechanical Impairment Addressed
Tendon Loading Program Pathology of Achilles
Tendinopathy
Pain in heel
DF AAROM
(overpressure program)
Restricted DF secondary to
Talocrual Jt. Hypomobility
Lack of DF t/o gait cycle
Gastroc- Soleous
Stretching
Restricted DF secondary to
muscle length restrictions
Lack of DF t/o gait cycle
Rectus Femoris & HF
Stretching
Restricted Hip Extension Lack of Hip Ext in terminal stance; vertical trunk
alignment
Side Plank Abdominal and Glute Med
Weakness
Vertical trunk alignment; decreased knee window
Step Down Eccentric Quad Control
Weakness
Decreased knee flexion in loading response
Squats Glute Max Weakness;
Eccentric Quad Control
Weakness
Decreased knee flexion in loading response;
Decreased Hip Extension in terminal stance
29. PSFS: Running 8 (7@ NPV)
LEFS: 75 (73 @ NPV)
• Not MCID
• Improvements In:
• Performing hobbies, recreational, sporting activities
• Making sharp turns while running fast
Functional Improvements:
• Running 9 miles with minimal/no pain during and after run
• No Achilles pain descending stairs throughout day (except 1st few
steps in morning)
• No longer using boot to relieve Achilles pain when flared up
30. • Progression to Phase 3 and 4 of Progressive Achilles Tendon Loading
Program
• Continued return to running progressions to 26 miles
• Continued progressions addressing functional deficits:
▫ Weak Core & Proximal LE Musculature
▫ Weak Distal LE Musculature (intrinsic foot musculature & extrinsic
longitudinal arch support musculature)
▫ LE Muscle Length Restrictions
▫ Maintain and improve talocrural DF gains.
▫ Motor control gait training: return to symmetric midfoot striking pattern
Expected Continued Progressions
31. • Achilles Tendinopathy: treat pathology and pt’s functional deficits
• Clinicians should consider eccentric-concentric loading alongside or
instead of eccentric loading in achilles and patellar tendinopathy
▫ May improve pt. compliance - protocol completed 1x/day instead of 2x/day
• Relate biomechanics from MOI to treatment (ie: assess running to
determine cause of tendinopathy)
Summary & Clinical Applications
32. Exercise MS Impairment Addressed Running Biomechanical Impairment Addressed
Tendon Loading Program Pathology of Achilles
Tendinopathy
Pain in heel
DF AAROM
(overpressure program)
Restricted DF secondary to
Talocrual Jt. Hypomobility
Lack of DF t/o gait cycle
Gastroc- Soleous
Stretching
Restricted DF secondary to
muscle length restrictions
Lack of DF t/o gait cycle
Rectus Femoris & HF
Stretching
Restricted Hip Extension Lack of Hip Ext in terminal stance; vertical trunk
alignment
Side Plank Abdominal and Glute Med
Weakness
Vertical trunk alignment; decreased knee window
Step Down Eccentric Quad Control
Weakness
Decreased knee flexion in loading response
Squats Glute Max Weakness;
Eccentric Quad Control
Weakness
Decreased knee flexion in loading response;
Decreased Hip Extension in terminal stance
33.
34. 1. Hutchison, A.-M., et al. "What is the best clinical test for Achilles tendinopathy?" Foot and Ankle Surgery 19(2): 112-117.
2. Carcia, C. R., et al. (2010). "Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis." Journal of Orthopaedic & Sports Physical Therapy 40(9): A1-
A26.
3. Jonsson, P., et al. (2008). "New regimen for eccentric calf-muscle training in patients with chronic insertional Achilles tendinopathy: results of a pilot study."
British Journal of Sports Medicine 42(9): 746-749.
4. Rees, J. D., et al. (2009). "Management of tendinopathy." American Journal of Sports Medicine 37(9): 1855-1867.
5. Cook, J. L. and C. R. Purdam (2009). "Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy."
British Journal of Sports Medicine 43(6): 409-416.
6. Cook, J. L., et al. (2016). "Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?" Br J Sports Med 50(19): 1187-
1191.
7. Malliaras, P., et al. (2013). "Achilles and Patellar Tendinopathy Loading Programmes." Sports Medicine 43(4): 267-286
8. Alfredson, H., et al. (1998). "Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis." The American Journal of Sports
Medicine 26(3): 360-366.
9. Alfredson, H. and J. Cook (2007). "A treatment algorithm for managing Achilles tendinopathy: new treatment options." British Journal of Sports Medicine 41(4):
211-216.
10. Alfredson, H. (2003). "Chronic midportion Achilles tendinopathy: an update on research and treatment." Clinics in Sports Medicine 22(4): 727-741.
11. Silbernagel, K. G., et al. (2007). "Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a
randomized controlled study." Am J Sports Med 35(6): 897-906.
12. Silbernagel, K. G. and K. M. Crossley (2015). "A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and
Implementation." J Orthop Sports Phys Ther 45(11): 876-886.
13. Gabbett, T. J. (2016). "The training-injury prevention paradox: should athletes be training smarter and harder?" Br J Sports Med 50(5):
273-280.
14. Couppe, C., et al. (2015). "Eccentric or Concentric Exercises for the Treatment of Tendinopathies?" J Orthop Sports Phys Ther 45(11): 853-
863.
Citations
35. Tim J Gabbett: The training-injury prevention paradox: should
athletes be training smarter and harder
Take Away:
• To minimize injury risk, practitioners should aim
to maintain the acute:chronic workload ratio
within a range of approximately 0.8–1.3.
• limit weekly training load increases to <10%.
Conclusion: Excessive and rapid increases in
training loads are likely responsible for a large
proportion of injuries. However, physically hard
training develops physical qualities, which in turn
protects against injuries. This paper highlights the
importance of monitoring training load, including
the load that athletes are prepared for (by
calculating the acute:chronic workload ratio), as a
best practice approach to the long-term reduction
of training-related injuries
Return to Running Concepts 13
37. Points:
- insertional vs midsubstance respond different to
treatment
- important to address movement impairments and
pathology of insertional tendinopathy
- Return to running progressions: intensity, duration, fq
- May return to PLOF!