ABSTRACT
Patellofemoral pain syndrome [PFPS] is a very common disorder of the knee. Due to multiple forces influencing the patellofemoral joint, clinical management of this ailment is particularly intricate. Patellofemoral pain syndrome has a multifactorial nature and multiple parameters have been proposed as potential risk factors, classified as intrinsic or extrinsic. Some of the intrinsic risk factors are modifiable and may be approached in treatment. A number of modifiable risk factors have been suggested, including quadriceps weakness, tightness of hamstring, iliopsoas and gastrosoleus muscles, hip muscles dysfunction, foot overpronation, tightness of iliotibial band, generalised joint laxity, limb length discrepancy, patellar misalignment and hypcrinobility. In general, the routine approach of physicians to this problem docs not include assessment and modification of these risk factors and therefore, it may negatively affect the management outcomes. Changing this approach necessitates an easy and practical protocol for assessment of modifiable risk factors and effective and feasible measures to address them. In this review, we aimed to introduce assessment and intervention packages appropriate for this purpose
ABSTRACT
Flatfoot constitutes the major cause of clinic visits for pediatric foot problems. The reported prevalence of flatfoot varies widely due to numerous factors. It can be divided into flexible and rigid flatfoot. Diagnosis and management of pediatric flatfoot has long been the matter of controversy. Common assessment tools include visual inspection, anthropometric values, footprint parameters and radiographic evaluation. Most flexible flatfeet are physiologic, asymptomatic, and require no treatment. Otherwise, the physician should treat symptomatic flexible flatfeet. Initial treatment options include activity modification, proper shoe and orthoses, exercises and medication. Furthermore, comorbidities such as obesity and ligamenous laxity should be identified and managed, if applicable. When all nonsurgical treatment options faile, surgery can be considered. Our purpose in this article is to present a clinical algorithmic approach to pediatric flatfoot
Subject(s)
Humans , Pediatrics , Flatfoot/therapy , AnthropometryABSTRACT
The official FIFA survey showed that there are more than 840,000 registered referees. Football refereeing is a physically challenging job. Despite the important role of referees, few studies have focused on them. However, health and fitness of football referees is a major concern due to their older ages and significance of their performance. The aim of this study was to assess the selected parameters of fitness as well as risk factors of musculoskeletal problems among all referees of Iran's Premier League during season 2009-2010. In a cross- sectional study, all referees selected for the premier league competitions were enrolled. All participants underwent preparticipation evaluation including 7 stations. Among 78 participants [32 center referees and 46 assistant], descriptive data were as below: Age: 37 +/- 3.8 y, body mass index: 23.6 [2.1], percent of body fat: 20.7 [3.9] and VO2 max: 59.9 [7.1]. Regarding musculoskeletal abnormalities, muscular tightness was observed in 35 cases, including hamstring [18], gastrocnemius [14], iliopsoas [2] and iliotibial band [1]. Nine referees showed signs of weak quadriceps femoris. Single leg balance test was abnormal in 56 cases. The average BMI is lower than values reported in similar studies, indicating good anthropometric profile. Although VO2 max has been estimated using indirect method, the average values are comparable to elite-level European referees. Furthermore, musculoskeletal problems are common. It is recommended to incorporate periodic medical evaluation in all pre-season preparations.
ABSTRACT
Congenital Adrenal Hyperplasia [CAH] refers to a group of congenital conditions characterized by disordered cortisol synthesis. The correlation between CAH and sports performance has been less studied before and there is very limited information regarding the impacts of this congenital disease on sports performance. Probably, there are some limitations for patients who suffer from CAH in sports, but at the same time, they may enjoy some advantage due to the probable effect of endogenous hyperandrogenism on their exercise performance. The case is a 14 - year old girl with male phenotype who is a known case of congenital adrenal hyperplasia. She plays in the women's national soccer team of under 16. She has been in the first division league of indoor soccer for 4 years and was also selected in the preparation training camp of women's football team for Singapore's youth Olympic Games. Her illness and dependence on corticosteroid have caused some concerns for her participation in the international competitions of women. However, following consultations with the Therapeutic Use Exemption [TUE] Committee of games organization, she received TUE to use corticosteroid only within the games period. Despite all her problems, she is now playing in the Second Division League of indoor soccer. A female adolescent with CAH may compete at the high level of outdoor and indoor soccer. However, there are many questions regarding the advantages and disadvantages of this congenital disorder and its treatment on sports related issues
ABSTRACT
Football medicine has developed in the world in recent years. AFC Medical Committee, established the idea of football medicine traveling fellowship two years ago and provided high-level healthcare services to football players in Asian countries. This is a report on my one month experience in a traveling fellowship program for football medicine which is attempting to tell the reader about the interesting event that I experienced. This course has been held between Jan 15 to Feb 10, 2012 in 3 Asian countries: Qatar, Thailand and Malysia. The experience provided me with the valuable suggestions for future traveling fellowship periods
ABSTRACT
Sudden cardiac death [SCD] in a young athlete is rare, but catastrophic. Exercise acts as a risk factor for SCD in people with cardiovascular disease. A diversity of cardiovascular disorders including hypertrophic cardiomyopathy, congenital coronary anomalies, arrhythmogenic right ventricular dysplasia, dilated cardiomyopathy, aortic rupture due to Marfan syndrome, myocarditis, valvular disease and electrical disorders [Wolff-Parkinson-White syndrome, long QT syndrome, Brugada syndrome], as well as commotion cordis represent the common causes of SCD in young athletes. As the outcome of lethal cardiovascular disorder is not reversible except in few cases, effective measures should be addressed to reduce the burden of sudden cardiac death in young athletes. Currently, two types of recommendations are proposed by Americans and European countries. It seems that there are some special considerations in Asia, entirely different from North America or Europe, which warrant more comprehensive research on epidemiology and etiology of SCD in young Asian athletes by country and evaluation of current national preventive strategies and their achievements in decreasing the risk. Using these data and considering regional restrictions, an expert group will be able to plan a practical and feasible preventive strategy