Today, elite young gymnasts undertake training programs of progressive volume and intensity from ... more Today, elite young gymnasts undertake training programs of progressive volume and intensity from an early age. For example, talented young female gymnasts often commence training at age 5 or 6 and train more than 20 to 30 hours per week year-round throughout childhood and adolescence. Despite the "normal" short stature of top-level gymnasts and the obvious health benefits of physical activity during growth, there is concern that elite level or those gymnasts involved in heavy training regimens may be at risk for adverse effects on growth and maturation. This concern has been the source of much debate in the literature and is complicated by the difficulties in distinguishing between the genetic predisposition to short stature and late or delayed maturation, and the effect of environmental factors such as nutrition and exercise that may influence growth and maturation.
A Survey of Injuries Affecting Pre-Professional Ballet Dancers
Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, 2016
A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pr... more A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pre-professional ballet dancers over one season. Some of the descriptive findings of this survey were consistent with those of previous research and suggest particular demographic and injury trends in pre-professional ballet. These results include gender distribution, mean age and age range of participants, training hours, injury location, acute versus overuse injuries, as well as average number of physiotherapy treatments per dancer. Other results provide information that was heretofore unreported or inconsistent with previous investigations. These findings involved proportion of dancers injured, average number of injuries per dancer, overall injury incidence during an 8.5 month period, incidence rate by technique level, mean time loss per injury, proportion of recurrent injury, and activity practiced at time of injury. The results of univariate analyses revealed several significant findi...
The Effects of Proprioceptive Neuromuscular Facilitation Stretching on Post-Exercise Delayed Onset Muscle Soreness in Young Adults
International journal of exercise science
Until recently, the scientific community believed that post-exercise stretching could reduce dela... more Until recently, the scientific community believed that post-exercise stretching could reduce delayed onset muscle soreness (DOMS), but recent reviews of studies on the topic have concluded that pre- or post-exercise static stretching has no effect on mitigating DOMS. However, the effect of proprioceptive neuromuscular facilitation (PNF) post-exercise stretching on preventing DOMS has not been adequately studied. The purpose of this study was to determine the effect of post-exercise PNF stretching on DOMS. Young adult participants (N=57) were randomly assigned to a PNF stretching group (n=19), a static stretching group (n=20), and to a no-stretching control group (n=18). All participants completed exercise designed to induce DOMS prior to post-exercise experimental stretching protocols. Participants rated their soreness level on a pain scale 24 and 48 hours post-exercise. A 3 × 2 mixed ANOVA showed there was an effect for time (p<.01). Post hoc testing revealed that DOMS pain sign...
Research in Sports Medicine an International Journal, 2013
The purposes of this study were to determine the incidence and distribution of injuries affecting... more The purposes of this study were to determine the incidence and distribution of injuries affecting collegiate competitive swimmers and to test possible injury risk factors. A prospective cohort design was used to follow 34 swimmers (16 M, 18 F) from an NCAA Division I Midwest University over one academic year. Exposure-based injury rates were determined for both practice and competition. Risk of injury was assessed relative to gender, years swimming, and history of injury. Twenty of 34 swimmers sustained 31 injuries with overall injury rates of 5.55 injuries per 1000 athlete exposures and 3.04 injuries per 1000 hours exposure. Practice injury rates for female swimmers were higher than for women's practice injury rates in other NCAA sports. The most common injury locations were the shoulder, back, and knee. Risk factors that remained significant in the multivariate analysis were history of injury to the same anatomical location and history of injury at other anatomical sites.
The Journal of Strength and Conditioning Research, Dec 1, 2002
This study examined the relationship between absolute and relative (1 repetition maximum/LBM) str... more This study examined the relationship between absolute and relative (1 repetition maximum/LBM) strength vs. 13 different functional measurements in 143 older adults (mean ϭ 70.28, standard deviation ϭ 7.90 years). Strength for 11 machine lifts was determined using a predicted 1-repetition maximal strength measurement. Zero-order correlation results between absolute and relative strength vs. function measures demonstrated very weak to moderate correlations in the range of 0.02-0.57 and 0.01-0.44, respectively, with the lowest correlations present between strength and balance measures and the highest correlations present between strength and the carrying task (p Յ 0.05). Stepwise multiple regression results also confirmed the low predictability of functional tasks using strength measures, with absolute and relative strength measures accounting for only 3-38% and 3-33% of the various functional measures, respectively. This study identified specific strength measurements that contribute to the variance in a functional task but also clearly indicated that strength alone cannot serve as a predictor of function in older adults.
BMC sports science, medicine and rehabilitation, 2014
The increased participation of children and adolescents in organized sports worldwide is a welcom... more The increased participation of children and adolescents in organized sports worldwide is a welcome trend given evidence of lower physical fitness and increased prevalence of overweight in this population. However, the increased sports activity of children from an early age and continued through the years of growth, against a background of their unique vulnerability to injury, gives rise to concern about the risk and severity of injury. Three types of injury-anterior cruciate ligament (ACL) injury, concussion, and physeal injury - are considered potentially serious given their frequency, potential for adverse long-term health outcomes, and escalating healthcare costs. Concussion is probably the hottest topic in sports injury currently with voracious media coverage and exploding research interest. Given the negative cognitive effects of concussion, it has the potential to have a great impact on children and adolescents during their formative years and potentially impair school achieve...
The purposes of this study were to determine the incidence and distribution of injuries affecting... more The purposes of this study were to determine the incidence and distribution of injuries affecting collegiate competitive swimmers and to test possible injury risk factors. A prospective cohort design was used to follow 34 swimmers (16 M, 18 F) from an NCAA Division I Midwest University over one academic year. Exposure-based injury rates were determined for both practice and competition. Risk of injury was assessed relative to gender, years swimming, and history of injury. Twenty of 34 swimmers sustained 31 injuries with overall injury rates of 5.55 injuries per 1000 athlete exposures and 3.04 injuries per 1000 hours exposure. Practice injury rates for female swimmers were higher than for women's practice injury rates in other NCAA sports. The most common injury locations were the shoulder, back, and knee. Risk factors that remained significant in the multivariate analysis were history of injury to the same anatomical location and history of injury at other anatomical sites.
To investigate whether growth was adversely affected in 137 young competitive female artistic gym... more To investigate whether growth was adversely affected in 137 young competitive female artistic gymnasts involved in different training volumes. This was a 2-yr prospective cohort study in which height, sitting height, leg length, weight, skinfolds, and pubertal status were measured in competitive advanced (20-27 h x wk(-1)) and intermediate (7.5-22 h x wk(-1)) training level female gymnasts every 6-12 months. Biological parameters of the adolescent growth curve were estimated using the Preece-Baines growth model. Growth rates were estimated for both groups from the mixed-longitudinal data. Estimated ages at peak height velocity (PHV) (13-13.5 yr) and mean PHV (6.2-6.4 cm x yr(-1)) for the advanced- and intermediate-level gymnasts suggest that these gymnasts were later maturing and experienced a blunting of the growth spurt relative to reference values for U.S. youth. Comparison of growth velocities by pubertal status revealed that height velocity was lower in the advanced- versus the...
Does Training Affect Growth? Answers to Common Questions
The Physician and Sportsmedicine, 2002
Adolescent athletes may be at risk of restricted growth and delayed maturation when intense train... more Adolescent athletes may be at risk of restricted growth and delayed maturation when intense training is combined with insufficient energy intake. Because catch-up growth commonly occurs when training is reduced or ceases, final adult stature may not be compromised. However, in athletes who have long-term, clinically delayed maturation, catch-up growth may be incomplete. By charting individual growth patterns, physicians, coaches, and athletic trainers can detect vulnerable periods when the training intensity should be reduced and energy intake may need to be increased.
Short stature and later maturation of youth artistic gymnasts are often attributed to the effects... more Short stature and later maturation of youth artistic gymnasts are often attributed to the effects of intensive training from a young age. Given limitations of available data, inadequate specification of training, failure to consider other factors affecting growth and maturation, and failure to address epidemiological criteria for causality, it has not been possible thus far to establish cause-effect relationships between training and the growth and maturation of young artistic gymnasts. In response to this ongoing debate, the Scientific Commission of the International Gymnastics Federation (FIG) convened a committee to review the current literature and address four questions:
Today, elite young gymnasts undertake training programs of progressive volume and intensity from ... more Today, elite young gymnasts undertake training programs of progressive volume and intensity from an early age. For example, talented young female gymnasts often commence training at age 5 or 6 and train more than 20 to 30 hours per week year-round throughout childhood and adolescence. Despite the "normal" short stature of top-level gymnasts and the obvious health benefits of physical activity during growth, there is concern that elite level or those gymnasts involved in heavy training regimens may be at risk for adverse effects on growth and maturation. This concern has been the source of much debate in the literature and is complicated by the difficulties in distinguishing between the genetic predisposition to short stature and late or delayed maturation, and the effect of environmental factors such as nutrition and exercise that may influence growth and maturation.
A Survey of Injuries Affecting Pre-Professional Ballet Dancers
Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, 2016
A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pr... more A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pre-professional ballet dancers over one season. Some of the descriptive findings of this survey were consistent with those of previous research and suggest particular demographic and injury trends in pre-professional ballet. These results include gender distribution, mean age and age range of participants, training hours, injury location, acute versus overuse injuries, as well as average number of physiotherapy treatments per dancer. Other results provide information that was heretofore unreported or inconsistent with previous investigations. These findings involved proportion of dancers injured, average number of injuries per dancer, overall injury incidence during an 8.5 month period, incidence rate by technique level, mean time loss per injury, proportion of recurrent injury, and activity practiced at time of injury. The results of univariate analyses revealed several significant findi...
The Effects of Proprioceptive Neuromuscular Facilitation Stretching on Post-Exercise Delayed Onset Muscle Soreness in Young Adults
International journal of exercise science
Until recently, the scientific community believed that post-exercise stretching could reduce dela... more Until recently, the scientific community believed that post-exercise stretching could reduce delayed onset muscle soreness (DOMS), but recent reviews of studies on the topic have concluded that pre- or post-exercise static stretching has no effect on mitigating DOMS. However, the effect of proprioceptive neuromuscular facilitation (PNF) post-exercise stretching on preventing DOMS has not been adequately studied. The purpose of this study was to determine the effect of post-exercise PNF stretching on DOMS. Young adult participants (N=57) were randomly assigned to a PNF stretching group (n=19), a static stretching group (n=20), and to a no-stretching control group (n=18). All participants completed exercise designed to induce DOMS prior to post-exercise experimental stretching protocols. Participants rated their soreness level on a pain scale 24 and 48 hours post-exercise. A 3 × 2 mixed ANOVA showed there was an effect for time (p<.01). Post hoc testing revealed that DOMS pain sign...
Research in Sports Medicine an International Journal, 2013
The purposes of this study were to determine the incidence and distribution of injuries affecting... more The purposes of this study were to determine the incidence and distribution of injuries affecting collegiate competitive swimmers and to test possible injury risk factors. A prospective cohort design was used to follow 34 swimmers (16 M, 18 F) from an NCAA Division I Midwest University over one academic year. Exposure-based injury rates were determined for both practice and competition. Risk of injury was assessed relative to gender, years swimming, and history of injury. Twenty of 34 swimmers sustained 31 injuries with overall injury rates of 5.55 injuries per 1000 athlete exposures and 3.04 injuries per 1000 hours exposure. Practice injury rates for female swimmers were higher than for women's practice injury rates in other NCAA sports. The most common injury locations were the shoulder, back, and knee. Risk factors that remained significant in the multivariate analysis were history of injury to the same anatomical location and history of injury at other anatomical sites.
The Journal of Strength and Conditioning Research, Dec 1, 2002
This study examined the relationship between absolute and relative (1 repetition maximum/LBM) str... more This study examined the relationship between absolute and relative (1 repetition maximum/LBM) strength vs. 13 different functional measurements in 143 older adults (mean ϭ 70.28, standard deviation ϭ 7.90 years). Strength for 11 machine lifts was determined using a predicted 1-repetition maximal strength measurement. Zero-order correlation results between absolute and relative strength vs. function measures demonstrated very weak to moderate correlations in the range of 0.02-0.57 and 0.01-0.44, respectively, with the lowest correlations present between strength and balance measures and the highest correlations present between strength and the carrying task (p Յ 0.05). Stepwise multiple regression results also confirmed the low predictability of functional tasks using strength measures, with absolute and relative strength measures accounting for only 3-38% and 3-33% of the various functional measures, respectively. This study identified specific strength measurements that contribute to the variance in a functional task but also clearly indicated that strength alone cannot serve as a predictor of function in older adults.
BMC sports science, medicine and rehabilitation, 2014
The increased participation of children and adolescents in organized sports worldwide is a welcom... more The increased participation of children and adolescents in organized sports worldwide is a welcome trend given evidence of lower physical fitness and increased prevalence of overweight in this population. However, the increased sports activity of children from an early age and continued through the years of growth, against a background of their unique vulnerability to injury, gives rise to concern about the risk and severity of injury. Three types of injury-anterior cruciate ligament (ACL) injury, concussion, and physeal injury - are considered potentially serious given their frequency, potential for adverse long-term health outcomes, and escalating healthcare costs. Concussion is probably the hottest topic in sports injury currently with voracious media coverage and exploding research interest. Given the negative cognitive effects of concussion, it has the potential to have a great impact on children and adolescents during their formative years and potentially impair school achieve...
The purposes of this study were to determine the incidence and distribution of injuries affecting... more The purposes of this study were to determine the incidence and distribution of injuries affecting collegiate competitive swimmers and to test possible injury risk factors. A prospective cohort design was used to follow 34 swimmers (16 M, 18 F) from an NCAA Division I Midwest University over one academic year. Exposure-based injury rates were determined for both practice and competition. Risk of injury was assessed relative to gender, years swimming, and history of injury. Twenty of 34 swimmers sustained 31 injuries with overall injury rates of 5.55 injuries per 1000 athlete exposures and 3.04 injuries per 1000 hours exposure. Practice injury rates for female swimmers were higher than for women's practice injury rates in other NCAA sports. The most common injury locations were the shoulder, back, and knee. Risk factors that remained significant in the multivariate analysis were history of injury to the same anatomical location and history of injury at other anatomical sites.
To investigate whether growth was adversely affected in 137 young competitive female artistic gym... more To investigate whether growth was adversely affected in 137 young competitive female artistic gymnasts involved in different training volumes. This was a 2-yr prospective cohort study in which height, sitting height, leg length, weight, skinfolds, and pubertal status were measured in competitive advanced (20-27 h x wk(-1)) and intermediate (7.5-22 h x wk(-1)) training level female gymnasts every 6-12 months. Biological parameters of the adolescent growth curve were estimated using the Preece-Baines growth model. Growth rates were estimated for both groups from the mixed-longitudinal data. Estimated ages at peak height velocity (PHV) (13-13.5 yr) and mean PHV (6.2-6.4 cm x yr(-1)) for the advanced- and intermediate-level gymnasts suggest that these gymnasts were later maturing and experienced a blunting of the growth spurt relative to reference values for U.S. youth. Comparison of growth velocities by pubertal status revealed that height velocity was lower in the advanced- versus the...
Does Training Affect Growth? Answers to Common Questions
The Physician and Sportsmedicine, 2002
Adolescent athletes may be at risk of restricted growth and delayed maturation when intense train... more Adolescent athletes may be at risk of restricted growth and delayed maturation when intense training is combined with insufficient energy intake. Because catch-up growth commonly occurs when training is reduced or ceases, final adult stature may not be compromised. However, in athletes who have long-term, clinically delayed maturation, catch-up growth may be incomplete. By charting individual growth patterns, physicians, coaches, and athletic trainers can detect vulnerable periods when the training intensity should be reduced and energy intake may need to be increased.
Short stature and later maturation of youth artistic gymnasts are often attributed to the effects... more Short stature and later maturation of youth artistic gymnasts are often attributed to the effects of intensive training from a young age. Given limitations of available data, inadequate specification of training, failure to consider other factors affecting growth and maturation, and failure to address epidemiological criteria for causality, it has not been possible thus far to establish cause-effect relationships between training and the growth and maturation of young artistic gymnasts. In response to this ongoing debate, the Scientific Commission of the International Gymnastics Federation (FIG) convened a committee to review the current literature and address four questions:
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