Reducing Stress Fracture In Physically Active Military Women

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Reducing Stress Fracture in Physically Active Military Women

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309060915
Total Pages : 132 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Reducing Stress Fracture in Physically Active Military Women by : Institute of Medicine

Download or read book Reducing Stress Fracture in Physically Active Military Women written by Institute of Medicine and published by National Academies Press. This book was released on 1998-10-22 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of stress fractures of the lower extremities during U.S. military basic training is significantly higher among female military recruits than among male recruits. The prevalence of this injury has a marked impact on the health of service personnel and imposes a significant financial burden on the military by delaying completion of the training of new recruits. In addition to lengthening training time, increasing program costs, and delaying military readiness, stress fractures may share their etiology with the longer-term risk of osteoporosis. As part of the Defense Women's Health Research Program, this book evaluates the impact of diet, genetic predisposition, and physical activity on bone mineral and calcium status in young servicewomen. It makes recommendations for reducing stress fractures and improving overall bone health through nutrition education and monitored physical training programs. The book also makes recommendations for future research to evaluate more fully the effects of fitness levels, physical activities, and other factors on stress fracture risk and bone health.

Reducing Stress Fracture in Physically Active Military Women

Author : Subcommittee on Body Composition, Nutrition, and Health of Military Women
Publisher : National Academies Press
ISBN 13 : 0309591899
Total Pages : 132 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Reducing Stress Fracture in Physically Active Military Women by : Subcommittee on Body Composition, Nutrition, and Health of Military Women

Download or read book Reducing Stress Fracture in Physically Active Military Women written by Subcommittee on Body Composition, Nutrition, and Health of Military Women and published by National Academies Press. This book was released on 1998-10-06 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of stress fractures of the lower extremities during U.S. military basic training is significantly higher among female military recruits than among male recruits. The prevalence of this injury has a marked impact on the health of service personnel and imposes a significant financial burden on the military by delaying completion of the training of new recruits. In addition to lengthening training time, increasing program costs, and delaying military readiness, stress fractures may share their etiology with the longer-term risk of osteoporosis. As part of the Defense Women's Health Research Program, this book evaluates the impact of diet, genetic predisposition, and physical activity on bone mineral and calcium status in young servicewomen. It makes recommendations for reducing stress fractures and improving overall bone health through nutrition education and monitored physical training programs. The book also makes recommendations for future research to evaluate more fully the effects of fitness levels, physical activities, and other factors on stress fracture risk and bone health.

Committee on Military Nutrition Research

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309172764
Total Pages : 303 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Committee on Military Nutrition Research by : Institute of Medicine

Download or read book Committee on Military Nutrition Research written by Institute of Medicine and published by National Academies Press. This book was released on 1999-08-04 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: The activities of the Food and Nutrition Board's Committee on Military Nutrition Research (CMNR, the committee) have been supported since 1994 by grant DAMD17-94-J-4046 from the U.S. Army Medical Research and Materiel Command (USAMRMC). This report fulfills the final reporting requirement of the grant, and presents a summary of activities for the grant period from December 1, 1994 through May 31, 1999. During this grant period, the CMNR has met from three to six times each year in response to issues that are brought to the committee through the Military Nutrition and Biochemistry Division of the U.S. Army Research Institute of Environmental Medicine at Natick, Massachusetts, and the Military Operational Medicine Program of USAMRMC at Fort Detrick, Maryland. The CMNR has submitted five workshop reports (plus two preliminary reports), including one that is a joint project with the Subcommittee on Body Composition, Nutrition, and Health of Military Women; three letter reports, and one brief report, all with recommendations, to the Commander, U.S. Army Medical Research and Materiel Command, since September 1995 and has a brief report currently in preparation. These reports are summarized in the following activity report with synopses of additional topics for which reports were deferred pending completion of military research in progress. This activity report includes as appendixes the conclusions and recommendations from the nine reports and has been prepared in a fashion to allow rapid access to committee recommendations on the topics covered over the time period.

Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Density and Bone Turnover in Military-Aged Women

Author :
Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Density and Bone Turnover in Military-Aged Women by :

Download or read book Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Density and Bone Turnover in Military-Aged Women written by and published by . This book was released on 2001 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: For physically active military personnel, stress fractures are debilitating and costly. Female soldiers sustain twice the number of stress fractures compared to males. Exercise interventions for women are needed to promote military readiness in ways that enhance bone strength and reduce stress fractures. This study, currently in progress, is investigating the effects of 30 weeks of concentric Vs eccentric isokinetic resistance training on bone stiffness (mechanical impedance), quality (mineral density and content), and bone cell activity (biomarkers of turnover). Female volunteers (N = 120), 18-26 years of age are categorized into normal bone density (NBD, n = 60) and low bone density (LBD, n = 60) subgroups, based on whole body bone density measurements. Subjects then are randomly assigned within NBD and LBD subgroups for concentric (n = 30 LBD, a = 30 NBD) and eccentric (n = 30 LBD, n = 30 NBD) exercise training. Exercises are performed using non-dominant arms and legs, leaving dominant limbs as self-controls. Results of this study will enhance understandings of effects of specialized exercise training on bone adaptations among young adult females. This work has important implications for reducing stress fractures arising from combat-readiness activities and for preventing osteoporosis in women.

Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Mineral Density and Bone Turnover in Military-Aged Women

Download Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Mineral Density and Bone Turnover in Military-Aged Women PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Mineral Density and Bone Turnover in Military-Aged Women by :

Download or read book Effect of Isokinetic Strength Training and Deconditioning on Bone Stiffness, Bone Mineral Density and Bone Turnover in Military-Aged Women written by and published by . This book was released on 2002 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: For physically active military personnel, stress fractures are debilitating and costly. Female soldiers sustain twice the number of stress fractures compared to males. Exercise interventions for women are needed to promote military readiness in ways that enhance bone strength and reduce stress fractures. This study, currently in progress, is investigating the effects of 30 weeks of concentric Vs eccentric isokinetic resistance training on bone stiffness (mechanical impedance), bone quality (mineral density and content), and bone cell activity (biomarkers of turnover). Female volunteers (N = 120), 18-26 years of age have been categorized into normal bone density (NBD, N = 60) and low bone density (LBD, N = 60) subgroups, based on whole body bone density measurements. Subjects subsequently have been randomly assigned within NBD and LBD subgroups for either concentric (n = 30 LBD, n = 30 NBD) and eccentric (N = 30 LBD, N = 30 NBD) isokinetic exercise training. Exercises are performed using non-dominant arms and legs only, leaving dominant limbs as self-controls Results of this study will enhance understandings of effects of specialized isokinetic resistance exercise training on bone adaptations among young adult females. This work has important implications for reducing stress fractures arising from combat- readiness activities in women and their risks for future osteoporosis.

Fractures in Sport

Author : Greg A. J. Robertson
Publisher : Springer Nature
ISBN 13 : 3030720365
Total Pages : 516 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Fractures in Sport by : Greg A. J. Robertson

Download or read book Fractures in Sport written by Greg A. J. Robertson and published by Springer Nature. This book was released on 2021-07-29 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a practically applicable sport-centred guide to fracture management for athletes. It features extensive evidence-based guidance on how fracture management can be adapted in athletic patients, to facilitate an accelerated return to sport. Descriptions of a variety of both acute and stress fracture types are included, covering both the appendicular and axial skeleton, in locations such as the shoulder, knee, ankle and spine. Throughout the book, the focus is on enabling the reader to develop a deeper understanding of the ideal management principles that are available for managing fractures in high-functioning patients. Fractures in Sport comprehensively covers the available strategies for managing fractures in professional and amateur athletes, and is ideal for use by practising and trainee orthopaedic surgeons, sports physicians, and general practitioners.

Bone Stress Injuries

Author : Adam S. Tenforde, MD
Publisher : Springer Publishing Company
ISBN 13 : 0826144241
Total Pages : 219 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Bone Stress Injuries by : Adam S. Tenforde, MD

Download or read book Bone Stress Injuries written by Adam S. Tenforde, MD and published by Springer Publishing Company. This book was released on 2021-07-17 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This book gives a nice summary of the current state of diagnosis, treatment, and prevention of bone stress injuries. It is particularly useful for sports medicine fellows and residents with an interest in athletes and active patients." ---Doody's Review Service, 3 stars Bone stress injuries are commonly seen in athletes and active individuals across a full spectrum of physical activity, age, and gender. While most overuse injuries can be addressed through non-operative care, injuries may progress to full fractures that require surgery if misdiagnosed or not correctly managed. Written by leaders in sports medicine including physical medicine and rehabilitation, orthopaedics, endocrinology and allied health professionals of biomechanics, physical therapy and dietetics, Bone Stress Injuries offers state-of-the-art guidelines and up-to-date science and terminology to practitioners. Using a holistic approach to understand the management of bone stress injuries, this book highlights specific considerations by injury, gender, and risk factor to ensure that a comprehensive treatment plan can be developed to optimize bone health, neuromuscular re-education, gait mechanics, and injury prevention. Organized into four parts, opening chapters cover the general need-to-know topics, including clinical history, imaging, and risk factors including biological and biomechanical factors. The book proceeds anatomically through the body from upper extremity to foot and ankle injuries, with each chapter underscoring diagnostic and treatment strategies specific to that region. Chapters dedicated to special populations discuss the differences in injury evaluation and management according to age, gender, and military background. Final chapters review the prevention of injuries and examine both common and novel treatment strategies, such as medications, nutrition, gait retraining, orthobiologics, and other interventions. Invaluable in its scope and approach, Bone Stress Injuries is the go-to resource for sports medicine physicians, physiatrists, and primary care providers who manage the care of athletes and individuals leading active lifestyles. Key Features: Promotes evidence-based practice for diagnosis, treatment, and prevention of bone stress injuries Covers specific anatomy that is prone to bone stress injuries with dedicated chapters on upper and lower extremities, pelvis and hip, spine, and foot and ankle Considers evaluation and management differences according to specific populations of pediatric, male, female, and military personnel Discusses emerging strategies to treat bone stress injuries, such as gait retraining, orthobiologics, and other non-pharmacological treatments

Structural Indices of Stress Fracture Susceptibility in Female Military Recruits

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (455 download)

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Book Synopsis Structural Indices of Stress Fracture Susceptibility in Female Military Recruits by :

Download or read book Structural Indices of Stress Fracture Susceptibility in Female Military Recruits written by and published by . This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A study was undertaken to examine stress fracture susceptibility in female US Marine Corps recruits, using anthropometry and bone structural measurements derived from dual energy x-ray absorptiometry (DEXA) scans of The femur and lower leg. A total of 671 recruits received anthropometry and DEXA scans at the onset of training and were followed to ascertain stress fractures. A total of 36 recruits (5.2%) suffered stress fractures; 13 cases were in the foot, 10 each in the pelvic girdle and lower leg, and 9 in the femur. Fracture cases were pooled and compared with non-fracture cases. Results show that BMD, cross-sectional geometry, strength indices, and mean cortical thicknesses of the femur and tibia were significantly lower in cases than in controls, suggesting relatively weaker bone strength of the lower limbs of fracture cases, a result also seen earlier in males. In the male however, small body size predisposed to stress fracture, but in the generally smaller female, body size was unimportant. Moreover male stress fractures were predominantly below the knee (81%), while more than half (53%) of female cases were in the femur or pelvic girdle. When pelvic stress fractures were separately compared to controls, only pelvic and intertrochanteric breadths corrected for body weight, were significantly larger in cases. This suggests that a relatively wide pelvis is a risk factor for pelvic stress fracture and considering the narrow male pelvis may explain why pelvic stress fractures is a female phenomenon.

Physical Training and Exercise-Related Injuries Surveillance, Research and Injury Prevention Military Populations

Author :
Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis Physical Training and Exercise-Related Injuries Surveillance, Research and Injury Prevention Military Populations by :

Download or read book Physical Training and Exercise-Related Injuries Surveillance, Research and Injury Prevention Military Populations written by and published by . This book was released on 1999 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: Athletes and soldiers must both develop and maintain high levels of physical fitness for the physically demanding tasks they perform; however, the routine physical activity necessary to achieve and sustain fitness can result in training-related injuries. This article reviews data from a systematic injury control programme developed by the U.S. Army. Injury control requires 5 major steps: (1) surveillance to determine the size of the injury problem; (2) studies to determine causes and risk factors for these injuries; (3) studies to ascertain whether proposed interventions actually reduce injuries; (4) Implementation of effective interventions; and (5) monitoring to see whether interventions retain their effectiveness. Medical surveillance data from the U.S. Army indicate that unintentional (accidental) injuries cause about 50% of deaths, 50% of disabilities, 30% of hospitalisations and 40 to 60% of outpatient visits. Epidemiological surveys show that the cumulative incidence of injuries (requiring an outpatient visit) in the 8 weeks of U.S. Army basic training is about 25% for men and 55% for women; incidence rates for operational infantry, special forces and ranger units are about 10 to 12 injuries/100 soldier-months. Of the limited-duty days accrued by trainees and infantry soldiers who were treated in outpatient clinics, 80 to 90% were the result of training-related injuries. U.S. Army studies document a number of potentially modifiable risk factors for these injuries, which include high amounts of running, low levels of physical fitness, high and low levels of flexibility, sedentary life-style and tobacco use, amongst other. Studies directed at interventions showed that limiting running distance can reduce the risk for stress fractures, that the use of ankle braces can reduce the likelihood of ankle sprains during harebrained operations and the use of shock-absorbing insoles does not reduce stress fractures during training.

The Female Athlete Triad

Author : Catherine M. Gordon
Publisher : Springer
ISBN 13 : 148997525X
Total Pages : 187 pages
Book Rating : 4.4/5 (899 download)

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Book Synopsis The Female Athlete Triad by : Catherine M. Gordon

Download or read book The Female Athlete Triad written by Catherine M. Gordon and published by Springer. This book was released on 2014-10-28 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book of its kind to focus solely on the female athlete triad - its origins, its recognition, and most importantly, its management. Since the symptoms themselves cover a range of medical specialties, chapters are written by experts in a number of relevant fields - sports medicine, orthopedics, endocrinology, and pediatrics - with an eye toward overall care of the young female athlete. Additionally, each chapter includes suggestions on how to educate and communicate with young athletes and their parents, as well as trainers and coaches, on how to manage the illness outside of the direct clinical setting. The female athlete triad is often seen in sports where low body weight is emphasized, such as gymnastics, figure skating, and running, though it can appear in any sport or activity. The interrelated symptoms - eating disorders, amenorrhea, and low bone mass - exist on a spectrum of severity and are serious and potentially life-threatening if not properly treated. Psychological problems, in addition to medical ones, are not uncommon. The Female Athlete Triad: A Clinical Guide discusses all of these areas for a well-rounded and in-depth approach to the phenomenon and will be a useful reference for any clinician working with female athletes across the lifespan.

Sports Injuries

Author : Mahmut Nedim Doral
Publisher : Springer Nature
ISBN 13 : 3642365698
Total Pages : 3295 pages
Book Rating : 4.6/5 (423 download)

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Book Synopsis Sports Injuries by : Mahmut Nedim Doral

Download or read book Sports Injuries written by Mahmut Nedim Doral and published by Springer Nature. This book was released on 2015-06-29 with total page 3295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Assessing Readiness in Military Women

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309174090
Total Pages : 368 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Assessing Readiness in Military Women by : Institute of Medicine

Download or read book Assessing Readiness in Military Women written by Institute of Medicine and published by National Academies Press. This book was released on 1998-01-01 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. military personnel are required to adhere to standards of body composition, fitness, and appearance to achieve and maintain readinessâ€"that is, the maintenance of optimum health and performance so they are ready for deployment at any moment. In 1992, the Committee on Military Nutrition Research reviewed the existing standards and found, among other things, that the standards for body composition required for women to achieve an appearance goal seemed to conflict with those necessary to ensure the ability to perform many types of military tasks. This report addresses that conflict, and reviews and makes recommendations about current policies governing body composition and fitness, as well as postpartum return-to-duty standards, Military Recommended Dietary Allowances, and physical activity and nutritional practices of military women to determine their individual and collective impact on the health, fitness, and readiness of active-duty women.

Pelvic Ring Fractures

Author : Axel Gänsslen
Publisher : Springer Nature
ISBN 13 : 3030547302
Total Pages : 622 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Pelvic Ring Fractures by : Axel Gänsslen

Download or read book Pelvic Ring Fractures written by Axel Gänsslen and published by Springer Nature. This book was released on 2020-11-25 with total page 622 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments.

Monitoring Metabolic Status

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309091594
Total Pages : 469 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Monitoring Metabolic Status by : Institute of Medicine

Download or read book Monitoring Metabolic Status written by Institute of Medicine and published by National Academies Press. This book was released on 2004-08-29 with total page 469 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. military's concerns about the individual combat service member's ability to avoid performance degradation, in conjunction with the need to maintain both mental and physical capabilities in highly stressful situations, have led to and interest in developing methods by which commanders can monitor the status of the combat service members in the field. This report examines appropriate biological markers, monitoring technologies currently available and in need of development, and appropriate algorithms to interpret the data obtained in order to provide information for command decisions relative to the physiological "readiness" of each combat service member. More specifically, this report also provides responses to questions posed by the military relative to monitoring the metabolic regulation during prolonged, exhaustive efforts, where nutrition/hydration and repair mechanisms may be mismatched to intakes and rest, or where specific metabolic derangements are present.

Handbook of Sports Medicine and Science

Author : Margo Mountjoy
Publisher : John Wiley & Sons
ISBN 13 : 1118862201
Total Pages : 144 pages
Book Rating : 4.1/5 (188 download)

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Book Synopsis Handbook of Sports Medicine and Science by : Margo Mountjoy

Download or read book Handbook of Sports Medicine and Science written by Margo Mountjoy and published by John Wiley & Sons. This book was released on 2014-10-06 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new International Olympic Committee (IOC) handbook covers the science, medicine and psycho-social aspects of females in sports at all levels of competition. Each chapter focuses on the specific issues that female athletes confront both on and off the field, such as bone health, nutritional recommendations, exercise/competition during menstruation and pregnancy, and much more. Fully endorsed by the IOC and drawing upon the experience of an international team of expert contributors, no other publication deals with the topic in such a concise and complete manner. The Female Athlete is recommended for all health care providers for women and girl athletes internationally for all sports and all levels of competition. It is a valuable resource for medical doctors, physical and occupational therapists, nutritionists, and sports scientists as well as coaches, personal trainers and athletes.

Baxter's The Foot and Ankle in Sport

Author : David A. Porter
Publisher : Elsevier Health Sciences
ISBN 13 : 0323549861
Total Pages : 634 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Baxter's The Foot and Ankle in Sport by : David A. Porter

Download or read book Baxter's The Foot and Ankle in Sport written by David A. Porter and published by Elsevier Health Sciences. This book was released on 2020-01-25 with total page 634 pages. Available in PDF, EPUB and Kindle. Book excerpt: For specialists and non-specialists alike, returning an athlete to pre-injury performance safely and quickly is uniquely challenging. To help you address these complex issues in everyday practice, Baxter’s The Foot and Ankle in Sport, 3rd Edition, provides focused, authoritative information on the examination, diagnosis, treatment, and rehabilitation of sports-related foot and ankle injuries – ideal for returning both professional and recreational athletes to full use and function. Provides expert guidance on athletic evaluation, sports syndromes, anatomic disorders, orthoses and rehabilitation, and more. Includes new and updated case studies and pearls for optimal use in the clinical setting. Features thoroughly revised content and enhanced coverage of stress fractures, as well as metabolic consideration in athletes. Includes new chapters on the disabled athlete, the military athlete, caring for the athlete as a team, foot and ankle exam, and biologics. Features a new, full-color design throughout and new videos available online. Shares the expertise of international contributors who provide a global perspective on sports medicine.

Body Composition and Physical Performance

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030904586X
Total Pages : 371 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Body Composition and Physical Performance by : Institute of Medicine

Download or read book Body Composition and Physical Performance written by Institute of Medicine and published by National Academies Press. This book was released on 1992-02-01 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book surveys the entire field of body composition as it relates to performance. It includes a clear definition of terminology and a discussion of the various methods for measuring body composition. The authored papers represent a state-of-the-art review of this controversial field and address questions such as: What is a better measure of body compositionâ€"body fat or lean body mass? Does being overweight for one's height really affect performance? The book also addresses the issue of physical appearance as it relates to body fatness and performance. It includes an in-depth discussion of many of the topics of interest to those involved in sports medicine and exercise physiology.