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Cover image for Injury prevention and rehabilitation for active older adults
Title:
Injury prevention and rehabilitation for active older adults
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Publication Information:
Champaign, IL : Human Kinetics, 2005
ISBN:
9780736040310
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30000010078150 QT261 I56 2005 Open Access Book Book
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30000010120938 QT261 I56 2005 Open Access Book Book
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30000010078149 QT261 I56 2005 Open Access Book Book
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30000010126465 QT261 I56 2005 Open Access Book Book
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Summary

Summary

With the rise in active participation in sports and exercise by older people, Injury Prevention and Rehabilitation for Active Older Adults is both timely and instructive. It explores the issues involved in working with active older adults, providing a valuable resource to help sports medicine professionals prevent, diagnose, and treat injuries for this growing population.

Geared toward those working with active seniors--from competitive and recreational athletes to fitness enthusiasts--Injury Prevention and Rehabilitation for Active Older Adults contains the information to help practitioners



-strengthen their understanding of general issues in sports medicine for active seniors;

-explore prevention of, and determine treatment for, specific injuries;

-apply to their own practice the knowledge of specialists experienced in working with older populations; and

-implement and supervise appropriate conservative therapies.

Injury Prevention and Rehabilitation for Active Older Adults was written by a team of specialists with extensive experience in treating active seniors. While it emphasizes conservative treatment over surgery, it also guides readers in knowing when to refer a client to a surgeon, how to prepare a client for what might happen when referred, and what type of surgery might be indicated. Therapists and trainers will strengthen their ability to explain their basis for both treatment and referral.

Part I focuses on a variety of issues in sports medicine for active seniors, including senescent changes in the musculoskeletal system, exercise testing and prescription, and factoring the kinetic chain into prevention and therapy. Flexibility, stretching, and massage for older people are also covered, as are nutrition, nutritional supplements, and pharmacology.

Part II , organized by anatomical areas, delves into specific injuries and conditions in active seniors. This approach helps readers easily locate regional musculoskeletal problems and identify appropriate rehabilitation procedures. These regions include the shoulder, elbow, hand and wrist, spine, hip, knee, and foot and ankle. Common injuries, conditions, and treatments are explored in each area.

Accompanying photos and illustrations supplement the text, showing stretches for all parts of the body, exercises for both injury prevention and rehabilitation, diagnostic techniques (including special tests and best X-ray positions) and various treatment options. The result is a reference that facilitates understanding of the issues involved in preventing and treating injuries in active older people and in helping them recover and return to full activity as soon as possible.


Author Notes

Kevin Speer, MD, is an orthopedic surgeon from Raleigh, North Carolina. As a former team doctor for Duke University and through his own practice, Speer has extensive experience treating both athletes and older patients. Speer was head team physician for all Duke University athletic teams, assistant team physician for the New York Giants, the New York Mets, and St. John's University, and head team physician for the Durham women's professional fast-pitch softball team.

Speer has been listed in America's Registry of Outstanding Professionals and has received numerous awards and fellowships related to orthopedic research, publications, and education.


Reviews 1

Choice Review

For anyone working with an active elderly population, this book will be useful both in the library and as a classroom text. Speer divides the contents into two parts: part 1 focuses on issues important to the active senior (e.g., changes in the musculoskeletal system), exercise testing and prescription, and the kinetic chain theory in injury prevention and therapy; part 2 looks at specific injuries, conditions, and treatments for each region of the body. The material is presented in a way that will appeal to and be understood by a wide audience: those entering the fields of exercise science, sport training, sports medicine, or physical rehabilitation will find much new information here, and practitioners will expand their knowledge base and learn new ways to implement conservative methods of injury prevention. ^BSumming Up: Recommended. Lower-division undergraduates; students in technical programs; professionals; general readers. R. L. Pohlman Wright State University


Table of Contents

Hardayal Singh, MDRafael F. Escamilla, PhD, PT, CSCSW. Ben Kibler, MDCarol C. Figurers, PT, EdDFranca B. Alphin, MPH, RD, LDN and Daryl C. Osbahr, BSEdward G. McFarland, MD and Hyung Bin Park, MD and Tae Kyun Kim, MD and Efsthathios Chronopoulos, MD and Atsushi Yokota, MDTodd S. Ellenbecker, MS, PT, SCS, OCS, CSCSJonathan Isaacs, MD and L. Scott Levin, MD, FACSJoshua D. Rittenberg, MD and Joel M. Press, MD and Amy E. Ross, MPT and Venu Akuthota, MDSrino Bharam, MD and Utku Kandemir, MD and Marc J. Philippon, MDDouglas J. Martini, MD and Lauren A. Carlson, MPHRyan W. Simovitch, MD and Mark E. Easley, MD
About the Contributorsp. vii
Prefacep. ix
Part I General Issues in Sports Medicine for Active Older Adultsp. 1
Chapter 1 Senescent Changes in the Human Musculoskeletal Systemp. 3
Bone and Associated Cartilagep. 3
Joint Structuresp. 9
Musculotendinous Structuresp. 13
Summaryp. 17
Chapter 2 Exercise Testing and Prescriptionp. 19
Effects of Strength Training in the Agingp. 20
Strength Testing for the Aging Individualp. 20
Strength Training Prescription in the Agingp. 25
Effects of Aerobic Exercise in the Agingp. 32
Aerobic (Cardiorespiratory) Exercise Testing for the Agingp. 33
Aerobic Exercise Prescription for the Agingp. 42
Summaryp. 47
Chapter 3 The Kinetic Chainp. 49
Defining the Kinetic Chainp. 49
Kinetic Chain Implications for Injury, Evaluation, and Treatmentp. 51
The Kinetic Chain in the Older Athletep. 52
Principles of Kinetic Chain Evaluationp. 52
Examples of Kinetic Chain-Based Evaluation and Treatmentp. 53
Summaryp. 57
Chapter 4 Soft Tissue Care: Flexibility, Stretching, and Massagep. 59
Age-Related Soft Tissue Changesp. 59
Posturep. 59
Soft Tissue Stretchingp. 60
Massage or Soft Tissue Mobilizationp. 66
Summaryp. 70
Chapter 5 Nutrition and Pharmacologyp. 71
Dietary Concernsp. 71
Herbal Supplementsp. 80
NSAIDs and COX-2 Inhibitorsp. 82
Other Popular Supplementsp. 84
Summaryp. 85
Part II Injuries and Conditions in Active Older Adultsp. 87
Chapter 6 Shoulder Problemsp. 89
Changes in the Shoulder Complex With Agep. 89
Acute Injuriesp. 96
Rotator Cuff Injuriesp. 98
Acromioclavicular Joint Disordersp. 100
Biceps Tendon Ruptures and Tendinitisp. 102
Stiff and Frozen Shouldersp. 103
Degenerative Arthritisp. 105
Summaryp. 105
Chapter 7 Elbow Problemsp. 107
Common Elbow Injuriesp. 107
Additional Overuse Elbow Injuryp. 109
Clinical Examinationp. 109
Nonoperative Rehabilitation of Humeral Epicondylitisp. 113
Surgical Treatmentp. 117
Rehabilitation Following Elbow Arthroscopyp. 117
Summaryp. 119
Chapter 8 Hand and Wrist Problemsp. 121
Handp. 121
Wristp. 128
Summaryp. 134
Chapter 9 Spine Problemsp. 135
Anatomy and Biomechanicsp. 135
The Aging Spinep. 137
Evaluationp. 138
Treatmentp. 143
Treatment of Common Diagnostic Subsetsp. 148
Summaryp. 151
Chapter 10 Hip Problemsp. 153
Anatomyp. 153
Diagnosisp. 154
Intra-Articular Hip Pathologiesp. 156
Tendinopathiesp. 159
Hip Arthroscopyp. 160
Athletic Participation After Total Hip Replacementp. 160
Summaryp. 161
Chapter 11 Knee Problemsp. 163
Osteoarthritis of the Kneep. 163
Treatmentp. 166
Summaryp. 184
Chapter 12 Foot and Ankle Problemsp. 185
Acute Ankle Sprainsp. 185
The Ankle Sprain That Won't Healp. 187
Achilles Tendon Pathologyp. 194
Hindfootp. 198
Midfootp. 200
Forefootp. 202
Summaryp. 209
Referencesp. 211
Indexp. 229
About the Editorp. 237
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