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Physical Medicine and Rehabilitation Clinics of North America

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https://www.readbyqxmd.com/read/29627100/contemporary-medical-scientific-social-perspectives-on-para-sport
#1
EDITORIAL
Yetsa A Tuakli-Wosornu, Wayne Derman
No abstract text is available yet for this article.
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627099/maximizing-one-s-potential
#2
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627098/paralympic-games-history-and-legacy-of-a-global-movement
#3
REVIEW
David Legg
The Paralympic Games have an interesting history that began after World War II. The Games and movement have been impacted by and have had an impact on society and the larger able-bodied sport system. The future of the Games and movement is also further impacted by larger cultural shifts, and the Games themselves have potentially left lasting legacies for the host cities and persons with impairment worldwide.
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627097/social-inclusion-through-para-sport-a-critical-reflection-on-the-current-state-of-play
#4
REVIEW
Jason Bantjes, Leslie Swartz
Medicine has played an integral role in both the inception and development of the Paralympic Games. Sports physicians are well positioned to continue to influence the development of the paralympic movement and to help focus the movement on its agenda to promote social inclusion. This article looks critically at some of the key challenges that the paralympic movement faces in its quest to promote social inclusion, and considers the role of sports medicine in this process.
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627096/the-social-empowerment-of-difference-the-potential-influence-of-para-sport
#5
REVIEW
Carla Filomena Silva, P David Howe
This article explores the significance of parasport culture in highlighting an emancipatory understanding of difference and enhancing social empowerment. Disability studies are used to illuminate the influence of ableist ideology on people with impairments. Rather than being suppressed, difference should be recognized and valued in parasport practices and ideologies, leading to a pluralist culture, in which farther and wider social emancipation can be grounded. Acceptance of difference is an absolute and essential precondition for parasport cultures to promote positive social change for people with disabilities...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627095/para-sport-athletic-identity-from-competition-to-retirement-a-brief-review-and-future-research-directions
#6
REVIEW
Michelle Guerrero, Jeffrey Martin
The primary purpose of this article is to review the literature on para sport athletic identity and provide avenues for future research direction. First, the authors briefly describe the existing quantitative and qualitative research on para sport athletic identity and, thereby, illustrate the complexities para sport athletes experience regarding the way they describe their participation in competitive sport. Next, the authors describe how para sport athletes with acquired permanent disabilities and congenital disabilities face similar, yet unique, identity-related challenges...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627094/sport-specific-limb-prostheses-in-para-sport
#7
REVIEW
Lara Grobler, Wayne Derman
Prostheses form an essential part of participation in sport and physical activity for athletes with lower or upper limb amputation. These prostheses come in the form of everyday nonsport-specific prostheses, as well as sport-specific prostheses designed to enable participation in specific sports. Sport-specific prostheses are designed to the requirements of the sport to facilitate the achievement of peak performance without causing significant risk of injury. This article addresses the various factors associated with participation in sport and physical activity for individuals with amputation, including the various prostheses for upper and lower limbs and prostheses for different sports...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627093/engineering-and-technology-in-wheelchair-sport
#8
REVIEW
Rory A Cooper, Yetsa A Tuakli-Wosornu, Geoffrey V Henderson, Eleanor Quinby, Brad E Dicianno, Kalai Tsang, Dan Ding, Rosemarie Cooper, Theresa M Crytzer, Alicia M Koontz, Ian Rice, Adam W Bleakney
Technologies capable of projecting injury and performance metrics to athletes and coaches are being developed. Wheelchair athletes must be cognizant of their upper limb health; therefore, systems must be designed to promote efficient transfer of energy to the handrims and evaluated for simultaneous effects on the upper limbs. This article is brief review of resources that help wheelchair users increase physiologic response to exercise, develop ideas for adaptive workout routines, locate accessible facilities and outdoor areas, and develop wheelchair sports-specific skills...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627092/performance-characteristics-of-para-swimmers-how-effective-is-the-swimming-classification-system
#9
REVIEW
Brendan Burkett, Carl Payton, Peter Van de Vliet, Hannah Jarvis, Daniel Daly, Christiane Mehrkuehler, Marvin Kilian, Luke Hogarth
Swimming is one of the inaugural sports within the Olympic and Paralympic Games, the key difference between the Olympic and Paralympic games being the classification system. The aim of this study was to investigate how effective the current classification system creates clearly differentiated Paralympic competition classes, based on performance time for all swimming strokes and events. Based on the performance characteristics of swimmers within the current classification system, the relationship between impairment and swimming performance is inconsistent, potentially disadvantaging some athletes...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627091/applying-scientific-principles-to-enhance-paralympic-classification-now-and-in-the-future-a-research-primer-for-rehabilitation-specialists
#10
REVIEW
Sean M Tweedy, Mark J Connick, Emma M Beckman
Para-sport classification systems define eligibility for Para sport and provide a competition structure that controls for the impact of impairment on the outcome of competition. This article focuses on the classification of para athletes with physical impairments. Development of classification systems based on scientific evidence has only recently been made possible by adoption of a statement of the purpose of classification by the International Paralympic Committee and its member organizations. Rigorous descriptive science can improve extant systems of classification and a recently published study described a data-driven classification structure with validity superior to that of the extant system...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627090/concussion-in-para-sport
#11
REVIEW
James Kissick, Nick Webborn
Although Para athletes (the International Paralympic Committee term for sportspeople with a disability) are exposed to a risk of concussion just like their able-bodied counterparts, there has been little research into the incidence of concussion in para sport. Existing assessment and management guidelines and tools have been developed for the general sport population but may not be appropriate for use in some para-athletes. This review examines what is currently known about concussion in para sport and identifies challenges and opportunities in moving knowledge on this topic forward...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627089/key-nutritional-strategies-to-optimize-performance-in-para-athletes
#12
REVIEW
Jacque Scaramella, Nuwanee Kirihennedige, Elizabeth Broad
Para athletes are a high-risk population for inadequate dietary intake leading to insufficiencies in nutrients important to athletic performance. This is partly due to minimal support and resources, especially in sport nutrition education, combined with limited prior nutrition knowledge and risks associated with different impairment types. Inadequate energy, carbohydrate, protein, iron, and vitamin D status are of particular concern in Para athletes. Assessment of these key nutrients, along with sport nutrition education, is needed to empower Para athletes with the knowledge to understand their individual nutrition needs and maximize athletic performance...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627088/athletes-with-brain-injury-pathophysiologic-and-medical-challenges
#13
REVIEW
Phoebe Runciman, Wayne Derman
Participation in elite sporting activities is becoming increasingly popular for individuals with brain injury. This article outlines the types of brain injury and the associated movement dysfunctions. In addition, specific pathophysiologic and medical challenges facing athletes with brain injury are discussed. Further research conducted using athletes with brain injury will add to the existing literature indicating the benefits of athletic training in this population. Increased scientific study within this area stands to further improve understanding of the complex interaction between neuromuscular impairment and athletic performance...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627087/autonomic-nervous-system-in-paralympic-athletes-with-spinal-cord-injury
#14
REVIEW
Matthias Walter, Andrei V Krassioukov
Individuals sustaining a spinal cord injury (SCI) frequently suffer from sensorimotor and autonomic impairment. Damage to the autonomic nervous system results in cardiovascular, respiratory, bladder, bowel, and sexual dysfunctions, as well as temperature dysregulation. These complications not only impede quality of life, but also affect athletic performance of individuals with SCI. This article summarizes existing evidence on how damage to the spinal cord affects the autonomic nervous system and impacts the performance in athletes with SCI...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627086/acute-and-chronic-musculoskeletal-injury-in-para-sport-a-critical-review
#15
REVIEW
Yetsa A Tuakli-Wosornu, Evgeny Mashkovskiy, Taylor Ottesen, Mark Gentry, Daniel Jensen, Nick Webborn
Sport-related injury patterns among Para athletes have been described with increasing frequency. This review summarizes musculoskeletal injuries in Para athletes. Seated Para athletes sustain upper extremity injuries more commonly; ambulant Para athletes frequently sustain lower extremity injuries. The upper extremity is the most commonly injured anatomic area in all Para athletes, unlike able-bodied athletes. Advanced age and spinal cord injury may increase the risk of upper extremity injury. Injury data for recreational and youth Para athletes are sparse...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29627085/illness-among-paralympic-athletes-epidemiology-risk-markers-and-preventative-strategies
#16
REVIEW
Dina Christina Janse Van Rensburg, Martin Schwellnus, Wayne Derman, Nick Webborn
Paralympic athletes have unique preexisting medical conditions that predispose them to increased risk of illness, but data are limited to studies conducted during the last 3 Paralympic Games. This article reviews the epidemiology of illness (risk, patterns, and predictors) in Paralympic athletes and provides practical guidelines for illness prevention. The incidence rate of illness (per 1000 athlete-days) in Paralympic athletes is high in Summer (10.0-13.2) and Winter (18.7) Paralympic Games. The authors propose general and specific guidelines on preventative strategies regarding illness in these athletes...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173669/preface
#17
EDITORIAL
Carlos E Rivera
No abstract text is available yet for this article.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173668/foreword
#18
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173667/ultrasound-guided-interventions-of-the-cervical-spine-and-nerves
#19
REVIEW
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
High-resolution ultrasound (US) enables prompt depiction of muscles, tendons, ligaments, and peripheral nerves. It seems to be the best imaging modality for guiding perineural injections. The most complicated neurovascular network of the musculoskeletal system surrounds the cervical spine; so injection to that region is never an easy task. This article elaborates the regional anatomy and the use of US scanning and guidance for cervical interventions; for example, cervical root, superficial cervical plexus, stellate ganglion, cervical medial branch, greater occipital nerve, and third occipital nerve...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173666/lumbar-epidural-steroid-injections
#20
REVIEW
Carlos E Rivera
Lumbar epidural steroid injections under fluoroscopic guidance are used very commonly for the treatment of low back and lower extremity radicular pain. These procedures have been shown to be effective for pain relief in the short term and are relatively safe. The indications, evidence, and safety considerations for 2 different techniques-namely, interlaminar and transforaminal-are discussed.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
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