Archive | May, 2005

 

Ankle Sprains

Ankle sprains are the most common sports injury. Lateral ankle ligaments, which provide resistance against inversion and internal rotation stress, are the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL) and the posterior talofibular ligament (PTFL). Medial supporting ligaments are the superficial and deep deltoid ligaments, which provide resistance to eversion and external rotation stress and are less commonly injured.

Ankle sprains are graded according to severity as follows with tenderness observed on the specific location of the ligaments:

Grade 1 sprain involves the ATFL with stretching of the ligament, slight local swelling and bruising, no instability of the ankle and full or parital weight bearing capabilities.

Grade 2 sprain involves the ATFL and the CFL, with paritial tearing of ligaments, moderate local swelling and bruising, possible instability of the ankle, and difficult weight bearing without crutches.

Grade 3 sprain involves the ATFL, CFL and PTFL with complete tear(s) of ligament(s), severe swelling and bruising, instability of the ankle, and impossible weight bearing without extreme pain. Surgical treatment is a strong possibility with Grade 3.

A physician visit is necessary to get proper diagnosis and early treatment to promote early healing and rehabilitation. Often early exercises are recommended to promote the best healing, but stabilization protection is required to prevent another mishap. A physician visit is also important to rule out other possible injuries, such as ankle fractures and tendon injuries.

Is the Ankle Broken or Fractured?
This is the most common question regarding severely sprained ankles due to inversion. Only x-ray images can tell for sure. However, the following signs signal a fracture: obvious deformity, weight bearing is impossible, slight squeezing or touching of the malleoli (the knobs on each side of your ankle) cause a lot of pain or there is extreme pain from touching along the outer edge of the foot (between the little toe and the heel). It is important to see a physician, nevertheless. Keep in mind that even physicians can miss reading an x-ray if the fracture is unusual, involves a tendon avulsing the bone, or there is an occult (hidden) fracture.

Prevention
Faster running speed, better cardiorespiratory endurance, good balance, stronger dorsiflexion strength, better overall coordination, quicker muscle reaction, and greater dorsiflexion range of motion at the ankle may be important factors to develeop to prevent ankle sprains.

Ankle eversion strengthening (peroneus longus and peroneus brevis) and improved reaction time of ankle eversion muscles may also be helpful. Also consider that eversion strengthening and speed and reaction training does not lag behind dorsiflexion strength, speed and quickness.

Also balancing on one leg on stable and unstable surfaces is considered (hopping for prevention and extra care on hopping post-injury).

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Welcome to Pregnancy & Exercise

Exercise can be a great way to maintain control of your changing body during pregnancy. Be sure to keep close contact with your obstetrician during your pregnancy for optimal care. The American College of Obstetrics and  Gynecology (ACOG) guidelines state that in the absence of either medical or obstetric complications, exercise of 30 minutes or more is recommended on most or all days of the week. Exercise can decrease the chance of excessive weight gain, low back pain, varicose veins, and water retention. If you feel fatigue, pain or discomfort, decrease or stop activity.

Be sure to ask your physician about exercise and your heart rate and the type of exercises you are allowed to perform. You will probably be given guidelines according to the week of your pregnancy. You may be advised not to exercise on your back after 20 weeks because of weight of the baby on major blood vessels in the back of the abdomen.

Strengthening pelvic floor muscles, which surround the vaginal, urethral and anal openings, are supportive of the lower abdomen and pelvic region and can also help control pressure in the region caused by lifting, coughing, sneezing and laughing . Better muscular control and blood flow from healthy and fit pelvic muscles can help with the actual muscular control during birth, decrease the chance of hemorrhoids, decrease the chance of urinary stress incontinence and may increase satisfaction during sexual activity. A proper pelvic floor exercise (Kegel exercise) involves tightening and lifting of the pelvic floor. Avoid holding your breath, bearing down or holding your thighs toghter during the exercise.

Alway be careful not to overexert and overheat your body. Watch your heart rate and take precautions to avoid falls. The change in your body will affect your center of gravity, your balance and your coordination. You will also reach a point where you need to avoid laying on your back because of the weight of the baby on blood vessels in your abdomen. The change in your body may also cause muscular aches and pain and low back pain from the extra weight of the baby pulling downward and stressing the low back. The middle and upper back muscles also tighten under strain from balancing the forward tilt of the upper body. Relaxin, a hormone, that prepares your pelvis for expansion of cartilage necessary for delivery may also affect cartilage of other joints and make them vulnerable to injury or aches and pains. Relaxin begins to work at about 4.5 months and may have a prolonged effect with breastfeeding and associated elevated level of progesterone. Sharp pain can occur in the low back, sacrum, gluteal region, in the groin or directly on the pubic bone. It may be necessary to visit an orthopedic specialist and physical therapist to evaluate and treat pain in the hip, groin or back region.

Remember important postural tips:
When sitting or standing keep your ears aligned over your shoulders, usually with a slight chin tuck. Keep your shoulder blades retracted, which means keep them back so they attempt to meet toward the spine.

When standing, keep your knees slightly bent to help reaction forces with the ground stay in your legs instead of bouncing in your low back. When you are standing straight up, it is important to hold the pelvis in a posterior pelvic tilt, which means tucking your tail under. Pelvis is Latin for water basin. The anterior pelvic tilt would pour water out the front of the basin. The posterior pelvic tilt would hold water in the basin or would spill it out the back. Avoid having your weight on one leg more than the other for a prolonged period.

When you have to reach and  lean forward, it is best to allow a forward pelvic tilt with bent knees and loosened hamstrings. The extra hanging weight of the baby can increase the curvature of the low back (hyperlordosis), so you may need to support your upper body weight with a hand on one thigh or a hand on a kitchen counter, etc. Strong gluteal muscles and strong abdominal muscles will help control the anterior pelvic tilt, but once pregnancy begins, it is more difficult to develop big gains in strength in the gluteal and abdominal muscles.

During sleeping and lying on your side, it can help to keep a pillow between your knees.

Important Facts and Nutritional Tips
Pregnancy requires an additional 300 calories per day.
Nursing requires and additional 500 calories per day.
Calcium needed is 1,000 mg per day.
Folic acid needs are 600 mcg per day.

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Welcome to Digital-Lifestyle.com (CLOSED)

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exercisereports.com/categories/digital-lifestyle

EXERCISE-REPORTS.COM WEBLOG | EXERCISE MONITORING | MUSIC | CONVERGENCE MEDIA

To the General Public:
The digital-lifestyle section of exercisereports.com is focused on technology and human interface issues — primarily the use of sports/fitness/wellness monitoring devices, software, images, still photography, video and music for optimal human performance. The music and video sections are available for music sales and video viewing for everyone. For more information about the digital-lifestyle section, please see “Potential Members” below.

Existing Members:
If you do not see your Project or Product folder in the left column, please log-in. The folder path is exercise-reports.com:Digital-Lifestyle:Projects:your project name. The digital-lifestyle section is your project management center for your project.

Potential Members:
Digital-Lifestyle.com is “designed control” of information for entertainment, your personal life, and your work life. If your digital-lifestyle is running smoothly, you spend less time with obstructions and more time doing … and more time being creative. That means more time to spend with people … more time to enjoy life … more energy left for quality human performance. For more information, see digital-lifestyle.com.

This Digital Lifestyle section focuses on design information and support for technology products and technology projects with human performance, human-machine interface, human satisfaction, human safety and wellness as priorities. Projects are defined in planning phases and members are invited to collaborate work on their projects in this digital-lifestyle section.

Projects have private folders that are viewable with a user name and password. The folders are used for project goals, timelines, error reports, file storage, temporary file storage and collaborative work. Some projects are not primarily fitness-related (for example, graphic arts design for web banners). However, the principles of human interface and fitness apply to all project action plans for optimal results in project completion.

Products frequently considered, evaluated and supported include computers, software, PDA’s, exercise equipment, heart rate monitors, GPS devices, rehabilitation equipment, and entertainment products (digital music players, television) for use in work life, personal life, home gyms, public fitness centers and mobile situations. Other products may also be included for product testing, training, and human factors analysis.

Projects frequently considered, managed and supported include websites, blogs, web applications, marketing, promotions and advertising, publishing/communications, personal technology and human performance enhancement for work, home, recreation and sports.

Exercise-Reports.com manages and controls product use and project success by defining goals and objectives, developing and action plan, logging project updates, technology instructions, incidents and trouble tickets for technology training, human/technology errors, and failures of software, equipment, network or software.

See also …
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Ankle Sprain Research Selections from the National Library of Medicine

Ankle Sprain Research Selections from the National Library of Medicine
Gemmell H, Hayes B, Conway M. A theoretical model for treatment of soft tissue injuries: treatment of an ankle sprain in a college tennis player. J Manipulative Physiol Ther. 2005 May;28(4):285-8.

Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005 Mar;39(3):e14; discussion e14.

Man IO, Morrissey MC. Relationship between ankle-foot swelling and self-assessed function after ankle sprain. Med Sci Sports Exerc. 2005 Mar;37(3):360-3.

Mei-Dan O, Kahn G, Zeev A, Rubin A, Constantini N, Even A, Nyska M, Mann G. The medial longitudinal arch as a possible risk factor for ankle sprains: a prospective study in 83 female infantry recruits. Foot Ankle Int. 2005 Feb;26(2):180-3.

Willems TM, Witvrouw E, Delbaere K, Mahieu N, De Bourdeaudhuij I, De Clercq D. Intrinsic risk factors for inversion ankle sprains in male subjects: a prospective study. Am J Sports Med. 2005 Mar;33(3):415-23.

Boyce SH, Quigley MA, Campbell S. Management of ankle sprains: a randomised controlled trial of the treatment of inversion injuries using an elastic support bandage or an Aircast ankle brace. Br J Sports Med. 2005 Feb;39(2):91-6.

Timm NL, Grupp-Phelan J, Ho ML. Chronic ankle morbidity in obese children following an acute ankle injury. Arch Pediatr Adolesc Med. 2005 Jan;159(1):33-6.

Evans T, Hertel J, Sebastianelli W. Bilateral deficits in postural control following lateral ankle sprain. Foot Ankle Int. 2004 Nov;25(11):833-9.

Wright RW, Barile RJ, Surprenant DA, Matava MJ. Ankle syndesmosis sprains in national hockey league players. Am J Sports Med. 2004 Dec;32(8):1941-5.

Verhagen E, van der Beek A, Twisk J, Bouter L, Bahr R, van Mechelen W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains: a prospective controlled trial. Am J Sports Med. 2004 Sep;32(6):1385-93. Epub 2004 Jul 20.

Pontaga I. Ankle joint evertor-invertor muscle torque ratio decrease due to recurrent lateral ligament sprains. Clin Biomech (Bristol, Avon). 2004 Aug;19(7):760-2.

Omori G, Kawakami K, Sakamoto M, Hara T, Koga Y. The effect of an ankle brace on the 3-dimensional kinematics and tibio-talar contact condition for lateral ankle sprains. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12(5):457-62. Epub 2004 Mar 18.

Schulz MR, Marshall SW, Yang J, Mueller FO, Weaver NL, Bowling JM. A prospective cohort study of injury incidence and risk factors in North Carolina high school competitive cheerleaders. Am J Sports Med. 2004 Mar;32(2):396-405.

Osborne MD, Rizzo TD Jr. Prevention and treatment of ankle sprain in athletes. Sports Med. 2003;33(15):1145-50.

Ubell ML, Boylan JP, Ashton-Miller JA, Wojtys EM. The effect of ankle braces on the prevention of dynamic forced ankle inversion. Am J Sports Med. 2003 Nov-Dec;31(6):935-40.

Richards DP, Ajemian SV, Wiley JP, Brunet JA, Zernicke RF. Relation between ankle joint dynamics and patellar tendinopathy in elite volleyball players. Clin J Sport Med. 2002 Sep;12(5):266-72.

Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002 Apr;32(4):166-73.

Tabrizi P, McIntyre WM, Quesnel MB, Howard AW. Limited dorsiflexion predisposes to injuries of the ankle in children. J Bone Joint Surg Br. 2000 Nov;82(8):1103-6.

Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000 May;29(5):361-71.

Posted in Ankle Research - NLMComments (0)

Peroneal Tendon Injury Selections from the National Library of Medicine

Peroneal Tendon Injury
Otis JC, Deland JT, Lee S, Gordon J. Peroneus brevis is a more effective evertor than peroneus longus. Foot Ankle Int. 2004 Apr;25(4):242-6.

Lamm BM, Myers DT, Dombek M, Mendicino RW, Catanzariti AR, Saltrick K. Magnetic resonance imaging and surgical correlation of peroneus brevis tears. J Foot Ankle Surg. 2004 Jan-Feb;43(1):30-6.

Baumhauer JF, Nawoczenski DA, DiGiovanni BF, Flemister AS. Ankle pain and peroneal tendon pathology. Clin Sports Med. 2004 Jan;23(1):21-34.

Geller J, Lin S, Cordas D, Vieira P. Relationship of a low-lying muscle belly to tears of the peroneus brevis tendon. Am J Orthop. 2003 Nov;32(11):541-4.

Mendelson S, Mendelson A, Holmes J. Compartment syndrome after acute rupture of the peroneus longus in a high school football player: a case report. Am J Orthop. 2003 Oct;32(10):510-2.

Dombek MF, Lamm BM, Saltrick K, Mendicino RW, Catanzariti AR. Peroneal tendon tears: a retrospective review. J Foot Ankle Surg. 2003 Sep-Oct;42(5):250-8.

Karlsson J, Wiger P. Longitudinal Split of the Peroneus Brevis Tendon and Lateral Ankle Instability: Treatment of Concomitant Lesions. J Athl Train. 2002 Dec;37(4):463-466.

Saxena A, Cassidy A. Peroneal tendon injuries: an evaluation of 49 tears in 41 patients. J Foot Ankle Surg. 2003 Jul-Aug;42(4):215-20.

[Preoperative and postoperative function and activity were assessed by using the American Orthopedic Foot and Ankle (AOFAS) score.]

Saxena A, Wolf SK. Peroneal tendon abnormalities. A review of 40 surgical cases. J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):272-82.

Tan V, Lin SS, Okereke E. Superior peroneal retinaculoplasty: a surgical technique for peroneal subluxation. Clin Orthop Relat Res. 2003 May;(410):320-5.

Posted in Ankle Research - NLMComments (0)

Models Workouts

Welcome to workouts for models. Models tend to work long hours and are often on calorie-restricted diets. They frequently experience rigorous schedules, travel requirements, and sometimes work in stressful environments with temperature extremes. It is not all paradise.

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Bodybuilding

Bodybuilding is the process of maximizing lean muscle growth or hypertrophy and losing fat tissue through a combination of weight training (mostly) cardiovascular training, proper caloric intake (quality, timing, ratio of macronutrients, supplementation), and sleeps and rest.

Bodybuilding is usually practiced for any of the following reasons: (1) to be a competitive bodybuilder and present the physique to a panel of judges, (2) to build lean muscle tissue to generate and attenuate greater forces or to gain mass for a sport, such as football, and (3) to build lean muscle and shape the physique to simply look and feel better. At the competitive level the muscles are revealed through a combination of fat loss, oils, and tanning (or tanning lotions) which combined with lighting make the definition of the muscle group more distinct. Extreme dietary restrictions and water loss are often practiced immediately before bodybuilding competition to the point that the physique looks great, but the body might not feel the greatest.

There are probably about as many bodybuilder’s workouts as there are bodybuilders. There are numerous claims on the Internet an in magazines and books that raise skepticism among scrutinizing readers. Watch for exaggerated claims. One professional-looking website reported the opposite results that were found in the conclusion of scientific studies that were cited — checking the sources on the National Library of Medicine PubMed website, which lists abstracts of over 15 million citations for biomedical articles back to the 1950′s. When studying two of the abstracts — and double-checking — it was obvious that the studies were misquoted. Therefore, take note of this reminder that just because something is published on the Internet — even with sources cited –  doesn’t mean that it’s true.

You might find some inspiration and motivation on these websites and reports of bodybuilder’s routines, but your best bet is to check with your physician, your personal trainer and stay true with legitimate scientific research.

Professional bodybuilding
In the modern bodybuilding industry “Professional” generally means a bodybuilder who has won qualifying completions as an amateur and has earned a ‘pro card’ from the IFBB. Professionals earn the right to compete in sanctioned competitions including the Arnold Classic and the Night of Champions. Placings at such competitions in turn earn them the right to compete at the Mr. Olympia; the title is considered to be the highest accolade in the professional bodybuilding field.

Natural bodybuilding
In natural contests bodybuilders are routinely tested for illegal substances and are banned for any violations from future contests. Testing can be done on urine samples, but in many cases a less expensive polygraph (lie detector) test is performed instead. What qualifies as an “illegal” substance, in the sense that it is prohibited by regulatory bodies, varies between natural federations, and does not necessarily include only substances that are illegal under the laws of the relevant jurisdiction. Anabolic steroids, Prohormone and Diuretics are generally banned in natural organizations. Natural bodybuilding organizations include NANBF (North American Natural Bodybuilding Federation), and the NPA (Natural Physique Association). Natural bodybuilders assert that their method is more focused on competition and a healthy lifestyle than other forms of bodybuilding.



Female Bodybuilding
In the 1970s, women began to take part in bodybuilding competitions, but the competitions were not comparable to the men’s competitions. The first U.S. Women’s National Physique Championship, promoted by Henry McGhee and held in Canton, Ohio in 1978, is generally regarded as the first true female bodybuilding contest – that is, the first contest where the entrants were judged solely on muscularity.

The National Physique Committee (NPC) held the first women’s Nationals in 1980, which was won by Laura Combes. Since its inception, this has been the top amateur level competition for women in the US.

The first Ms. Olympia contest in 1980, won by Rachel McLish, would resemble closely what is thought of today as a fitness and figure competition. The contest was a major turning point for the sport of women’s bodybuilding. McLish turned out to be very promotable, and inspired many future competitors to start training and competing. Ms. Olympia has become the most prestigious contest for professionals.

The Ms. International Contest was introduced in 1986 and gradually gained the prestige of the Ms. Olympia contest.

The IFBB introduced several changes to female bodybuilding in 2000. The Ms. Olympia contest would no longer be held as a separate contest, instead being incorporated as part of the “Olympia Weekend”. Weight classes, long a standard part of amateur contests, were introduced in the pro ranks. Also, new judging guidelines for athlete presentation were introduced. A letter to the competitors from Jim Manion (chairman of the Professional Judges Committee) stated that women would be judged on healthy appearance, face, makeup, and skin tone. The criteria given in Manion’s letter included the statement “symmetry, presentation, separations, and muscularity BUT NOT TO THE EXTREME.

There are two other categories of competition that are closely related to bodybuilding, and are frequently held as part of the same event. Fitness competition has a swimsuit round, and a round that is judged on the performance of a routine including aerobics, dance, or gymnastics. Figure competition is a newer format, judged solely on symmetry and muscle tone, with much less emphasis on muscle size than in bodybuilding.

Bodybuilders use three main strategies to maximize muscle hypertrophy:

Strength training with free weights, weight machines, elastic/hydraulic resistance and body weight resistance (dips, pushups)

Specialized nutrition, incorporating extra protein and supplements where necessary

Adequate sleep and rest

Weight training
Weight training causes micro-tears to the muscles being trained; this is generally known as microtrauma. These micro-tears in the muscle contribute to the soreness felt after exercise, called delayed onset muscle soreness (DOMS). Normally, this soreness becomes most apparent a day or two after a workout. Part of the SAID Principle (Specific Adaptations to Imposed Demands) the repair to the micro-trauma tears is part of the process that results in muscle growth (fat-free mass increase).  Studies show that muscle fiber size increases. To a far lesser extent there may be some increase in the number of muscle fibers. Muscles also adapt by storing more glycogen (carbohydrate energy) and water in the muscle tissue. Other adaptations include increase of connective tissue collagen and increased bone density.

Nutrition
The high levels of muscle growth and repair achieved by bodybuilders require a specialized diet. Generally speaking, bodybuilders require more calories than the average person of the same height to support the protein and energy requirements needed to support their training and increase in muscle mass. A sub-maintenance level
of food energy is combined with cardiovascular exercise to lose body fat in preparation for a contest. The ratios of food energy from carbohydrates, proteins, and fats vary depending on the goals of the bodybuilder and whether the bodybuilder is in a ‘building’ phase or a ‘cutting’ phase. Carbohydrates play an important role for bodybuilders. Carbohydrates give the body energy to deal with the rigors of training and recovery. Bodybuilders seek out low-glycemic polysaccharides and other slowly-digesting carbohydrates, which release energy in a more stable fashion than high-glycemic sugars and starches. This is important as high-glycemic carbohydrates cause a sharp insulin response, which places the body in a state where it is likely to store additional food energy as fat rather than muscle, and which can waste energy that should be directed towards muscle growth. However, bodybuilders frequently do ingest some quickly-digesting sugars (often in form of pure dextrose or maltodextrin) after a workout. This may help to replenish glycogen stores within the muscle, and to stimulate muscle protein synthesis. In other words simple sugars immediately following a workout are less likely to be stored as fat and more likely to be stored as glycogen and available for a future workout.

Protein is probably one of the most important parts of the diet for the bodybuilder. Functional proteins such as motor proteins which include myosin, kinesin, and dynein generate the forces exerted by contracting muscles. Current advice says that bodybuilders should consume 25-30% of protein per total calorie intake to further their goal of maintaining and improving their body composition. This is a widely debated topic, with many arguing that 1 gram of protein per pound of body weight is ideal, some suggesting that less is sufficient, and others recommending 1.5 grams, 2 grams, or more. It is believed that protein needs to be consumed frequently throughout the day, especially during/after a workout, and before sleep. There is also some debate concerning the best type of protein to take. Chicken, beef, pork, fish, eggs and dairy foods are high in protein, as are some nuts, seeds, beans and lentils. Casein or whey are often used to supplement the diet with additional protein. Whey protein is the type of protein contained in many popular brands of protein supplements, and is preferred by many bodybuilders because of its high Biological Value (BV) and quick absorption rates. Bodybuilders usually require higher quality protein with a high BV rather than relying on protein such as soy, which is often avoided due to its estrogenic properties. Still, some nutrition experts believe that soy, flax seeds and many other plants that contain the weak estrogen-like compounds or phytoestrogens can be used beneficially as phytoestrogens compete with this hormone for receptor sites in the male body and can block its actions. This can also include some inhibition of pituitary functions while stimulating the P450 system (the system that eliminates chemicals, hormones, drugs and metabolic waste product from the body) in the liver to more actively process and excrete excess estrogen.

Bodybuilders usually split their food intake for the day into 5 to 7 meals of roughly equal nutritional content and attempt to eat at regular intervals (normally between 2 and 3 hours). This process used to be considered a mechanism for increasing basal metabolic rate when compared to less frequent meals with the same energy content, but short-term research on non-bodybuilding subjects suggests that this may not be the case.

For more information on Bodybuilding, see the following official sites:
International Federation of Bodybuilding & Fitness — ifbb.com

The Arnold Sports Festival — arnoldsportsfestival.com
National Physique Committee — npcnewsonline.com
North American Natural Body Building Federation — nanbf.org
World Fitness Federation — wff-international.com
Woman’s Figure
World Bodybuilding Fitness Federation — wbffshows.com

More related sites:
BODYBUILDING.COM
getbig.com
History of Mr. Olympia — mrolympia.altervista.org
Hypertrophic-Specific Training — hypertrophy-specific.com

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