In other words, muscles around the hips abductors and knees do not function optimally poor neuromuscular control and muscle imbalance to maintain proper tracking of the kneecap. Boys are more often affected by Osgood-Schlatter disease than girls; however, that gap is narrowing as more girls are participating in organized sport 7. Symptoms of Osgood-Schlatter disease include swelling, pain, and tenderness of the bony prominence on the tibia just below the kneecap tibial tubercle.
If a figure skating athlete presents pain or dysfunction the fitness professional should never attempt to diagnose the problem but rather refer his or her client to a qualified medical professional. However, utilizing various movement screens, fitness professionals should assess their clients to identify potential muscles imbalances muscle weakness and muscle tightness and faulty movement patterns and subsequently implement a corrective exercise strategy to proactively address these concerns.
Following a comprehensive fitness assessment including a battery of movement screens , fitness professionals should implement a corrective exercise program that is individualized for their client:. In most cases restoring adequate ankle dorsiflexion is paramount 4. Stretching should be relatively pain-free and can be performed several times a day.
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Other exercises should be incorporated to strengthen the musculotendinous structures of the foot and improve proprioception. Calf strengthening can be done through heel raises and can be paired with exercises to strengthen the anterior tibialis, posterior tibialis and medial hamstrings. Brian Sutton is a year veteran in the health and fitness industry, working as a personal trainer, author, and content manager.
CES Winter Sports. Foot and Ankle Injuries The foot and ankle complex takes the brunt of the injuries 1,3. Achilles Tendonitis Another common injury experienced by figure skaters is Achilles tendonitis Figure 1. Achilles tenosynovitis Achilles tenosynovitis is another common injury to the Achilles tendon experienced by figure skaters 2,3.
Stress Fractures Some figure skaters may also suffer from stress fractures due to overuse such as repeatedly practicing the same jumping skill. Knee Injuries In addition to foot and ankle injuries, figure skaters can develop pain and dysfunction at the knee. Corrective Exercise Strategies If a figure skating athlete presents pain or dysfunction the fitness professional should never attempt to diagnose the problem but rather refer his or her client to a qualified medical professional.
Following a comprehensive fitness assessment including a battery of movement screens , fitness professionals should implement a corrective exercise program that is individualized for their client: Step 1: Inhibitory techniques s elf-myofascial release should be used to decrease tension and effects of latent trigger points of the overactive muscles surrounding the affected area and adjacent segments.
Step 2: Static stretching should be performed for a minimum of seconds on identified overactive muscles to help facilitate optimal joint ROM and muscle extensibility. Step 3: Isolated strengthening exercises should be used to facilitate identified underactive muscles. Step 4: Lastly, exercises are progressed by incorporating activities that integrate the entire kinetic chain multijoint, compound movements to enhance neuromuscular efficiency and coordination.
Competitive figure skating injuries. Pain Physician. On thin ice: preparing and caring for the ice skater during competition. Curr Sports Med Rep. Bradley MA. Prevention and treatment of foot and ankle injuries in figure skaters.
Krivickas LS. Anatomical factors associated with overuse sports injuries. Sports Med. Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations. Br J Sports Med. Arnoldi C.
The patellar pain syndrome. Acta Orthopedica Scandinavica. Mayo Clinic Staff. The Boston researchers site stress fractures as the most common overuse injury in female adolescent skaters 1. Stress fractures typically occur with an increase in training. Similar to other performance sports, skating demands a certain physique, especially in girls. Young skaters may be vulnerable to relative energy deficiency in sport RED-S , and which puts them at higher risk for stress fractures.
Variability in strength and flexibility around the pelvis, hips, core, and back, contribute to hip and back injuries. In athletes performing jumps with three or more rotations, the forces at the iliac crest and anterior superior iliac spine may be great enough to cause avulsion fractures, tendinitis, and enthesopathy at the attachment site.
Excessive hip range of motion is required to execute many of the skating maneuvers. An increased range may contribute to hip impingement and tears of the labrum. Hip tightness, however, can contribute to low back pain. The resulting increased lordosis from tight hip flexor muscles may place greater stress on the spine, especially during jump landings. Falls on the hip and sacrum may result in acute injuries, joint irritation, and SI joint dysfunction.
As with all sports, properly fitting equipment, balanced and symmetrical strength and range of motion, and core stability help guard against injury. Skating injuries are treated much the same way as injuries from other sports. Considering that the most common injuries are ankle sprains and knee pain, agility training with pelvic and core stability may help prevent these. To assess risk for and rehabilitate ankle sprains, perform specific strengthening exercises to the ankle muscles.
Be sure to evaluate the kinetic chain as a strong core and pelvis contribute to balance and stability. Tendinopathy continues to plague athletes at all levels of sport. In a previous article, Alicia Filley explores the combined theory of inflammation and degeneration within an injured tendon.
She then reviews the current thinking on the many approaches toward Chris Mallac explores the relationship between the long thoracic nerve LTN and the biomechanics of the scapula and provides rehab strategies to promote serratus anterior function in the event of an LTN injury. The long thoracic nerve LTN is a motor nerve that innervates the serratus anterior muscle. Injury to this nerve may lead to Some, as Andrew Hamilton explains, they can control such as nutrition Chris Mallac explains the anatomy and biomechanics of a retrocalcaneal bursa.
How does it interact with the Achilles insertion and how can it be managed? Pain at the posterior heel is common in many athletes such as runners, tennis players and crossfit athletes. Although it is more commonly found in older athletes, young athletes may Running remains a popular pastime and sport for amateur competitors and those who simply want to stay fit. Some of the risk factors associated with RRIs include overweight, training error, and faulty equipment worn shoes. However, the primary risk factor Adam Smith discusses the various causes of posterior ankle impingement syndrome, its clinical presentation, and goes onto describes both conservative and operative treatment options.
It is a painful condition.