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Return to Sport: Running Injuries in Student-Athletes: Summary
CASE STUDY
A 14-year-old male high school athlete with a history of swimming (since the age of 6) joins the cross country team. He complains of “shin splints” after about a half mile of running and is unable to continue running after 1 mile.
On exam he demonstrates increased pronation in static stance, loss of dorsiflexion ROM, weakness in glute medius (3+/5), pain with resisted dorsiflexion, tenderness only posteromedial tibial boarder, poor balance valgus collapse with single leg step down and single leg squat. He also wore a 0 drop shoe. Interventions: First he was instructed to stop running and focus on low impact (cycling, elliptical). He was given mobility exercises and manual therapy to improve dorsiflexion range of motion. Gluteus medius strengthening was performed progressing from side lying hip abduction to side planks. Finally, his footwear was changed to allow him to return to running sooner.
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F INAL EXAM QUESTIONS
120. Nutrition screening for youth athletes: a. Can only be performed my medical doctors b. Requires laboratory testing
118. Prior to puberty, strength gains in youth athletes are the result of: a. Improved neuromuscular activation
b. Muscle hypertrophy c. Increased bone mass d. The presence of testosterone 119. Delayed menarche is defined as:
c. Involves measurement of bone density d. May include a food diary and questions regarding energy levels and menstruation (for females) a. Involves changing athletes from a rearfoot to forefoot strike pattern b. Is the gradual conversion from cushioned footwear to barefoot running c. Is the use of visual, verbal, or auditory cues to change running form d. Is optimized by providing verbal constant feedback to the athlete
a. Having fewer than 6 menstrual cycles per year b. Having no menstrual cycle c. Onset of menstruation after the age of 15 d. Beginning a menstrual cycle at age 12 but then lacking a menstrual cycle due to low energy availability
121. Gait retraining:
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