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This article discusses several topics that are rather loosely related, including prevention of injury, disqualifying conditions, heat illness, proper nutrition in sports that have weight categories, anabolic steroids, and treatment of contusions. All but the last fit the theme of injury prevention. Injury Prevention CONDITIONING Proper physical conditioning can prevent injury. The principles of preventing overuse injuries in distance runners discussed herein can be generalized to other sports. At the beginning of the season, the coach must control the duration, intensity, and frequency of training carefully. Atheletes often develop overuse injuries when they do too much too soon. In addition, runners should warm up and stretch before exercise and cool down and stretch afterwards. If they are using strength training as part of their conditioning program, they should begin this slowly and carefully. In warm or humid climates, they need proper hydration and gradual acclimatization to avoid heat illness, particularly during the first 2 weeks of training. Proper conditioning includes instruction in the correct biomechanics of running; errors can lead to injury. Malalignment in the lower extremities, such as leg length discrepancies or excessive pronation, may disturb normal biomechanics. Affected athletes may avoid overuse injuries by using heel pads or arch supports. Clinicians should identify malalignment during preparticipation sports examinations, before injury occurs.
Sports Medicine
William L. Risser MD, FAAP1
1 Professor of Pediatrics and Director, Division of Adolescent Medicine, University of Texas Medical School, Houston, TX.
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M. D. Silver Use of Ergogenic Aids by Athletes J. Am. Acad. Ortho. Surg., January 1, 2001; 9(1): 61 - 70. [Abstract] [Full Text] [PDF] |
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