Introduction

Table of Contents

Abstracts

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Introduction

Chiropractic OnLine Today is pleased to present the Table of Contents and Abstracts from Williams and Wilkins Publication Chiropractic Sports Medicine. By reviewing as much of the literature as possible, every practitioner will be offering their patients the state of the art in Chiropractic care.

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Table of Contents

Features

Editorial: An Introduction

	Dana J. Lawrence, DC .......... p. 1

1993 World Indoor Cycling Championships: Rules and Injuries of Cycle-Ball and Cycle-Artistic

	Chun-Cheung Woo, DC .......... p. 3

Goniometric Measurements in Sports Medicine

	Manuel Duarte, DABCO, DACBSP .......... p. 13

Use of Mobile Chiropractic Facilities at Athletic Events

	Jeffrey Solomon, DC .......... p. 28

Sideline Emergency Kits and the Need to Include Universal Precautions against Blood-Borne Pathogens

	Robert C. Nelson, DC and Timothy B. Rinn, DC .......... p. 32

Medial Gastrocnemius Tear ("Tennis Leg"): A Case Report

	Timothy B. Rinn, DC .......... p. 37

Spondylolisthesis: Response to Chiropractic Rehabilitative Care

	James R. Rouse, DC .......... p. 41

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Abstracts

1993 World Indoor Cycling Championships: Rules and INjuries of Cycle-Ball and Cycle-Artistic

Chun-Cheung Woo, D.C., C.C.S.P

Abstract: Objective: To investigate sports-specific injuries, to review rules of play or performance, and to discuss potential risk factors, preventive measures and rules in injury prevent in cycle-ball and cycle-artistic.

Design: Survey by interview.

Setting: Private practice.

Participants: Nine elite athletes (seven cycle-ball and two cycle-artistic) and three coaches in the 1993 World Indoor Cycling Championships.

Results: No documented sports injuries literature of either game could be found in Medline and authorities. Light collisions have been seen during cycle-call championships. Falls were more common in cycle-ball than cycle-artistic. No one sustained fracture, dislocation, head injury, or abdominal injury; however, seven cycle-ball and two cycle-artistic athletes sustained minor injuries, including six contusions of muscles and bones, two strains, and one sprain. Most injuries were acute rather and overuse-type injuries.

Conclusions: Cycle-ball is a collision sport; cycle-artistic is a noncollision acrobatic sport. Cycle-ball and cycle-artistic are considered reasonable safe. There is, however, a potential risk of accidental head concussion in cycle-ball and head and neck injuries in some pair moves of cycle-artistic. Further survey of injuries in both sports are recommended. Improved effectiveness of rules, rules change, and competent officiating are crucial in injury prevention. To prevent accidental injuries, it is equally important for practitioners of both sports to continuously study the mechanisms of sports injuries and identify their risk factors and for the sports officials to continuously review and revise the rules of the sport.

Key Words: (MeSH) bicycle, cycling, acrobatics, sports injuries, bicycling injuries, athletic injuries, sports medicine, accidents, overuse injuries, injury prevention, chiropractic; (Non-MeSH) cycle-ball, cycle-artistic, overcompeting, rules.

Goniometric Measurements in Sports Medicine

Manuel Duarte, D.C., D.A.B.C.O., D.A.C.B.S.P.

Abstract: This article explores the use of a standard pocket goniometer in sports injury practice. It focuses on the usefulness of goniometric measurements for identifying healthy athletes at risk for injury because of joint range of motion restrictions. It also discusses the appropriate use of the pocket goniometer in clinical practice and explains its use in establishing prognosis as a determination for return-to-play criteria.

Data for this review was retrieved from references identified in bibliographies of books and articles of authority in the use of goniometric measurement. Data selection was based upon its usefulness for the field practitioner treating athletic patients in out-patient clinics. This article addresses the proper use of the goniometer and its accurate interpretation of joint range of motion.

Key Words: Sports medicine, chiropractic, joint range of motion.

Use of Mobile Chiropractic Facilities at Athletic Events

Jeffrey Solomon, D.C., D.A.C.B.S.P.

Abstract: A complete mobile chiropractic facility contained in a motor home or trailer accomplishes several benefits for both athletes and the chiropractic profession. Transportable chiropractic/medical facilities provide an expedient and accurate system for injury assessment and the ability to determine urgency and appropriate methods of treatment. These facilities are cost-effective systems than can educate athletes about injury prevention and self care. The appearance of the facility often attracts both athletes and spectators who inquire about the general benefits of chiropractic. The complete transportable chiropractic facility should be large enough to contain an electric generator, plumbing, X-ray system, automatic processor, standard adjusting table, therapeutic modalities, diagnostic tools typically available in a stationary office, emergency medical kit, taping an bandaging supplies, communications system, photocopier, and computer system.

Mobile Chiropractic, Inc. has been successfully providing services at athletic events in South Florida for two years. Investigation into this apparently beneficial method of service is lacking. There is a need for continued review of mobile chiropractic/medical services.

Key Words: Chiropractic, sports medicine.

Sideline Emergency Kits and the Need to Include Universal Precautions against Blood-Borne Pathogens

Robert C. Nelson, D.C., C.C.S.P. and Timothy B. Rinn, D.C., C.C.S.P.

Abstract: Many types of physicians are providing sideline medical coverage at athletic events of varying venues from high school football games to professional rodeo events. These practitioners are not only asked to assess a wide variety of injuries and emergency situations but must be prepared to follow standards of care regarding the proper disposal of biological waste and blood-borne pathogens per Occupational Safety and Health Administration (OSHA) regulations. Many areas are already governed by these regulations and others soon will be . This article makes suggestions on equipment needed and procedures to follow to comply with the accepted standards.

Key Words: Athletic Injuries, Blood-Borne Pathogens, Emergency Medical Services, Sports Medicine.

Medial Gastrocnemius Tear ("Tennis Leg"): A Case Report

Timothy B. Rinn, D.C., C.C.S.P. and Robert C. Nelson, D.C., C.C.S.P.

Abstract: This paper describes the case of a patient who suffered a tear in his gastrocnemius muscle. The diagnostic and therapeutic options for such tears are described. Chiropractic care in this case included ice, compression and elevation for acute management, compression wrap, proteolytic enzymes, general massage, cross-tissue friction massage, passive stretching and active motion in a running/walking program.

Key Words: Gastrocnemius, muscle strain, soft tissue injury, sports injuries, rehabilitation, chiropractic.

Spondylolisthesis: Response to Chiropractic Rehabilitative Care

James R. Rouse, D.C., R.C.R.D.

Abstract: Objective: To show how a conservative chiropractic rehabilitation program can effectively treat spondylolisthesis.

Clinical Features: A 58-yr-old man developed low back and leg pain after being injured on the job. Chiropractic and medical/surgical care resulted in remission of symptoms but not total resolution of the complaint. Past medical and chiropractic notes made no mention of spondylolisthesis. A thorough examination, X-rays and CT scan confirmed diagnosis of L5 spondylolisthesis, grad 1, complicated by moderate degenerative joint disease and multiple lumbar subluxation. The instability of the lumbar spine needed to be addressed.

Intervention and Outcome: The primary objective was to reduce the subluxation and spondylolisthesis. The secondary objective was to strengthen the musculature and increase the flexibility and mobility of the lumbar spine. A final goal was to stop over-stressing and reinjuring the lumbar spine. Thus, a conservative chiropractic rehabilitation treatment plan was initiated.

Conclusion: Patient response to care was quite good, indicating that such programs can be used to help manage cases of spondylolisthesis. More clinical research is needed to help delineate mechanisms.

Key Words: Spondylolisthesis, rehabilitation, passive vs. active exercise.

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Chiropractic Sports Medicine is published quarterly by Williams and Wilkins Publishers. Williams and Wilkins may be contacted directly at:
800-638-0672

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