Cheerleading and gymnastics are extremely demanding sports activities requiring energy, flexibility, and precision. But, in addition they carry a major threat of harm, notably within the decrease extremities.
The prevalence of decrease extremity accidents in cheerleading and gymnastics worldwide has elevated considerably over the past decade as each sports activities have evolved1,2. One examine, together with 6-to-17-year-old gymnasts, discovered that the decrease extremity was essentially the most affected website of harm (60.5%), with the ankle/foot and knee joints accounting for 49% and 27% of accidents, respectively. This examine additionally discovered that 10-to-12-year-olds and 13-to-17-year-olds had been at higher threat for decrease extremity harm as a consequence of elevated development charges in comparison with 6-to-9-year-olds2.
The character of accidents typically sustained in cheerleading and gymnastics are associated to the athlete’s age and repetitive actions. Collegiate/Elite cheerleaders and gymnasts are usually older and are more likely to maintain a traumatic harm that requires surgical procedure. That is because of the elevated drive and loading calls for by these with elite skills2. Overuse accidents can have an effect on many tissues together with, ligaments, muscle groups, tendons, and bones. In youngsters, these buildings are nonetheless rising, and that development happens erratically. For instance, bones develop at a quicker charge than muscle groups. This uneven development causes the muscle, tendon, and development plates to be seen as susceptible areas for overuse accidents to occur3.
Widespread Kinds of Overuse Accidents
Osgood-Schlatter Illness
Osgood-Schlatter illness causes irritation of the bone on the development plate on the entrance of the shin under the kneecap (tibial tubercle). The repetitive leaping and operating trigger a traction drive on the insertion of the patellar tendon into the tibia that may result in a stress response or stress fracture if the athlete’s exercise stage shouldn’t be decreased3.
Sever’s Illness
Sever’s illness causes irritation of the calcaneus (heel bone) on the development plate. Repetitive leaping and operating actions end in a traction drive on the insertion of the Achilles tendon on the calcaneus, which may result in additional harm to the bone if the athlete’s exercise stage shouldn’t be decreased3.
Medial Tibial Stress Syndrome (MTSS)
Medial Tibial Stress Syndrome, or MTSS, is an early stress harm within the continuum of a tibial stress fracture, which frequently is known as “Shin Splints.” Repetitive muscle traction of the tibialis anterior (shin muscle groups) may end up in a fracture of the tibia bone if the repetitive exercise shouldn’t be stopped4.
Patellar Tendinopathy
Patellar Tendinopathy, sometimes called “Jumper’s Knee,” is irritation of the patellar tendon insertion on the kneecap brought on by repetitive quadriceps muscle contractions throughout leaping and operating activities3.
Achilles Tendinopathy
Achilles Tendinopathy is brought on by irritation of the Achilles tendon insertion into the calcaneus (heel bone). This irritation is brought on by repetitive gastrocnemius complicated contractions ensuing from operating and leaping activities3.
Osteochondritis Dissecans (OCD)
With Osteochondritis Dissecans, or OCD, small segments of bone within the knee and ankle start to separate as a consequence of excessive repetitive forces and decreased blood provide to the realm. A bit of bone and cartilage can separate from the remainder of the bone in a joint, leading to a lack of vary of movement. Relaxation and exercise modification are essential to keep away from surgery5.
Meniscus Tear
Gradual degeneration of the meniscus, the cartilage that cushions between the shinbone (tibia) and thighbone (femur), can progress into tears. A tear in areas of low blood provide, in sure patterns/areas, might require surgery1,3.
Different Ligament Sprains
Repetitive forces trigger ligamentous breakdown within the knee and ankle, leading to a tear within the tissue that may be acute (1 time) or continual (repetitive stress) 1,3,6.
Signs of Overuse Accidents
Ache throughout or after exercise
Tenderness
Swelling
Adjustments in kind or method
Decreased curiosity in apply
How one can Cut back Danger for Athletes
The prevalence of overuse accidents amongst gymnasts is a major concern. It’s rooted in repetitive coaching, insufficient restoration, early sports activities specialization, and biomechanical deficiencies1,2,8. Addressing these points by a complete bodily remedy strategy can considerably cut back the danger of harm. By specializing in individualized remedy plans that improve energy, flexibility, and method, bodily therapists empower gymnasts and cheerleaders to keep up peak efficiency whereas safeguarding their long-term well being. Proactive measures in bodily remedy promote harm prevention and contribute to extra sustainable coaching practices, permitting gymnasts and cheerleaders to proceed collaborating within the sports activities they love.
Discover a Gymnastics/Cheerleading Specialist Close to You
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References:1. Damage epidemiology and threat elements in aggressive creative gymnasts: a scientific assessment – PubMed (nih.gov)2. Damage Pathology in Younger Gymnasts: A Retrospective Evaluation – PubMed (nih.gov)3. Medial Tibial Stress Syndrome – StatPearls – NCBI Bookshelf (nih.gov)5.
Ashley R. Kelley, PT, DPT, Cert DN, AIB-VRC is a board-certified bodily therapist positioned in Midlothian, VA. After incomes her doctoral diploma from Previous Dominion College, Ashley began her bodily remedy profession as a backbone specialist at a extremely regarded backbone and sports activities personal apply. Ashley has continued her training within the administration and remedy of spinal situations by finishing superior spinal manipulation programs. Ashley makes use of many various remedy strategies together with the McKenzie Methodology, handbook remedy, and dry needling for the remedy of spinal situations. Ashley has intensive expertise working with people of all ages with hypermobility issues, akin to, Ehlers-Danlos Syndrome. Ashley supplies top quality, evidence-based, and individualized rehabilitation providers to all orthopedic and sports activities populations with out the necessity of a bodily remedy prescription. Throughout her doctoral clinic and in-class coaching, Ashley underwent intensive instruction in differential analysis. This effectively permits her to refer sufferers to the suitable medical supplier for additional analysis, if warranted. She additionally specializes within the remedy of concussions and vestibular situations, together with, BPPV and vestibular hypofunction. Ashley has intensive expertise serving to sufferers return to sport, college, and work after they’ve sustained a concussion.
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