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Rehabilitation of Extreme Sports Injuries

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Extreme Sports Medicine

Abstract

This chapter focuses on rehabilitation tactics specific to extreme sports participants and covers various aspects relative to the approach, type of exercises, and progression of the rehabilitative process.

Since it would be unrealistic to provide systematic coverage of such a vast topic in the space of a few pages, this chapter aims to cover the fundamental aspects of extreme sports injury rehabilitation by illustrating a select number of conditions which commonly affect extreme sports participants.

This chapter will deal with four conditions often seen in the rehabilitation clinic. For the purposes of variety, we have chosen to focus on four different areas of the body – the head, the upper limbs, the lower limbs, and the spine, looking specifically at concussion, traumatic anterior dislocation of the shoulder, rupture of the anterior cruciate ligament of the knee, and acute low back pain.

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References

  1. McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvořák J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, Sills A, Benson BW, Davis GA, Ellenbogen R, Guskiewicz KM, Herring SA, Iverson GL, Jordan BD, Kissick J, McCrea M, McIntosh AS, Maddocks D, Makdissi M, Purcell L, Putukian M, Schneider K, Tator CH, Turner M. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich 2012. Br J Sports Med. 2013;47(5):250–8.

    Article  PubMed  Google Scholar 

  2. Harmon KG, Drezner JA, Gammons M, et al. American Medical Society for Sports Medicine position statement: concussion in sport. J Sports Med. 2013;47:15–26.

    Google Scholar 

  3. Tator CH. Let’s standardize the definition of concussion and get reliable incidence. Can J Neurol Sci. 2009;36:405–6.

    Article  PubMed  Google Scholar 

  4. Soreide K, Ellingsen CL, Knutson V. How dangerous is BASE jumping? An analysis of adverse events in 20,850 jumps from Kjerag Massif, Norway. J Trauma. 2007;62:1113–7.

    Article  PubMed  Google Scholar 

  5. Heggie TW, Caine JW, editors. Epidemiology of injury in adventure and extreme sports. Basel: Karger; 2012.

    Google Scholar 

  6. Bridges EJ, Rouah F, Johnston KM. Snowblading injuries in eastern Canada. Br J Sports Med. 2003;37:511–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Pikora TJ, Braham R, Mills C. The epidemiology of injury among surfers, kite surfers and personal watercraft riders: wind and waves. In: Heggie TW, Caine DJ, editors. Epidemiology of injury in adventure and extreme sports, Med Sport Sci, vol. 58. Basel: Karger; 2012. p. 80–97.

    Chapter  Google Scholar 

  8. Jablecki CK, Garner SA. Neurological complications of windsurfing. Semin Neurol. 2000;29(2):219–23.

    Article  Google Scholar 

  9. Sulheim S, Holme I, Ekeland A, et al. Helmet use and risk of head injuries in alpine skiers and snowboarders. JAMA. 2006;295:919–24.

    Article  CAS  PubMed  Google Scholar 

  10. Davidson J. Epidemiology and outcome of bicycle injuries presenting to an emergency department in the United Kingdom. Eur J Emerg Med. 2005;12:24–9.

    Article  PubMed  Google Scholar 

  11. Harmon KG, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American medical society for sports medicine position statement: concussion in sport. Br J Sports Med. 2013;47:15–26. doi:10.1136/bjsports-2012-091941.

    Article  PubMed  Google Scholar 

  12. Fothergill DM, Hedges D, Morrison JB. Effect of CO2 and N2 partial pressures on cognitive and psychomotor performance. Undersea Biomed Res. 1991;18:1–19.

    CAS  PubMed  Google Scholar 

  13. Regard M, Oelz O, Brugger P, et al. Persistent cognitive impairment in climbers after repeated exposure to extreme altitude. Neurology. 1989;39:210–3.

    Article  CAS  PubMed  Google Scholar 

  14. Broglio SP, Cantu RC, Gioia GA, Guskiewicz KM, Kutcher J, Palm M, Valovich McLeod TC. National athletic trainers’ association position statement: management of sport concussion. J Athl Train. 2014;49(2):245–65. doi:10.4085/1062-6050-49.1.07.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Piland SG, Motl RW, Ferrara MS, Peterson CL. Evidence for the factorial and construct validity of a self-report concussion symptoms scale. J Athl Train. 2003;38(2):104–12.

    PubMed  PubMed Central  Google Scholar 

  16. Randolph C, Millis S, Barr WB, et al. Concussion symptom inventory: an empirically derived scale for monitoring resolution of symptoms following sport-related concussion. Arch Clin Neuropsychol. 2009;24(3):219–29.

    Article  PubMed  PubMed Central  Google Scholar 

  17. McCrea M, Barr WB, Guskiewicz K, et al. Standard regression-based methods for measuring recovery after sport-related concussion. J Int Neuropsychol Soc. 2005;11(1):58–69.

    Article  PubMed  Google Scholar 

  18. McCrea M. Standardized mental status testing on the sideline after sport-related concussion. J Athl Train. 2001;36(3):274–9.

    PubMed  PubMed Central  Google Scholar 

  19. McCrea M. Standardized mental status assessment of sports concussion. Clin J Sport Med. 2001;11(3):176–81.

    Article  CAS  PubMed  Google Scholar 

  20. Khurana VG, Kaye AH. An overview of concussion in sport. J Clin Neurosci. 2012;19(1):1–11. J Athl Train. 2013;48(4):554–75. doi:10.4085/1062-6050-48.4.05.

  21. McCrory P, Davis G, Makdissi M. Second impact syndrome or cerebral swelling after sporting head injury. Curr Sports Med Rep. 2012;11(1):21–3. doi:10.1249/JSR.0b013e3182423bfd.

    Article  PubMed  Google Scholar 

  22. List M, Nolz Z, Nord W, Huntington M. Return-to-play: a primary care physician’s guide to management. S D Med. 2015;68(3):121–3, 125.

    PubMed  Google Scholar 

  23. Mucha A, Collins M, Elbin R, Furman J, Troutman-Enseki C, DeWolf R, Marchetti G, Kontos A. A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions. Am J Sports Med. 2014;42(10):2479–86.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Schneider K, Meeuwisse W, Nettel-Aguirre A, Barlow K, Boyd L, Kang J, Emery C. Cervicovestibular rehabilitation in sport related concussion: a randomised controlled trial. Br J Sports Med. 2014;48:1294–8.

    Article  PubMed  Google Scholar 

  25. Dyson R, Buchanon M, Hale T. Incidence of sports injuries in elite competitive and recreational windsurfers. Br J Sports Med. 2006;40:346–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Rosembaum DA, Simmons B. Windsurfing. In: Mei Dan O, Carmont MR, editors. Adventure and extreme sports injuries. London: Springer; 2013. p. 189–202.

    Chapter  Google Scholar 

  27. Nathanson AT, Reinart SE. Windsurfing injuries: results of a paper- and internet-based survey. Wilderness Environ Med. 1999;10(4):218–25.

    Article  CAS  PubMed  Google Scholar 

  28. Sutherland A, Holmes J, Myers S. Differing injury patterns in snowboarding and alpine skiing. Injury. 1996;27:423–5.

    Article  CAS  PubMed  Google Scholar 

  29. Ogawa H, Sumi H, Sumi Y, Shimizu K. Glenohumeral dislocations in snowboarding and skiing. Injury. 2011;42(11):1241–7.

    Article  PubMed  Google Scholar 

  30. Nathanson A, Bird S, Dao L, Tam Sing K. Competitive surfing injuries. Am J Sports Med. 2007;35:113–7.

    Article  PubMed  Google Scholar 

  31. Kim SH, Ha KI, Jung MW, et al. Accelerated rehabilitation after arthroscopic Bankart repair for selected cases : a prospective randomized clinical study. Arthroscopy. 2003;19:722–31.

    Article  PubMed  Google Scholar 

  32. Longo UG, Huijsmans PE, Maffulli N, Denaro V, De Beer JF. Video analysis of the mechanisms of shoulder dislocation in four elite rugby players. J Orthop Sci. 2011;16(4):389–97. doi:10.1007/s00776-011-0087-6. Epub 2011 May 13.

    Article  PubMed  Google Scholar 

  33. McCall D, Safran MR. Injuries about the shoulder in skiing and snowboarding. Br J Sports Med. 2009;43(13):987–92. doi:10.1136/bjsm.2009.068767.

    Article  CAS  PubMed  Google Scholar 

  34. Kocher MS, Feagin Jr JA. Shoulder injuries during alpine skiing. Am J Sports Med. 1996;24(5):665–9.

    Article  CAS  PubMed  Google Scholar 

  35. Lundgren L, Brorsson S, Hilliges M, Osvalder A. Sport performance and perceived musculoskeletal stress, pain and discomfort in kitesurfing. Int J Perform Anal Sport. 2011;11(1):142–58.

    Google Scholar 

  36. Kristen K, Syré S, Humenberger M. Kitesurfen – sportmedizinische Aspekte, Risikofaktoren und Verletzungen. OUP. 2014;6:306–11. doi:10.3238/oup.2014.0306-0311.

    Google Scholar 

  37. Westman A. Skydiving. In: Mei-Dan O, Carmont MR, editors. Adventure and extreme sports injuries. London: Springer; 2013. p. 84.

    Google Scholar 

  38. Burrell C, Burrell R. Injuries in whitewater paddling. Phys Sportsmed. 1982;10:119–24.

    Google Scholar 

  39. Schoen RG, Stano MJ. Year 2000 whitewater injury survey. Wilderness Environ Med. 2002;3(2):119–24.

    Article  Google Scholar 

  40. Krupnick JE, Cox RD, Summers RL. Injuries sustained during competitive white-water paddling: a survey of athletes in the 1996 Olympic trials. Wilderness Environ Med. 1998;9(1):14–8.

    Article  CAS  PubMed  Google Scholar 

  41. Fiore DC, Houston JD. Injuries in whitewater kayaking. Br J Sports Med. 2001;35(4):235–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Edwards A. Injuries in kayaking. Sport Health. 1993;11:8.

    Google Scholar 

  43. Wassinger CA, Myers JB, Sell TC, Oyama S, Rubenstein EN, Lephart SM. Scapulohumeral kinematic assessment of the forward kayak stroke in experienced whitewater kayakers. Sports Biomech. 2011;10(2):98–109.

    Article  PubMed  Google Scholar 

  44. Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults: the effect of age, hand dominance and gender. J Bone Joint Surg Br. 1995;77:296–8.

    CAS  PubMed  Google Scholar 

  45. Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M. Partial-thickness rotator cuff tears. J Am Acad Orthop Surg. 2006;14:715–25.

    Article  PubMed  Google Scholar 

  46. Smith GCS, Chesser TJS, Packham IN, Crowther MAA. First time traumatic anterior shoulder dislocation: a review of current management. Injury. 2013;44(4):406–8.

    Article  CAS  PubMed  Google Scholar 

  47. Neviaser TJ. The anterior labroligamentous periosteal sleeve avulsion lesion: a cause of anterior instability of the shoulder. Arthroscopy. 1993;9(1):17–21.

    Article  CAS  PubMed  Google Scholar 

  48. Wolf EM, Cheng JC, Dickson K. Humeral avulsion of the glenohumeral ligaments as a cause of anterior shoulder instability. Arthroscopy. 1995;11:600–7.

    Article  CAS  PubMed  Google Scholar 

  49. Baker CL, Uribe JW, Whitman C. Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med. 1990;18(1):25–8.

    Article  CAS  PubMed  Google Scholar 

  50. Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med. 1997;25(3):306–11.

    Article  CAS  PubMed  Google Scholar 

  51. Wintzell G, Haglund-Akerlind Y, Ekelund A, Sandstrom B, Hovelius L, Larsson S. Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation. A randomised multicentre study with 1-year follow-up. Knee Surg Sports Traumatol Arthrosc. 1999;7(3):192–6.

    Article  CAS  PubMed  Google Scholar 

  52. Larrain MV, Montenegro HJ, Mauas DM, Collazo CC, Pavon F. Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy. 2006;22(12):1283–9.

    Article  PubMed  Google Scholar 

  53. Robinson CM, Jenkins PJ, White TO, Ker A, Will E. Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial. J Bone Joint Surg Am. 2008;90(4):708–21.

    Article  PubMed  Google Scholar 

  54. Lin CL, Su FC, Chang CH, Hong CK, Jou IM, Lin CJ, Su WR. Effect of shoulder abduction on the fixation of humeral greater tuberosity fractures: a biomechanical study for three types of fixation constructs. J Shoulder Elbow Surg. 2015;24(4):547–54.

    Article  PubMed  Google Scholar 

  55. Zuckerman JD, Koval KJ. Atlas of orthopaedic surgery: a multimedia reference. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 62.

    Google Scholar 

  56. Lenza M, Buchbinder R, Takwoingi Y, Johnston RV, Hanchard NC, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database Syst Rev. 2013;9:CD009020. doi:10.1002/14651858.CD009020.pub2.

    Google Scholar 

  57. Gyftopoulos S, Albert M, Recht MP. Osseous injuries associated with anterior shoulder instability: what the radiologist should know. AJR Am J Roentgenol. 2014;202(6):W541–50. doi:10.2214/AJR.13.11824.

    Article  PubMed  Google Scholar 

  58. Robinson CM, Howes J, Murdoch H, Will E, Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am. 2006;88(11):2326–36.

    PubMed  Google Scholar 

  59. Gooding BWT, Geoghegan JM, Manning PA. The management of acute traumatic primary anterior shoulder dislocation in young adults. Shoulder Elbow. 2010;2:141–6.

    Article  Google Scholar 

  60. Handoll HHG, Almaiyah MA, Rangan A. Surgical versus non surgical treatment fior acute anterior shoulder dislocation. Cochrane Database of Syst Rev 2004;(1):CD004325.

    Google Scholar 

  61. Jaggi A, Lambert S. Rehabilitation for shoulder instability. Br J Sports Med. 2010;44:33–340.

    Article  Google Scholar 

  62. Fedoriw WW, Ramkumar P, McCullock PC, Lintner DM. Return to play after treatment of superior labral tears in professional baseball players. Am Sports Med. 2014;42:1155–60.

    Article  Google Scholar 

  63. Van Klenunen KP, Tucker SA, Field LD. Return to high-level throwing after combination infraspinatus repair, SLAP repair, and release of glenohumeral internal rotation deficit. Am J Sports Med. 2012;40:2536–41.

    Article  Google Scholar 

  64. Mazzocca AD, Brown Jr FM, Carreira DS, Hayden J, Romeo AA. Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med. 2005;33(1):52–60.

    Article  PubMed  Google Scholar 

  65. Petrera M, Dwyer T, Tsuji MR, Theodoropoulos JS. Outcomes of arthroscopic Bankart repair in collision versus noncollision athletes. Orthopedics. 2013;36(5):e621–6. doi:10.3928/01477447-20130426-25.

    Article  PubMed  Google Scholar 

  66. Handoll HH, Almaiyah MA, Rangan A. Surgical versus non-surgical treatment for acute anterior shoulder dislocation. Cochrane Database Syst Rev. 2004;(1):CD004325.

    Google Scholar 

  67. Paterson WH, Throckmorton TW, Koester M, Azar FM, Kuhn JE. Position and duration of immobilization after primary anterior shoulder DislocationA systematic review and meta-analysis of the literature. J Bone Joint Surg Am. 2010;92:2924–8.

    Article  PubMed  Google Scholar 

  68. Johnson AJ, Godges JJ, Zimmerman GJ, Ounanian LL. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. J Orthop Sports Phys Ther. 2007;37:88–99.

    Article  PubMed  Google Scholar 

  69. Tokish JM, Decker MJ, Ellis HB, et al. The belly-press test for the physical examination of the subscapularis muscle: electromyographic validation and comparison to the lift-off test. J Shoulder Elbow Surg. 2003;12:427–30.

    Article  PubMed  Google Scholar 

  70. Werner CM, Favre P, Gerber C. The role of the subscapularis in preventing anterior glenohumeral subluxation in the abducted, externally rotated position of the arm. Clin Biomech (Bristol, Avon). 2007;22:495–501.

    Article  CAS  Google Scholar 

  71. Lephart SM, Henry TJ. The Physiological basis for open and closed kinetic chain rehabilitation for the upper extremity. J Sports Rehabil. 1996;5:71–87.

    Article  Google Scholar 

  72. Kibler WB. Closed kinetic chain rehabilitation for sports injuries. Phys Med Rehabil Clin N Am. 2000;11:369–84.

    CAS  PubMed  Google Scholar 

  73. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26:325–37.

    CAS  PubMed  Google Scholar 

  74. Kibler WB, Sciascia A. Rehabilitation of the athlete’s shoulder. Clin Sports Med. 2008;27:821–31.

    Article  PubMed  Google Scholar 

  75. Gibson J, Elphinston J. Shoulder instability part III: treatment and rehabilitation of shoulder instability. Sportex Med. 2005;24:18–22.

    Google Scholar 

  76. Malliaras P, Morrissey D, Antoniou N. Rehabilitation of extreme sports injuries. In: Mei Dan O, Carmont MR, editors. Adventure and extreme sports injuries. London: Springer; 2013. p. 339–61.

    Chapter  Google Scholar 

  77. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012;85(4):343–50.

    PubMed  Google Scholar 

  78. Foss IS, Holme I, Bahr R. The prevalence of low back pain among former elite cross-country skiers, rowers, orienteerers, and nonathletes: a 10-year cohort study. Am J Sports Med. 2012;40(11):2610–6.

    Article  PubMed  Google Scholar 

  79. Bahr R, Andersen SO, Løken S, Fossan B, Hansen T, Holme I. Low back pain among endurance athletes with and without specific back loading – a cross-sectional survey of cross-country skiers, rowers, orienteerers, and nonathletic controls. Spine (Phila Pa 1976). 2004;29(4):449–54.

    Article  Google Scholar 

  80. Allen GD, Locke S. Training activities, competitive histories and injury profiles of elite boardsailing athletes. Aust J Med Sci Sports. 1989;21:12–4.

    Google Scholar 

  81. Ullis KC, Anno K. Injuries of competitive board sailors. Phys Sports Med. 1984;12:86–93.

    Article  Google Scholar 

  82. Locke S, Allen GD. Etiology of low back pain in elite boardsailors. Med Sci Sports Exerc. 1992;24(9):964–6.

    Article  CAS  PubMed  Google Scholar 

  83. Allen JB. Sports medicine and sailing. Phys Med Rehabil Clin N Am. 1999;10(1):49–65.

    CAS  PubMed  Google Scholar 

  84. Bouras T, Korovessis P. Management of spondylolysis and low-grade spondylolisthesis in fine athletes. A comprehensive review. Eur J Orthop Surg Traumatol. 2014;25 Suppl 1:S167–75.

    PubMed  Google Scholar 

  85. Van Tulder MW, Assendelft WJJ, Koes BW, Bouter LM. Spinal radiographic findings and nonspecific low back pain: a systematic review of observational studies. Spine. 1997;22:427–34.

    Article  PubMed  Google Scholar 

  86. Witse LL, Newman PH, Macnab I. Classification of spondylolysis and spondylolisthesis. Clin Orthop. 1976;117:23–9.

    Google Scholar 

  87. Standaert CJ, Herring SA. Spondylolysis : a critical review. Br J Sports Med. 2000;34:415–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Rekand T. The epidemiology of injury in hang-gliding and paragliding. Med Sport Sci. 2012;58:44–56.

    Article  PubMed  Google Scholar 

  89. Rekand T, Schaanning EE, Varga V, Schattel U, Gronning M. Spinal cord injuries among paragliders in Norway. Spinal Cord. 2008;46(6):412–6.

    Article  CAS  PubMed  Google Scholar 

  90. Allen J, De Jong MR. Sailing and sports medicine: a literary review. Br J Sports Med. 2006;40:587–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Brinjiki W, Leutmer PH, Comstock B, Bresnahan LE, Deyo RA. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015;36(4):811–6.

    Article  Google Scholar 

  92. Jarvik JG, Deyo RA. Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med. 2002;137:586–97.

    Article  PubMed  Google Scholar 

  93. Ogon M, Riedl-Huter C, Sterzinger W, Krismer M, Spratt KF, Wimmer C. Radiologic abnormalities and low back pain in elite skiers. Clin Orthop Relat Res. 2001;390:151–62.

    Article  Google Scholar 

  94. Abenhaim L, Rossignol M, Gobeille D, Bonvalot Y, Fines P, Scott S. The prognostic consequences in the making of the initial medical diagnosis of work-related back injuries. Spine. 1995;20:791–5.

    Article  CAS  PubMed  Google Scholar 

  95. Henry SM, Fritz JM, Trombley AR, Bunn JY. Reliability of a treatment-based classification system for subgrouping people with low back pain. J Orthop Sports Phys Ther. 2012;42(9):797–805.

    Article  PubMed  Google Scholar 

  96. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative treatment. Phys Ther. 1995;75(6):470–85; discussion 485–9.

    CAS  PubMed  Google Scholar 

  97. Fritz JM, Cleland JA, Childs JD. Subgrouping patients with low back pain: evolution of a classification approach to physical therapy. J Orthop Sports Phys Ther. 2007;37(6):290–302.

    Article  PubMed  Google Scholar 

  98. Bigos S, Bowyer O, Braen G, et al. Acute low back problems in adults. Clinical practice guideline no. 14. AHCPR publication no. 95-0642. Rockville: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of health and Human Services; 1994.

    Google Scholar 

  99. Royal College of General Practitioners. Clinical guidelines for the management of acute low back pain. London: Royal College of General Practitioners; 1996 and 1999.

    Google Scholar 

  100. ACC and the National Health Committee. New Zealand acute low back pain guide. Wellington; 1997.

    Google Scholar 

  101. Danish Institute for Health Technology Assessment. Low back pain: frequency, management and prevention from an HTA perspective. Copenhagen, Denmark: Danish Health Technology Assessment; 1999.

    Google Scholar 

  102. Borkan J, Reis S, Werner S, Ribak J, Prath A. Guidelines for treating low back pain in primary care (Hebrew; available in English). The Israeli Low Back Pain. Guideline Group. Harfuah. 1996;130:145–51.

    Google Scholar 

  103. Faas A, Chavannes AW, Koes BW, Van den Hoogen JMM, Mens JMA, Smeele IJM, Romeijnders ACM, Van der Laan JR. Clinical practice guidelines for low back pain. (Dutch, available in English). Huisarts Wet. 1996;39:18–31.

    Google Scholar 

  104. Victorian Workcover Authority. Guidelines for the management of employees with compensable low back pain. Melbourne: Victorian Workcover Authority; 1993 and revised edition 1996.

    Google Scholar 

  105. Childs JD, Fritz JM, Flynn TW, Irrgang JJ, Johnson KK, Majkowski GR, Delitto A. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med. 2004;141(12):920–8.

    Article  PubMed  Google Scholar 

  106. Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005;86:1753–62.

    Article  PubMed  Google Scholar 

  107. Flynn T, Fritz J, Whitman J, Wainner R, Magel J, Rendeiro D, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine. 2002;27:2835–43.

    Article  PubMed  Google Scholar 

  108. McGill SM. Low back exercises: evidence for improving exercise regimens. Phys Ther. 1998;78:754–64.

    CAS  PubMed  Google Scholar 

  109. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sports Sci Rev. 2001;29:26–31.

    Article  CAS  Google Scholar 

  110. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77:132–42.

    CAS  PubMed  Google Scholar 

  111. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21:2763–9.

    Article  CAS  PubMed  Google Scholar 

  112. Lee JH, Hoshino Y, Nakamura K, Kariya Y, Saita K, Ito K. Trunk muscle weakness as a risk factor for low back pain a 5-year prospective study. Spine. 1999;24:54–7.

    Article  CAS  PubMed  Google Scholar 

  113. McGill SM. Estimation of force and extensor moment contributions of the disc and ligaments at L4-L5. Spine. 1988;13:1395–402.

    Article  CAS  PubMed  Google Scholar 

  114. Oh YK, Lipps DB, Ashton-Miller JA, Woktys EM. What strains the anterior cruciate ligament during a pivot landing? J Sports Med. 2014;40:574–83.

    Article  Google Scholar 

  115. Berneira O, Domingues R, Medeiros A, Vaghetti O. Incidência e caracterìsticas de lesões em practicantes de kitesurf. Revista Brasileira de Cineantropometria e Desempenho Humano. 2011;13(3):195–201.

    Article  Google Scholar 

  116. Beaulieu ML, Oh YK, Bedi A, Ashton-Miller JA, Wojtys EM. Does limited internal femoral rotation increase peak anterior cruciate ligament strain during a simulated pivot landing? Am J Sports Med. 2014;42:2955–63.

    Article  PubMed  Google Scholar 

  117. Delincé P, Ghafil D. Anterior cruciate ligament tears: conservative or surgical treatment? A critical review of the literature. Knee Surg Sports Traumatol Arthrosc. 2012;20(1):48–61.

    Article  PubMed  Google Scholar 

  118. Scheffler SU, Unterhauser FN, Weiler A. Graft remodeling and ligamentization after cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2008;16:834–42.

    Article  CAS  PubMed  Google Scholar 

  119. Mayr HO, Weig TG, Plitz W. Arthrofibrosis following ACL reconstruction – reasons and outcome. Arch Orthop Trauma Surg. 2004;124:518–22.

    Article  PubMed  Google Scholar 

  120. Saka T. Principles of postoperative anterior cruciate ligament rehabilitation. World J Orthop. 2014;5(4):450–9.

    Article  PubMed  PubMed Central  Google Scholar 

  121. Delitto A, Rose SJ, McKowen JM, Lehman RC, Thomas JA, Shively RA. Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery. Phys Ther. 1988;68:660–3.

    CAS  PubMed  Google Scholar 

  122. Snyder-Mackler L, Ladin Z, Schepsis AA, Young JC. Electrical stimulation of the thigh muscles after reconstruction of the anterior cruciate ligament. Effects of electrically elicited contraction of the quadriceps femoris and hamstring muscles on gait and on strength of the thigh muscles. J Bone Joint Surg Am. 1991;73:1025–36.

    Article  CAS  PubMed  Google Scholar 

  123. Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther. 2012;42(7):601–14.

    Article  PubMed  PubMed Central  Google Scholar 

  124. Nyland J, Brand E, Fisher B. Update on rehabilitation following ACL reconstruction. Open Access J Sports Med. 2010;1:151–66.

    Article  PubMed  PubMed Central  Google Scholar 

  125. Preobrazhenskiy V, Sidorenko E, Vnukov D, Preobrazhenskaya M, Lyadov K. The specialities of the early rehabilitation of alpine ski athletes after ACL reconstruction. Eu J Sports Med. 2013;1:12–178.

    Google Scholar 

  126. Fujiya H, Kousa P, Fleming BC, Churchill DL, Beynnon BD. Effect of muscle loads and torque applied to the tibia on the strain behavior of the anterior cruciate ligament: an in vitro investigation. Clin Biomech (Bristol, Avon). 2011;26:1005–11.

    Article  Google Scholar 

  127. Ford KR, Myer GD, Schmitt LC, Uhl TL, Hewett TE. Preferential quadriceps activation in female athletes with incremental increases in landing intensity. J Appl Biomech. 2011;27:215–22.

    Article  PubMed  PubMed Central  Google Scholar 

  128. Fitzgerald GK. Open versus closed kinetic chain exercise: issues in rehabilitation after anterior cruciate ligament reconstructive surgery. Phys Ther. 1997;77:1747–54.

    CAS  PubMed  Google Scholar 

  129. Schmitt LC, Paterno MV, Ford KR, Myer GD, Hewett TE. Strength asymmetry and landing mechanics at return to sport after ACL reconstruction. Med Sci Sports Exerc. 2015;47(7):1426–34. doi:10.1249/MSS.0000000000000560.

    Article  PubMed  PubMed Central  Google Scholar 

  130. Cozzi AL, Dunn KL, Harding JL, Valovich McLeod TC, Welch CE. Kinesiophobia following anterior cruciate ligament reconstruction among physically active individuals. J Sport Rehabil. 2014;24(4):434–9.

    Article  PubMed  Google Scholar 

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Henjum, M., Mattson, C., Feletti, F. (2017). Rehabilitation of Extreme Sports Injuries. In: Feletti, F. (eds) Extreme Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-28265-7_34

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