Improvement in arm and hand function following head injury: a single case study.
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OBJECTIVE: This study enquired about the knowledge and reported use of sport science in elite Olympic class sailors. EXPERIMENTAL DESIGN: The sailors responded to a simple questionnaire. SETTING: The questionnaire was administered as part of an introductory seminar on sport science during a training camp. PARTICIPANTS: The participants were 28 (22 male, 6 female) elite New Zealand Olympic class sailors. INTERVENTIONS: None. MEASURES: The questionnaire asked whether or not they used a training race diary, enquired about their current and past injuries and their knowledge and use of sport science in the areas of nutrition, psychology and physical training. RESULTS: Only ten (36%) of the sailors kept a training/race diary. Whilst only four (14%) had a current injury, sixteen (57%) reported an injury in the previous three years. The injuries were in the lower back (45%), knee (22%), shoulder (18%), and arm (15%). Although nineteen (68%) of the sailors had experienced dehydration during racing, the average volume of fluid reported to be taken on a four hour sail was only 0.9 litre, of which only an average of 0.7 litres (77%) was reported to be drunk. All the sailors reported being sometimes (46%) to very often (3%) anxious before races and sometimes (43%) to always (7%) being frustrated with their own mistakes. Only one sailor reported never having negative thoughts whilst fifteen (53%) reported having them sometimes, and seven (25%) often or very often. Twenty-four (86%) of the sailors reported that they sometimes had a loss of concentration near the end of the race. Whilst eighteen (64%) reported practising relaxation and seventeen (61%) reported practising visualisation as a mental skill, only five (18%) practised progressive mental relaxation, two (7%) practised meditation and none practised yoga. Seventeen (61%) undertook strength/circuit training, ten (36%) flexibility and twenty-one (75%) off water aerobic training. Twenty-four (86%) reported undertaking on-water aerobic training. CONCLUSIONS: The results indicate that there is considerable scope for improvement in the knowledge and use of sports science amongst elite New Zealand Olympic class sailors.
OBJECTIVES: There has been little research on the time course of recovery from injury in athletes. This is especially the case for recovery in arm power in injured swimmers. The purpose of this study was to compare the power output of the injured and non-injured arms of swimmers during recovery from injury by use of a maximal exercise test on a computer interfaced isokinetic swim bench. METHODS: Thirteen swimmers (five men and eight women; age 18.8 (3.2) years; stature 1.76 (0.05) m; body mass 61.7 (5.9) kg; mean (SD)) gave written informed consent and were recruited to this study throughout a three year period. All subjects had experienced non-aquatic soft tissue injury to their dominant-side shoulder or upper arm in the three months before participation, but had been allowed to return to swimming training. All of the subjects had injured their dominant arm and the mean time for absence from training was 3.7 (1.1) weeks. At return to training and at four, eight, and twelve weeks thereafter, subjects performed two all-out 30 second tests on the swim bench by simulating the swimming arm action. From these tests, peak power output (PPO), mean power output (MPO), and power decay (PD) for each arm during the 30 seconds of exercise could be determined by averaging the two tests. The differences between return to training and the four, eight, and twelve week periods were analysed using repeated measures analysis of variance with Tukey b post hoc test. RESULTS: The repeated testing showed 95% confidence intervals of +/- 11.4 W for PPO, +/- 9.5 W for MPO and +/- 0.5 for PD. When the swimmers returned to training the results showed that PPO was 179 (21.9) v 111 (18.1) W (P = 0.02), MPO was 122 (9.8) v 101 (8.8) W (P = 0.01), and PD was 2.5 (0.6) v 5.2 (1.9) (P = 0.001) for non-injured and injured arms respectively (all values mean (SEM)). There were similar differences at four weeks which disappeared after eight weeks, except for that of PPO which was still evident (187.3 (21.9) v 156.8 (18.1) W; P = 0.01). At 12 weeks there were no differences between the non-injured and injured arm on any of the indices of arm power (P > 0.05). CONCLUSIONS: These results suggest that, using the swim bench power test, differences in bilateral arm power output after injury persist for at least eight weeks after return to swimming training. These findings support the need for prolonged rehabilitation after such injury. This would best include physiotherapy and a training programme within which special consideration is given to the recuperation process.
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