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The first important step is to decrease those activities that aggravate the pain or causes stress for the patellar tendon. Typically, it should be advised that jumps should be either decreased or ceased altogether. Initial treatment interventions include ice and rest (Solomon, Solomon and Minton, p. 65). For the less severe, initial stages of the injury, ultrasound can be used along with ice. It is also essential to stretch the quadriceps. Strengthening of these muscles is accomplished with closed chain exercises to emphasize the eccentric phase on a decline board. It is also important to keep stretching within the painless range of motion. This is usually within 90 to 30 degrees of flexion (Bracilovic, p. 79). Exercise can also be applied progressively, following a range of flexing with plyometric exercises and joint proprioceptive training. Patellar taping can reduce friction on the patella to relieve pain. Custom molded orthotics can also be used to maintain foot and joint position for the reduction of stress on the patellar tendon. In the later, more severe stages of the injury,...
Strength-training and cardiovascular exercises are recommended to prevent deconditioning. In the most severe stage of the injury, interventions such as drilling and resection of the pole, as well as partial debridement of the pathologic tendon are usually required.
When experiencing any sort of pain, it is vital for the dancer or sports person to seek immediate advice from a medical professional. Not doing so only exacerbates the problem and could result in long-term or permanent disabling of vital muscles and tendons. In dancers, patellar tendonitis is relatively easy to treat in its early stages. Waiting until its final stage to seek treatment will most likely result in a long-term rest and recovery period after relatively invasive treatment.
References
Bracilovic, Ana. Essential Dance Medicine. Princeton, NJ: Humana Press, 2009.
Solomon, Ruth, J. Solomon, and S.C. Minton. Preventing Dance Injuries. 2nd ed. Champaign, IL: Human Kinetics, 2005.
Each of the five continental volleyball confederations has at least one affiliated national federation involved in the Olympic Games (Montgomery p 20). The U.S.S.R. won men's gold in both 1964 and 1968. After taking bronze in 1964 and silver in 1968, Japan finally won the gold for men's volleyball in 1972. Women's gold went to Japan in 1964 and again in 1976. That year, the backrow attack allowed Poland to
"(Mitchell, and Mason 218) The above quote is also true for volleyball. Volleyball is a sport that plays on teamwork, movement, hand eye coordination, and endurance. Not only is it important to hit a ball back and forth over a net, without the team working as a single unit the same is sure to be lost. Congruency is necessary among the team players and their techniques. It was in 1665 that
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