With the rise in active participation in sports and exercise by older people, Injury Prevention and Rehabilitation for Active Older Adults is both timely and instructive. It explores the issues involved in working with active older adults, providing a valuable resource to help sports medicine professionals prevent, diagnose, and treat injuries for this growing population.
Geared toward those working with active seniors—from competitive and recreational athletes to fitness enthusiasts—Injury Prevention and Rehabilitation for Active Older Adults contains the information to help practitioners
strengthen their understanding of general issues in sports medicine for active seniors;
explore prevention of, and determine treatment for, specific injuries;
apply to their own practice the knowledge of specialists experienced in working with older populations; and
implement and supervise appropriate conservative therapies.
Injury Prevention and Rehabilitation for Active Older Adults was written by a team of specialists with extensive experience in treating active seniors. While it emphasizes conservative treatment over surgery, it also guides readers in knowing when to refer a client to a surgeon, how to prepare a client for what might happen when referred, and what type of surgery might be indicated. Therapists and trainers will strengthen their ability to explain their basis for both treatment and referral.
Part I focuses on a variety of issues in sports medicine for active seniors, including senescent changes in the musculoskeletal system, exercise testing and prescription, and factoring the kinetic chain into prevention and therapy. Flexibility, stretching, and massage for older people are also covered, as are nutrition, nutritional supplements, and pharmacology.
Part II, organized by anatomical areas, delves into specific injuries and conditions in active seniors. This approach helps readers easily locate regional musculoskeletal problems and identify appropriate rehabilitation procedures. These regions include the shoulder, elbow, hand and wrist, spine, hip, knee, and foot and ankle. Common injuries, conditions, and treatments are explored in each area.
Accompanying photos and illustrations supplement the text, showing stretches for all parts of the body, exercises for both injury prevention and rehabilitation, diagnostic techniques (including special tests and best X-ray positions) and various treatment options. The result is a reference that facilitates understanding of the issues involved in preventing and treating injuries in active older people and in helping them recover and return to full activity as soon as possible.
About the Contributors Part I. General Issues in Sports Medicine for Active Older Adults Chapter 1. Senescent Changes in the Human Musculoskeletal System Hardy Singh, MD
Bone and Associated Cartilage
Chapter 2. Exercise Testing and Prescription Rafael Escamilla, PhD, PT, CSCS
Effects of Strength Training in the Aging Individual
Strength Testing for the Aging Individual
Strength Training Prescription in the Aging
Effects of Aerobic Exercise in the Aging
Aerobic (Cardiorespiratory) Exercise Testing for the Aging Person
Aerobic Exercise Prescription for the Aging Person
Chapter 3. The Kinetic Chain W. Ben Kibler, MD
Defining the Kinetic Chain
Kinetic Chain Implications for Injury, Evaluation, and Treatment
The Kinetic Chain in the Older Athlete
Principles of Kinetic Chain Evaluation
Examples of Kinetic Chain-Based Evaluation and Treatment
Chapter 4. Soft Tissue Care: Flexibility, Stretching, and Massage Carol C. Figuers, PT, EdD
Age-Related Soft Tissue Changes
Soft Tissue Stretching
Massage or Soft Tissue Mobilization
Chapter 5. Nutrition and Pharmacology Franca B. Alphin, MPH, RD, LDN; Daryl C. Osbahr, BS
NSAIDs and COX-2 Inhibitors
Other Popular Supplements
Part II. Injuries and Conditions in Active Older Adults Chapter 6. Shoulder Problems Edward G. McFarland, MD; Hyung Bin Park, MD; Tae Kyun Kim, MD; Efsthathios Chronopoulos, MD; Atsushi Yokota, MD
Nonoperative Rehabilitation of Humeral Epicondylitis
Rehabilitation Following Elbow Arthroscopy
Chapter 8. Hand and Wrist Problems Jonathan Isaacs, MD; L. Scott Levin, MD
Chapter 9. Spine Problems Joshua D. Rittenberg, MD; Joel M. Press, MD; Amy E. Ross, MPT; Venu Akuthota, MD
Anatomy and Biomechanics
The Aging Spine
Treatment of Common Diagnostic Subsets
Chapter 10. Hip Problems Srino Bharam, MD; Utku Kandemir, MD; Marc J. Philippon, MD
Intra-Articular Hip Pathologies
Athletic Participation After Total Hip Replacement
Chapter 11. Knee Problems Douglas J. Martini, MD; Lauren A. Carlson, MPH
Osteoarthritis of the Knee
Chapter 12. Foot and Ankle Problems Ryan W. Simovitch, MD; Mark E. Easley, MD
Acute Ankle Sprains
The Ankle Sprain That Won’t Heal
Achilles Tendon Pathology
About the Editor
Reference for sport physical therapists, athletic trainers, physicians, clinical exercise physiologists, and personal trainers.
Kevin Speer, MD, is an orthopedic surgeon from Raleigh, North Carolina. As a former team doctor for Duke University and through his own practice, Speer has extensive experience treating both athletes and older patients. Speer was head team physician for all Duke University athletic teams, assistant team physician for the New York Giants, the New York Mets, and St. John's University, and head team physician for the Durham women's professional fast-pitch softball team.
Speer has been listed in America's Registry of Outstanding Professionals and has received numerous awards and fellowships related to orthopedic research, publications, and education.
”...this text is a concise yet abundant resource of orthopedic-based information recommended for rehabilitation professionals working with older adults both engaging in physical activity and those wishing to engage in such activity.” Journal of Orthopaedic & Sports Physical Therapy (November 2005)