assessment of the musculoskeletal system will be performed twice a year, for three years of young gymnasts.
Aims: To examine the changes in the anatomical and morphological features in the skeleton of young female artistic and rhythmic gymnasts and follow the risk of injuries during the period of pubertal growth. Methods: 200 gymnasts (100 rhythmic and 100 artistic) will participate. Measurements will be performed at the beginning and the end of each year, for three years. Each gymnast will be examined for the following: asked about her menarche, assessed by a physician for Tanner stages, and will answer the Triad-specific self-report questionnaire. Anthropometric measurements (height, weight, BMI), muscle strength (using hand-held dynamometer), joint range of motion (using goniometer), scoliosis, and Beighton test for hypermobility will be assessed. In addition, the gymnasts will be scanned by using three different ultrasounds: Bone age for the skeletal age, SOS for the bone properties, and ultrasound tissue characterization for the tendon structure. The gymnasts will be asked about their physical training history, frequency, and training intensity. Each gymnast will be asked whether she had pain or injuries during the period she has been training, as well as a physical and injuries evaluation that will be conducted by a physician. Once a month a telephone follow-up with the trainer regarding any pain or injuries in the last month will be conducted.
Study Type
OBSERVATIONAL
Enrollment
274
examination of tendon, muscle joints and injuries
The Academic college Levinsky-Wingate at the Wingate Institute
Netanya, Israel
ultrasound tissue characterized
percentage of type 1,2,3,4 fibers within the tendon
Time frame: baseline, twice a year for 3 years
muscle strength test
hand held dynamometer assessment of ankle, knee and hip muscles
Time frame: baseline, twice a year for 3 years
range of motion
goniometer assessment for lower extremities joints
Time frame: baseline, twice a year for 3 years
bone strength
tibia bone strength assessment using Sunlight MiniOmni Ultrasound Bone Sonometer
Time frame: baseline, twice a year for 3 years
Bone Age
bone age of the radius bone using ultrasound for bone age
Time frame: baseline, twice a year for 3 years
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