The Importance of Sleep for Dancers; Treating Hand & Wrist Injuries

Episode 17.26  Rerun

Segment One (01:25): Julie O’Connell PT, DPT, OCS, ATC, Performing Arts Medicine importance of sleep for dancersProgram Manager at Athletico-River North talks dancers vs other athletes regarding sleep; what happens during sleep for dancers and useful tips for quality sleep. While the days are getting shorter, rehearsals are getting longer and cutting into valuable time meant for counting sheep.

Julie specializes in the treatment of dancers and performing artists and has extensive experience working with organizations like The Joffrey Ballet, Hubbard Street Dance Chicago and Broadway in Chicago.

The CDC recommends 8-10 hours of sleep for teens 13-18 years old, and 7 or more hours per night for adults 18-60 years old. This can be difficult to achieve for dancers, whose rehearsals consist of specialized physical activity of high volume, frequency and intensity throughout the week. Dancers also don’t usually have an off-season, which can contribute to increased incidence of altered sleep-wake rhythms, illness and musculoskeletal injuries. More>>


Segment Two (13:11): Dr. John Fernandez from Midwest Orthopaedics at Rush describes microsurgery; recent innovations in hand and wrist surgery; re-plantation and transplantation of limbs; types of hand injuries experienced by athletes at all levels.

Dr. John FernandezDr. Fernandez has created and innovated some of the advanced surgeries currently popularized in the treatment of the hand, wrist, and elbow. His original research has led to techniques minimizing surgical trauma while maximizing outcomes. As an inventor, he holds patents in some of the very implants developed for these minimally invasive surgeries.

As director of microsurgery for Midwest Orthopaedics at Rush, he has performed hundreds of successful microsurgical procedures. These have included replantation of amputated arms, hands, and digits, as well as complex reconstructions for deformity and wounds.

He is a board certified member of the ABOS and holds the highest distinction in hand surgery with a certificate of added qualification in hand and microsurgery. He is a fellow of the American Academy of Orthopaedic Surgeons and a member of the American Association for Hand Surgery as well as the American Society for Surgery of the Hand.

A New Type of Balance Board Aimed at Peak Performance

By Brian Rog for ATI Physical Therapy

We mean it when we say “our team leads the way in pioneering the future of the industry”. Such is the case with Chad Franche PT, DPT, United States Air Force (USAF) veteran, and founder of the TherRex Balance Board. What initially started as an idea rooted from a practicum as a graduate student has now evolved into a game-changing product that is revolutionizing the health and fitness industry.

As someone who grew up wanting to make a difference in the lives of others, Chad felt the health and fitness industry needed a balance board that could truly facilitate all levels of motion without sacrifice. While in rotation at an outpatient clinic, Chad discovered that all the current balance boards took on a hemispherical shape on the bottom.

But while in a standing position, current boards give you more distance to shift your weight side to side (frontal plane) than front to back motion (sagittal plane). With this in mind Chad knew he could introduce a product with a base that would mimic this level of movement, but allow for full ankle range of motion without having to dismount from the board.

Fast forward a few years and this very idea was brought to life through the TherRex Board, which resembles a football shape to mimic the movement addressed above. The football shape also replicates the movement attained by a BAPS board (BioMechanical Ankle Platform System) in that it provides inward rotation of the ankle throughout flexion, but through a greater range of motion, which allows for the ankle to be exercised in the position sprains occur.

Chad originally intended for the board to be a pediatric balance board with an interactive gaming component, but after seeing the potential the football shape could provide, it was clear he needed to take this product to the next level.

“I knew with the football shaped base, if the board were to be used in the plank or seated positions there would be two different intensities at which exercises could be performed,” said Chad. “The board would just have to be turned 90 degrees to make it easier or harder (the shorter arc of the football shape is less stable and higher difficulty than the longer more stable arc).

I added a pair of handles at the ends of each arc and a flat edge lateral to the handles that projects underneath the board and stops it so a person’s fingers won’t get pinched against the ground. The flat edge also provides a stable surface for the board to be mounted and dismounted. Other balance boards with a round platform wobble against the ground and make it difficult to mount/dismount.”

With the product officially hitting the market a few months back, we met up with Chad to hear how things are going, see what’s next for him and the brand and get his perspective on this new adventure.

Who is the TherRex balance board intended for?

Our customers are primarily outpatient PT clinics, but we are also targeting gyms (Formula Fitness Club in Chicago as our most recent), schools, and direct to consumer. Ultimately, the TherRex board benefits anyone with a fitness goal or those rehabbing from an injury. Its greatest benefits are in joint stability, core strengthening, and of course balance. I actually use it each night as part of my daily workout routine.

For more information on TherRex Balance Board, please visit the official TherRex Balance Board website.

 

THREE-SPORT ATHLETE GETS BACK IN THE GAME AFTER TISSUE TRANSPLANT

By AlloSource: Doing More with Life

JAKE
RECIPIENT OF: BONE AND CARTILAGE

Jake’s life was never without sport: as one season ended, another began. Soccer became basketball, basketball became track, and he enjoyed the athletic challenge of each sport. However, constant knee pain threatened to put Jake on the bench.

Jake’s knee pain started three years ago and doctors suggested he try stretching and physical therapy to remedy the problem, but the pain persisted. When running or playing soccer, his knee would sometimes give out and it became clear to Jake and his parents that more medical attention was necessary.

“I didn’t feel that I was able to compete to my full potential,” said Jake. “I had an obvious limp when running, but I didn’t know what was causing it.”

After an MRI, Jake’s doctor diagnosed him with Osteochondritis dissecans, a joint condition in which cartilage and bone in the knee become loose. Though he was in the midst of a basketball season and looking forward to track, Jake’s diagnosis forced him to stop playing.

Jake and his family sought a second opinion after his diagnosis and they met Dr. John Polousky of HealthONE Rocky Mountain Hospital for Children in Denver. After weighing his options, Jake and his doctor moved forward with surgery. During the procedure, Dr. Polousky used bone and cartilage allografts to replace the damaged tissue and realigned the weight-bearing line in Jake’s leg.

Jake understood prior to his surgery that a deceased tissue donor made the bone and cartilage allografts possible.

“My immediate reaction was sadness. Today I am very appreciative that the person chose to be a donor and wanted to help someone beyond their own life.”

Part of Jake’s recovery included the use of  an external fixator with metal pins anchored into entry points in his leg. “After the surgery I noticed all of the attention I received from strangers. I don’t think they had ever seen an external fixator, and it did look strange,” he said.

Jake recently had the external fixator removed and has started his exercise regimen again. He rides his bike 12 miles per day and does not have any pain.

Receiving donated tissue affirmed Jake’s belief in donation. He registered as a donor when he got his driver’s license and hopes that others will consider registering too.

“I have felt the impact of what it really means to receive something from someone you don’t know. I would be interested in knowing about my donor’s life because
they are a part of me now. He or she made it possible for me to be healthy, so that I can do the things I like to do.”

Does Hip Arthroscopy Work for Hip Impingement?

Dr. Shane Nhosports medicine and hip arthroscopy specialist at Midwest Orthopaedics at Rush, recently published a study further proving that arthroscopic hip surgery is an effective treatment for femoroacetablular impingement (FAI), a hip condition in which the ball shaped femoral head in the hip rubs abnormally or does not permit a normal range of motion in the acetabular socket. This condition occurs most often in young to middle aged patients.dr shane nho

The study, “Hip Arthroscopic Surgery for Femoroacetabular Impingement with Capsular Management: Factors Associated With Achieving Clinically Significant Outcomes,” was published in The American Journal of Sports Medicine. It looked post-operatively at 386 patients undergoing primary hip arthroscopic surgery with routine capsular closure for FAI that had failed nonsurgical management between January 2012 and January 2014.

In this Orthopedics This Week article, he says, “The field has been evolving over the past several years and the patient selection and surgical technique has also changed. Our paper is the largest series in the literature and represents the state of the art in hip arthroscopy for the treatment of femoroacetabular impingement.”


Read the entire article here.

For more information on hip arthroscopy, click here.