Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Female Athletes Have Higher Injury Rates

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Craig Payne, Oct 19, 2005.

  1. Craig Payne

    Craig Payne Moderator

    Articles:
    8

    Members do not see these Ads. Sign Up.
    Reported by Medscape from the American Academy of Pediatrics (AAP) National Conference:
     
  2. Mark Egan

    Mark Egan Active Member

    I remember seeing something on TV in the last year could have been catalyst? on research that had been done on the theory that women are more prone to injure themselves due to the effect that the menstruation cycle has on the structural intergrity of tendons, ligaments and muscles. I think the stuff they found out disproved the theory that the ligaments got weaker or looser but they actually got less flexible and the muscles themselves became more easily fatigued and hence more prone to injuries - the study was on the knee injuries in netball players. Does anyone else have a better recollection of this ?
    Regards
    Mark
     
  3. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Adam Bryant (a biomechanist now at Melbourne Uni) was behind that research (on ACL injuries) -- its all to do with 'stiffness' of the lower limb at different stages of the menstrual cycle (its different for oral contraceptive users and non-users).

    I am involved in a project with Adam and others on changes to foot and lower limb funtion (including stiffness) during the menstrual cycle and it implications for running shoe designs...
     
    Last edited by a moderator: Oct 20, 2005
  4. Mark Egan

    Mark Egan Active Member

    Thanks Craig is there an article? Also did the US study mention the significance of the cycle in injuries?
    Also any early findings from the research on foot stiffness ? Is there much research in the way of pregnancy and post delivery issues with the feet ?
     
  5. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Mark - no data on foot stiffness yet - that project is not quite ready to start yet. As luck has it, I am just down from Adam's office today and got this off him:
     
  6. admin

    admin Administrator Staff Member

    This is timely:
     
  7. Craig Payne

    Craig Payne Moderator

    Articles:
    8
  8. DaveK

    DaveK Member

    I have a vague memory of Simon Bartold in Oz speaking on the early stages of some research into this.

    All I have.
     
  9. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Simon is also involved in the project I mentioned above on foot and lower limb function at different stages of the menstrual cycle. He presented a paper on it at the recent confernce in Christchurch. He has spoken at a number of conferences on some of the issues surrounding the female runner.
     
  10. admin

    admin Administrator Staff Member

    More data on changes during pregnancy

    This just been published:
    Shape Characteristics of the Foot Arch: Dynamics in the Pregnancy Period.
    Neuro Endocrinol Lett. 2005 Dec 28;26(6) [Epub ahead of print]
     
  11. Griff

    Griff Moderator

    The Effects of Oral Contraceptive Use on Muscle Stiffness Across the Menstrual Cycle
    Bell, David R. PhD, ATC; Troy Blackburn, J. PhD, ATC; Ondrak, Kristin S. PhD; Hackney, Anthony C. PhD, DSc; Hudson, Jeffrey D. MA, ATC; Norcross, Marc F. MA, ATC; Padua, Darin A. PhD, ATC
    Clinical Journal of Sport Medicine: POST AUTHOR CORRECTIONS, 17 October 2011

     
  12. Admin2

    Admin2 Administrator Staff Member

    Press Release:
    FEMALE SPORTS STARS ENCOURAGED TO TAKE THE PILL

    WEDNESDAY, FEBRUARY 15, 2012 AT 2:40PM
     
  13. So, we tell them not to train on day one and day 14- right? Here's the problem as seen by a male podiatrist who works with female athletes fairly regularly and has discussed this ongoing research with hundreds of them- some of them stop menstruating all together due to their training, some of them never even start menstruating due to their training, the remainder often don't have a clue when day one, nor day 14 of their cycle is.

    For the elite athlete who has not had a period in years, or in the case of athletes who didn't even go through puberty as a result of their excessive training (Olga Korbut being a prime example) how does this help? :rolleyes:

    And what about the post-menopausal athlete?

    What about the testosterone taking female athlete?
     
  14. JohnD

    JohnD Member

    Amenorrhea itself is indicative of major issues—nevermind the ACL injury risk due to relatively minor modulation in the stiffness of ligaments, tendons, or muscles. If you've got a female athlete who is not menstruating due to her training, in the running world at least, that's problem #1. Most reputable coaches at the NCAA level will not allow female runners to train/compete if they've been without a menstrual cycle for several months, as there's a well-established link between that and bone density issues. A torn ACL is in some ways a preferable injury when compared to a femoral neck stress fracture.

    Some wisdom from the coaching world:
    http://www.flotrack.org/coverage/23...male-runners-healthy-with-karen-harvey-of-fsu
    skip to 1:40 for relevant part

    As for testosterone—how often do you see a female athlete openly taking testosterone? We have a word for that in the running world...
     
  15. How do you get your female athletes to evidence their menstruation, John?
    Amenorrhea is common among female athletes http://www.ncbi.nlm.nih.gov/pubmed/19642982 and self reporting is inaccurate and underestimates the problem: http://www.ncbi.nlm.nih.gov/pubmed/19945961 etc. While the elites may be watched over carefully, the keen amateurs are usually not. I see far more keen amateurs within my practice than I do elites.

    ... sweeping the problem under the carpet?

    How often do you see any athlete openly admitting to taking anything performance enhancing, John? They usually only admit it when they've been caught. Does this mean that it doesn't happen?

    Here's a thought: I wonder if Caster Semenya has a regular menstrual cycle?
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Menstrual Irregularity and Musculoskeletal Injury in Female High School Athletes
    Thein-Nissenbaum, Jill M; Rauh, Mitchell J; Carr, Kathleen E; Loud, Keith J; McGuine, Timothy
    Journal of Athletic Training, Volume 47, Number 1, January-February 2012 , pp. 74-82(9)
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Consensus statement
    2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013

    Mary Jane De Souza et al
    Br J Sports Med 2014;48:289 doi:10.1136/bjsports-2013-093218
     
  18. wdd

    wdd Well-Known Member

    "Female high school athletes have higher injury rates and risks of injury than their male counterparts"

    "Our research has shown that when women train at an elite level, they become more prone to injury. We believe this is because they over-train and under-eat. This causes their oestrogen levels to fluctuate more than usual,’ Mr Bartold said."

    Is there research that compares the injury rate/risk of elite male and elite female athletes?

    Is there research that compares the sport specific injury rate/risk of female college and elite athletes?

    Bill
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Higher Incidence of Bone Stress Injuries With Increasing Female Athlete Triad–Related Risk Factors
    A Prospective Multisite Study of Exercising Girls and Women

    Michelle T. Barrack, PhD, RD, Jenna C. Gibbs, PhD, Mary Jane De Souza, PhD, Nancy I. Williams, PhD, Jeanne F. Nichols, PhD, Mitchell J. Rauh, PhD, PT, MPH and Aurelia Nattiv
    Am J Sports Med February 24, 2014

     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Disordered Eating, Menstrual Irregularity, and Musculoskeletal Injury in High School Athletes
    A Comparison of Oral Contraceptive Pill Users and Nonusers

    Jill M. Thein-Nissenbaum, PT, DSc, SCS, ATC, Kathleen E. Carr, MD‡, Scott Hetzel, MS and Emily Dennison, BS
    Sports Health: A Multidisciplinary Approach July/August 2014 vol. 6 no. 4 313-320
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad
    Joy, Elizabeth et al
    Current Sports Medicine Reports: July/August 2014 - Volume 13 - Issue 4 - p 219-232
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Misunderstanding the Female Athlete Triad: Refuting the IOC Consensus Statement on Relative Energy Deficiency in Sport (RED-S)
    Mary Jane De Souza et al
    Br J Sports Med doi:10.1136/bjsports-2014-093958
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes
    Adam S. Tenforde, MD, Jennifer L. Carlson, MD, Audrey Chang, BA, Kristin L. Sainani, PhD, Rebecca Shultz, PhD, Jae Hyung Kim, MD, Phil Cutti, MS, Neville H. Golden, MD, Michael Fredericson, MD#
    The American Journal of Sports Medicine
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    High prevalence of self-reported injuries and illnesses in talented female athletes.
    Richardson A et al
    BMJ Open Sport Exerc Med. 2017 Apr 22;3(1):e000199. doi: 10.1136/bmjsem-2016-000199. eCollection 2017.
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Overtraining Syndrome (OTS) and Relative Energy Deficiency in Sport (RED-S): Shared Pathways, Symptoms and Complexities
    Trent Stellingwerff, Ida A. Heikura, Romain Meeusen, Stéphane Bermon, Stephen Seiler, Margo L. Mountjoy & Louise M. Burke
    Sports Medicine (2021)
     
Loading...

Share This Page