An Overview of the Management of Flexor Tendon Injuries

Flexor tendon injuries still remain a challenging condition to manage to ensure optimal outcome for the patient. Since the first flexor tendon repair was described by Kirchmayr in 1917, several approaches to flexor tendon injury have enabled successful repairs rates of 70-90%. Primary surgical repair results in better functional outcome compared to secondary repair or tendon graft surgery. Flexor tendon injury repair has been extensively researched and the literature demonstrates successful repair requires minimal gapping at the repair site or interference with tendon vascularity, secure suture knots, smooth junction of tendon end and having sufficient strength for healing. However, the exact surgical approach to achieve success being currently used among surgeons is still controversial. Therefore, this review aims to discuss the results of studies demonstrating the current knowledge regarding the optimal approach for flexor tendon repair. Post-operative rehabilitation for flexor tendon surgery is another area, which has caused extensive debate in hand surgery. The trend to more active mobilisation protocols seems to be favoured but further study in this area is needed to find the protocol, which achieves function and gliding but avoids rupture of the tendons. Lastly despite success following surgery complications commonly still occur post surgery, including adhesion formation, tendon rupture and stiffness of the joints. Therefore, this review aims to discuss the appropriate management of these difficulties post surgery. New techniques in management of flexor tendon will also be discussed including external laser devices, addition of growth factors and cytokines

A Social Identity Approach to Sport Psychology: Principles, Practice, and Prospects.

Drawing on social identity theory and self-categorization theory, we outline an approach to sport psychology that understands groups not simply as features of sporting contexts but rather as elements that can be, and often are, incorporated into a person's sense of self and, through this, become powerful determinants of their sport-related behavior. The underpinnings of this social identity approach are outlined, and four key lessons for sport that are indicative of the analytical and practical power of the approach are presented. These suggest that social identity is the basis for sports group (1) behavior, (2) formation and development, (3) support and stress appraisal, and (4) leadership. Building on recent developments within sport science, we outline an agenda for future research by identifying a range of topics to which the social identity approach could fruitfully contribute

Place Matters: Rivalry, Rival Perceptions, and the Influence of Exposure and Proximity

This chapter uses two studies to illustrate the use of the Sport Rivalry Fan Perception Scale (SRFPS) by investigating differences in rival perceptions based on exposure and relative proximity to the out-group. Specifically, Study 1 examined how having visited the city where the rival team plays outside of sport consumption influenced perceptions of the rival team, and Study 2 compared how college students at the University of Colorado, Colorado State University, and the University of Wyoming viewed their rival schools. Results showed that both out-group exposure and relative proximity influenced participant rival perceptions. Taken together, the studies added further support for using the SRFPS and added to the literature on rivalry and group behavior. Implications and avenues for future research are discussed

Serial study on the association between body mass index and hypertension in rural Japanese

The objective of this study was to examine the association between body mass index (BMI) and blood pressure. Two sets of cross-sectional data were obtained from annual health examinations for adults aged 40 years and over (n=1,327 in 1993; n=1,302 in 2000) in Tsunagi area of Kumamoto Prefecture, Japan. BMI was associated with mean blood pressure and with prevalence of hypertension both in 1993 and 2000. The association was independent of age, smoking status and alcohol consumption. A significant increase in risk of hypertension was found in most categories of BMI 25.0 and above, and a greater than three fold increase in those with BMI of 27 and above compared with those with BMI of 18.5–22.9. Although mean blood pressure and prevalence of hypertension sharply decreased in 2000 compared with that in 1993, BMI was positively and independently associated with increased blood pressure

Consumer Reactions to Rival Failure: Examining Glory Out of Reflected Failure

This chapter focuses on the Glory Out of Reflected Failure (GORFing) phenomenon and its relationships regarding team identification, rival perceptions, and favorite team behavior intentions. A sample of 555 sport fans provides responses regarding their team identification, the perceptions of rival teams, their likelihood to experience GORFing, and behavioral intentions toward the favorite team when their rival loses to a third, neutral team. Structural model results showed that rival perceptions are associated with the likelihood of experiencing GORFing, which in turn was associated with behavioral intentions following a rival team’s loss to a comparable team, and mediated the relationship between rival perceptions and behavioral intentions. Contributions and implications for researchers and practitioners are discussed, and avenues for future study are introduced