Rib stress fracture in a male adaptive rower from the arms and shoulders sport class: case reportReport as inadecuate




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Croatian medical journal, Vol.52 No.5 October 2011. -

Adaptive rowing is rowing or sculling for rowers with a

physical disability. It debuted at the Paralympic Games in

2008. In order to ensure an equitable playing field, rowers

with similar levels of physical function and disability are

classified into different sport classes for competition. Rowers

with an inability to use a sliding seat and impaired trunk

function resulting in an inability to perform trunk forward

and backward lean via hip flexion-extension are assigned

to the Arms and Shoulders AS class. AS rowers have to

use a chest strap set immediately below the chest in order

to localize any trunk movement in AS class. Conditions created

by adaptations of rowing equipment and technique

within the AS class create unique stresses on the upper

thoracic region. The following case report demonstrates

how etiology and management of a rib stress fracture in

an AS rower differs in comparison to able-body rowers. Of

significant importance were the limitations imposed on

the rower’s ability to maintain rowing-specific fitness, due

to the nature of the rib stress fracture and requirement to

decrease force transmission through the ribs for several

weeks. The rower’s gradual return to full training was further

impacted by obligatory use of the chest strap, which

directly applied pressure over the injured area. Protective

orthosis for the chest was designed and applied in order to

dissipate pressure of the chest strap over the thorax during

rowing most importantly at the catch position both on

the ergometer and in the boat.

adaptive rowing; Paralympic sport; rib stress fracture; chest orthoses



Author: Tomislav Smoljanović - ; Department of Orthopaedic Surgery, University Hospital Center Zagreb, School of Medicine, University of

Source: http://hrcak.srce.hr/



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