Growth spurts in young athletes can lead to an increased incidence of injury. The long bones (femur, tib/fib) grow in length before the muscles elongate and develop enough strength to counteract the sudden increase in lever lengths. Imagine a young soccer/gaelic player who suddenly has a longer leg but not the muscles to generate the force required to move that heavier and now longer leg. Something will break down, usually the proximal muscles, such as the abdominals and groin.
We Chartered physios tend to work on the understanding that the bones grow about a year before the muscles develop length and strength. And this forms the basis of injuries sustained by growing young bodies. If the bones grow longer but the muscles remain the same length, then the muscle will have a relative tightness. The structure most susceptible to overload in this situation is where the muscle, via the attaching tendons, joins the bones. At these sites, we have growth plates.
The injuries we see in young athletes that are growth related and influence the growth plates are called ‘traction apophysitis’ injuries. The areas most vulnerable are the Achilles tendon insertion (Severs disease), the patella tendon on the tibia (Osgood Schlatters disease), the quads tendon into the knee cap (Sindling Larsen disease) and the attachment of the hip flexors onto the anterior pelvis.
The really interesting thing is that injuries tend to occur in predictable time sequences. They work from south to north. The Severs disease usually occurs first (in boys around 12), then Osgood Schlatters at about 14 and then the hip traction problems around 16 and 17.
The biggest causative factor in these injuries is overload of the tendon attachment due to doing too much. It is not uncommon for young athletes to train for multiple sports at the same time. Sports specialisation tends to come later in the teenage years. So it is not rare to see a 14-year-old training and competing in sports such as cross country running, basketball, soocer and different age groups in Gaelic football. They rarely get a day off during the week where they are not training.
In terms of what we do about these injuries, most of them are self-limiting. This means that they generally improve with time as the muscles catch up to the bones. If they are too sore, they back off training. When they feel good, they return to training.
However, there are some interventions that may help a young athlete nurse themselves through these injuries. Local interventions such as anti-inflammatory creams and ice tend to calm down the symptoms. Regular stretching is also needed to kick start the muscle elongation process. As a general rule strengthening exercises don’t help, as the issue is to do with flexibility and not strength. But at the end of the day, if the tendon attachment is still painful then unfortunately they need to rest, or at least modify what they are doing to incorporate rest days or training that involves no impact.
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如果说，我开玩笑的说我喜欢某个人，那么，最后那可能变成真的。所以，爱情不允许开玩笑。
这个城市没有草长莺飞的传说，它永远活在现实里面，快速的鼓点，匆忙的身影，麻木的眼神，虚假的笑容，而我正在被同化。
不是所有玩笑都可以开，也不是所有人都可以和我开玩笑，更不是所有人都经得起开，所以，别拿我们在意的开玩笑，后果，不可预料
我想起来了，那些对你说的讨厌你之类的话都是我开玩笑的，可是……这个玩笑开大了，你离开了
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老同学找我聊天问我嫁人了没？我开玩笑说，这么远大的理想怎么可以这么轻易的实现？
十字路口，我们分着走。你走我的泪，我走你的恨。
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我的幽默你不懂你的玩笑我也不懂这大概是心与心之间最远的距离了更难过的是我还要装作愉悦的语气向你解释“嘿刚刚我是开玩笑的别生气”
如果我从没遇见你，如果我从没爱上你，如果我一开始没坚信，也许我就不会是现在的这个自己。
相遇是错、认识是错、在一起更是错、对你动心是错，和你恋爱还是错、爱上你更是一个错、全部都是错。
珍惜经常和你开玩笑的人，说明你在这个人的心中肯定有一定的分量。
时间会慢慢沉淀，有些人会在你心底慢慢模糊。学会放手，你的幸福需要自己的成全。
小时候总把无数的玩笑当成梦想，认为开玩笑不会付出什么代价。到了现在才发现从这些玩笑中我们失去了一个又一个信任我们的人
你说你不喜欢我开玩笑，可你又何曾把我的玩笑当真？你又知道我的玩笑有几分真？
守着这么多人，你开玩笑对我说要亲我一口，我拒绝了。不是我不愿意，是我害怕我答应后你却没亲，在我心里，你说的这句话，那就真的只是一句玩笑话。
想要放弃吗？别开玩笑，你必须为这一切负责。坚持下去，即使根本不可能获胜！
不知道有多少人以开玩笑的口吻说着累不爱却担心自己一语成谶。
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西方的派对，一般都有明确的主题，生日派对、庆功派对、节日派对、宗教派对、党派派对、外交派对、私人派对、开放派对，甚至葬礼也有派对。
咱们的聚会更是司空见惯，除了上述的西方派对主题之外，咱们中国人请客吃饭可以有主题，也可以不需要主题，就是楞聚餐，有闲有钱即可。
从文化的视角来看，西方的派对以娱乐和社交为主要特征，不管什么主题，派对一般具有更加灵活的组织方式和形式，可以在公寓，也可以在大厅，可以在门前草坪，也可以在荒郊野地，既可以围坐餐桌，也可以烧烤自助，有些各种聊天和讨论，还常有不少娱乐小游戏和舞会助兴
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