Many people are exposed to dangerously loud sounds at work and at play, and most of them don’t wear ear plugs or take other steps to prevent hearing loss, a recent U.S. study suggests.
Almost 49 million adults work in very noisy conditions, and more than one-third of them never use hearing protection, the study found. Among leisure pursuits, firearms pose a particular risk and just 59 percent of the 35 million U.S. gun users represented in the study wear hearing protection all the time.
“The problem here is both the number of people using firearms and the potential noise-inducing hearing loss from the repeated gunfire,” said senior study author Dr. Neil Bhattacharyya of Harvard Medical School and Brigham and Women’s Hospital in Boston.
“A rifle has an extremely loud single burst of sound and if you are firing hundreds of rounds, that can be very damaging, particularly without hearing protection,” Bhattacharyya said by email.
To assess how often U.S. adults are exposed to loud noise and how regularly they take steps to protect against hearing loss, researchers examined 2014 survey data representing 240 million people.
Overall, 22 percent were exposed to “very loud” sounds at work requiring them to shout to be heard at arm’s length. The exposures were for at least four hours a day, several days a week.
Roughly one in five people were exposed to loud sounds outside of work, and 62 percent of them didn’t use hearing protection, researchers report in The Laryngoscope.
With firearms, researchers found that one in five people who shot more than 10,000 rounds of ammunition in the past year never used hearing protection. Most of the firearm-related noise exposure came during recreational shooting.
Lawn mowers were the most common source of non-occupational noise exposure.
Almost two-thirds of people around loud noises during recreational activities never used any hearing protection.
One limitation of the study is that it only included one year of survey data, the authors note. It also didn’t have medical records to document specific hearing or health problems associated with noise.
“Untreated hearing loss is associated with increased stress, depression and social withdrawal, and may exacerbate problems for those with cognitive changes such as dementia,” said Dr. Jennifer Derebery of the House Ear Clinic and Institute and the University of California Los Angeles David Geffen School of Medicine.
If people aren’t sure whether the noise around them is loud enough to damage their ears, they can get a sound meter app for their phone and use ear plugs or other protection whenever the app shows the sound is too loud, Derebery, who wasn’t involved in the study, said by email.
And there are good options for people to wear when they still need to hear the sounds around them, a concern for many hunters and concert goers.
“There are outstanding electronic ear muff and ear plug options that solve many of the complaints that recreational shooters and hunters have related to conventional hearing protection,” said Colleen Le Prell, an audiology researcher at the University of Texas at Dallas who wasn’t involved in the study.
“They allow quiet sounds, such as speech and sounds the hunter might be making as they walk, to be not only delivered but amplified, which can be very useful with someone who already has some hearing loss,” Le Prell said by email. “Hearing loss can be prevented, with the consistent and correct use of hearing protection devices.”
Jessica Boyce has signed a national letter of intent to attend school and join the UTEP rifle team starting for the 2017-18 season, head coach Hannah Muegge announced Thursday.
“Moving our sights to next season, I strongly feel Jessica will be a great asset for us as we look to continue to improve upon our team goals and strengthen our team culture,” Muegge said. “Jessica has set some great goals as she aims forward to the collegiate level and the team is very excited to welcome her aboard.”
Boyce is on track to graduate from Maple Mountain High School (Spanish Fork, Utah) and intends to major in psychology.
Below is a brief bio on Boyce:
Boyce developed her love for competitive shooting by participating in the Utah High School Rodeo 3P sporter event in 2013, qualified for and took part in the 2014 High School National Finals.
2014-15 Utah High School Rodeo Rifle State Champion; began competing in precision rifle with the Springville Jr. Rifle Club in the fall of 2013. Also is a member of the Utah Precision Marksmanship Society and holds the range record in air rifle at the University of Utah.
Boyce competed in many NRA postal and sectional matches, receiving both local and national recognition, qualified for the Junior Olympics in 2015 (air rifle), 2016 (air rifle and smallbore) and 2017 (smallbore)
She helped her team take second place at the 2015 Civilian Marksmanship Program (CMP) Western Regional Matches … also took place in the event in 2016 and 2017; posted the seventh-best individual score to advance to the finals in 2017. That effort earned her an individual invitation to compete in the CMP 3P Nationals.
Boyce has spent the past four years has teaching hunter education classes and mentoring younger shooters at her club. Boyce loves to read, be in the outdoors and travel with her family, and has a great love for animals.
She intends to major in psychology at UTEP. Boyce is the daughter of Steven and Krista Boyce and the big sister to Katie, her shooting partner.
A much-improved UTEP women’s golf team will look to surprise the field at next week’s Conference USA Championship, which tees off on Monday in Fort Myers, Fla.
“Because of the season we’ve had, we’ve got to win to continue on to regionals,” coach Jere Pelletier said on Thursday. “There are quite a few teams this year that are ahead of us. I think we are ranked sixth or seventh. But we have surprised them before, and I think the mindset is we don’t have anything to lose. We’ve just got to get out there and play and hopefully we can surprise them again.”
Six years ago, the Miners entered the C-USA Championship rated seventh among league teams but captured their first league title, overthrowing no. 13 Tulane and no. 42 Tulsa in the process.
UTEP has put together a strong season that included one tournament title and three runner-up finishes in the fall. The Miners appear to have regained their stride in the last two spring tournaments, tying for third place at the Little Rock/Arkansas State Invitational and tying for sixth at the Wyoming Cowgirl Classic.
The Miners have strength at the top of their lineup in sophomore Lily Downs (75.2 scoring average), senior Alisa Rodriguez (75.4) and junior June Ting (75.7). Downs and Ting have both claimed tournament titles this season. All three have picked up six top-20 finishes in 2016-17.
“You’re hoping everybody is peaking at the same time and playing their best,” Pelletier said. “We seem to be playing pretty good right now. Alisa, Lily and June have been steady all year. The key for us in the conference is going to be to get one of the other two players to play well. My senior Sofia [Castiello] is starting to play good, and my freshman Abbie (Anghelescu) has shown some real signs of improvement this spring and I think she’s going to play well.”
A total of 11 teams will participate in the championship at the par-72, 6,194-yard Verandah Golf Club. Eighteen holes will be played each day, Monday through Wednesday. Old Dominion enters as the favorite with a no. 63 ranking by GolfStat. UTEP is rated no. 126. Live stats will be available at www.golfstat.com.
The tournament was also in Fort Myers a year ago.
“Alisa and Sofia played [the course] well last year,” Pelletier said. “Lily played pretty well. And right now Lily seems to be playing the best of all three of them. I think it’s going to be a dogfight to see which one comes in first.”
The UTEP track and field team return to action as they head to the Golden State for the Mt. SAC Relays (May 13-14) and the Jim Bush Collegiate Invitational (May 15).
It will be the first action for the Miners since competing in the Texas Relays two weeks ago.
Mt. SAC
Heading to Torrance, Calif. will see the 5 distance runners for the Miners on Friday. Daniel Cheruiyot in the 3,000m steeplechase set for a 4:30 p.m. PT start. Cheruiyot earned a fifth-place finish at the Texas Relays on March 29.
Three Miners will compete in the 10,000m run, Winny Koech and Gladys Jerotich will set to run at 6:00 p.m., followed by Antony Kosgei in the men’s open at 6:40 p.m. Cosmas Boit will compete in the 5,000m run set for 7:40 p.m.
UCLA Invitational
The second destination will see the Miners compete at the UCLA Drake Stadium on Saturday. Starting the day at 8:30 a.m., will be Abedola Akomolafe, Fayon Gonzales and Cierra Chenault in the hammer throw. Lucia Mokrasova and Tyler Ragin will compete in the long jump set for 10:00 a.m. Israel Ramsay returns to the high jump after placing second at the C-USA indoor championships.
Sophomore sensation, Tobi Amusan will race in the 100m dash set for 3:20 p.m. Amusan holds the nation’s fastest time in the 100m hurdles with a time of 12.63. Lilian Koech will run in the 800m, after posting the third-fastest time (2:08.51) in the C-USA this season registered at the Texas Relays. Competing in the 400m dash will be Ada Benjamin, Florence Uwakwe, Imani Adams and Madison Gibson.
On the men’s side, Emmanuel Korir makes his return to the track after winning the 800m NCAA Championship on March 10. The freshman has made an immediate impact on the track setting an indoor school record in the 800m (1:46.75). Korir also recorded a world best 1:14.97 during the indoor season in the 600m. The distance runner will compete in the 800m at 3:45 p.m., along with sophomore Jonah Koech.
Competing in the 1,500m run will be Michael Saruni and Evans Kiprono. Saruni had an outstanding performance at the Texas Relays where he set the second-fastest outdoor school time in the 800 (1:45.82). The mid-distance runner competed against the 2012 Olympic silver medialist (Leonel Manzano) and the collegiate record holder (Donivan Brazier) in Austin. Saruni and Kiprono will be set to run at 5:05 p.m.
Modern chiropractic started in the late 1800s when Daniel David Palmer, a self-educated teacher and healer, performed the very first spinal manipulation on a patient. Chiropractic is the third largest area of medicine today. The word chiropractic comes from Greek words meaning “treatment by hand”, which is exactly what chiropractors do�they use their hands to manipulate the body and promote healing and wellness.
The chiropractic philosophy is dependant on the following belief statements:
All bodily functions are connected as well as the healing process requires the entire body.
A healthy nervous system, especially the spine, is the important thing to your healthier body. The spinal cord carries advice throughout the body and is accountable for many bodily functions including voluntary movements (such as walking) and involuntary functions (like respiration). When the systems of the body have been in equilibrium, it is called homeostasis. Disorders of the bones, muscles, and nerves increase the risk of disorder along with other health problems and can disrupt homeostasis.
When body systems are in harmony, the human anatomy gets the extraordinary ability to keep well-being and treat itself.
Chiropractors
They use traditional diagnostic testing strategies (like x-rays, MRI, and laboratory work) along with specific chiropractic techniques that involve hands-on manipulation of the articulations (joints) of the body. Nutrition and healthful lifestyle counseling is also offered by chiropractors. Chiropractors elect to not prescribe drugs, plus they do not perform operation; however, many chiropractors work with medical doctors and certainly will refer a patient when needed.
Chiropractors believe among the chief reasons for pain and disease is the misalignment of the vertebrae in the spinal column (this is known as a chiropractic subluxation). Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors are able to alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis.
Some chiropractors dedicate their practices exclusively to finding and removing subluxations. But in addition to using manual adaptations, most chiropractors offer other treatment modalities such as the following:
Physiotherapy
Herbal therapy
Heat/cold therapy
Ultrasound
Electric muscle stimulation
Acupuncture
Manipulation under anesthesia
Traction
Massage
Exercise programs and teaching
Lifestyle and nutrition counselling
Physical rehabilitation
Additionally, many chiropractors have considerable postgraduate training and become board certified in some specific regions of interest such as for instance:
Neurology
Orthopaedics
Sports medicine
Physical rehabilitation
Nourishment
Diagnostic radiology
In Overview
Chiropractic has come a long way since its beginnings. Due to its success in treating back and neck problems and as a consequence of changing approaches and recent research, chiropractic has become more accepted and is currently considered by many to be a piece of mainstream Western medicine. Actually, many hospitals finally have chiropractors on staff. Chiropractors will also be recognized by the court system as expert witnesses inside their field.
�ACL injuries have become a youth sports epidemic and are the No. 1 sports injury we operate on at our outpatient surgical center,� says Jennifer Beck, MD, associate director of the Center for Sports Medicine at the Orthopaedic Institute for Children, in a media release.
�The injury is most common in sports that involve sudden changes of direction�such as football and soccer�but fortunately there are some basic things athletes can do to lessen the chance of injury.�
Beck notes in the release that most ACL injuries are not the result of contact with another player but rather occur during sudden twisting motions (such as when the feet are planted one way and the knees are turned another way), or when landing from a jump. Factors that can contribute to ACL injuries include biomechanical issues such as muscle strength and leg alignment, as well as sport technique and preparation.
Young athletes can reduce their risk for ACL injuries by performing training drills that require balance, jumping, power, and agility.
�Drills such as these also help�improve neuromuscular conditioning and muscular reactions and have shown to ultimately decrease the risk of ACL injury,� Beck adds.
Other exercises could include focused stretches, leg raises, leg lifts, prone hip extensions, and sidesteps.
Along with these tips, the OIC Center for Sports Medicine advises parents and coaches to ensure that young athletes don�t skip the warm-ups, drink enough fluids, use proper equipment, and never play through pain.
�We want children to have fun, but it is also important to have a common sense approach to playing and to not ignore injury,� Beck shares. �While rest, ice, and ibuprofen can help reduce basic soreness, if pain persists parents should contact a physician. Failure to address a sports injury properly and promptly can lead to lifelong problems.�
[Source(s): Orthopaedic Institute for Children, Business Wire]
The understanding the spine is somehow involved in health and wellness, in addition to the practice of utilizing manual manipulation as a way to obtain healing, dates back to the time of the ancient Greek philosophers. In fact, Hippocrates once said, “Get understanding of the back, for this is the requisite for several ailments.”
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The First�Chiropractic Adjustment
Modern chiropractic, however, indicates its beginnings in the late 1800s, �when a Canadian living in the US, Daniel David Palmer, a self educated teacher and healer, performed the very first spinal manipulation on a patient.
That patient was Harvey Lillard, a janitor who worked in Palmer’s building. Lillard was almost totally deaf and mentioned to Palmer that he lost his hearing many years before when he was bending over and felt a “pop” in his upper back.
Palmer, who had been a practitioner of magnet therapy (a common therapy of the time) was fairly learned in physiology and incredibly interested in how a spine interacts with all the remainder of the entire body’s systems.
He found a difficulty with one of his vertebra and examined Lillard’s back. Palmer manipulated Lillard’s vertebra and an amazing event occurred�Lillard’s hearing was restored. Today, this process is referred to as a chiropractic adjustment.
Palmer soon found that alterations could alleviate patients’ pain as well as other symptoms. These problems with vertebrae are called chiropractic subluxations.
He started to use these “hand treatments” to treat many different ailments, including sciatica, migraine headaches, stomach complaints, epilepsy, and heart trouble. In 1898, he started the Palmer School & Infirmary in Davenport, Iowa, and began teaching his chiropractic techniques.
Initial Resistance In The Medical Community
The medical community failed to immediately embrace techniques and Palmer’s chiropractic theories. The called him a “quack” and refused to recognize his achievements. At one point, Palmer spent time in jail because of his violation and was indicted for practicing medicine with no license.
Research has shown that Palmer was not the fish monger that was unlearned that some in the health care profession claim. An investigation of this library, which he quoted in his letters, showed that he was up to date in his knowledge at the turn of the 20th century. Obviously, his theories, in the light of 21st century knowledge, seem uneducated.
Chiropractic Today
Today, chiropractors are licensed in most European countries, Canadian provinces, all the US states, Australia and New Zealand. There tend to be more than 50,000 practicing chiropractors in the US alone . Despite its North American roots, there are more chiropractic educational programs beyond North America.
The concept that light energy from a laser can reduce inflammation and pain, hasten healing in damaged tissues, relax muscles, and stimulate nerve regeneration appears far fetched. Science, however, tells us these effects do happen.
“Power and wavelength ascertain the capability of the laser to penetrate into the body. Once you are in the infrared spectrum and above 800 nanometers in wavelength, laser energy penetrates like X-rays, but to attain depth you need substantial electricity or energy,� Dr. Bruce Coren told Spine Universe.
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Two Categories Utilized in Physical Therapeutics
You can find just two groups of lasers being used in physical therapy; group 3 and 4. �Category 3 lasers are much less than 500 milliwatts, mw, in power while class 4 lasers are greater than 500 mw,� Dr. Coren said. Class 3 lasers are occasionally known as cold lasers, while the treatment may be called LLLT for low-level laser therapy. In contrast, class 4 laser treatment might be called HPLT for high power laser therapy.
�The majority of neuro-musculoskeletal conditions respond better to a higher power and a greater dosage, which will be a function of power output and time,� Dr. Coren commented. The best results are going to be obtained with a laser that’s 30 watts of power or more. A 10-minute treatment using a 30-watt laser will generate 18,000 joules, which gives a critical pain relieving, anti inflammatory and healing effect.�
Although 5 or more sessions may be required to solve the problem, patients usually begin to feel better after 1 or 2 treatments. � The more extensive the injury and the more chronic, the more treatments are usually needed,� he included.
Properties of High Power Laser Treatment
Pain Relief: Laser decreases nerve sensitivity by decreasing bradykinin; a pain generating compound. It normalizes ion channels, gatekeepers that are mobile, and releases endorphins, body�s natural pain reliever, and enkephalins, that is related to endorphins, that generate an analgesic effect. Additionally, it has a pain-blocking effect on specific nerve fibers. This increased energy accelerates the repair processes of the cell. Laser additionally causes a widening of the arteries and veins around the damage which really helps to remove damaged cellular debris and increase nutrients and oxygen. White blood cell activity is improved leading to a more fast repair process.
Gifted Tissue Repair and Cell Growth:�Photons of light from lasers penetrate deeply into tissue and accelerate cellular reproduction and growth. As a result of exposure to laser light, the cells of nerves, ligaments, tendons and muscles are repaired quicker.
Improved Vascular Action:�Laser light raises the formation of new capillaries in damaged tissue, which closes wounds quickly, and speeds up the healing process.
Cause and Acupuncture Points:�Laser is very effective in extinguishing painful trigger points. It’s likewise a highly effective method of stimulating acupuncture points with no distress related to needling.
Reduced Fibrous Tissue Formation:�Laser therapy reduces the formation of scar tissue following tissue damage from burns, cuts, scratches, repetitive motion injuries or surgery.
Faster Wound Healing: Collagen is the essential protein necessary to repair injuries or to replace old tissue. Because of this, the laser is effective on burns and open wounds. Laser raises the number of stem cells, which enhances healing.
Conditions Treated Where Laser Therapy is Administered
High power lasers are typically present in physical therapy clinics and chiropractic offices. Neck, back or joint pain generally responds immediately to laser therapy.
�Lasers are also rather powerful for inflammatory conditions, including peripheral neuropathy, tendonitis, bursitis, and capsulitis. Sprains, strains, and repetitive motion injuries all have an inflammatory component and may be successfully treated with laser,� he remarked. �There is no specific state that reacts more quickly to laser. Nonetheless, some patients will respond faster than others for precisely the same condition as individual healing rates can change.�
Laser therapy can be used as a stand-alone treatment, or with rehabilitative exercise therapy. �Rehabilitative exercises and laser therapy complement each other nicely,� explained Dr. Coren.
Precautions of Laser Therapy
There are a few precautions with laser treatment. Eye protection is required for both therapist and the patient, and laser must not be performed over malignancies, pacemakers, spinal stimulators or within the midsection of pregnant women.
Further Recommendations
High power laser treatment is just one of the quickest, most powerful modalities therapists now need to treat inflammation and pain. �Sadly, laser just isn’t covered by insurance, and high-power lasers could be difficult since they are high-priced to locate. Most importantly, results are reached by the quantity of energy produced, 18,000-30,000 joules per treatment being the sweet spot,� Dr. Coren reasoned.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 . �
By Dr. Alex Jimenez
Additional Topics: Chiropractic and Sciatica
Sciatica is identified as a group of symptoms rather than a single injury or condition. Low back pain is common among a variety of individuals, but when symptoms of numbness and tingling sensations are accompanied with pain and discomfort, there may be unnecessary pressure being placed against the sciatic nerve. Sciatic nerve pain or sciatica can occur due to a variety of factors and chiropractic treatment can help relieve the symptoms. Chiropractic care is a safe and effective treatment option available for restoring the health of the spine and reducing sciatica symptoms.
The majority of clients that present to the clinic with anterior knee pain over the coming year will more often than not have a patellofemoral (PF) problem.
It may be a slight bit of biomechanical mal-alignment that has stirred up the knee cap – this is the good, or they may have started to wear the cartilage behind the knee cap and as a result it has softened – chondromalacia � this is the bad. They may even have worn a hole into the knee cap cartilage and they now have a chondral defect, or worse still an osteochondral defect – the downright ugly.
These problems affect runners, cross fitters, group exercise enthusiasts (PUMP classes) and simple recreational walkers who spend a lot of time on hills and stairs.
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How These Extremes Are Managed Will Differ
The biomechanical irritations and the chondromalacia versions can be managed conservatively with a combination of local treatment modalities and correcting the biomechanical faults. The more serious chondral/osteochondral defects often need some surgical intervention as often the pathology is too advanced to respond to conservative treatment alone.
Understanding the exact mechanical contributions of the knee cap in relation to the femur is critical for the therapist to effectively manage these problems.
At the local PF level, the fault is usually a malposition of the patella in the femoral trochlear groove. Often the knee cap is being pulled too far laterally and superiorly in the groove, creating an uneven contact situation between the knee cap and the femur. The PF compression force during loaded knee flexion (squats, lunges etc.) is no longer optimal and usually a smaller portion of the patella cartilage is taking all the load. This wears the cartilage down and creates pain and pathology. This is most noticeable as the knee flexes to 30 degrees and onwards as it is this knee flexion angle where the knee cap enters the femoral trochlear groove.
The more distant (but often dominant) faults lie at the hip/pelvis and at the feet. Below is a breakdown of common biomechanical faults that may contribute to PF pain syndromes.
1. Overpronation
If the foot pronates (rolls in) for too long or too much, the pronated midfoot forces the tibia to remain internally rotated. The femur follows the tibia and also internally rotates. This creates a mal-alignment at the knee whereby the PF arrangement is altered and the knee cap shifts laterally. We are all familiar with the Q angle of the knee and how this affects the PF alignment.
Common causes of overpronation may be structural flatfoot problems that can be corrected with orthotics and shoe selection. However, tight soleus (that limits dorsiflexion) or a tight and overactive peroneal system that everts the foot and flattens the foot can also be a cause.
Stretching and loosening the soleus and peroneals along with strengthening the anti-pronation muscles such as tibialis posterior, flexor hallucis longus and flexor digitorum longus may help fix this problem.
FADDIR represents a flexed, adducted and internally rotated hip joint at foot strike. This is often caused by tight and overactive hip flexors such as TFL and the adductors and weakness in the abductors (gluteus medius) and external hip rotators (gemellus, obturator muscles). This hip posture forces the femur to roll inwards and as a result the knee is deviated medially and away from the vertical line drawn up from the foot. This also increases the Q angle and PF misalignment results and perpetuates the local knee imbalance of tight and overactive lateral quadriceps and lateral hamstrings along with ITB tightness. As a result the VMO weakens.
Loosening the overactive TFL, adductors, lateral quad, ITB and lateral hamstring whilst strengthening the gluteus medius, hip external rotators and VMO may help this biomechanical mal-alignment.
3. Pelvic Trendelenburg
Defined as lateral pelvic shift whereby at stance phase the opposite side of the pelvis drops down below the height of the pelvis on the stance side. This is usually caused by a weak gluteus medius complex that is unable to hold the pelvis stable during stance phase. The implications again are that this causes the knee to roll in and increase the Q angle. The solution is to muscle up the gluteus medius.
This often forgotten about imbalance creates a situation whereby the individual finds it difficult to attain hip extension at the end of stance phase. The hip remains locked in a degree of flexion.
The knock on effect is that the knee also stays locked in some flexion. With the knee in flexion, the knee cap is now compressed against the femur, compression on the underside of the kneecap may result. To fix this the therapist needs to stretch/loosen the hip flexors and strengthen the gluteus maximus to promote more hip extension.
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