Climbing the Stairs

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Watch a Video. There she meets Raman, a young man also living in the house who relishes her intellectual curiosity. Climbing the Stairs is a powerful story about love and loss set against a fascinating historical backdrop. An oceanographer by training, she is the author of twenty books for young readers, published in India, on a variety of subjects.

Climb stairs to lower blood pressure and strengthen leg muscles

Read An Excerpt. Paperback —. Add to Cart. Listen to a sample from Climbing the Stairs. Also by Padma Venkatraman. See all books by Padma Venkatraman. Product Details. Inspired by Your Browsing History.

Climbing Stairs Without Knee Pain

Related Articles. Physical therapy may address core muscle and vastus medialis oblique weakness as well as hip flexor, ITB, calf, and hamstring tightness as identified on examination. McConnell taping techniques and lateral retinaculum mobility may facilitate proper patellar tracking. An alternative rationale for the benefit of patellar braces is the improved joint temperature and proprioceptive stimulation of the knee. The 16 studies that were identified did not meet criteria for a randomized, controlled trial, and they varied with regard to patient selection, intervention, and outcome measures, thus preventing a meta-analysis.

There was some evidence to suggest that eccentric exercises were better than other forms of quadriceps strengthening. The review also supported the use of custom foot orthoses for females with varus of the rear of the foot. Athletes who fail to respond to nonoperative management after 12 months may be referred to an orthopedic surgeon for consideration for lateral retinacular release or tibial tuberosity transfer, although evidence to support these surgical treatments is sparse.

Injury to the femoral nerve often presents with difficulty in ambulation, climbing stairs, and rising from a seated position. Concomitant complaints of altered sensation over the anterior thigh and medial leg support the diagnosis of femoral neuropathy.

Dancers Climbing the Stairs 1886-90

In cases of suspected hemorrhage causing compression of the femoral nerve, immediate imaging using computed tomography or ultrasound will aid in the development of an effective management plan. Electrodiagnostic studies are best performed 3 to 4 weeks after the injury, so as to help with localization and prognostication. A key aspect of management may be surgical intervention, especially in the case of an expanding hematoma. Ultimately restoration of function and symptom management are key considerations. A controlled strengthening of hip flexor and knee extensor musculature is paramount in the case of incomplete injuries.

In cases of complete femoral nerve injuries, bracing to stabilize the knee and facilitate ambulation is often required. Holly J. Silvers, Karen Hambly, in Cartilage Surgery , In comparison with other activities of daily living such as walking or stair climbing , the maximum load-moments on the knee joint in cycling are small. Increases in the cycling workload result in a significant increase in knee load-moments and compressive and shear forces, but increases in the pedaling rate do not appear to affect the maximum knee load-moment.

Along with the correct selection of resistance, another important factor in cycling that needs to be considered is saddle height because of its direct influence on knee flexion angles Table High saddle heights are a predisposing factor for an increased risk of developing iliotibial band friction syndrome ITBFS , especially if knee ROM is not full. However, if the saddle height is increased to initially accommodate restrictions in knee ROM, then it is important to normalize the saddle height in parallel with the restoration of knee ROM to reduce the future risk of problems such as ITBFS.

Analysis of the effect that changing the direction of pedaling has on knee joint biomechanics has shown that reverse pedaling requires quadriceps muscle activity in ranges of greater knee flexion compared with forward pedaling 50 and that the vastus medialis is more active in reverse pedaling. Tibiofemoral compressive loads have been shown to be lower in reverse pedaling, especially near peak extension of the knee.

On the basis of this evidence, reverse pedaling may be considered for TFJ rehabilitation to reduce loading on the knee but should not be advocated for PFJ rehabilitation because of the increases in loading on the knee joint.

Excerpt from Climbing the Stairs | Penguin Random House Canada

The chief complaint may often be a disability such as limping, trouble climbing stairs, or difficulty writing. Some children will have associated pain and signs of inflammation, whereas others have little or no discomfort and it may be that they or their family have simply noticed a decrease in functional ability. If the chief complaint is the disability, it is helpful to localize the source of the disability to the joint, the bones, the muscles, or the nerves.

Muscle or nerve disease manifests primarily as weakness, although some children with sensory neuropathies or myositis, particularly acute viral myositis, will also have pain. Dermatomyositis and polymyositis cause symmetric proximal weakness in the upper and lower extremities. The characteristic symptoms are difficulties climbing stairs, rising from the floor, taking the big step onto a bus or into the family minivan, and washing or combing the hair, as well as fatigue and poor endurance. Isolated lower extremity or asymmetric weakness should increase suspicion of neurologic disease.

Disabilities from arthritis are caused by limited range of motion or discomfort in the joint rather than weakness.


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Limping, particularly in the mornings, toe-walking because of inability to extend the knee or Achilles tendon, and having difficulty running and jumping are seen with lower extremity arthritis. The child with hand or wrist arthritis has difficulty opening bottles, turning doorknobs, manipulating buttons or snaps on clothing, and gripping pencils or utensils.

Aerobic dancing requires stationary running, skipping, jumping, stretching, dancing, and stair climbing. The dance surface is on carpet or covered surfaces.

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The shoe requirements are a combination of a lightweight, shock-absorbing running shoe and a modified indoor court shoe. Medial and lateral support is needed, as well as a wrap-up toe and heel protection. The forefoot requires stabilization and good shock absorption. EVA and PU combinations, air systems, and gel are used in shock-absorbing forefoot pads.

Flexibility in the forepart is important. Loprinzi PhD, Type of exercise should include weight-bearing endurance activities such as tennis, stair climbing , and jogging intermittently during walking; jumping activities such as volleyball and basketball; and resistance exercises that involve all major muscle groups, such as weight lifting.

Intensity should be moderate to high, in terms of bone-loading forces. The frequency of weight-bearing endurance activities should be 3 to 5 times per week, resistance exercise 2 to 3 times per week.

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