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Page: 123
TOPIC: Barlow update
Rapidfire Posted: 4 Weeks, 1 Day ago
Barlow update
#336248
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The_Pav Posted: 3 Weeks, 6 Days ago
Re: Barlow update
#336455
I don't understand that. It was a broken leg. What's the issue with him running (I'm in no way qualified to suggest he should be running, I'm just wondering what the story is).

And why are they "refusing"? Is there some lobby group pressing for him to start training straight away?
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hypen Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336467
I reckon that's the first time I've heard Bondy speak and not say the words "list management model".
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Tragic Posted: 3 Weeks, 6 Days ago
Re: Barlow update
#336495
Rehab with a weight bearing bone is for me a dark art but the basics relate to the way a bone heals.
When a bone fracture heals it is initially in the form of "callus". Callus bone is then "mineralised" such that it shows up on Xray as a healing fracture by about 6 weeks (less in kids). Mineralised callus or so called "woven bone" does not have the same mechanical properties as mature "lamellar" bone. The process of woven bone becoming lamellar bone is called remodelling and takes about 18 months.
In the tibia specifically, I think 80% bone strengh at three months post fracture with full bone strengh at about 12 months would be reasonable working figures.
With those sort of basics in mind, tailoring rehab to a specific individual's case the people in charge of rehab have to make the decision as to when you are going to "test" the integrity of the repair by letting a person run on it. If he runs on it prematurely and it refractures, his rehab is set back a long way. I think Michael Barlow's best interests are served by being cautious.
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pollyanna Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336505
Tragic: I remember my brother breaking his femur when he was little, there was a huge calcium lump around the break point for years afterwards. The on-line video of Mick (on a bike) kind of shocked me, basically because of the difference between the size of his legs (one 'normal' the other like it came from Brad Dick).

I know that the rehab of muscles takes a long time, but how important is it to have those muscles (which are the biggest in the human body) support the fracture mend?
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Tragic Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336510
The marked quads wasting which comes with these injuries is not important in terms of supporting the healing fracture. The muscle wastage is however important in him returning to his full physical ability (running, leaping etc) It is the difficulty with rehab. The more you delay return to normal function to allow the bone to heal, the greater is the loss of function in terms of muscle strength, endurance etc etc.
Another bit of the puzzle is that you eventually have to put force through the bone for it to return it to full strength (reversal of disuse osteoporosis).
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391 Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336513
Tragic - quality info, cheers.

If Barlow's breaks heal in the shape of Chevrons are people ok with that?
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391 Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336514
Double post by me = eediot
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zorro Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336546
Putting all that together, Tragic, are you thinking 2012 rather than 2011?
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guy smiley Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336548
My guess is The Suit will be playing regularly by about midseason next year...

I reckon, based on nothing more than sheer unadulterated fantasy plucked from the tail of a low flying duck and cleverly disguised as the plumage of the extinct and beautiful greater crested crapping barn owl, that he'll be ok to go a year after the break.
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Tragic Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336549
I really don't know.
I have no actual experience in managing an elite athlete with this type of injury.
The closest matching data I could get was from Sweden.. The fracture and management they describe is a bit different from Michael Barlow's but is not too dissimilar. The conclusion "Twelve months after the injury, 44 percent had not regained full function of the injured leg, although all but two of the patients had returned to preinjury working status." is however of concern. I do not expect him to be back to his best by Round 1 but (speaking as a one eyed supporter) hope that he will be fully recovered for our tilt at the 2011 finals.
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BadWolf Posted: 3 Weeks, 6 Days ago
Re:Barlow update
#336550
Why didn't they just chop off his legs and bolt on bionic ones when they had the chance?
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