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Most Cited Operative Techniques in Orthopaedics Articles
The most cited articles published since 2011, extracted from Scopus.
Contents and Formulations of Platelet-Rich PlasmaAmy S. Wasterlain | Hillary J. Braun | Jason L. Dragoo
Volume 22, Issue 1, March 2012, Pages 33-42
Multiple studies have demonstrated a role for platelet-rich plasma (PRP) in accelerating and facilitating improved response to injury. The cellular response to injury progresses through 4 general stages: hemostasis, inflammation, proliferation, and finally remodeling. Each phase is characterized by enhanced cellular or molecular activity, all of which involve platelets. Blood plasma and platelets are responsible for hemostasis, whereas leukocytes and activated platelets mediate inflammation, and growth factors derived from platelet α-granules influence tissue regeneration. Specifically, the leukocyte content of PRP is thought to influence the inflammatory phase, whereas angiogenic and mitogenic growth factor concentrations are believed to aid tissue regeneration. Both the precise composition of PRP and its formulation affect the cellular environment in which it is placed and determine its overall effect on tissue repair. © 2012 Elsevier Inc.
Platelet-Rich Plasma: Preparation and FormulationEduardo Anitua | Roberto Prado | Mikel Sánchez | Gorka Orive
Volume 22, Issue 1, March 2012, Pages 25-32
Platelet-rich plasma is a set of autologous platelet products used to accelerate recovery from injury. The basic rationale is to mimic the natural ways of healing, bringing to the injury site a set of molecules that will accelerate the functional recovery of the tissue, trying to regenerate the tissue itself, and not to merely repair with scar tissue. Among the jungle of products in this field, PRGF-Endoret (BTI-Biotechnology Institute, Vitoria, Spain) is a pioneering autologous regenerative technology with multiple therapeutic potentials, present in at least 4 different formulations, depending on the coagulation and activation degree of the samples. PRGF-Endoret technology is safe and has multiple applications and potentials. © 2012 Elsevier Inc.
Reverse Total Shoulder Arthroplasty-Biomechanics and RationaleStephanie H. Hsu | Raymond M. Greiwe | Comron Saifi | Christopher S. Ahmad
Volume 21, Issue 1, March 2011, Pages 52-59
Reverse total shoulder arthroplasty (RTSA) was designed to provide pain relief, improve functional results, and reduce the risk of implant failure in patients with a painful rotator cuff-deficient shoulder. Understanding the biomechanics and rationale behind the surgical technique and its relationship to implant design is essential. The design and biomechanics of RTSA is based upon principles put forth by Grammont. These are inherent prosthetic stability, convexity of the glenoid components with complementing concavity of the humeral component, glenosphere center placement at or within the glenoid neck, and a medialized and distalized center of rotation. In addition, patient selection, surgical technique, and postoperative management all factor in the functional success of RTSA. Component sizing, version, glenoid baseplate fixation and placement, humeral neck-shaft angle and distalization, and surgical approach are all choices made by the informed surgeon. Each factor plays a role in the functional outcome of an RTSA and its potential complications. © 2011 Elsevier Inc.
Platelet-Rich Plasma in Orthopaedic Surgery and Sports Medicine: Pearls, Pitfalls, and New Trends in ResearchAndre F. Steinert | Kellie K. Middleton | Paulo H. Araujo | Freddie H. Fu
Volume 22, Issue 2, June 2012, Pages 91-103
Platelet-rich plasma (PRP) is a novel therapeutic tool in orthopaedic surgery and constitutes a developing area for clinicians and researchers. Increasing numbers of scientific studies are being published on PRP, and there has also been an increased level of awareness in popular culture and mainstream media secondary to recent use of PRP in high-profile athletes. PRP is produced from the patient's own blood by centrifugation, which concentrates platelets along with several bioactive factors that have the ability to promote various aspects of tissue regeneration and protection. These include growth factors such as platelet-derived growth factor (PDGF), transforming growth factor, insulin-like growth factor, and epidermal growth factor, among others. Depending on the method of PRP preparation used, varying compositions of cells and bioactive factors can be found, and only very little is known about the exact regenerative mechanisms of the different PRP components involved. Such crudeness of PRP makes its application fast and easy, while avoiding laborious and time-consuming . ex vivo cell processing procedures. The field of PRP clinical and basic science research is growing. There is experimental evidence for positive effects of PRP in the context of soft-tissue healing, ligament and bone regeneration, and inflammation reduction. However, recently emerging prospective randomized clinical trials demonstrate ambiguous results regarding effectiveness with mostly only weak to moderate effects depending on the application. This review outlines the current status of the clinical use of PRP and discusses its risks, pearls and pitfalls, and the direction of future PRP research in the fields of orthopaedic surgery and sports medicine. © 2012 Elsevier Inc.
Platelet-Rich Plasma in Muscle and Tendon HealingMikel Sánchez | Javier Albillos | Francisco Angulo | Juanma Santisteban | Isabel Andia
Volume 22, Issue 1, March 2012, Pages 16-24
Platelet-rich plasma (PRP) products represent advanced regenerative therapies for acute and chronic muscle and for tendon injuries because they can exploit the regenerative capabilities of the musculoskeletal system. PRP injections are used in clinical practice, but there is a need to evaluate the claims made about PRP therapies. Herein, we review current published clinical studies and focus on PRP formulations and application procedures. This article also describes the authors' clinical experience with PRP therapy in muscle and tendon conditions during the past decade. Treatment effects and the primary conclusions of clinical studies may be affected by procedures of PRP administration, and estimates of PRP treatment effect may deviate from its true value. To better define the conditions of clinical trials, we need to know more about the differences not only between PRP formulations but also among technical procedures in surgery and injection protocols, including applied volumes, target areas to treat, treatment schedules, and patient selection criteria. © 2012 Elsevier Inc.
Bony Increased-Offset Reverse Shoulder Arthroplasty (BIO-RSA) for Cuff Tear ArthropathyPascal Boileau | Kieran O'Shea | Grégory Moineau | Yannick Roussane
Volume 21, Issue 1, March 2011, Pages 69-78
Given the disappointing results of hemiarthoplasty and the unacceptably high failure rates of total shoulder protheses, reverse shoulder arthroplasty (RSA) has become an attractive treatment option for patients with painful cuff tear arthropathy. Grammont's original medialized design represented a major advance in the restoration of shoulder function for these patients. Scapular notching, prosthetic instability, limited shoulder rotation, and loss of shoulder contour are all problems resulting from the medialization of the center of rotation, stimulating others, in turn, to develop lateralized RSA designs. Rather than changing the geometry of the glenoid prosthesis, our approach to achieving lateralization has been to increase the bony offset of the glenoid. In this article, we present the surgical technique of bony increase-offset reverse shoulder arthroplasty (BIO-RSA). By using a modified base-plate with a lengthened central peg, we place a cancellous bone graft harvested from the humeral head beneath the baseplate of the RSA, effectively creating a long-necked scapula. At a minimum of 2 years after surgery, in a prospective cohort of 42 patients receiving BIO-RSA, there were no cases of glenoid loosening or prosthetic instability. Computed tomography and plain radiographic review demonstrated healing of all glenoid bone grafts. Scapular notches were observed in only 9 cases. Significant improvements were observed when disease-specific outcome measures were used and in all planes of shoulder mobility. BIO-RSA appears as a biological solution to minimize inferior scapular notching and to maximize shoulder stability and mobility without increasing the risk of glenoid component failure. Healing of the humeral bone graft on the native glenoid is consistently observed, allowing the creation of a scapula with a long neck. In contrast to metallic increased-offset, BIO-RSA offers the advantage of maintaining the center of rotation of the joint at the prosthesis-glenoid interface and therefore minimizing torque on the glenoid component. © 2011.
Prophylactic and Therapeutic Peroneal Nerve Decompression for Deformity Correction and LengtheningMonica Paschoal Nogueira | Dror Paley
Volume 21, Issue 2, June 2011, Pages 180-183
Nerve injury is one of the most serious and frequent complications of deformity correction and limb lengthening. Acute or gradual deformity correction or limb lengthening is frequently complicated by nerve injury. The peroneal nerve is the most frequently injured around the knee and the upper tibia. Decompression of this nerve should be considered as prophylactic and therapeutic treatment to avoid injury and ensure recovery, respectively. There are 2 tunnels of entrapment near the neck of the fibula. Knowledge of this anatomy is important to all surgeons treating patients at risk of this injury. © 2011 Elsevier Inc.
A Novel Minimally Invasive Ultrasound-Guided Technique to Biopsy Supraspinatus TendonRichard J. Murphy | Benjamin John Floyd Dean | Kim Wheway | Bridget Watkins | Mark E. Morrey | Andrew Jonathan Carr
Volume 23, Issue 2, June 2013, Pages 56-62
A lack of access to the tendon tissue has proved a significant obstacle in developing our understanding of the pathogenesis of rotator cuff tendinopathy. In this article, we describe a new minimally invasive technique that may be used to biopsy the supraspinatus tendon in the outpatient clinic or in the operating theater. © 2013 Elsevier Inc.
Basic Science: Molecular and Biological Aspects of Platelet-Rich Plasma TherapiesIsabel Andia | Mikel Sánchez | Nicola Maffulli
Volume 22, Issue 1, March 2012, Pages 3-9
Knowledge of the basic biological mechanisms involved in tissue response to injury should inform management of healing. Approaches to influence healing may need to integrate multiple cell types and large signaling networks that are necessary for the dynamic communication between cells. Platelet-rich plasma (PRP) therapies deliver a myriad of growth factors and cytokines to the injured tissues. Evolution of our understanding of platelet biology and reinterpretation of some of their more traditional roles in hemostasis and tissue repair have revealed much about the complexity of PRP therapies and provide new insights on PRP therapies' successes and failures. However, many potential molecular mechanisms acting simultaneously in tissue repair present a challenge to the identification of critical mechanisms behind PRP therapies. A vast array of barriers, ranging from deficits in basic research to clinical differences in formulations and administration procedures, undermine current efforts to set effective PRP protocols to manage healing. Identifying which molecular mechanisms are more or less important during the course of healing and clarifying the molecular basis for differences in the healing response across patients will continue to be the priority to tailor PRP therapies for particular sports injuries. © 2012 Elsevier Inc.
Ilizarov Method for Gradual Deformity CorrectionNoam Bor | Guy Rubin | Nimrod Rozen
Volume 21, Issue 2, June 2011, Pages 104-112
The Ilizarov circular external fixation device achieves circumferential 3-dimensional fixation to bones through multidirectional and multiplanar wires and half-pins. Its modular construction allows for gradual correction of angulation, rotation, and translation. The Ilizarov hinge makes the fixator unique in its ability to correct deformities in a controlled fashion. A systemic and scientific approach to deformity correction must be taken, and the geometry of the deformity must be respected according to the center of rotation of angulation (ie, CORA) method of mechanical and anatomical axial planning. The osteotomies are performed according to 3 rules. There are many indications for gradual deformity correction, with the main purpose being to avoid stretch damage to the neurovascular structures at risk while correcting, for example, malnonunited fractures. The Ilizarov method to gradually correct bony and soft-tissue deformities is presented. © 2011 Elsevier Inc.
History and Science Behind the Six-Axis Correction External Fixation Devices in Orthopaedic SurgeryDror Paley
Volume 21, Issue 2, June 2011, Pages 125-128
Six axis external fixation has become one of the most useful tools in deformity correction. These devices are all modifications of the original Stewart-Gough platforms. Orthopedic patents date back to 1985. There are many different versions of this technology with numerous patents for each new and different device. © 2011 Elsevier Inc.
The Use of Platelet-Rich Plasma in Sports Medicine-the International Olympic Committee OpinionLars Engebretsen | Patrick Schamasch
Volume 22, Issue 1, March 2012, Pages 43-48
Platelet-Rich Plasma Preparations for Biological Therapy: Applications and LimitsGiuliana Gobbi | Marco Vitale
Volume 22, Issue 1, March 2012, Pages 10-15
Platelets are anucleate blood cells characterized as primary effectors of hemostasis. The rationale for the therapeutic use of platelets as a surgical adjuvant is to make platelet-derived factors locally available for tissue healing. Several platelet-derived growth factors have been recently characterized, able to favor both wound healing and angiogenesis. Biological therapies using platelet-rich plasma (PRP) preparations are currently being used, making it essential to expand our knowledge on the sequential events that characterize PRP action. Studies on the efficacy of PRP in human subjects are still scarce, probably because of the relatively recent clinical applications of PRP. In some case control studies and in several noncontrolled clinical trials, PRP has been found effective. However, the results of most studies are hampered by relevant confounding variables such as the variations of PRP characteristics even in patients with similar platelet counts. PRP essentially acts as a growth factor reservoir, inducing mitogenesis, chemotaxis, and angiogenesis at the site of application. However, notwithstanding several different characteristics between them, all platelet-enriched products are called PRP, which makes the distinctions difficult. Hence, although PRPs represent a promising tool of clinical application, many questions are still open, such as the appropriate indications for its clinical use as well as the effective concentrations and quantities for each product to be used in each therapeutic situation. © 2012.
Ultrasonic energy in tendon treatmentDarryl E. Barnes
Volume 23, Issue 2, June 2013, Pages 78-83
Tenotomy and debridement of diseased tendon can resolve symptoms due to chronic degenerative tendinopathic lesions (i.e. tennis elbow). Recent improvements in musculoskeletal ultrasound imaging and the development of a minimally invasive ultrasound-guided ultrasonic energy debridement tool, the TX1 (Tenex Health, Inc., Lake Forrest, CA), have created a viable less invasive alternative to open tenotomy and debridement procedures. The rationale behind this novel and minimally invasive procedure is to ultrasonographically visualize the diseased portion of the tendon and guide a small ultrasonic-energy debridement tool under dynamic sonographic imaging into the tendinopathic region to complete a percutaneous tenotomy and debridement procedure. The TX1-debridement tool is safe and has demonstrated similar or better outcomes to open tenotomy and debridement procedures. © 2013 Elsevier Inc.
Intra-Articular Osteotomies of the Hip, Knee, and AnkleDror Paley
Volume 21, Issue 2, June 2011, Pages 184-196
Realignment of the hip knee and ankle can be achieved by extra-articular osteotomy if there is no intra-articular deformity or incongruity. Intra-articular osteotomy of the femoral head, femoral condyles, tibial plateaus and tibial plafond can all be achieved technically and biologically and lead to a congruous joint. This is a new frontier for realignment surgery extending the indications for joint preservation surgery. © 2011 Elsevier Inc.
Stem cell therapy in cartilage repair-culture-free and cell culture-based methodsNorimasa Nakamura | James Hui | Kota Koizumi | Yukihiko Yasui | Takashi Nishii | Dnyanesh Lad | Georgios Karnatzikos | Alberto Gobbi
Volume 24, Issue 1, January 2014, Pages 54-60
In order to overcome potential problems associated with autologous chondrocyte implantation, mesenchymal stem cell-based therapies could be potential alternatives. Conventional stem cell-based therapy accompanies the separation of cells from tissue followed by monolayer culture for the expansion of cell numbers. On the other hand, the cost of cell culture under quality control is high, which could be a potential barrier for industrialization. In order to reduce the cost associated cell culture, culture-free cell-based therapies have been investigated with the use of bone marrow aspirate. In this chapter, we will introduce the three stem cell-based therapies in cartilage repair. The first two procedures are using cell culture methods and the last one with cell-free method. All the three methods have been into the stage of clinical trials and their surgical procedures as well as their preliminary results will be reported. © 2014 Elsevier Inc.
Robotically Assisted Unicompartmental Knee ArthroplastyJess H. Lonner | Glenn J. Kerr
Volume 22, Issue 4, December 2012, Pages 182-188
Taylor Spatial Frame for Deformity Correction in ChildrenChristopher Iobst
Volume 21, Issue 2, June 2011, Pages 144-155
The Taylor Spatial Frame (Smith & Nephew PLC, London, UK) is a circular external fixator that is able to correct multiplanar deformities simultaneously or sequentially. This makes the fixator an excellent tool for correcting pediatric limb deformities. This article highlights the common pediatric uses for the Taylor Spatial Frame, including Blount's disease, long bone trauma, lengthening, and joint contractures. Other issues specific to using the Taylor Spatial Frame in children, such as sizing, strut changes, dynamization, calculation of the length of correction, and postoperative management with be discussed as well. © 2011 Elsevier Inc.
Current Concepts in the Management of Vertebral Compression FracturesSujoy Mukherjee | Yu Po Lee
Volume 21, Issue 3, September 2011, Pages 251-260
Despite increasing awareness of osteoporosis, fragility fractures still occur with regularity. In patients who have only mild or moderate pain, bracing and supportive care is all that is typically necessary. Surgical invention is recommended in patients who have neurologic compromise or continue to have pain and disability after a suitable period of nonoperative treatments. In most patients who do not have neurologic compromise, kyphoplasty and vertebroplasty are very good options. Both are percutaneous procedures that stabilize the fracture with polymethylmethacrylate. The results of both kyphoplasty and vertebroplasty have been very good. It has been demonstrated in multiple studies that these procedures result in immediate and sustained pain relief in most patients. Also, recovery is very quick in these patients, and patients are usually able to go home the same day or the day after surgery because they have such small incisions and blood loss is minimal. Thus, among spine surgeons and interventional radiologists, it is generally agreed that either a kyphoplasty or vertebroplasty is the procedure of choice in patients who have an osteoporotic compression fracture. For the physicians who prefer kyphoplasty, they list height restoration, improved spinal alignment, and a decreased incidence of cement leakage into the spinal canal as their reasons for choosing kyphoplasty. In those who prefer vertebroplasty, cost is the primary reason for their choice. Despite these differences, both procedures have been shown to have similar success rates with a slightly increased rate of cement leakage in the vertebroplasty group. These cement leakages, however, have not been shown to have any clinical significance. © 2011.
Platelet-Rich plasma in sports medicine: New treatment for tendon and cartilage lesionsElizaveta Kon | Giuseppe Filardo | Berardo Di Matteo | Alessandro Di Martino | Maurilio Marcacci
Volume 22, Issue 2, June 2012, Pages 78-85
The administration of platelet-rich plasma (PRP) is an innovative approach in the management of cartilage and tendon lesions. PRP is an autologous blood derivative that contains a higher concentration of platelets with respect to baseline blood level. The biological rationale is that platelets are a source of several growth factors and other bioactive molecules that play an important role in tissue homeostasis and healing process. The application of PRP on damaged sites could therefore favor tissue regeneration. PRP has been applied in several clinical conditions, both as a conservative injective approach or as an "augmentation" during surgical procedures. Studies have been published concerning the treatment of Achilles, patellar, and elbow tendinopathy, as well as rotator cuff lesions and cartilage degeneration of the knee. This review analyzes and reports the available evidence in the literature regarding clinical application of PRP in treating cartilage and tendon disorders. The evaluation of the preliminary results showed an encouraging clinical outcome, thus explaining the large interest this therapeutic approach has gained among scientists and clinicians. However, further high-level research is needed to confirm these results, determining the best indication criteria and application methods. © 2012 Elsevier Inc.
The use of platelet-rich plasma preparations in the treatment of musculoskeletal injuries in orthopaedic sports medicineSimone Cerciello | Knut Beitzel | Nathan Howlett | Ryan P. Russell | John Apostolakos | Mary Beth McCarthy | Mark P. Cote | Augustus D. Mazzocca
Volume 23, Issue 2, June 2013, Pages 69-74
The use of platelet rich plasma (PRP) has been has become extremely popular in orthopaedic practice. The goal of PRP treatment is to concentrate growth factors present in the platelets and reintroduce them at the site of injury augmenting the natural healing process. The most common application of PRP is the treatment of tendon injuries. Other current applications include muscle strains and cartilage repair. Most reports over the use of PRP in in-vitro models have been particularly promising. However clinical applications are more controversial. This is the consequence of the lack of well-performed randomized controlled trials (RCT) and general confusion concerning the manufacturing process of PRP. Up to date there is still no consensus regarding the optimal platelet concentration, the platelet separation technique, the volume of concentrate, number of applications, and inclusion of leukocytes. Since these aspects are fundamental to achieve optimal PRP action, further research is needed to adopt standardized protocols and to prove the real efficacy of PRP. © 2013.
Revision Shoulder Arthroplasty-How to Manage the Humerus?Thomas R. Duquin | John W. Sperling
Volume 21, Issue 1, March 2011, Pages 44-51
Shoulder arthroplasty has been shown to be an effective treatment for both degenerative and traumatic pathology of the shoulder. Because of its proven efficacy, the use of arthroplasty has experienced rapid growth during the past 15 years, with the number of shoulder replacement surgeries expected to grow by more than 200% during the next 5 years. The rapid increase in primary shoulder replacement has generated a greater need for revision of failed components. Although the humeral component is rarely the source of failure, extraction is required in one-half of shoulder revisions. Revision shoulder arthroplasty can be an extremely challenging surgery, and careful preoperative planning is required. Thorough examination of the etiology of failure as well as knowledge of the characteristics of the prosthesis to be removed is essential before proceeding with revision. Management of the humeral component can be very difficult, especially in the instance of a well-fixed prosthesis. Techniques, such as osteotomies or humeral windows, are often needed in the removal of well-fixed components. The outcome after revision shoulder arthroplasty is dependent on the etiology of failure. The overall rate of satisfactory outcome for all revisions has been reported to be approximately 60% with functional limitation the main cause of unsatisfactory results. Revision for failure as the result of instability, infection, or soft-tissue deficiency is associated with higher rates of unsatisfactory results. Careful patient selection and preoperative counseling is required before performing revision of a shoulder arthroplasty. The primary indication for revision is for the treatment of a painful shoulder replacement with an identified source of failure. Caution should be taken when considering revision for functional improvement as the functional results are much less predictable. This article will review the indications, preoperative planning, surgical techniques, and results of revision of the humeral component following a failed shoulder arthroplasty. © 2011 Elsevier Inc.
Age-Related Changes of Chondrogenic Growth Factors in Platelet-Rich PlasmaJason L. Dragoo | Tatiana Korotkova | Amy S. Wasterlain | Michael A. Pouliot | Hyeon Joo Kim | S. Raymond Golish
Volume 22, Issue 2, June 2012, Pages 49-55
Platelet-rich plasma (PRP) injections are a novel biological modality to promote tendon and ligament healing. PRP contains many growth factors that play critical roles in chondrogenesis, including insulin-like growth factor 1 (IGF-1), human growth hormone, transforming growth factor beta 1, basic fibroblast growth factor, and bone morphogenetic proteins 2, 4, and 7. Because articular cartilage degeneration is correlated with age, it is important to understand whether PRP contains sufficient levels of autologous growth factors across different age-groups for clinical applications in chondral regeneration or repair. PRP was isolated from 40 healthy volunteers between 20 and 60 years of age, and concentrations of bone morphogenetic proteins 2 and 4, basic fibroblast growth factor, human growth hormone, IGF-1, insulin-like growth factor-binding proteins 2 and 3, platelet-derived growth factor BB (PDGF-BB), transforming growth factor beta 1, and vascular endothelial growth factor were analyzed by enzyme-linked immunosorbent assay. Significant differences with respect to age were detected between subjects less than 30 and >30 years of age for PDGF-BB (P < 0.001), insulin-like growth factor-binding protein 3 (P < 0.001), and IGF-1 (P = 0.015). A significant difference was also detected between subjects <40 and >40 years of age for PDGF-BB (P = 0.015). Concentrations of other growth factors did not vary significantly across age-groups, suggesting that the molecular contents of therapeutic potential of PRP are similar for patients aged 20-60 years. Additional research is warranted to establish whether PRP may be beneficial for chondrogenesis in clinical practice and to determine the optimal mix of growth factors for orthopedic applications. © 2012 Elsevier Inc.
Platelet-Rich plasma injections and surgery: Short-Term outcomes and long-Term prognosisRocco Papalia | Sebastiano Vasta | Biagio Zampogna | Andrea Tecame | Nicola Maffulli | Vincenzo Denaro
Volume 22, Issue 2, June 2012, Pages 71-77
Platelet-rich plasma (PRP) is a blood derivate that contains a high value of platelet concentration, a variable number of red blood cells and white blood cell according to the method of preparation. Platelet-derived growth factors are powerful and promising molecules that could be useful in the management of sport-associated injuries, such as tendinopathies, muscular lesions, and cartilage damages, and to improve graft tissue healing. Uncontrolled studies on tendinopathy reported nearly universally good-to-excellent results after treatment with PRP, but this was not the case when controlled studies were undertaken. The studies that augmented surgically repaired tendons or ligaments do not allow reaching a definitive conclusion-too many variables could influence the outcomes. To understand which disorders are more susceptible to the effects of PRP, more basic science studies and better designed clinical studies comparing a standardized PRP formulation are necessary. © 2012 Elsevier Inc.
Lumbar Discectomy ReviewShah Nawaz M Dodwad | Shah Jahan M Dodwad | Jason W. Savage
Volume 25, Issue 3, January 2015, Pages 177-186
© 2015 Elsevier Inc.Lumbar disc herniations are relatively common and often a source of leg pain, paresthesias, or weakness. Fortunately, the natural history outcome of lumbar radiculopathy due to a disc herniation is favorable, and most patients (70%-80%) improve with nonoperative care. Surgical intervention is indicated in patients who continue to have severe pain despite conservative treatment, and outcomes have been shown to be quite favorable in terms of alleviating leg pain and returning to function. There appears to be no difference in outcomes when comparing minimally invasive surgery or tubular discectomy vs open discectomy, and surgeons should offer the procedure that they are most comfortable and technically competent at performing in an effort to minimize complications. Finally, there is an abundant amount of literature that supports that elite athletes can successfully return to sport after undergoing a lumbar microdiscectomy.


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text:
Category: Start / Ensembles/Performers/Associations/Societies / Ensembles/Consorts
- Sites currently sorted by: Popularity (from most hits to fewest hits)
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"Clerestory is named for the architectural element of certain churches whereby daylight enters the sanctuary through a row of windows at the top of the nave. This name represents the illumination that serious music brings into our lives. We tell the "clear story" of the music we sing, through sophisticated, historically-informed performances, as well as through original, scholarly notes on the program. " See website for more information. (ed.)
Added on: Mar 02, 2008 | Hits: 929
Early Music Ensemble. Visit website for more information. (ed.)
Added on: Jul 24, 2008 | Hits: 929
"This idea, that ruled the aesthetics and the concept of baroque music especially in Germany inspired Jörn Boysen, harpsichordist and conductor to found the ensemble Musica Poetica in 1999.
The group is made up of young musicians from all over the world who specialise in early music, having done their studies in the conservatories of the Netherlands. They share an interest in performing music from the 17th and 18th centuries with an historically informed perspective, using instruments from that period and historical sources. The size of the group depends on the chosen programme. Musica Poetica performs as a chamber group as well as an orchestra including choir.
Their performance schedule has included concerts in Germany, the Czech Republic and the Netherlands, and live radio broadcasts. Musica Poetica performs regularly in festivals and concerts around Europe such as the Schleswig-Holstein Musikfestival, Festival Mitte Europa and the Holland Festival Oude Muziek. The ensemble opened the "Van Wassenaer Festival 2004" in The Hague with two very successful concerts, and has taken part in the successful series "Oude Muziek - Nieuwe Generatie" in the Prinsenhof Museum in Delft.
In March 2007, Musica Poetica collaborated with the choir "ars nova" in Salamanca for performances of the St. John Passion, and in May 2007 performed in the International Buxtehude Festival in Lübeck. This year Musica Poetica is focusing on music by Buxtehude and his contemporaries. A recording with works by Flor, Buxtehude and their contemporaries is planned for the end of 2008. " Visit website for more information. (ed.)
Added on: Apr 27, 2008 | Hits: 928
"Cellist Fred Edelen and harpsichordist and fortepianist Christina Edelen have performed together throughout the United States and Northern Europe since 1983. Both received Performer's Certificates from the Indiana University School of Music for outstanding performance. Their extensive repertoire includes lesser-known music of the French Baroque, more familiar repertoire of Bach, Geminiani, and the Italian masters, to early Classical.
They have appeared at the early music festivals of Boston, Berkeley, Bloomington, Columbus, and San Antonio. As Artistic Co-Directors and founders of Early Music Southwest in Houston, Duo Edelen have performed regularly with internationally acclaimed Baroque specialists including Baroque violinists Stanley Ritchie and Amy Kauffman, flutist Colin St. Martin, and tenor Tony Boutté.
In conjunction with the Museum of Fine Arts Houston they have created a highly successful Baroque concert series in the museum's Rienzi collection. Duo Edelen are founding members of Trio La Poplinière, and are sought after as recitalists, continuo players, and teachers. They currently reside in Amsterdam."
Visit website for more information. (ed.)
Added on: Apr 18, 2010 | Hits: 926
" Agave Baroque is a period instrument ensemble dedicated to the diverse and compelling repertoire of the seventeenth Century. Founded in 2007, Agave Baroque delivers expressive, thoughtful interpretations colored with imagination, wit, and humor. In 2009, Agave Baroque was chosen through a competitive application process to represent Early Music America at the APAP Conference in New York City, where they performed twice. Members of this engaging young ensemble also perform with some of the nation's leading baroque orchestras and ensembles, including Philharmonica Baroque, American Bach Soloists, Musica Angelica, and Ensemble Mirable, as well as the New Century Chamber Orchestra and Los Angeles Master Chorale."
Visit website for more information. (ed.)
Added on: Jan 21, 2012 | Hits: 926
"The members of vox suavis came together, fascinated by the beauty of traditional spanish art and the excellence of its interpretation. They are eager to revive certain aspects of a type of music on the verge of disappearing. the group has taken on the work and the message of personalities such as felipe pedrell, kurt schindler, alan lomax, joaquín díaz and garcía matos, ethnomusicologists and composers. They are known for speaking out for a musical culture based on oral tradition which has an immense richness and artistic force. vox suavis aims to build bridges between medieval and renaissance music and popular music of an oral tradition. One of its assumptions is that studying the interpretation of traditional music facilitates the interpretation of early music. " Visit website for more information. (ed.)
Added on: Apr 18, 2008 | Hits: 925
"Welcome to the official Gravitación website. The quartet with guest performers are proud to present virtuosic programs of early music. Our focus is under-performed repertoire of the medieval, renaissance and baroque periods."
Matthew Leese, baritone
Jay Carter, counter-tenor
Daniel Carberg, tenor
Sherezade Panthaki, soprano
Visit website for more information. (ed.)
Added on: Jun 08, 2011 | Hits: 923
"The Galata Chamber Choir (now spead out all over the world) is composed of 8 members : 2 French, 2 Italians, 1 British all living in Turkey, and 3 Turks. With a humanist thought, their goal is to make music together in an atmosphere of friendship, and to experience a mosaic of cultures.
The repertoire of the Galata Chamber Choir consists of polyphonic works of various composers from the Renaissance and Baroque periods (15th-18th cc.) and is sung in seven different languages : english, french, german, italian, latin, spanish and turkish.
Based on the love of music and people, the Galata Chamber Choir welds different cultures in peace. The benefits from their concerts are left to the competent organizations to help the poor, the elderly, and orphans and children in need.
Whenever possible, the Galata Chamber Choir's concerts take place in historical places. " See website for more information. (ed.)
Added on: Feb 23, 2008 | Hits: 920
"For more than a decade, LIBER (formerly Liber unUsualis) has been the foremost interpreter of late medieval music in the United States. LIBER's artistic director and founding member, William Hudson, is doggedly devoted to rediscovering and performing this ancient repertoire. His extensive research and meticulous preparation of the music of the late medieval period highlights the vitality of this music. Audiences leave a LIBER performance entertained, enlightened, and energized by their new experience of this ancient art form."
Visit website for more information. (ed.)
Added on: Mar 08, 2008 | Hits: 920
"Musicae Antiquae Collegium Varsoviense, a full time orchestra on original period instruments, was founded by Stefan Sutkowski in 1957. It was the first early music vocal-instrumental ensemble in Poland. From the beginning, its members set themselves the goal of popularising newly discovered relics of Polish music. These musicians became founder members of Warsaw Chamber Opera, which was founded in 1961 by Stefan Sutkowski, who has served as its Managing and Artistic Director ever since. At present, the Warsaw Chamber Opera company consists of 2 directors, 2 designers, 7 conductors, over 75 soloists, and 3 full-time orchestras (period-instruments ensemble (orchestra) Musicae Antiquae Collegium Varsoviense and two small-size symphony orchestras - the Warsaw Sinfonietta and the Orchestra of Warsaw Chamber Opera ). It also has a the 40-strong Chamber Choir and the Choir specializing in Old Orthodox Music and a Mime Group.
While the opera company expanded, its repertoire enriched by works from the Classical era and later, whilst the Collegium cultivated and perfected the practice of performing early music. Yet music from several centuries ago cannot be given its proper tonal shape without the appropriate instruments, a complete set of which has been acquired thanks to the enduring efforts of the Warsaw Chamber Opera. .."
Visit website for more information. (ed.)
Added on: May 04, 2010 | Hits: 920
"QUALIA lets the listener immerse into an almost alien musical world, into the deep roots and sources of being of European music history, which in today's perception is almost lost completely. …" (Carpe Diem Records (label), http://www.carpediem-records.de/en/mundus-et-musica)
Also see: http://ensemblequalia.over-blog.com/pages/contact-2872937.html
Visit both locations for more information. (ed.)
Added on: Nov 12, 2012 | Hits: 919
"Seven Times Salt was formed in February 2003. Since that time, we have performed for the Longy School of Music, Harvard University, The Society For Historically Informed Performance, the Boston Recorder Society, Plimoth Plantation, the Ken Pierce Dance Company, the Amherst Early Music Festival, the Early Music Festivals in Bloomington (IN) and Boston, the Isabella Stuart Gardner Museum, and WGBH radio. We are based in Boston, MA, and our specialty is chamber music of the 16th and 17th centuries. ...
In our own repertoire, we strive to cover the waterfront from Morley to Matteis and everything in between, including not just English music, but other popular music from around Europe in the musically fertile period of the 16th and 17th centuries. The English consort turns out to be a perfect vehicle for a wide variety of Renaissance and early Baroque music, especially with the occasional addition of voices and other instruments such as bagpipes and percussion. "
Visit website for more information. (ed.)
Added on: Mar 08, 2008 | Hits: 918
"The Hilliard Ensemble is considered to be one of the world's finest vocal chamber groups, and is probably unrivalled for its formidable reputation in the fields of both early and new music. Its distinctive style and highly developed musicianship engage the listener as much in medieval and renaissance repertoire as in works specially written for the group by living composers. The ensemble's performing schedule is busy and varied, amounting to some hundred concerts a year. Its substantial following in Europe, particularly in Mediterranean and central European countries, is augmented by regular visits to Japan, the USA and Canada. The group's reputation as an early music ensemble dates from the 1980s and its series of highly successful records for EMI (many of which are now re-released on Virgin), but from the start the group has paid equal attention to new music ..."
Added on: Apr 13, 2007 | Hits: 917
"His Majestys Sagbutts and Cornetts is a group of virtuoso wind players who specialise in playing early music in authentic styles on original instruments. The noble sound of cornetts and sackbuts was among the most versatile instrumental colours available to composers of the sixteenth and seventeenth centuries. It was heard in many musical contexts: in consort or in alternation with voices in the extravagant liturgy of the great Italian and Spanish churches - above all the Basilica of St Mark's in Venice; in aristocratic entertainments such as the intermedii of northern Italy or the masques of Jacobean England; and in the ceremonial and devotional music for the courts and free cities of Lutheran Germany. " See website for more information. (ed.)
Added on: Feb 23, 2008 | Hits: 915
"The United continuo ensemble consists of a basic cast, consisting of the lute, Chitarrone, Baroque guitar, viola da gamba, violone, Lirone, harpsichord and organ. Depending on the program, the ensemble will be extended by singers and other instruments as well as dancers and actors. ... " (Google translation) Visit website for more information. (ed.)
Added on: Aug 03, 2008 | Hits: 914
"The Early Interval's celebration of its 35th anniversary season continues as its spring program explores medieval music from France and England in a program revolving around the renowned medieval tales of Marie de France.
The program will include medieval dance music, lais, motets and troubadour songs. The ensemble and two guest actors will present prose and poetry from 12th and 13th century France and England, including Marie de France's rhymed stories about a werewolf and relating a portion of the Tristan and Isolde story.
The Early Interval will perform vocally and on recorders, shawms, medieval harp, medieval lute, psaltery, chang, vielle, rebec, and early percussion instruments.
The members of The Early Interval are Ron Cook, director, Jim Bates, Janice Cook, Tamara Seckel, Sean Ferguson and Lyz Liddell. The ensemble will be joined for this festive concert by well-known Columbus actors Mark Mann and Emily Bach."
Visit website for more information. (ed.)
Added on: Mar 29, 2012 | Hits: 914
"Created in 1995 with the help of harpsichordist Isabelle Ramona and her twin sister Catherine Ramona (gambist and cellist), La Ménestrandis is an association of professional musicians who perform already with many great French baroque ensembles.
The focus of the ensemble is to relive the great vocal or instrumental works of of the XVII and XVIII centuries in their purest traditional form. .."Visit website for more information. (ed.)
Added on: Jul 27, 2009 | Hits: 913
"Antica Consonanza is an ensemble formed in 1987 by musicians with decades of experience in the field of Renaissance and Baroque music, focusing on musical production of the Middle Ages.
The instruments were largely designed and reconstructed in collaboration with the maker Pasquale Scala (Praiano, SA) on the basis of iconographic sources. In some cases are used medieval instruments still in use in the Mediterranean music. ... " (translated ed.) Visit website for more information. (ed.)
Added on: May 18, 2008 | Hits: 912
Director: Sir Nicholas Jackson
CONCERTANTE OF LONDON is a versatile ensemble performing with as few as 4 musicians playing baroque instruments for Nicholas Jackson's new realisation of Bach's 'A Musical Offering' expanding to10 or more players when performing works such as Bach's Brandenburg Concertos. It also frequently adds 4 young solo singers for the performance of choral works. " Visit website for more information. (ed.)
Added on: Mar 24, 2008 | Hits: 911
"The Ciconia Ensemble is dedicated to the music of the late 14th/early 15th centuries, especially the so-called Ars Subtilior, that uniquely difficult and wonderful music that flourished briefly in France and northern Italy. The group consists of Anna Maria Friman (soprano), John Potter (tenor), Susanna Pell and Jacob Heringman (lutes & vielles) and made its debut in York in 2006. Programmes have included music by Ciconia himself, including rarely heard masses and motets, as well as troubadour songs and Minnelieder. The group performed an all-Machaut programme entitled La Parole et la Puissance: Guillaume de Machaut and the way to eternity in the 2007 Kultursommer Rheinland-Pfalz Festival A recording of highlights from the festival features several tracks from the Ciconia Ensemble; complimentary copies are available from Robert White Artist Management. " Visit website for more information. (ed.)
Added on: Apr 08, 2008 | Hits: 911
"Dulce Melos" was founded in 2003 by lutenist Marc Lewon (Germany), hammered-dulcimer specialist Margit Übellacker (Austria) and multi-instrumentalist Yukiko Yaita (Japan), who met while pursuing graduate studies in medieval music at the renowned Schola Cantorum Basiliensis in Switzerland. Since then their virtuosity has earned them high-profile performances in European festivals including "Freunde Alter Musik Basel", Kunsthalle Karlsruhe and "innovantiqua Winterthur". They were involved in a recording of music of the Lochamer Liederbuch (published with Naxos in Jan 2008), a source contemporary with the earliest treatises mentioning the hammered dulcimer or "dulcemelos". They regularly work with other Early Music-specialists for concert projects and CD productions, who complement the ensemble's characteristic sound with that of bowed strings: the fiddle and gamba-players Uri Smilansky (Israel/England), Elizabeth Rumsey (Australia/Switzerland), and Silvia Tecardi (Germany). "Dulce Melos" sees instrumental music of the late Middle Ages and early Renaissance as a repertoire which calls for dynamic skills in both performance and composition. This they do featuring instruments such as the eschequier or chekker, dulcemelos, guiterne sounds which are little-heard in modern concerts but were precious to fifteenth-century cognoscenti in the highly refined courts of Europe. "
Visit website for more information. (ed.)
Added on: Apr 19, 2008 | Hits: 911
"With each vibrant performance, La Monica engages the music and the audience with passion and affection. Their artful programming and dramatic flair have established this dynamic combination of solo soprano voice and string ensemble at the forefront of the American early music scene.
La Monica delivers refreshing recitals exploring the depths and heights of 17th and 18th century music, whether theatrical or lyrical, obscure or celebrated. The ensemble has appeared on New York's prestigious concert series, Music Before 1800, and has also been presented by the J. Paul Getty Museum, Houston Early Music, the Pittsburgh Renaissance & Baroque Society, San Francisco Early Music Society, and early music festivals of Bloomington, Indianapolis, Amherst and Washington's Whidbey Island. " See website for more information. (ed.)
Added on: Mar 02, 2008 | Hits: 910
"…was founded in the year 2001, with the aim of exploring the early musical and poetical repertoire of Italian Duecento, adventuring in a mainly unexplored field of interaction between poetry and its musical attire. The historical field of research soon expanded to include a wider spectrum of repertoire, including the whole of the late Middle Ages. The musicians come from different fields, but have in common a specialization on the field of medieval music – careful academic research about the repertoire as well as the instruments and the performance practice give a stable theoretical background to the lively concerts." Visit website for more information. (ed.)
Added on: May 04, 2008 | Hits: 909
"Canty, Scotland's only professional Medieval music group, was formed by Rebecca Tavener in 1998, the 900th anniversary of the birth of Hildegard of Bingen, and it comprises the regular female singers with Cappella Nova, Scotland's leading early music vocal ensemble. As individuals, the singers bring to the group a wealth of experience, both as soloists and as members of other distinguished ensembles. Together with regular collaborator, harpist William Taylor, they explore a unique repertoire combining Medieval music and contemporary works written specially for them, along with ongoing research and experimentation in performance practice for Medieval music from Celtic homelands. Canty has nurtured close relationships with a number of leading musicologists specialising in medieval sacred music and, as a result, enjoys access to a considerable amount of rare or unique material.
Canty's debut CD, Wings of Wisdom, features chant by Hildegard von Bingen and from medieval Scotland and was released on the Dorian label. Flame of Ireland (Sanctuary Gaudeamus), their second recording, features world premiere recordings of 15thc Irish chant for St Brigit of Kildare. Their third disc, Felix Femina – medieval Scottish polyphony (Sanctuary Gaudeamus) was described by Andrew McGregor as having a 'transcendental quality that absolutely suits the music' (CD Review, BBC Radio 3). A fourth CD, Apostle of Ireland, featuring Medieval Irish chant for St Patrick, has just been released on the Divine Art label. The latest CD, to be released by Linn Records in 2010, combines medieval repertoire with new works written specially for the group including pieces by James Macmillan and Sir John Tavener.
Canty has appeared in many distinguished festivals and venues at home and abroad, including the Edinburgh Festival, Galway Early Music Festival, Spitalfields Festival, Edinburgh International Harp Festival, the International Celtic Congress (Bonn) and the National Centre for Early Music in York. Future projects include commissions from Gabriel Jackson, Joanne Metcalf and other composers, leading to the recording in 2009 of a new CD of contemporary and medieval music for Linn Records. …"
Visit website for more information. (ed.)
Added on: Nov 20, 2011 | Hits: 908
"If we consider that the revival of early music is a type of repossession and liberation, then the Capella de Ministrers ensemble has enlarged the boundaries of freedom by providing a comprehensive approach to several medieval, Renaissance and baroque works. The lyrics of these compositions offer a limited view of this literature, which can only be completed by listening to its musical accompaniment. Thus, this music becomes a bridge allowing present-day men and women to escape from the 21st century and join those who listened to and lived this music a few centuries ago.
Ever since its foundation in 1987, the Capella de Ministrers ensemble, directed by Carles Magraner, has developed an important investigative and musicological task in favor of the musical Spanish patrimony, from the medieval times up to the 19th century. The result transformed into musical testimony, brings together the perfection of three key factors: the historical rigor, the musical and, sensibility specially, an uncontrollable desire to communicate and they make us participants of these experiences. ... " Visit website for more information. (ed.)
Added on: Jul 13, 2008 | Hits: 907


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Henri André Paul Victor Gault, (born Nov. 4, 1929, Pacy-sur-Eure, France—died July 9, 2000, Saint-Sulpice-en-Pareds, France) French food critic who , collaborated with Christian Millau on the Guide Gault-Millau, an annual restaurant guide founded in 1969 as a rival for the already well-established Michelin guidebook. In 1973 Gault-Millau coined the term nouvelle cuisine to describe the lighter, more artistically designed cooking technique that was then challenging classic French haute cuisine, and the two men consistently championed the chefs who specialized in it. Gault, who also wrote other, more specific food guides, became a restaurant consultant after splitting with Millau in 1985.
Henri André Paul Victor Gault
French critic


text:
Attachment and tension in the spindle assembly checkpoint
Jun Zhou, Joyce Yao, Harish C. Joshi
Journal of Cell Science 2002 115: 3547-3555; doi: 10.1242/jcs.00029
Jun Zhou
Joyce Yao
Attachment and tension in the spindle assembly checkpoint
Jun Zhou, Joyce Yao, Harish C. Joshi
Journal of Cell Science 2002 115: 3547-3555; doi: 10.1242/jcs.00029
Attachment and tension in the spindle assembly checkpoint
Jun Zhou, Joyce Yao, Harish C. Joshi
Journal of Cell Science 2002 115: 3547-3555; doi: 10.1242/jcs.00029
Article navigation
- Top
- Article
- Summary
- Introduction
- The kinetochore-microtubule attachment
- The checkpoint components
- The checkpoint signaling pathway
- Turning off the checkpoint signaling: attachment or tension?
- How do attachment and tension monitor the checkpoint?
- Why does the checkpoint need both attachment and tension?
- Acknowledgements
- References
- Figures & tables
- Info & metrics
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- Mitosis Through the Microscope: Advances in Seeing Inside Live Dividing Cells
- Tensegrity I. Cell structure and hierarchical systems biology
- Microtubule distribution during meiosis I in flea-beetle [Alagoasa (Oedionychus)] spermatocytes: evidence for direct connections between unpaired sex chromosomes
- Brominated Derivatives of Noscapine Are Potent Microtubule-interfering Agents That Perturb Mitosis and Inhibit Cell Proliferation
- Human centromere chromatin protein hMis12, essential for equal segregation, is independent of CENP-A loading pathway
- Spindle-kinetochore attachment requires the combined action of Kin I-like Klp5/6 and Alp14/Dis1-MAPs in fission yeast
- Paclitaxel-resistant Human Ovarian Cancer Cells Undergo c-Jun NH2-terminal Kinase-mediated Apoptosis in Response to Noscapine


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Gold's Gym | Know Your Own Strength
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local personal trainer
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Team up with personal trainers to get maximum results. Our certified fitness instructors push you to the next level of fitness to increase your overall health.
Jami Munsch - Personal Trainer
Fitness Trainers, Certified Personal Trainers & Female Personal Fitness Trainers
BS, Education, MS Human Anatomy, NASM CPT, Weight Loss Specialist, Certified Nutrition Specialist, TRX, Gold's Gym Smart Fitness
sport and nonsport injuries, elderly, youth, developmentally disabled adults, overweight and obese adults and the general population.
My motivation comes from the positive changes that I see everyday in my clients as well as our members at Gold's Gym. My clients and our members are what inspire me everyday to do more, be more and achieve more.
In my spare time, I enjoy spending time at home and working on home improvement projects and taking care of my many animals. I am an animal person! I also enjoy training for triathalons, and after completing a Half Ironman,it is my dream to complete a full.
"In the end, the only people who fail are those who do not try. Life does not require that we be the best, it only asks that we try."
Jami Munsch - Personal Trainer
Fitness Training, Certified Personal Trainers & Best Physical Trainers
A fitness trainer for your needs, Jami Munsch specializes in helping people with injuries, developmental disabilities and weight problems, as well as having experience creating programs for the elderly and youths. Jami is a certified personal trainer who also has a bachelor's degree in education and a master's degree in human anatomy. Jami does local nutrition counseling so you can achieve and maintain your ideal weight.
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Scott Manning - Personal Trainer
Physical Trainers, Personal Fitness Trainers, Certified Personal Trainers
Professional Fitness Training Association, Life Guard Certified, CPR/AED Certified, Health Promotion major at Oklahoma State University
group training, swimming, body shaping and toning, weight loss, muscle gain, post-rehab.
You only get one body, so it's important to understand how to maintain it to fulfill a long healthy life.
I enjoy playing tennis, playing the guitar, listening to music, watching movies and running with my dog.
What you put in is what you get out. The more you give the more you'll get.
Scott Manning - Personal Trainer
Personal Trainers, Fitness Trainers, Physical Trainers & Certified Fitness Trainers
Scott Manning, one of the personal trainers near you, specializes in group training, swimming, body shaping and toning, weight loss, muscle gain, and post-rehab workouts. Scott is a fitness coach who believes you only get one body, so you have to take care of it. An online personal trainer can't give you the same individual attention that you get from a dedicated personal fitness trainer like Scott.
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Derrick Woods - Personal Trainer
Fitness Trainers, Certified Personal Trainers & Personal Fitness Trainers
Certified Personal Trainer
CPR/AED Certified
Strength training
Weight loss
PAIN is WEAKness leaving the body
When I am not in the gym I like to play sports, run, and spend time with my family. Along with fitness I have a passion for superheros. My favorite is Spiderman but I love them all with the exception of Batman
"Hard work and dedication never return void"
Derrick Woods - Personal Trainer
Fitness Trainers, Physical Trainers, Personal Trainer & Certified Fitness Trainers
The right fitness coach will help you get better faster, and Derrick Woods specializes in Bootcamp strength training and promoting weight loss. With Derrick as your personal fitness trainer, you will discover a strength that you did not know you had. Personal training is a key part of Derrik's life because when he's not at the gym, he loves to play sports, giving him a personal understanding of what you need.
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Gail Chan - Personal Trainer
Female Personal Fitness Trainers, Certified Personal Trainers & Certified Fitness Trainers
M.Ed. in Kinesiology (specializing in Exercise Science)
B.S. and M.S. in Biomedical Engineering
Certified in Nutrition for Special Dietary Needs
Corrective Exercise
Strength Training
Weight Loss
Do your best, and God will do the rest.
I like to play the guitar and listen to music when I am not at the gym. I love to travel and experience new places whenever I have the chance.
"Whatever gets your heart will eventually get your life"
Gail Chan - Personal Trainer
Fitness Trainers, Female Personal Fitness Trainers & Nutrition Counseling Near Me
Personal fitness trainer Gail Chan has a bachelor's degree in kinesiology and a master's in biomedical engineering, so she understands how the body works and the specific effects of different types of exercise on health and fitness. Gail offers local nutrition counseling for special dietary needs because no workout program can be successful without the proper fuel. Gail is a female personal trainer who can offer coaching on corrective exercise, strength training and weight loss for men and women.
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Daniel "DJ" Dandignac - Personal Trainer
Physical Trainers, Personal Fitness Trainers, Certified Personal Trainers
NASM-CPT, NCCPT, Kettlebell Level I, Kinesiology degree in progress.
Corrective exercise, Hypertrophy training, Sports Specific training, Group Training
Work hard! Play hard! And fight for what you believe in so that you can Live easy!
I am an avid sports fan. Food, travel, and learning are some of my many interests. My hobbies include research, playing sports, working out and spontaneous adventures.
"Strength does not come from physical capacity but from an indomitable will" – Mahatma Gandhi
Daniel "DJ" Dandignac - Personal Trainer
Fitness Trainers, Certified Personal Trainers & Personal Fitness Trainers
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Jeremy Kalma - Personal Trainer
Certified Fitness Trainers, Physical Trainers & Certified Personal Trainers
ISSA Certified Personal Trainer
Core Stabilization, Functional Training, Corrective Exercises, Hyperthophy Training
Everything is Moderation, Make it a lifestyle!
Travel, Classic Cars, Harleys, Biking, Outdoor Water Sports.
We do it for a reason, a season, or a lifetime. Pick a goal and Let's do it! We got this
Jeremy Kalma - Personal Trainer
Personal Trainers, Personal Fitness Trainers & Best Physical Trainers
Fitness coach Jeremy Kalma specializes in workout programs that can improve your quality of life, including core stabilization, functional training, corrective exercises and hypertrophy training. As your personal fitness trainer, Jeremy will guide you to exercises that target your needs. A good personal trainer gets results without fanatical workouts, and Jeremy is a believer in the lifestyle benefits of moderation in all things.
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Sidney Joseph - Personal Trainer
Certified Personal Fitness Trainers, Physical Trainers & Certified Fitness Trainers
Ace Small Group Training, NCCPT, Kettle Bell level 1, CPR/AED.
Bootcamp,Core/strength training, weight loss, Sport specific workouts, Functional Fitness,Body building
Pain is the bodys way of identifying growth.
When I am not in the gym, I enjoy playing sports (Basketball, Football, Baseball). I Jump rope to keep me in great cardio vascular shape. I enjoy working on music, and spending time with my family. I Also try to keep up with my dance background in Latin (Salsa, Argentine Tango). Social dance is a great way to shake off a little stress for me. I also have a slight obsession with Super heroes. Superman is my favorite, but I like Batman as well because he represents the strength that humanity is capable of.
"Better Than the You of Yesterday"
Sidney Joseph - Personal Trainer
Certified Personal Trainers, Fitness Trainers & Physical Trainers
A fitness trainer who can take you to Bootcamp or design sport specific workouts, Sidney Joseph has the passion and the dedication to help you achieve your health and fitness goals. Whether it's personal training for weight loss or body building, Sidney will target exercise choices to the body you want to develop. Sidney is a certified personal trainer with multiple certifications, having studied various ways to make you the best version of yourself.
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Experienced personal trainers keep you strong, healthy and motivated throughout your fitness journey.
With Gold's Gym memberships, personal trainers are at your fingertips. Treat yourself to certified fitness experts at your local gym to push your health and fitness limits. When finding a personal trainer, you want someone who is experienced at tailoring a workout plan to your specific needs, whether it's beginning a weight loss journey or overcoming a plateau for competitive athletes. Our highly trained fitness coaches have what it takes to get you results.
Combining education and experience, personal trainers at our Gold's Gym Austin's Anderson Arbor location are both knowledgeable and successful at their jobs. Your local gym has certified fitness instructors for leading specialized Les Mills group fitness classes, as well as local personal trainers dedicated to improving healthy nutrition habits. Finding a personal trainer who challenges and encourages you is what it takes to reach your goals. Our fitness coaches are the missing link to your success, and are waiting for you at your local gym.
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