Why Gymnastics?

Why Gymnastics?

By Wm A. Sands, Ph.D.
Motor Behavior Research Laboratory
Department of Exercise and Sport Science
University of Utah

Gymnastics is an activity of ancient origins and modern tensions. Most large and

medium size cities and towns have a private gymnastics school or offer gymnastics

activities via a park district, public school, Turners, Sokol, or YMCA. Media attention

toward gymnastics has continued to grow, making gymnastics one of the top

television-audience draws. Gymnastics at the top levels continues to draw attention. It

has developed a large and vigorous "fan" following, as well as and developed some

controversy as it has undergone modern growing pains. Little information has been

offered regarding the benefits of gymnastics to those who are headed for Olympic

glory and those not destined to reach such levels. People may justifiably ask:

What are the benefits of gymnastics?

I would like to organize the benefits and limitations of gymnastics in several categories

for ease of understanding: (a) physical, (b) psycho-social, and (c) miscellaneous. I

would like to balance my treatment of benefits with appropriate discussion of some of

the limitations of gymnastics participation. In this way, I hope to provide an even

treatment of gymnastics so that parents, gymnasts, and coaches may better

understand what gymnastics can and cannot do.

Physical

1. Gymnastics is an anaerobic sport. Anaerobic means "without oxygen." Gymnasts

tend to have middling levels of aerobic (with oxygen) capacity (13). However, gymnasts

are among the strongest and most flexible of all athletes (27, 38). Gymnastics

performances usually last under 90 seconds. The level of intensity of the activities is

too high for long-term performance such as seen in endurance sport long duration

events like the marathon.

Most sports are anaerobic in nature. Only the long term endurance sports such as

cycling, swimming, and running are largely aerobic. Gymnastics is an "acyclic" sport

which means that the same movements are not repeated over and over (6). There are

numerous benefits to cyclic, long-term endurance sports but variety is generally not

one of them. One of the major benefits of gymnastics activity is that it subjects the

gymnast's body to a wide variety of stimuli. Repeating the same movement patterns

over and over has recently been questioned (57). And, the generally assumed

superiority of aerobic training has been shown to be illusory for many areas of fitness,

particularly with regard to weight loss (5, 60).

2. Gymnasts are among the strongest, pound for pound, of all the Olympic

athletes. Gymnasts are strong in what is termed "relative strength" (48). Gymnasts

demonstrate their strength by being able to move their bodies through a myriad of

positions. Their strength is high when expressed relative to their body weight.

"Absolute strength" is the term sometimes applied to strength that is expressed by

moving some object or opponent. For example, football lineman and shot putters have

large absolute strength while gymnasts and martial artists have large relative strength

(43). One of the major determinants of absolute strength is physical size. Large people

tend to be strong in absolute terms, while smaller people are less strong. Strength is

one of the major redeeming characteristics of gymnastics. Gymnasts tend to develop

upper body strength more than many other sports (7, 38, 47, 58).

3. Gymnasts are among the most flexible of all athletes. Gymnastics emphasizes

flexibility due to the need for gymnasts to adopt certain specific positions in order to

perform skills. The flexibility demands of gymnastics are probably the most significant

and unique aspects of gymnastics that serves to separate gymnastics from most other

sports (54).

It is believed that flexibility can be an effective aid to the reduction of injury, preventing

athletes from forcing a limb to an injurious range of motion (24, 27-29, 34). Flexibility

can also be overdone when a gymnast relies on an increased range of motion in

inappropriate positions, particularly the spine (8, 10, 35, 64, 66, 68). However, the

research on gymnastics' contribution to spine disorders and disc degeneration has

been mixed (69). Care should be taken to ensure that gymnasts develop flexibility in

appropriate postures (30), and that appropriate and planned progressions are used in

developing new ranges of motion (50, 51, 55).

4. Gymnasts are very good at both static and dynamic balance. Gymnastics has

an entire event for women devoted to the concept of balance - the balance beam. The

men also have an event that requires extraordinary balance abilities - pommel horse.

Of course, handstands are probably the single most recognized balance skills. The still

rings in men's gymnastics is an underrated balance event which requires the gymnast

to continuously keep the movable rings under himself. Gymnasts learn to balance on

their feet and their hands. Interestingly, gymnasts tend to develop a higher tolerance

for imbalance or disturbances to their balance. Gymnasts do not react with as large a

"startle response" to sudden imbalances as nongymnasts. This probably means that

gymnasts can tolerate larger disturbances to their posture because they have become

more familiar with these positions and do not consider them to be such a threat (7, 11,

26).

5. Gymnasts learn early to fall without injuring themselves (16, 49). Because

gymnastics is performed on mats, the gymnast learns to fall and roll to spread the

forces of impact over a larger area and time. Considerable effort is expended in the

early teaching of gymnasts to roll - partly as a skill in itself and partly as a prerequisite

to other skills. Learning to fall helps the gymnast avoid injury. Fall-training can help

prevent injuries in most sports. Gymnasts acquire a very "cat-like" ability to right

themselves and to fall without being hurt (3, 53).

6. Gymnasts are among the smallest and lightest of athletes (33). Gymnastics is

somewhat unique in that it provides competitive opportunities for the smallest and

lightest athletes. Many sports are clearly biased to prefer athletes who are tall and/or

big. Sports that cater to smaller athletes usually involve weight classes which limit the

number of small athletes who can participate (i.e., one per team) (76). Smallness is

actually beneficial for gymnasts in performing better and avoiding injury (4, 59). Being

small and light can be taken to extremes that are clearly unhealthy. The issue of eating

disorders and the unbridled attempt to reduce body weight at all costs has plagued

some gymnasts (1, 17, 22, 32, 36, 37, 40-42, 45, 46, 65, 70). However, gymnastics is

not alone in this problem. Moreover, gymnastics is neither necessary nor sufficient for

the development of eating disorders.

In eating disorders, there are a constellation of factors that contribute to a

behavior, but these can be classified into 3 areas: (a) predisposing, (b)

enabling, and (c) reinforcing. Predisposing factors might be: low self esteem,

neuroticism, narcissism, obsessive/compulsive behavior, depression, and a

predominantly external locus of control. These do not meet the criteria for

causation, however. Excessive exercise and athletic participation may be

enabling factors for the expression of these negative personality traits and not a

cause of these behaviors. Daily exposure to the general milieu of athletics,

coaches, parents, etc. may provide the reinforcing factors necessary to sustain

the negative personality traits. (12, emphasis mine)

The distinction between predisposing, enabling, and reinforcing factors versus

causative factors is essential to understanding disordered eating and the role that

gymnastics may play. Many sports that involve female athletes and exercisers also

suffer disordered eating problems (18, 23, 25, 31, 36, 39, 63, 67, 73-75). And,

disordered eating is prevalent in many sub-groups of females from high school

students (61, 62) to medical students (21). Finally, disordered eating is also becoming

more prevalent among male athletes (2, 72).

7. Gymnastics is a reasonably safe sport. Although there are numerous sources of

information on injury in sport, the Consumer Product Safety Commission is one of the

best. Table 1 shows the number of people visiting hospital emergency rooms in 1997

(56). Note that hunting injuries are not included. In some cases, injuries caused by

using equipment are separated from the activity, such as swimming. The number of

people visiting emergency rooms is listed after the equipment/activity and the

percentage of patients admitted to a hospital is shown in parentheses.

Table 1.

Sport/Activity Number (% of Visits

Admissions)

1. Basketball 644,921 (0.6)

2. Bicycling (including mountain biking) 567,002 (3.6)

3. Football 334,420 (1.4)

4. Baseball 326,569 (1.1)

5. Skating (roller, ice, and in-line) 201,150 (2.6)

6. Soccer 148,913 (1.1)

7. Track and field (including exercise equipment) 140,756 (3.1)

8. Snow Skiing 84,190 (5.5)

9. Trampolines 82,722 (3.0)

10. Other sports and cheerleading 78,694 (0.8)

11. Hockey 77,492 (0.9)

12. Swings and swing sets 73,923 (2.0)

13. Fishing 72,598 (0.8)

14. Monkey bars and playground climbing equipment 71,828 (3.5)

15. Volleyball 67,340 (0.5)

16. Swimming pools (exclud. diving boards & other equip) 62,812 (3.8)

17. Horseback Riding 58,709 (9.0)

18. Weight lifting 56,724 (1.2)

19. All-terrain vehicles 55,400 (7.5)

20. Slides and Sliding boards 45,767 (2.7)

21. Wrestling 39,829 (1.7)

22. Golf (excluding golf carts) 39,473 (2.3)

23. Snowboarding 37,638 (2.5)

24. Gymnastics 33,373 (3.2)

25. Dancing 30,378 (2.1)

26. Powered trail bikes and minibikes 28,677 (5.1)

27. Swimming (activity only) 72,681 (1.4)

28. Sleds 26,067 (3.6)

29. Playground equipment (excluding swings and

climbing) 52,374 (1.5)

30. Martial Arts 24,123 (1.5)

31. Bowling 23,317 (1.5)

32. Tennis 22,294 (3.5)

33. Bleachers 19,443 (1.2)

34. Go carts 18,497 (3.9)

35. Guns (gas, air or spring-loaded) 17,923 (2.0)

36. Guns (BB or pellet) 16,148 (2.8)

37. Grills (all types) 16,088 (3.1)

38. Snowmobiles 12,676 (2.0)

39. Amusement rides and attractions 1,768 (2.9)

40. Water skiing 10,657 (2.8)

41. Squash, racquet ball, paddle ball 10,438 (1.8)

Note that the table indicates only those sports that recorded 10,000 or more injuries.

There are numerous ways to interpret the information above. For example, trampolines

are ranked number nine, but the trampolines in question are primarily the backyardtype

trampoline. Horseback riding is ranked seventeenth, but the hospitalization rate is

nine percent. One can probably assume that the reason for the moderate incidence of

injury, but relatively higher rate of hospitalization is that the rider falls quite a distance

from the top of a horse.

Gymnastics ranks 24th in the list, placing it near the middle of surveyed activities.

Gymnastics ranks somewhat above average in hospital admissions. Of course, this

information represents all of gymnastics, including injuries that occur in the yard while

doing cartwheels or from striking the furniture while performing in the living room. In

competitive gymnastics, particularly the highest levels, the injury rate is higher.

Unfortunately, there is little reliable information on the national extent of the highest

competitive level injuries (9). Those competitive gymnasts who are injured severely

enough to require an emergency room visit are likely represented in Table 1. However,

those who are injured less severely may never visit an emergency room and deal with

treatment via simple first-aid or a visit to their personal physician.

Of course, without a "denominator," we cannot know the rate of gymnastics injury. In

order to fully understand gymnastics injury, we need to know the number of injuries

that occur relative to the number of participants who are exposed to a potential injury.

There are a number of figures indicating the total participants in gymnastics that are

widely varying from approximately 50 thousand to nearly a million (15). Most research

on gymnastics injury at the highest competitive levels has shown that injury rates are

comparable to football and wrestling (9). Any number of reasons can be cited for the

relatively high injury rate of gymnasts at the highest levels. Certainly, these athletes are

more visible than athletes at lower levels, are studied more frequently, and are also

subjected to higher numbers of repetitions while performing the most difficult skills.

The gymnastics community has reacted strongly to the problem of injury by both

regulatory and environmental means. When skills are identified as being particularly

injury prone, these skills are subject to much greater scrutiny and are sometimes

restricted in their use (44, 52). Restrictions occurred with the Yurchenko vault and 11/2

forward somersault. Moreover, the increasing use of foam pits, soft landing mats, and

attention to conditioning have done much to keep pace with the "space-age" skills of

the modern gymnast. Surely, more work needs to be done in this area, with this author

particularly committed to rooting out the issues related to injury, studying them, and

producing effective means of prevention.

Psycho-Social

Gymnasts tend to do very well in school. The College Gymnastics Association has kept

track of men's gymnastics teams' average GPAs. Table 2 shows the top 20 GPAs by

rank in men's gymnastics. There are a number of ways to interpret GPA information.

Particularly relevant are the athletes' academic majors. Short of this complete

information, the GPA data shown below still indicates that gymnasts are serious about

their education. Scholastic All-America Teams in women's NCAA gymnastics are

ranked in Table 3 below. There are 64 NCAA Division I women's gymnastics teams.

Assuming 12 scholarships per team, that places the opportunities for female gymnasts

at approximately 768 scholarships. Moreover, there are a number of Division II teams

that also offer scholarships. Each scholarship is worth approximately $15,000 per year

depending on a variety of factors such as the particular school and local cost of living.

Clearly, the potential for a university education at reduced cost is one of the primary

benefits of all sport participation. Gymnastics is a unique and exciting way of going to

college.

Table 2.

Academic Teams - Men's NCAA Gymnastics

University - GPA University - GPA University - GPA University - GPA

1. MIT - 3.553 6. BYU - 3.144 11. Michigan State - 3.039 16. Air Force - 2.919

2. Illinois - 3.306 7. Michigan - 3.130 12. Army - 3.070 17. Minnesota - 2.915

3. Ohio State - 3.273 8. Oklahoma - 3.115 13. Wm & Mary - 3.033 18. Ill-Chicago - 2.880

4. Nebraska - 3.159 9. Syracuse - 3.107 14. Massachusetts - 2.989 19. Vermont - 2.854

5. Iowa - 3.151 10. California - 3.098 15. Navy - 2.959 20. New Mex. - 2.809

Table 3.

Academic All-America Teams - Women's NCAA Gymnastics

University - GPA University - GPA

1. Winona State - 3.716 11. Alabama - 3.384

2. Southern Utah - 3.549 12. Penn State - 3.360

3. Lousiana State - 3.505 13. North Carolina State - 3.350

4. SE Missouri State - 3.482 14. U Illinois-Champaign - 3.350

5. U Alaska-Anchorage - 3.452 15. Kent State - 3.334

6. U Wisconsin-LaCrosse - 3.430 16. Bowling Green State - 3.330

7. Central Michigan - 3.400 17. Yale - 3.322

8. George Washington - 3.399 18. Seattle Pacific - 3.300

9. North Carolina - 3.396 19. Univ Pennsylvania - 3.290

10. Utah - 3.390 20. Nebraska - 3.286

Gymnastics is a complex sport with many dramatic and subtle nuances. Educational

experiences in gymnastics reach from physics to the appreciation of cultural diversity.

One of the most important benefits of gymnastics activity is that the gymnast can

experience a variety of things rather than just read about them. For example, physicists

discuss the principle of conservation of angular momentum while the gymnast

experiences it. The physics teacher may discuss moment of inertia and its relation to

angular momentum, but the gymnast can see and feel it while performing skills. The

richness of such experiences goes far beyond reading about them in a book. Recently,

a National Science Foundation grant has used gymnastics as a means of teaching

fundamental physics to students.

Gymnastics shares with other sports the opportunity to learn about teamwork,

sportsmanship, fair play, dedication, and so forth. Sometimes these character traits

may be considered old-fashioned, but gymnastics does provide a terrific opportunity for

teaching these characteristics. Because gymnastics is so very difficult to perform, the

learning time is long when compared to most sports (6, 50). The long time required to

attain mastery of the fundamental skills requires patience, dedication, perseverance,

and planning. Gymnastics helps people learn to work hard for objectives that can take

years to achieve. In the modern world of quick-fixes, instant communication, instant

hamburgers, and instant entertainment, there still needs to be a place for young people

to develop their character. Although it may sound corny, gymnastics is a perfect activity

for such development.

Gymnasts of even modest ability can compete in local, state, and regional level

competitions. These competitions afford the opportunity for travel, meeting people of

varied and diverse backgrounds, and seeing places that would normally be bypassed.

The recent dramatic increase in participation by gymnasts in "General Gymnastics"

serves to emphasize a newly developed outlet for training and competition that does

not emphasize Olympic-level pursuits. Group exhibition-type displays involving

tumbling, acrosports, balance, and music can be an exciting and rewarding activity for

young gymnasts. The General Gymnastics area of USA Gymnastics has developed

competitions (called TeamGymn competitions) for these displays, and the groups travel

both nationally and internationally.

Education is perhaps the most important part of gymnastics. When an activity can be

naturally orchestrated to provide participants with unique and valuable experiences, it

serves the participants more than any book, television show, or website.

Gymnastics provides a unique and valuable social education and experience. The

most successful female gymnasts pursue success rather than avoid failure, and have

the highest self-esteem when compared to other members of the senior national team

(20). Although pursuit of success versus avoidance of failure may seem like a subtle

difference between groups of gymnasts, pursuit of success indicates a "healthier"

outlook on competition. High self esteem indicates that the gymnasts are pleased with

themselves, can function independently, and are self-reliant. The quotation below was

unsolicited from a parent of a gymnast. The quotation appeared on the USA

Gymnastics WEB site.

"Not only do the gymnast [sic] acquire the ability to focus on an activity while

blocking out what's going on around them, my daughter learned valuable timemanagement

skills that carried over into all her activities and school.

The focusing ability helped her at a musical competition when a quartet started

in the next room at a totally different tempo and loud enough so that she had a

difficult time hearing her accompaniest [sic]. The adjucator [sic] came out and

congratulated her on her ability to continue her piece the way it was supposed

to be instead of letting the other music bother her.

As to time-management skills - we can all use some of this [sic]! Now as a

college student she is able to finish her work (as an architecture major) as

required despite having to fit in 20+ hours of practice a week. This helped her

all through high school when she was on a school and a club team and

managed to maintain a 95 cumulative average with AP and honors courses

while juggling two sets of workouts and multiple meets a week. During HS

season her grades actually improved!

Focusing and time-management are the two main advantages I give parents for

the sport. This is over and above the self-satisfaction, self-esteem, team

building abilities, and other obvious reasons for the sport."

(C. Hill, Sunday, November 15, 1998 03:46 PM)

The cultural and social identity of the gymnast offers an unambiguous role for the

young person. Recent experience with elite track and field has shown that athletes and

coaches are acutely aware of the fact that females in track and field are faced with a

role conflict by being a "bigger than average" woman in a society that prefers a petite

and slender female. Female gymnasts particularly enjoy being among the petite and

slender females that are often socially most acceptable. Although gymnasts can be

tiny, late maturing, and so forth; the public usually has a misconception about how

young gymnasts really are. Moreover, the gymnast's small size might be a limitation in

most sports, while gymnastics allows the petite girl to excel. The male gymnast

sometimes faces a misunderstanding relative to the masculinity of the sport, but

experience has shown that other athletes realize how difficult gymnastics is and do not

question that athleticism of the male gymnast.

Miscellaneous

Drug abuse in gymnastics, while not unknown, is extremely limited (19). Drug abuse

was common in the former Eastern Bloc, particularly East Germany (14). Drug use and

abuse among gymnasts in the West has been extremely limited, and until recently

almost unknown. Athletes in many sports have experimented with drugs. Perhaps

fortunately, gymnasts do not enhance their performance by the typical anabolic

steroids, stimulants, and other drugs that can assist other athletes for a short period.

Gymnasts do not require an all-out strength or power - but power under control.

Gymnasts do not require an all-out endurance - but endurance under control. When a

drug interferes with control (as most do), their benefit to gymnasts is highly

questionable.

Gymnastics has developed a Code of Ethics that is a position statement to which all

members of USA Gymnastics must adhere (71). Gymnastics has done a good job in

policing its ranks by banning participation and membership of those people who

behave in an unethical manner. At the current time, many former coaches have been

banned from participation in USA Gymnastics events due to previous unethical

behavior.

Conclusion

Gymnastics is a terrific sport for young people. Many people have grown up in and by

gymnastics to become doctors, lawyers, teachers, business people, professors, police

officers, nurses, scientists, and many others. Gymnastics provides an outstanding way

for young people to test their mettle against themselves and others. Gymnastics can

provide opportunities for physical development, character development, and education

that are hard to find anywhere else.

References

1. AMERICAN ANOREXIA/BULIMIA ASSOCIATION INC. Beware the shrinking Olympic

gymnast. American Anorexia/Bulimia Association, Inc. Newsletter Spring: 8, 1994.

2. ANDERSEN, A. E. Eating disorders in males: a special case? In: Eating, body weight and

performance in athletes, edited by K. D. Brownell, Rodin, J., and Wilmore, J. H.

Philadelphia, PA: Lea & Febiger, 1992, p. 172-188.

3. BAILEY, B., AND N. DUKE. The bail-out system. In: NAGWS Guide Gymnastics, edited

by M. B. Alphin, and Grace, C. Washington, DC: AAHPER, 1980, p. 26-31.

4. BALE, P., AND J. GOODWAY. Performance variables associated with the competitive

gymnast. Sports Med. 10(3): 139-145, 1990.

5. BLIX, G. G. The role of exercise in weight loss. Behav. Med. 21: 31-39, 1995.

6. BOMPA, T. O. Theory and methodology of training, 2nd ed. Dubuque, IA: Kendall/Hunt,

1990.

7. BOSCO, J. S. The effects of gymnastics on various physical fitness components: A

review. Int. Gym. 15(1): 26-27, 1973.

8. CAINE, D. J., K. J. LINDNER, B. R. MANDELBAUM, AND W. A. SANDS. Gymnastics. In:

Epidemiology of Sports Injuries. Champaign, IL: Human Kinetics, 1995, p. In Press.

9. CAINE, D. J., K. J. LINDNER, B. R. MANDELBAUM, AND W. A. SANDS. Gymnastics. In:

Epidemiology of Sports Injuries, edited by D. J. Caine, Caine, C. G., and Lindner, K. J.

Champaign, IL: Human Kinetics, 1996, p. 213-246.

10. CIULLO, J. V., AND D. W. JACKSON. Pars interarticularis stress reaction, spondylolysis,

and spondylolisthesis in gymnasts. Clin. Sports Med. 4(1): 95-110, 1985.

11. DEBU, B., AND M. WOOLLACOTT. Effects of gymnastics training on postural responses

to stance perturbations. J. Mot. Beh. 20(3): 273-300, 1988.

12. DIPIETRO, L., AND N. S. STACHENFELD. The female athlete triad. Med. Sci. Sports

Exer. 29(12): 1669-1670, 1997.

13. FOX, E. L. Sports physiology, 1st ed. Philadelphia, PA: W.B. Saunders, 1979.

14. FRANKE, W. W., AND B. BERENDONK. Hormonal doping and androgenization of

athletes: A secret program of the German Democratic Republic government. Clin.

Chem. 43: 1262-1279, 1997.

15. GARRICK, J. G., AND R. K. REQUA. Epidemiology of women's gymnastics injuries.

Amer. Jour. Sports Med. 8(4): 261-264, 1980.

16. GILMORE, K. Developing body awareness. In: USGF Gymnastics Safety Manual, 2nd

ed., edited by G. S. George. Indianapolis, IN: U.S. Gymnastics Federation, 1990, p. 79-

80.

17. GLOBUS, S. Dancers and gymnasts: a common challenge. Sports-Nutr. News 4(3): 1-4,

1985.

18. HAMILTON, L. H., J. BROOKS-GUNN, M. P. WARREN, AND W. G. HAMILTON. The role

of selectivity in the pathogenesis of eating problems in ballet dancers. Med. Sci. Sports

Exer. 20(6): 560-565, 1988.

19. HENSCHEN, K., AND W. A. SANDS. Drugs and gymnastics. Technique 6: 8-9, 1986.

20. HENSCHEN, K., W. A. SANDS, R. GORDIN, AND R. MARTINEZ. Psychological differences

between Olympic gymnasts and the remainder of the senior national team. Technique

10: 4-5, 23, 1990.

21. HERZOG, D. B., M. PEPOSE, D. K. NORMAN, AND N. A. RIGOTTI. Eating disorders and

social maladjustment in female medical students. J. Nerv. and Ment. Dis. 173(12): 734-

737, 1985.

22. HICKSON, J. F., AND K. KISH. Eating attitude and nutritional intake of adolescent

female gymnasts. J. App. Sport Sci. Res. 3(2): 48-50, 1989.

23. HOLDERNESS, C. C., J. BROOKS-GUNN, AND M. P. WARREN. Eating disorders and

substance use: a dancing vs a nondancing population. Med. Sci. Sports Exer. 26(3):

297-302, 1994.

24. HUBLEY-KOZEY, C. L., AND W. D. STANISH. Can stretching prevent athletic injuries. J.

Musculoskel. Med. 7(3): 21-31, 1990.

25. JOHNSON, M. D. Disordered eating in active and athletic women. In: Clinics in sports

medicine: the athletic woman, edited by R. Agostini. Philadelphia, PA: W.B. Saunders,

Vol. 13(2), 1994, p. 355-369.

26. KIOUMOURTZOGLOU, E., V. DERRI, O. MERTZANIDOU, AND G. TZETZIS. Experience

with perceptual and motor skills in rhythmic gymnastics. Perc. Mot. Skills 84: 1363-

1372, 1997.

27. KIRBY, R. L., F. C. SIMMS, V. J. SYMINGTON, AND J. B. GARNER. Flexibility and

musculoskeletal symptomatology in female gymnasts and age-matched controls. Amer.

Jour. Sports Med. 9(3): 160-164, 1981.

28. KNAPIK, J. J., C. L. BAUMAN, B. H. JONES, J. M. HARRIS, AND L. VAUGHAN. Preseason

strength and flexibility imbalances associated with athletic injuries in female collegiate

athletes. Amer. Jour. Sports Med. 19(1): 76-81, 1991.

29. KNAPIK, J. J., B. H. JONES, C. L. BAUMAN, AND J. M. HARRIS. Strength, flexibility and

athletic injuries. Sports Med. 14(5): 277-288, 1992.

30. KOLT, G. Gymnastics injuries - why they occur. Gym. Safe. Upd. 7(3): 1-2, 1992.

31. LEON, G. R. Eating disorders in female athletes. Sports Med. 12(4): 219-227, 1991.

32. LOOSLI, A. R., J. BENSON, D. M. GILLIEN, AND K. BOURDET. Nutrition habits and

knowledge in competitive adolescent female gymnasts. Phys. Sportsmed. 14(8): 118-

130, 1986.

33. MALINA, R. M., C. BOUCHARD, R. F. SHOUP, A. DEMIRJIAN, AND G. LARIVIERE. Age at

menarche, family size, and birth order in athletes at the Montreal Olympic Games,

1976. Med. Sci. Sports 11: 354-358, 1979.

34. MCCANN, C. Young gymnasts: Injury prone, less flexible. Phys. Sportsmed. 7(1): 23-24,

1979.

35. MICHELI, L. J. Back injuries in gymnastics. Clin. Sports Med. 4(1): 85-94, 1985.

36. NATTIV, A., R. AGOSTINI, B. DRINKWATER, AND K. K. YEAGER. The female athlete

triad, disordered eating, amenorrhea and ostroporosis [sic]. In: 1994 Congress, USA

Gymnastics Proceedings Book, edited by S. Whitlock. Indianapolis, IN: USA Gymnastics,

1994, p. 37-41.

37. NATTIV, A., AND B. R. MANDELBAUM. Injuries and special concerns in female

gymnasts. Phys. Sportsmed. 21(7): 66-67,70,73-74,79-84, 1993.

38. NELSON, J. K., B. L. JOHNSON, AND G. CON SMITH. Physical characteristics, hip

flexibility and arm strength of female gymnasts classified by intensity of training across

age. J. Sports Med. Phys. Fitness 23: 95-101, 1983.

39. O'CONNOR, H. Eating disorders in athletes. Sport Health 9(4): 33-35, 1991.

40. O'CONNOR, P. J., R. D. LEWIS, AND E. M. KIRCHNER. Eating disorder symptoms in

female college gymnasts. Med. Sci. Sports Exer. 27(4): 550-555, 1995.

41. PETRIE, T. A. Disordered eating in female collegiate gymnasts: Prevalence and

personality/attitudinal correlates. J. Sport Exer. Psy. 15: 424-436, 1993.

42. PETRIE, T. A., AND S. STOEVER. The incidence of bulimia nervosa and pathogenic

weight control behaviors in female collegiate gymnasts. Res. Quar. Exer. Sport 64(2):

238-241, 1993.

43. POLIQUIN, C. Training for improving relative strength. S.P.O.R.T.S. 11: 1-9, 1991.

44. PREVOST, L., J. ALDRIDGE, G. GEORGE, AND K. RUSSELL. Safety in gymnastics: An

international panel. In: Diagnostics, treatment and analysis of gymnastic talent, edited

by T. B. Hoshizaki, Salmela, J. H., and Petiot, B. Montreal, Canada: Sport Psyche

Editions, 1987, p. 4-18.

45. REGIANNI, E., G. B. ARRAS, S. TRABACCA, D. SENAREGA, AND G. CHIODINI.

Nutritional status and body composition of adolescent female gymnasts. J. Sports Med.

Phys. Fitness 29: 285-288, 1989.

46. ROSEN, L. W., AND D. O. HOUGH. Pathogenic weight-control behaviors of female

college gymnasts. Phys. Sportsmed. 16(9): 140-144, 1988.

47. SALE, D. G. "Strength"; Mechanical properties of muscular contractions, neuromuscular

mechanisms, and applications to gymnastics performance and training. In: The

advanced study of gymnastics, edited by J. H. Salmela. Springfield, IL: Charles C.

Thomas, 1976, p. 218-232.

48. SALE, D. G., AND R. W. NORMAN. Testing strength and power. In: Physiological testing

of the elite athlete, edited by J. D. MacDougall, Wenger, H. A., and Green, H. J. Ithaca,

NY: Mouvement Publications, 1982, p. 7-38.

49. SANDS, B. Beginning gymnastics. Chicago, IL: Contemporary Books, 1981.

50. SANDS, B. Coaching women's gymnastics. Champaign, IL: Human Kinetics, 1984.

51. SANDS, W. A. Physical readiness. In: USGF gymnastics safety manual, 2nd ed., edited

by G. S. George. Indianapolis, IN: U.S. Gymnastics Federation, 1990, p. 63-68.

52. SANDS, W. A. Science puts the spin on somersaulting. RIP 2(2): 18-20, 1991.

53. SANDS, W. A. Spatial orientation while somersaulting. Technique 11(1): 16-19, 1991.

54. SANDS, W. A. Physical abilities profiles - 1993 National TOPs testing. Technique 14(8):

15-20, 1994.

55. SANDS, W. A. The role of difficulty in the development of the young gymnast.

Technique 14(3): 12-14,1994.

56. SIEGEL, L. Trampoline injuries soaring. Salt Lake Trib.(5 November): B1-B2,1998.

57. SIFF, M. C., AND Y. V. VERKHOSHANSKY. Supertraining. Johannesburg, South Africa:

The School of Mechanical Engineering, University of Witwatersrand, 1993.

58. SINGH, H., R. S. RANA, AND S. S. WALIA. Effect of strength and flexibility on

performance in men's gymnastics. In: World identification systems for gymnastic talent,

edited by B. Petiot, Salmela, J. H., and Hoshizaki, T. B. Montreal, Canada: Sport Psyche

Editions, 1987, p. 118-121.

59. STEELE, V. A., AND J. A. WHITE. Injury prediction in female gymnasts. Br. J. Sports

Med. 20(1): 31-33, 1986.

60. STEFANICK, M. L. Exercise and weight control. In: Exercise and Sport Science Reviews,

edited by B. Holloszy. Baltimore, MD: Williams & Wilkins, Vol. 21, 1993, p. 363-396.

61. STEIGER, H., F. Y. K. LEUNG, G. PUENTES-NEUMAN, AND N. GOTTHEIL. Psychosocial

profiles of adolescent girls with varying degrees of eating and mood disturbances. Int.

J. Eating Disorders 11(2): 121-131, 1992.

62. STRIEGEL-MOORE, R. H., P. A. CONNOR-GREENE, AND S. SHIME. School milieu

characteristics and disordered eating in high school graduates. Int. J. Eating Disorders

10(2): 187-192, 1991.

63. SUNDGOT-BORGEN, J., AND S. LARSEN. Pathogenic weight-control methods and selfreported

eating disorders in female elite athletes and controls. Scand. J. Med. Sci.

Sports 3: 150-155, 1993.

64. SWARD, L., M. HELLSTROM, B. JACOBSSON, R. NYMAN, AND L. PETERSON. Disc

degeneration and associated abnormalities of the spine in elite gymnasts. Spine 16(4):

437-443, 1991.

65. TEITZ, C. C. Sports medicine concerns in dance and gymnastics. Pediat. Clinics. N.

Amer. 29(6): 1399-1421, 1982.

66. TERTTI, M., H. PAAJANEN, U. M. KUJALA, A. ALANEN, T. T. SALMI, AND M. KORMANO.

Disc degeneration in young gymnasts. Amer. Jour. Sports Med. 18(2): 206-208, 1990.

67. THORNTON, J. S. Feast or famine: Eating disorders in athletes. Phys. Sportsmed.

18(4): 116-122, 1990.

68. TOO, D., AND M. J. ADRIAN. Relationship of lumbar curvature and landing surface to

ground reaction forces during gymnastic landing. In: Biomechanics in Sports III & IV,

edited by J. Terauds, Gowitzke, B. A., and Holt, L. E. Del Mar, CA: Academic Publishers,

1987, p. 96-102.

69. TSAI, L., AND T. WREDMARK. Spinal posture, sagittal mobility, and subjective rating of

back problems in former female elite gymnasts. Spine 18(7): 872-875, 1993.

70. TVEIT MILLIGAN, P. Nutrition concerns for gymnasts. Sports-Nutr. News 8(6): 1-4,

1990.

71. USA GYMNASTICS. USA Gymnastics Code of Ethics. USA Gym. Safety Update 9(4): 4-5,

1994.

72. WILMORE, J. H. Body weight standards and athletic performance. In: Eating, body

weight and performance in athletes, edited by K. D. Brownell, Rodin, J., and Wilmore,

J. H. Philadelphia, PA: Lea & Febiger, 1992, p. 315-329.

73. WILMORE, J. H. Eating disorders in the young athlete. In: The child and adolescent

athlete, edited by O. Bar-Or. Oxford, England: Blackwell Science, Ltd, 1996, p. 287-303.

74. YEAGER, K. K., R. AGOSTINI, A. NATTIV, AND B. DRINKWATER. The female athlete

triad: disordered eating, amenorrhea, osteoporosis. Med. Sci. Sports Exer. 25(7): 775-

777, 1993.

75. ZUCKER, P., J. AVENER, S. BAYDER, A. BROTMAN, K. MOORE, AND J. ZIMMERMAN.

Eating disorders in young athletes. Phys. Sportsmed. 13(11): 89-106, 1985.

76. ZUMMERCHIK, J. Acrobatics. In: Encyclopedia of Sports Science, edited by J.

Zummerchik. New York, NY: Simon & Schuster Macmillan, 1997, p. 3-25.

This article appears in the March 1999 issue of Technique, Vol. 19, No. 3.