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Load, Overload, and Recovery in the Athlete: Select Issues for the Team Physician-A Consensus Statement

Load, Overload, and Recovery in the Athlete: Select Issues for the Team Physician-A Consensus Statement. Med Sci Sports Exerc. 2019 Apr;51(4):821-828. doi: 10.1249/MSS.0000000000001910.Full Text is Freely AvailableThe American Academy of Family Physicians, the American Academy of Orthopaedic Surgeons, the American College of Sports, Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine collaborated to develop a statement on load, overload, and recovery in the athlete. “This document provides an overview of the concepts of load, overload, and recovery, as well as the musculoskeletal and psychosocial issues related to overload injuries and illnesses that are important for the team physician to understand. In addition, understanding the role of wearable devices, technology, and other tools used to measure load, overload, and recovery is important.” The document also addresses intervention strategies.View 189 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

Treat the Whole Patient, Not Just the Injury

Athletic Trainers’ Influence on National Collegiate Athletic Association Division I Athletes’ Basic Psychological Needs During Sport Injury RehabilitationBejar MP, Raabe J, Zakrajsek RA, Fisher LA, Clement D. J Athl Train, 2019. doi.org/10.4085/1062-6050-112-18Full Text Freely AvailableTake Home Message:An athlete’s overall motivation during rehabilitation of an athletic injury is enriched when their psychological needs of competence, autonomy, and relatedness are met. Athletic Trainers have the unique ability to foster these needs while treating an injured athlete.Many athletes will have negative thoughts and experiences during injury recovery, which may adversely affect their motivation and willingness to adhere to rehabilitation protocols. An athlete’s ability to be motivated during injury rehabilitation relies on 3 psychological needs during the recovery process: 1.  competence = “successfully performing tasks and adapting to the demands of the environment” 2.  autonomy  = “having meaningful input into decisions and acting in accordance with one’s values” 3.  relatedness = “feeling connected, valued, and accepted by important” peopleHowever, we poorly understand how an injured athlete thinks an athletic trainer (AT) can influence their motivation and psychological needs during the rehabilitation process. Therefore, the authors conducted interviews with 10 NCAA Division I athletes (7 females) who had sustained an injury (<1 year prior to interview) that resulted in…

What Is the Foothills Sports Medicine Physical Therapy Residency?

Most people have heard of medical students completing residency programs, but what is a physical therapy residency? The American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) defines a physical therapy residency as, “a post-professional program that one can participate in after graduation…with a focus on advancing knowledge or skills within a specific specialty […]
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Parents are Open to Age Restrictions for Tackling in Football

Parents’ Perspectives Regarding Age Restriction for Tackling in Youth FootballChrisman S, Whitlock KB, Kroshus E, Schwien C, Herring SA, Rivara FP. Pediatrics. 2019; 143(5) [Epub ahead of print]. https://pediatrics.aappublications.org/content/early/2019/03/28/peds.2018-2402?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3a+No+local+tokenTake Home Message: In the United States, the majority of parents (61%) support a minimum age for tackling in football. An additional 24% indicated that they would “maybe” support such an age limit. In recent years, there have been increasing concerns about the acute and chronic effects of concussive and sub-concussive head impacts that occur during sports. Some sport organizations like US Soccer and USA Hockey have recently implemented age restrictions on heading and checking respectively with marked success with reducing injury in the latter. Despite football being the most popular youth sport for boys, no such age restriction exists for tackling. Furthermore, it is unclear if the public would support such restrictions if they were imposed. Therefore, Chrisman and colleagues surveyed a nationally representative sample of parents with school-aged children to determine the level of national support present for age restrictions on tackling.Read more »…

Gabbett Workload Seminar, Return to Sport Testing, and 2-Out Drill

Catch up on all my latest content and articles to read from around the web. This week’s Stuff You Should Read comes from Tim Gabbett, The British Journal of Sports Medicine, and EliteBaseballPerformance.com.
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Rest Days are Unrelated with Concussion Rates

National Rugby League Match Scheduling and Rate of ConcussionGardner AJ, Howell DR, Iverson GL. J Sci Med Sport. 2019 [Epub ahead of print]https://www.ncbi.nlm.nih.gov/pubmed/30885613Take Home Message: A rugby player was most likely to sustain a concussion during the first rugby match of the year compared with any other match. The number of rest days before a match was unrelated to concussions.Rugby athletes are at high risk of suffering a concussion during a match. Over the past 12 years in Australia, the National Rugby League (NRL) added matches on Mondays (beginning of 2007 season) and Thursdays (beginning of 2012) rather than just on weekends. The scheduling changes resulted in fewer rest days during the 24-game season. Additionally, the NRL introduced the “concussion interchange rule” at the beginning of the 2014 season to allow for proper concussion medical care. This rule allows for a brief (up to 15 minutes) sideline concussion evaluation to decide if a player has a concussion and should be removed from play or if not then to return without costing the team one of its 12 player interchanges. No one has studied if the decreased rest time is associated with a higher rate of concussion or was more likely to…

Direct Access: Get PT 1st

Have you ever been stuck thinking who do I call? Where should I go? What’s the best option to get my injury assessed? Am I going to the doctor just to get referred somewhere else? These are all valid questions that you deserve to know today! Get PT 1st is the movement that you do […]
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International Association of Athletics Federations Consensus Statement 2019: Nutrition for Athletics

International Association of Athletics Federations Consensus Statement 2019: Nutrition for Athletics.Burke LM, Castell LM, Casa DJ, Close GL, Costa RJS, Desbrow B, Halson SL, Lis DM, Melin AK, Peeling P, Saunders PU, Slater GJ, Sygo J, Witard OC, Bermon S, Stellingwerff T. Int J Sport Nutr Exerc Metab. 2019 Apr 5:1-12. doi: 10.1123/ijsnem.2019-0065. [Epub ahead of print]Full Text is Not Freely AvailableThe International Association of Athletics Federations released a consensus statement on nutrition for athletics. View 190 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

SI Dysfunction? Manipulate it, Exercise it, or BOTH

Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled TrialNejati P, Safarcherati A, & Karimi F.  Pain Physician. 2019; 22:53-61. Full Text Freely AvailableTake Home Message: Overall, exercise and manipulation may provide early improvements for patients with sacroiliac joint dysfunction. However, patients should be re-evaluated before 6 months to determine treatment plans moving forward since the combination of exercise and manipulation was not better than performing exercise or mobilizations alone after 6 months.Sacroiliac joint dysfunction is a common cause of low back pain.  While exercise is considered to be effective for generalized low back pain, it remains unclear what is the best way to treat low back pain caused by sacroiliac joint dysfunction.  The authors of this study conducted a randomized controlled trial to evaluate the effectiveness of exercise therapy, manipulation therapy, and exercises + manipulation therapy among people with sacroiliac joint dysfunction.Read more »…

Correcting Knee Valgus and Infraspinatus Atrophy

On this episode of the #AskMikeReinold show we talk about if we should be worried about correcting knee valgus during activities, and why we could have atrophy of the infraspinatus muscle.
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