Hot child in the city

August 26, 2016 by

tami

Tamara Hew-Butler on TruTV’s “Adam Ruins Everything”

My topic for today is not that glorious piece of 70’s bubble gum pop from Nick Gilder — no, it is a topic much more directly related to sports medicine.

It’s August and it is hot indeed, with a day here in Ohio set to be one of those classic 90/90 days (>90 F and > 90% humidity).  And it’s the first day of high school Friday night football, with middle school and Pop Warner following this weekend.   These are days we need to do all we can to prevent exertional heat illness (EHI), most especially in our children and adolescents.

In our zeal to prevent EHI, we must be careful not to overhydrate.  A year ago CJSM published the Third International Consensus Statement on Exercise Associated Hyponatremia and followed this up with a blog post and a podcast where we discussed the risks of overhydration with lead author, Tamara Hew-Butler.

The hashtag that came out of those discussions — #Drink2Thirst — spread over social media last year.  The concept is an important one, and one which remains controversial.  There are still many proponents of mandatory water breaks, or of drinking to a certain color of urine.  Others argue that while both are potentially life-threatening, the risk of EHI outweighs the risks of the much rarer condition of EAH — better to err on the side of overhydration they say.  On the other side, some note that hydration is pushed on athletes as something of a panacea, touted as helping to prevent exercise associated muscle cramping (EAMC) when the science argues against that concept.

Now, Adam Ruins Everything, on TruTV, has weighed in on the issue of overhydration in sports, with hilarious effect. And I see Adam has recruited Dr. Hew-Butler herself to debunk some of the hydration mythology and spread the mantra of #Drink2Thirst

Watch the video, and laugh.  Then check out some of the links in this post that will take you to the consensus statement and podcast and you’ll get more of the hard science from Dr. Hew-Butler.  It might change your thinking, and you may start translating some of this science to how you approach the athletes you manage.

Stay cool out there and #Drink2Thirst!

Filed under General Interest, Youth Sport Tagged with , , , ,

CJSM Podcast 15 — Dr. Lyle Micheli on ACL Injuries in Young Athletes

July 13, 2016 by

jsm-podcast-bg-1Today we have as our guest on the podcast Dr. Lyle Micheli, the Director of Sports Medicine at Boston Children’s Hospital and Clinical Professor of Orthopaedic Surgery, Harvard Medical School.

Dr. Micheli is one of the godfathers of sports medicine, with a career that began in the sixties and shows no signs of slowing down.  He still outworks almost any other physician I know, and still performs high volumes of surgical procedures, including ACL reconstructions, the subject of this podcast.

He also finds the time to have published innumerable manuscripts, and CJSM has been the recipient of many of his excellent studies.

26septjimgroup

L to R: Myself; Dr. Lyle Micheli, Dr. Pierre d’Hemecourt (Boston Children’s), Dr. Jeff Vaughn (Phoenix Children’s)

The focus of the podcast is on a study just published in our July 2016 CJSM, Return to Sport after Anterior Cruciate Ligament Reconstruction in the Skeletally Immature Athlete.  We had the chance to discuss how ACL injury management in the young athlete has changed over the course of his career, and we got to explore with Dr. Micheli the radical new direction in which ACL injury treatment may be headed:  with repair, as opposed to reconstruction — the Bridge-enhanced ACL Repair (BEAR) trial is a hot topic in the world of orthopaedic sports medicine.

You can access the podcast at iTunes (where you can also subscribe to all our podcasts for free) or on our journal’s main website. And the study on CJSM is free. Let us know what you think!

Filed under CJSM Podcasts, General Interest, Injury Prevention, Youth Sport

CJSM Podcast 14 — Turf vs. Grass & Girls Soccer

May 13, 2016 by

jsm-podcast-bg-1Our newest podcast release profiles a study published in our May 2016 CJSM: Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players. Our guest on the podcast is the lead author of the study, John O’Kane M.D., the Head Team Physician for the University of Washington and the Bob and Sally Behnke Endowed Professor for the Health of the Student Athlete.

john o kane and family

Dr. John O’Kane (L), soccer-playing daughter Katie (C), and wife Betsy (R), on grass….in Phoenix AZ

We hope you enjoy the conversation with Dr. O’Kane as much as we did.  We gained insight into the findings presented in the paper and had a fruitful discussion on some of the nuances of the endless debate:  turf vs. grass, which is the preferred surface on which to play soccer? Along the way we chatted about the recent controversies in the 2016 Women’s Soccer World Cup, as well as the impact on pubertal development as an intrinsic risk factor for injury in sport….and more!

Listen in — you can find the podcast on iTunes or on our home page.  As ever, let us know what you think — in the comment section below, or on Twitter @cjsmonline

 

 

 

Filed under CJSM Podcasts, Female Athletes, General Interest, Injury Prevention, Women in Sport, Youth Sport

May Day

May 1, 2016 by

Unisphere-cc

CJSM: bringing you clinical sports and exercise medicine research, from around the globe

Whether you are celebrating today as International Workers’ Day, running around a May pole, or watching Leicester City try to complete the 5000:1 shot of winning the Premiership, we are sure that today, May 1, can only be a good day:  our third issue of the year has just published.  And this May Day CJSM is full of offerings we’re sure will be of  interest to you.

Two of the articles have a special focus on physical activity as an intervention for medical conditions — one is a meta-analysis from Chinese colleagues finding a protective effect for physical activity against lung cancer, and the other is a prospective, single-blinded, randomized clinical trial looking at rock climbing as an intervention in the treatment of low back pain. This study is from Austria, and had positive findings for dependent measures of disability (the Oswestry Disability Index), a physical examination maneuver, and even the extent of disc protrusion on MRI.  We’re proud to publish these high quality studies from across the globe.

We are also proud to contribute to the growing body of literature on the effectiveness of “Exercise is Medicine.” Read more of this post

Filed under Evidence-based Medicine in SEM, Exercise Medicine, Female Athletes, Infectious disease in Sport, Physical activity interventions, Public Health in Sports and Exercise Medicine, Women in Sport, Youth Sport Tagged with ,

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