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Exertional Heat Stroke Management Strategies in United States High School Football
Conclusion: Preseason exertional heat stroke events, which are likely to be fatal if untreated, were reported by one fifth of all athletic trainers in high school football programs. The standard of care is (and should be) to treat proactively; therefore, treatment is not a perfect proxy for incidence. Nevertheless, there is an urgent need for improved education and awareness of exertional heat stroke in high school football. Areas of improvement include the greatly increased use of rectal thermometers and immersion in ice water.
Source: The American Journal of Sports Medicine - January 2, 2014 Category: Sports Medicine Authors: Kerr, Z. Y., Marshall, S. W., Comstock, R. D., Casa, D. J. Tags: Knee, articular cartilage, Shoulder biceps tendon Epidemiology Source Type: research

Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis.
Abstract OBJECTIVE: Secondary vascular risk reduction is critical to preventing recurrent stroke. We aimed to evaluate the effect of exercise interventions on vascular risk factors and recurrent ischaemic events after stroke or transient ischaemic attack (TIA). DESIGN: Intervention systematic review and meta-analysis. DATA SOURCES: OVID MEDLINE, PubMed, The Cochrane Library, Web of Science, The National Institute for Health and Care Excellence, TRIP Database, CINAHL, PsycINFO, SCOPUS, UK Clinical Trials Gateway and the China National Knowledge Infrastructure were searched from 1966 to October 2017. ...
Source: British Journal of Sports Medicine - May 9, 2018 Category: Sports Medicine Authors: Wang C, Redgrave J, Shafizadeh M, Majid A, Kilner K, Ali AN Tags: Br J Sports Med Source Type: research

An Exertional Heat Stroke Survivor's Return to Running: An Integrated Approach on the Treatment, Recovery, and Return-to-Activity.
CONCLUSIONS: This case supports prior literature examining the factors that predispose individuals to EHS. Although evidence-based best practices regarding prompt recognition and treatment of EHS ensure survival, this case highlights the lack of medical follow-up and physician guided return-to-activity following EHS. PMID: 26458109 [PubMed - as supplied by publisher]
Source: Journal of Sport Rehabilitation - October 14, 2015 Category: Sports Medicine Tags: J Sport Rehabil Source Type: research

Exertional Heat-Stroke Preparedness in High School Football by Region and State Mandate Presence.
CONCLUSIONS: Our findings suggest a greater use of EHS-preparedness strategies in environmentally warmer regions with state-level mandates for preseason heat acclimatization. Future researchers should identify factors influencing EHS preparedness, particularly in regions 1 and 2 and in states without mandates. PMID: 31454289 [PubMed - as supplied by publisher]
Source: J Athl Train - August 26, 2019 Category: Sports Medicine Authors: Kerr ZY, Scarneo-Miller SE, Yeargin SW, Grundstein AJ, Casa DJ, Pryor RR, Register-Mihalik JK Tags: J Athl Train Source Type: research

Training-Induced Neural Plasticity and Strength Are Amplified After Stroke
Following stroke, sensorimotor brain networks and descending regulation are compromised but spinal interlimb neural connections remain morphologically intact. After cross-education strength and locomotion training, amplified neural plasticity and functional responses are observed in chronic stroke compared with neurologically intact participants. We hypothesize that poststroke neuroplasticity is amplified because of the involvement of interlimb neural connections that persist from our quadrupedal ancestry.
Source: Exercise and Sport Sciences Reviews - September 18, 2019 Category: Sports Medicine Tags: Articles Source Type: research

Infographic. Prehospital management of exertional heat stroke at sports competitions for Paralympic athletes
This infographic presents a summary of the prehospital management of exertional heat stroke (EHS) at sports competitions for Para athletes.1 Our original article was designed to provide Para athlete-specific modifications to the original EHS algorithm that was developed and implemented at the Tokyo 2020 Olympic Games.2 Both the Olympic and Paralympic algorithms were successfully rolled out during educational workshops leading into the games, and implemented with support of the organising committee medical volunteers in Tokyo. It is the authors’ intention that these algorithms can be used at other events where Para at...
Source: British Journal of Sports Medicine - March 23, 2023 Category: Sports Medicine Authors: Goosey-Tolfrey, V. L., Hosokawa, Y., Webborn, N., Blauwet, C., Adami, P. E. Tags: BJSM Infographic Source Type: research

Profil des patients post-AVC volontaires à un programme d’éducation thérapeutique à l’activité physique : étude descriptive
Conclusion Les principales caractéristiques des patients volontaires à un programme ETPAP étaient la persistance de la fatigue, la dépression, peu de séquelles neuro-motrices physiques et un fort soutien de l’entourage. L’ETPAP devrait permettre de maintenir et améliorer les acquis fonctionnels et diminuer la fatigue et la dépression. Objective The objective of the study was to describe the patient's profile with sub-acute stroke, especially on the functional and psychological aspect, volunteer at a therapeutic patient education for physical activity (TPEPA) program. Method The program was offered to people wh...
Source: Science and Sports - May 23, 2015 Category: Sports Medicine Source Type: research

Heat Illness in Football: Current Concepts
Despite growing health and safety concerns, American football remains a vastly popular sport in the United States. Unfortunately, even with increased efforts in promoting education and hydration, the incidence of death from exertional heat stroke continues to rise. General risk factors such as hydration status, obesity, fitness level, and football-specific risk factors such as timing of training camp and equipment all contribute to the development of heat illness. At the professional level, changes have been made to effectively reduce mortality from heat stroke with no deaths since August 2001. However, there have been at ...
Source: Current Sports Medicine Reports - November 1, 2015 Category: Sports Medicine Tags: Special Populations: Section Articles Source Type: research

Heat Illness in Football: Current Concepts.
Abstract Despite growing health and safety concerns, American football remains a vastly popular sport in the United States. Unfortunately, even with increased efforts in promoting education and hydration, the incidence of death from exertional heat stroke continues to rise. General risk factors such as hydration status, obesity, fitness level, and football-specific risk factors such as timing of training camp and equipment all contribute to the development of heat illness. At the professional level, changes have been made to effectively reduce mortality from heat stroke with no deaths since August 2001. However, t...
Source: Current Sports Medicine Reports - November 1, 2015 Category: Sports Medicine Authors: Krohn AR, Sikka R, Olson DE Tags: Curr Sports Med Rep Source Type: research

Persistent (patent) foramen ovale (PFO): implications for safe diving.
Authors: Germonpré P Abstract Diving medicine is a peculiar specialty. There are physicians and scientists from a wide variety of disciplines with an interest in diving and who all practice 'diving medicine': the study of the complex whole-body physiological changes and interactions upon immersion and emersion. To understand these, the science of physics and molecular gas and fluid movements comes into play. The ultimate goal of practicing diving medicine is to preserve the diver's health, both during and after the dive. Good medicine starts with prevention. For most divers, underwater excursions are not a profess...
Source: Diving and Hyperbaric Medicine - December 11, 2015 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research

Sedentary Time and White Matter Hyperintensity Volume in Older Adults
Conclusions Findings suggest that sedentary time is associated with WMH in persons with an eGFR ≤96 mL·min−1 per 1.73 m2 and that this association is stronger with lower levels of kidney function.
Source: Medicine and Science in Sports and Exercise - July 12, 2019 Category: Sports Medicine Tags: CLINICAL SCIENCES Source Type: research

150 minutes of vigorous physical activity per week predicts survival and successful ageing: a population-based 11-year longitudinal study of 12 201 older Australian men.
CONCLUSIONS: Sustained physical activity is associated with improved survival and healthy ageing in older men. Vigorous physical activity seems to promote healthy ageing and should be encouraged when safe and feasible. PMID: 24002240 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - September 3, 2013 Category: Sports Medicine Authors: Almeida OP, Khan KM, Hankey GJ, Yeap BB, Golledge J, Flicker L Tags: Br J Sports Med Source Type: research

150 minutes of vigorous physical activity per week predicts survival and successful ageing: a population-based 11-year longitudinal study of 12 201 older Australian men
Conclusions Sustained physical activity is associated with improved survival and healthy ageing in older men. Vigorous physical activity seems to promote healthy ageing and should be encouraged when safe and feasible.
Source: British Journal of Sports Medicine - January 10, 2014 Category: Sports Medicine Authors: Almeida, O. P., Khan, K. M., Hankey, G. J., Yeap, B. B., Golledge, J., Flicker, L. Tags: Health education Original article Source Type: research

Ergometer training volume and previous injury predict back pain in rowing; strategies for injury prevention and rehabilitation
The most commonly reported injury site in rowers is the lower back. Research in recent years has focused on epidemiology and biomechanical analyses to try and understand mechanisms that contribute to this injury's onset. Injury surveillance mainly comprises retrospective questionnaires and reviews of medical records with a lack of prospective data. Of studies that reported 12-month data, the incidence of low back pain ranged from 31.8 to 51% of the cohort. Of the limited studies that specifically examined low back pain in rowers, (1) history of lumbar spine injury and (2) volume of ergometer training were the most signific...
Source: British Journal of Sports Medicine - October 12, 2014 Category: Sports Medicine Authors: Wilson, F., Gissane, C., McGregor, A. Tags: Epidemiology, Health education, Injury Review Source Type: research

Cardiac Arrest in a 21-Year-Old Man After Ingestion of 1,3-DMAA–Containing Workout Supplement
We describe a case of a young man who took such a supplement and suffered a cardiac arrest. Notably, the product consumed was not on the FDA list of substances containing DMAA. This case highlights the importance for clinicians to be aware of the potential harm of the DMAA-containing products by maintaining a high index of suspicion in otherwise healthy individuals presenting with cardiac arrest. It is of particular importance to sports medicine physicians who are most involved in education and counseling of patients potentially at risk of taking such products.
Source: Clinical Journal of Sport Medicine - December 31, 2014 Category: Sports Medicine Tags: Case Report Source Type: research

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