『Sports Medicine Broadcast』のカバーアート

Sports Medicine Broadcast

Sports Medicine Broadcast

著者： Jeremy Jackson
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 - a Podcast to Promote and Improve YOUR practice of Athletic Training 衛生・健康的な生活 身体的病い・疾患
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  • Nutrition Timing Planning and Gastrointestinal Maladies

    Nutrition Timing Planning and Gastrointestinal Maladies
    2025/12/10
    Expert insights on athlete nutrition timing: GI issues, RED-S, PCOS, and fueling strategies. Learn about tailored snack recommendations. Q: What recommendations do you have for athletes experiencing amenorrhea or relative energy deficiency in sport (RED-S)? A (Dr. Curtis): While not a typical GI condition, amenorrhea and RED-S require a multidisciplinary approach. Often, medication is prescribed to induce a period, but this does not resolve underlying hormone imbalances or decreased bone density. These conditions frequently arise from an athlete's energy deficiency, such as a marathon runner not increasing fuel intake to match activity, leading the body to prioritize survival over non-essential functions like menstruation. Q: How can athletes add more fuel to help resolve amenorrhea? A (Poole): It's a myth that athletes should not get their period; it is not normal. Addressing overall energy intake is crucial. In severe cases, decreasing activity while increasing fuel might be necessary. We often work with athletes who are injured or returning to sport, which provides an opportune time to address their fueling needs. Q: How do you address athletes dealing with PCOS and stress fractures? A (Dr. Curtis): The culture of sports often pressures athletes toward specific body images or weight classes, which is unhealthy. We must educate athletes that a balanced diet is acceptable and that restrictive diets are not always necessary. Coaches also play a role in fostering a healthier environment. Q: How do you approach discussing sensitive topics like nutrition and body image with athletes? A (Dr. Curtis): As a former pediatric sports medicine doctor, I learned the importance of creating a trusting and safe environment. While it's harder to have parents leave the room now in full sports medicine, fostering trust is key. A (Poole): We focus on the athlete's performance goals, as health often isn't the primary motivator for adolescents. We seek out what truly motivates them to achieve their best performance through proper nutrition. Q: What are the best snack recommendations for athletes? A (Bri Poole): Snack recommendations are highly individualized based on what works and what an athlete enjoys. Simple, easily digestible options like GoGo Squeez are generally safe choices. Q: Are there specific snacks you recommend for gastrointestinal (GI) comfort during exercise? A (Dr. Curtis): I don't have specific go-to snacks; the focus is on what an individual athlete likes and what doesn't cause GI distress. Suggesting foods they are unwilling to eat can lead to non-compliance. A (Poole): Simple carbohydrates are typically easy on the GI system around exercise. It's best to stick with foods the athlete has consumed before. Liquid carbohydrates can be a good option as they may sit better for some. While many believe "sugar is bad," simple sugars are the body's preferred fuel source during exercise. Q: Should athletes track their food intake? A (Poole): Some athletes have higher or different energy needs, even if they aren't playing intensely. Athletes generally have elevated caloric demands. It's perfectly fine for them to eat snacks, especially when readily available, such as on the sidelines. Q: How do you approach nutrition planning for athletes from diverse cultural backgrounds or those who observe religious practices like Ramadan? A (Poole): Always approach with an open and curious mindset. Ask questions to understand cultural practices better, especially regarding fuel timing within non-fasting windows. Work closely with the athlete to create a tailored plan. A (Dr. Curtis): Meet athletes where they are; you cannot simply forbid them from fasting. I am willing to write letters to coaches if training times need to be adjusted to accommodate an athlete's practices, ensuring they can continue to play safely. Q: How does pre-exercise nutrition differ for a morning lift versus a morning run? A (Poole): Many runners prefer not to eat before a run. For shorter runs (e.g., 5 miles or 3k), it can be acceptable if the athlete had sufficient fuel the day prior and will refuel adequately post-run. However, for exercise lasting 50-90 minutes or longer, pre-exercise fuel is essential, particularly for running due to its impact on bone resorption. The specific goals of the runner (e.g., marathon training) also influence recommendations.
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    27 分
  • Emergency Preparedness

    Emergency Preparedness
    2025/11/26
    Learn about emergency preparedness in youth sports, focusing on cardiac safety, the Project Adam initiative, and the status of the "Heartsafe" program with Tom Woods. Q: What is the 10-second version of focusing on cardiac emergency preparedness? A: Review statistics on sudden death in young athletes. Sudden cardiac arrest is the leading cause of death. Target the most likely areas where incidents occur and prioritize time and equipment-sensitive responses. Q: How did the Damar Hamlin incident negatively impact perceptions of youth sports safety? A: Some may falsely believe youth athletes are inherently safe because a highly prepared incident was effectively managed in the NFL. However, youth settings lack the extensive resources and numerous providers available in professional sports. This incident highlights the need to increase effective response capabilities and empower more individuals to provide care. Q: Is youth sports a bigger industry or does it bring in more money? A: When including grassroots sports, the financial investment in youth sports is substantial. It is crucial to make reasonable investments in equipment, procedures, and policies that maximize safety and efficient use of time to ensure overall safety. Q: Do club sports typically have athletic trainers (ATs) or automated external defibrillators (AEDs)? A: This is a critical point; clubs should invest more in youth safety. Efforts like Bob Marley's network aim to bring ATs to these settings. More needs to be done beyond large tournaments, extending to daily operations, especially given that larger clubs may have many teams practicing simultaneously. Q: What steps are needed for club sports to align on safety protocols? A: Project Adam and recent legislation offer programs specifically designed to make youth sports cardiac safe. These initiatives provide a framework for clubs to enhance their emergency preparedness. Q: What are the specifics of Project Adam? A: Our school became involved with Project Adam after recognizing areas needing attention in our setting. It offers a systematic approach to achieving cardiac safety. Texas Children's Hospital (TCH) is an affiliate site for Project Adam, providing numerous resources. Q: Why might Project Adam not be widely known? A: The exact reason is unclear. However, presentations like this provide an opportunity to spread the message. Discussions with directors at TCH and Cook Children's indicate that some areas, like Dallas-Fort Worth (DFW), are more involved. We need to disseminate this information, especially with increased requirements for cardiac responsiveness. Q: How do schools or districts achieve "Heartsafe" program status? A: Achieving "Heartsafe" status involves a step-by-step process through Project Adam. Organizations register, complete a checklist, and consult with directors and affiliate contacts for questions. Upon completion, they receive "Heartsafe school/program/district" designation. Q: Is the "Heartsafe" program similar to SafeSport and currently in process? A: Yes, it is similar to SafeSport and is an ongoing process. Q: What legislative action is impacting emergency preparedness? A: House bills have been passed and are expected to take effect on September 1st, following the governor's signature. This legislation aims to enhance cardiac responsiveness.
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    17 分
  • Post-Operative Considerations in the Athletic Training Room

    Post-Operative Considerations in the Athletic Training Room
    2025/11/12
    Explore expert tips for post-operative ACL rehab, including avoiding pitfalls like lacking extension & recommended biofeedback units. Q: What is your favorite phase of post-operative care for ACL repair? A: Phase 2 is a favorite because the athlete is getting off the table, which is exciting both mentally and physically. During this phase, significant gains are made, and progress continues toward returning to running. Q: What is your biggest tip to avoid pitfalls, such as lacking extension, in post-operative care? A: Consistently checking and actively feeling for extension daily is crucial. Make it a habit and an integrated part of the treatment flow to catch any issues early. Even a little bit of load when athletes start doing more of their daily activities can affect extension, so early detection is key. Q: Is lacking extension from one treatment to the next a red flag? A: It is not necessarily a red flag, but it should definitely be noted. This observation prompts consideration of what might have changed between sessions that could have caused the lack of extension. For example, it might indicate that too much activity was introduced. Q: Should fibular head mobilizations be immediately used for lacking extension? A: No, one should not immediately jump to using fibular head mobilizations. However, they can be a successful intervention in certain cases. Q: Can this ACL rehabilitation program be used for other surgeries? A: The framework of this ACL rehabilitation program can definitely serve as a guide for other knee surgeries. However, modifications are necessary based on the specific structures that have been surgically altered. For example, a meniscus repair would require avoiding weight-bearing, unlike an isolated ACL reconstruction. Q: What biofeedback units do you recommend? A: I recommend Mtrigger. It's an app-based unit with an easy setup, and it can be used more functionally beyond just table exercises. Additionally, it is versatile and can be applied in various other post-operative cases.
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    8 分
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