AMSSM Sports Medcasts

AMSSM Journal Club Podcast - Returning to Learning Following a Concussion

In this Journal Club Podcast episode, host Dr. Julia Kammel speaks with Dr. John Leddy about "Returning to Learning Following a Concussion", which was published in Pediatrics.

Original Article:

https://pediatrics.aappublications.org/content/132/5/948

Ketogenic Diet – Fad or Future?

Host Dr. Chris Hicks is joined by AMSSM Past Presidents Dr. John DiFiori and Dr. Jon Divine to discuss the ketogenic diet and how it affects athletes and their performance.

In this entertaining podcast, we will be discussing the following topics:

• What is a Ketogenic Diet?
• What are the ratios of fats, carbohydrates and proteins that define the Ketogenic Diet?
• What does the high-fat content in Ketogenic Diet mean for athletes’ overall health?
• Are there any negatives that accompany this diet?
• Does the Ketogenic diet offer any enhancements in athletic performance?
• What are the overall recommendations for athletes and Ketogenic Diet?

REFERENCES:

Hyun-seung Rhyu, et al. The effects of a ketogenic diet on oxidative stress and antioxidative capacity markers of Taekwondo athletes. Journal of Exercise Rehab. 2014;10(6):362-366.

Seidelmann, Sara B. et al. Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. Lancet Public Health. 2018(18)2468-2667.

Paoli, Antonio et al. Ketogenic diet does not affect strength performance in elite artistic gymnasts. Journal of the International Society of Sports Nutrition. 2012, 9:34.

Urbain, Paul et al. Impact of a 6-week non-energy-restricted ketogenic diet on physical fitness, body composition and biochemical parameters in healthy adults. Nutrition and Metabolism. 2017, 14:17.

Wilson, Jacob M. et al. The effects of ketogenic dieting on body composition, strength, power and hormonal profiles in resistance training males. Journal of Strength and Conditioning.

Holdsworth, David A. et al. A ketone ester drink increases postexercise muscle glycogen synthesis in humans. Medicine and Science in Sports and Exercise. 2017.

Burke, Louise M. et al. Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers. J. Physiol 000.00(2017) 1-23.

Should I clear this athlete … with a suspected cardiac abnormality? Prof Sanjay Sharma.

Has the principle of shared decision making in athletes with known cardiac abnormalities placed our athletes, teams, and medical system at risk? Are there situations where accepted medical standards and risk management trump patient autonomy? What further steps can we take to generate the data needed to ensure that the athletes we clear in the future are safe to participate? On this episode of the AMSSM Sports Medcast host Devin McFadden, MD is joined by internationally recognized expert Sanjay Sharma, MD to discuss the risks and benefits encountered while making clearance decisions in athletes with known cardiac abnormalities.

 

Optimizing Athletic Recovery—The Importance of Sleep (Part 2)

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the second of this two-part episode, Krys Bigosinski, MD and Cindy Chang, MD converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Optimizing Athletic Recovery—The Importance of Sleep (Part 1)

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Krys Bigosinski, MD and Cindy Chang, MD converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

Journal Club Podcast - Lower GI Distress in Endurance Athletes

Garry Ho, MD joins host Nate Milburn, MD on the Journal Club Podcast to discuss the article on Lower Gastrointestinal Distress in Endurance Athletes.

More information about this article can be found here: https://insights.ovid.com/crossref?an=00149619-200903000-00013

CrossFit: Dangerous Fad or Fitness Panacea?

Few topics in sports draw such universally strong opinions from medical providers as that of CrossFit. Most seem to love or hate it, but are their strong opinions justified? Does current data back-up the concerns many of us have regarding the safety of this sport? What are the common injury patterns that are found? Host Devin McFadden, MD is joined by Sean Rockett, MD and Robert Oh, MD to explore these topics and more on the AMSSM Sports Medcast.

Dr. Sean Rockett is an Associate Professor of Orthopedic Surgery at Tufts University School of Medicine, president of Orthopedics New England and author of 321GoMD.com an injury prevention website for CrossFitters. He is head of the Orthopedic division for the Medical team for The CrossFit Games. Dr. Robert Oh, Sports Medicine physician and CrossFitter for 12 years. He’s the Chief of the Family Medicine Dept at Madigan Army Medical Center and Fellowship director for the Leader and Faculty Development at Madigan.

AMSSM Journal Club: Looking back at 2018

What are your favorite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Scott Young, MD and Meghan Raleigh, MD. In this episode, Drs. Raleigh and Young highlight some of the latest and most interesting research from the past year.

Upper Extremity Issues in the Adolescent Overhead Throwing Athlete

What common injury patterns do adolescent overhead throwing athletes face? What are the current pitch count recommendations and evidence for their use? How can we best monitor and encourage compliance with these recommendations? Host Devin McFadden, MD is joined by Jason Zaremski to explore these topics and more on the AMSSM Sports Medcast.

Dr. Zaremski is an assistant professor from the Division of Physical Medicine and Research, Department of Orthopaedics and Rehabilitation and Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida College of Medicine in Gainesville, Florida. He is also a past participant in the AMSSM International Travelling Fellowship program, having recently traveled to Scandinavia where he shared insights on the above topics and learned how the Scandinavians deal with similar injuries. In this 30 minute conversation, Dr. Zaremski addressed the following topics:

• What are common injury patterns in adolescent overhead throwing athletes?
• What injury prevention strategies have been enacted and what is the evidence for their use?
• When to consider operative rather than conservative treatments.

Care of the Medically Disqualified Athlete

NCAA athletes face the realization of career-ending injuries, whether they are acute/catastrophic or cumulative. As team physicians and athletic trainers it is imperative that we have our athletes' long-term health as a priority in their care. Presenters of this podcast are Pierre Rouzier, MD, head team physician of the University of Massachusetts, Jennifer Brodeur, ATC, director of Sports Medicine and Jeff Smith, ATC, senior associate Athletic Director for Internal Operations at UMass.

This presentation discusses various medical categories considered career-ending and disqualifying; some of these are clear-cut, some may be more nebulous. Athletes facing 'retirement due to injury' are known to have significant psycho-social issues in their transition; we will discuss important institutional resources to help our athletes. We will present cases and outcomes from data collected at the University of Massachusetts. At the conclusion of the podcast, listeners will have learned various NCAA definitions, such as 'medical disqualification', 'medical hardship', 'medical red-shirt' and changes new to 2018. Program participants will know the consequences and implications of being 'medically disqualified' from an NCAA sport, and the impact on the athletes' financial assistance and what this means to their team's scholarship numbers. Listeners will be able to learn the process of medically disqualifying an athlete and how to provide the support and care they need to transition out of their sport.