athletes and the arts · examples include: practicing for a performance or perfecting a new...

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What'sNewinMay2017!IntheMay2017editionofSidelinesyouwillfindthefollowingcontent:

PresidentLetter:WrittenbyJeffreyBytomski,DO,FAOASMAthletesintheArtsUpdate:WrittenbyRebeccahRodriguez,DOTheDO:InMemoriam,JohnFinley,DOHighlightsfromthe2017ClinicalConferenceJournalArticleSpotlight:ClinicalJournalofSportsMedicineJournalArticleSpotlight:BritishJournalofSportsMedicine

FromthePresident:JeffreyBytomski,DO,FAOASMIhopeeveryonemadeithomesafelyfromanotherfunandeducationalAnnualClinicalConferenceinLasVegas.IambothhonoredandhumbledtoserveasyournewpresidentoftheAOASM.IwanttothankRobFranksforservingourorganizationsowelloverthelastyear.HecontinuestosetthebarhighandIhopetocontinuetoprogressourorganizationforwardthroughthisyear,especiallywiththegraduatemedicaleducationtransition.AOASMiswellpositionedtobealeaderduringthiscrucialtime.

IwouldalsohopewealllookbackduringoureducationandembracetheOsteopathicTenetsasthefoundation

aswecareforourpatients:

Thebodyisaunit;thepersonisaunitofbody,mind,andspirit.Thebodyiscapableofself-regulation,self-healing,andhealthmaintenance.Structureandfunctionarereciprocallyinterrelated.Rationaltreatmentisbaseduponanunderstandingofthebasicprinciplesofbodyunity,self-regulation,andtheinterrelationshipofstructureandfunction.

Theseprincipleshelpsetusapartaswecareforourpatientsaspeople.Asmanyofyouknow,Iamahugeproponentofeatingwellandmovingeverydayasthesetwothingsfallrightinlinewithourtenetsandshouldhelpguideourpatientstofindhealthandnotwaittotreatdisease.

SomehighlightsfromtheAOASMAnnualClinicalConferenceinclude:

1. WayneEnglishreceivedtheinauguralMentoroftheYearAward.Icouldnotthinkofanyoneelsemoreworthytoreceivethisinauguralaward.Hehastouchedsomanyinapositivewayandembodiesthequalityofhealerandteacherlikenooneelse.

2. Wewelcomeournewrecipientsoftheawardoffellow:WarrenBodine,DanielClearfield,JohnHill,JasonSmith,andMelissaTabor.

3. Wehadarecordnumberofcaseandresearchsubmissionsforthisyear’smeeting.Ourcaseandresearchpresentationwinners:NathanFitton,ShaunGarff,JamesDocherty,andAaronLeePrice.

ThatleadsuslookingforwardtoourAOASMsessionsOctober7-9atOMED2017inPhiladelphia.Dr.Kuprevichwillchairthemeetingthisyearandwillhaveanotheroutstandinglineupofspeakers.DonotforgettomarksportsmedicinewhenyouregisterforthemeetingsoweobtaincreditfromtheAOAforthosewhoattend.

Assummerstartssoon,Ihopeyouallfindsometimetospendwithfriendsandfamilytorechargeforthefall.Ilookforwardtoservingyouduringtheupcomingyear.PleaseletmeknowanywaytheAOASMcanserveyoubetterovertheyear.ThenewandimprovedAOASMwebsitewillalsobelivesoon,whichwillgiveusfurtherwaystocommunicateandaddvaluetoyourmembership.

Sincerely,

Jeff

JeffreyBytomski,DO,FAOASM

President,AmericanOsteopathicAcademyofSportsMedicine

AthletesandtheArtsWrittenby:RebeccahRodriguez,DO

MusicianMSK411:TheBasics

Musicismedicine.“Musicislife…thatiswhyourheartshavebeats.”InstrumentalmusiciansareaspecialriskgroupforMSKinjuries.Overusesyndromeaccountsfor50%ofmusicalinstrumentplayerinjuries.ThegreatestriskofMSinjuryoccurswhenchangingatechniqueorusinganewinstrument,andwithprolongedplayingwithinadequaterest.

Musiciansallhavedifferentposturestoupholddependingonwhattypeofmusicalinstrumentplayed.TheMSKinjuriesalsocanresultfromfactorssuchasincorrectposture,non-ergonomictechnique,excessiveforce,overuse,poorlighting,andinsufficientrest.Manyexamplesinclude:practicingforaperformanceorperfectinganewtechnicallydifficultpiece.Mostinjuriesareduetostaticloadingandrepetitiveactivity,andunevenholdingofonepositionformanyminutesatatime.

Hereisalistofcommonailmentsandtheirassociatedinstruments:

1.Cervicalgia:violin,percussion,cello

2.Upperextremityhand:clarinet,oboe,percussion

3.Upperextremityshoulder:flute

4.Forearmtendinitis:violin,viola,cello,woodwinds

5.Lumbago:doublebass,bassoon,brasssection

ThisspecialpopulationofmusiciansisagreatexampleofhowDOscanuseOsteopathiceducation,evaluation,andtreatmentskills!Pleasedon’tforgettoexamineforoverallbodyhabits,fitness,andnutritionalhabits.Whengradingseverityofinjuryinmusicians,itishelpfultousethestandardsystemasfollows:

•Grade1:consistentpaininonesiteonplayingthenresolveswhennotplayinginstrument.

•Grade2:paininmultiplesites.+TTP,transientweaknessorlossofcontrol.

•Grade3:paininmultiplesitescausingpainwithandwithoutinstrumentuse.Mayhaveweakness,lossofcontrol,andlossofdexterity.

•Grade4:grade3+ADL’scausingpain.

•Grade5:grade4+lossofcapacityofhandbecauseofdisablingpain.

TheDO:InMemoriam,JohnFinley,DOJohnFinley,DO,88,passedonApril27,2017.Dr.Finley,whoservedasteamphysicianfortheDetroitRedWingsformorethan40years,hadalegendaryreputationintheNHL,especiallyforhissupremesuturingskills,accordingtoanarticlepublishedintheDetroitFreePress.

Beforethedaysofhockeymasksandprotectivepadding,Dr.Finleywasresponsibleforsettingbrokenbones,relievingplayers’pain,andstitchinguptheirwounds,takingspecialcaretoavoidpermanentnervedamage.

WhenDr.Finleyretiredin2003,hewrote"HockeytownDoc:AHalf-CenturyofRedWingsStoriesfromHowetoYzerman."

TheDOlastspokewithDr.FinleyatOMED2012wherehewasautographingcopiesof"HockeytownDoc."

“Ourgoalwastohavethepatientsappreciatewhatweweredoingforthemandcometousimmediatelywhentheyhadaproblem,”saidDr.Finley.

Andappreciatehim,theydid.IntheforewordtoDr.Finley’sbook,prominentDetroitRedWingsplayer,Gordie"Mr.Hockey"Howe,wrotethathisphysicianwasahero.

“Hewasourpsychologistandconfidante,helpingusnavigatethedemandsofbeingfathers,husbands,andsportsfigures,”saidHowe.Readmore...

2017ClinicalConferenceHighlights

TheAOASMheldits32ndAnnualClinicalConferenceinLasVegas,Nevada,onMay1-6,2017.Meetinghighlightsincluded:

Therewere309attendees,55ofwhomwerestudents.Therewere24.5Category1ACMEcredits,2.0Category2BCMEcredits,andupto23.25hoursofBOCcreditsavailabletoearn.Thepreconferenceworkshoponultrasoundtechniquebroughtin36participantsforthediagnosticworkshopand38fortheproceduresworkshop.Therewere13vendorsintheExhibitHall.Therewere22participantsinthefirsteverAOASMShirtSwap.Countlessvolunteerhoursweregiventomakethisconferenceasuccess!

AhugeTHANKYOUgoesouttoallwhohelpedplanandcametoparticipateintheAOASM32ndAnnualConference!Clickthebuttonbelowformoregreatphotosandvideosfromthisyear'sconference!

2017ClinicalConferencePhotos

JournalArticleSpotlight:ClinicalJournalofSportMedicine

DoesKinesiologyTapingImprovetheEarlyPostoperativeOutcomeinAnteriorCruciateLigamentReconstruction?ARandomizedControlledStudy

Objective:Theefficacyofkinesiologytapinginarthroscopickneesurgeryhasnotbeenreported.Theobjectiveofthisstudyistoinvestigatetheefficacyofkinesiologytapingintheearlypostoperativephaseafteranteriorcruciateligamentreconstruction(ACLR).Wehypothesizedthatkinesiologytapingreduceskneepainandswellingandimproveskneerangeofmovementandfunctionaloutcome.

Design:Randomizedcontrolledstudy.

Setting:PrimaryInstitutionalHospital.

Patients:SixtysubjectswhounderwentanelectiveACLRwithorwithoutconcurrentmeniscectomywererandomizedintointervention(withkinesiologytapingpostsurgery)andcontrolgroups.

Interventions:Subjectsfrombothgroupsreceivedstandardizedpostoperativephysiotherapy.Subjectsfromtheinterventiongroupreceivedadditionalkinesiologytapingonthefirstandsecondweekspostsurgery,eachapplicationlasting5days.

MainOutcomeMeasures:Painvisualanaloguescore(VAS),totalrangeofmotion(ROM)oftheknee,Lysholm–Tegnerscale,andmidpatellacircumferentialgirthweremeasuredbeforethesurgeryandatthefirst,second,andsixthweekpostsurgery.

Results:Withineachgroup,statisticallysignificantdifferenceswerefoundinallstudyparametersinbothgroups.Comparisonofthestudyparametersbetweenbothgroupsrevealednostatisticalsignificanceatvarioustimepointsexceptthereductionofpaininthetapinggroupintheearlypostoperativephase(betweenthefirstandsecondweek)(P<0.05).

Conclusions:Thisisthefirstrandomizedcontrolledstudyinvestigatingtheefficacyofkinesiologytapinginarthroscopickneesurgery.OurstudyshowedthatkinesiologytapingreducedpainintheearlypostoperativeperiodafterACLR.Therewasnostatisticalsignificanceinthereductionofswellingorimprovementofkneescoreandtotalrangeofmotionwithkinesiologytaping.Readmore...

JournalArticleSpotlight:BritishJournalofSportsMedicine

Consensusstatementonconcussioninsport--the5thinternationalconferenceonconcussioninsportheldinBerlin,October2016

The2017ConcussioninSportGroup(CISG)consensusstatementisdesignedtobuildontheprinciplesoutlinedinthepreviousstatements1–4andtodevelopfurtherconceptualunderstandingofsport-relatedconcussion(SRC)usinganexpertconsensus-basedapproach.Thisdocumentisdevelopedforphysiciansandhealthcareproviderswhoareinvolvedinathletecare,whetheratarecreational,eliteorprofessionallevel.Whileagreementexistsontheprincipalmessagesconveyedbythisdocument,theauthorsacknowledgethatthescienceofSRCisevolvingandthereforeindividualmanagementandreturn-to-playdecisionsremainintherealmofclinicaljudgement.

Thisconsensusdocumentreflectsthecurrentstateofknowledgeandwillneedtobemodifiedasnewknowledgedevelops.ItprovidesanoverviewofissuesthatmaybeofimportancetohealthcareprovidersinvolvedinthemanagementofSRC.Thispapershouldbereadinconjunctionwiththesystematicreviewsandmethodologypaperthataccompanyit.Firstandforemost,thisdocumentisintendedtoguideclinicalpractice;however,theauthorsfeelthatitcanalsohelpformtheagendaforfutureresearchrelevanttoSRCbyidentifyingknowledgegaps.Readmore...

May30,2017

AOASMBOARDOFDIRECTORS

ExecutiveCommittee

JeffBytomski,DO,FAOASMPresident

JohnDougherty,DO,FAOASMPresident-Elect

ShawnKerger,DO,FAOASMFirstVicePresident

WilliamKuprevich,DO,FAOASMSecondVicePresident

RebeccahRodriguez,DOSecretary/Treasurer

R.RobFranks,DO,FAOASMImmediatePastPresident

BoardofDirectors

WarrenBodine,DO

BlakeBoggess,DO,FAOASM

DanielClearfield,DO,MS

AlKozar,DO,FAOASM

KathrynLambert,DO,FAOASM

AndrewT.Martin,DO,MBA,FAOASM

KateQuinn,DO

MichaelSampson,DO,FAOASM

StephenSteele,DO,FAOASM

PriscillaTu,DO,FAOASM

AssociateContacts

MichaelHenehanCJSMEditor

ExecutiveDirector

SusanRees

AmericanOsteopathicAcademyofSportsMedicine2424AmericanLane,Madison,WI53704+1-608-443-2477•info@aoasm.org•www.aoasm.orgManageyourpreferences|OptoutusingTrueRemove™Gotthisasaforward?Signuptoreceiveourfutureemails.Viewthisemailonline.Thisemailwassentto.Tocontinuereceivingouremails,addustoyouraddressbook.

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