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President's letter
AOASM
Patrick F. LEARY, D.O., FAOASM, FACSM

I was excited to become president of the AOASM because I have had some practical ideas to build on the success of our past leadership, great friends and selfless team physicians that I admire. Building on the best and brightest in our thirty year history I wanted to differentiate us (before it is too late) from the orthopedic sports medicine specialist, the ATC, physical therapist, massage therapist, acupuncturist, psychologist, nutritionist and personal trainer. While each of these providers have a role in the health and well-being of our athletes we, as primary care osteopathic sports medicine physicians, have the expertise to incorporate all of these disciplines and work as a TEAM to promote the health and well-being of our athletes both on and off the field.
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A modest man of greatness
Dr. Becca Rodriguez












The history of AOASM goes back to 1976 and what a ride it has been! An inspirational leader in our profession, Dr. Richard Parker has left an imprint on AOASM history and continues to make large strides for Sports Medicine.

Dr. Richard Parker grew up in Western Massachusetts in a family of two kids (his brother Bob is a D.O. Anesthesiologist in New Hampshire) where he excelled in academics and swimming. His talent in the water led him to Springfield College where he became Captain of the swim team his senior year and was named All American. It was in college that Dr. Parker encountered diverging professional roads – Dentistry or Medicine. Dr. Parker initially began his journey heading towards dental school only to have his college coach derail his plan by challenging him one day on a walk through campus. “What the hell would you want to spend the rest of your life looking into someone’s mouth for? Go for the gold!” Dr. Parker obviously took the challenge.

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Balance and flexibility for football athletes
Dr. Ahuja


As sports medicine physicians in the U.S., we often treat a special group of players that no one else in the world really understands: football players. Not soccer players, or footballers, as most of the world refers to them as, but American football players. What do these athletes do in the offseason? What can they do when they are not weightlifting or running sprints and suicides? How can we, as sports medicine providers, optimize their wellbeing and performance in and out of season?

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HEALTH FOR THE WHOLE FAMILY


Food poisoning: Your guide to prevention
AOA
The American Osteopathic Association offers monthly health-related articles you can use on your websites, in your newsletter or as handouts in your offices. You have the ability to change the article, or add to it as needed. The AOA would like feedback on articles, and appreciates knowing how you are using them or if you have had success in placing them in a local paper. You can share thoughts and publication success by contacting: pr@osteopathic.org. AOASM will continue to profile these articles from time to time to remind you of the resources available to you through the AOA.

Every year, millions of people experience symptoms related to food poisoning. Typically, symptoms are mild; however, in some instances they can escalate and lead to complications such as paralysis, kidney failure and even death. With symptoms ranging from mild to severe, often it is difficult to recognize the signs. So, how can you know for sure if your illness is just a minor digestive issue or a case of food poisoning?

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CLINICAL JOURNAL OF SPORT MEDICINE


Establishing expert consensus on the content of an exercise training program to prevent lower-limb injuries
Clinical Journal of Sport Medicine (subscription required)
The objective of this study was to achieve expert consensus on the content of an exercise training program (known as FootyFirst) to prevent lower-limb injuries. Members of the Australian Football Leagues' Medical Officers, physiotherapists and Sports Science Associations were invited to participate through email. Five people with more general expertise in sports-related lower-limb injury prevention were also invited to participate.
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Detection of concussion using cranial accelerometry
Clinical Journal of Sport Medicine (subscription required)
The objective of this study was to determine whether skull motion produced by pulsatile cerebral blood flow, as measured by cranial accelerometry, is altered during concussion. In phase 1, to identify a specific pattern indicative of concussion, cranial accelerometry of subjects who sustained a concussion underwent analysis of waveforms, which was compared with accelerometry from subjects without a concussion. In phase 2, this concussion pattern was tested against prospectively acquired, blinded data.
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BRITISH JOURNAL OF SPORTS MEDICINE


The International Rugby Board pitch side concussion assessment trial: A pilot test accuracy study
British Journal of Sports Medicine (subscription required)
"On the field and on the run" assessments of head impact events in professional rugby have resulted in a high proportion of players subsequently diagnosed with confirmed concussion not leaving the field of play at the time of injury. The International Rugby Board (IRB) consequently developed a process to support team doctors in the recognition and management of players at risk of concussion, including development of a multimodal assessment instrument — the Pitch Side Concussion Assessment tool.
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Listening to a personal music player is associated with fewer but more serious injuries among snowboarders in a terrain park
British Journal of Sports Medicine (subscription required)
Some snowboarders listen to music on a personal music player and the objective was to determine if listening to music was associated with injury in a terrain park. A case–control study was conducted at a terrain park in Alberta, Canada, during the 2008-2009, 2009-2010 winter seasons. Cases were snowboarders who were injured in the terrain park and presented to either the ski patrol and/or a nearby emergency department.
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INDUSTRY AND JOURNAL NEWS


How hamstrings should be trained
Liberty Voice
Athletes who had previous hamstrings injury have a 12 to 31 percent likelihood that they could re-injury the muscle group, according to a systematic review published in 2008 issue of North American Journal of Sports Physical Therapy. Most hamstring strains are caused by jumping, sprinting and kicking, because they involve quick deceleration or acceleration movements that could increase the chances of damaging the muscle fiber and other structures of the muscle and surrounding connective tissues.
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Platelet-rich plasma treatment is popular for sports injuries, whether it works or not
The Washington Post
They might as well call it magic. One clinic's website dubs platelet-rich plasma (PRP) therapy "revolutionary." Other purveyors call it a "breakthrough"; and "a paradigm shift." The treatment involves injecting concentrated platelets, taken from the patient’s own blood, into the site of injury to speed recovery, and stories of PRP's use by high-profile athletes have turned it into a lucrative business.
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Which teens are at risk for emotional symptoms after concussion?
Medical News Today
New research presented at the American Academy of Neurology's Sports Concussion Conference in Chicago, suggests that, following a concussion, some teenagers are more susceptible to emotional symptoms than others. In particular, the study — from researchers at the University of Kentucky in Lexington — suggests that teenagers who are sensitive to light or noise after a concussion are more likely to also experience emotional symptoms, such as anxiety.
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Doctors face ethical issues in benching kids with concussions
NPR
Doctors have gotten much better at diagnosing and treating sports-related concussions, which is a good thing since Americans suffer up to 4 million sports-related concussions a year. But we're not so good at is following their advice. Student athletes and parents sometimes balk at doctors' recommendations to avoid play until concussion symptoms are gone, or to cut back on schoolwork. Both have been shown to speed recovery, and getting another hit on a vulnerable brain increases the risk of long-term problems.
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