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August means preparticipation physical exams
The end of summer means sneaking in a last minute vacation, back to school shopping, the start of classes or if you are sports medicine physician, a schedule filled with athletes needing preparticipation physical exams. To assist with these exams, AOASM offers the publication PPE: Preparticipation Physical Exam, Fourth Edition.
The American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society created this monograph for Sports Medicine, American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine originally in 1992. Now its fourth edition, the PPE has been recognized for the important role the exam itself plays in screening athletes and promoting regular exercise.
The PPE writing team identified and outlined both evidence-based and expert opinion principles and practices in the examination and activity clearance. The PPE includes:
You can order your copy of the PPE: Preparticipation Physical Exam on the AOASM website.
- System-by-system physical examination guidelines including cardiovascular, CNS, pulmonary, GI/genitourinary, musculoskeletal and dermatologic
- Medical history questions
- Clearance considerations
- Updated return-to-play guidelines
- Expanded discussions of ethical and legal concerns
- Detailed recommendations for evaluating the female athlete
- New sudden cardiac death screening developments
- PPE forms including
- History Form
- Athlete with Special Needs Supplemental History Form
- Physical Examination Form
- Clearance Form
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August is Children's Eye Health and Safety Month
August is Children’s Eye Health and Safety Month, and Prevent Blindness American is featuring information for parents, teachers and coaches on sports eye safety. According to the Coalition to Prevent Sports Eye Injuries, there are more than 600,000 sports related eye injuries each year, with over 42,000 requiring trips to the emergency room. Over 90 percent of these injuries are preventable with the use of appropriate protective eyewear. According to one study, one in eighteen college students will experience an eye injury each season and basketball players have a significantly higher risk of one in ten players becoming injured.
Sports that are considered high to moderate risk include many that are common in schools across the country, as well as community recreational programs, including baseball, basketball, lacrosse, hockey, tennis, soccer, volleyball, football and golf. The American Academy of Pediatrics, American Academy of Ophthalmology and American Optometric Association all recommend protective eyewear for children and adults participating in these sports.
Prevent Blindness American recommends that protective eyewear should be labeled as ASTM F803 approved. Batting helmets with polycarbonate face shields should be worn for youth baseball. Helmets and face shields approved by the U.S. Amateur Hockey Association should be worn when playing hockey. Parents and coaches should ensure that football helmets are fitted to the individual athlete and that all helmets meet the National Operating Committee on Standards for Athletic Equipment (NOCSAE) standards.
You can find additional guidelines and recommendations on sport eye protectors and children’s sport safety at Prevent Blindness America. The Coalition to Prevent Sports Eye Injuries offers regional prevention centers to help raise awareness of sport related injuries and prevention. Find more information, or a prevention center near you at www.sportseyeinjuries.com.
LECOM Sports Medicine Fellows
LECOM Sports Medicine Fellows join Program Director, Dr. Patrick Leary to provide medical coverage for the annual LECOM 5K. Pictured left to right, Dr. Patrick Leary, Dr. Josh Smith, Dr. Brett DeGooyer and Dr. Darin Gwartney.
The Annual Cranford Firecracker Run with Dr. Beams and Dr. Robert Flowers
Dr. Michael Beams (on left) Assistant Program Director of Atlantic Health
System Overlook Medical Center Primary Care Sports Medicine Fellowship of Summit New Jersey is pictured with the 2014-15 Fellow, Dr. Robert Flowers. They are pictured in front of the start desiring 5000 runners in the Annual Cranford Firecracker Run. Dr. Beams has been Medical Director of one of the premiere running events in New Jersey for 15+ years.
CLINICAL JOURNAL OF SPORT MEDICINE
Cardiovascular preparticipation screening practices of college team physicians
Clinical Journal of Sport Medicine (subscription required)
The objective of this study was to determine the cardiovascular screening practices of college team physicians. Participants consisted of American Medical Society for Sports Medicine college team physicians and recieved electronic mail with a link to a 9-item survey.
BRITISH JOURNAL OF SPORTS MEDICINE
The effect of coach and player injury knowledge, attitudes and beliefs on adherence to the FIFA 11+ programme in female youth soccer
British Journal of Sports Medicine (subscription required)
Injury knowledge and beliefs influence uptake of prevention programs, but the relationship between knowledge, beliefs and adherence remains unclear.
The aim of this study was to describe injury knowledge and beliefs among youth female soccer coaches and players, and to identify the relationship between these factors, different delivery strategies of the FIFA 11+ program and adherence.
INDUSTRY AND JOURNAL NEWS
Concussions from top-of-head impact 'more severe'
Medical News Today
As Americans head into the start of the new school year, many young people will begin signing up for the football team. Though team sports are a great way for kids to boost their self-esteem and increase physical activity, there are certain risks involved with contact sports, including concussions. Now, a recent study from the American Academy of Pediatrics investigates how the location of impact could affect concussion severity.
Concussion symptoms not dependent on location of injury
Headlines & Global News
Concussions have the same effects regardless of the location of the head injury, according to researchers from the Colorado School of Public Health.
Dawn Comstock led the study, which analyzed data from a recent study of high school sports-related injuries that occurred during the 2008-2009 and 2012-2013 seasons. The analysis revealed that around 45 percent of the 2,526 football-related injuries studied resulted from hits to the head during practices and games.
Allograft ACL reconstructions might have higher failure rates
A tear of the anterior cruciate ligament (ACL) is one of the most disabling knee injuries that afflicts athletes and athletic people. Most patients undergo surgery to restore knee stability and function in order to allow return to sports and exercise. In fact, it has been estimated that approximately 200,000 ACL reconstruction surgeries are performed each year.
Study: For pro-soccer players, concussion increases risk of other injuries
Reuters via Yahoo News
Professional soccer players who sustain a concussion are more likely to suffer another injury over the next year than players with other injuries, like groin strains or hamstring pulls, according to a new study from Sweden.
Researchers used data from the ongoing Union of European Football Associations Champions League injury study. Participants included 46 all-male pro soccer teams at the highest level of the sport in 10 countries.
Exercising to excess increases risk of death for heart attack survivors
Medical News Today
A new study published in Mayo Clinic Proceedings finds that heart attack survivors who exercise excessively are at increased risk of dying from heart problems. However, regular physical activity is recommended for managing heart disease and lowering the risk of death from high blood pressure, stroke and Type 2 diabetes.
Researchers discover surprising differences in how teen athletes experience concussion
With multiple concussions between the two of them, Dan Han and Lisa Koehl's latest research interest isn't surprising.
"I played competitive soccer through high school and continue to play recreationally," says Koehl, a doctoral candidate in the University of Kentucky's Department of Psychology, "so I have firsthand experience with the dynamics that come into play when a teen suffers a concussion."
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