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Guest Post by:

Michael J. Barr, PT, DPT, MSR
Sports Medicine Manager
MUSC Health Sports Medicine

The 2016 Summer Olympic Games concluded its two-week run in Rio de Janeiro Sunday night and now it is time to reflect on the games and amazing athletes we have grown to admire and support over that time. Despite controversies that started and ended these games – from the political and financial instability of Brazil, concerns over the Zika virus, to the Russian doping scandal and ending with Ryan Lochte – we still enjoyed amazing feats of athleticism and achievements from the likes of Michael Phelps, Simone Biles, Usain Bolt, and many others that will go down in history. Unfortunately, there are not just the highs with athletic events, but also lows, especially when serious injuries occur. One such injury at this year’s games brings us to one of the greatest moments of Olympic sportsmanship on record, truly reflecting the Olympic values of “excellence, friendship and respect.”

With approximately 2,000 meters left in the women’s 5,000 meter race, New Zealand runner Nikki Hamblin tripped and – at the same time – pulled down Abbey D’Agostino of the United States. D’Agostino quickly got back to her feet, but instead of continuing on with the race, she stopped and helped Hamblin back up to her feet. Both athletes helped and encouraged each other and were able to finish the race together. They were both granted spots in the finals, but D’Agonstino was injured in the fall. She had suffered the “unhappy triad,” tearing her ACL, MCL and medial meniscus. D’Agostino was not able to continue and compete in the finals.

There were over 11,500 athletes competing in 306 events in 28 different sports; with this extreme number of athletes, competing at such a high level of intensity, injuries are inevitable. Here are just a few of the more serious ones to highlight:

  • French gymnast, Samir Ait Said suffered what looked to be a compound tibia/fibula fracture during a pommel horse landing
  • Australian wrestler, Talgat Llyaso suffered an elbow dislocation during a match
  • Australian javelin thrower, Kim Mickle dislocated her right shoulder during a qualifying throw
  • Armenian weightlifter, Andranik Karapetyan dislocated his elbow when  attempting a clean and jerk lift with 429 lbs

As these athletes all have a LONG road to recovery, I am sure their dedication to training and competition will carry them through their rehabilitation. The above injuries were traumatic, but even the day to day strains, sprains and soreness can limit one’s ability to compete. You constantly hear athletes talking about 5 staples to their day to day recovery/regeneration: rest, hydration, nutrition, cryotherapy (ice and heat) and muscle management/stretching. Taking care of their bodies every day is the only way to compete at this level. We all hear about the “fad treatments”: cupping, kinesio tape, dry needling, hot stones, and many others. There is a time and place for all types of treatments, but do these simply to achieve a placebo effect or are they truly rooted in evidenced based practice? That is definitely a question for another article, but no matter what other treatments they are receiving, these athletes and all athletes no matter their age or competitive level, need to focus on the 5 staples for recovery: Rest, Hydration, Nutrition, Cryotherapy, and Muscle Management/Stretching.

The groundbreaking for the new Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion took place on Friday, August 12. The new hospital is moving into the construction phase after countless hours of planning.

It wasn’t just the architects involved in the planning of this new building, although they played a major role. Perkins and Will, architectural firm for the project, worked closed with MUSC’s Family Advisory Council to get the parent/patient perspective. Family members helped insure the hospital will be user friendly as well as aesthetically pleasing.

The interior design team took cues from the charm of Charleston, incorporating Charleston’s courtyard and courtyard gardens into lobby areas. Wanting the hospital rooms to be less “scary”, the team took inspiration from a comfortable beach house.

Some family members are so committed to the project that they have logged literally hundreds of hours volunteering with MUSC. Their input has been instrumental in the design, and sharing their stories has been vital in the decision making process.

For the full stories related to the Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion read the following articles:

Architects work to ensure hospital will be a landmark

Design of new children’s hospital aims to bring healing

New children’s hospital inspires, challenges builders

Mom of twins brings personal perspective to hospital planning

Pearl Tourville Women’s Pavilion to combine comfort with high-tech care

Guest Post by:

Stephanie Davey, ATC
Certified Athletic Trainer
MUSC Sports Medicine

It’s Summer Olympic time again! Every four years, Olympic fans look forward to watching sports that they normally don’t get to see. It’s a time to celebrate the lesser known athletes, who work just as, if not, harder than the superstars we see every day. Unfortunately the news prior to the 2016 Olympics has been controversial at best. One of the biggest controversies has been about the ban given to some of the Russian athletes for doping. While a majority of the Russian athletes have been cleared to compete, the ban has been upheld for over 100 athletes. WADA (World Anti-Doping Agency) has accused Russia of having a state sponsored doping program. They have also been accused of doping prior to and during the Sochi Olympics and that urine swapping was used to ensure that their athletes would pass the drug testing.Urine cup

While it appears that the Russians were able to cheat during the Sochi Olympics, the IOC (International Olympic Committee) generally has very strict anti-doping rules and policies in place for the Olympics. All Olympic athletes fall under the IOC rules umbrella from the time the Olympic village opens to the closing ceremonies. The athletes can be tested at any time during this period, whether it is in competition or out of competition. They are required to provide officials their whereabouts for that entire time, in case they are selected for an out-of-competition test. This is very important, as a missed test counts as a failed test. The IOC collects the samples and sends them to a WADA certified lab. Currently, the lab that is being used is in Brazil. However, this lab was suspended in June, due to “nonconformity with International Standard for Laboratories” and then reinstated in July. If the lab was not reinstated, the testing samples would have been sent to a certified lab in another country. In the case of a positive test, the burden of proof is on the IOC and the athletes are given an appeals process. Athletes are allowed to declare any prescription drugs that are used for therapeutic reasons. However, they must be declared and must be prescribed by a doctor. Unknowingly taking a banned substance is not an acceptable reason for failing a drug test.

In the United States, USADA (United States Anti-Doping Agency) runs the anti-doping program. They oversee all American Olympic sports and their governing bodies. They fully comply with all WADA regulations. The policies and procedures are similar to the IOC policies. However, American athletes can be tested 365 days a year and must provide their whereabouts to USADA.

While doping and all its implications is a concern and news story of most Olympics, it’s important to remember that most of these athletes do not cheat. Most work extremely hard and sacrifice years of their lives to have one chance at the Olympics. The Rio Olympics, as with all Olympics, will be about the glory of sport and competition.

Guest Post by:
Kathleen Choate, ATC, CSCS, CEAS
Athletic Trainer
MUSC Sports Medicine

When Kerri Walsh competed and won gold in the 2008 Olympics, spectators took notice of an unfamiliar style of taping on her shoulder. While this product had been around well beforehand, kinesiology taping has been quickly gaining in popularity among athletes since those Olympic Games. Aside from the popularity, it has also raised eyebrows, leaving some questioning whether it works. Below are some of the questions and concerns I hear most often. 

What does it do?

Kinesiology tape reduces pain and is “thought to decompress underlying structures and allow for enhanced circulation.” (Montalvo, MS, ATC, CSCS, Cara, DC, PhD, ATC, CSCS, & Myer, PhD, FACSM, CSCS*D, 2014).  It can be applied to a multitude of injuries, including strains, spasms, swelling and bruising.  It could also be applied for headaches, scars, anxiety, and indigestion.  There are even taping applications to use on horses!  While this tape comes in many colors and patterns, there are no physiological differences between them.

How do I put it on?Kinesiology taping

There is a wealth of information on the internet about how to apply it. You can even buy pre-cut tapings designed for specific body parts that come with step-by-step instructions. This does not guarantee it has been applied correctly, however.  You need to ask yourself several questions.

Do you know what your specific injury is? There are many taping applications for a knee, but they all may not apply to your specific injury.

Are you sure it was applied correctly?  Yes, you feel like you followed YouTube’s instructions to a T, but has anyone guided you through the application in person? Most clinicians who use this treatment method have either been taught to apply it in college or continuing education courses. Their education goes far beyond “taping” and into the evaluation, diagnosis, and treatment techniques that work in tandem for your specific condition.

Where are you getting your information/instructions? Much of the information you gather on your Google or YouTube searches may be misleading, marketing, or both. (Beutel, MD & Cardone, DO, 214). Again, this leads back to speaking with a clinician who has personally been trained on its application and your specific injury.

Who shouldn’t use it?

Kinesiology tape isn’t meant for everyone. Most manufacturers of kinesiology tape advise against its use if you are pregnant, have skin allergies, infection, cancer, open wounds, congestive heart failure or DVT risk (blood clots in the calf). If these apply to you, it may be best to avoid it.

How effective is it?

There is currently a lawsuit against a manufacturer of these tapes, arguing that there is a lack of scientific evidence and unsupported claims were made. This has only added to the skepticism many people feel. There are some studies that suggest that there is a placebo effect (Montalvo, MS, ATC, CSCS, Cara, DC, PhD, ATC, CSCS, & Myer, PhD, FACSM, CSCS*D, 2014); however, there are also many patients and clinicians who will swear to its effectiveness. Regardless, more research is needed.

Treatment for your injury should be multifaceted. While taping can be used to help you recover from an injury, it generally should not be relied upon solely. See your athletic trainer, physical therapist, or physician to find the best treatment plan for you.

Works Cited

Beutel, MD, B. G., & Cardone, DO, D. A. (214). Kinesiology Taping and the World Wide Web: A Quality and Content Analysis of Internet-Based Information. The International Journal of Sports Physical Therapy, 665-673.

Montalvo, MS, ATC, CSCS, A. M., Cara, DC, PhD, ATC, CSCS, E. L., & Myer, PhD, FACSM, CSCS*D, D. G. (2014). Effect of Kinesiology Taping on Pain in Individuals With Musculoskeletal Injuries: Systematic Review and Meta-Analysis. The Physician and Sportsmedicine, 48-57.

Four things NOT to say to someone with an eating disorder.

  1.      You look great or you look so much better (about weight loss).
  2.      Why don’t you just eat more?
  3.      You’re just doing this for attention.
  4.      I wish I had that problem.

This is what Dr. Renee Rienecke wants everyone to know. She’s the director of MUSC Health’s Friedman Center for Eating Disorders. One of the center’s main missions - other than helping patients with eating disorders - is educating the public about the best ways to help.

Any comment about appearance or weight loss is a bad idea, she says.

The clinic, for patients age 8 to 24 and their families, will offer a range of programs, including partial hospitalization and intensive outpatient options. Rienecke is the first certified Family Based Treatment (FBT) therapist in the state. She brings her expertise from the University of Michigan, where she served as director of Clinical Services and Research of the University of Michigan Comprehensive Eating Disorders Program.Donna Friedman and Dr. Renee Rienecke   

Rienecke said the Friedman Center will be a one-stop shop and safe haven for families who have a loved one with an eating disorder. Her team relies on evidence-based approaches. She prefers FBT therapy because of its track record. It has a 90 percent improvement rate for patients recovering from eating disorders that is maintained four to five years afterward.  

This is no small feat.

Eating disorders are prevalent and have the highest mortality rate of any mental illness. In the United States, an estimated 20 million women and 10 million men have a clinically significant eating disorder. The mortality rate with anorexia nervosa is 12 times higher than the death rate for someone without the disorder.  

Unfortunately, many teens and parents fail to realize how serious the problem is, Rienecke said. An estimated 20 percent of people suffering from anorexia nervosa will prematurely die from complications related to their disorder, including suicide and heart problems, according to the South Carolina Department of Mental Health.

Donna Friedman, center advocate and donor, agrees. “These kids don’t want this. It’s not a choice. We need to give them the tools to fight.”  

For more information about the center, call 843-876-1491.

 

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