Showing posts with label Sports Medicine. Show all posts
Showing posts with label Sports Medicine. Show all posts

Thursday, March 21, 2024

Ice Bathing: An Ancient Practice Without Evidence

"But the more we study ice bathing, the more we learn that athletes have it backward: regular immersion in cold water markedly inhibits recovery from strenuous exercise. Muscle soreness is a consequence of doing physical activity to which you’re unaccustomed. That could be a gym session, a run, or a repetitive household chore that took longer than you expected. Just as a rubber band becomes frayed if you continually stretch it under load, your muscles sustain minuscule tears if they’re stretched too far or exert too much force. The subsequent damage causes a few days of swelling, inflammation, and soreness. It’s actually a normal and essential part of the muscular adaptation to exercise, associated with something called the overload principle. In any case, if the stress is applied regularly and with enough recovery, the muscles adapt by laying down new structural proteins, like a construction crew assembling steel beams to support the infrastructure of a building.

"Ice bathing fundamentally inhibits this process. In a collaboration between scientists in Australia and Norway, researchers found that cold-water immersion after hard exercise suppressed signaling pathways associated with recovery, an effect that lasted for several days. Another study, this time from the Netherlands, showed that ice bathing attenuated the muscle’s uptake of dietary proteins—nutrients considered important for the growth and maintenance of cells."

Click on the link below for more:


Wednesday, April 5, 2023

Barefoot Running Shoes: Unsupported By Science

"All doctrines have demons, some more literal than others. What I mean by this is that ideologies tend to endure because they have a common antagonist against whom proponents can rally. For example, the Abrahamic religions brandish the Devil; politicians demonize members and policies of the opposing party; athletes and supporters unite against an opposing sports team; homeopaths fuel fear of “big pharma”; and proponents of the keto diet denounce carbohydrates, or “big carb,” for their role in diabetes, inflammation, and cardiovascular disease. In the world of barefoot running, it’s the modern sneaker industry, condemned for supplying generations of runners with highly cushioned soles that have weakened their leg muscles, collapsed the arches of their feet, and predisposed them to high rates of injury. Fringes of the movement even dabble in conspiracy theory, asserting that we’ve been poisoned against our “natural running gait” and become dependent on expensive modern shoes. The oxymoronic 'barefoot running shoe' is proposed as the panacea."

Click on the link below for the problems with this fad:

Barefoot Running: Conspiracies and Controversies

Thursday, December 1, 2022

Sports And Pseudoscience

"Earlier this year, the world’s most successful male tennis player, Novak Djokovic, was deported from Australia—not for misconduct on the court or for doping, but for violating Australia’s border policy that mandated COVID-19 vaccinations.1 Djokovic is one of many professional athletes who have refused the vaccine, a list that includes Czech tennis player Renata Voráčová; NBA players Kyrie Irving and Jonathan Isaac; American golfer Bryson DeChambeau; and professional footballers Aaron Rodgers, Cole Beasley, Vernon Butler, and Star Lotulelei."

Anti-vaccination is only the tip of the iceberg of athletes and so-called sports medicine going rogue against science. Click on the link below for the details. If you think this is an isolated article, Google "sports pseudoscience" and you will get an eyeful:


Tuesday, October 4, 2022

Kinesio Tape: Another Sports Medicine Placebo

"There is extensive literature on K-Tape. Despite a sprinkling of positive studies—showing a small benefit on ankle proprioception and stability—the data are overwhelmingly insignificant. A key-word search on PubMed (a popular online search tool for life sciences and biomedical research) returned fifteen review articles and/or meta-analyses, authored by various groups and institutions, that have summarized the effects of K-Tape on injury management, rehabilitation, and exercise performance. I encourage you to study their methods and results independently, but here are the cliff notes, organized by body part."

Click on the link below for the details:


Sunday, January 12, 2020

Ice: Fine For Post-Injury Pain, But - - -

I learned early in my physical therapy career to follow the evidence in all treatment. Unfortunately, much in physical therapy is not backed up with good supporting evidence. Ice is no exception.

This article is clear: ice adds no value to the healing process. That given, it is a fairly good pain-reliever.

Thursday, November 10, 2016

Eye Injuries In Children

"'Eye injuries are the leading cause of blindness in children in the United States and most injuries occurring in school-aged children are sports-related,' states the National Eye Institute. 'Protective eyewear, which is made of ultra-strong polycarbonate, is 10 times more impact resistant than other plastics, and does not reduce vision. All children who play sports should use protective eyewear -- not just those who wear eyeglasses or contact lenses. For children who do wear glasses or contact lenses, most protective eyewear can be made to match their prescriptions.'"

Eye Injuries in Youth Sports, and Where They Come From

Tuesday, September 27, 2016

Stress Fractures And Return To Sport

"In our recent paper ‘Taking a holistic approach to managing difficult stress fractures’ in the Journal of Journal of Orthopaedic Surgery and Research, my team at The Ohio State University Wexner Medical Center presents greater context for a holistic approach, along with criteria athletes should consider before returning to sport. They include:
  • Complete resolution of symptoms
  • Full return to activities of daily living
  • Radiographic evidence of healing
  • No tenderness to palpation at the injury site
  • Optimization of the athlete’s nutritional, biomechanical, hormonal and psychological status"
Injured Olympian or weekend warrior, you can’t rush a return to sports

Thursday, August 11, 2016

Sports Rituals And Superstitions

"I suspect that getting cupping prior to a race is no more effective than getting a relaxing massage minus any dubious health claims about toxins or chi. Visualizing your floor routine is probably as or more effective than rubbing your lucky charm."

Do Superstitious Rituals Help Performance?

Tuesday, August 9, 2016

Ice Therapy for Orthopedic Injuries

In every physical therapy clinic and athletic trainer's room one will find ice for treatment in many forms.  However, most lay people don't realize that the use of ice for orthopedic injuries has very thin research support.  In addition, there is some research and speculation that it, in at least some situations, may make the situation worse.

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Choose how you look at reality wisely. Yes, it is a binary choice.

Choose how you look at reality wisely. Yes, it is a binary choice.
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