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:: June 2009 Welcome to our Monthly Online Newsletter!Highlighted ArticleAthletic Trainers Issue Heat-Acclimatization Guidelines for High School Athletes The guidelines define the heat-acclimatization period as the first 14 consecutive days of preseason practice. Days 1 through 5 of the heat-acclimatization period consist of the first 5 days of formal practice. During this time, athletes may not have more than 1 practice per day and total practice time should not exceed 3 hours in any 1 day, according to the guidelines. During the first 5 days of the heat-acclimatization period, the guidelines allow for a maximum 1-hour "walk-through" -- defined as a teaching opportunity without any protective gear or sports-related equipment -- but a 3-hour recovery period should be inserted between the practice and walk-through (or vice versa). During days 1 and 2 of the heat-acclimatization period, in sports requiring helmets or shoulder pads, a helmet should be the only protective equipment permitted; goalies should not wear full protective gear or perform activities that would require full gear. During days 3 through 5, shoulder pads can be added and on day 6, all protective equipment may be worn and full contact may begin. Beginning no earlier than day 6 and continuing through day 14, a single-practice day must follow all double-practice days. On single-practice days, one walk-through is permitted, separated from practice by at least 3 hours of continuous rest. When a double-practice day is followed by a rest day, another double-practice day is permitted after the rest day. On double-practice days, the guidelines state each practice should not exceed 3 hours and student-athletes should not participate in more than a total of 5 total hours of practice. Warm-up, stretching, cool-down, walk-through, conditioning, and weight-room activities are included as part of the practice time. The two practices should also be separated by at least 3 continuous hours in a cool environment. Because the risk of exertional heat illness during the preseason heat-acclimatization period is high, the guidelines "strongly recommend" that an athletic trainer be on site before, during and after all practices. Clinical GuidelinesNGC - AAOS clinical guideline on shoulder pain. (2001) NGC - Ankle sprain. (2006) NGC - Manual medicine guidelines for musculoskeletal injuries. (2004) NGC - Rotator cuff tear. (2004) NGC - The diagnosis and management of soft tissue knee injuries: internal derangements. (2003) NGC - The diagnosis and management of soft tissue shoulder injuries and related disorders. (2004) Internet Sites
Featured siteCommon Sports Injuries, Causes, Symptoms, Diagnosis and Treatments Ice and Heat Treatment for Injuries (Patient UK) NIH Bursitis A bursa is a filmy-colored sac that protects and cushions your joints. Bursitis means inflammation of one of your bursa sacs. The inflammation may result from arthritis in the joint or injury or infection of a bursa. Bursitis produces pain and tenderness and may limit the movement of nearby joints. You can get bursitis in your shoulders, elbows, hips, knees, heels and big toe. Injuries, overuse and repetitive stress are common causes of bursitis. Certain diseases, such as arthritis and gout, might also cause it. It sometimes occurs with tendinitis. You can usually treat bursitis with rest, ice, and medicines to ease pain and reduce swelling. Other treatments include ultrasound, physical therapy, steroid injections and, in rare cases, surgery. Stretching before you exercise, strengthening your muscles and resting when you do repetitive tasks might help prevent bursitis. NIH - Medical Encyclopedia Skull Fracture NIH - NIAMS Childhood Sports Injuries and Their Prevention NIH - NIAMS Childhood Sports Injuries and Their Prevention: A Guide for Parents with Ideas for Kids Related InfoMedSearch TopicsRelated Topics - Highlighted Articles
Water - Fluids - DehydrationManagement of Heatstroke and Heat Exhaustion (Am Fam Physician 2005) "Heat exhaustion is characterized by nonspecific symptoms such as malaise, headache, and nausea. Treatment involves monitoring the patient in a cool, shady environment and ensuring adequate hydration. Untreated heat exhaustion can progress to heatstroke, a much more serious illness involving central nervous system dysfunction such as delirium and coma. Other systemic effects, including rhabdomyolysis, hepatic failure, arrhythmias, disseminated intravascular coagulation, and even death, are not uncommon. Prompt recognition and immediate cooling through evaporation or full-body ice-water immersion are crucial."
Water - Fluids - DehydrationToo Much Water During Exercise Can Kill "Sports medicine experts have issued a report aimed at increasing awareness of exercise-associated hyponatremia -- a condition in which athletes develop dangerously low sodium levels by drinking excessive amounts of fluids during prolonged exercise."
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