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Share this email: What's New in May 2017! In the May 2017 edition of Sidelines you will find the following content: President Letter: Written by Jeffrey Bytomski, DO, FAOASM Athletes in the Arts Update: Written by Rebeccah Rodriguez, DO The DO: In Memoriam, John Finley, DO Highlights from the 2017 Clinical Conference Journal Article Spotlight: Clinical Journal of Sports Medicine Journal Article Spotlight: British Journal of Sports Medicine From the President: Jeffrey Bytomski, DO, FAOASM I hope everyone made it home safely from another fun and educational Annual Clinical Conference in Las Vegas. I am both honored and humbled to serve as your new president of the AOASM. I want to thank Rob Franks for serving our organization so well over the last year. He continues to set the bar high and I hope to continue to progress our organization forward through this year, especially with the graduate medical education transition. AOASM is well positioned to be a leader during this crucial time. I would also hope we all look back during our education and embrace the Osteopathic Tenets as the foundation as we care for our patients: The body is a unit; the person is a unit of body, mind, and spirit. The body is capable of self-regulation, self-healing, and health maintenance. Structure and function are reciprocally interrelated. Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function. These principles help set us apart as we care for our patients as people. As many of you know, I am a huge proponent of eating well and moving every day as these two things fall right in line with our tenets and should help guide our patients to find health and not wait to treat disease. Some highlights from the AOASM Annual Clinical Conference include: 1. Wayne English received the inaugural Mentor of the Year Award. I could not think of anyone else more worthy to receive this inaugural award. He has touched so many in a positive way and embodies the quality of healer and teacher like no one else. 2. We welcome our new recipients of the award of fellow: Warren Bodine, Daniel Clearfield, John Hill, Jason Smith, and Melissa Tabor. 3. We had a record number of case and research submissions for this year’s meeting. Our case and research presentation winners: Nathan Fitton, Shaun Garff, James Docherty, and Aaron Lee Price. That leads us looking forward to our AOASM sessions October 7-9 at OMED 2017 in Philadelphia. Dr. Kuprevich will chair the meeting this year and will have another outstanding lineup of speakers. Do not forget to mark sports medicine when you register for the meeting so we obtain credit from the AOA for those who attend. As summer starts soon, I hope you all find some time to spend with friends and family to recharge for the fall. I look forward to serving you during the upcoming year. Please let me know any way the AOASM can serve you better over the year. The new and improved AOASM website will also be live soon, which will give us further ways to communicate and add value to your membership. Sincerely, Jeff Jeffrey Bytomski, DO, FAOASM President, American Osteopathic Academy of Sports Medicine Athletes and the Arts Written by: Rebeccah Rodriguez, DO Musician MSK 411: The Basics Music is medicine. “Music is life…that is why our hearts have beats.” Instrumental musicians are a special risk group for MSK injuries. Overuse syndrome accounts for 50% of musical instrument player injuries. The greatest risk of MS injury occurs when changing a technique or using a new instrument, and with prolonged playing with inadequate rest. Musicians all have different postures to uphold depending on what type of musical instrument played. The MSK injuries also can result from factors such as incorrect posture, non- ergonomic technique, excessive force, overuse, poor lighting, and insufficient rest. Many examples include: practicing for a performance or perfecting a new technically difficult piece. Most injuries are due to static loading and repetitive activity, and uneven holding of one position for many minutes at a time. Here is a list of common ailments and their associated instruments: 1. Cervicalgia: violin, percussion, cello 2. Upper extremity hand: clarinet, oboe, percussion 3. Upper extremity shoulder: flute 4. Forearm tendinitis: violin, viola, cello, woodwinds 5. Lumbago: double bass, bassoon, brass section This special population of musicians is a great example of how DOs can use Osteopathic education, evaluation, and treatment skills! Please don’t forget to examine for overall body habits, fitness, and nutritional habits. When grading severity of injury in musicians, it is helpful to use the standard system as follows: • Grade 1: consistent pain in one site on playing then resolves when not playing instrument. • Grade 2: pain in multiple sites. + TTP, transient weakness or loss of control. • Grade 3: pain in multiple sites causing pain with and without instrument use. May have weakness, loss of control, and loss of dexterity. • Grade 4: grade 3 + ADL’s causing pain. • Grade 5: grade 4 + loss of capacity of hand because of disabling pain. The DO: In Memoriam, John Finley, DO John Finley, DO, 88, passed on April 27, 2017. Dr. Finley, who served as team physician for the Detroit Red Wings for more than 40 years, had a legendary reputation in the NHL, especially for his supreme suturing skills, according to an article published in the Detroit Free Press. Before the days of hockey masks and protective padding, Dr. Finley was responsible for setting broken bones, relieving players’ pain, and stitching up their wounds, taking special care to avoid permanent nerve damage. When Dr. Finley retired in 2003, he wrote "Hockeytown Doc: A Half-Century of Red Wings Stories from Howe to Yzerman." The DO last spoke with Dr. Finley at OMED 2012 where he was autographing copies of "Hockeytown Doc." “Our goal was to have the patients appreciate what we were doing for them and come to us immediately when they had a problem,” said Dr. Finley. And appreciate him, they did. In the foreword to Dr. Finley’s book, prominent Detroit Red Wings player, Gordie "Mr. Hockey" Howe, wrote that his physician was a hero. “He was our psychologist and confidante, helping us navigate the demands of being fathers, husbands, and sports figures,” said Howe. Read more... 2017 Clinical Conference Highlights The AOASM held its 32nd Annual Clinical Conference in Las Vegas, Nevada, on May 1-6, 2017. Meeting highlights included: There were 309 attendees, 55 of whom were students. There were 24.5 Category 1A CME credits, 2.0 Category 2B CME credits, and up to 23.25 hours of BOC credits available to earn. The preconference workshop on ultrasound technique brought in 36 participants for the diagnostic workshop and 38 for the procedures workshop. There were 13 vendors in the Exhibit Hall. There were 22 participants in the first ever AOASM Shirt Swap. Countless volunteer hours were given to make this conference a success! A huge THANK YOU goes out to all who helped plan and came to participate in the AOASM 32nd Annual Conference! Click the button below for more great photos and videos from this year's conference! 2017 Clinical Conference Photos Journal Article Spotlight: Clinical Journal of Sport Medicine Does Kinesiology Taping Improve the Early Postoperative Outcome in Anterior Cruciate Ligament Reconstruction? A Randomized Controlled Study Objective: The efficacy of kinesiology taping in arthroscopic knee surgery has not been reported. The objective of this study is to investigate the efficacy of kinesiology taping in the early postoperative phase after anterior cruciate ligament reconstruction (ACLR). We hypothesized that kinesiology taping reduces knee pain and swelling and improves knee range of movement and functional outcome. Design: Randomized controlled study. Setting: Primary Institutional Hospital. Patients: Sixty subjects who underwent an elective ACLR with or without concurrent meniscectomy were randomized into intervention (with kinesiology taping postsurgery) and control groups. Interventions: Subjects from both groups received standardized postoperative physiotherapy. Subjects from the intervention group received additional kinesiology taping on the first and second weeks postsurgery, each application lasting 5 days. Main Outcome Measures: Pain visual analogue score (VAS), total range of motion (ROM) of the knee, Lysholm–Tegner scale, and mid patella circumferential girth were measured before the surgery and at the first, second, and sixth week postsurgery. Results: Within each group, statistically significant differences were found in all study parameters in both groups. Comparison of the study parameters between both groups revealed no statistical significance at various time points except the reduction of pain in the taping group in the early postoperative phase (between the first and second week) (P < 0.05). Conclusions: This is the first randomized controlled study investigating the efficacy of kinesiology taping in arthroscopic knee surgery. Our study showed that kinesiology taping reduced pain in the early postoperative period after ACLR. There was no statistical significance in the reduction of swelling or improvement of knee score and total range of motion with kinesiology taping. Read more... Journal Article Spotlight: British Journal of Sports Medicine Consensus statement on concussion in sport--the 5th international conference on concussion in sport held in Berlin, October 2016 The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements1–4 and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is developed for physicians and healthcare providers who are involved in athlete care, whether at a recreational, elite or professional level. While agreement exists on the principal messages conveyed by this document, the authors acknowledge that the science of SRC is evolving and therefore individual management and return-to-play decisions remain in the realm of clinical judgement. This consensus document reflects the current state of knowledge and will need to be modified as new knowledge develops. It provides an overview of issues that may be of importance to healthcare providers involved in the management of SRC. This paper should be read in conjunction with the systematic reviews and methodology paper that accompany it. First and foremost, this document is intended to guide clinical practice; however, the authors feel that it can also help form the agenda for future research relevant to SRC by identifying knowledge gaps. Read more... May 30, 2017 AOASM BOARD OF DIRECTORS Executive Committee Jeff Bytomski, DO, FAOASM President John Dougherty, DO, FAOASM President-Elect Shawn Kerger, DO, FAOASM First Vice President William Kuprevich, DO, FAOASM Second Vice President Rebeccah Rodriguez, DO Secretary/Treasurer R. Rob Franks, DO, FAOASM Immediate Past President Board of Directors Warren Bodine, DO Blake Boggess, DO, FAOASM Daniel Clearfield, DO, MS Al Kozar, DO, FAOASM Kathryn Lambert, DO, FAOASM Andrew T. Martin, DO, MBA, FAOASM Kate Quinn, DO Michael Sampson, DO, FAOASM Stephen Steele, DO, FAOASM Priscilla Tu, DO, FAOASM Associate Contacts Michael Henehan CJSM Editor Executive Director Susan Rees American Osteopathic Academy of Sports Medicine 2424 American Lane, Madison, WI 53704 +1-608-443-2477 • [email protected] www.aoasm.org Manage your preferences | Opt out using TrueRemoveGot this as a forward? Sign up to receive our future emails. View this email online. This email was sent to . 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What'sNewinMay2017!IntheMay2017editionofSidelinesyouwillfindthefollowingcontent:

PresidentLetter:WrittenbyJeffreyBytomski,DO,FAOASMAthletesintheArtsUpdate:WrittenbyRebeccahRodriguez,DOTheDO:InMemoriam,JohnFinley,DOHighlightsfromthe2017ClinicalConferenceJournalArticleSpotlight:ClinicalJournalofSportsMedicineJournalArticleSpotlight:BritishJournalofSportsMedicine

FromthePresident:JeffreyBytomski,DO,FAOASMIhopeeveryonemadeithomesafelyfromanotherfunandeducationalAnnualClinicalConferenceinLasVegas.IambothhonoredandhumbledtoserveasyournewpresidentoftheAOASM.IwanttothankRobFranksforservingourorganizationsowelloverthelastyear.HecontinuestosetthebarhighandIhopetocontinuetoprogressourorganizationforwardthroughthisyear,especiallywiththegraduatemedicaleducationtransition.AOASMiswellpositionedtobealeaderduringthiscrucialtime.

IwouldalsohopewealllookbackduringoureducationandembracetheOsteopathicTenetsasthefoundation

aswecareforourpatients:

Thebodyisaunit;thepersonisaunitofbody,mind,andspirit.Thebodyiscapableofself-regulation,self-healing,andhealthmaintenance.Structureandfunctionarereciprocallyinterrelated.Rationaltreatmentisbaseduponanunderstandingofthebasicprinciplesofbodyunity,self-regulation,andtheinterrelationshipofstructureandfunction.

Theseprincipleshelpsetusapartaswecareforourpatientsaspeople.Asmanyofyouknow,Iamahugeproponentofeatingwellandmovingeverydayasthesetwothingsfallrightinlinewithourtenetsandshouldhelpguideourpatientstofindhealthandnotwaittotreatdisease.

SomehighlightsfromtheAOASMAnnualClinicalConferenceinclude:

1. WayneEnglishreceivedtheinauguralMentoroftheYearAward.Icouldnotthinkofanyoneelsemoreworthytoreceivethisinauguralaward.Hehastouchedsomanyinapositivewayandembodiesthequalityofhealerandteacherlikenooneelse.

2. Wewelcomeournewrecipientsoftheawardoffellow:WarrenBodine,DanielClearfield,JohnHill,JasonSmith,andMelissaTabor.

3. Wehadarecordnumberofcaseandresearchsubmissionsforthisyear’smeeting.Ourcaseandresearchpresentationwinners:NathanFitton,ShaunGarff,JamesDocherty,andAaronLeePrice.

ThatleadsuslookingforwardtoourAOASMsessionsOctober7-9atOMED2017inPhiladelphia.Dr.Kuprevichwillchairthemeetingthisyearandwillhaveanotheroutstandinglineupofspeakers.DonotforgettomarksportsmedicinewhenyouregisterforthemeetingsoweobtaincreditfromtheAOAforthosewhoattend.

Assummerstartssoon,Ihopeyouallfindsometimetospendwithfriendsandfamilytorechargeforthefall.Ilookforwardtoservingyouduringtheupcomingyear.PleaseletmeknowanywaytheAOASMcanserveyoubetterovertheyear.ThenewandimprovedAOASMwebsitewillalsobelivesoon,whichwillgiveusfurtherwaystocommunicateandaddvaluetoyourmembership.

Sincerely,

Jeff

JeffreyBytomski,DO,FAOASM

President,AmericanOsteopathicAcademyofSportsMedicine

AthletesandtheArtsWrittenby:RebeccahRodriguez,DO

MusicianMSK411:TheBasics

Musicismedicine.“Musicislife…thatiswhyourheartshavebeats.”InstrumentalmusiciansareaspecialriskgroupforMSKinjuries.Overusesyndromeaccountsfor50%ofmusicalinstrumentplayerinjuries.ThegreatestriskofMSinjuryoccurswhenchangingatechniqueorusinganewinstrument,andwithprolongedplayingwithinadequaterest.

Musiciansallhavedifferentposturestoupholddependingonwhattypeofmusicalinstrumentplayed.TheMSKinjuriesalsocanresultfromfactorssuchasincorrectposture,non-ergonomictechnique,excessiveforce,overuse,poorlighting,andinsufficientrest.Manyexamplesinclude:practicingforaperformanceorperfectinganewtechnicallydifficultpiece.Mostinjuriesareduetostaticloadingandrepetitiveactivity,andunevenholdingofonepositionformanyminutesatatime.

Hereisalistofcommonailmentsandtheirassociatedinstruments:

1.Cervicalgia:violin,percussion,cello

2.Upperextremityhand:clarinet,oboe,percussion

3.Upperextremityshoulder:flute

4.Forearmtendinitis:violin,viola,cello,woodwinds

5.Lumbago:doublebass,bassoon,brasssection

ThisspecialpopulationofmusiciansisagreatexampleofhowDOscanuseOsteopathiceducation,evaluation,andtreatmentskills!Pleasedon’tforgettoexamineforoverallbodyhabits,fitness,andnutritionalhabits.Whengradingseverityofinjuryinmusicians,itishelpfultousethestandardsystemasfollows:

•Grade1:consistentpaininonesiteonplayingthenresolveswhennotplayinginstrument.

•Grade2:paininmultiplesites.+TTP,transientweaknessorlossofcontrol.

•Grade3:paininmultiplesitescausingpainwithandwithoutinstrumentuse.Mayhaveweakness,lossofcontrol,andlossofdexterity.

•Grade4:grade3+ADL’scausingpain.

•Grade5:grade4+lossofcapacityofhandbecauseofdisablingpain.

TheDO:InMemoriam,JohnFinley,DOJohnFinley,DO,88,passedonApril27,2017.Dr.Finley,whoservedasteamphysicianfortheDetroitRedWingsformorethan40years,hadalegendaryreputationintheNHL,especiallyforhissupremesuturingskills,accordingtoanarticlepublishedintheDetroitFreePress.

Beforethedaysofhockeymasksandprotectivepadding,Dr.Finleywasresponsibleforsettingbrokenbones,relievingplayers’pain,andstitchinguptheirwounds,takingspecialcaretoavoidpermanentnervedamage.

WhenDr.Finleyretiredin2003,hewrote"HockeytownDoc:AHalf-CenturyofRedWingsStoriesfromHowetoYzerman."

TheDOlastspokewithDr.FinleyatOMED2012wherehewasautographingcopiesof"HockeytownDoc."

“Ourgoalwastohavethepatientsappreciatewhatweweredoingforthemandcometousimmediatelywhentheyhadaproblem,”saidDr.Finley.

Andappreciatehim,theydid.IntheforewordtoDr.Finley’sbook,prominentDetroitRedWingsplayer,Gordie"Mr.Hockey"Howe,wrotethathisphysicianwasahero.

“Hewasourpsychologistandconfidante,helpingusnavigatethedemandsofbeingfathers,husbands,andsportsfigures,”saidHowe.Readmore...

2017ClinicalConferenceHighlights

TheAOASMheldits32ndAnnualClinicalConferenceinLasVegas,Nevada,onMay1-6,2017.Meetinghighlightsincluded:

Therewere309attendees,55ofwhomwerestudents.Therewere24.5Category1ACMEcredits,2.0Category2BCMEcredits,andupto23.25hoursofBOCcreditsavailabletoearn.Thepreconferenceworkshoponultrasoundtechniquebroughtin36participantsforthediagnosticworkshopand38fortheproceduresworkshop.Therewere13vendorsintheExhibitHall.Therewere22participantsinthefirsteverAOASMShirtSwap.Countlessvolunteerhoursweregiventomakethisconferenceasuccess!

AhugeTHANKYOUgoesouttoallwhohelpedplanandcametoparticipateintheAOASM32ndAnnualConference!Clickthebuttonbelowformoregreatphotosandvideosfromthisyear'sconference!

2017ClinicalConferencePhotos

JournalArticleSpotlight:ClinicalJournalofSportMedicine

DoesKinesiologyTapingImprovetheEarlyPostoperativeOutcomeinAnteriorCruciateLigamentReconstruction?ARandomizedControlledStudy

Objective:Theefficacyofkinesiologytapinginarthroscopickneesurgeryhasnotbeenreported.Theobjectiveofthisstudyistoinvestigatetheefficacyofkinesiologytapingintheearlypostoperativephaseafteranteriorcruciateligamentreconstruction(ACLR).Wehypothesizedthatkinesiologytapingreduceskneepainandswellingandimproveskneerangeofmovementandfunctionaloutcome.

Design:Randomizedcontrolledstudy.

Setting:PrimaryInstitutionalHospital.

Patients:SixtysubjectswhounderwentanelectiveACLRwithorwithoutconcurrentmeniscectomywererandomizedintointervention(withkinesiologytapingpostsurgery)andcontrolgroups.

Interventions:Subjectsfrombothgroupsreceivedstandardizedpostoperativephysiotherapy.Subjectsfromtheinterventiongroupreceivedadditionalkinesiologytapingonthefirstandsecondweekspostsurgery,eachapplicationlasting5days.

MainOutcomeMeasures:Painvisualanaloguescore(VAS),totalrangeofmotion(ROM)oftheknee,Lysholm–Tegnerscale,andmidpatellacircumferentialgirthweremeasuredbeforethesurgeryandatthefirst,second,andsixthweekpostsurgery.

Results:Withineachgroup,statisticallysignificantdifferenceswerefoundinallstudyparametersinbothgroups.Comparisonofthestudyparametersbetweenbothgroupsrevealednostatisticalsignificanceatvarioustimepointsexceptthereductionofpaininthetapinggroupintheearlypostoperativephase(betweenthefirstandsecondweek)(P<0.05).

Conclusions:Thisisthefirstrandomizedcontrolledstudyinvestigatingtheefficacyofkinesiologytapinginarthroscopickneesurgery.OurstudyshowedthatkinesiologytapingreducedpainintheearlypostoperativeperiodafterACLR.Therewasnostatisticalsignificanceinthereductionofswellingorimprovementofkneescoreandtotalrangeofmotionwithkinesiologytaping.Readmore...

JournalArticleSpotlight:BritishJournalofSportsMedicine

Consensusstatementonconcussioninsport--the5thinternationalconferenceonconcussioninsportheldinBerlin,October2016

The2017ConcussioninSportGroup(CISG)consensusstatementisdesignedtobuildontheprinciplesoutlinedinthepreviousstatements1–4andtodevelopfurtherconceptualunderstandingofsport-relatedconcussion(SRC)usinganexpertconsensus-basedapproach.Thisdocumentisdevelopedforphysiciansandhealthcareproviderswhoareinvolvedinathletecare,whetheratarecreational,eliteorprofessionallevel.Whileagreementexistsontheprincipalmessagesconveyedbythisdocument,theauthorsacknowledgethatthescienceofSRCisevolvingandthereforeindividualmanagementandreturn-to-playdecisionsremainintherealmofclinicaljudgement.

Thisconsensusdocumentreflectsthecurrentstateofknowledgeandwillneedtobemodifiedasnewknowledgedevelops.ItprovidesanoverviewofissuesthatmaybeofimportancetohealthcareprovidersinvolvedinthemanagementofSRC.Thispapershouldbereadinconjunctionwiththesystematicreviewsandmethodologypaperthataccompanyit.Firstandforemost,thisdocumentisintendedtoguideclinicalpractice;however,theauthorsfeelthatitcanalsohelpformtheagendaforfutureresearchrelevanttoSRCbyidentifyingknowledgegaps.Readmore...

May30,2017

AOASMBOARDOFDIRECTORS

ExecutiveCommittee

JeffBytomski,DO,FAOASMPresident

JohnDougherty,DO,FAOASMPresident-Elect

ShawnKerger,DO,FAOASMFirstVicePresident

WilliamKuprevich,DO,FAOASMSecondVicePresident

RebeccahRodriguez,DOSecretary/Treasurer

R.RobFranks,DO,FAOASMImmediatePastPresident

BoardofDirectors

WarrenBodine,DO

BlakeBoggess,DO,FAOASM

DanielClearfield,DO,MS

AlKozar,DO,FAOASM

KathrynLambert,DO,FAOASM

AndrewT.Martin,DO,MBA,FAOASM

KateQuinn,DO

MichaelSampson,DO,FAOASM

StephenSteele,DO,FAOASM

PriscillaTu,DO,FAOASM

AssociateContacts

MichaelHenehanCJSMEditor

ExecutiveDirector

SusanRees

AmericanOsteopathicAcademyofSportsMedicine2424AmericanLane,Madison,WI53704+1-608-443-2477•[email protected]•www.aoasm.orgManageyourpreferences|OptoutusingTrueRemove™Gotthisasaforward?Signuptoreceiveourfutureemails.Viewthisemailonline.Thisemailwassentto.Tocontinuereceivingouremails,addustoyouraddressbook.

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