Exertional rhabdomyolysis gained increased attention recently when 13 football players from the University of Iowa developed this condition after an especially demanding practice session and were hospitalized. Exertional rhabdomyolysis may lead to severe kidney stress, kidney failure, and even sudden death. Anyone who does physical exercise at a…

This is my 35th year of running most days a year. That was correct most days a year not a week. Running is my first priority each day. Developing a routine will assist those who want exercise to become a habit. After I awake I drink a glass of water and a cup of coffee then my dog "Jazz" and I hit the streets for a 3-4 mile run. Later in…

Soon, the best athletes in the world will face each other at the Summer Olympics in Beijing. Many of them will sustain injuries, or seek to prevent them, and will be thankful that among their entourages are some of the best sports medicine professionals in the world. When an athlete collapses from fatigue, or something else, there will be a group…

This article presents a pragmatic approach to the definition, diagnosis, and management of anterior knee pain. Symptoms and treatment are described. Emphasis is on active involvement of the patient in the rehabilitation exercise program. (IAH)

Mind-body exercises are spreading rapidly throughout the health, fitness, and rehabilitation fields. Many of the claimed benefits are not supported by clinical evidence. As alternative therapies, they carry legal and professional ramifications. Understanding the nature of mind-body exercise and knowing the scientific evidence behind claims for its…

The first purpose of this study was to determine a possible explanation for the variability in the response to eccentric exercise by having participants repeat the same exercise 1 year apart. The second purpose was to examine whether initial injury in response to eccentric exercise was associated with the extent of the repeated bout effect (RBE).…

Many common exercises are contraindicated due to their potential for injury relative to benefit produced. Specific contraindicated exercises are discussed, and safer, more effective exercises are recommended. Current stretching and toning guidelines are also given which apply to all fitness activities. (Author)

Presents results of a study of the physiological responses of uninjured runners to running on a treadmill and in water. Water running may lessen an injured athlete's rate of deconditioning, but indications are that the metabolic cost of water running is not significantly greater than that of treadmill running. (SM)

Because many experts recommend stretching after exercise to relieve muscle soreness, 23 subjects performed a 30-minute step test to induce delayed muscle soreness. There was neither temporary relief of pain immediately after stretching nor a reduction in pain during the 3-day postexercise period. (Author/SM)

With the growth in youth sports programs, overuse injuries in children and adolescents have become common. Physicians are challenged to make the diagnosis and identify the causes of injury. Growth-related factors require special consideration in injury management. Physicians must make a directed history assessing causative factors and a systematic…

Disability-related conditions such as bladder problems or pressure sores need not keep people from activity. Although active individuals with disabilities require some specialized management, they mainly need medical care for sports-related cuts, sprains, and strains. Physicians can help remove medical barriers to participation for active…

Although reports on the positive effects of fitness and exercise predominate in the exercise literature, some researchers describe frequent exercise as compulsive or addictive behavior. This paper addresses these "negative addictions" of exercise. As early as 1970, researchers recognized the addictive qualities of exercise. Short-term…

Some commonly misused or abused exercises which are potentially harmful are identified. Each questionable exercise is illustrated, its potential for harm discussed, and an alternative suggested. Ten general rules are offered to help teachers, coaches, exercise leaders, and individuals avoid exercise-related injuries. (IAH)

A sample of Californians was surveyed to explore differences in aerobic exercise and walking behavior among healthy subjects and subjects with illness/injury serious enough to limit physical activity. Results indicate different patterns of determinants of exercise within various illness/injury groups. This implies interventions to increase…

Many active athletes do not consume enough zinc or iron, which are important for oxygen activation, electron transport, and injury healing. Subclinical deficiencies may impair performance and impair healing times. People who exercise regularly need counseling about the importance of adequate dietary intake of iron and zinc. (SM)