Physician Sportsmed
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Physician Sportsmed · May 2011
ReviewExercise and diet, independent of weight loss, improve cardiometabolic risk profile in overweight and obese individuals.
Diet and/or exercise are routinely advised as methods for weight loss in overweight/obese individuals, particularly those who are at high risk for cardiovascular disease and type 2 diabetes mellitus. However, physical activity and structured exercise programs rarely result in significant loss of body weight or body fat, and weight-loss diets have extraordinarily high recidivism rates. ⋯ These lifestyle-induced adaptations occur independently of changes in body weight or body fat. Thus, overweight/obese men and women who are at increased risk for cardiovascular disease and type 2 diabetes as a result of sedentary lifestyle, poor diet, and excess body weight should be encouraged to engage in regular physical activity and improve their diet, regardless of whether the healthier lifestyle leads to weight loss.
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Physician Sportsmed · May 2011
Comparative StudyAutomated external defibrillators in health and fitness facilities.
Exercise is encouraged to promote health, but it can be a trigger for sudden cardiac arrest (SCA) in individuals with underlying cardiovascular disease. In 2002, the American Heart Association and the American College of Sports Medicine issued recommendations for the presence of automated external defibrillators (AEDs) in health and fitness facilities. ⋯ There is a substantial gap in guideline implementation between national recommendations and current emergency response planning for SCA in health and fitness facilities. Health and fitness facilities are strategic locations to place AEDs in an effort to improve outcomes from exercise-related SCA. Facilities with general memberships of > 1500 are encouraged to have on-site AEDs, given the high incidence of SCA.
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Physician Sportsmed · Feb 2011
Multicenter Study Comparative Study Clinical TrialEffectiveness and safety of diclofenac epolamine topical patch 1.3% for the treatment of acute pain due to back strain: an open-label, uncontrolled study.
The diclofenac epolamine topical patch 1.3% (DETP) is indicated for topical treatment of acute pain due to minor strains, sprains, and contusions. This exploratory, multicenter, open-label study evaluated effectiveness and safety of DETP in patients with acute pain due to back strain. ⋯ In this exploratory study, patients experienced well-tolerated relief for acute pain due to back strain, with ≥ 85% of patients and their investigators expressing satisfaction with DETP treatment.
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Physician Sportsmed · Feb 2011
ReviewAcromioclavicular joint injuries: anatomy, diagnosis, and treatment.
Acromioclavicular (AC) joint injuries are common in athletic populations and account for 40% to 50% of shoulder injuries in many contact sports, including lacrosse, hockey, rugby and football. The AC joint is stabilized by static and dynamic restraints, including the coracoclavicular (CC) ligaments. Knowledge of these supporting structures is important when identifying injury and directing treatment. ⋯ Treatment options for AC injuries continue to expand, and include arthroscopic-assisted anatomic reconstruction of the CC ligaments. The purpose of this article is to review the anatomy, diagnostic methods, and treatment options for AC joint injuries. In addition, the authors' preferred reconstruction technique and outcomes are presented.
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Physician Sportsmed · Feb 2011
Comparative StudyHip pain referral patterns in patients with labral tears: analysis based on intra-articular anesthetic injections, hip arthroscopy, and a new pain "circle" diagram.
Fluoroscopically guided intra-articular (FGIA) anesthetic hip joint injections have been used to determine whether the hip joint is the source of a patient's hip pain. However, there have been no reports documenting the efficacy of their use for defining the pain referral patterns (PRPs) of patients with labral tears. The aim of this study was to determine the PRPs of patients with labral tears and evaluate a new pain "circle" diagram (PCD) developed for this analysis. ⋯ The most common locations of pain were the central groin and the lateral peritrochanteric area. The least common were the ischial tuberosity and the anterior thigh, which are 2 areas often associated with osteoarthritis of the hip. The use of the PCD combined with an FGIA anesthetic injection may help physicians reconcile the expectations of those patients with labral tears who believe that hip arthroscopy will treat their multiple areas of "hip" pain.