Spring 2010 Sports Talk

SPORTS TALK 1ST QUARTER, 2010 SPORTS TAlK

IN THIS Spreading Knowledge of Chiropractic: San Jose, Costa Rica ISSUE By A.Carol Guadagno Council since 2006 until this year, and ACA Sports Council, Treasurer presently serve as Treasurer of the American Chiropractic Association The World will be watching the FIFA Sports Injuries Council. My involvement + World Cup of Soccer in South Africa this in these groups have been crucial with summer. In preparations for this regards to participating in events all SPORT enormous event around the world. In this case my family SAFETY the first background helped. My dear mom was CONCACAF born in Colombia, and I am fluent in Football and Spanish. This presentation was to be Page 2 Sports Medicine done in Spanish. Thanks to working with Congress was Dr. Jennifer Nunnally while directing the + held at the chiropractic staff at the Central-American University of and Caribbean games in Cartagena, Medical Colombia in 2006, I also had the SPOT Sciences in San José, Costa Rica August opportunity to work with the Costa Rican LIGHT 6-7, 2009. CONCACAF is the FIFA football team at CONCACAF’s 2007 USA regional organization for Central and Gold Cup, where I was medical director Page 3 North America and the Caribbean. This at the Miami venue. was a historic event not only for I am happy to report that Dr. Camacho CONCACAF and Costa Rica, but also for Kortman expressed the following: + chiropractic which was featured “Chiropractic is not yet well known within prominently on the program. For two sports medicine circles in Costa Rica days, the foremost experts from Latin and Dr. Guadagno’s presentation was USSCF America, North America and Europe truly excellent and very well received.” spoke to an audience of football He has been invited back for the next Page 4 administrators, doctors, researchers, congress, to be held in San Jose August medical and PT students on subjects 4-5, 2011. Before my presentation, I was that included physiology, nutrition, aware of some concerns about a + doping control, injuries, training and “quiropractico” on the program, but this healthcare management with respect to was simply due to a lack of knowledge TEST football. concerning our profession. My Dr. Yolanda Camacho Kortman, a San presentation seemed to answer these Page 5 Jose DC, served on the CONCACAF concerns. I addressed chiropractic Board of Directors. She persuaded education, specialties and CONCACAF to include a lecture on professionalism. I also made the + chiropractic and its contribution to the audience aware of the worldwide sports medicine team and approached acceptance of chiropractic to the highest FICS (Federation Internationale levels in sport. I would like to thank those ACA Chiropractic Sportif) to arrange a Olympic Doctors: Ted Forcum, Jeff SPORTS speaker. I was contacted by Mr. David Solomon and Mike Douglas from Team COUNCIL Chapman-Smith LLB (Hons) Secretary- Jamaica for their contributions to my General of WFC (World Federation of presentation. Page 7 Chiropractic) to take on this task. I did By being active locally in Sports not hesitate to affirm. I think all I heard Chiropractic I have been given enormous was “travel to Costa Rica”. I have opportunities to be active globally and to served as President of the Florida add to the face of chiropractic around Chiropractic Association Sports Injuries the world. For this, I am grateful. SPORTS TALK PAGE 2 Alliance for Youth Sports Safety Sacramento, California By Ted L. Forcum, DC, DACBSP ACA Sports Council, President 400,000 in high school football. The NATA used this opportunity to encourage Dr. Forcum, along with Palmer West Chiropractic and announce that athletic trainers should be student, Michael Lord, represented the ACA onsite for all athletic competitions and practices. Sports Council at the Summit on the Youth Sports The ACA Sports Council is in general agreement Safety Crisis in America in Sacramento, California. with this; however, other healthcare professionals The Summit was held at the State Capitol in are appropriate for event coverage as well. association with the push for legislation in the Chiropractors, typically those that have sports State of California to improve safety measures for specific training, are more than qualified as well as student athletes. This alliance is comprised of 30 other healthcare professionals with similar training. organizations including the ACA Sports Council. The important fact is that a majority of high The summit was sponsored by the National schools only have medical coverage for high Athletic Trainer Association, American Orthopedic school football competitions and significantly less Society for Sports Medicine, American Medical for practices, even though 62% of sports related Society for Sports Medicine, American Academy injuries occur during practice. of Orthopedic Surgeons, and IMPACT. The position of the ACA Sports Council is that The meeting was comprised of several key trained individuals should be present at athletic speakers with expertise on concussion brain injury events and practices to prevent the risk of in athletics, sudden cardiac arrest, and exertion potentially fatal occurrences and disabling heat illness. One of the featured speakers was musculoskeletal injuries. The example of such sports attorney Leigh Steinberg who was the risks involve the risk of sudden cardiac death in inspiration for the block‑buster Hollywood movie athletics which was reported in this meeting by staring Tom Cruise, Jerry Maguire. Other featured Cindy Chang, MD to be 1 in 50,0000. speakers included a mother and her son, Tommy Additionally new pre-participation guidelines will Mallon, who survived traumatic spinal injury due to be released to address some of the preventable the quick work of on-field care. risks. The most significant change involves There were 120 sports related deaths in screening history questions. The ACA Sports 2008-2009. Female soccer athletes suffer 40% Council has been vigilant in providing up to date more reported concussions than males (29,000 training on these subject in our annual annually). 13,000 were in women's basketball and symposiums. Developing Student Sports Councils

A speaker at the main Congress was Michael Lord, a student at Palmer West active in the ACA Sports Council. He had met Marcelo at the Montreal meetings, been invited to attend, and had arranged support from Palmer West and individuals including Tom Hyde and Ted Forcum. He was there to get both Brazilian chiropractic schools to form student sports councils, and have them join FICS. He distributed FICS brochures in Spanish that I had brought down from Toronto. See the attached photos – of Michael speaking, and of him with the FEEVALE students that are starting the student council at that school. The same will happen at the other school – UAM. Great work Michael. SPORTS TALK PAGE 3

SPOT LIGHT: CONGRATS KEITH

The ACA Sports Council would like to congratulate Keith Overland for recognition of the work he has performed You read the breaking news, you see the medal counts…but what as sports council and about the aspects of the Games that affect you as a health- pediatrics liaison and focused organization? President of the Council of Delegates. Dr. Overland The ACSM Olympics/Paralympics Resource Center is the advances into the position of Vice President of the ACA. answer. The Resource Center features all Olympics news plus Not only has Dr. Overland commentary from health and ﬁtness professionals on hot topics contributed signiﬁcantly to like doping and clean competition, biomechanics, injuries in political efforts within various sports, and more. chiropractic, but Dr. Overland

has made signiﬁcant Your organization can share its opinions by commenting on these contributions in chiropractic posts! New commentary ideas can also be submitted to sports working with the USA [email protected]. Encourage your members and Speed Skating and most constituents to visit acsm.stats.org often for their one-stop shop recently traveling with FICS for all things Vancouver. to Taipei for the World

Games.

FICS is pleased to announce the following SPOT LIGHT: CONGRATS TOM ICSSD seminars- With Dr. Overland’s advancement, Dr. Hyde will fulﬁll our role by moving from Please click on the link to access the information. Alternatively, ﬁnd advisor to ACA liaison as he the information attached. also moves from Southern Florida Delegate to the ACA Board of Governor's Overland Park, Kansas, USA representing district V, which Upper Extremity Module is VA, NC, SC, GA, FL, KY, April 30, May 1 & 2, 2010. TN, MS, AL, the Virgin Islands

House of International Sports, Lausanne, Switzerland Lower Extremity Module June 3 – 6, 2010. Thank you for your support of the ACA Sports Council. SPORTS TALK PAGE 4

Dear United States Sports Chiropractic Federation Membership:

The FICS Board of Directors has voted to What this means for you: dismiss the USSCF as its National Your membership in FICS and the USSCF Governing Body. The reasoning for this will continue and extend through the end of decision was based on a number of factors 2009. listed below. The USSCF will cease to function as of There is evidence the USSCF membership January 1, 2010. does not represent the majority of sports As of January 1, 2010, membership in chiropractors within America. FICS will be included as part of the dues Other independent U.S. sports structure for members of the ACA Council chiropractic organizations (ICA, CEPA, and on Sports Injuries and Physical Fitness. Prosport) were no longer participating This means if you are a dues paying within the USSCF membership or member of the ACA Sports Council your functioning within USSCF. membership in FICS will continue and be It is FICS intension to improve its include with your ACASC dues. membership throughout the world. One of To date the ICA Fitness Council has not the main stumbling blocks to this goal has informed me of any intention to participate been the inclusion of a Canadian Sports along these guidelines. Chiropractic Council. Since the United Those of you with membership in the ICA States is allowed only a small portion of the Fitness Council, in addition to those who sports chiropractic population to be only have membership in ProSport, or represented as a National Chiropractic CEPA; who wish to remain members of Sports Council (NCSC) within the USSCF. FICS have the option of becoming a voting This is recognized as favoritism by FICS member of FICS by joining the ACA Sports towards America. The USSCF membership Council or becoming a non-voting is also a point of contention within the individual member of FICS until such time Australian NCSC because they currently the ICA Fitness Council makes a decision require their entire sports chiropractic on their involvement with FICS. membership to be members of FICS and I wish to thank you for your loyal pay dues accordingly. membership in the years the USSCF has It was the FICS Board of Directors existed. Together we have changed the decision to change their National Sports face of sports chiropractic. I promise you, Chiropractic Council policy to be in line without your commitment to give back to with the deﬁnition the WFC uses for its your profession in the support of this membership which allows for two organization and others, sports chiropractic independently recognized organizations in would not be where it is today. the USA (ACA and ICA). Within these I wish to thank all previous and current guidelines, FICS will now recognize the USSCF Board members for their time, ACA Council on Sports Injuries and talents and willingness to give back to their Physical Fitness and the ICA Fitness profession in service to this organization for Council as recognized American governing the greater advancement of Sports bodies within FICS. In order for these two Chiropractic. organizations to be included or recognized as American national sports council Yours in Sports Chiropractic, governing bodies within FICS; all Sports Council members must be counted as part Timothy W. Ray, D.C., of the FICS dues structure. USSCF, President SPORTS TALK PAGE 5 Can you Pass the Concussion Test? Q&A By Sherri LaShomb, DC, AT

1. How should you grade a concussion’s severity? A. Mild, moderate, severe B. First degree, second degree, third degree C. Simple or Compound D. Concession severity is no longer graded

2. A 14 year-old HS football player sustains a A. As soon as his headache has been resolved for at concussion on Saturday during the ﬁrst quarter of least 20 min. his game. You evaluate him and he has a B. After the ﬁrst half, as long as he remains headache, but this resolves after 10 minutes and asymptomatic. all of your sideline tests are within normal limits. C. At the next week’s Monday practice, as long as he is When should he be allowed to return to play? asymptomatic and passes your re-evaluation. D. After 7-10 days of being asymptomatic and passing your re-evaluation. E. After he has a head CT and sees a neurologist.

3. A professional athlete, 27 year-old sustains a A. After he follows a graduated increase in activity, concussion in the ﬁrst 10 minutes of lacrosse remains asymptomatic and passes your re-evaluation. practice on Tuesday. He complains of blurred B. The next day, as long as he has no further symptoms vision for less than one minute, dizziness that and passes your re-evaluation. resolves after 15 minutes, and a headache that C. After 7-10 days of being asymptomatic continues the rest of the evening. All of your D. After he is asymptomatic for 7-10 days and he is able sideline tests are within normal limits. His to pass your re-evaluation. headache is resolved when he wakes the next E. After he has a head CT and sees a neurologist. morning and he did not take any medication. When can he return to play?

4. What can an athlete take with a concussion and A. Acetaminophen resultant headache? B. Ibuprofen C. Naproxen D. Aspirin

5. An athlete should never return to play the same A. True day of a concussion. B. False

6. Side line evaluation of a concussed athlete A. Standardized Assessment of Concussion should include which of the following: B. Balance Error Scoring System C. Maddock’s Questions D. Glasgow coma scale E. Symptom score F. All of the above should be included in the evaluation

ANSWERS: All of the above information can be found in the Zurich 1. D 2008 Concussion Guidelines, which was published in the 2. D Clinical Journal of Sports Medicine, Volume 19, May 2009 rd 3. A as “Consensus Statement on Concussion in Sport 3 International Conference on Concussion in Sport held in 4. A Zurich, November 2008”. 5. False, but this is being hotly debated and requires very speciﬁc testing on the side line Watch for more information and discussion regarding 6. F concussion evaluation and return to play guidelines in future “Sport Talk”. SPORTS TALK PAGE 6 SPORTS TALK PAGE 7 2009 ACA Sports Council Annual Symposium and General Meeting

The 2009 ACA Sports Council (ACASC) Annual election three positions will be available for re- Symposium and General Membership meeting took election. They are President, 2nd VP, and Secretary. place in St. Louis, Missouri October 30th through Ballots will be mailed in May and we look forward to November 1st. We participated in the Inaugural ACA your participation. Chiropractic Symposium and Expo along with the One of the main goals of your Council is to develop ACA and five other ACA specialty councils. and nourish membership. We have been working Attendees were able to attend educational sessions diligently to find avenues to start ACASC student presented by top speakers from Sports Injuries and councils and faculty advisors at all chiropractic Physical Fitness, Chiropractic Pediatrics, colleges. Dr. Ed Feingberg chairs this committee Occupational Health, and Health Wellness councils. and he reports “that we now have a growing faculty The ACA also presented Keynote speaker Brig. Gen. organization committed to bringing quality sports Becky Halstead, who shared the positive impact that chiropractic education and experiences to our chiropractic has offered in her own personal life. current chiropractic students. We are planting the Despite being the Halloween weekend ACASC seeds for the future growth and expansion into the members came out in force. By far we had the sports arena. We currently have 9 colleges largest representation of members at this symposium represented of which 6 sent representatives to our and we look forward to your joining us next year. meeting at the 2009 ACA SC Symposium last year. We feel that your Board should arrive at the We are currently working on our website program Symposium a day early. This serves two purposes. that will allow us to efficiently share resources and First, we inspect the premises to make final provide current educational resources to each other arrangements and assure a quality experience for and to members of the ACASC”. attendees, and we also hold our annual Board Dr. Russ Ebbets of NYCC and The Chiropractic Meeting. This board meeting is open to our College Sports Faculty Alliance (CCSFA) has members and we encourage you to take part in the suggested that the ACA SC create a student process and contribute to the health of your research poster presentation competition to profession. Our annual board meetings are famously encourage student research in the sports long (average 6-10 hours) and are open to our chiropractic field. We support this effort and will be members. We encourage you to take part in the awarding monetary awards to first, second, and third process and contribute to the health of your place posters at our next symposium. profession. At our Board meeting we discussed the Of utmost importance to this Board is to know its failures and successes of the previous year and members and for its members to know each other. strategized a plan to meet the New Year’s goals and Since 2007, as part of our Symposium we make challenges. This year was especially challenging due opportunities for all of us to network, rub elbows, to inclement weather which prevented our board and get to know “us” as individuals. It is our goal for members from arriving on time. The meeting began each member to be able to call any member on a at 6:00 p.m. and ended at 3:00 a.m. If you recall first name basis and build lasting, fruitful your board members looking tired and dreary- eyed, relationships. This year the presidential suite served this is why!! as the venue for us to meet and greet. Both Friday Your educational program was designed with the and Saturday nights the suite was well attended by feedback we received from you, our members. In our membership and well stocked with happy drinks addition to our program lecture content, we included and food thanks to generous support of Biofreeze, 4 hours of hands-on sessions of extremity adjusting, Quantum 2000, and K-tape. Kudos to Dr. Forcum for CES evaluation and management, neuro-modulating having the stamina to drink like a sailor, sleep 3-4 taping techniques, and rehab. Our program was hours per night, and still be able to function at the well-received and we will continue to add hands-on highest of levels. Your Board truly believes that the sessions and topics that you can use in your practice strength of our organization is built on the foundation on the following Monday. of camaraderie, support, and trust on each other. Our general membership meeting, election and We are planning or next Symposium and your input awards banquet took place in a beautiful setting is valued. Please e-mail me with any suggestions on overseeing the St. Louis Arch. Your ballets were subject matter, topics, or techniques that you think counted, and let me congratulate your newly elected would be beneficial to our membership. board members: Dr. Ted Forcum continues to contribute as your re-elected president of your Looking forward to seeing you next year, council, Dr. Sherri LaShomb, 1st VP, and Dr. Carlo Guillermo Bermudez, D.C., CCSP Guadagno was re-elected as treasurer. At our next 2nd VP ACA Sports Council SPORTS TALK PAGE 8 Join the ACA Sports Council

DOWNLOAD THE ACA SPORTS COUNCIL APPLICATION

The ACA Council on Sports Injuries and Physical Fitness is a professional and educational non-proﬁt organization with a growing membership of active chiropractors. The ACA Sports Council attracts doctors from across the U.S. and around the world, who desire to become more directly involved with developing and promoting the treatment of athletes. Click here to read about the many beneﬁts of ACA Sports Council Membership.

The Sports Council works closely with athletic organizations, as well as allied health professionals, to promote better understanding of the value of chiropractic care in athletic training and treatment.

There are countless reasons why you should join the ACA Sports Council. Your involvement makes possible the advancement of our profession.

In addition, nothing could make a more meaningful statement about your leadership and dedication to the very best in sports chiropractic nor present as many opportunities for important contributions and recognition within the ﬁeld.

If you've been a member of the ACA Sports Council before, you know that there are many beneﬁts offered.

Join your colleagues and join the Sports Council, we're all working together. Be part of the future of sports chiropractic! Download our Application now to become a member of the only Association that promotes and supports the Sports Chiropractic specialty.

We look forward to working together to let the well-kept secret of sports chiropractic out of the bag. SPORTS TALK PAGE 9

CHIROPRACTIC SPORTS SCIENCES SYMPOSIUM

PORTLAND, OREGON JULY 30th-AUGUST 1, 2010 Hilton Portland & Executive Towers

DON!T MISS THE THE CHIROPRACTIC SPORTS SCIENCES SYMPOSIUM Up to 16 CEUs I State Relicensure Hours I Outstanding Workshop Speakers I Vendors I Networking Opportunities

FOR MORE INFORMATION: PHONE: 503.647.9944 FAX: 503.447.5011 EMAIL: [email protected] www.acasc.org

HURRY! EARLY REGISTRATION DEADLINE IS MAY 31st, 2010