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The Magazine of the Sport Medicine Council of Alberta Summer Edition The Magazine of the Sport Medicine Council of Alberta

Summer 2008

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Page 1: Summer 2008

The Magazine of the Sport Medicine Council of Alberta

Summer Edition

The Magazine of the Sport Medicine Council of Alberta

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table of contents

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Summer 2008 Vol. 21 No. 2 SMCA Board of Directors President Dwayne Laing BPE, CAT (c) Vice-President Ray Kardas Secretary Gabrielle Cave BSc, P.T., MCPA Treasurer Michael Becher BSc, CA SNS Rep Steve Johnson BSc, MSc, PhD SPC Rep Chris Holt AATA Rep Breda Lau BPE, CAT (c) SSAA Rep Stephane Simard MSc Member at Large Koralee Samaroden BPE, PFLC SMCA Employees Executive Director Vacant Accounts Manager Janice Peters, BCom Technical Director Nicole Lemke, BPE, Adv. Cert. AT, CAT (c) Pulse Magazine Published by: Sport Medicine Council of Alberta 11759—Groat Road Edmonton, Alberta, Canada T5M 3K6 Phone: (780) 415—0812 Fax: (780) 422-3093 Website: www.sportmedab.ca Email: [email protected]

Contents copyright 2008 by SMCA. Articles may not be reprinted without permission. The opinions are those of the respective authors and are not necessarily those of the SMCA. ISSN: 1181-9812 Publication agreement no. 40038086

Latest News from the SMCA…………………….Page 3 Upcoming Courses………………………….…….Page 3

Sports-Related Head Injuries (Concussions) Pages: 4-5

Sex Differences in Motor Control During Multiple-Sprint Exercise Pages: 6-7

Can I or Should I Skip Breakfast? Page: 8 Doping in Sports Page: 9

Can Herbal Supplements Improve Performance? Pages: 10-11

Should You Stretch Before Exercise? Page: 12

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Latest News from the SMCA

The Sport Medicine Council of Alberta Would Like to Thank our Partners for their

Ongoing Support:

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2008 / 2009 SMCA Membership Renewal The time has come to renew your SMCA Membership for 2008 - 2009. Complete the SMCA Membership Renewal & Application Form on page 13 and fax or mail it to the SMCA office. You can also contact us directly at (780) 415 0812 or via email at [email protected]. 2008 Sport Health Conference The town of Beaumont and the County of Leduc, in conjunction with the SMCA, are hosting the 2008 Sport Health Conference on September 13th & 14th, 2008. For more information, check out the SMCA Events page on our website. www.sportmedab.ca SMCA Executive Director Job Posting The SMCA is searching for a new Executive Di-rector. If you are interested in applying for the position, please check out the job posting on our website. NEW Resource Library The SMCA has new, up-to-date, books and DVDs available for all members. The Resource Library contains items under the following topics: Sport Nutrition, Doping and Sports, Athletic Training, Athletic Injury, Sport Management and Sport Psy-chology. For a complete list, see the SMCA Re-source Library page on our website. NEW Sport Concussion Course The SMCA is creating a Sport Concussion Course. This will be a two hour seminar con-ducted by Dr. Martin Mrazik from the University of Alberta. Read the article titled Sports-Related Head Injuries (Concussions) in this issue of Pulse for a sneak preview. Look for an official launch of this course in the fall of 2009.

Offer valid until May 15, 2007. To order, please visit www.sportmedab.ca or call (780) 415-0812.

Upcoming SMCA Courses

Sport Nutrition Level 1 September 13/14, 2008 October 18, 2008 Location: Beaumont Location: Edmonton Host: Sport Health Conference Host: SMCA 8:30 a.m.—12:00 p.m. Saturday 10:00 a.m.—4:00 p.m. 8:30 a.m.—10:00 a.m. Sunday (780) 415-0812 (780) 929-1373 September 20, 2008 Location: Calgary Host: SMCA 10:00 a.m.—4:00 p.m. (780) 415-0812

Athletic First Aid September 13/14, 2008 October 4, 2008 Location: Beaumont Location: Edmonton Host: Sport Health Conference Host: SMCA 8:30 a.m.—12:00 p.m. each day 8:30 a.m.—4:30 p.m. (780) 929-1373 (780) 415-0812 September 20, 2008 Location: Fort McMurray Host: ASDC N.E. 9:00 a.m.—5:00 p.m. (780) 791-4876

Taping & Strapping September 21, 2008 October 5, 2008 Location: Fort McMurray Location: Edmonton Host: ASDC N.E. Host: SMCA 9:00 a.m.—5:00 p.m. 8:30 a.m.—4:30 p.m. (780) 791-4876 (780) 415-0812

Sport Trainer Combination of Athletic First Aid and Taping & Strapping

September 20 & 21, 2008 October 4 & 5, 2008 Location: Fort McMurray Location: Edmonton (780) 791-4876 (780) 415-0812

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Sports-Related Head Injuries (Concussions) Martin Mrazik, Ph.D. Assistant Professor University of Alberta Edmonton, Alberta Concussions in Sport Athletes who participate in sports encounter a wide variety of injuries including injuries to the head. A cerebral concussion is a term used to describe a blow to the head that involves any transient symptoms. Athletes often refer to these injuries as “dings” or getting one’s “bell rung.” In recent years there has been increased interest and awareness about concussions. This article looks to summarize important facts about concus-sions. Defining a Concussion In 1966, the Congress of Neuro-logical Surgeons defined concussion as, “a clinical syndrome characterized by immediate and transient post-traumatic impairment in neural function, such as altera-tion of consciousness, disturbance of vision, equilibrium, etc. due to brain stem involvement due to mechanical forces” In 1997, the American Academy of Neurology redefined concussion as, “A trauma-induced alteration in mental status that may or may not involve loss of con-sciousness. Confusion and amnesia are the hallmarks of concussion. An important change in the definition of a concussion is that loss of consciousness is not required to have a concussion. In recent years, up to 25 concussion grading and return-to-play guidelines were developed & published. How-ever this created much confusion for athletes and coaches. In replacement of previous concussion grading systems, concussions are now classified as either simple or complex. A simple concussion is the most common type of head injury where an athlete suffers an injury and symptoms resolve without complication over 7 to 10 days. The suggested management for a simple concus-sion is complete rest until resolution of symptoms and then exertion activity before return-to-play participation.

Complex concussion is defined by persistent symptoms, prolonged loss of consciousness, or extended difficulties with memory, concentration, reaction time, etc. after injury. Individuals suffering from complex concussion require additional management including formal neuro-psychological testing and other investigations if neces-sary. How Common are Concussions? Concussions can occur in most recreational sport, even playground activities. Best estimates suggest about 5% of sports & recreation injuries are concussions. Sports like hockey and football that allow physical contact have the highest incidence of concussions with 5% to 15% of athletes reporting a concussion during a competitive sea-son. Other sports with higher reports of concussions include soccer, skiing/snow boarding, cycling, rugby, and the martial arts. Common Symptoms What’s interesting about concussions is that no two athletes experience the same symptoms with the same frequency or intensity. For most but not all athletes, headaches are a common symptom. Some athletes find immediate change to their levels of fatigue while others do not.

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Typical symptoms may include some of the following: • Headaches • Dizziness • Poor concentration and forgetfulness • Slowed reaction time • Irritability • Feeling fatigued and/or drowsy • Nausea • Light/noise sensitivity Who’s Most at Risk? While anyone participating in recreation or competitive sport is susceptible to a concussion, research has identi-fied certain individuals to be more likely to have compli-cated outcomes. Athletes with a past history of a concussion are 3 times more likely to sustain another concussion within a competitive season. Research also suggests athletes with a history of migraine headaches, learning disabilities, Attention Deficit Hyperactivity Dis-order (ADHD) are more at risk. Remember, response to concussions is very individual and no two athletes will have the same symptoms or outcome.

What to do? Medical treatment of concussions has radically changed. A consensus of medical opinions currently suggests an athlete should be removed from participating in recrea-tional/sport activities until their symptoms have com-pletely resolved. Then, athletes should gradually increase their exertional activities under medical super-vision. The best results have come to athletes that wait until their symptoms have resolved before returning to competitive play. Always seek the opinion of a medical doctor.

New Trends in Concussion Management In recent years, neuropsychologists have become more involved in concussion management. A neuropsycholo-gist is a psychologist who has special training in brain/behavior relationships. They can provide an assessment of changes to brain functioning including concentration, memory, reaction time, and impulse control. Currently, there are 2 internet-based programs, ImPACT and CogSport, that can be used for testing brain functioning as a supplement to medical opinion. These products are available to the public but require consultation with a trained family physician or sports medicine doctor.

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Sex Differences in Motor Control during Multiple-Sprint Exercise François Billaut Department of Kinesiology University of Lethbridge Lethbridge, AB, Canada. Introduction Research studies have shown that repeated-sprint ability, which is an important fitness component of team sports (e.g. hockey, soccer, rugby), causes neuromuscular fatigue. However, most of the studies have used male subjects. This is somewhat surprising since in most coun-tries women practice team and court games as men do. Thus, very little is known about the neuromuscular func-tion of women during tasks involving repeated sprints. It has been demonstrated that men and women display different performance and fatigability during repeated sprints. While part of this sex difference may be attrib-uted to muscle metabolism, a difference in central motor output may also contribute. Objective The aim of this study was to compare the neuromuscu-lar fatigue profiles [i.e. amplitude of the electromyog-raphic (EMG) signal, and muscle coordination] in men and women during all-out, repeated sprints. Design Two distinct groups of subjects attended the laboratory on two occasions (familiarisation and main sessions), 5 days apart.

Setting The study was conducted in the Exercise Physiology Lab at the University of Lethbridge. Subjects Twenty men (20 y, 181 cm, 74 kg) and eighteen women (20 y, 169 cm, 62 kg) from the Pronghorn Soccer Teams of the University of Lethbridge with similar training regimens. Intervention/Main Outcome Measures Subjects performed twenty 5-s sprints, separated by 25-s rest, on a cycle ergometer (Velotron Elite, RacerMate, USA). Surface EMG of the vastus lateralis (VL) and biceps femoris (BF) muscles was recorded (Bagnoli system, Del-Sys Inc., USA) during each sprint and processed to ob-tain the integrated EMG (iEMG). The activation onset of each muscle was determined for each EMG burst, and the time delay between VL and BF onsets was com-puted. Main Results Both total relative work (996.9 ± 51.3 vs. 813.1 ± 47.7 J.kg body mass-1, p<0.05) and work decrement (27.7 ± 10.1 vs. 18.8 ± 7.8%, p<0.05) over the sprints were greater in men than women. This was accompanied by a greater reduction in iEMG in men than women (16.4 ± 7.9 vs. 9.8 ± 6.5%, p<0.05, respectively, Fig. 1). The changes in mechanical work strongly correlated with the changes in iEMG over the sprints in both sexes (Fig. 2).

Fig. 1: EMG amplitude of the VL muscle over the sprints in men and women. Values are mean ± SD (n = 38). Main effect of sprint: p<0.05 (* denotes a significant difference with sprint 1); Main effect of sex: p<0.05.

Sprints

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Fig. 2: Relationship between mechanical work (% of initial value) and EMG amplitude of the VL muscle (% of initial value) over the sprints in men and women (n = 38). Furthermore, an earlier impairment in muscle coordina-tion was noted in men (from sprint 10), compared with women (from sprint 15). Conclusions This is the first study to explore muscle activation pat-terns in men and women during repeated sprints. While the results agree with previous data on mechanical out-put, they highlight that the sex-related muscle fatigue induced by repeated sprints performed with an incom-plete recovery period may also be explained by

Normalised iEMG (%)

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R2=0.95, p<0.05

the net motor unit activity and the alteration of the coordination pattern between agonist and antagonist muscles. Source of Funding Sport Science Association of Alberta (SSAA) through the ASRPWF. For more information contact Dr. François Billaut, Dept. of Kinesiology University of Lethbridge, 4401 University Drive Lethbridge, AB, Canada, T1K 3M4 Email: [email protected] Commentary Current knowledge of human physiology is based largely on responses of young adult males, and it is becoming clear that one cannot simply extrapolate this data to the female population. Given the increasing involvement of women in both amateur and professional sport, there is an urgent need to evaluate the extent of the sex differ-ence in exercise tolerance and training responses. Such fatigue-induced decrements in muscle performance are likely to occur during an actual match play, and they might influence the final outcome of the game. The findings have been communicated to coaches and athletes of the University of Lethbridge, and will serve to implement more efficient physical conditioning programs targeted at female athletes.

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Instant carnation breakfast, Boost, Ensure, Glucerna meal replacement drinks. Breakfast is one of the easiest meals of the day to pre-pare nutritiously. TIPS for if you don’t have time: WAKE UP EARLIER. PLAN THE NIGHT BEFORE. HAVE A FEW STAPLES ON HAND. Training early in the morning? Have a snack before bed. A bowl of cereal, fruit and yogurt, or small sandwich with a glass of milk.

BOTTOM LINE: NEVER SKIP BREAK-FAST!! BREAKFAST IS IMPORTANT FOR YOUR SUCCESS!! Breakfast helps keep your energy levels up during the day too! Charlotte, a registered dietician with 30 years of experience, is just a phone call away to help you meet your goals. For an appointment phone 780-416-9025 or email: [email protected].

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Can I or Should I Skip Breakfast? Charlotte Varem Sanders, RD Athletic Nutrition Services Skipping breakfast reduces your training capacity and ability to perform! When you train on a partially empty tank, without breakfast, you won’t have enough energy to fuel your demanding training sessions. Eating breakfast helps top up your glycogen levels (energy stored in your liver and muscles that you use during training). Training uses en-ergy! Think of it this way, you are on a road trip with little gas in the car or truck, you won’t go far. Your body needs a full tank to perform and go the distance too!! Some quick breakfast ideas: Smoothie – milk, yogurt and fruit with a bagel. Cereal, with milk and raisins – for some protein add some cottage cheese. Egg, toast and fruit. Milk, toast, and peanut butter. Plain yogurt, low-fat granola and fruit. Flavoured milk, low-fat muffin and banana.

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available in Canada. The DID search feature will provide a result based on each ingredient listed on the product package. You can find the Drug Information Database at: www.didglobal.com.

Supplements Supplements carry a significant risk for a doping infrac-tion. These substances include: vitamins, minerals, ergogenic aids, herbal remedies and nutritional supple-ments. This is a for profit multi-billion dollar industry, the products are not licensed and there are no strict manufacturing or labeling requirements. Strict Liability applies to doping infractions. This means that an athlete is responsible for any substance that is found in their doping control sample, whether the athlete intentionally or unintentionally took the prohib-ited substance. NSF Certified for Sport Program NSF International is an independent, not-for-profit or-ganization that tests & certifies the content identity and quantity of ingredients listed on a product label. This organization developed an athletic banned substances certification program. The program minimizes the risk that a dietary supplement or sports nutrition product contains a substance banned by one of the major sports organizations. For a list of certified for sport products visit www.nsf.org. Look for this mark on the product label.

Conclusion Athletes who choose to use a banned substance or method in sport face the risk of a doping infraction. These infractions result in an athlete being ineligible to practice, train, compete or associate with their previous team. Athletes are also ineligible in any other sport. The Canadian Center for Ethics in Sport (CCES) is an athlete’s best resource when asking questions involving doping in sports.

Doping in Sports Nicole Lemke, CAT(C) Introduction With the close of the 2008 Beijing Summer Olympics, the topic of doping in sports comes to mind. The Olym-pics strive to promote the idea of fair play in sport. Doping is harmful to the image of sport, against the rules and creates an uneven playing field. Here is a review of what doping in sports is and how to find out if a substance is banned. Definition Doping in sports is the use, by an athlete, of a banned substance or banned method. This is enforced by the Canadian Center for Ethics in Sport (CCES). CCES is a member of World Anti-doping Association (WADA). The Canadian Anti-Doping Policy states that a doping violation is: • Presence of a prohibited substance in an athlete’s

doping control sample • Use or attempted use of a prohibited substance or

method • Possession, trafficking or administration of a pro-

hibited substance • Refusing to provide a sample at a doping control

procedure • Not making available your athlete’s whereabouts

information to CCES • Tampering with any of the sample collection pro-

cedures The Prohibited List CCES has placed a substance or method the Prohibited List if it includes two of the following: 1. It has performance enhancing effects. 2. It presents a significant health risk. 3. It is against the spirit of sport. For a most up-to-date WADA Prohibited List refer to the CCES Substance Classification Booklet. www.cces.ca. Drug Information Use the Drug Information Database (DID) on CCES website to check if a substance is prohibited in your sport. The DID provides easy access and accurate re-sponses to queries about the status in sport of licensed pharmaceutical and over-the-counter medicinal products

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Can Herbal Supplements Improve Performance? Susan Kundrat, MS, RD, LDN Athletes looking to improve athletic performance, enhance immunity, or manage a health concern may be interested in trying herbs in their nutrition program. Herbs have a long history of use and it is conceivable that some herbs may be of benefit for athletes and non-active people alike. However, quality research on herbs-both for health effects and performance-enhancement on the athletic field-is very limited; there is insufficient scientific support for the use of any herb to improve performance. Still, many studies—mostly of lesser qual-ity—on a variety of herbs have noted potential benefits, including immune enhancement, decreases in inflamma-tion, and the potential ability to recover faster from common colds and other ailments. Regulation of Herbs In the United States, herbs are regulated by the U.S. Food and Drug Administration (FDA) as dietary supple-ments as part of the 1994 Dietary Supplement Health and Education Act (DSHEA). Herbs are not required to be standardized, and there are different interpretations of what standards should be followed so there is little consistency among different batches of products from different manufacturers. In other words, it is often im-possible to know what is contained in a given package containing herbs.

Athletes should be wary of ingesting herbs with un-proven ingredients that have unproven effects on health and performance and may cause harmful side effects. In Canada, Health Canada ensures that all Canadians have ready access to natural health products that are safe, effec-tive and of high quality, while respecting freedom of choice and philosophical and cultural diversity. This is done through the Natural Health Products Directorate. For more informa-tion visit Health Canada’s website at http://www.hc-sc.gc.ca. Specific Herbs, Potential Benefits, and Examples of Safety Concerns Table S1 highlights many of the herbs athletes may be interested in using with the goal of enhancing sports per-formance, managing a health concern, or maintaining optimal immune status and overall health. Because herbs often contain potent natural chemicals, there is the po-tential for interaction with other herbs, foods, and medi-cations. If athletes incorporate herbs into their overall nutrition and performance plan, working with a health care team to monitor potential side effects and interac-tions between herbs and other herbs or herbs and medi-cations is strongly recommended. Athletes are finding reputable research and resources to support or refute the claims for herbs. Other key elements include ensur-ing that an herb is safe, confirming that it contains the recommended amounts of active ingredients, and deter-mining the appropriate dosage. The resources listed be-low provide sound information to help answer these key questions about herbs for athletes.

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CONCLUSION Many herbs found on the market today have a long history of use as traditional medicines, especially in Asia. The challenge for athletes, coaches, and health professionals working with athletes is finding reputable research and resources to support or refute the claims for herbs. Other key elements include ensuring that an herb is safe, con-firming that it contains the recommended amounts of active ingredients, and determining the appropriate dosage. The resources listed below provide sound information to help answer these key questions about herbs for athletes. This article first appeared in the Gatorade Sport Science Institute’s Sports Science Exchange Volume 18 (2006) Number 1.

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HERB ADDITIONAL NAMES FOR THE HERB CLAIMED TO BENEFIT EXAMPLES OF

SAFETY CONCERNS

Table S1

Arnica Mountain tobacco, leapord’s bane, wundkraut

Muscle pain, stiffness, osteoarthritis

May increase effects of anticoagulants

Astragalus Huang chi, huang qi, milk vetch Weak immune system, fatigue May interact with immunosu-

pressant drugs

Cayenne Capsicum, red pepper, African chilies

Musculoskeletal pain, osteo- arthritis, digestive problems

Digestive disorders, skin irritation

Cordyceps Caterpillar fungus, dong chon xai cao, semitake

Weak immune system, poor endurance performance May reduce blood sugar levels

Devil’s Claw

Grapple plant, harpagophytum, wood spider

Muscle pain, digestive problems, fever

May interfere with antidiabetes drugs

Echinacea Purple coneflower, black Sampson, Indian head

Weak immune system, colds, infections

May interfere with immunosuppressants

Elderberry Elderberry syrup, American elder

Colds, flu, fever, weak immune system, excess body water

May interact with diuretics or laxatives

Ginger Zingiberis rhizoma, ginger root, Jamaica ginger

Nausea, vomiting, motion sickness, osteoarthritis

May interact with anticoagu-lants and antidiabetes drugs

Ginseng Chinese ginseng, ciwuija, Russian root

Poor endurance performance, low energy, weak immune system

May interfere with anticoagu-lants

Gotu Kola Indian pennywort, hydro-cotyle, kaki kuda Varicose veins, edema May interfere with

hypoglycemic medications

Guarana Guarana gum, zoom cocoa, Brazilian cocoa Excess body fat, lethargy Contains caffeine

Rhodiola Golden root, Arctic root Lethargy, fatigue, poor endur-ance May interact with other herbs

Valerian Mexican valerian, garden heliotrope, tagara Insomnia, anxiety, depression May interact with other

sedatives

Willow Bark

White willow, purple osier, bay willow

Fever, muscle pain, osteoarthritis

May interact with anticoagu-lants

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Should You Stretch Before Exercise? Karl B. Field, MD; Craig M. Burnwoth, MD; Martha Delaney, MA Unfortunately, there is no simple answer to the stretch-ing question. What we can say is that there is no solid scientific evidence that stretching, especially just before you exercise, has any benefits. But we can also say that there is no solid evidence that stretching will do any harm. Plus, there is a long medical and coaching tradition of recommending pre-exercise stretching that probably should not be ignored. Thus, athletes wishing to avoid injury may or may not benefit from stretching as a key component of warming up just before exercise. One factor that clearly does reduce your risk of injury is to maintain a good level of cardiovascular (aerobic) fit-ness throughout training, during the offseason, and when you are recovering from injury. The most valuable warm-up practice includes activities such as easy running, swimming, cycling, sports specific drills, jumping, shoot-ing drills, etc. This type of warming up will have you ready to play or practice with less risk of a muscle pull or other injury. It’s Your Decision Should you incorporate stretching into your standard warming up routine? Logically, if you participate in a sport that places a premium on flexibility, for example, gymnastics, hurdling, diving, and dance, you need to en-sure that you have excellent range of-motion around all of your joints. Particularly, if you know you are inflexible, you should consider incorporating stretching as long as it is integrated into a program that also utilizes aerobic activity as a part of the warm-up. In fact, stretching should always be done after a period of aerobic exercise when your muscles have been warmed. Warm muscles can be more easily stretched, and the stretching effect will last longer than when cold muscles are stretched. If you already have excellent flexibility, you might better utilize your pre-exercise time by increasing aerobic or sport-specific activities in your warm-up procedures. Rather than stretching before exercise, consider per-forming your stretches after exercise or at home, away from the training environment. Science indicates that you are more likely to benefit from this type of stretch-ing on a regular basis, perhaps 3–5 days per week. If you participate in a sport that requires jumping, lifting, throwing, or other types of explosive power, be aware that stretching just before exercise can cause a tempo-rary reduction in strength and should probably be avoided before competition.

So if you feel that stretching helps your overall sports performance, consider implementing your stretching regimen after your event, rather than before. Stretching Tips If you choose to stretch, warm your muscles first by aerobic activities such as jogging, swimming, cycling, and calisthenics. Warm muscles are easier to stretch and less likely to tear. Many experts recommend stretching after your workout, not before. Slow stretches held for 15 to 30 seconds and repeated up to three times for each muscle group offer as much benefit as any other regimens. If a partner assists you with stretching, be cautious that the partner does not push too hard, leading to a stretching-related injury. Avoid ballistic or bouncing stretches that may injure your muscles. Because scientific studies do not show clearly whether you will benefit from stretching, try different warm-up routines to determine which routine seems to make you most ready to participate in practices and competitions. Before returning to strenuous training or competition after injuries, consult with an athletic trainer, personal trainer, sports medicine physician, or knowledgeable coach to make certain you have adequate strength in the previously injured limb(s). It is especially important to be strong in the eccentric phase of movements (for exam-ple, lowering a barbell or dumbbell, stepping down stairs, jumping down from heights, lowering yourself from a chin-up.) Also, you should have normal strength of your trunk and abdominal muscles (core strength) and should have regained your normal sense of balance and agility. These factors clearly reduce the risk of becoming re-injured. This article originally appeared in the Gatorade Sport Science Institutes’ Sports Science Exchange volume 20 (2007) Number 1.

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The time has come to renew your SMCA membership for 2008-2009. Complete the Membership Application/Renewal Form below and fax or mail it to the SMCA office. Information on membership categories is located on the back page.

Sport Medicine Council of Alberta 11759 Groat Road

Edmonton, Alberta T5M 3K6 Fax: 780-422-3093

2008-2009 SMCA Application/Membership Renewal

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Provider Group Membership—FREE Open to members of the following affiliate organizations: • Alberta Athletic Therapists Association • Alberta Society of Sport Medicine • Canadian Academy Sport Medicine • Sport Nutrition Specialists • Sport Physiotherapists of Alberta • Sport Science Association of Alberta Some of the benefits: • Scholarship funding for each provider group • Opportunity to showcase your profession’s re-

search in Pulse Magazine • Publishing your name in our Online Resource

Directory under your area of expertise • And much more… ——————————————————–— Subscriber Membership— $35.00 + GST Open to chiropractors, massage therapists, men-tal trainers, clubs, teams, associations, individu-als, teachers, students, coaches, and parents Some of the benefits: • Discounts on SMCA Manuals, Medical Supplies

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zine, printed three times per year • And much more… ——————————————————— Corporate Membership— $250.00 + GST Some of the benefits: • Logo displayed on the SMCA website • 1/2 page ad printed in each of the Pulse maga-

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Get The  Competitive Edge You’re Looking For…  

√ SMCA’s 6 hour Sport                        Nutrition Course 

√ $60 including GST √ Taught by Sport Nutritionists   

Registration includes: • workbook • handouts •  • FREE nutrition tour •  

• certificate • 

VISIT www.sportmedab.ca 

OR CALL (780) 415‐0812  FOR MORE  

INFORMATION