Blog Post

Athletic Director Meeting on Secondary School Health and Safety

Alicia Pike, Associate Director of Research, KSI

 

In collaboration with the National Athletic Trainers’ Association (NATA), the Korey Stringer Institute (KSI) is conducting a study assessing perceptions of medical care provided at the secondary school level from various key stakeholder groups. These stakeholders are in a position to influence the level of medical care provided to secondary school athletes and include athletic directors, principals, superintendents, parents, coaches, and legislators.

 

As part of this initiative, participants are asked if they would like to take part in a focus group session. The purpose of the focus group, similar to a group discussion, is to gain a more in depth understanding of the participants’ perceptions, and allow them to interact with each other through open dialogue in a non-threatening environment. As the study kicks off, the KSI staff couldn’t think of a better place to hold our first focus group than in Nashville, TN!

 

The National Interscholastic Athletic Administrators Association (NIAAA) was holding their National Athletic Director Conference at the Gaylord Opryland Resort and Convention Center in Nashville from December 9th to the 13th. With a meeting made possible by the NATA, we recruited athletic directors for a focus group in support of this research initiative. On December 9th, Christy Eason, a University of Connecticut alum and now Assistant Professor of Athletic Training at Lasell College, and myself, conducted our very first focus group. The meeting was a success and resulted in rich dialogue between athletic directors with diverse backgrounds on various health and safety standards.

 

Dr. Douglas Casa, CEO of KSI, and Dr. Rebecca Stearns, COO of KSI, also made the trip to Nashville and were instrumental in ensuring the success of this meeting. After the focus group session, Rachael Oates, Assistant Executive Director of the NATA, and Amanda Muscatell, NATA External Marketing Manager, spoke about the history of the NATA and its growth over the years, as well as their major marketing initiative, AT Your Own Risk. To finish off the meeting, Dr. Casa presented on best practice standards for preventing sudden death in sport, focusing in on the top safety standards that athletic directors in Tennessee should have in place.

 

This meeting not only provided great insight on athletic directors’ perceptions, but also provided an opportunity to network with a unique group of people. This was only the start, but being a part of this meeting has opened my eyes to the true potential of this research initiative. I am extremely excited to see where it goes from here.

 

Gaylord Opryland Resort & Convention Center

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6th International Conference on the Physiology and Pharmacology of Temperature Regulation

By: William M. Adams, PhD, ATC, Vice President of Sport Safety

 

This past week (December 5-9th), I had the pleasure of representing KSI at the 6th International Conference on the Physiology and Pharmacology of Temperature Regulation. This conference is a biannual conference held in different locations around the world that brings together the world’s leading thermal physiologists to present on topics from a basic (cellular and molecular) level of thermal physiology to clinical and applied applications of that research. This year’s conference was held in Ljubljana, Slovenia, the patron city of Saint George, which is located in the central part of Slovenia.

 

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The meeting started with an in depth discussion on the association of climate change on health. A European-based project, HEAT-SHIELD, was introduced to the audience which is a group tasked with developing guidelines and policies to handle heat stress from various aspects associated with climate change. The development of a well-rounded set of guidelines is needed to address this issue, especially as Europe is seeing the effects of increasing environmental conditions and a large migration of persons from other areas in the world, which when coupled together may cause downstream detrimental effects on health as a whole.

The conference continued with various symposiums, oral presentations and poster presentations on topics related to inflammation and the thermal response, fever, metabolic influences on thermal physiology, and the influence of exercise on thermal physiology. I had the pleasure of presenting some data that I collected examining the influence of hydration on body temperature and heart rate responses during repeated bouts of exercise in the heat. The talk was well received and it prompted some great discussion amongst other physiologists.

 

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It was great being able to meet new friends, connect with others and to discuss future collaborative work with some excellent researchers. The opportunity to attend this conference and to see the beautiful city of Ljubljana was an extremely rewarding experience and I would encourage anyone that does research in this area to attend the 2018 Conference in Split, Croatia.

 

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Marine Corps Marathon Weekend

By Gabrielle Giersch, MS, Assistant Director of Education, Assistant Director of Athlete Performance and Safety

 

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KSI in the White House

 

Thursday October 27th through Sunday October 30th a group of KSI staff traveled to Washington D.C. to present at the American Medical Athletic Association’s 25th Annual Sports Medicine Symposium and worked in the medical tent at the 42nd Marine Corps Marathon (MCM). While in D.C., the KSI staff got to explore the city, tour the White House, enjoy some of the museums on Constitution Avenue, visit Arlington National Cemetery and view the changing of the guards.

 

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Tomb of the Unknown Soldiers

 

We had a great showing at the American Medical Athletic Association 25th Annual Sports Medicine Symposium at the Marine Corps Marathon at Georgetown University Friday October 28th. Brendon McDermott Ph.D., ATC, alumnus of University Connecticut and also one of KSI’s medical and science advisory board member, and his colleague, Cory Butts M.S., traveled from University of Arkansas and presented Muscle Damage and Renal Function in Athletes with Physiological and Environmental Stress. From KSI, Luke Belval, M.S., ATC, CSCS, presented Changing Guidelines on Exertional Heat Stroke Care: Point of Care to Transport to the ER, and Douglas Casa Ph.D. presented Policy Changes Save Lives in all Levels of Sport: New Evidence and Successes. All three of these presentations helped to illustrate the important role of athletic trainers and medical staff at races, and show successes that KSI has had in treating exrtional heat strokes and changing policies to reduce the prevalence of sudden death in sport.

On Saturday, the staff had a “play day” in D.C. that consisted of visiting museums and playing Escape the Room D.C. Both KSI teams escaped (photo below) with the better team just beating the losing team by a few minutes!

 

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On Sunday the real fun began. The staff was up bright and early to make it to Aid Station #9 at mile marker 21 of the MCM! We evaluated and treated several athletes who were experiencing exercise associated muscle cramps and dehydration. Our Medical Advisor, Dr. John Jardine also played a critical role in treating exertional heat stroke patients.

 

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MCM KSI Medical Tent

 

The annual trip to D.C./MCM is a great way for the staff to learn, use their expertise, and bond.

New England ACSM Annual Meeting

By Rachel Katch, MS, ATC, Associate Director of Occupational and Military Safety

 

On October 13th & 14th, students and staff from the Department of Kinesiology at the University of Connecticut (UConn) attended the annual New England American College of Sports Medicine (NEACSM) conference in Providence, RI titled, “Advancing the Profession – One Step at a Time. Many members of KSI used this platform to present various topics of their interest. Yuri Hosokawa presented on LPS-induced TLR-4 activation during prolonged running and cycling events in hot and humid environments. Rachel Katch presented on the use of the heat stress score and how those can predict preparedness to run in an outdoor race. Gabe Giersch presented her master’s thesis from James Madison University which is titled, The Effect of the CYP1A2 -163 C>A Polymorphism on the Metabolism of Caffeine and Effect on Performance. Abigail Colburn presented her bachelor’s degree research about hydration knowledge and perception in DI NCAA male soccer athletes as well as the influence of water vessel on consumption and perception. Dr. Douglas Casa, Dr. Rebecca Stearns, and Dr. William Adams presented on policy change in sport, epidemiology of sudden death in sport, how policy changes can save lives and protect athletes, and how to initiate policy changes in secondary school athletics.

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At the NEACSM Expo, UConn’s Department of Kinesiology provided information regarding its new Exercise Prescription Online Graduate Certificate Program. This program is for individuals interested in transitioning into the field of Exercise Science, Sports Medicine, Kinesiology, Personal Training, Exercise Physiology, and Health and Fitness. Additionally, this program is targeted at individuals who are looking to enhance their current job credentials or earn degree advancement. This is a 9-credit, three course online graduate certificate that can help advance knowledge base in a very dynamic field, preparing individuals to take their career to the next level.

 

At the completion of this online certificate program, students will:

  • Learn about the nuances of administering exercise stress tests in healthy and unhealthy populations.
  • Become proficient in evaluating a person’s overall health prior to beginning of an exercise program and throughout program maintenance.
  • Understand how to incorporate aerobic, resistance, concurrent, neuromotor and flexibility exercise appropriately into exercise plans.
  • Learn about the underlying processes involved with chronic diseases or special health conditions.
  • Become adept at using the F.I.T.T. (Frequency, Intensity, Time, Type) principle of exercise prescription to prevent, treat, and manage these conditions.
  • Learn how to develop individualized exercise prescriptions to increase and promote physical activity, fitness, strength, endurance, and flexibility to optimize health and meet athletic performance goals.
  • Learn how to use behavioral strategies to increase adherence with exercise plans.
  • Become adept at recognizing common medication classes likely to be encountered by health/fitness professionals, and how they may influence the exercise responses.

 

The application deadline for the Spring 2017 semester is December 2nd, 2016. More information and applications can be found online at http://exerciseprescription.uconn.edu.

NFL AT Pilot Grant Program

By Yuri Hosokawa, MAT, ATC, Director of Communication, Director of Education

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Korey Stringer Institute at the University of Connecticut is proud to announce our role in the NFL Athletic Trainer Grant Pilot Program, which is open for applications from October 19, 2016 through December 16, 2016.

 

As part of the Play Smart. Play Safe. campaign the NFL pledged on September 14, 2016, the NFL is heading up a pilot grant program in four states – Arizona, Illinois, Oklahoma and Oregon.  Up to 150 public high schools across the four pilot states will be awarded a $35,000 grant over the course of a 3-year period to assist with securing athletic trainer (AT) services.

 

School administrators, or their designee, may apply if their school meets the following criteria:

  • A public high school with an interscholastic football program in Arizona, Illinois, Oklahoma or Oregon.
  • Minimal or no current athletic training program. Minimal is defined as care provided by an athletic trainer only for football games or competitions played at home.

 

As NFL Commissioner Roger Goodell stated in his letter, “… we know that having an athletic trainer on the sidelines at a high school game can be pivotal for how health and safety issues are handled. But many of our nation’s schools lack the resources to pay for one. Accordingly, we plan to expand the size of our athletic trainer program, funding additional athletic trainers for high schools that need them. Our long-term goal is to raise awareness about the important role athletic trainers can play in high school athletics.”

 

KSI will lead the administration of the NFL Athletic Trainer Pilot Grant Program as well as conduct research on the program’s impact, specifically the impact of athletic trainers on student athlete health outcomes. We hope that by bringing our expertise to this program, we can assist not only the schools who may hire ATs for the first time in their school history, but also to serve as the support system for the ATs who are accepting jobs in these schools in order to develop successful and sustainable athletic training programs across the nation.

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To find out more about the pilot grant program, visit: www.athletictrainergrant.com.

#AT4ALL

Be Aware of Heat Stress

By Yuri Hosokawa, MAT, ATC, Director of Communication, Director of Education  

Here in New England, we are starting to see the hint of fall foliage. Fall sports are in the midst of competition and athletes are not afraid to show all the hard work they have put it in throughout the summer months. The weather has cooled down considerably around Storrs, CT during the course of the last few weeks. For example, the forecast for the next few days looks like this in our region.

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Source: weatherwunderground.com Forecast for Storrs, CT. Accessed 10/02/2016.

During pre-season football, we had several days where the ambient temperature was greater than 90-degrees Fahrenheit. I know, I can hear the mind of fellow ATs from the southern states, “we still have days exceeding 90-degrees Fahrenheit and it’s October!

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Source: weatherwunderground.com Forecast for Tampa, FL. Accessed 10/02/2016.

In 2015, Dr. Andrew Grundstein, a professor from the University of Georgia, published a paper that captures this regional differences and proposed activity guideline that takes account of the local climate. In this model, Storrs, CT is classified in Category I, which has the lower threshold to begin activity modification & event cancellation. Tampa, FL is classified in Category III, whose activity guideline closely follow the one developed by the Georgia High School Association that developed the activity guideline based on the heat related injury epidemiology data collected in Georgia.

This regional variance is expected for obvious geographical differences. Therefore, it only makes sense to know and adjust the thermal strain by what’s expected in the region. In other words, what may not be considered a “cancellation level” in the southern states may still be oppressive enough to cancel activities in the northern states, and vice versa.      

Some of you may be wondering, “it is well past beyond pre-season practices and the likelihood of experiencing oppressive heat stress is minimal.” You may be right in that it is less likely. But suppose we experience one day with temperatures exceeding 80-degrees Fahrenheit and »60% humidity in Storrs, CT. This could potentially push the wet bulb globe temperature (WBGT) to rise over 82-degrees Fahrenheit, which warrants considerable activity modification (i.e., maximum practice time 2 hours with increased frequency of rest breaks) in Category I but not necessary in Category III.

(Note: WBGT values should not be used interchangeably with Heat Index or air temperature. View a video from here to learn how these measures are different.)

A well-known example of unexpected weather during the fall is the 2007 Chicago Marathon, where the race organizers made an executive decision to shut down the race after 3.5 hours due to inclement heat (ambient temperature at 88-degrees Fahrenheit).

The 2016 Chicago Marathon is scheduled in less than a week, and as of now, the weather will likely to be cooperating with the runners.

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Source: weatherwunderground.com Forecast for Tampa, FL. Accessed 10/02/2016.

Now, imagine recording highs of 88-degrees Fahrenheit in Chicago, IL (more than 20-degrees higher than what is forecasted for this year’s race), which is a Category II in the 2015 paper. Although there is a limitation in estimating race day WBGT from just the air temperature, it is apparent that recording near 90-degrees Fahrenheit for air temperature, especially around this time of the year for Chicago, is beyond their regional norm. Needless to say, it would affect not only the local runners but other runners who are traveling from all over the world who did not expect the race day to be this oppressive.

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At the end of the day, environmental monitoring is only one of the many tools we have to ensure safety of athletes. Monitoring the wet bulb globe temperature by itself will not protect the athletes per se, but it will give you valuable information for making a better clinical judgment in deciding to modify activity. A great thing about weather conditions is that, at most times, the weather forecast will allow you to make appropriate actions and intervene proactively to remove potential hazards (i.e., moving the event time and/or date, modifying practice intensity and/or duration).

 

#KnowYourCondition

Hydration Conference

By Luke Belval, MS, ATC, Director of Research, Director of Military and Occupational Safety, KSI

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On September 15th and 16th, KSI gathered experts in the field of hydration to help clarify the hydration advice athletes, coaches and parents are receiving. The meeting, Practical Hydration Solutions for Sports and the Physically Active, was convened at the University of Connecticut to help provide situation specific information that can be easily interpreted and applied by those looking to optimize performance.

With representatives from the UK, Australia, New Zealand, Canada and all over the US, KSI is working to change the way hydration advice is provided to those looking to improve their athletic performance. In light of increased attention to what, when and how athletes should drink, the purpose of this meeting was to help clarify what an athlete can do to optimize performance through hydration. Experts in the field went through over 20 different sports to help identify the specific factors that may influence hydration status for athletes in those sports. Specifically, the group evaluated the evidence to determine risk of dehydration and over hydration for each athletic situation to help athletes understand what hydration strategies may work best for their sports.

The roundtable meeting focused around two deliverables, a scientific publication featuring the overall results and one-page sport-specific documents that can be easily distributed to those participating in a given sport. It is our hope that these documents can help clarify what the best practices are for performance optimization through hydration in a given sports situation.

Korey Stringer Institute Participates in Ragnar Relay New England

By Rebecca Stearns, PhD, ATC, Chief Operating Officer, KSI

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The weekend of August 26th found eight close members of the KSI family at Northfield Mountain, MA, ready to take on a grueling 121.6 mile trail relay.  The Ragnar Relay consists of a team of 8 people, who all run three distinct loops of varying distances to complete this race (the three loops amount to 15.2 miles total per person).  The team members take turns, running one at a time and through the night to complete each round of loops and reach the finish line. The most elite teams have finished this course in about 15 hours, but the KSI team only had 24 hours to complete the course to officially complete the race. Lucky members are able to even catch a few hours of sleep between their running loops.

 

As it would only be appropriate for a team of heat experts, the weekend proved to not only provide a logistical challenge (through a winding and hilly 2,700 feet of total elevation gain), but also proved to challenge the teams heat preparedness, with the starting heat index of 89°F.  The team’s running order and members consisted of the following individuals:

 

  1. Yasuki Sekiguchi, KSI Intern
  2. Rob Huggins, VP of Research, VP of Athlete Health and Safety, KSI
  3. Tutita Casa, Assistant Professor at Uconn’s Neag School of Education
  4. Yuri Hosokawa, Director of Communication, Director of Education, KSI
  5. Doug Casa, CEO, KSI
  6. Will Adams, Vice President of Sport Safety, KSI
  7. Megan McCollum, Research Assistant, KSI
  8. Jake Earp, Assistant Professor, University of Rhode Island’s Kinesiology Department

 

The KSI team finished in 22 hours and 44 minutes, which clinched the Corporate Team category by over 1 hour.  The team also placed 3rd overall for the mixed team division and 11th out of the 150 teams participating. The winning time this year, given the new course route, was 19:33.05.

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In true team fashion, the rugged finish medals all create a Ragnar puzzle with fitted together.  A big congratulation to all the team members that participated!

 

 

Back in Falmouth

By Yuri Hosokawa, MAT, ATC, Director of Communication and Education

IMG_8657Twenty-seven research and medical volunteers from the Korey Stringer Institute, EC Lee Lab and University of Connecticut joined the 44th New Balance Falmouth Road Race in Falmouth, MA on August 21st. This was the fourth consecutive year in which KSI conducted a field research study at the race in conjunction with working in the medical tent treating exertional heat stroke patients. In this year’s study, we aimed to (1) investigate runner’s knowledge on heat and hydration and behaviors on race day and (2) investigate the use of real time gastrointestinal temperature feedback in altering runner’s behavior during the race. We also assessed participants’ readiness to exercise in the heat by measuring their cardiovascular fitness and their response to heat stress in our environmental chamber.

 

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KSI’s Rebecca Stearns, PhD, ATC and Luke Belval, MS, ATC also spoke at the Medical Symposium hosted by the Falmouth Hospital, which was attended by many medical volunteers and local healthcare professionals. Dr. Stearns’ presentation, The Tale of Two Heat Strokes, introduced case studies of two runners who suffered from exertional heat stroke at the same race with distinctly different prognosis due to the different treatment they received. Belval’s presentation, The Fluid Needs for Today’s Athletes, provided evidence-based suggestions on hydration. At the Health & Fitness Expo, William Adams, PhD, ATC spoke on Optimizing Safety and Maximizing Performance During Running the Heat, which was attended by many runners who were going to be racing the following day.

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We would like to thank the Falmouth Road Race Board of Directors for their continued support and partnership with the Korey Stringer Institute in supporting our mission to educate runners and continue our research in ways to optimize their performance and safety during warm weather road races such as Falmouth Road Race.

 

 

 

Colby Concussion Summit and Beach to Beacon Road Race

By William Adams, PhD, ATC, Vice President of Sport Safety

This past weekend, KSI’s Vice President of Sport Safety William Adams, PhD, ATC and Director of Communication and Education Yuri Hosokawa, MAT, ATC were in attendance at the first annual concussion summit held at Colby College, hosted by the Concussion Institute at Colby College. They joined representatives from the National Athletic Trainers’ Association, as well as faculty members from the University of New Hampshire, University of Pittsburgh, Colby College and others.

 

The purpose of the meeting was to discuss the diagnosis and management of concussion and to establish the next steps that are needed from a research perspective to enhance clinician’s objective assessment of concussion in athletes.  The meeting concluded with an action plan to examine specific areas of concussion diagnosis and management to continue to add to the body of scientific literature surrounding the validity and reliability of tools that clinicians can use in their toolbox for concussion management.

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Following the concussion summit, KSI traveled south to Portland, Maine for the Beach to Beacon Road Race. The race weekend began with the medical symposium, where both William Adams and Yuri Hosokawa were two of the invited speakers. Adams spoke on hydration in today’s athletes while Hosokawa presented a case series examining the treatment and management of two exertional cases recently published by Stearns et al. in Current Sports Medicine Reports. The symposium was a huge hit and was extremely well received by all of the attendees.

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The road race occurred on Saturday in Cape Elizabeth, Maine. For those unfamiliar, Beach to Beacon is a 10-kilometer (6.1 mile) road race finishing at the picturesque Portland Headlight Lighthouse in Fort Williams. KSI staff members William Adams, Yuri Hosokawa and Samm Scarneo had the opportunity to volunteer as medical staff during the race. The day finished off with roughly 6,500 runners finishing the race and the medical volunteers providing excellent care to those needing it, including four individuals who had suffered exertional heat stroke. The best part of the race weekend were the new friendships that were made with the other physicians, nurses and athletic trainers who were also volunteering in the medical tent.

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