Sports Medicine Bible: Prevent, Detect, and Treat Your Sports Injuries through the Latest Medical Techniquesby Lyle J. Micheli, Mark Jenkins
Out of the lifestyle revlutiion of the past quarter century has emerged a new kindof recreational athlete,oen more likely to pursue a physical activity that brings health benefits than to tackle a traditional "rough-and-tumble" sport. As a result, "overuse" or "chronic" injuries, such as "runner's knee" and "swimmer's shoulder", are increasingly replacing sprains,
Out of the lifestyle revlutiion of the past quarter century has emerged a new kindof recreational athlete,oen more likely to pursue a physical activity that brings health benefits than to tackle a traditional "rough-and-tumble" sport. As a result, "overuse" or "chronic" injuries, such as "runner's knee" and "swimmer's shoulder", are increasingly replacing sprains, strains, and breaks as the badge of the weekend Warrior.
The sports medicine profession has responded to the rise in overuse injuries by placing greater emphasis on injury prevention, developing new diagnostic and treatment techniques, and promoting rehabilitation as an aid to full recovery. This is what Dr. Lyle J. Micheli, one of the nation's foremost sports medicine authorities, calls the "new sports medicine."
In The Sports Medicine Bible, Dr. Micheli responds to the need for more and better answers to the questions posed by recreational athletes desperate for sound medical advice that will help them return to their physical regimens as quickly as possible. He emphasizes strength and flexibility as the keys to injury prevention, encourages early motion rather than immobilization during the rehabilitation process, and recommends other proven techniques that are replacing the sports medicine techniques of past generations.
This book covers the whole spectrum of sports medicine, including special sections on nutrition, female-specific sports injuries, exercise and the elderly, structuring a workout, flexibility and strength, clothing and footwear, and proper equipment. Separate chapters examine causes and symptoms, diagnosis and treatment of injuries to the foot; ankle; lower leg; knee; thigh; hip, pelvis, and groin; back; shoulder; elbow; wrist; hand and finger; head and neck; and skin.
By following the guidance and guidelines embodied in The Sports Medicine Bible, the recreational athlete can heighten his or her fitness experience, while learning the most modern techniques for effectively managing sports injuries. Written in clear, straightforward language with hundreds of illustrations, The Sports Medicine Bible is destined to become an essential piece of equipment in every athlete's gym bag.
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Read an Excerpt
Toward a New Definition of Fitness
Exercise is "in." The evidence is everywhere. City streets and country roads teem with joggers and racewalkers. Magazine racks bend under the weight of publications dedicated to sports and fitness. The listings for health clubs and aerobics studios in our telephone directories run for pages.
The common wisdom that fitness is a passing phase is wishful thinking on the part of couch potato commentators, as exemplified by the headline in The Wall Street Journal, "Fitness Keeps Losing Ground with the Public." Americans are not exercising less; they are diversifying. Participation in running declined in 1992, but mountain biking increased by 16 percent, and in-line skating (RollerBlading) increased 51 percent. Health club membership remained constant, despite the economic hard times of the early 1990s. At these health clubs, members are more likely to cross-train instead of just using one feature of the club. For instance, many men who once exclusively trained with weights now do aerobic work with stair-climber machines and cross-country skiing simulators; women who once did only aerobic exercise are increasingly likely to lift weights.
A recent study done by the American Dietetic Association revealed that healthy diet and physical fitness are on the rise. Americans are more aware than ever before of the positive effects of exercise and the harmful effectsof saturated fats, cholesterol, smoking, and a sedentary lifestyle.
The New Fitness
Americans have always consideredthemselves an athletic lot, but the explosion in the popularity of "non-traditional" exercise forms, as well as the increase in "non-traditional" participants, have been truly astonishing.
Once this nation's athletes were mostly school-age young men who played football, baseball, basketball, and hockey. Now millions of Americans of all ages -- and, significantly, both sexes -- participate in a broad spectrum of sports and fitness activities.
Those activities that have dramatically increased in popularity are ones now considered "good for you." Hence the emergence of jogging, aerobics, yoga, strength training with weights, cross-country skiing, sports walking, biking, and swimming, to name just a few.
This trend was caused primarily by a change in the way fitness has been defined.
In previous generations, fitness was equated with athleticism related to motor skills. However, it was discovered that motor skills have almost nothing to do with health. Just because someone is a skilled baseball player or can throw a football 50 yards does not mean he is healthy according to modem health criteria.
Fitness is now measured using norms that have a direct hearing on our short-and long-term health. The four criteria we use now are cardiovascular endurance (the ability of the heart and lungs to pump blood and deliver oxygen throughout the body); muscular fitness (the strength and endurance of our muscles); flexibility (the ability to move our joints freely and without pain through a wide range of motion); and body composition (the portion of our bodies made up of fat). By testing these factors it is possible to measure a person's health in relation to how much exercise he or she does. This has come to be known as "health fitness."
As demonstrated by the exercise boom, Americans have embraced this new definition of fitness. But is it adequate? No. It makes no reference to being injury free and, for that reason, needs to be further refined.
Origins of the Health Fitness Boom
The current interest in health fitness is traceable to the sixties and seventies.
Afew generations ago, Americans did not need to jog or do aerobics. Sufficient exercise was obtained in daily life, tilling fields and stoking the furnaces of industry using old-fashioned muscle power. In general, Americans ate better: lots of complex carbohydrates, little in the way of artificial ingredients.
Urbanization, dietary changes, car culture, and couch potato syndrome all contributed to a change in the way Americans live.
By the time the sixties arrived, these sedentary ways had contributed to a dramatic increase in the incidence of conditions such as heart and lung disease, back pain, and obesity. Researchers began drawing scientific conclusions about the relationship between exercise and health. Physical activity was found to have direct medical benefits (see "Benfits of Health Fitness," below).
It did not take long for Americans to begin heeding the exhortations of the fitness advocates. The fitness craze was born. From the fuzzy black-and-white television images of Jack La Lanne have evolved Jane Fonda videos and "cardio-funk" aerobics.
Significantly, the emergence of information linking exercise to health coincided with the increase of leisure time available to Americans.
In summary, Americans started using their increased spare time to get healthy in one of the most enjoyable ways possible -- through exercise.
Sports Medicine Bible. Copyright © by Lyle J. Micheli. Reprinted by permission of HarperCollins Publishers, Inc. All rights reserved. Available now wherever books are sold.
Benefits Of Health FitnessVigorous physical activity
Adapted from D. F. Haydon, "The Family and Health/Fitness," Health Values 11, 2 (1987): 36-39.
- increases the number and size of blood vessels in the heart and the muscles, resulting in better and more efficient circulation
- increases the elasticity of blood vessels, lessening the likelihood of breakage under pressure
- increases the efficiency of exercising muscles, enabling the muscles and blood to better carry and utilize oxygen
- increases the efficiency of the heart, making it a better pump
- increases tolerance to stress, reducing the negative effects of the stress/pressure syndrome
- decreases cholesterol and triglycerides, lessening the chances of arterial deposits
- lowers high blood pressure, reducing the risk of heart attack and stroke
Meet the Author
Lyle J. Micheli, M.D., former president of the American College of Sports Medicine, is director of sports medicine at Children's Hospital in Boston and associate clinical professor of orthopedic surgery at Harvard Medical School. He also serves as orthopedist for the Boston Ballet and the American Rugby Association. Mark Jenkins has written articles on sports for The Atlantic Monthly, The Wall Street Journal, and American Heritage.
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