Pulse Summer 2009

The Magazine of the Sport Medicine Council of Alberta

Summer 2009

♦Tour of the New SMCA Website ♦Treatment and Rehabilitation of Swimmer’s Shoulder ♦Benefits of Chocolate Milk for Exercisers ♦Common Running & Jogging Injuries

2 Pulse Summer 2009

6 In this issue...

Treating and Rehabilitating

Swimmer’s Shoulder

Chocolate Milk: More Than Just a Treat

Lee Finell Alberta Milk

Raina Schemenauer University of Lethbridge

sportmedab.ca

Exercising Safely: Common Running &

Jogging Injuries American Orthopaedic Society

for Sports Medicine

8

12

SPORT NUTRITION

INJURY PREVENTION

STUDENT RESEARCH

Pulse Summer 2009 3

SMCA NEWS

New SMCA Website! Visit sportmedab.ca to see our many improved features. Turn to page 11 for a preview.

2009 Sport Health Conference The SMCA, the Town of Beaumont, and Leduc County will be hosting the 2009 Sport Health Conference September 19th and 20th at Ecole Secondaire Beaumont Composite High School. Turn to page 10 for more details.

Coming This Fall! We are currently updating our Taping & Strapping Manual as well as creating a brand new DVD. The manual will be easier to read and understand, while the DVD will provide a better visual depiction of the various taping techniques. These will be available to all participants of our Taping & Strapping course. Those who have already completed the course can purchase these resources at a discount price.

Erratum We would like to apologize for an error that was made in the Spring edition of Pulse. In the article “An Examination of Personality Factors Associated with Slump-Related Coping Among Intercollegiate Volleyball Players,” an author’s name, Janice Causgrove Dunn, was misspelled as Janice Cosgrauve Dunn. We apologize for any confusion or inconvenience this may have caused.

Latest New

s & Events...

sportmedab.ca

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4 Pulse Summer 2009

pulse Summer 2009 Vol. 23 No. 1 SMCA Board of Directors Dwayne Laing—President Ray Kardas—Vice-President Gabrielle Cave—Secretary Michael Becher—Treasurer Dr. Herbert Janzen—CASM Chris Holt—SPC Rep Breda Lau—AATA Rep Stephane Simard—SSAA Rep Steve Johnson—SNS Rep Kristine Godziuk—Member at Large Koralee Samaroden—Member at Large SMCA Employees Barb Adamson—Executive Director Janice Peters—Accounts Manager Nicole Lemke—Technical Director Desi McEwan—Assistant Special Projects Coordinator

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 Contents copyright 2009 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

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

sportmedab.ca

Upcoming SMCA Courses

Sport Nutrition Level 1 September 12, 2009 September 12, 2009 Location: Edmonton Location: Calgary Host: SMCA Host: SMCA 10:00 a.m.—4:00 p.m. 10:00 a.m.—4:00 p.m.

Athletic First Aid September 19, 2009 September 26, 2009 Location: Didsbury Location: Edmonton Host: Town of Didsbury Host: SMCA 8:30 a.m.—4:30 p.m. 8:30 a.m.—4:30 p.m. Call 403-335-7364 to register.

October 3, 2009 Location: Calgary Host: SMCA 8:30 a.m.—4:30 p.m.

Taping & Strapping September 20, 2009 September 27, 2009 Location: Didsbury Location: Edmonton Host: Town of Didsbury Host: SMCA 8:30 a.m.—4:30 p.m. 8:30 a.m.—4:30 p.m. Call 403-335-7364 to register.

October 4, 2009 Location: Calgary Host: SMCA 8:30 a.m.—4:30 p.m.

Sport Trainer *Combination of Athletic First Aid and Taping & Strapping

September 19/20, 2009 September 26/27, 2009 Location: Didsbury Location: Edmonton Host: Town of Didsbury Host: SMCA 8:30 a.m.—4:30 p.m. 8:30 a.m.—4:30 p.m. Call 403-335-7364 to register.

October 3/4, 2009 Location: Calgary Host: SMCA 8:30 a.m.—4:30 p.m.

For more information on any of the above courses or to register, visit

sportmedab.ca/courses

Why Take SMCA Courses?

All of our courses provide a valuable learning experience for coaches, athletes, trainers, parents, and anyone else involved in athletics and sport medicine. We employ only the most well-trained, certified experts to conduct these courses to ensure that participants get the best, most up-to-date information and education related to the specific course taken. Upon completion of their course, all participants receive a certificate that is valid for three years. Course fees include a one-year membership for non-members, while participants who are already members receive a $15 discount. Sport Nutrition This 6-hour course teaches the fundamental concepts of nutrition, and how those concepts can be utilized to improve athletic performance. Participants receive a Sport Nutrition Level 1 workbook and handouts. Member price: $60 Athletic First Aid This 8-hour Athletic First Aid course is designed to provide persons involved in sport and recreation activities with an opportunity to increase theoretical and practical knowledge in the prevention and treatment of athletic injuries. All Athletic First Aid participants receive an Athletic First Aid manual at the course, as well as handouts and all their taping supplies. Member price: $70 Taping & Strapping If you want to learn unique and practical taping techniques for most common sports injuries, then this is the course for you. During the 8-hour course, participants learn proper taping procedures, when to tape and when not to, taping versus bracing, and have the opportunity to practice twenty different taping techniques for all parts of the body. Registration includes an Athletic Taping Manual, handouts, and all taping supplies. Member price: $100 Sport Trainer This 2-day course is a combination of the Athletic First Aid and Taping & Strapping courses. Member price: $160 (save $10 than when courses are taken separately)

Pulse Summer 2009 5 sportmedab.ca

SMC

A C

ourses...

S wimmer’s shoulder is a term used to describe pain or decreased function of the gleno-humeral joint that can affect athletes unilaterally or bilaterally and encompasses multiple pathologies.1,2,3 Shoulder pain or swimmer’s shoulder is the ortho-pedic problem most commonly experienced by competitive level swimmers.3,4 The numerous njuries grouped under the umbrella of swimmer’s shoulder may have very different mechanisms of injury and as such, require different methods of rehabilitation. The first steps to treating an athlete with any symptoms of swimmer’s shoulder is a reduction or complete halt of physical activity that causes pain and administration of NSAIDS (non-steroidal anti-inflammatory drugs).1,3,4,5 Once the athlete is no longer experiencing pain active treatment can begin. Most research investigated here suggests treatment using conservative, non-operative methods and recommends only considering surgery if the athlete does not respond to the conservative treat-ment.1,2,4,5,6 Jobe & Pink (cited in Bak and Faunø2) and Burkhead and Rockwood (cited in Bahu et al.1) reported approximately 95% and 88% respectively, of patients with instability recovered using conser-vative treatment.

The first consideration in active treatment is evaluating and correcting the athlete’s technique especially if they continue swimming, at a reduced amount, while simultaneously performing other rehabilitation programs. Improper freestyle stroke technique is connected to degeneration of the supraspinatus tendon due to intermittent depletion of blood supply to the tendon during adduction of the shoulder and internal rotation of the humerus often associated with the end of the pull phase.2,5

Kammer et al.5 suggest modifying the stroke by pulling the hand out of the water when it reaches the iliac crest rather than pressing to the thigh when completing the underwater pull phase. This variation is intended to reduce the irritation of the supraspinatus tendon. Another technique tomini-mize stress is a pronounced body roll of 70° to

100° during the recovery.5 Increasing the body roll allows for increased scapular protraction4,6 and de-creases possibility of impingement of the shoulders.5 If the athlete is experiencing glenohumeral instability a combination of strength exercises should be performed to increase all surrounding musculature. Some research suggests focusing on scapular positioning as a means to increase stability as it provides a stable base and maintains the humerus in the glenoid fossa.1,7,8 Moseley, Jobe, Pink, Perry, and Tibone9 used electromyography (EMG) to evaluate muscle activation intensity and duration to determine the most effective exercises for scapu-lar strengthening. Four exercises were deemed most effective according to the criteria which include rowing, scaption involving elevating the arm in the plane of scaption with the arm externally rotated, pushups with a plus to maximize protrac-tion, and press-ups.8,9 Increased internal rotator muscle and adduc-tor muscle strength disproportionate to external rotator and abductor muscles can create imbalances which may lead to glenohumeral instability.4 Increased internal rotator and adductor muscle strength exists primarily in the pectoralis major and the latissimus dorsi and comes from adducting the shoulder and extending the elbow while forcing the body forward through the water.4 In order to combat these imbalances and to regain stability, exercises strengthening the abductor and external rotators to equal the opposing muscles should be performed. Conversely, Bak and Magnusson,7 O’Donnell et al.,6 and Weldon & Richardson4 discuss decreased internal rotation strength and connect this deficit to a tightened posterior capsule of the glenohumeral joint. This likely occurs due to an emphasis on stretching the anterior shoulder capsules and neglecting the posterior capsules. Pos-terior glenohumeral stretches should be performed equal to or greater than anterior stretches if an im-balance is detected.4,6 In order to isolate and stretch the posterior capsule, O’Donnell et al.6 suggest laying supine, rolled slightly to isolate the scapula while stretching the arm and shoulder forward.

6 Pulse Summer 2009 sportmedab.ca

Student Research...

Swimmer’s Shoulder: Treatment and Rehabilitation for

a Multifactoral Injury

By: Raina Schemenauer

Raina is 23 years old and will be graduating shortly from the University of Lethbridge with

a bachelor of science degree, majoring in Kinesiology. She plans to go further in the field of health and wellness by pursuing a masters degree in Physiotherapy. When not studying for classes or working as a lifeguard, Raina enjoys almost any active pastime such as

dancing, swimming, hiking, and, most recently, cycling. She began cycling this summer and

recently raised over $3,000 for prostate cancer research by taking part in the Ride to Conquer

Cancer, a 200km weekend ride through southern Alberta.

Swanik et al.,3 examined a battery of func-tional training exercises and their effect on incidence of shoulder pain and shoulder strength. The program included elastic-tubing exercises of internal rotation, external rotation, horizontal abduction/flexion, and horizontal adduction/extension. The program also included prone exercises on a bench flexing shoul-ders in 120° of abduction/external rotation and in 90° of abduction/external rotation. The final exercise was push-ups with a plus by protracting the scapula at the top of the push-up.3 Strength gains in this study were not observed. However, a statistically significant de-crease in the incidence of shoulder pain was reported and was attributed to neuromuscular adaptations from improved muscle efficiency.3 Proprioception and muscle contraction sequencing and timing are impor-tant in functional movement patterns and may be lost due to injury.1,8 To combat this, Dines and Levinson8 support multi-joint functional exercises in rehabilita-tion programs. Swimmers in the study of Swanik et al.3 were not experiencing shoulder pain at the time of testing and had no previous surgeries on the shoulder. These exercises could therefore be used in athletes after the initial reduction of practice and NSAIDS are administered when pain is no longer experienced.

The current research demonstrates swim-mer’s shoulder as a highly variable injury that requires attention when prescribing rehabilitation. Athletes should reduce or refrain from training and take NSAIDS until no pain is perceived in the joint during movement. Stroke technique should be analyzed and corrected, stretching should be performed without aggravating the condition, particularly to the poste-rior capsule, and functional, multi-joint muscle strengthening exercises should be performed to aid in stability of the joint. Testing of the shoulder is also beneficial to determine if any imbalances are present to be addressed.

References

1. Bahu MJ, Trentacosta N, Vorys GC, Covey AS, Ahmad CS. Multidirectional instability: evaluation and treatment options. Clin Sport Med 2008;27(4):671-689.

2. Bak K, Faunø P. Clinical findings in competitive swimmers with shoulder pain. Amer J Sport Med 1997;25(2):254-260.

3. Swanik KA, Swanik CB, Lephart SM, Huxel K. The effect of functional training on the incidence of shoulder pain and strength in intercollegiate swimmers. J Sport Rehab 2002;11(2):140-154.

4. Weldon III EJ, Richardson AB. Upper extremity overuse injuries in swimming. A discussion of swimmer’s shoulder. Clin Sport Med 2001;20(3):423-438.

5. Kammer LT CS, Young CC, Niedfeldt MW. Swimming injuries and illnesses. Phys Sportsmed 1999;27(4):51-60.

6. O’Donnell CJ, Bowen J, Fossati J. Identifying and managing shoulder pain in competitive swimmers. Phys Sportsmed 2005;33(9):27-35.


7. Bak K, Magnusson SP. Shoulder strength and range of motion in symptomatic and pain-free elite swimmers. Amer J Sport Med 1997;25(4):454-459.

8. Dines DM, Levinson M. The conservative management of the unstable shoulder including rehabilitation. Clin Sport Med 1995;14(4):797-816.

9. Moseley JB, Jobe FW, Pink M, Perry J, Tibone J. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Amer J Sport Med 1992;20(2):128-134.

T here have been many articles written about what to eat before we exercise. Therefore, most of us pay close attention to this. In fact, most people have specific foods that they routinely eat before working out and they know how long before an activity they can eat without risking an upset stomach. We do this because we want to get the most from our workout, practice or game. Ensuring our muscles have the energy they need to perform is a logical first step. However, we may not give as much thought about what we eat after it’s over. That’s unfortunate because in reality what you eat after activity can affect how you feel and how well you do when you are active the next time. This is because you need to refuel, rehydrate and repair. Let’s look at these things one at a time.

Why Refuel? Your muscles store energy or fuel in the form of glycogen. Glycogen is the quick energy that muscles need for activity.

Your body, specifically your liver, makes glycogen from the carbohydrates in the food you eat. The glycogen is then stored in your muscles for fuel during activity.

Your muscles can only store small amounts of glycogen at any one time. Therefore, it’s necessary to reload your muscles several times a day. This is especially important after exercise. Carbohydrates act like medicine for tired muscles. You can get carbohy-drates from grains, vegetables and fruit, and milk.

Why Rehydrate? When you are active your muscles produce heat that must be removed. This is done through the evaporation of sweat which cools your body. Therefore, it’s important to replace the fluid that is lost during activity or you may become dehy-drated. If you don’t rehydrate after activity you may experience fatigue, general weak-ness and not be able to perform well next time. You obtain fluid from the beverages you drink and the foods you eat.


Sport Nutrition...

Chocolate Milk: More than just a treat!

By: Lee Finell MHSA, RD, Nutrition Educator

Alberta Milk

Chocolate milk may play a key role in helping your muscles recover after intense physical activity as it contains the exact ratio of carbohydrate to protein needed for recovery.

Chocolate milk is 87% water and contains electrolytes such as sodium and potassium that help you rehydrate.

Why Repair? When you exercise your muscles can be damaged. You need protein to ensure that muscles can repair themselves. Protein comes from meat and alternatives, milk products, and smaller amounts in grains and vegetables.

When should I refuel, rehydrate and repair? In order for your muscles to fully recover, you should have something containing protein and carbohydrate and electrolytes within 20 minutes of stopping an activity. Follow this with a meal or substantial snack within two hours.

What is the best way to refuel, rehydrate and repair? Research shows that chocolate milk is more effective than a sports drink when it comes to helping muscles recover. This is because it contains protein as well as carbohydrates and electrolytes. Sports drinks supply some carbo-hydrate, fluid and electrolytes but without protein your muscles do not heal and if they don’t heal you won’t recover. Sports drinks are designed to be consumed during activities of longer than one hour. They are specifically made to replace lost fluid and electrolytes when you are exercising intensely. For activities of one hour or less, plain water is just fine.

How much chocolate milk should I drink to fully recover? A 70 kilogram male would need seven to 27 ounces (two-and-a-half to three-and-a-half cups) or 756 ml of chocolate milk and a 60 kilogram female would have to drink 14-and-a-half to 23 ounces (one-and-three-quarters to three cups) or 406 to 644 ml to receive the benefits.


Chocolate milk helps muscles recover after intense activity better than a sports drink.

Tickets ONLY $110 GROUP DISCOUNT: Purchase five participant registrations for the price of four.

2009 Sport Health Conference Sept 19-20, 2009

Presented By: Town of Beaumont, Leduc County, and Sport Medicine Council of Alberta

Package B—Sport Nutrition Sessions include: * Sport Nutrition Level 1 * Sport Taping & Strapping * Sport Concussion * Supplements and Athletic Performance * Strength & Conditioning * Sport Psychology

WITH SPECIAL GUEST SPEAKERS

Career Highlights: ♦ 9th 2008 World

Championships ♦ 28th 2008 Olympic Triathlon ♦ 2nd 2007 Cancun World Cup ♦ 5th 2007 Vancouver World Cup ♦ 3rd Great White North Half ♦ 2006 Pan American Champion ♦ 8th 2006 Commonwealth

Games ♦ 2004, 2007 National Champion ♦ 5th 2001 Junior World

Championships

Paul Tichelaar Olympic Triathlete


Package A—Athletic First Aid Sessions include: * Athletic First Aid * Sport Concussion * Supplements and Athletic Performance * Strength & Conditioning * Sport Psychology

Olwen Lepps Beaumont High School Football Coach Hear the inspiring story of how Olwen overcame cancer and went on to become a quarterback with the University of Alberta Golden Bears and two-time Alberta Tier III Coach of the Year for the Beaumont Bandits.

To register visit www.town.beaumont.ab.ca

HOME ABOUT SMCA COURSES SMCA COMMUNITY RESOURCES STORE KIT RENTAL SSAA

TTTHEHEHE NNNEWEWEW SMCA WSMCA WSMCA WEBSITEEBSITEEBSITE

Pulse Summer 2009 11

The Sport Medicine Council of Alberta is pleased to announce that our new and improved website has been launched. Above is a snapshot of the front page. Among many other things, you can now:

♦ Rent any of our therapist/first aid kits online ♦ Find dozens of sport medicine professionals across Alberta ♦ Register for any of our courses or purchase any product from our store and pay online

with your Visa or Mastercard ♦ Place an order on any resource from our library.

Visit sportmedab.ca sportmedab.ca


Injury Prevention...

Common Running & Jogging Injuries

D uring the summer season, many joggers are looking to get outdoors and take advantage of the beautiful Alberta weather. Although this general increase in physical activity is a great thing, it’s important to be aware of the potential injuries associated with running and jogging. The American Orthopaedic Society for Sports Medicine offers the following considerations and guide-lines for everyday runners: During warmer, humid weather, increase fluid intake. It is often helpful to weigh yourself before and after running on a hot, humid day. One pint of water should be consumed for every pound of weight lost. Avoid running during extremely hot temperatures or when the air pollution levels are high. When running at higher altitudes, the runner should gradually acclimate to the lower oxygen levels by slow, steady increases in speed and distance. WHAT CAUSES RUNNING INJURIES? There are four periods of time when runners are most vulnerable to injury: � During the initial 4 to 6 months of running � Upon returning to running after an injury � When the quantity of running is increased (distance) � When the quality of running is increased (speed)

Most injuries are caused by recurring factors that runners can often prevent or avoid themselves: √ Training errors are the most common source of injury: lack of adequate stretching; rapid

changes in mileage; an increase in hill training; interval training (going from slow speeds over long distances to faster over less ground); and insufficient rest between training sessions.

√ When selecting a running shoe, the athlete should look for a style that will fit comfortable and that will accommodate his or her particular foot anatomy. When a shoe’s mileage exceeds 500–600 miles, it should be replaced.

√ Runners should keep also in mind potential anatomic abnormalities: √ Hip disorders typically manifest themselves as groin pain. Back discomfort that radiates

down the leg is cause for referral to a sports medicine specialist. √ The patella (kneecap) is a common site of overuse injuries that can benefit from a 20

minute ice massage, a program of stretching and strengthening of the hamstring and quadriceps muscles and a short course of an over-the-counter anti-inflammatory medication. Surgery is rarely indicated.

√ Ankle laxity can lead to frequent ankle sprains and pain. Beneficial treatment includes muscle strengthening to increase stability, shoe modification to alter gait, and change of a running surface.

√ Foot problems in runners are related to foot types. Nonoperative treatment such as orthotics and shoe modifications should be used if necessary.

The ideal surface on which to run is flat, smooth, resilient, and reasonably soft. Avoid concrete or rough road surfaces. If possible, use community trails that have been developed specifically for jogging and running. Hills should be avoided at first because of the increased stress placed on the knee and ankle.


HOW ARE RUNNING INJURIES TREATED? The basic approach to treating running injuries includes rest or modification of activity to allow healing and reduction of inflammation. A gradual return to running (10 percent increase in mileage per week) can be allowed after flexibility, strength and endurance has returned. When severe pain, swelling, loss of motion and/or other alterations in running form are present, immediate medical treatment is advised. (See below for specific injuries.) The goal of rehabilitation is to safely return the runner to the desired level of running. Remember, training errors constitute the most common cause of injuries. A well-planned program prevents injury while benefiting the athlete.

COMMON RUNNING AND JOGGING INJURIES:

BACK

KNEE

LEG

BACK

We would like to thank the American Orthopaedic Society for Sports Medicine for providing the contents of this article. For more information and other great articles please visit the AOSSM’s website at sportmed.org.

THIGH/PELVIS

INJURY

Plantar Fasciitis Metatarsalgia

Stress Fractures

Stress Fractures Exertional Compartment Syndromes

Achilles Tendonitis

Medial Tibial Stress Syndrome (shin splints)

Patellofemoral Joint Pain

Meniscal Tear

Tendonitis

Bursitis

Hamstring Strains & Tendonitis

Sciatica

Lumboscral Strain

Spinal Stenosis

CAUSE/DESCRIPTION

Inflammation of fibrous connective tissue in sole of foot Excessive pressure on ball of foot, abnormality, stress fractures

Fatigue or stress from frequent, repeated activity (overuse)

Complete or hairline break in the tibia or fibula

Decrease of blood supply to leg muscles; caused by overuse

Repetitive overuse of Achilles tendon (hill running or increasing mileage too rapidly); may be chronic

Inflammation of muscles, tendons, or bone coverings caused by imbalance in calf and shin muscles

Increased mileage, change in terrain, change in running show

Tearing of internal structures such as the meniscus

Inflammation; can become chronic if not treated

Bursa (fluid-filled sac between a tendon and muscle and bony prominence) becomes inflamed from chronic, repetitive use

Overstretching involved muscle/tendons

Irritation of nerve(s) in lower back caused by lumbar disc herniation

Abnormal strain of lower back muscles

Gradual narrowing of spinal canal

SYMPTOMS

Low-grade, insidious heel pain Pain in five long bones of foot

Localized pain over affected bone

Localized pain over affected bone

Leg pain, numbness, tightness, and weakness in leg muscles

Pain and tightness in calf, especially with uphill running

Pain along inner side of lower leg

Pain centering around kneecap

Pain, swelling, joint locking, buckling

Pain and tenderness in one of tendons surrounding knee

Pain, superficial swelling

Pain, tenderness, swelling in hamstring muscles in back of thigh

Sharp, burning pain radiating down sciatic nerve into buttock and down back of leg

Pain, spasms, and tenderness in lower back

Back and hip pain, particularly in the older runner

TREATMENT

Activity modification, non-steroidal anti-inflammatory medication, heel/foot stretching, ice massage, heel pad

Orthotics, activity modification, change to softer running surface

Rest/immobilization; resume running gradually after 4-6 weeks

Rest/immobilization; resume running gradually after 4-6 weeks

Surgery or cessation of running

Rest, Achilles stretching, ice massage, anti-inflammatory medication, shoe appliances such as heel lifts

Discontinuing exercise until pain subsides, icing of affected area, stretching, occasional taping of leg

Anti-inflammatory medication, change in running terrain (avoid hills), strengthen quadriceps

Surgery to repair or remove torn cartilage

Rest until acute symptoms subside, icing, stretching, anti-inflammatory medication



May indicate ruptured disc and should be evaluated and treated promptly by a physician

Rest, stretching, and ice massage

Lying down for pain relief; can be treated by activity modification, stretching, and (occasionally) cortisone injections or surgery

14 Pulse Summer 2009

Sports Nutrition Guidebook By: Nancy Clark

Nancy Clark is a renowned figure in sports nutrition. This book will help you make good choices at the grocery store, fast food drive-thrus, restaurants, and at home. Other highlights include:

√ More than 65 healthy and delicious recipes that are quick and easy to prepare

√ How to get the maximum benefit from the foods you choose with customized eating plans

√ How and what to eat before games and tournaments for optimal performance and afterward for optimal recovery

√ Advice on current food, drink, and sport supplement options as well as trendy diets such as Zone, Atkins, Thermogenics, and Ultra Slim-fast.

*The Sports Nutrition Guidebook and all of the other books and DVDs in our library are available to borrow for FREE to all SMCA members. Other Titles:

Visit sportmedab.ca/library for more information or to borrow a resource.

sportmedab.ca

Library Feature...


SMCA SPORT TRAINER COURSE

This is a 2-day course that combines the SMCA’s Athletic First Aid and Taping & Strapping courses Athletic First Aid course: √ Learn about many common athletic injuries √ Further your knowledge in preventing & treating injuries

Taping & Strapping course: √ Taping techniques for common sports injuries √ When to tape, when to brace, and when to do nothing √ Twenty taping techniques for all parts of the body

Registration includes: √ A Taping & Strapping manual and Athletic First Aid manual √ Taping & Strapping and Athletic First Aid certificates, which are current

for three years

Upcoming Course Dates: ♦ Didsbury: September 19/20, 08:30—16:30

♦ Edmonton: September 26/27, 08:30—16:30

♦ Calgary: October 3/4, 08:30—16:30

♦ $175 ($25 less than when courses taken separately) Visit sportmedab.ca/courses for more info or to register

Pulse Summer 2009

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