Baseball season is near, and one orthopedic surgeon is warning young players and their coaches and parents about the very real danger of overuse injuries. Dr. Mark Cohen is a hand, wrist and elbow surgeon at Midwest Orthopaedics at RUSH, in Chicago. He’s also an official team physician for the Chicago White Sox. “I’m a huge baseball fan and have enjoyed treating professional and youth players for many years,” Cohen explained in a RUSH news release. “I love it when we can get a player back on the field. What concerns me is the rate at which Little Leaguers are experiencing big league conditions that may interfere with their body’s normal function as they grow.” Some of these “big league conditions” include simple chronic arm pain, but also torn ulnar collateral ligaments (UCLs) in the elbow, Cohen explained. UCLs often require extensive “Tommy John” surgeries — named after the first major leaguer to get the surgery back in 1974. According to one study of 261 youth and high school pitchers, published in 2023 in the Journal of Shoulder and Elbow Surgery, one in four suffered some kind of injury to their arm over the course of their career. The longer they pitched, the higher their risk for these injuries and the need for surgery, the study found. “Ten years ago, Tommy John surgery was a…  read on >  read on >

Kids struggling with mental health problems have a tougher time recovering from a concussion, a new study finds. These troubled kids tend to have more emotional symptoms after concussion and take longer to fully recover, results show. In fact, the more mental health diagnoses a child had, the worse their emotional symptoms and the longer their recovery following a concussion, researchers reported recently in the journal Sports Health. “While research has emphasized the negative mental health effects that persist after a concussion and how they can impact development and recovery, it’s also very important to consider the burden these children and adolescents face prior to their injuries, and how their preexisting mental health status can impact recovery,” said senior researcher Dr. Matthew Grady, a pediatric sports medicine specialist at the Children’s Hospital of Philadelphia. Concussions are a common childhood injury, with about 2 million sports- and recreation-related concussions occurring each year in the United States, researchers said in background notes. These mild traumatic brain injuries can cause a variety of problems with brain function, emotions, sleep and vision, researchers said. A child’s physical health prior to concussion is known to influence their symptoms and recovery time. To see whether that held true for mental health as well, researchers analyzed data on more than 3,100 kids who had suffered a concussion. The research team checked the…  read on >  read on >

Athletes whose coaches are open, authentic and positive are more likely to have better mental health, a new study says. Athletes feel happier and deal with problems more easily if their coaches adopt an “authentic leadership” style, researchers report in the journal Psychology of Sport and Exercise. Such a leadership style also produces better and more cohesive team spirit at higher competitive levels, results show. Players in national, international or college leagues are more likely to support and encourage each other if they’re receiving such coaching, said lead researcher Maria Kavussanu, a professor of sport and exercise psychology with the University of Birmingham in the UK. “Higher level athletes tend to train together for longer hours and have the opportunity for more frequent social interaction with each other,” Kavussanu said in a news release.  “The relationships that develop within the team become important, as do experiencing positive behaviors such as support and encouragement from their teammates, which can be promoted by coaches adopting an authentic leadership style,” Kavussanu added. Researchers said that aspects of authentic leadership include: Openly sharing information Showing understanding of athletes’ strengths and weaknesses Acting in an ethical manner Listening to alternative perspectives Authentic leadership from coaches is associated with fewer feelings of depression, anxiety and stress among athletes, researchers found. Such leadership also influenced athletes to better support each other, by…  read on >  read on >

Even a little physical activity can cut a person’s stroke risk compared to being a complete couch potato, a new review shows. Folks whose physical activity levels fell short of recommended guidelines still had a lower risk of stroke than those who got no exercise, researchers report. Compared with no exercise, the highest “ideal” amount of physical activity cut stroke risk by 29%, researchers said. However, even “below target” activity still reduced risk by 18%, results show. “According to our results, all levels of leisure-time physical activity can be beneficial for stroke prevention, including levels currently regarded as low or insufficient,” said the team led by senior researcher Raffaele Ornello, a postdoctoral investigator of applied clinical sciences and Biotechnology at the University of L’Aquila in Italy. “People should be encouraged to be physically active even at the lowest levels,” the researchers concluded. For their paper, the team pooled the results of 15 previous studies on physical activity levels and stroke risk, involving more than 752,000 adults followed for more than a decade, on average. Overall, moderate levels of physical activity that fell below recommended levels still cut stroke risk between 27% and 29%, when compared to no exercise, researchers found. The effects were independent of sex or age, researchers said. Essentially, everyone can benefit from whatever physical activity they can manage in their spare time.…  read on >  read on >

The more steps a person can fit into their day, the lower their risk of early death and heart disease, regardless of how much a couch potato they are otherwise, a new study shows. People who are sedentary for more than 11 hours a day gain the same health benefits from walking more as more active folks do, researchers found. The optimal number of daily steps to improve health was between 9,000 and 10,000, researchers said. That amount of walking lowered risk of death by 39% and heart disease risk by 21%. However, half of that benefit was achieved with half the effort, at around 4,000 to 4,500 steps a day, researchers found. Essentially, any steps above 2,200 daily were associated with lower risk of death and reduced heart disease risk. “Our results indicate sedentary time did not significantly modify the dose-response association of daily steps,” concluded the research team led by Matthew Ahmadi, a postdoctoral research fellow with the University of Sydney in Australia. “We also found the amount of physical activity [eg, steps/day] needed to lower the risk of mortality and incident [heart disease] may be lower than previously suggested,” the researchers added in a journal news release. For the study, researchers analyzed data on more than 72,000 participants in UK Biobank, a major biomedical database created as part of a long-term research…  read on >  read on >

A bicycle built for two could be a positive prescription for Parkinson’s patients and their caregivers, a small, preliminary study says. Parkinson’s patients had better overall quality of life, improved mobility, and faster walking speed after sharing regular rides on a stationary tandem bike with a care partner, researchers plan to report at the annual meeting of the American Academy of Neurology in April. Care partners also got something out of the rides, reporting improvements in their perceived ability to bounce back or recover from stress, results show. “A unique cycling program that pairs people with Parkinson’s disease with their care partners can improve the physical, emotional and mental well-being of both cyclists to improve their quality of life,” said researcher Jennifer Trilk, a professor of biomedical sciences with the University of South Carolina School of Medicine in Greenville. Parkinson’s is a progressive degenerative disease of the nervous system. Patients become less and less able to control their body, suffering from tremors, leg stiffness, and gait and balance problems. For the study, patients and caregivers shared a virtual reality ride on a tandem stationary bicycle twice a week for eight weeks. The study included nine Parkinson’s patients and their care partners. “It is just as important that care partners also receive care, so that is why we included them as the cycling partner,” Trilk said…  read on >  read on >