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In this issue:

Active Voice: Movement Asymmetries — Getting at the Driving Forces
Policy Corner: CEO Pledge; The Economics of Physical Activity
Spine Support: World Spine Day is October 16
Exercise is Medicine® Helps Launch Technogym’s Wellness Campus
Access Exercise and Sport Sciences Reviews Online
Stand Up for Science! Contest Information
Sports Medicine & Exercise Science Headlines

Active Voice: Movement Asymmetries — Getting at the Driving Forces
By Emily S. Gardinier, BS, and Lynn Snyder-Mackler, PT, ScD, FAPTA
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Viewpoints presented in SMB commentaries reflect opinions of the authors and do not necessarily reflect positions or policies of ACSM.

Emily S. Gardinier, BS, is a graduate student member of ACSM and a doctoral student in the interdisciplinary Biomechanics & Movement Science Program at the University of Delaware. She is investigating the role of rehabilitation in altering muscle and joint contact forces among individuals with ACL injury.

Lynn Snyder-Mackler, PT, ScD, FAPTA, is an internationally recognized clinician and clinical researcher in sports and orthopedic rehabilitation, with an active sports physical therapy practice at the University of Delaware. She is a consultant to collegiate, amateur and professional teams. Her research focus relates to knee and shoulder rehabilitation and electrical stimulation of muscle. Dr. Snyder-Mackler has published extensively and her research has received special recognition in sports and orthopedic rehabilitation fields.

This commentary presents Ms. Gardinier’s and Dr. Snyder-Mackler’s views associated with the research article they recently published with their colleagues in ACSM’s Medicine and Science in Sports and Exercise® (MSSE).

Movement asymmetries are nearly universal after anterior cruciate ligament (ACL) injury and can persist for years afterward, despite ligament reconstruction and rehabilitation. Movement asymmetries are now thought to play a key role in the risk for re-injury and early-onset knee osteoarthritis. As many as one in three individuals who tear the ACL will go on to either re-injure the index knee or injure the opposite knee. Also, at least one in 10 of these individuals will develop painful, symptomatic osteoarthritis in the injured knee within 15 years of their injury. Resolving movement asymmetries remains an important goal of rehabilitation in an effort to promote a safe return to pre-injury activities and to protect long-term joint health.

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Policy Corner: CEO Pledge; The Economics of Physical Activity
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Two recent events illustrate different routes for collective action in support of physical activity policy. The National Coalition for Promoting Physical Activity, of which ACSM is a founding member, staged two events in conjunction with its quarterly board meeting last week in Washington, DC.

CEO Pledge Reception
Recognizing that employee wellness is essential and that leadership signals an organization’s priorities and culture, CEOs are stepping forward to take the CEO Pledge. The Pledge gives America’s business leaders the chance to demonstrate their commitment to physical activity in the work environment.

The CEO Pledge was developed by NCPPA as an implementation strategy for Business & Industry sector of the National Physical Activity Plan. The Pledge was unveiled at a recent forum held by the Health Enhancement Research Organization (HERO), a non-profit organization dedicated to the promotion of employee health management as a core business strategy to improve the health and productivity of the nation’s workforce.

Rep. Ron Kind (WI-3) hosted a Capitol Hill reception Sept. 24, where numerous CEOs signed the pledge and spoke about their commitment to employee health. For more information about the CEO Pledge and to find out how to get your company or organization involved, please contact Business and Industry Sector Co-Leader Tom Richards at tgr@ihrsa.org.

Forum: The Economics of Physical Activity
The following day, NCPPA and the National Foundation on Fitness, Sports and Nutrition, NCPPA convened a panel of health economists and other experts to discuss The Economics of Physical Activity. David Wessel, economics editor of The Wall Street Journal, noted that health care spending will swell to about a third of the federal budget by the end of this decade and observed that anti-tobacco gains have largely been offset by increases in obesity. Wessel also said that, while we can’t reduce the number of people relying on the health care system, we can improve the system by emphasizing outcomes rather than process, and we can improve individual health by preventing non-communicable diseases.

A hot topic was how the Congressional Budget Office scores the economic impact of proposed legislation and whether evidence can persuasively document net cost savings through increased rates of physical activity. Steven Lieberman, a fitness enthusiast who formerly led health staffs for the CBO, was candid. He cited the need to:
  1. Present empirical data (preferably from peer-reviewed, randomized trials);
  2. Show that behavior change will result from the proposed legislation and not some other factor, and
  3. Show that the proposed policy is scalable and replicable.
Despite the challenges to demonstrating cost savings in the near term, Lieberman noted that “Many things worth doing cost money” and encouraged advocates to continue their efforts.

Other speakers included health economists Jane Ruseski, Ph.D., and Brad Humphreys, Ph.D., and Donald Fisher of ACTIVE Network.


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Spine Support: World Spine Day is October 16
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ACSM and its members support a plethora of health initiatives, including those advancing bone and musculoskeltal health. The Bone and Joint Decade reminds us that it’s time to “Straighten Up and Move” on October 16. World Spine Day is aimed at encouraging the development of healthy spine habits. The WSD website (www.worldspineday.org) provides general information about WSD as well a planning toolkit, other resource materials and a sample media release.

World Spine Day is part of the Bone and Joint Decade's Action Week, October 12-20, for raising awareness of the burden of musculoskeletal disorders around the world. If you are interested in sharing your plans for WSD or in becoming involved with the coordinating committee, please contact Dr. Jennifer Nash, Special Projects Coordinator for World Spine Day, at jnash@worldspineday.org and/or Dr. Deborah Kopansky-Giles, BJD International Coordinating Council, at dkopansky-giles@worldspineday.org.

Exercise is Medicine® helps launch Technogym's Wellness Campus
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Former U.S. President Bill Clinton and Italy’s current president, Giorgio Napolitano, kicked off the opening of the Technogym Village in Cesena, Italy September 29th with support from Exercise is Medicine®. The building’s design was inspired by the principles of health and wellness on the workplace, which includes a research and innovation laboratory, the production facilities, and a wellness center dedicated to physical activity, education and the wellness culture. The center will host professionals, operators, doctors and architects from all over the world. The Technogym Village will be a hub where new products and services will be designed and developed to offer new solutions which support Exercise is Medicine principles for clubs, hotels and corporate and medical facilities globally. Read more about the grand opening at www.technogym.com/opening.

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Access Exercise and Sport Sciences Reviews Online
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The last issue for 2012 of Exercise and Sport Sciences Reviews is available online now. Go to the website to view the articles*, which cover a variety of topics, and to view the online-only content. The Journal Club questions by editor LaDora Thompson are posted so make sure to download and review them after reading the covered article, “Effect of Statins on Skeletal Muscle: Exercise, Myopathy, and Muscle Outcomes" by authors Beth A. Parker, Ph.D., and Paul D. Thompson, Ph.D. Remember, the issue’s covered article is available for download FREE

*ACSM Professional members must first log in at the ACSM website. Then click on the “Access My Journals” link.
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Exercise and Science Headlines

Headlines include recent stories in the media on sports medicine and exercise science topics and do not reflect ACSM statements, views or endorsements. Headlines are meant to inform members on what the public is reading and hearing about the field.

How To Stretch Safely For Flexibility After 50
Huffington Post    Share    Share on FacebookTwitterShare on LinkedinE-mail article
It's true that as we age, flexibility becomes an even bigger concern. All of the experts we interviewed agreed that older bodies come with an ultimatum: Use it or lose it. If you aren't maintaining an active lifestyle, you can expect accelerated muscle loss, decreased stamina, strength, range of motion, balance and flexibility. So getting into a new fitness routine or revisiting or ramping up an old one, like Martial Arts, is a really great idea. More

Knee Replacements on the Increase Among Older Adults
USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The number of total knee replacement surgeries has soared 161.5% among Medicare participants over the past 20 years, a $5 billion annual tab that will continue to grow as the USA's 77 million Baby Boomers age, according to a large study out today. The wider use of knee replacement, on one hand, is good news for the rapidly aging population. But while knee surgery eases pain from severe arthritis and improves quality of life, the improvements "can be viewed as another strain on government, individuals,and businesses struggling with unremitting growth in health care costs,'' the authors report in the Journal of the American Medical Association. More




Sports Medicine Bulletin
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