Author talks about bone health and athletes - Penn State Hershey Bone and Joint Institute

Uploaded by PennStateHershey on 27.04.2011

The purpose of the book is to help running and endurance athletes as well as those that
care for them to either prevent or rehabilitate stress fractures or bone loss.
We've appreciated certainly in the last five or ten years a much higher prevalence of stress
fractures and actually bone loss as a result of participating in endurance sports like
running. I've been a physical therapist for 20 years
and had an interest in sports medicine especially endurance athletes for the majority of that
time. I've been here at Penn State's sports medicine
for the last eight years and it's becoming increasing obvious that there was a need for
a book like this because of the fact that we are treating stress fractures at a much
higher rate as well as much more recognized need for something for athletes and coaches
to help appreciate how we can prevent and/or reverse bone loss.
Because one of the fascinating things about bone is that it's a tissue that is involved
in mechanical loads, hormones, nutrition and so there's a variety of factors that need
to be addressed from a team approach.
Um, hum.
To go ahead and try to achieve to take care of an endurance athlete's skeleton we really
need to have a team that's addressing all these factors that influence bone.
Any runner especially a serious runner who...or even a recreational runner who is going to
be trying to do endurance distances, long distances, even marathon or ultra marathon
the biggest hurdle is actually getting to [inaudible] health and often times it does
take a team approach looking at the biomechanics, the nutrition, the stresses and the atmosphere
that the person trains in, in order to keep them from breaking down or injuring themselves
and so it's very important to have a teamwork approach where you can work with physical
therapists who are knowledgeable about running and endurance athletes as well as physicians,
sports nutritionists, all of them add a huge piece to making sure you get to the start
line healthy.
There's been a tremendous increase in terms of our knowledge, 20 years ago the way we
would treat a stress fracture often times we would look at the injury as a very, very
localized tech problem but in certainly the last five or ten years it's been becoming
increasingly better recognized that often times the environment that supports the athlete
especially nutrition, hydration and a lot of other factors that are independent of the
athletes localized injury have a tremendous effect, that's why again working with sports
nutritionists and physicians they can go ahead and test for mechanical markers or bone remodeling
and we can go ahead and test for things such as vitamin D and looking at nutritional histories
become really, really the cornerstone of our multidisciplinary treatment. Dr. Robert Ecker
[phonetic] is an expert in genetics of the musculoskeletal system. Bob has looked at
adaptation of the skeleton over thousands of year's time. He's very, very well written
and very, very well published and he brings a tremendous amount to the book because his
expertise of the musculoskeletal system evolutionary, he brings that information now to the athlete's
evolution over the course of a season or the course of a life time and so Bob really brings
a terrific background in terms of a genetic component as well as an athlete's ability
to adapt to implied loads.