Health Coaching vs Nutritionist; Helmet Safety;

Episode 17.22 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One (01:56): Karen Malkin from Karen Malkin Health Counseling talks with Steve and Dr. Cole about customizing your diet to your own physiology and biology. With all the options-resources available today and information overload, Karen helps to simplify decisions on “Whats Right for Me”.

For Special Savings with Karen please visit:

14daytransformation.com and use the Coupon Code ESPN1000


Segment Two (16:03): Samantha Cochran from Athletico Physical Therapy discusses helmet safety when participating in various sports, proper use and fitting of helmets. While all leagues and teams require helmets, many coaches, players and parents don’t know exactly how to choose a helmet that will provide the right protection. Athletico has developed a step-by-step guide to educate parents, athletes and coaches on selecting and wearing helmets.

Proper Fitting Tips for Protective Equipment

  • Always follow manufacturer’s guidelines when fitting any helmet2017 national athletic training month
  • Hair should be wet when fitting any helmet
  • Each part of the helmet serves a purpose
  • Attention to detail and wearing every helmet properly ensures maximum protection
  • Never cut corners
  • Replace any helmet that has been damaged
  • Look for the NOCSAE seal of approval
  • Comfort is key
  • If your helmet is fitted properly but not comfortable, explore other options

Samantha Cochran is an athletic trainer with Athletico Physical Therapy at Malcolm X College within the City Colleges of Chicago. She received her Master of Science degree with a concentration in Kinesiology in 2014 from Texas A&M University – Corpus Christi. In her time at TAMUCC she served as a graduate assistant athletic trainer for Islanders’ athletics from 2012-2014.

Helmet Fitting Tips from Athletico Physical Therapy

AHAI: A Step aHead Baseline Testing

A Step aHead baseline testing is now open

AHAI: A Step aHead Baseline Testing

Amateur Hockey Association of Illinois (AHAI), Athletico Physical Therapy, the Chicago Blackhawks, and NorthShore University HealthSystem has come together to create the AHAI: A Step aHead Baseline Testing initiative to combat one of the most common head injuries: concussions.

These four groups pledge to educate the Illinois youth hockey community on the importance of concussion management and to be proactive with implementing baseline testing. Through A Step aHead, we offer free baseline concussion testing, as well as educational programs, to youth hockey players in the AHAI program.

Head Injury and Concussion Management
presented by:

AHAI Baseline Testing

For more information contact an Athletico Baseline Testing Professional by emailing baselinetesting@athletico.com.

Click here to register for an AHAI Baseline Test

Counsel patients, parents on concussion risks in football

iStock-471035985.jpgDrs. Anthony Romeo and Gregory Cvetanovich co-authored this articlein Orthopedics Today about the rising awareness and reported incidences of concussion and how parents, athletes and coaches should be more careful about making informed decisions about play and return to play. They added that orthopedic physicians have a responsibility to share information regarding the risks of contact sports.


There has been increased awareness of sports-related concussions and risks associated with head trauma. The reported rates of concussions have doubled during the past decade, especially among youth and high school athletes. Much of the increase is attributable to greater recognition and diagnosis, as well as more media attention.

Among youth and high school athletes, American football has the highest risk of concussions, accounting for almost half of sport-related concussions in United States and the highest rate of concussions per player. Male athletes have more concussions overall due to greater participation in contact sports, however, female athletes are diagnosed with almost twice the rate of concussions compared with males in comparable sports, such as soccer. Younger athletes may have greater susceptibility to concussions, risk of recurrence, chance of second impact syndrome, as well as prolonged symptoms and recovery.

Risks of concussions

Treatment of concussions in young athletes consists of cognitive and physical rest along with symptom management. Short-term concussion risks include prolonged symptoms consistent with post-concussive syndrome and rare, but potentially fatal, second impact syndrome if the athlete sustains a second head injury too soon after the first. Patients with prior concussions are also at two- to five-times greater risk of sustaining another concussion. Long-term concerns include reported increased rates of dementia and depression potentially related to chronic traumatic encephalopathy (CTE).

In a published study, researchers analyzed the brains of 202 deceased football players. They found an overall 87% rate of CTE on neuropathology. Former high school players had a 21% rate of mild CTE, and the rates of CTE increased based on highest level of play to 99% of former National Football League (NFL) players who had predominantly severe CTE on pathology.

The study had limitations, but it was proposed that CTE may be related to repeated blows to the head in football and the severity may increase as athletes reach high levels of play. Many questions remain about the impact of early exposure to head impacts from youth football and of hits sufficient to result in clinical diagnosis of concussion vs. clinically silent subconcussive hits.

Due to these concerns, football leagues of all levels, as well as those of other sports, have made rule changes designed to reduce head injuries. Many of the interventions have had success in reducing the rate of concussions, although the effect on potential long-term cognitive effects of repeated head trauma and rates of CTE remain unknown. Some rule changes have been shown to have paradoxical increases in rates of concussions, which more likely reflect simultaneously increasing awareness of concussions among players, coaches, trainers and team physicians, rather than a causative relationship of the rule changes and increased concussions. Equipment changes, such as improved helmets and increased use of mouth guards have been made, but show mixed data on their impact on concussion rates.

Counseling patients, parents

As orthopedic sports medicine physicians, we should have a low threshold to suspect and diagnose concussions in athletes in conjunction with trainers and other health care providers. Patients should be removed from play to prevent further injury and allowed to undergo appropriate concussion treatment prior to consideration of return to play. A multidisciplinary team approach can be valuable, particularly in patients with prolonged or recurrent concussion symptoms.

Athletes recovering from concussions along with their parents, in the case of youth athletes, should be advised that certain contact sports are associated with elevated risk of concussion. This risk is inherent to contact sports despite attempts to reduce risks with rule changes, equipment modifications and coaching. Once an athlete is symptom-free and completes a concussion protocol, return to play may be considered as a shared decision with patients and parents.

Counseling patients and families on the long-term risks of single or repeated concussions is more challenging, including risks for cognitive, behavioral and mood disorders and neurodegenerative changes of CTE. Patients should be informed that the growing evidence connects CTE and its associated symptoms to football, particularly prolonged and high-level play.

Existing data make it impossible to project these risks for an individual athlete with a concussion or repeated subconcussive hits to the head. Furthermore, it is unclear how early participation in football and concussions sustained in youth and high school football influence long-term cognitive function. However, we owe it to our patients to discuss the potential risks although we cannot provide firm guidelines about number of concussions or head impacts after which they should consider not returning to play.

Despite uncertainty about long-term and patient-specific risks, the decision to participate in contact sports comes down to an informed decision by patients and parents. Orthopedic sports medicine physicians should provide information about the current understanding of the risks, which patients and parents can use to make decisions about what short- and potential long-term risks are acceptable.