Posts (10)

Apr 8, 2016 · Comprehensive Training: What Hockey Players Should Know

While fans and many athletes only focus on the season, physicians and trainers at Mayo Clinic Sports Medicine are thinking of what should happen during the off-season.

Recently, Michael Stuart, M.D., Co-Director, Mayo Clinic Sports Medicine, Chief Medical and Safety Officer, USA Hockey gathered a small group of trainers and held a webinar on the benefits of comprehensive training for hockey players.


Shawn Vins, Coordinator of Performance Services and Hockey Lead talked about what athletes should be working on after the season.

“What we want to be focusing on is improving upon the skills, improving upon any deficiencies we maybe got caught up with, improving our stride through mechanics, Improving power and muscular endurance, speed and overall acceleration.”

Jennifer Noiles, EXOS Trainer agrees with Shawn. She says the most common question she gets from parents and athletes is, “’when should I start hitting the gym again?’”

“Really what we’re trying to do during the off-season is to reset, rebuild and build the foundation. Get bigger, faster and stronger,” says Jennifer.

She recommends that Athletes celebrate the season and take some time off. Also, if athletes had an in-season injury, they should get it checked out.

Jennifer encourages athletes to set goals early in the off-season, get a base-line measurement on their movement profile, cardiovascular system and do strength training.

Consider “a whole system of performance training and come up with a robust plan that’s responsible and has bench marks so you know you’re improving,” says Jennifer.

Dr. Stuart also emphasized that rest and recovery are an important part of training, because otherwise it is possible to over-train.

mayo_smc_Hockey3Nutrition Trainer Luke Corey encouraged athletes to make a year ’round commitment to their training. You “want to look at specific nutrients, the ones that help with regeneration and have anti-inflammatory properities.”

We “need to think about rebuilding muscles and tissues, we take a beating during the hockey season. Our bodies have been broken down, so we really need those high quality proteins to help rebuild our bodies,” says Luke.


He recommends foods rich with Omega-3 fatty acids, vegetables and complex carbohydrates for muscles.

Hydration is important either in, or off season. “Minimally we want to be drinking at least half our body weight in water every day,” says Luke.

He emphasized the importance of getting into a good eating routine: starting the day off with a good quality breakfast, high quality snacks, balanced meals and proper hydration: “Doing all those things will certainly help with recovery after a long season, but also set you up for success entering into the next season.”

Click here to watch the webinar and learn more from the discussion.







Mar 31, 2016 · The Importance of Exercise & Staying Motivated

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Recently  Carmen Terzic, M.D., Ph.D., Chair of Mayo Clinic Physical Medicine and Rehabilitation joined Aliza Lifshitz, M.D., as her guest on Life and Health, Chatting with Dra. Aliza radio show. The program is heard over 270 radio stations affiliated with the Hispanic Communications Network in the U.S. and Puerto Rico.

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The segment was broadcast in Spanish and you can hear the entire interview here. What follows are highlights of their discussion.

Dr. Aliza began by noting that many people do not exercise and she wanted to know what the first thing is that people should focus on when starting an exercise routine.

Dr. Terzic emphasized the multiple benefits of exercise. “Exercising isn’t just about losing weight and looking better, but also to build up muscle,” says Dr. Terzic. “Not everybody does exercise to look Arnold Schwarzenegger, but a routine of exercise brings some benefits to the human body. One of them is to control cholesterol lipids and cardiovascular diseases.”

“People who exercise regularly live ten-years longer than those who don’t,” says Dr. Terzic.  “Because of this there shouldn’t be any reason why people shouldn’t exercise.”

It can be difficult to start an exercise routine when folks have never exercised before and that is why Dr. Terzic believes people should choose an activity that they enjoy doing and to place it on their daily schedule.

Even if folks cannot devote an hour to exercise, the solution is to keep active during the day, take the stairs, park your car farther away and do what you can to avoid sitting.

“The important thing is to do at least 30-to-40 minutes of moderate intensity exercise per day” says Terzic. If that means dividing the activity into 10-or-15 minute blocks, that is acceptable as well.

The discussion then turned to starting an exercise routine without hurting yourself, especially if you’ve never really exercised regularly before.

Dr. Terzic recommends that people who are between theages of 40-and-50 (or those with a pre-existing medical condition) should consult their physician before starting any exercise routine.

“But if they are healthy person they should start progressively, 10-to-15 minutes a day, then progress until they can do the 30-40 minutes of moderate intensity exercise per day,” says Terzic.

She believes that a brief warm-up and cool-down are important along with stretching and drinking plenty of water.

Dr. Terzic is not a believer in the common saying “no pain, no gain” when it comes to exercise. “Pain means there’s something abnormal going on and people should learn to listen to their body,” she says. “I think people realize and understand when is a good or bad pain. If they feel bad pain, they should stop the exercise immediately and consult with their physician.”

“There is no excuse not to exercise,” says Terzic.  “I tell my patients everyday, ‘do you watch T-V, do you watch the news?’ And when they say yes, I encourage them to watch it while doing exercise. if you don’t have equipment, just stand up and move your legs and arms, try to be active—up and down.”

Dr. Terzic’s final take-away for listeners was to remind them “there are a lot of ways to exercise, the key is to keep active, exercise is the best medicine currently in the world.”


Mar 25, 2016 · Mayo Clinic Physical Medicine & Rehabilitation receives three-year accreditation

mayo_pmr_bloglogoMayo Clinic Department of Physical Medicine and Rehabilitation received the full three-year accreditation from the Commission on Accreditation of Rehabilitation Facilities following the site visit in January. The final report was extremely positive and indicates a successful outcome.

The Commission on Accreditation of Rehabilitation Facilities surveyors observed strong multidisciplinary care delivery, extensive interdisciplinary collaboration and a strong patient focus.

In addition to many strengths, the survey team distinctly identified the Brain Injury Coping Skills program and the project between the Spinal Cord Injury team and Plastic Surgery to reduce pressure ulcers.

These initiatives were cited as exemplary, indicating these efforts are leading the field among the Commission on Accreditation of Rehabilitation Facilities’ national and internationally accredited programs. The number of recommendations that require action plans also reduced by more than 40 percent (eight versus 14), validating the work of the multidisciplinary team over the past three years.

Carmen Terzic, M.D., Ph.D., Chair, Physical Medicine & Rehabilitation Mayo Clinic

Carmen Terzic, M.D., Ph.D., Chair, Physical Medicine & Rehabilitation Mayo Clinic

Carmen Terzic, M.D., Ph.D., Physical Medicine and Rehabilitation/Cardiovascular Diseases, who is the chair of Physical Medicine and Rehabilitation, congratulates the collaborative team consisting of physicians, nursing, therapy, social work and allied employees.

Mar 16, 2016 · Exercise Prevents Diet-induced Cellular Senescence in Adipose Tissue

Click to watch the video

Could an unhealthy diet and lack of exercise contribute to an increased rate of aging?

Researchers from the Mayo Clinic Robert and Arlene Kogod Center on Aging found that exercise prevents premature senescent cell accumulation and protects against the damaging effects of an unhealthy diet, including deficiencies in physical, heart, and metabolic function, equivalent to diabetes.

“We think at both a biological level and a clinical level, poor nutrition choices and inactive lifestyles do accelerate aging,” says Nathan LeBrasseur, Ph.D., director of the Center on Aging’s Healthy and Independent Living Program and senior author of the study Dr. LeBrasseur points to data that highlight the harmful consequences of nutrient excess and the remarkably protective influence of exercise on this biological process and, in turn, fundamental measures of physical, cardiovascular, and metabolic function.

In the face of population aging, an obesity epidemic, and global reductions in physical inactivity, researchers believe these findings have significant implications for human health.

Dr. LeBrasseur and his team contend their results show that exercise prevents the SASP within visceral adipose tissue, and remarkably, reduces aspects of the SASP when initiated after its accumulation. They further propose this is an unappreciated mechanism through which physical activity interventions may impact health span, particularly in those who are overweight or obese. They also note, the association between obesity-associated subclinical inflammation and Diabetes.

Given the considerable evidence that cellular senescence is a fundamental mechanism of aging and the genesis of chronic diseases, the researchers believe their findings reinforce the notion that lifestyle choices are powerful determinants of health span.

Click to learn more about the study in the latest edition of Diabetes.

Feb 24, 2016 · International Consortium for Regenerative Rehabilitation

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Click here to watch the interview.

Mayo Clinic is now part of an International Consortium for Regenerative Rehabilitation.

In this video interview conducted during the Fourth Annual Regenerative Rehabilitation Symposium last fall, Fabrisia Ambrosio, Ph.D., M.P.T., Associate Professor, University of Pittsburgh and Carmen Terzic, M.D., Ph.D., Chair of Mayo Clinic Physical Medicine and Rehabilitation discuss the formation of the initiative.


The International Consortium for Regenerative Rehabilitation’s goal is to explore initiatives and programs that can be developed to address the great potential to synergize the field of regenerative medicine with rehabilitation science.

The combination of the two fields offers great promise in maximizing the physical functioning in individuals after injury, disease or with aging.

The National Institutes of Health (NIH) has decided to fund the Alliance for Regenerative Rehabilitation Research and Training (AR3T).

The ultimate aim is to promote interactions and exposure of individuals to the rehabilitation field, its techniques and its methodologies.

AR3T will be dedicated to promoting research in regenerative rehabilitation with pilot funding programs, sabbatical and laboratory experiences in hopes of creating new collaborations.

Click here to learn more about the Consortium and AR3T


Feb 1, 2016 · Mayo Clinic Physiatrist Selected as Next ABPMR Director

Carolyn L. Kinney, M.D.

Carolyn L. Kinney, M.D.

Carolyn L. Kinney, M.D., a board certified physiatrist at Mayo Clinic in Scottsdale, Arizona been named as the next Executive Director of the American Board of Physical Medicine and Rehabilitation (ABPMR).

“Please join me in congratulating Dr. Kinney,” wrote Carmen M. Terzic, M.D., Ph.D., Chair of Mayo Clinic Department of Physical Medicine and Rehabilitation regarding the announcement. Dr. Terzic added, “we wish Carolyn all the best in this important endeavor and we do not have any doubt that she will do a superb job in this important role!”

Dr. Kinney has more than 30 years of experience in both private and academic practice.

She is currently medical Director of the Acute Rehabilitation Unit in Scottsdale.

Dr. Kinney also holds an assistant professorship in PM&R at Mayo Clinic College of Medicine.

She has a long history of service to ABPMR as an examiner, a member of the board of directors and committee leadership positions.

She will assume her new duties at ABPMR in July of this year.

Click here to learn more about Dr. Kinney and the announcement.


Jan 28, 2016 · Interplay Between Exercise & Dietary Fat Modulates Myelinogenesis in the Central Nervous System

Isobel A. Scarisbrick, Ph.D.

Isobel A. Scarisbrick, Ph.D.

Diet is an intrinsic aspect of everyday life and is emerging as a major regulator of brain function and plasticity.

The increasing consumption of saturated fats and sugars as is typical of a Western diet is considered detrimental for CNS function; however, based on the high content of lipids in brain, how to manage consumption of dietary fats for optimal CNS health is controversial.

In a newly published research paper Mayo Clinic Associate Professor of Physiology Isobel A. Scarisbrick, Ph.D. and her co-authors investigate the relationship between fat, exercise and Myelin.

Myelin is essential to the conduction of nerve impulses in the brain and spinal cord and myelin loss is a key pathophysiological component of neurological injury and disease, including multiple sclerosis, traumatic brain and spinal cord injury, stroke and certain neuropsychiatric disorders.

The loss of myelin is also a recognized part of normal aging and a risk factor in obesity contributing to cognitive and sensorimotor decline.

mayo_scarisbrick_graphicFindings suggest that the central nervous system is capable of adapting to the demands of a high-energy Western diet when afforded ample exercise, by increasing insulin like growth factor 1 (IGF-1) signaling and the expression of silent mating type information regulation 2 homolog (SIRT1), peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1_), and free radical scavengers.

These key changes in critical regulators of metabolism may provide protection to myelinating cells and their progenitors resulting in increases in myelin.

Click here to read the full paper.

Jan 20, 2016 · Gene Therapy for Cartilage Regeneration


Christopher H. Evans, Ph.D., Director of Mayo Clinic Rehabilitation Medicine Research Center, Professor of Orthopedics and Carmen Terzic, M.D., Ph.D., Chair of Mayo Clinic Physical Medicine and Rehabilitation discuss Gene Therapy for Cartilage at the Fourth Annual Symposium on Regenerative Rehabilitation.

Cartilage is unusual tissue because it’s one of the few organs in the body that has no ability to repair itself after injury.

It is frequently injured in sporting activities and accidents, and is damaged by diseases such as arthritis.

Dr. Evans believes it’s important to be inventive when developing ways to repair cartilage.

The approach the RMRC uses is to develop technologies that can be implemented in the operating room in a single procedure; nothing has to leave or be grown outside the body.

Watch the video as Dr. Evans talks about how gene transfer is used in a single surgery without the need to groom the cells.


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