Sudden Cardiac Death

sudden, cardiac, death, hearth, sport, athlete, scd

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Sudden cardiac death (SCD) is an extremely rare event. The most common reason for cardiac death related to sports is the cardiomyopathy hypertrophic, an abnormal enlargement of cardiac muscle. It’s a rare heart disease that predispose a person of SCD because of physical exertion.

Commotio cordis is another reason for SCD. It’s a direct trauma to the chest at a specific moment in the cardiac cycle and this trauma triggers a dangerous arrtyhmia (abnormal rhythm) of electrical system of the heart. A commotio cordis usually arrives in sports where a blunt projectile, such as baseball ball or hockey puck, hits the athlete’s chest.

Treatment

Cardiac arrhythmias that threaten the lives of young athletes are very difficult to treat. The immediate use of AED (automated external defibrillator) can provide an advantage.

Prevent

sudden, cardiac, death, sport, hearth, athlete, scd

Unfortunately, the only way to prevent death from hypertrophic cardiomyopathy is to identify the disease and recommend the athlete avoid any strenuous activities. Cardiac ultrasound can diagnose this condition. Some experts have called for the screening of athletes with ultrasound or electrocardiograms (EKG), although this screening is controversial because of the high cost and scarcity of this condition.

However, athletes with cardiac symptoms such as dizziness, fatigue, shortness of breath in relation to physical activity, palpitations, convulsions and especially syncope (fainting) must stop the competitions and must do deeper tests.

In addition, a family history of cardiac abnormalities justifies a complete cardiac evaluation. Especially a known parent with hypertrophic cardiomyopathy or a history unexplained sudden death in a family member.

There is the creation of different forms of protection for the chest and pads, but unfortunately no method has prevented this tragic event. The rules regularly change in the sport and some times to try to avoid commotio cordis. For example in baseball and softball, it’s the limitation of the use of aluminium bat. This rule can protect the pitcher by decreasing the speed of the ball after contact with the bat. There are other rules too, such as using a softer ball and teaching players to turn their chest when the ball is hit by the bat.

Stats

  • Fortunately, SCD is extremely rare in the sport. For the majority of people do sports to cardiac benefits.
  • In young athetes, the most common causes of SCD are 25-30% hypertrophic cardiomyopathy and 20% commotio cordis.
  • Coronary artery abnormalities are the cause of 14% of SCD in athletes.
  • Marc-Vivian Foe, a Cameroonian soccer star had a sudden cardiac death during a match in 2003.

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-Steph

P.S. If you’re in Miami and you like Caribbean food, go to my cousin’s bistro to eat Haitian food, click here .

Articular Cartilage Injuries

articular cartilage injury

What’s up ? This is THE stephane ANDRE. With my training, I’m interessted in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Definition

Articular cartilage is difficult to understand because there are 3 types of cartilages in the body : articular of hyaline cartilage (covers joint surfaces), fibrocartilage (knee meniscus, vertebral disk) and elastic cartilage (outer ear). These cartilage’s types differ in their structure, elasticity and strength.

Articular cartilage is a complex element, it’s a living tissue that is on the joint’s surface. The function is to provide a low friction surface to allow the joint to withstand weight loads through the range of motion needed to perform activity of daily living. To put it simply, articular cartilage is a very thin shock absorber. It’s built in 5 distinct layers and each layer has a structural and biochemical difference.

Injury

articular cartilage injury

Articular cartilage injury may be due to trauma or progressive degeneration (wear and tear). This can be mechanical destruction, a direct blow or other trauma. The healing of articular cartilage cells depends on the severity of the damage and the location of the lesion. Articular cartilage has no direct blood supply so it has very little ability to repair itself. It the lesion penetrates the bone under the cartilage, the bone provides blood in the area which improves the chances of healing.

Mechanical degeneration (wear and tear) of articular cartilage occurs with progressive loss of normal cartilage structure and function. This loss begins with the softening of the cartilage, then progresses to fragmentation. As the loss of articular cartilage lining continue, the underlying bone no longer has any protections against normal wear and tear of daily life and begins to get damaged leading to osteoarthritis.

In many cases, a patient experiences knee swelling and vague pain. At this stage, continuous physical activity isn’t possible. If a loose body is present, words such as « locking » or « catching » might be used to explain the problem. With wear and tear , the patient often experiences stiffness, decreased range of motion, joint pain and/or swelling.

Diagnostic

The physician examines the knee to look for a decrease in range of motion, pain along the joint line, swelling, fluid on the knee, abnormal alignment of the joint’s bones, and ligament or meniscal injury.

Cartilage lesions are difficult to diagnose and it’s possible that the use of magnetic resonance imaging (MRI) or arthroscopy may be necessary. Plain X- rays don’t usually diagnose articular cartilage problems but they used to rule out other abnormalities.

Treatment

articular cartilage injury treatment

 

Articular cartilage injury that doesn’t penetrate the bone doesn’t repair itself. A lesion that penetrates the bone can heal but the type of cartilage created is structurally unorganized and doesn’t work as well as the original cartilage.

Lesion less than 2 cm have the best prognosis and the best treatment options. These options are arthroscopic surgery using techniques to remove damaged cartilage and increase blood flow from the underlying bone (drilling, pick procedure or microfracture ).

For smaller lesion of articular cartilage surgery is not required.

For larger lesion, it’s necessary to transplant the articular cartilage from another area of the body. Talk to your doctor or specialist to have more information about the decision to have a surgical operation.

For patients with osteoarthritis, non-surgical treatment consists of physical therapy, lifestyle modification (for example reducing activity), bracing, supportive devices, oral and injection drugs (like non-steroidal inflammatory drugs, cartilage protective drugs) and medical management.

Surgical options depend on the severity of osteoarthritis and may provide a reduction in symptoms that are usually short-lived. Total osteoarthritis may relieve the symptom of advanced osteoarthritis but this usually requires a change in the lifestyle and/or level of activity of the patient.

Statistics

Based on published studies, the overall prevalence of articular cartilage injury in the knee is 36% among all athlete and 59% among asymptomatic basketball players and runners.

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-Steph

From Beginner To Become Your Own Personal Trainer (Part 2)

become your own personal trainer

I read a Nerd Fitness article  and I learned good stuff.

If you didn’t read the Part 1 , click here 

Mastering the movement

mastering the movement

If you want to have lasting results, there is no shortcut, you need to learn the basic movements. It’s like at school, learning and progressing.

The best way to start a strength training is to do a bodyweight workout at home (I started like that). If you want to do a barbell movement in your workout, you can use a broom stick or a PVC pipe. If you want to do a dumbbell movement, you can use 2 sections of PVC or 2 bottles of water.

The technique is very important for movement like squat, deadlift, pull ups, bench press. That’s why using light weight will allow you to learn to make the right movements. It’s going to be a bit long but you’re going to avoid having injuries and months of frustration.

Use your smartphone to make videos of your exercices to compare them with tutorial videos that you can find on Youtube or others.

It’s possible that you feel uncomfortable with an exercice even if you have videos to improve. In this case, I advise you to see gyms in your area to hire a coach for 1-2 sessions. It’s only to improve your techniques, it’s not to hire a coach for several months. This coach will teach you what you need to know to train at home safely.

It’s not always obvious to understand tutorial videos on Youtube or others. The reason is that the person who explains how to do the technique knows very well how to make the movement but forgot to explain mistakes he/she made when he/she was a beginner.

If you have difficulties with a part of the movement, don’t get upset or be frustrated. It’s just something you can improve and by tracking your workouts, you’ll see that.

What to take

what to take

Clothes

To start, takes comfortable clothes. Don’t buy special fitness clothes. The gym isn’t a fashion show, forget what people think about you. There is no ego in a gym. I like to wear simple clothes, no known brand because I always tear my clothes by dint of using them. Maybe I dress like a tramp but everyone is silent when they see my performances.

Note : If you go to workout after school/work, take your gym outfits with you to go to the gym directly.

Shoes

For shoes, takes shoes minimizes with a flat and hard sole. For example Classic Chuck Taylor , Vibram or Powerlifter shoes .

I use for my strength training Classic Chuck Taylor and for my cardio Puma.

Drink

Take a bottle of water. It’s handy to have a bottle of water next to you to drink between 2 sets rather than go to the toilettes.

Notebook

Takes a notebook to track your workout during your workout. Often after our workout we don’t remember the workout’s details as having done 1 more rep or 1 more set. If you use a smartphone, you can use Evernote  as a notebook or a fitness app like Jetfit .

Shower gel

We sweat during our workout and it’s always nice to take a shower after an effort. If you’re going to train before going to school/work, shower gel is essential.

Your music

Takes an MP3 player or smartphone with a great playlist to « get in the zone » and make you feel like a superhero. Often music in gyms are special. In my gym often we can hear bachata or it’s nightclub ambiance.

My playlist it’s 50 Cent, G-Unit, 2 Eminem’s song and soundtrack of japanese cartoon « Hajime No Ippo » (boxe) and « Hokuto No Ken » (martial art) and soundtrack of « Rocky ».

I’ve been using my smartphone for a few years to listen to my music and keep track of workout (Jefit) and it’s really cool.

The basic rules

basic rules

There are basic rules for gyms. By following these rules, you’ll be comfortable in any gym :

  • Put weights in the right place when you finished using them.

  • If a person is using a equipment you want to use, it’s OK to kindly ask this person how many sets he/sh has left to do.

  • If another person wants to use the same equipment as you, you can offer him/her to work together. You do a set while the other rest and vice versa. You may not be comfortable with that and you can say no. Say something like « no but I still have 2 sets and after it’s for you ».

  • If a person asks you to spot and you have never done that, tell that person you never did that and ask him/her what you’d like you to do. This person will explain everything to you.

  • If a person offer to spot you on an exercice (bench press), don’t worry. Usually it’s always an experienced person who does this to help you. It’s motivating and it’s a good opportunity to exceed your limits.

  • Cleans the sweat that has on the equipment you want to use. In gyms, there is always a station with liquid cleanser and tissues.

  • With benches, leaves a space between you and the others so that everyone can keep their personal space.

  • Even if you see a person making a move that you have never seen, let it happen. You don’t want someone to come and tell you that what you do is wrong. It’s the same for others.

  • Avoid speaking in your smartphone and call the person after your workout. You’re in a gym to train, only to train.

  • Don’t sit on equipment forever. Do your sets and go to the next exercice. Don’t sit on equipment for 2 hours.

Start your strength training as soon as possible. It’s by doing exercices several times that you’ll improve your technique. Don’t be afraid to do wrong because the majority of people in a gym have no idea what they’re doing. I have been practicing for several years and I’m always improving each one of my exercices, I say each of my exercices.

What keeps you from starting a strength training ?

Share this article if you think it can help someone you know. Thank you.

-Steph

Find The Gym For Your Goals (Part 1)

radar dragon ball

I read a Nerd Fitness article  and I learned good stuff.

The gym can become an important part in your life. For this reason is important to choose your gym well otherwise you will become bitter.

It’s not necessary to train in a gym to gain strength or to have a good physical condition. You can do a bodyweight workout program at home (bedroom, garage or basement).

But if you really want an athletic body, you need to have equipment like barbells or dumbbells. It’s possible that you don’t have place or resources to create your home gym (like me), so the best option is to have a gym membership.

Discover really what you want

discover

Don’t do the mistake to have a gym membership in the closest gym to your home. Think about your goals.

Make a list of things you need in a gym and make the difference between « must have » and « would be nice to haves ».

Equipment

I wrote an article in 2 parts about this topic (click here link ). Imagine you have a workout program based on barbell, you need to check this :

  • Olympic barbell

  • Power rack (or at least a squat rack)

  • Dumbells up to 45-68kg (100-150lbs) or heavier if you want to do a dumbell training over barbell

  • Pullup bar/Dip station

  • Flat bench with racks for the bench press

Classes

Gyms offer free classes for their members like kickboxing, dance fitness, stationary bike or yoga. This is helpful for beginners, don’t hesitate to try one.

Amenities

Some gyms offer good anemities like child care, a zone only for women ( my sister came one time in my gym and she said that men stared at her too much) or dry cleaning.

An environment to be focus

For me the gym has an important part in my day. When I train at home, I know I’ll be bothered by my rommates. I find it easier to concentrate when I’m at the gym with my headphones. When I’m at the gym it’s « my time » to me, I’m in my bubble. Everything about home, school, work doesn’t exist. The only thing is important is my workout.

Coach

Gyms have coaches available to help you improve your technique or workout program. From time to time it’s pratical.

Rules

A « must have » rule can be you can bring your childen at gym. I don’t have children but it looks cool for people who have children. Some gyms don’t allow to do deadlift and have vibram  so check if rules match with what you want to do.

A gym membership can be a long-term commitment so look at these points :

  • If you do a workout program based on dumbbells like me, be sure that dumbbells up to 45-68kg (100-150lbs) or heavier

  • If you think you’ll do the Olympic lift, look for bumper plates and a gym that lets you drop the weight.

  • If you think you’ll try kickboxing or yoga later, check that the gym has this type of classes.

Budget

calculator

During my travels, I saw gym membership between $9.- and $365.- per month. In Europe, it’s on average EUR 50.- per month but it depends on the area where you live and the amenities offered.

It’s useless to take the most expensive price thinking that you’ll have everything you need in the gym (I already did this mistake). It’s for this reason I’m writing this article to help you to find the best gym at the best price according to your need.

Also think of the usual thing like the towel. Imagine you go to a gym that offer a towel’s service. You know it and you think it’s great, you don’t nee to bring your towel. One day, you go to train at the gym at lunch and the staff tell you that there is no more towels available. It’s annoying.

Apart from the equipement, there are services that are important to know if the gym offer them or not :

Events offer or trips with discounts. Imagine that the gym organizes a hiking trip and member pay only 20.-. I agree, it’s not an incredible discount but during the hiking trip you’ll able to meet people who work to improve their health like you.

A child care service during your workouts. It’s possible that you have to pay an extra of $20.- or $30.- per month. I don’t have children but it looks pratical.

Free classes including yoga that is great for relaxing muscles. I prefer Tai-Chi but there is no this class in gyms.

Location and hours

hour

Having a gym that is close to your house and your school/workplace is an interesting place.

By exemple, if you gym is close of your school/workplace, it’s cool. But the problem is that if you school/workplace is at a distance of 1 hour from you home, you’ll never train on weekends.

There is something I forgot to tell you in gym’s rules. There are gyms that close at 23h (11pm) and I know some gyms don’t allow their members to start their workout after 22:15 (10:15pm). If you work late in the night or during the night, it’s better to look for a gym open 24/7.

It’s important to choose a gym according to your willpower :

  • Imagine you want to train before you go to school/workplace. You do it because you want to train immediately to avoid not training all day or because when you wake up, you’re groggy and train give you energy for the whole day ?

  • Imagine you want to train after your school/workplace. You do it because you don’t have time to train during the day ? Be carefull because if you’re the type of person who is very tired after school/workplacle, you’ll find excuses to cancel your training. I meet everyday people like this.

An ideal location is to find a gym located between your home and your school/workplace. If you can do this, you’ll save time and money. I can’t do that but it’s really effective.

Note : It’s better to pay a little bit more for a gym that you use several times a week than pay less for a gym that you use from time to time. Don’t be fancy.

Share this article if you think it can help someone you know. Thank you.

P.S. To read the Part 2, click here .

-Steph

The Mistake Of Learning From Mistakes

mistake

I watched an Olivier Roland’s video  and I learned good stuff.

It’s true that learn from your mistakes is a good method to improve yourself but you can do a huge mistake by doing this. Let me explain to you, the huge mistake is to only learn from your own mistakes. Look the world, we’re billions and there are billions of people who lives before us. As everyone makes mistakes, learning from mistakes of others is also a good strategy.

Mistakes of others

mistake others

Look mistakes from people who are in the domain where you want progress allow you to save time and money. I think we know it but we forget to do it quickly. It’s important to have a strategy to learn from mistakes of others to progress.

I tell you the truth, I also made this mistake several times. Sometimes I noticed that I had a talent and I was alone in solo thinking that I was smart enough to succeed. I thought I didn’t need professors, books, etc. It’s an ego trip, it’s the best method to waste time and almost guarantee failure. Yes, I know there are exceptions, some people happen to be successful in being solitary wolves but it’s clear that they lose a lot of time.

No matter where you want to succeed, there is a golden rule. You need master the basics ! Once you master the basics, you can be creative but not before.

You can try to be creative before master the basics and in 90 % of the cases you’ll fail, it’s true. Look at people who are successful, people who are creative, they were all newbies and they all learned the basics.

Example

Looks at the creative chefs who have restaurants with 3 stars in the Michelin guide. Do you think at the first day in kitchen, they said to themselves : « Go, I make a crazy recipe ? ». No, they learned to cook rice, pasta and they had to learn the basics like everyone else.

There is a company very creative that is Cirque Du Soleil  that reinvented the show. You notice that there is a lot of circus inspiration and other domains. It looks very similar to fusion restaurants. You know this concept where you take the best recipes from 2 countries and you make a mix of 2 to make a menu.

Learn form mistakes of others

biography

First

The simplest method is to read the biography from people who are successful in the field where you evolve. You’ll learn a lot of things, you’ll see that they strarted from nothing and sometimes they made incredible mistakes. Reading biographies helps you avoid making these mistakes.

Second

Be in touch with people who are successful in your field. Don’t absolutely look for people who are at the level where you would like to be, communicate with people who are better than you. Ask them what are the classic mistakes that beginners make.

Put in place a stratregy to know mistakes of others and solutions they used to move forward. You’ll see, this will save you from unnecessary stress.

Attention is a thing to do in addition to attend trainings, see tutorials in video,etc.

What I mean is not be a lone wolf. Connect you, inform you, be curious, attends trainings and find mistakes that you must not make before you make them.

-Steph

P.S.Do you want free compete workout programs ? Click here 

Free smartphone apps :

To track my calories, I use MyFitnessPal 

To track my workout program, I use Jefit 

Essential (Part 2)

 transformation cristiano ronaldo

Remodel fast, new method

 

redesign

You eat half a cookie? No problem. If you’re a man of 220 pounds (100kg), you just need to go up 27 steps of stairs to burn it, simple.

But why scientists insist on the calorie content ? Simple. It’s easy to estimate and it’s a very popular variable for publications of articles in newspapers. This, dear friends, is called “the parking lot of science”, a name given after a joke about a drunk who had lost his key

His friends found him on his knees seeking near a traffic light, even though he knew he hadn’t lost his keys there. “Why do you seek your keys under a traffic light ?”, they asked him. He replied, “Because there is more light, I see better”.

Stay mentally on your knees isn’t a way to live life, it’s like being on a indoor bike, you go hard, you sweat like crazy but you stall.

Rather than focus on loss calories during exercise, we will use 2 untapped methods: heat and hormones.

A drug is a drug that is a drug

drug

Something called a “drug”, a “dietary supplement” is a legal distinction, but not a biochemical.

Not one of these name is something safe or valid. Herbs completely legal can kill you as illegal narcotics. Supplements often have non-patented molecules, which makes them unattractive for drug development. Some of these molecules can reduce cholesterol rom 222 to 147 in 4 weeks as Tim Ferriss has done or they can be inert and do absolutely nothing.

You think th”natural” is safer than synthetic ? Human growth hormone (HGH) can be extracted from brain dead “natural” but unfortunately, this often brings Creutzfeldt-Jakob disease with it, which is why HGH is now manufactured using recombinant DNA .

Apart from whole foods (what we call “food”), everything you put in your mouth or in your blood has an effect, whether cream, injection, pill or powder, it’s a drug. Treat them as such. Don’t be distracted by labels that haven’t meaning for us.

20 pounds (9kg)

20 pounds

For the majority of people who reading this book,your weigh is over than 120 pounds (54kg), 20 pounds (9kg ) of reorganization (which I would define later), will make you feel and look like a new person, so I suggest this purpose. If you’re a person under 120 pounds (54kg) referred 9 pounds (5kg ); otherwise 20 pounds (9kg) is your new specific objective.

Even if you’re over 100 pounds (45kg) to lose, start with 20 pounds (9kg).

On a 1-10 scale of attractiveness, 20 pounds (9kg) seems to be a critical threshold to move from 6 to 9 or 10. This has been tested with the perception of men and women.

The term “reorganization” is important. It doesn’t mean reducing your weight of 20 pounds (9kg). This is 20 pounds (9kg) which changes your appearance. 20 pounds (9kg) can be a fat loss or a muscle gain of 20 pounds (9kg) but it usually involves a loss of 15 pounds (6.8kg) of fat and a 5 pounds (2.2kg) of muscle gain or a mixture of the two.

Design the best physical includes both addition and subtraction .

 

-Steph