Download Beyond the Female Athlete Triad: Relative Energy Deficiency in

Beyond the Female Athlete Triad: Relative Energy Deficiency in Sport &
Implications for PTs
Date: Friday, September 30, 2016
Session ID & Location: 4A: Ballroom H
Time: 3:15 PM - 5:15 PM
CEU Eligibility: 0.20
Presented by: Amanda Blackmon, PT, DPT, OCS, CMTPT
Session Description: The “Female Athlete Triad” is well-known terminology for a spectrum of
symptoms and pathology in female athletes that involve inadequate nutrition, low bone density
and altered menses. However, in recent years, research has broadened in this area and has been
renamed “Relative Energy Deficiency in Sport” (RED-S). This change in terminology and definition
is meant to encompass a wider presentation of the syndrome and to include male athletes and
over-exercisers. Additionally, athletes presenting with RED-S may or may not present with a
traditionally diagnosable eating disorder (anorexia nervosa, bulimia, etc.) or with body
dysmorphia. The symptoms of RED-S may be much broader than originally thought and can
include dysfunction in a variety of systems including: gastrointestinal, musculoskeletal, endocrine,
immunological, integumentary, reproductive, etc. Physical therapists may play an integral role in
diagnosing, addressing and preventing RED-S and its multi-systemic and often long–term effects.
Physical therapists must be equipped to identify the signs and symptoms of RED-S, utilize
appropriate language and communication techniques, identify other healthcare practitioners, and
to work in a team-based approach to rehabilitate theses athletes. This session will address these
concerns and create dialogue regarding best practice for this unique population.
Upon completion of this course, you will be able to:
1. Identify the multi-variable components of Relative Energy Deficiency in Sport (RED-S) and
how if differs from the traditional definition on Female Athlete Triad.
2. Identify the immediate and long-term physiological and psychological impact of RED-S in
the athletic population
3. Discuss strategies for identifying and treating RED-S in the athletic population, utilizing a
team healthcare approach.
4. Discuss prevention strategies to be implemented at home and on the playing field in the
athletic population.
Presenter Bio(s): Amanda Blackmon, PT, DPT, OCS, CMTPT graduated from Emory University in
2005. Her specialty training includes osteopathic manual medicine, dance medicine, pilates-based
rehab and dry needling. Mandy works at Motion Stability and is the lead PT at Atlanta Ballet. She
is on faculty at Mercer University and is an instructor for Myopain Seminars. Mandy is the pastpresident and sits on the Advisory Board of the non-for-profit Eating Disorders Information
Network (EDIN).
BeyondtheFemaleAthleteTriad:RelativeEnergyDeficiencyinSport&
ImplicationsforPTs
PTAG&TPTAInsightMeeting2016
AmandaMBlackmon,PT,DPT,OCS,CMTPT
Pre/PostTest
1.Identify3criteriaforbeingdiagnosedwithRED-S.
2.Identify4otherbodysystemsaffectedinpatientswithRED-S.
3.Identify3PTinterventionsthatmaybehelpfulinmanagingpatientswithRED-S.
4.Identify3otherhealthcareprofessionalsthatmayassistinthecareofapatientwith
RED-S.
5.Name3long-termmedicalcomplicationsthatmaydevelopinapatientwithRED-S.
BeyondtheFemaleAthleteTriad:RelativeEnergyDeficiencyinSport&
ImplicationsforPTs
PTAG&TPTAInsightMeeting2016
AmandaMBlackmon,PT,DPT,OCS,CMTPT
Objectives:
1.Identifythemulti-variablecomponentsofRelativeEnergyDeficiencyinSport(RED-S)
andhowifdiffersfromthetraditionaldefinitiononFemaleAthleteTriad.
2.Identifytheimmediateandlong-termpsychologicalimpactofRED-Sintheathletic
population
3.DiscussstrategiesforidentifyingandtreatingRED-Sintheathleticpopulation,utilizinga
teamhealthcareapproach.
4.Discusspreventionstrategiestobeimplementedathomeandontheplayingfieldinthe
athleticpopulation.
I.MovingawayfromtheFemaleAthleteTriad
a.history
b.definitions
c.RED-S
II.Multi-systemicimplicationsof(RED-S):
a.Gastrointestinal
b.Cardiovascular
c.Hematological
d.Metabolic
e.Endocrine
f.BoneHealth
g.MensutrualFunction
h.Imunological
III.Psychologicalimplications
IV.Screeninganddiagnosis
V.Physicaltherapytreatmentstrategiesformulti-systemapproach
VI.Clinicalmodelsforsportparticipationandreturn-toplay
VII.HealthcareTeamapproachforaddressingRED-Sintheathlete
VIII.Preventionathomeandonthefield
References:
Baxter-JonesAD,FaulknerRA,ForwoodMR,etal.Bonemineralaccrualfrom8to30years
ofage:anestimationofpeakbonemass.JBoneMineralRes2011;26:1729-39.
DeSouzaMJ,NattivA,JoyE,etal.2014FemaleAthleteTriadCoalitionConsensusStatement
onTreatmentandReturntoPlayoftheFemaleAthleteTriad:1stInternationalConference
heldinSanFrancisco,California,May2012and2ndInternationalConferenceheldin
Indianapolis,Indiana,May2013.BrJSportsMed2014;48:289
DusekT.Influenceofhighintensitytrainingonmenstrualcycledisordersinathletes.
CroatMedJ2001;42:79-82.
KeenAD,DrinkwaterBL.Irreversiblebonelossinformeramenorrheicathletes.Ostoporos
Int1997:7:311-15
Martinsen,M,Sundot-BorgenJ.Higherprevalenceofeatingdisordersamongadolescent
eliteathletesthancontrols.MedSciSportsExerc2013;45:1188-97.
Mountjoy,M,Sundgot-BorgenJ,BurkeL,etal.TheIOCconsensusstatement:beyondthe
FemaleAthleteTriad—RelativeEnergyDeficiencyinSport(RED-S).BrJSportsMed2014;
48:491-497.
NattivA,LoucksAB,ManoreMMetal.AmericanCollegeofSportsMedicinePositionStand.
Thefemaleathletetriad.MedSciSportsExerc2007;39:1867-82.
WentzL,LiuPY,IlichJZ,etal.Dietaryandtrainingpredictorsofstressfracturesinfemale
runners.IntJSportNutrExercMetab2012;22:374-82
Resourcepage
EatingDisorderInformationNetwork
www.myedin.org
NationalEatingDisordersAssociation
www.neda.org
BeyondtheFemaleAthleteTriad:RelativeEnergyDeficiencyinSport&
ImplicationsforPTs
PTAG&TPTAInsightMeeting2016
AmandaMBlackmon,PT,DPT,OCS,CMTPT
Pre/PostTest
1.Identify3criteriaforbeingdiagnosedwithRED-S.
2.Identify4otherbodysystemsaffectedinpatientswithRED-S.
3.Identify3PTinterventionsthatmaybehelpfulinmanagingpatientswithRED-S.
4.Identify3otherhealthcareprofessionalsthatmayassistinthecareofapatientwith
RED-S.
5.Name3long-termmedicalcomplicationsthatmaydevelopinapatientwithRED-S.