A License to Drink? C’mon…
If you were ever a runner, competitive or not, you’ve probably gone for a post-run or post-race drink with your fellow hoofers. Well, not only does the research show that you and your friends are more apt to drink, from a study that showed those with higher cardio fitness tended to have higher alcohol consumption compared to the general population, it suggests there’s a unique contributing factor: the ‘licensing effect’.
The researchers categorized over 38,000 enrollees in the Cooper Center Longitudinal Study on how much they drank each week: light drinkers – 3 or fewer drinks/wk, moderate – up to 7/wk for those born as females and 14/wk for those born male, and heavy – anyone who drank more than moderately.
Those born female, if very fit, had double the odds of being a moderate or heavy drinker; moderately fit females had a 58% higher risk of being moderate or heavy imbibers. The very fit males had a 63% increased risk of being moderate or heavy drinkers. Moderately fit males had only a 42% greater chance of being moderate or heavy drinkers.
While this is clearly a correlational study, with no suggestion that being or getting fit causes you to drink more, it raises a question as to why this might be so. The authors suggested that meeting one’s fitness goals “gives ‘license’ to indulge in a ‘vice’ behavior…” (They also added that this is like going out for a greasy pizza after a hard run but I think that undervalues the nutritional and hedonistic value of a good pizza.)
It was even suggested by another researcher that working out hard “may reinforce the same sensation-seeking behavior that leads people to drink.” I think it just tastes satisfying, especially when it’s hot outside.
MSSE Jan. 2022
Wait At Least a Week to Start PT After Rotator Cuff Surgery
The modern thinking for physical therapy (PT) post-orthopedic surgery is to get the patient moving and engaging the muscles around the affected area as soon as possible. Way back when, it was not uncommon to splint, cast, or sling the patient for weeks or months before allowing movement or muscle contractions for fear of disrupting the repair components themselves. Of late, this practice has been shelved in the direction of the-sooner-the-better. A study reported in the Journal of the American Academy of Orthopedic Surgeons (Dec. 2021) compared the outcomes of 64,842 Medicare patients (old folks) who’d had rotator cuff surgery and had started PT within 13 weeks of it.
They found that starting PT within one week was “associated with a significantly higher revision-surgery rate compared to starting PT in weeks two to five, or six to nine, or 10 to 13.” Since fear of “frozen shoulder”, which is more common after an injury or surgery where the shoulder ligaments prevent motion and can impair the proper recovery of motion after the healing has occurred, the PT community had begun passive movement treatments to prevent this from happening.
However, this study showed that there was no association between waiting longer than a week and the rates of frozen shoulder. Thus, the study’s authors write, these results “call into question the use of an early passive range of motion protocol for [the] older patient cohort.”
Essentially, starting PT after the first week does not impede your recovery. It also reduces your risk of a repeat surgery! So be patient, patient.
Medscape Jan. 10, 2022