An exertional heat stroke survivor's return to running: An integrated approach on treatment, recovery, and return to activity

William M. Adams*, Yuri Hosokawa, Robert A. Huggins, Stephanie M. Mazerolle, Douglas J. Casa

*この研究の対応する著者

研究成果: Article査読

12 被引用数 (Scopus)

抄録

Context: Evidence-based best practices for the recognition and treatment of exertional heat stroke (EHS) indicate that rectal thermometry and immediate, aggressive cooling via cold-water immersion ensure survival from this medical condition. However, little is known about the recovery, medical follow-up, and return to activity after an athlete has suffered EHS. Objective: To highlight the transfer of evidenced-based research into clinical practice by chronicling the treatment, recovery, and return to activity of a runner who suffered an EHS during a warm-weather road race. Design: Case study. Setting: Warm-weather road race. Participant: 53-y-old recreationally active man. Intervention: A runner's treatment, recovery, and return to activity from EHS and 2014 Falmouth Road Race performance. Main Outcomes: Runner's perceptions and experiences with EHS, body temperature, heart rate, hydration status, exercise intensity. Results: The runner successfully completed the 2014 Falmouth Road Race without incident of EHS. Four dominant themes emerged from the data: predisposing factors, ideal treatment, lack of medical follow-up, and patient education. The first theme identified 3 predisposing factors that contributed to the runner's EHS: hydration, sleep loss, and lack of heat acclimatization. The runner received ideal treatment using evidence-based best practices. A lack of long-term medical care following the EHS with no guidance on the runner's return to full activity was observed. The runner knew very little about EHS before the 2013 race, which drove him to seek knowledge as to why he suffered EHS. Using this newly learned information, he successfully completed the 2014 Falmouth Road Race without incident. Conclusions: This case supports prior literature examining the factors that predispose individuals to EHS. Although evidence-based best practices regarding prompt recognition and treatment of EHS ensure survival, this case highlights the lack of medical follow-up and physician-guided return to activity after EHS.

本文言語English
ページ(範囲)280-287
ページ数8
ジャーナルJournal of sport rehabilitation
25
3
DOI
出版ステータスPublished - 2016
外部発表はい

ASJC Scopus subject areas

  • 生物理学
  • 整形外科およびスポーツ医学
  • 理学療法、スポーツ療法とリハビリテーション
  • リハビリテーション

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