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Nutrition Support for Injury and Rehabilitation

presented by Jennifer Ketterly, MS, RDN, CSSD, LD

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Disclosure Statement:

Financial: Jennifer Ketterly is a speaker for Gatorade Sports Science Institute. She is consultant for Jones & Bartlett. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Jennifer Ketterly has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 55 Minutes, Learning Assessments: 41 Minutes

Caring for the injured requires an interdisciplinary approach. A comprehensive understanding of the injury response and nutritional requirements helps support the healing process and improve function throughout rehabilitation. The injury response has a profound impact on nutrition requirements, which include calories, protein, vitamins, and minerals. The injured state changes fuel utilization and nutritional needs, particularly protein. Therefore, meeting energy needs and preserving lean body mass become a major focus. Losing lean body mass has implications on body composition, functional movement during rehab, and overall health and wellness. This course is part of a three-part series on inflammation, immunity, and injury designed to complement clinical care guidelines for physical and occupational therapists, athletic trainers, dietitians, nurses, and other allied health professionals.

Meet Your Instructor

Jennifer Ketterly, MS, RDN, CSSD, LD

Jen Ketterly is the director of sports nutrition at the UNC Human Performance Center and an assistant professor in the Department of Family Medicine at the UNC School of Medicine. She is also the sports dietitian for the NBA's Charlotte Hornets and the North Carolina Central University Athletic Department. She is a board-certified specialist in…

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Chapters & Learning Objectives

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1. Starvation and Energy Balance

Energy balance determines the positive or negative impacts on lean body mass and functionality during the injured state. Vitals to assess for physiological adaptations to starvation will be discussed. Since fuel utilization can dramatically shift in the underfueled body and ultimately impact treatment outcomes, the clinician should keep a keen eye on energy balance.

2. The Injury Response

The injured state is marked with hormonal features of the stress response. Hypermetabolism, inflammation, and immobility are all aspects during acute and chronic injury and rehabilitation that can be mitigated with nutrition engagement. Physiological changes exacerbate the loss of lean muscle mass during immobilized periods; therefore, preservation of muscle mass becomes a critical control point.

3. Nutrition Considerations for the Injury Response

Infection, soft-tissue injury, and bone injury have unique features causing vitamin and mineral needs to increase above the dietary reference intakes (DRIs). Those needing particular attention include vitamins C and D and the minerals iron and zinc. Other nutrition supplements such as omega-3 fatty acids and creatine can also be beneficial in controlling chronic inflammation while sensitizing the muscle to anabolic stimuli and preventing muscle protein breakdown.

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