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The rule forbidding outside assistance has always been in effect. It means that no one, but an AMA official or flag marshal, can help a rider with his bike outside of the Signal Area or up to the holeshot line on the first lap (to clear first turn carnage). This rule is hard and fast and has been enforced many times. What has been added to this rule in the past few years is the final stanza, which says that “medical treatment” will be considered outside assistance. This rule was brought into effect when Adam Cianciarulo dislocated his shoulder at the 2014 Toronto Supercross. He stopped by the side of the track and the Asterisk Medical Crew popped his shoulder back in place for him. Then, a lap later, it popped out again. This AMA rule was instituted to stop injured riders from continuing in a race with an injury—especially an injury severe enough to require treatment by the trackside medical personnel. Thus, if the medical crew works on you, in any way, you are out of the race.