tag:blogger.com,1999:blog-19569695961331559482024-02-20T14:23:32.081-05:00PREVENT SPORTS INJURIESHi, I'm Dr. Steve Horwitz. The goal of my blog is to help student-athletes, parents, and coaches prevent sports injuries. Enjoy! See www.DrStevenHorwitz.comPREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.comBlogger131125tag:blogger.com,1999:blog-1956969596133155948.post-81792109605989678952013-06-24T14:28:00.004-04:002013-06-24T18:08:30.455-04:00Crossfit: To do or not to do<div>
<span style="color: #555555; line-height: 14px;"><span style="font-family: Verdana, sans-serif;">Each individual Crossfit facility should be evaluated on its own merits.</span></span><br />
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<span style="color: #555555; line-height: 14px;"><span style="font-family: Verdana, sans-serif;">That being said.....</span></span><br />
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<span style="color: #555555; line-height: 14px;"><span style="font-family: Verdana, sans-serif;">The first problem I have with Crossfit is the incredible sense of "we know best and we know better than you." </span></span></div>
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<span style="font-family: Verdana, sans-serif;">On the Crossfit website it states:</span><br />
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<span style="background-color: white; color: #555555; line-height: 14px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;">"Combat, survival, many sports, and life reward this kind of fitness and, on average, punish the</span></span></div>
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<span style="background-color: white; color: #555555; line-height: 14px;"><span style="font-family: Verdana, sans-serif; font-size: x-small;">specialist."</span></span></div>
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<span style="color: #555555; font-family: Verdana, sans-serif;"><span style="line-height: 14px;">Really? Combat, survival and sports require a base of fitness and then the specialization necessary to master the skills of the activity. Take a look at the <a href="http://www.mytpi.com/about#philosophy">mytpi.com website</a> and their philosophy. Just replace golf for the activity you prefer and you will see what I mean.</span></span></div>
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<span style="background-color: white; color: #555555; font-size: 10px; line-height: 14px;"><span style="font-family: Verdana, sans-serif;">"We’ve used our same routines for elderly individuals with heart disease and cage fighters one month out from televised bouts. We scale load and intensity; we don’t change programs."</span></span></div>
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<span style="color: #555555; font-family: Verdana, sans-serif;"><span style="line-height: 14px;">Ouch! The same routines for the elderly and cage fighters?</span></span></div>
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<span style="font-family: Verdana, sans-serif;"><span style="color: #555555;"><span style="line-height: 14px;">How determining the goals of a client and performing the <a href="http://drstevenhorwitz.com/fms.html">FMS </a>(Functional Movement Screen) or some type of body </span></span><span style="color: #555555; line-height: 14px;">assessment</span><span style="color: #555555; line-height: 14px;"> before the client starts training at a Crossfit. Only then can a proper and safe training program be designed!</span></span></div>
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<span style="font-family: Verdana, sans-serif;"><span style="color: #555555; line-height: 14px;">The second problem is technique. </span><span style="color: #333333; font-size: 13px; line-height: 19px;"> </span><span style="color: #333333; line-height: 19px;">There is no way to maintain proper technique on the final reps of a MetCon. </span></span></div>
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<span style="color: #333333; font-family: Verdana, sans-serif; line-height: 19px;">Take a look at these two videos. </span></div>
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<span style="color: #333333; font-family: Verdana, sans-serif; line-height: 19px;">This one – </span><a href="http://vimeo.com/1677805" rel="nofollow" style="color: #0076a3; font-family: Verdana, sans-serif; line-height: 19px; text-decoration: none;">http://vimeo.com/1677805</a><span style="color: #333333; font-family: Verdana, sans-serif; line-height: 19px;"> – is the owner of a Crossfit showing fairly good unweighted squat technique.</span></div>
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<span style="font-family: Verdana, sans-serif;"><span style="color: #333333; line-height: 19px;">Now look at this video – </span><a href="http://vimeo.com/1372056" rel="nofollow" style="color: #0076a3; line-height: 19px; text-decoration: none;">http://vimeo.com/1372056</a><span style="color: #333333; line-height: 19px;"> – in which she is doing Clean and Jerks with weight for reps. OUCH! Look at her right knee! And she is the owner of the Crossfit!</span></span><br />
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<span style="color: #333333; font-family: Verdana, sans-serif;"><span style="line-height: 19px;">The third problem is overtraining. In addition to the problem of technique when fatigued, overtraining seems to be ubiquitous in Crossfit. </span></span><span style="color: #333333; font-family: Verdana, sans-serif; line-height: 19px;">Every crossfitter I have treated was way overtrained. There even seems to be a badge of honor when a crossfitter is "destroyed" by their training. Yikes! Any athlete who has trained this way realizes that recovery is king!</span></div>
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<span style="color: #333333; font-family: Verdana, sans-serif;"><span style="line-height: 19px;">And lastly, the culture. While inclusiveness is all well and good, mocking those who suffer an injury or cannot "cut it" is not. An <a href="http://library.crossfit.com/free/pdf/CFJ_Wright_Rhabdo.pdf">article</a> written by Will Wright, MD, says,</span></span></div>
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<span style="color: #333333; font-family: Verdana, sans-serif;"><span style="line-height: 19px;">"Uncle Rhabdo is well known to the CrossFit community, but he is around to remind and warn us that what we do has the potential to be dangerous."</span></span></div>
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You are kidding right? An MD who is a crossfitter actually wrote this?</div>
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And a workout was named for a client of a Crossfit who suffered rhabdomyolysis. <a href="http://media.crossfit.com/cf-video/MakimbaPkg.pdf">See this...</a></div>
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PLEASE determine your goals and be properly evaluated before starting any exercise program. You can be careful, be smart, get fit, and have fun!</div>
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PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-62337600743058035562013-05-29T14:30:00.002-04:002013-05-29T14:30:50.511-04:00Vitamin D from Sun Exposure vs Supplementation<span style="font-family: Verdana, sans-serif;">Here is a great article entitled, <a href="http://www.vitamindcouncil.org/blog/how-do-we-know-how-much-vitamin-d-you-make/">"</a></span><br />
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<span style="font-family: Verdana, sans-serif;"><a href="http://www.vitamindcouncil.org/blog/how-do-we-know-how-much-vitamin-d-you-make/">How do we know how much vitamin D you make?"</a></span></h1>
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<span style="font-family: Verdana, sans-serif;">"<span style="background-color: #fffdf9; font-size: 14px; line-height: 20px;">When we subject ourselves to full body sun exposure, enough to induce a slight pinkness, we probably make between 10,000 to 25,000 IU of vitamin D."</span></span></div>
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<span style="font-family: Verdana, sans-serif;"><span style="background-color: #fffdf9; font-size: 14px; line-height: 20px;">"</span><span style="background-color: #fffdf9; font-size: 14px; line-height: 20px;">For this reason, it appears that oral intake of 5,000 IU/day is about equal to what your body is capable of making with year-round sun exposure, though every person’s requirements vary a little."</span></span></div>
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<span style="font-family: Verdana, sans-serif;">A few additional points of understanding:</span></div>
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<span style="font-family: Verdana, sans-serif;">1. Determine your <b>minimum erythemal dose (MED)</b> - how much time do you need to spend in the sun between 10:00 am and 2:00 pm to get slighly pink?</span></div>
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<span style="font-family: Verdana, sans-serif;">There is a 1 - 6 scale of skin types. Type 1 skin always burns and never tans. Minimal sun exposure is needed to make a full dose of Vitamin D. Type 6 never burns and needs hours of sun exposure to make a full dose of Vitamin D.</span></div>
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<span style="font-family: Verdana, sans-serif;">Here is a link to determine your skin type - <a href="http://www.skincancer.org/prevention/are-you-at-risk/fitzpatrick-skin-quiz#panel1-6">Click here</a></span></div>
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<span style="font-family: Verdana, sans-serif;">2. Once you determine your MED you know how long you may stay in the sun before you put on sun screen. My recommendation is to get your MED before applying sun screen.</span></div>
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<span style="font-family: Verdana, sans-serif;">3. If you live north of Atlanta you will get no appreciable production of Vitamin D from sun exposure from November through February. Factors determining Vitamin D production from sun exposure include:</span></div>
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<li><span style="font-family: Verdana, sans-serif;">Day of the year</span></li>
<li><span style="font-family: Verdana, sans-serif;">Time of Day</span></li>
<li><span style="font-family: Verdana, sans-serif;">Latitude</span></li>
<li><span style="font-family: Verdana, sans-serif;">How much of your skin is exposed to the sun (shorts and a T-shirt is considered about 25% skin exposure)</span></li>
<li><span style="font-family: Verdana, sans-serif;">Skin type</span></li>
<li><span style="font-family: Verdana, sans-serif;">Cloudiness of the sky</span></li>
<li><span style="font-family: Verdana, sans-serif;">Ozone</span></li>
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<span style="font-weight: normal;"><span style="font-family: Verdana, sans-serif; font-size: small;">See <a href="http://nadir.nilu.no/~olaeng/fastrt/VitD_quartMEDandMED.html">Calculated Ultraviolet Exposure Levels for a Healthy Vitamin D Status and no sunburn</a></span></span></h2>
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<span style="font-family: Verdana, sans-serif;">4. <b>Vitamin D absorption.</b> Many of you know about the surgery I had in October 2010 (an esophagectomy). My Vitamin D level just prior to surgery was 70 ng/mL). For 10 months post surgery I took an average of 15,000 IU per day of <a href="https://www.paypal.com/us/cgi-bin/webscr?cmd=_flow&SESSION=NQksKI5ea7kL8MI_aziu4s0ibOUv5NmSohN-SY84JUc6vC5jlQa7AxpxfVy&dispatch=50a222a57771920b6a3d7b606239e4d529b525e0b7e69bf0224adecfb0124e9b61f737ba21b081987dfed5c1e68334a2df49896030ab926d" style="font-weight: normal;">liquid Vitamin D</a> and my level was 34 ng/mL. That's right ... my number went DOWN BY HALF, even after 10 months of what is considered very high supplementation!</span></div>
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<span style="font-family: Verdana, sans-serif;">If you have a disease/condition or are simply training hard for sports, you need to check your Vitamin D levels and supplement accordingly. My recommendation is to start supplementing immediately and get your levels checked as soon as you can. Of course, get out in the sun when you can!</span></div>
PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-16437284715280850742013-02-22T05:21:00.000-05:002013-02-22T05:21:00.440-05:00How to Fix Low Testosterone Levels<div>
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<li><span style="font-family: Georgia, Times New Roman, serif;">By local produce or frozen organic produce. Local produce comes your table with much shorter travel times than organic produce from afar. The longer the travel time, the less the nutrient value. Frozen organic produce is frozen right after it is harvested thereby maintaining a higher nutrient value.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Avoid
all fake and processed foods. No sugar!!! Read labels!</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Stop drinking from all plastic water bottles! Most have BPA - Bisphenol-A, a nasty estrogen causing endocrine disruptor. <a href="http://www.scientificamerican.com/article.cfm?id=just-how-harmful-are-bisphenol-a-plastics">Read more here ...</a></span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Eat
raw organic nuts. Almonds, walnuts, Brazil nuts, hazelnuts, pistachios, pecans.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Eat
an adequate amount of Omega 3 fats - salmon, trout, sardines, and herring and/or take a <a href="http://www.nsedreams.com/pwp/splash.jsp?pwpID=USW8979813&textCacheLocale=en-US">high quality fish oil supplement</a>.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Eat
healthy, saturated fats like grass fed beef & coconut oil. Try </span><a href="https://www.gunpowderbison.com/" style="font-family: Georgia, 'Times New Roman', serif;">Gunpowder Bison!</a><span style="font-family: Georgia, 'Times New Roman', serif;"> Tell them I sent you!</span></li>
<li><span style="color: #222222; font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Perform
high intensity strength training: clubbells, kettlebells, weightlifting, sprinting, </span><span style="color: #222222; font-family: Georgia, 'Times New Roman', serif;">TRX.</span></li>
<li><span style="color: #222222; font-family: Georgia, 'Times New Roman', serif;">Discontinue "cardio" like the elliptical, treadmill, bike UNLESS you are a distance athlete. </span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Limit
your workouts to 45-60 minutes, again, unless you are a distance athlete.</span></li>
<li><span style="color: #222222; font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Get
20-minutes of sunlight per day to boost your Vitamin D levels. Get your minimum
erythemal dose (stay in the midday sun for </span><span style="color: #222222; font-family: Georgia, 'Times New Roman', serif;">the amount of time it takes for you to get ever so slightly red)</span><span style="color: #222222; font-family: Georgia, 'Times New Roman', serif;"> BEFORE you put on sunscreen.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Have
sex more often.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Compete
in something.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Get
8-9 hours of sleep per night.</span></li>
<li><span style="font-family: Georgia, 'Times New Roman', serif;">Minimize
stress and laugh every day - learn what makes you relax (music, sex, taking a slow walk, meditation,Tai Chi, Yoga) and do it daily. Download some funny videos onto your smart phone and take a break multiple times throughout the day.</span></li>
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PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-14283928494490837392013-02-20T09:12:00.000-05:002013-02-20T09:22:00.331-05:00Aspirin No Help for Stroke Outcomes<span style="font-family: Georgia, Times New Roman, serif;">A new study just published in <a href="http://stroke.ahajournals.org/content/32/12/2836.full"><i>Stroke</i>, Journal of the American Heart Association</a>, showed that using low dose aspirin did not decrease the <span style="background-color: white; line-height: 20px;">overall incidence of stroke or improve outcomes following a stroke.</span></span><br />
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<span style="font-family: Georgia, Times New Roman, serif;"> The <a href="http://clinicaltrials.gov/show/NCT00000479">Women's Health Study,</a> a clinical trial run by the N.I.H, looked at randomized low-dose aspirin and Vitamin E in the primary prevention of cardiovascular disease and cancer.</span><br />
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<span style="background-color: white; line-height: 20px;"><span style="font-family: Georgia, Times New Roman, serif;">This study showed that there was no significant difference in total stroke incidence between women randomized to 100 mg of aspirin every other day and those randomized to placebo. </span></span><br />
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<span style="background-color: white; line-height: 20px;"><span style="font-family: Georgia, Times New Roman, serif;">So, this begs the question, if you do take low-dose aspirin daily, why? </span></span><br />
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<span style="background-color: white; line-height: 20px;"><span style="font-family: Georgia, Times New Roman, serif;">Before we discuss why, how about the study in the <a href="http://jama.jamanetwork.com/article.aspx?articleid=1172042">June 6, 2012 issue of JAMA, </a></span></span><br />
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<span id="scm6MainContent_lblArticleTitle" style="border: 0px; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><a href="http://jama.jamanetwork.com/article.aspx?articleid=1172042"><span style="font-family: Georgia, Times New Roman, serif;">Association of Aspirin Use With Major Bleeding in Patients With and Without Diabetes.</span></a></span></h1>
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<span style="font-family: Georgia, Times New Roman, serif;">The authors concluded, "<i>... </i><span style="background-color: white; line-height: 19px;"><i>aspirin use was significantly associated with an increased risk of major gastrointestinal or cerebral bleeding episodes.</i>" Yikes!</span></span></div>
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<span style="background-color: white; line-height: 19px;"><span style="font-family: Georgia, Times New Roman, serif;">So, once again, why do you take low-dose aspirin?</span></span></div>
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<span style="background-color: white; line-height: 20px;"><span style="font-family: Georgia, Times New Roman, serif;">How about making dietary improvements, starting an exercise program, and <a href="http://www.nsedreams.com/pwp/splash.jsp?pwpID=USW8979813&textCacheLocale=en-US">supplementing with a high quality fish oil</a>!</span></span><br />
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<span style="font-family: Georgia, Times New Roman, serif;"><span style="line-height: 20px;">Take control of your life and get off the medical band-wagon!</span></span>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-35270716037266442742013-01-21T05:23:00.000-05:002013-01-20T18:23:31.546-05:00Tired of Being Tired?Watch this clip and learn how to get to the true source of energy production in the human body...<br />
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<a href="http://www.youtube.com/watch?v=7lL41_N5FQk&feature=youtu.be">Click here...</a>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-84373108754886334012013-01-20T18:18:00.003-05:002013-01-20T18:25:45.705-05:00Why your DNA is not your destiny...<br />
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<span style="color: red;"><span style="color: #363636; font-family: Arial, sans-serif; font-size: large;">Watch this 4 part video series and learn how environment, stress, food, and your beliefs effect the expression of our genes. Scientist Robert Nagato Needleman, PhD explains how we can reset our genes to a more youthful expression.</span></span></div>
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PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-18175285434005872252012-12-19T11:07:00.001-05:002012-12-19T11:07:20.383-05:00Practical management of sudden cardiac arrest on the football fieldThe British Journal of Sports Medicine recently published guidelines for the management of sudden cardiac arrest (SCA) on the football (soccer) field. These guidelines are certainly applicable to all sporting events.<br />
What are the take home points?<br />
<br />
1. Make an Emergency Plan and make sure all coaches know this plan.<br />
2. All coaches must know CPR and how to use an AED.<br />
3. An AED should be at every event and coaches must know where it is!<br />
<br />
For the complete guidelines, see below.<br />
<br />
<br />
<h3 style="border: 0px; color: #333333; font-family: arial, sans-serif; font-size: 1.6em; margin: 15px 5px 2px 0px; outline: 0px; padding: 0px; vertical-align: baseline;">
Key recommendations for emergency planning for sudden cardiac arrest on the football field</h3>
<ul class="list-unord" id="list-1" style="border: 0px; color: #333333; font-family: Arial, sans-serif; font-size: 10px; line-height: 13px; list-style: none; margin-bottom: 15px; margin-left: 0px; margin-right: 0px !important; margin-top: 15px; outline: 0px; padding: 0px; vertical-align: baseline;">
<li id="list-item-1" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-17" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Every team and venue hosting football training or competition should have a written emergency response plan for SCA.</div>
</li>
<li id="list-item-2" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-18" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Potential responders to SCA on the field (ie, coaches, referees, physiotherapists, athletic trainers, and other medical staff) should be regularly trained in CPR and AED use, and demonstrate skills proficiency in this regard.</div>
</li>
<li id="list-item-3" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-19" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
An AED should be immediately available on the pitch during competitions.</div>
</li>
<li id="list-item-4" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-20" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Both teams should review prior to the match the location of the AED and details of the emergency response plan.</div>
</li>
<li id="list-item-5" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-21" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
AED, automated external defibrillator; CPR, cardiopulmonary resuscitation; SCA, sudden cardiac arrest.</div>
<div id="p-21" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
<span style="font-family: Arial, 'Sans Serif'; font-size: 1.6em; line-height: normal;">Practical management of sudden cardiac arrest on the football field</span></div>
<ul class="list-unord" id="list-2" style="border: 0px; font-family: Arial, sans-serif; font-size: 10px; line-height: 13px; list-style: none; margin-bottom: 15px; margin-left: 0px; margin-right: 0px !important; margin-top: 15px; outline: 0px; padding: 0px; vertical-align: baseline;">
<li id="list-item-6" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-22" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Prompt recognition of SCA</div>
</li>
<li id="list-item-7" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-23" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
SCA should be assumed in any collapsed and unresponsive athlete</div>
</li>
<li id="list-item-8" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-24" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Seizure-like activity, and abnormal breathing or gasping must be accepted as SCA until proven otherwise</div>
</li>
<li id="list-item-9" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-25" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Early activation of the emergency medical response system and call for additional rescuer assistance</div>
</li>
<li id="list-item-10" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-26" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Early CPR</div>
</li>
<li id="list-item-11" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-27" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
If unresponsive and not breathing normally, begin Hands-Only (compression only) CPR—push hard, push fast</div>
</li>
<li id="list-item-12" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-28" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
C−A−B (chest compressions−airway−breathing).</div>
</li>
<li id="list-item-13" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-29" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Immediate retrieval of the AED or manual defibrillator.</div>
</li>
<li id="list-item-14" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-30" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Application of the AED or manual defibrillator as soon as possible—while CPR continues. Stop CPR only for rhythm analysis and shock delivery if indicated</div>
</li>
<li id="list-item-15" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-31" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
If no shock is delivered, CPR and life support measures should be continued until the player becomes responsive or a non-cardiac aetiology can be clearly established.</div>
</li>
<li id="list-item-16" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-32" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
If a shock is delivered, immediately continue CPR for 2 minutes, then allow AED to reanalyse the rhythm.</div>
</li>
<li id="list-item-17" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-33" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
On the discretion of the senior clinician on scene, transport of the SCA victim to a hospital facility capable of advanced cardiac life support, realising that effective CPR should be continued en route.</div>
</li>
<li id="list-item-18" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-34" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
Upon return of spontaneous circulation, while still in coma, rapid cooling (induced hypothermia) for SCA victims with VF arrest has been shown to improve survival and decrease neurological complications.</div>
</li>
<li id="list-item-19" style="background-attachment: scroll; background-image: url(http://group.bmj.com/repository/images/bullet-group.gif); background-position: 0% 0%; background-repeat: no-repeat no-repeat; border: 0px; font-family: Arial, 'Sans Serif'; font-size: 1.2em; line-height: 1.6em; list-style-type: none; margin: 0px; outline: 0px; padding: 0px 0px 0px 15px; vertical-align: baseline;"><div id="p-35" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
AED, automated external defibrillator; CPR, cardiopulmonary resuscitation; SCA, sudden cardiac arrest; VF, ventricular fibrillation.</div>
<div id="p-35" style="border: 0px; font-family: arial, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 15px; margin-top: 2px; outline: 0px; padding: 0px; text-align: inherit; vertical-align: baseline;">
<a href="http://bjsm.bmj.com/content/46/16/1094.full?utm_medium=email&utm_campaign=5480&utm_content=Free%20online%3A%20Practical%20management%20of%20sudden%20cardiac%20arrest&utm_term=Read%20now&utm_source=Adestra_BMJ%20Journals">Click here for the full study.</a></div>
</li>
</ul>
</li>
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PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-41321204250383821292012-12-17T04:00:00.000-05:002012-12-17T04:00:04.553-05:00Soccer Specific Fitness<br />
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</div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Dawn Scott,
the fitness coach for the U.S. Women’s National Team, has written a great
article on soccer fitness.<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">The key
points are:<o:p></o:p></span></div>
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</div>
<ol>
<li><span style="font-family: Arial, Helvetica, sans-serif;">The
two key aspects of soccer fitness are speed and endurance.</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"> There is a “<span style="background-color: white; font-size: 10.5pt; line-height: 115%;">new
term called ‘repeated sprint ability,’ or RSA, which refers to speed endurance,
or how you repeatedly sprint in a game. You don’t run at one pace for 90
minutes in a game. Rather, you constantly sprint and recover, or run at
different speeds and recover. Players want to be able to sprint with the same
qualities in the 90</span><sup style="outline: 0px;"><span style="background-color: white; background-position: initial initial; background-repeat: initial initial;">th</span></sup><span class="apple-converted-space"><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10.5pt; line-height: 115%;"> </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10.5pt; line-height: 115%;">minute as they do in the first minute. RSA is a measure of
this.</span>”</span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="background-color: white; font-size: 10.5pt; line-height: 115%;">“Strength
is the basis to every other aspect of fitness. If you don’t have strength, you
can have a weakness when you try to develop any other type of fitness.</span><span class="apple-converted-space" style="font-size: 10.5pt; line-height: 115%;">“</span></span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span class="apple-converted-space"><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10.5pt; line-height: 115%;">“</span></span><span style="background-color: white; font-size: 10.5pt; line-height: 115%;">One of the things with
females that research has shown is that you tend to have a higher incidence of
ACL injury in female players. With that in mind, I would make sure that female
players are doing appropriate strength programs, especially strengthening the
areas around the knees, to try to offset the chance of injuries like that.</span>”</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;"><span style="background-color: white; font-size: 10.5pt; line-height: 115%;">“At the
younger ages I would be doing specific sessions focused on developing agility,
balance, and coordination. It doesn’t have to be intense but it’s programming
the body to move in a certain way and building up basic strength using body
weight, fun games and so on. You’re doing age appropriate work at those ages
and then as they get older you can develop those programs and add in other
components of fitness that are appropriate.</span>”</span></li>
<li><span style="background-color: white; font-size: 10.5pt; line-height: 115%;"><span style="font-family: Arial, Helvetica, sans-serif;">Recovery
strategies are critical. Nutrition, hydration, sleep, and ice baths are
important</span></span></li>
</ol>
<div>
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 14px; line-height: 16px;"><a href="http://www.ussoccer.com/news/coaching-education/2012/12/dawn-scott-educates-coaches-on-soccer-specific-fitness.aspx">For the full article, click here.</a></span></span></div>
<br />
<br />
PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-57820773138939380722012-12-14T04:00:00.000-05:002012-12-14T04:00:01.729-05:00The BioPhotonic Scanner as a Biomarker of HealthWhat is the BioPhotonic Scanner?<br />
<a href="http://www.doctoroz.com/videos/cancer-fighting-antioxidants-pt-1">Watch this ....</a><br />
<br />
Is this real science? Does the scanner really measure carotenoids?<br />
<a href="http://youtu.be/NT_TsDGSKj8">Watch this ...</a><br />
<br />
How are doctors using the scanner in medical practice?<br />
<a href="https://www.youtube.com/watch?v=EV9VegpVLwk">Watch this ...</a><br />
<br />
Get scanned today!<br />
<br />
Call Dr. Steve Horwitz, D.C. at 301-254-5571 or email at: drstevenhorwitz@gmail.comPREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-45914727059735872732012-12-13T15:08:00.003-05:002012-12-13T15:08:53.153-05:00Getting Up and Down Of the Floor as a Measure of Health<span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 17px;">For decades I have been saying that getting up and down off the floor was the best test for overall physical ability and health. <a href="http://www.dailymail.co.uk/health/article-2247402/Can-floor-using-hands-If-heading-early-grave.html">Well. read this ..... </a></span><br />
<span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 17px;"><br /></span>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-13061406001249588742012-12-07T13:55:00.001-05:002012-12-07T13:55:32.334-05:00Injury Prevention = Performance: The Functional Movement Screen<br />
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What does injury prevention have to do with sports
performance? EVERYTHING! </div>
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<br /></div>
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<a href="http://youtu.be/DE9ZYzOUz8g">Watch this video. </a></div>
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<br /></div>
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Here are the take away key
points:</div>
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</div>
<ol>
<li><span style="text-indent: -0.25in;">Start with the Functional Movement Screen. ALL
athletes should be screen first. The strength and conditioning program they
perform is built around the results of the FMS.</span></li>
<li><span style="text-indent: -0.25in;">Build a mobile and stable athlete first.</span></li>
<li><span style="text-indent: -0.25in;">“Everybody is getting corrective work every day.”</span></li>
<li><span style="text-indent: -0.25in;">If one athlete has specific issues, that athlete
must work on those issues.</span></li>
<li><span style="text-indent: -0.25in;">“Kids are bigger, faster, stronger, but they
move worse.” They all need to work on basic movement patterns like stopping,
starting, and changing direction.</span></li>
<li><span style="font-size: 7pt; text-indent: -0.25in;"> </span><span style="text-indent: -0.25in;">The athletes who score poorly on the FMS are the
athletes you see in the training room all the time.</span></li>
<li><span style="text-indent: -0.25in;">If you want your son or daughter on the court
and field, injury prevention is key.</span></li>
<li><span style="font-size: 7pt; text-indent: -0.25in;"> </span><span style="text-indent: -0.25in;">“Mobility, stability, and movement should supersede
their [athletes] strength development in the weight room.”</span></li>
<li><span style="text-indent: -0.25in;">“The more mobile and more stable they are, the
stronger they are going to end up being….”</span></li>
<li><span style="text-indent: -0.25in;">When a first string athlete gets injured, that
effects the entire team. If a top receiver goes down, then a less experienced
athlete must move up and may not be ready for the increased workload.</span></li>
<li><span style="text-indent: -0.25in;">The FMS is used at the NFL combine.</span></li>
<li><span style="text-indent: -0.25in;">Focus on quality over quantity.</span></li>
</ol>
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PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-39352198377765773842012-11-28T16:09:00.000-05:002012-11-28T16:09:00.487-05:00Cholesterol and Saturated Fat: Part 1<br />
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<span style="font-family: georgia,serif;">The topic of saturated fat and cholesterol has been in the news a lot lately with "studies" saying meat is bad and eggs are bad. The first myth I want to dispel is that cholesterol is bad and that eating saturated fat and cholesterol raise cholesterol levels in the blood.</span></div>
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<span style="font-family: georgia,serif;">There is no such thing as "good" or "bad" cholesterol, all cholesterol is good! Yup, cholesterol is essential for our existence, is part of every cell membrane, and is the biochemical starting point for the formation of all our hormones. Two things must happen for cholesterol to have a negative effect on the body: (1) Cholesterol ends up in the coronary (and carotid) arteries and (2) Inflammation occurs which can cause an obstruction in the artery. This obstruction can deteriorate and small pieces can break off. That is when the trouble begins (A future article will talk about this process in more detail).</span></div>
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<span style="font-family: georgia,serif;">About 25% of our daily intake of cholesterol comes from what we eat and the remaining 75% is produced by our bodies. The body has a very complex monitoring system of cholesterol levels and makes sure that <strong>cellular</strong> cholesterol levels are maintained in a very narrow range. It is <strong>plasma</strong> cholesterol (blood) that is measured by your doctor. This measurement does not tell us where the cholesterol is going and has little to do with cellular or artery cholesterol (which is what we don't want).</span></div>
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<span style="font-family: georgia,serif;">So, eating cholesterol rich food may increase your plasma cholesterol in the short term, but not in the long term. My next article will discuss the importance of this blood cholesterol reading and what the relationship is to heart disease.</span></div>
PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-53202903496684063002012-11-20T08:48:00.002-05:002012-11-20T08:48:17.077-05:00DOMS: Delayed Onset Muscle Soreness<br />
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<span style="font-size: medium;">DOMS - Delayed Onset Muscle Soreness. What we dread after working out and what causes many people to give up working out altogether.</span></div>
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<strong><span style="font-size: medium;">Causes of DOMS</span></strong></div>
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<span style="font-size: medium;">1. <strong>Eccentric muscle contractions</strong> or "negatives." For example, when you perform a biceps curl and curl the weight up, that is a concentric muscle contraction.... the muscle shortens. When you lower the weight slowly, the biceps is contracting, but it is lengthening while it contracts. When you perform lots of slow, lengthening contractions, this can cause significant post-workout soreness.</span></div>
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<span style="font-size: medium;">2. <strong>A brand new workout.</strong> When you perform new movments, this is stressful to the body. It is not that you are using muscles you never used, it is that you are using them in a different way. This can cause soreness.</span></div>
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<span style="font-size: medium;">3. <strong>Dehydration.</strong> Muscles do not like when the body is dehydrated, so drink. Use a scale before and after to learn how much you need to replace. If you happen to gain weight after working out from drinking, then back off the fluid (this is called hyponatremia - for more <a href="http://www.stumptuous.com/waterlogged-tim-noakes" style="color: #222222; text-decoration: none;">click here</a>.</span></div>
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<span style="font-size: medium;">4. <strong>Reactive Oxygen Species.</strong> In other words the increase of free radicals is related to DOMS. What to do - LifePak or <a href="http://youcanbefit.com/Lifepaknano.html">LifePak Nano</a>!</span></div>
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<span style="font-size: medium;">5. <strong>Neurology.</strong> Yes, this soreness can "spread" to adjacent muscle groups via the central nervous system. That is why recovery is so important. If your movement patterns are off, then this type of soreness is much more likely to occur. Get a <a href="http://www.marylandsportsinjurycenter.com/ptfunctionalmovement.html" style="color: #222222; text-decoration: none;">Functional Movement Screen</a>!</span></div>
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<span style="font-size: medium;">So, why is the title of this article <strong>Overdrive</strong>? Because <strong>Overdrive</strong> is the name of the best supplement I have come across in all my years of training to combat DOMS. I have always used a recovery supplement of some type and have experimented with dozens over the years. Overdrive has been a HUGE help to me during my recovery and allowed me to get back to where I am (and their is certainly more to come). </span></div>
PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-31287905729094098472012-11-06T15:15:00.001-05:002012-11-06T15:17:28.373-05:00KINESIO TAPEHere is a great article describing the benefits of kinesio tape by Keith Jardine, D.C.<br />
I have been taping for 6 years now and am a Certified Kinesio Taping Practitioner. It works!<br />
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Advancements in pain neurophysiology have shed light on the treatment potential of kinesiology taping and form the basis of modern education into its use. Current research documents the negative neuromuscular consequences of injuries on a patient’s recovery following musculoskeletal injuries. This has led to an increased understanding of the importance of sensorimotor stimulation for both therapeutic and rehabilitative success.</div>
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<a href="http://www.optp.com/userfiles/images/Newsletter-1012/figure-a-large.jpg" style="color: #666666;" title="Neuromuscular Deficits"><img alt="Figure A - Neuromuscular Deficits" border="0" height="160" src="http://www.optp.com/userfiles/images/Newsletter-1012/figure-a.jpg" style="border: none;" width="200" /></a><br />
<a href="http://www.optp.com/userfiles/images/Newsletter-1012/figure-b-large.jpg" style="color: #666666;" title="Applying Kinesiology Tape"><img alt="Figure B - Applying Kinesiology Tape" border="0" src="http://www.optp.com/userfiles/images/Newsletter-1012/figure-b.jpg" style="border: none;" /></a></div>
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What the research has shown us is that virtually all painful conditions are associated with altered neurosensory signaling between the muscles and joints affected, and the central nervous system (CNS). The clinical presentation of this is what we call neuromuscular deficits (FIGURE A). This is ultimately where injuries result in an alteration of information coming into the central nervous system and if you have altered information coming in, you will have altered information going out. Therefore, what we are attempting to do with our treatment and rehab strategies is provide the right type of afferent stimulation in order to change the efferent output in the direction of therapeutic intent. This is exactly what we achieve with the use of kinesiology tape (FIGURE B).</div>
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The altered signals experienced by the nervous system after an injury can be normalized due to the afferent stimulation of the tape on the skin. This process occurs through a combination of mechanotransduction and mechanodisruption, leading to neuroplastic changes if prolonged. When the tape is adhered to the skin’s surface, it mechanically stimulates the touch receptors. This stimulation is converted into an electrical signal through the process of mechanotransduction. The electric impulse is then sent rushing through the nervous system. Since the impulse is traveling on A-beta fibers, touch receptors, which are bigger and faster than C-fibers and pain transmitting neural pathways, the end result is the modulation or dampening of the sensation of pain. In the nervous system, as the signaling of pain diminishes, the ability of affected muscles to activate properly is restored.</div>
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Rigorous scientific testing is still needed, but anyone who has used kinesiology taping in practice will vouch for the benefits seen in clinical practice. The introduction of pre-cut, ready-to-apply applications like those offered by SpiderTech™ now make applying kinesiology taping more clinic-friendly and time-efficient. The sound understanding of the clinical relationship between a patient’s complaint and how you apply the tape underlies the importance of an educational program. The education behind the use of kinesiology tape helps the clinician understand the multitude of conditions taping can benefit and can also help explain the different ways that the same piece of tape can be applied in order to achieve a different clinical outcome.</div>
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One of the main therapeutic benefits of using kinesiology tape in practice is the ability to extend therapeutic input to the patient beyond the office walls. As an example, we can look at something as common as knee pain. With the signals of discomfort actively transmitting to the CNS, the brain will be telling the muscles supporting the knee to “turn off,” which leads to an alteration in the timing and sequence of activation and thus a loss of function. In clinical practice, after treating the area I would apply kinesiology tape and instruct the patient to leave it on for 5 days. In this case an upper knee Spider would be applied using a neuro-sensory technique (there are various techniques that are dependent on clinical objectives) resulting in a reduction in discomfort for the patient, but more importantly, a restoration toward normal motor activation. This is crucial if movements and exercise are used as a part of the treatment plan.</div>
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Different from traditional forms of tape, kinesiology tape is designed to be flexible, so it moves with the body in motion. The tape also has a very special adhesive that allows kinesiology tape to be in contact with the skin for multiple days of continuous wear without leaving any residue or skin irritation. As seen with many of the Olympic athletes in London, the tape can be worn in very vigorous physical activity as well as during water events like diving.</div>
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Different from traditional forms of tape, kinesiology tape is designed to be flexible, so it moves with the body in motion. The tape also has a very special adhesive that allows kinesiology tape to be in contact with the skin for multiple days of continuous wear without leaving any residue or skin irritation. As seen with many of the Olympic athletes in London, the tape can be worn in very vigorous physical activity as well as during water events like diving.</div>
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The advent of kinesiology taping provides patients, whether athletic or not, an opportunity to “wear their therapy” whether demanding the most out of their bodies or simply trying to get through their day.</div>
PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com2tag:blogger.com,1999:blog-1956969596133155948.post-33878025471403391302012-07-01T06:00:00.000-04:002012-07-01T06:00:12.698-04:00Sports Injuries: Why Do They Occur?<br />
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<span style="font-size: medium;">FIFA, the international governing body of soccer, has published several studies the the causes of soccer injuries. <a href="https://extranet.fifa.com/Medical/Global/Project%20book/3.1.1%20ER.pdf">What were the top 3 causes?</a></span></div>
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<span style="font-size: medium;">1. Number of previous injuries</span></div>
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<span style="font-size: medium;">2. Joint pain</span></div>
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<span style="font-size: medium;">3. Poor warm-up</span></div>
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<strong><span style="color: red; font-size: medium;">What is the message here? </span></strong></div>
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<span style="font-size: medium;">1. COMPLETELY rehabilitate an existing injury. Simply being pain free is NOT good enough!</span></div>
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<span style="font-size: medium;">2. Joint pain - do NOT ignore it! Get it treated quickly. Faster treatment, better recovery.</span></div>
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<span style="font-size: medium;">3. Warm-up - learn a proper warm-up. If you are a baseball player, do NOT throw to warm-up, warm-up BEFORE you throw. It is INCREDIBLE to me that not one soccer coach I have asked has known about the FIFA 11.<a href="http://f-marc.com/11plus/">Click here for the link and use it!</a> This warm-up can be used for any court or field sport athlete. If your child's coach does not know this, please pass it on.</span></div>
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<span style="font-size: medium;">Finally, please schedule an appointment for either yourself or your child for the Functional Movement Screen. This is the screening procedure used by PROFESSIONAL sports teams to analyze the injury risk of their athletes. </span></div>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com1tag:blogger.com,1999:blog-1956969596133155948.post-15202947111169899592012-06-30T12:27:00.001-04:002012-06-30T12:27:46.749-04:00NFHS FREE ON-LINE COURSES<span style="font-family: Arial; font-size: medium; line-height: 19px; text-align: left;">The National Federation of State High School Associations is offering two free on-line courses: </span><a href="http://www.nfhslearn.com/electiveDetail.aspx?courseID=15000" style="font-family: Arial; font-size: large; line-height: 19px; text-align: left;">concussions</a><span style="font-family: Arial; font-size: medium; line-height: 19px; text-align: left;"> and </span><a href="http://www.nfhslearn.com/electiveDetail.aspx?courseID=34000" style="font-family: Arial; font-size: large; line-height: 19px; text-align: left;">heat injuries</a><span style="font-family: Arial; font-size: medium; line-height: 19px; text-align: left;">. If you, or your son or daughter is involved in sports leagues or simply outside in a playground, these two courses are a must!</span>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-65821803307250385682012-05-09T14:36:00.000-04:002012-05-09T14:36:00.636-04:00Natural RunningHere are some great Natural Running Links<br />
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Are you
ready to run naturally?<o:p></o:p></div>
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<a href="http://www.youtube.com/watch?v=YtICeFOKjIs">http://www.youtube.com/watch?v=YtICeFOKjIs</a><o:p></o:p></div>
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Principles
of Natural Running with Dr. Mark Cucuzzella<o:p></o:p></div>
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<a href="http://www.youtube.com/watch?v=zSIDRHUWlVo&feature=related">http://www.youtube.com/watch?v=zSIDRHUWlVo&feature=related</a><o:p></o:p></div>
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Newton
Natural Running Panel 2010 part 1 (12 part series)<o:p></o:p></div>
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<a href="http://www.youtube.com/watch?v=Re74q66xXv8">http://www.youtube.com/watch?v=Re74q66xXv8</a><o:p></o:p></div>
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Heel Strike
Vs. Forefoot Strike<o:p></o:p></div>
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<a href="http://www.youtube.com/watch?v=XrOgDCZ4GUo&feature=related">http://www.youtube.com/watch?v=XrOgDCZ4GUo&feature=related</a><o:p></o:p></div>
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<a href="http://www.youtube.com/watch?v=auntctXMS5Q">http://www.youtube.com/watch?v=auntctXMS5Q</a><span class="MsoHyperlink"><o:p></o:p></span></div>
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<span class="MsoHyperlink"><a href="http://www.uvaendurosport.com/ForAthletes/GaitAnalysis.php">Center For
Endurance Sports @ UVA</a><o:p></o:p></span></div>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-84676257856016267812012-05-07T11:06:00.003-04:002012-05-07T11:07:53.042-04:00Sudden Death in Athletes<b style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; border-bottom-width: 0px; border-color: initial; border-image: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: #333333; font-family: arial; font-size: 12px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; outline-color: initial; outline-style: initial; outline-width: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-align: left; vertical-align: baseline;"><a href="http://www.blogger.com/goog_508117561"> </a></b><span style="background-color: white; color: #333333; font-family: arial; font-size: 12px; text-align: left;"><a href="http://www.medpagetoday.com/MeetingCoverage/EuroPRevent/32537?utm_content=&utm_medium=email&utm_campaign=DailyHeadlines&utm_source=WC&eun=g268144d0r&userid=268144&email=painfree123@gmail.com&mu_id=5262976">European Association for Cardiovascular Prevention & Rehabilitation</a> - read this article</span><br />
<span style="background-color: white; color: #333333; font-family: arial; font-size: 12px; text-align: left;"><br /></span><br />
<span style="background-color: white; color: #333333; font-family: arial; font-size: 12px; text-align: left;">And here is a great website: <a href="http://www.c-r-y.org.uk/long_qt_syndrome.htm">Cardiac Risk in the Young</a></span>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com1tag:blogger.com,1999:blog-1956969596133155948.post-29929937120544050062012-04-29T11:40:00.000-04:002012-04-29T11:40:21.171-04:00Making sense of proper diet and nutritionHere is a great article on both the Vegan and Paleo approaches - read the comments too. My comments are below:<br />
<a href="http://experiencelife.com/article/paleo-vs-vegan/">http://experiencelife.com/article/paleo-vs-vegan/</a>
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The bottom line is both Paleo and Vegan groups are passionate about healthy eating habits. My personal bias is Paleo because of my autoimmune disease called Achalasia. Since my esophagectomy in October 2010, I have been full on Paleo with incredible success.<br />
A few comments:<br />
1. Vegetarians and Vegans (at least those making up my patient base over the last 26 years) eat WAY too many grains and not nearly enough vegetables. As a Paleo proponent, I eat more veggies than most of my vegetarian/vegan patients.<br />
2. Paleo does not have to be low carb. If you are working out with any intensity at all (more than just taking a walk daily) you will most likely need more carbs than what veggies can supply. I choose not to eat grains of any type (I can eat rice once a week) as I have experimented on myself and just don't do well with grains. I choose sweet potato, yams, turnips, parsnips. The harder I train, the more I need these foods to recover.<br />
3. Paleo does not have to be super high protein. If you are training hard, I would argue that you will benefit from higher protein (good sources of course as per the article) and I do benefit myself. <a href="http://www.primalbody-primalmind.com/?p=295">Read this post by Nora Gedgaudas about protein and Paleo</a><br />
4. <a href="http://www.foodforprimalthought.com/2011/03/weekly-paleoprimal-menu-from-great.html">Here is a great article with a menu plan from the different Paleo/primal approaches</a><br />
5. Most Vegans/Vegetarians are going to be nutrient deficient. These deficiencies (Mg; Zn; Vitamin D; Omega 3's - sorry, flax seeds, etc. do not convert efficiently to DHA; B12) can take time to show up.<br />
6. Everyone owes it to themselves to do a bit of personal experimentation. Discover what works for you and get healthy!<br />PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com1tag:blogger.com,1999:blog-1956969596133155948.post-24979837106577947052012-04-11T09:19:00.001-04:002012-04-11T09:25:01.347-04:00Sports Injury Care = Sports Injury Prevention = Sports Performance<b style="font-family: arial; font-size: small;">Chiropractor and strength & conditioning trainer says injury treatment and prevention holds key to improved athletic performance. </b><b style="font-family: arial; font-size: small;"><a href="http://ow.ly/aaBUv" saprocessedanchor="true" target="_blank">http://ow.ly/aaBUv</a></b>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-90767679487524596882012-03-25T14:32:00.000-04:002012-03-25T14:32:52.790-04:00Chiropractors and the United States Olympic Committee Sports Medicine ProgramU.S. Olympic Committee Medical Director: a chiropractor<br />
<a href="http://www.teamusa.org/news/article/902">http://www.teamusa.org/news/article/902</a><br />
<br />
Medical Director, Sports Medicine Clinics: a chiropractor<br />
<a href="http://www.teamusa.org/resources/usoc-sport-performance/sports-medicine/clinics-staff">http://www.teamusa.org/resources/usoc-sport-performance/sports-medicine/clinics-staff</a><br />
<br />
Nuf Said!PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-40393629500056775182012-03-13T11:20:00.002-04:002012-03-13T11:20:45.340-04:00Functional Movement ScreenProtect your child and yourselves!<br />
<br />
<a href="http://www.courierpress.com/news/2012/mar/05/preventing-sports-injuries/">Read about the Functional Movement Screen and why EVERY ATHLETE must have this done - click here.</a>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-15724987959251035562012-02-19T08:00:00.000-05:002012-02-19T08:00:03.734-05:00Great Used Weightlifting/Powerlifting Equipment<span style="font-family: Georgia, 'Times New Roman', serif;">I met Jim Gross yesterday from Sterling, VA and picked up a great set of weight plates. The money Jim makes goes to Meridians Recovery for those recovering from substance abuse. To contact Jim:</span><br />
<span style="font-family: Georgia, 'Times New Roman', serif;"><span style="background-color: white;">jim@meridiansrecover</span><wbr style="background-color: white;"></wbr><span style="background-color: white;">y.org</span> </span><br />
<span style="background-color: white;"><span style="font-family: Georgia, 'Times New Roman', serif;">703-434-9009</span></span>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0tag:blogger.com,1999:blog-1956969596133155948.post-11140665758033661012012-01-03T18:02:00.004-05:002012-01-03T18:05:13.214-05:00ACL SURGERY - YES OR NO?<span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;">I was listening to this podcast today - </span><br />
<a href="http://podcasts.bmj.com/bjsm/2011/11/25/return-to-exercise-after-acl-anterior-cruciate-ligament-injury-with-dr-richard-frobell/" style="font-family: Georgia, 'Times New Roman', serif; font-size: x-large; text-align: left;">Return to exercise after ACL (anterior cruciate ligament) injury, with Dr Richard Frobell </a><br />
<h2 style="font: normal normal bold 1.8em/normal arial, sans-serif; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: left;"><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;">- </span><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large; font-weight: normal;">and I was blown away by this question and answer exchange:</span></h2><div><span style="outline-color: initial; outline-style: none; outline-width: initial; text-decoration: none;"><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large; font-weight: normal;"><br />
</span></span></div><div><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><b>Interviewer to Dr. Frobell:</b> <i>"You are now not so young anymore. So if you had your ACL torn in Alpine Skiing in Sweden, what would you do with it?"</i></span></div><div><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><br />
</span></div><div><span style="font-size: large;"><span style="font-family: Georgia, 'Times New Roman', serif;"><b>Dr. Frobell:</b> <i>"<b><span style="color: red;">I would most definitely wait with an ACL reconstruction</span></b>. <span style="color: red;"><b>I would try rehabilitation at first</b></span></i></span><i style="font-family: Georgia, 'Times New Roman', serif;"><b><span style="color: red;"> [my emphasis]</span></b></i></span><i style="font-family: Georgia, 'Times New Roman', serif;"><span style="font-size: large;"><span style="color: red;"><b>.</b></span> If I still would experience instability because I am an active guy, I like to do sports, and if that would decrease my ability to do sports I would seriously consider a reconstruction. <b><span style="color: red;">But I would never perform that at first. [my emphasis]</span></b>"</span></i></div><div><i><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><br />
</span></i></div><div><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><span style="font-style: italic; font-weight: bold;">WOW! </span>What a change in thought. And what a concept.....rehab first! </span></div><div><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><br />
</span></div><div><span style="font-family: Georgia, 'Times New Roman', serif; font-size: large;"><b>Injury care = rehab = sports performance.</b> I have been saying this for decades! Surgery is always an option.... but as a last resort if all else fails.</span></div>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com1tag:blogger.com,1999:blog-1956969596133155948.post-19316538592941727042012-01-01T20:49:00.002-05:002012-01-01T20:49:26.437-05:00Technique - It has always been and always will be about technique<span style="font-family: Georgia, serif; font-size: 16px; text-align: left;">Listen to Dr. Anthony </span><span class="blsp-spelling-error" id="SPELLING_ERROR_0" style="background-color: yellow; font-family: Georgia, serif; font-size: 16px; text-align: left;">Beutler</span><span style="font-family: Georgia, serif; font-size: 16px; text-align: left;"> talking about </span><span class="blsp-spelling-error" id="SPELLING_ERROR_1" style="background-color: yellow; font-family: Georgia, serif; font-size: 16px; text-align: left;">ACL</span><span style="font-family: Georgia, serif; font-size: 16px; text-align: left;"> Injury Prevention at the </span><a href="http://podcasts.bmj.com/bjsm/" style="font-family: Georgia, serif; font-size: 16px; text-align: left;">British Journal of Sports Medicine's podcast page</a><span style="font-family: Georgia, serif; font-size: 16px; text-align: left;"> - </span><a href="http://podcasts.bmj.com/bjsm/2011/08/02/the-jump-acl-study-with-anthony-beutler/" rel="bookmark" style="color: magenta; font-family: Georgia, serif; font-size: 16px; outline-color: initial; outline-style: none; outline-width: initial; text-align: left; text-decoration: none;" title="Permanent Link to The JUMP-ACL study with Anthony Beutler">The JUMP-<span class="blsp-spelling-error" id="SPELLING_ERROR_2" style="background-color: yellow;">ACL</span> study with Anthony <span class="blsp-spelling-error" id="SPELLING_ERROR_3" style="background-color: yellow;">Beutler</span></a><br />
<div style="font-family: Georgia, serif; font-size: 16px; text-align: left;"><br />
</div><div style="font-family: Georgia, serif; font-size: 16px; text-align: left;"><div class="MsoNormal"><i>"There is no magic in the exercises....<b>What really seems to be magic is the coaching [my emphasis].</b> Is actually getting people to change the way they perform these tasks, so that they do them in a more <span class="blsp-spelling-error" id="SPELLING_ERROR_4" style="background-color: yellow;">biomechanically</span> sound [manner] with a movement pattern that is less risky for injury puts them at less risk for injury. That really seems to be the key so we emphasize good form, your knees need to be in line with your hips, your knees need to be in line with your toes, your toes need to be pointed straight forward and that you land softly."</i></div><div class="MsoNormal">Like I said, it always has been and always will be about technique.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><b>EVERYONE NEEDS A KNOWLEDGEABLE COACH!</b></div></div>PREVENTSPORTSINJURIEShttp://www.blogger.com/profile/07613772751370734569noreply@blogger.com0