Training & Conditioning 17.7 by Momentummedia

October 2007 Vol. XVII, No. 7, $7.00

The Art of Negotiating Strength for Wrestlers

Vaulting Over Pain Is prolotherapy a viable option?

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October 2007, Vol. XVII, No. 7

CONTENTS

20 25 6

31 45 46 49 53 57 64

Bulletin Board New creatine supplements … soccer headgear study … athletic training on the road … overweight athletes Comeback Athlete Holly Poeschl Oshkosh (Wis.) West High School Sponsored Pages Gatorade Versa Climber Product News Vibration Training Pain Management Hot & Cold Products More Products Web News

Advertisers Directory

CEU Quiz For NATA and NSCA members

Treating The Athlete

Over Pain 14 Vaulting More and more athletes are seeking out prolotherapy treatments for their injuries. But does it work? By R.J. Anderson Optimum Performance

Right Route 20 The Different athletes sometimes need different routes to reach the same goals. Here’s how to map out an effective training plan for any situation. By Vern Gambetta Nutrition

Beans 25 Magic Due to their nutritional value and protein content, soybeans can be a great fuel source for athletes. By Susan Kundrat Leadership

Meeting in the Middle

33 Although many athletic trainers cringe at the thought of negotiating, learning the art can help you get more staff, more pay, and more respect. By Dr. Chadron Hazelbaker Sport Specific

Strong Holds

39 A college wrestling coach who is also a certified strength coach On the cover: Pole vaulter Jillian Schwartz used prolotherapy to help heal an ankle injury in 2006. Story begins on page 14.

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combines his knowledge and experience in both areas to help his wrestlers get a leg up on the competition. By Drew Black

T&C OCTOBER 2007

Victories don’t always come at the end of the game.

GATORADE SALUTES THOSE WHO KEEP OUR PLAYERS PLAYING.

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Editorial Board Great Ideas For Training... Knee Strap Cho-Pat’s Original Knee Strap is designed to alleviate certain knee discomforts due to overuse syndromes, arthritis, and other forms of degeneration. Nearly two million sold! Sizes: XS - XXL • Colors: Black and Tan

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Marjorie Albohm, MS, ATC/L Director of Sports Medicine and Orthopaedic Research, Orthopaedics Indianapolis

Joe Gieck, EdD, ATR, PT Director of Sports Medicine and Prof., Clinical Orthopaedic Surgery, University of Virginia (retired)

Jon Almquist, ATC Specialist, Fairfax County (Va.) Pub. Schools Athletic Training Program

Brian Goodstein, MS, ATC, CSCS, Head Athletic Trainer, DC United

Brian Awbrey, MD Dept. of Orthopaedic Surgery, Massachusetts General Hospital, and Instructor in Orthopaedics, Harvard Medical School Jim Berry, MEd, ATC, SCAT/EMT-B Director of Sports Medicine and Head Athletic Trainer, Myrtle Beach (S.C.) High School Leslie Bonci, MPH, RD Director, Sports Medicine Nutrition Program, University of Pittsburgh Medical Ctr. Health System Christine Bonci, MS, ATC Asst. A.D. for Sports Medicine, Women’s Athletics, University of Texas Cynthia “Sam” Booth, ATC, PhD Manager, Outpatient Therapy and Sportsmedicine, MeritCare Health System Debra Brooks, CNMT, LMT, PhD CEO, Iowa NeuroMuscular Therapy Center Cindy Chang, MD Head Team Physician, University of California-Berkeley Dan Cipriani, PhD, PT Assistant Professor Dept. of Exercise and Nutritional Sciences, San Diego State Univ. Gray Cook, MSPT, OCS, CSCS Clinic Director Orthopedic & Sports Phys. Ther. Dunn, Cook, and Assoc. Keith D’Amelio, ATC, PES, CSCS Head Strength & Conditioning Coach/ Assistant Athletic Trainer, Toronto Raptors Bernie DePalma, MEd, PT, ATC Head Athl. Trainer/Phys. Therapist, Cornell University Lori Dewald, EdD, ATC, CHES Health Education Program Director, Salisbury University

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Jeff Dilts, Director, Business Development & Marketing, National Academy of Sports Medicine David Ellis, RD, LMNT, CSCS Sports Alliance, Inc.

Editorial Staff Eleanor Frankel, Director R.J. Anderson, Kenny Berkowitz, Nate Dougherty, Abigail Funk, Dennis Read, Greg Scholand, Laura Ulrich

Allan Johnson, MS, MSCC, CSCS Sports Performance Director, Velocity Sports Performance Maria Hutsick, MS, ATC/L, CSCS Head Athletic Trainer, Medfield (Mass.) High School

Circulation Staff David Dubin, Director John Callaghan

Christopher Ingersoll, PhD, ATC, FACSM Director, Graduate Programs in Sports Medicine/Athletic Training University of Virginia

Art Direction Message Brand Advertising

Tim McClellan, MS, CSCS Director of Perf. Enhancement, Makeplays.com Center for Human Performance

Production Staff Don Andersen, Director Jonni Campbell, Jim Harper, Miles Worthington

Michael Merk, MEd, CSCS Director of Health & Fitness, YMCA of Greater Cleveland

IT Staff Julian Cook, Manager Jayme Peck

Jenny Moshak, MS, ATC, CSCS Asst. A.D. for Sports Medicine, University of Tennessee

Business Manager Pennie Small

Steve Myrland, CSCS Owner, Manager, Perf. Coach, Myrland Sports Training, LLC, Instructor and Consultant, University of Wisconsin Sports Medicine

Special Projects Dave Wohlhueter Administrative Assistant Sharon Barbell

Mike Nitka, MS, CSCS Director of Human Performance, Muskego (Wisc.) High School

Advertising Materials Coordinator Mike Townsend

Bruno Pauletto, MS, CSCS President, Power Systems, Inc.

Marketing Director Sheryl Shaffer

Stephen Perle, DC, CCSP Associate Prof. of Clin. Sciences, University of Bridgeport College of Chiropractic

Marketing/Sales Assistant Danielle Catalano

Brian Roberts, MS, ATC, Director, Sport Performance & Rehab. Ctr.

Advertising Sales Associates Diedra Harkenrider (607) 257-6970, ext. 24

Ellyn Robinson, DPE, CSCS, CPT Assistant Professor, Exercise Science Program, Bridgewater State College

Pat Wertman (607) 257-6970, ext. 21

Kent Scriber, EdD, ATC, PT Professor/Supervisor of Athletic Training, Ithaca College Chip Sigmon, CSCS Strength and Conditioning Coach, Carolina Medical Center Bonnie J. Siple, MS, ATC Coordinator, Athletic Training Education Program & Services, Slippery Rock University Chad Starkey, PhD, ATC Visiting Professor Athletic Training Education Program, Ohio University

Peter Friesen, ATC, NSCA-CPT, CSCS, CAT, Head Ath. Trainer/ Cond. Coach, Carolina Hurricanes

Ralph Stephens, LMT, NCTMB Sports Massage Therapist, Ralph Stephens Seminars

Vern Gambetta, MA, President, Gambetta Sports Training Systems

Publisher Mark Goldberg

Gary Gray, PT, President, CEO, Functional Design Systems

Boyd Epley, MEd, CSCS Director of Coaching Performance, National Strength & Conditioning Association

Lance Fujiwara, MEd, ATC, EMT Director of Sports Medicine, Virginia Military Institute

October 2007 Vol. XVII, No. 7

Fred Tedeschi, ATC Head Athletic Trainer, Chicago Bulls Terrence Todd, PhD, Co-Director, Todd-McLean Physical Culture Collection, Dept. of Kinesiology & Health Ed., University of Texas-Austin

T&C editorial/business offices: 31 Dutch Mill Road Ithaca, NY 14850 (607) 257-6970 Fax: (607) 257-7328 info@MomentumMedia.com Training & Conditioning (ISSN 1058-3548) is published monthly except in January and February, May and June, and July and August, which are bimonthly issues, for a total of nine times a year, by MAG, Inc., 31 Dutch Mill Rd., Ithaca, NY 14850. T&C is distributed without charge to qualified professionals involved with competitive athletes. The subscription rate is $24 for one year and $48 for two years in the United States, and $30 for one year and $60 for two years in Canada. The single copy price is $7. Copyright© 2007 by MAG, Inc. All rights reserved. Text may not be reproduced in any manner, in whole or in part, without the permission of the publisher. Unsolicited materials will not be returned unless accompanied by a self-addressed, stamped envelope. Periodicals postage paid at Ithaca, N.Y. and additional mailing offices. POSTMASTER: Send address changes to Training & Conditioning, P.O. Box 4806, Ithaca, NY 14852-4806. Printed in the U.S.A.

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Board New Creatine Supplements Raise Concerns Every time a new creatine product is introduced, it claims to be the next great strength-building supplement for athletes. But recent research suggests that some newly introduced creatine formulations have potentially harmful side effects. Basic creatine monohydrate—the most common form of creatine used in supplements—has been tested extensively, and while some debate remains about its effectiveness, it is generally considered safe when used properly. However, it has long been known that when creatine breaks down in the stomach, it produces small amounts of a harmful waste substance called creatinine. A new product called Kre-alkalyn, marketed as a third-generation creatine supplement, claims to deliver creatine to the body effectively while being “buffered” to prevent creatinine production. But in the first independent study to test that claim, researchers from the United Kingdom found that Kre-alkalyn actually produced more creatinine than did creatine monohydrate. Under conditions designed to replicate the human stomach, Kre-alkalyn induced a 35 percent greater creatineto-creatinine conversion rate than did an equal amount of creatine monohydrate. A second new creatine formulation, creatine ethyl ester (CEE), is also marketed for its ability to prevent the breakdown of creatine into creatinine. However, in a different study, the same researchers found that it didn’t deliver on this claim. The ethyl group added to the creatine molecules actually increased the production of creatinine under stomach-like conditions. This study also debunked the claim that CEE delivers creatine to the body more efficiently—creatine monohydrate outperformed two separate CEE products in terms of bioavailability. These findings suggest that athletes interested in using creatine should be advised to avoid Kre-alkalyn and creatine ethyl ester products. Creatine monohydrate still appears to be the safest, most effective option for creatine supplementation. ■ Both studies were presented in June at the annual meeting of the International Society of Sports Nutrition. For more information, contact the society through its Web site at: www.sportsnutritionsociety.org.

Soccer Headgear Proven Effective In Play Laboratory research sponsored by FIFA (the international soccer governing body) has already shown that wearing headgear decreases the risk of concussion and head trauma for soccer players by reducing impact forces. Now, that con6

T&C OCTOBER 2007

clusion is backed up by a study that looked at actual on-field competition. In the first soccer headgear study using real players, researchers at the McGill University Health Centre in Canada collected head injury data on 268 adolescent soccer players (ages 12 to 17) during their 2006 club season. Of the 52 who wore headgear, only 26.9 percent suffered a concussion during the season, while the 216 who didn’t wear the gear had a concussion rate of 52.8 percent. Even with the large difference in sample sizes, those results are statistically significant. The researchers also found that wearing headgear decreased the risk of a second concussion among players who had already sustained one and helped prevent lacerations to the covered head areas. However, injuries to other parts of the head were not significantly different between the two groups. “This was important to examine, as many people fear that the use of soccer headgear may make players more aggressive and more prone to other injuries,” lead author J. Scott Delaney, MDCM, said in a statement. “At least for [head] injuries, it may show that wearing headgear does not encourage people to play more aggressively. “This study may help convince parents and players that soft protective headgear can be an effective part of a comprehensive plan to reduce the number of head injuries and concussions in soccer,” he added. ■ The study, “The Effect of Protective Headgear on Head Injuries and Concussions in Adolescent Football (Soccer) Players,” was published in the July 2007 issue of the British Journal of Sports Medicine. To view the free abstract and for paid access to the full study, visit: www. bjsm.bmj.com and type “soccer headgear” into the keyword search.

Va. Tech Athletic Training Hits the Road Have you ever been covering an off-campus tournament and wished that you could put your athletic training room on wheels to take with you? For Virginia Tech athletic trainers, that wish has become a reality. The Hokies’ new Gordon Family Mobile Training Room, named for the donors who made it possible, is a complete athletic training room and physician’s office built into a 33-foot trailer. In addition to the standard athletic training room equipment—including a portable X-ray machine—it has a restroom and a full kitchenette, all decked out in Tech’s signature colors and logos. “At some venues, there’s really no place for a permanent athletic training room, but we can take this almost anywhere,” TR AINING-CONDITIONING.COM

Board

Bulletin says Mike Goforth, MS, ATC, Head Athletic Trainer at Virginia Tech. “We’ve only had it a few months, and we’ve already used it at a major soccer tournament in town where there was no athletic training room. This summer we had it near the football field for two-a-days, mostly to serve as an air-conditioned cooling room for players who needed it. It’s been great.” Goforth believes it is the only facility of its kind in college sports, so when putting together the specs, his athletic department looked at similar trailers that serve the PGA, the NFL’s Chicago Bears, and the professional rodeo circuit for guidance. In the coming school year, he hopes this new asset will improve athlete treatment in all sorts of settings. “We plan on using it for everything from ACC tournaments to intramural events on campus,” Goforth says.

Overweight Athletes & Health Risks On the gridiron, many coaches believe in a simple mantra for linemen: Bigger is better. But heavy athletes are at increased risk for a host of medical problems, according to researchers who presented their findings at the 54th annual meeting of the American College of Sports Medicine (ACSM) in June. John P. Batson, MD, FAAP, a youth sports medicine specialist at the Moore Orthopaedic Clinic in Columbia, S.C.,

and the lead presenter, warned that overweight athletes are more susceptible to heat illness, asthma, musculoskeletal trauma, and even sudden cardiac death. “Being an athlete does not necessarily equate to being healthy,” Batson told Medical News Today. “The increased size of athletes has been documented in youth football in recent years, so this is an important and ever-growing—literally—problem.” To make matters worse, if young overweight athletes do not continue athletics into adulthood, their health often declines further. Batson and colleagues said these individuals are especially prone to cardiovascular problems and osteoarthritis later in life, because eating habits and behavioral patterns don’t always adjust when activity levels decrease. To minimize these risks, researchers recommend a comprehensive health assessment for overweight athletes that focuses on factors such as medical history, hypertension, diabetes, elevated cholesterol, asthma, sleep apnea, and orthopedic problems related to weight. An athletic trainer or other medical specialist should also evaluate heavy athletes’ dietary habits and use of performance-enhancing supplements and/or stimulants such as caffeine. The researchers further recommend that coaches and others on the sidelines be educated about the risks associated with heat illness, including how to identify an athlete in need of medical attention. ■

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Comeback

Athlete

Holly Poeschl Oshkosh (Wis.) West High School BY DENNIS READ

But they couldn’t keep her out of the fray completely. Not only did she return to play basketball as a senior, she also recovered from each surgery in time to play softball, earning a pair of second-team all-conference honors. Poeschl’s saga began at a basketball camp the summer after winning a state title her freshman year at Oshkosh (Wis.) West High School, when she suffered a non-contact ACL injury in her left knee, tearing both the ACL and meniscus. The injury occurred in June, but surgery was delayed so Poeschl could go on a school trip to the Bahamas in August. Between the injury and the surgery, Dan Gehri, MS, LAT, ATC, CSCS, then the Athletic Trainer at Oshkosh West, began prepping Poeschl for the rehab that would follow her surgery. “It’s been my philosophy that if you operate on a sore, swollen knee, you end up with a really sore, swollen knee after surgery,” says Gehri, who is now an Athletic Trainer/Physician Extender at ThedaCare Orthopedics Plus in Appleton, Wis. “The goal was to normalize the knee as much as we could to create a smoother rehab. First, we wanted to get rid of the swelling and effusion, and then we turned to improving range of motion and building quad strength. “We didn’t want to damage any cartilage, so we did a lot of straight ahead work,” he continues. “Holly spent a lot of time on the bike and elliptical trainer. She did some treadmill power walking and a lot of squats. We also put a big emphasis on the hamstrings since they kind of keep the tibia pulled back like the ACL does. By the time of the surgery, she was pretty much functional except she couldn’t run, jump, or pivot.” The gains made before the surgery accelerated Poeschl’s rehab progress. “She had that big swollen puffy knee again, but she had good strength in her core and trunk, so we didn’t have to spend much time addressing those issues,” Gehri says. “She also had good glute strength and strong ab and back extensors in place, so we were able to spend more time addressing her swelling and effusion and emphasizing the hamstring and quads.” 8

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PAUL BOEDER

Holly Poeschl has twice experienced the physical and mental challenges that come with reconstructing an ACL. The two injuries, one in each knee, occurred 345 days apart and cost Poeschl both her sophomore and junior seasons of high school basketball.

After two ACL surgeries, Holly Poeschl returned as a center for the Oshkosh West High School basketball team last winter, also serving as team captain. Gehri followed a fairly standard rehab protocol, breaking the process into two-week periods. After focusing on range of motion and flexion the first four weeks, in week five he introduced deep water jogging and aquatic therapy along with limited balance work using a two-by-four as a balance beam. At eight weeks, Gehri began a new tubing protocol he had never used before. The program started with gentle exercises that intensified as Poeschl progressed through her rehab. “I took a 20-foot piece of tubing and tied it around each of us,” he says. “Then she’d spend about 10 minutes doing skips, lunges, side slides, and back pedals while she was pulling me. The exercises were designed to give her external resistance while allowing me to monitor her mechanics. Dennis Read is Associate Editor at Training & Conditioning. He can be reached at: dr@MomentumMedia.com. TR AINING-CONDITIONING.COM

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“She still did things like squats and leg curls in the weightroom,” he continues. “But I wanted to get her moving and work on some of her agility and coordination. I think that was a hindering factor, not only with her ACL, but athletically. So I really tried to work on improving her footwork and mechanics.”

“I did a lot of it on my own the second time because I knew exactly what I had to do … But there were points where I got more frustrated because I had been through it once.” At week nine, Gehri added a bit of court work to the workouts, staring with gentle slides. Week 11 brought the introduction of a full balance program using a wobble board. Initial balance exercises included two-legged squats, lateral walks, and balance touches. Gehri had been using a standard preventative warmup with the girls’ basketball team, but he took these efforts a step further with Poeschl. He focused on functional activities designed to put her knees into proper positions while also improving her agility and basketball skills. At week 12, they added straight ahead shooting drills, progressing to slow cutting around rounded corners in week 16 and sharper cutting exercises in week 20.

“We spent a lot of court time working on her basketball fundamentals,” he says. “Eventually, I’d shoot and she’d grab the rebound, take two dribbles, and make an outlet pass. We also spent 15 to 20 minutes practicing her footwork.” According to Gehri, Poeschl’s hard work and upbeat attitude never diminished. “Holly worked two hours or more each day, and I don’t remember a single time when she felt sorry for herself or asked, ‘Why me?’” he says. “She just said, ‘I love to play basketball. I want to get back and contribute and if you say this is what I need to do, then that’s what I’m going to do.’ I tried to keep her looking at the big picture by telling her, ‘You’re only a sophomore. You have two more years ahead of you.’” “I like challenges,” Poeschl says. “I’ve never quit anything in my life, and I looked at this as another road block I had to overcome. I didn’t want pity from anyone, I just wanted them to understand and support me.” Despite Poeschl’s hard work, a return to the basketball court her sophomore year was not in the cards, and she watched her team lose by two points in the state quarterfinals. But she was able to play softball in the spring, keeping the starting position she earned as a freshman. Still, returning to the basketball court remained Poeschl’s major focus. She was hoping to be back at full strength for her junior season and attended summer camps to polish her game. Those plans, however, took a major detour when, 345 days after her initial injury, she tore the ACL in her right knee when she was

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Athlete

Comeback

■ Holly Poeschl Basketball/Softball Athlete Oshkosh (Wis.) West High School Injury: Two ACL tears Result: Continued her softball career throughout and returned to the basketball squad for her senior year

caught in a pileup under the basket at a summer camp. “I don’t remember exactly how it happened,” she says, “but as soon as I hit the floor I knew what happened and I pounded my fist on the floor. I wasn’t sad, I was mad. It was the most frustrating thing. After spending all that time working on my left knee and building up the muscle around it, I thought I’d be fine, but I guess not.” Gehri, who had left Oshkosh West during the off-season, took the injury as hard as Poeschl. “It was devastating,” he says. “But a little part of me was relieved when I found out it was a contact injury. I would have felt just awful if we had done all that work and she had a non-contact injury caused by a mechanical or strength issue.” For her second rehab, Poeschl followed the same basic outline as the first. Her experience, though, allowed her to be a bit more independent the second time around. “I did a lot of it on my own the second time because I knew exactly what I had to do,” she says. “But there were points where I got more frustrated because I had been through it once and I worried, ‘What if I go through all this and hurt my knee again?’ I started to doubt it a little bit and slacked off at times, but then I’d snap out of it and start working really hard again.” Poeschl did much of the work during her second rehab at Mercy Oakwood Rehab in Oshkosh under the supervision of Physical Therapist Liesl Storm, PT, CSCS. Storm disagrees with Poeschl’s self-analysis and says she saw very little slacking off. “She was very, very dedicated,” Storm says. “I never had to worry about her missing her home program and she was very accountable for everything she did. She would even go above and beyond what was asked of her, but never in a negative way.” There was some thought that Poeschl might be able to return in time to catch the end of the basketball season. “I finally got cleared to return two days after we lost in the regionals,” Poeschl says. “As much as I would have liked to play before that, I wasn’t going to risk it for one game. Plus, I felt it wouldn’t have been fair to my team for me to go out and play when I TR AINING-CONDITIONING.COM

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hadn’t been practicing with them.” After a successful softball season in the spring of 2006, Poeschl finally made her long-awaited return to the basketball court the following fall. But the two years away from the game had taken a toll. “I had played in some tournaments over the summer, but my first varsity game was really weird,” she says. “I got a standing ovation, and I was extremely emotional and very nervous. I had high expectations, but not playing competi-

tively for two years changes so many things. Everybody else progressed so much more and I wasn’t at the point I had hoped I would be for my senior year.” Despite the rust from two years away from the game, Poeschl started several games at center and served as a team captain. Playing for a new head coach, the team went 12-10 before losing in the regional final. Early on in high school, Poeschl had envisioned a possible college career, maybe as a two-sport athlete. But now

she’s moved her focus to softball and hopes to be a member of the team at Carroll College in Waukesha, Wis., where she is matriculating this fall. Poeschl thinks the injuries may have actually helped make her a better softball player. “If I hadn’t been injured, I probably would have wanted to play both sports in college,” she says. “I would have put a lot more effort into basketball and less into softball and probably would have been mediocre in both. I think concentrating on softball will benefit me more than if I had tried to do both.” She also believes the injury helped make her a more well-rounded person. “It definitely helped me mature,” she says. “I had always made good grades, but after the first injury I got involved in more activities and learned there was more to me than a basketball and softball player. If the injuries had never happened, I would have been too focused on sports and not explored so many different things.” Looking back at her rehab, Poeschl believes that were two specific things that made the biggest difference. “What helped me the most was people pushing me past what I thought I could do,” she says. “They helped me realize that I was going to come back and be in good shape again. “The other big thing was staying connected with the team,” she continues. “I did pretty much everything the rest of the team did, except play. And not feeling isolated from the team really helped.” Poeschl may have even found a longterm calling out of the injury. Although she has not yet decided on a major at Carroll, she is strongly considering physical therapy or exercise science. “I worked with such wonderful people,” she says. “I wouldn’t be where I am today without them, and I have the utmost respect for them. If I could do what they did for me, and help someone as much as they helped me, it would be really rewarding.” ■ To nominate a comeback athlete, please e-mail us at: rja@MomentumMedia.com.

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TREATING THE ATHLETE

Pole vaulter Jillian Schwartz used prolotherapy treatments for an anterior talofibular ligament sprain prior to competing in the 2006 U.S. National Championships, where she placed second. GETTY IMAGES

TREATING THE ATHLETE

Vaulting Over Pain More and more athletes are interested in trying prolotherapy treatments for their injuries. But does it work?

BY R.J. ANDERSON

wo years ago, while treating one of his men’s ice hockey players for extreme pubic symphysis pain, Boston University Senior Associate Head Athletic Trainer Larry Venis, MEd, LAT, ATC, came to a standstill. It was late November, and while the athlete had been practicing lightly, he had yet to play in a game for the Terriers. Venis consulted with a specialist in treating athletic pubalgia and one who specialized in osteitis pubis. Both physicians said the player needed surgery, but they couldn’t agree on what part of his anatomy required an operation. Frustrated by the conflicting diagnoses and wanting to avoid surgery, the athlete came to Venis to talk about another option he had read about online: proliferation therapy. More commonly known as prolotherapy, this alternative medicine technique involves injecting a patient with an irritant solution to further inflame a connective tissue injury. The goal is for the inflammation to generate blood flow to that area, usually a tendon or ligament, and thereby jumpstart the healing process. While Venis had heard of prolotherapy, he didn’t know much about it, and neither did his colleagues. “I couldn’t find anybody who had experience with it,” says Venis, who has been at BU for 13 years. “Our team orthopods simply said, ‘It might be painful for him, but I don’t think it’s going to set him back any. Whether it will help, we just don’t know.’” A senior who had been drafted by an TR AINING-CONDITIONING.COM

NHL team in 2002, the player decided to pursue the unconventional treatment and sought out a Boston-area physician who specializes in prolotherapy. Venis accompanied the player to each of his three treatment sessions, which stretched out over a month-long period beginning in late November. During the sessions, the player received about 14 injections of a dextrose-based solution in his pelvic region. “The physician stuck a needle into the pelvic area in various locations where the bone attaches to the ligaments and tendons,” says Venis, who describes the player’s pain level before the procedure between seven and nine on a scale of one to 10. “During and immediately following the procedure, the athlete had increased localized pain where the injections went in, but at the same time he thought his pubic region was generally feeling better.” Even though the athlete made it through each session without wincing, Venis said the injections looked extremely painful. “This athlete has an unbelievably high pain tolerance and was able to handle it without any complaints,” says Venis. “But for someone who’s more sensitive, I’m not sure this would be a great treatment just because of the amount of pain that’s involved. To get through it three times, you have to be pretty tough.” A day after the first treatment, the player was back at practice, and Venis says about four weeks after completing the treatments, the athlete’s pain level

dropped to a six and continued to decrease from there. In mid-January, he played in his first game and went on to lead the team in scoring over the last 25 games of the season. Venis says the player has now completely overcome the injury and has a good chance to make his NHL team’s roster this season. Despite the player’s improvement, Venis is still on the fence about prolotherapy. “I don’t know if his recovery was a long-term effect of the treatments or a placebo effect,” he says. “At that point we were also doing a lot of other things in his rehab, such as some manual therapy treatments, so I can’t isolate the prolotherapy as the reason he got better.” Venis’s experience is an appropriate anecdote for illustrating the uncertainty surrounding prolotherapy. Due to a limited amount of science-based research, many medical professionals are skeptical about its effectiveness and its use remains clinically driven. There is, however, a growing body of anecdotal evidence from Web sites and locker room conversations singing its praises. Recently, mainstream media outlets have published articles describing prolotherapy, with some detailing the experiences of professional athletes who have used the technique, including members of the U.S. Ski Team, U.S. Track & Field Team, Terrell Owens of the Dallas Cowboys, and a number of R.J. Anderson is an Assistant Editor at Training & Conditioning. He can be reached at: rja@MomentumMedia.com. T&C OCTOBER 2007

TREATING THE ATHLETE other NFL and Major League Baseball players.

the tendon or ligament, so there’s no scarring at all.”

PROVIDING STABILITY Prolotherapy is most commonly used to treat athletes with tendinopathy and ligament strains that result from soft tissue instability caused by chronic stretching and degeneration. Those who choose the technique generally do so as an alternative to surgery. The therapy involves injecting a sugar-based solution, of which there are many varieties, into the site where a tendon or ligament

ART OF THE INJECTION A wide variety of medicinal solutions can be injected for prolotherapy. They contain different combinations of ingredients with varying concentrations depending on the athlete’s needs and each individual practitioner’s knowledge. Most clinicians choose combinations and concentrations on a case-by-case basis to target specific pain levels and injury areas.

“If a Chicago Bears player came here during training camp with an ankle sprain and we had to heal it very quickly, I might see him once a week and use a really strong solution that’s high in dextrose or another irritant.” connects with a bone to inflame the injured area and initiate a rebuilding of the tissue’s collagen strains. There’s no consensus as to what the exact healing mechanism for prolotherapy is, but the most generally accepted theory is that the inflammation expedites blood flow to the affected area, which brings more white blood cells to aid the healing process. This is important because blood flow in and around connective tissue is normally very slow. The next important step in the healing process is the work of construction cells called fibroblasts, which start rebuilding collagen in the affected area several days after an injection. Collagen reconstruction usually lasts for several weeks, depending on the severity and location of the injury. The rebuilding of the collagen is what stabilizes connective tissue and joints. Ronald Glick, MD, Medical Director at the Center for Integrative Medicine at the University of Pittsburgh School of Medicine Shadyside and Assistant Professor of Psychiatry and Physical Medicine and Rehabilitation at the school, says the fibroblasts help build collagen in a very organized fashion—which flies in the face of a common misconception he hears from patients and even some physicians. “A lot of people think prolotherapy causes scar tissue,” he says. “It doesn’t. A scar is connective tissue, or collagen, that’s laid down haphazardly. With prolotherapy, collagen fibers are laid down in a very organized, linear manner along the force lines of 16

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One of the most common prolotherapy injections is a concentrated sugar solution, often dextrose, used along with a local anesthetic such as lidocaine. Ross Hauser, MD, Medical Director and co-founder of Caring Medical & Rehabilitation Services in Oak Park,

tinues. “The stronger the solution, the more inflammation it’s going to cause and the faster the healing process will be. However, a stronger solution is also more painful in the days immediately after the injections.” Glick’s primary solution also contains dextrose as the main proliferant. He likes dextrose because it is very safe. “If you’re in the hospital getting an IV, the IV fluid is five percent dextrose,” says Glick. “So I use 15 percent, which is concentrated enough to act as a mild irritant. But because dextrose is so benign, if the medicine were to mistakenly hit a blood vessel or be in the vicinity of a nerve, it wouldn’t cause any severe problems.” If an injury doesn’t respond to the traditional formula, Glick switches to Plan B. “If somebody has partial or zero response after a series of injections, I’ll inject them with a more aggressive solution containing P2G—a combination of phenol, glycerin, and glucose,” says Glick. “That’s my ace in the hole. “A lot of practitioners use P2G as their main agent and the benefit is that it’s stronger,” he adds. “The downside is that if the solution spills into an area

“The stronger the solution, the more inflammation it’s going to cause and the faster the healing process will be. However, a stronger solution is also more painful in the days immediately after the injections.” Ill., works with professional and Olympic athletes and says for most isolated tendon and ligament injuries, he uses a solution that contains 15 percent hypertonic dextrose and 10 percent sarapin (an extract of the pitcher plant) as an anesthetic. “Then, depending on how much inflammation or healing a person needs, we’ll add things like an extract of cod liver oil or vitamins and minerals like zinc, manganese, magnesium, and B12,” says Hauser. “For athletes, we tend to use strong solutions right away so we can get them back into action as quickly as possible. “For instance, if a Chicago Bears football player came here during training camp with an ankle sprain and we had to get it healed very quickly, I might see him once a week and use a really strong solution that’s high in dextrose or another irritant,” Hauser con-

where there’s a nerve, there’s a small possibility of numbness or weakness that can last three to six months. Obviously we take a lot of care when injecting the medicine to avoid overlapping with nerves, but I tend to be even more cautious when using the stronger agent. Since I’ve had good success with my standard dextrose solution, I use it 90 percent of the time.” When he is unable to isolate a specific tendon or ligament injury, a more global approach to treating the joint is needed, so Glick does a series of injections around the injured area—sometimes with a stronger solution. “Let’s say a patient comes to me with medial knee pain,” says Glick. “There are three or four different structures we can treat. We’ll target the usual suspects and make multiple injections around the knee.” For injections meant to heal intraTR AINING-CONDITIONING.COM

TREATING THE ATHLETE joint injuries such as meniscus damage, Glick uses a solution containing a higher concentration of dextrose— typically 25 percent. “There’s already some fluid in a joint, so the dextrose gets diluted,” he says. “When injected inside the knee, the medicine coats the sack surrounding the joint and you get some benefit for all the soft tissue structures contacting the femur, the tibia, and the patella.” No matter what type of tissue or area he’s treating, Glick says his approach to injecting is always the same. “Whether it’s a tendon or a ligament, we always inject where tissue meets the bone,” he says. “We do that for two reasons. One is that tendons and ligaments don’t have much of a blood supply, so we go to the junction of the bone where the blood supply comes from. The second reason is safety—if the needle is resting on the bone when you inject, then you know you’re not in the middle of an artery or a nerve.” Hauser says most injection sessions take less than five minutes to administer, and there’s no limit to how many parts can be injected. “Some people get their

whole body done in one sitting,” he says. “But most athletes get one or two joints or their lower back injected.” RESEARCH NEEDED Because of the lack of placebo-controlled studies to substantiate prolo-

“Obviously, I think it’s okay that people want to see more data before they support it. However, it’s unfair to say ‘there’s not strong evidence that this works, so therefore it doesn’t work’—that’s flawed reasoning.” therapy’s effectiveness, most physicians, athletic trainers, and physical therapists are not currently recommending the technique to their patients. “As with every treatment we render, whether it’s a medicine or an injection or a surgery, it’s important that we have some good scientific evidence to support it,” says Orr Limpisvasti, MD, Orthopedic Surgeon at the Kerlan-Jobe Orthopaedic Clinic in Los Angeles and an orthopedic consultant for the Los Angeles Angels, Los Angeles Kings, Anaheim Ducks,

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of effect—is,” he continues. “I haven’t seen anything in mainstream sports medicine, orthopedic, or sports science literature that supports it. If practitioners of prolotherapy want greater acceptance of the practice, they need to get more data behind it.” David Rabago, MD, Assistant Professor at the University of Wisconsin School of Medicine and Public Health, agrees with Limpisvasti and is working hard to fill the data gap. Rabago is conducting a randomized, controlled study

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and Los Angeles Galaxy. “Anecdotally, I’ve had patients who report having done well with it and others who say they did quite poorly with it. “We need to have some well controlled studies with thorough reviews so we know what the true effect—or lack

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TREATING THE ATHLETE to evaluate prolotherapy’s effectiveness for knee osteoarthritis pain. He also recently completed a controlled, double-blind trial looking at the effects of prolotherapy on tennis elbow injuries. The study, which is soon to be published in a peer-reviewed journal, measured the recovery of prolotherapyinjected arm injuries versus a control group of saline-injected arms. Because the study has yet to be published, Rabago cannot divulge all the details about his results just yet, although he can say he saw strong results from the prolotherapy-injected arms compared to the control group. Rabago also co-authored “A System-

atic Review of Prolotherapy for Chronic Musculoskeletal Pain,” which appeared in the September 2005 edition of the Clinical Journal of Sport Medicine. The article examined 34 case reports and two nonrandomized controlled trials suggesting prolotherapy is also effective for treating many musculoskeletal conditions. However, the authors also found six randomized, controlled trials that had conflicting results and wrote that the studies had “significant methodological limitations.” The article concluded: “There are limited high-quality data supporting the use of prolotherapy in the treatment of musculoskeletal pain or sport-

WHO CAN PROLO? Because prolotherapy involves injections, those who administer the treatments must be licensed medical doctors. Beyond that, there is no special certification, though a number of institutions, including the University of Wisconsin, the American Academy of Osteopathy, and the American Academy of Orthopedic Medicine, offer prolotherapy training courses. “There seems to be a broad range of practitioners,” says Orr Limpisvasti, MD, Orthopaedic Surgeon at the Kerlan-Jobe Orthopaedic Clinic in Los Angeles and an orthopedic consultant for the Los Angeles Angels, Los Angeles Kings, Anaheim Ducks, and Los Angeles Galaxy. “And it’s tough to judge which practitioners are best. You might have a practitioner who is good at injections, but maybe isn’t doing it when best indicated for that procedure.” Ronald Glick, MD, Medical Director at the Center for Integrative Medicine at the University of Pittsburgh School of Medicine Shadyside and Assistant Professor of Psychiatry and Physical Medicine and Rehabilitation at the school, agrees with Limpisvasti and says it’s important to find out how experienced a prolotherapy physician is and what they specialize in. Glick also notes that prolotherapy isn’t the right answer for every patient. “I try to be really selective as to who I think prolotherapy will help. If it’s not structural and tendon and/or ligament related, I’ll point them in another direction,” says Glick, who has practiced prolotherapy for 10 years. “There aren’t many contraindications, but I generally won’t treat people during pregnancy because there haven’t been any studies about prolotherapy during pregnancy. The other main contraindication is if a person has a problem with coagulation because that makes them more likely to have problems with bruising and soreness.”

T&C OCTOBER 2007

related soft tissue injuries. Further investigation with high-quality randomized controlled trials with noninjection control arms in studies specific to sport-related and musculoskeletal conditions is necessary to determine the efficacy of prolotherapy.” “Obviously, I think it’s okay that people want to see more data before they support it,” says Rabago. “However, it’s unfair to say ‘there’s not strong evidence that this works, so therefore it doesn’t work’—that’s flawed reasoning.” There are many takes on why research has lagged so far behind prolotherapy’s clinical practice. One theory is that pharmaceutical manufacturers— who fund much of today’s medical research—aren’t interested in contributing to a therapy that’s centered around dextrose. “Nobody will make any money if dextrose turns out to be a winner,” says Rabago. “It’s a very inexpensive solution—fundamentally, you’re talking about sugar in a syringe.” PROLO CANDIDATES What types of injuries is prolotherapy ideal for? Hauser says most of the injuries he treats are chronic—usually tendinopathy, ligament damage, and cartilage issues. However, he is using the technique more and more on acute injuries. “We treat everything from Achilles tears to rotator cuff injuries, and even athletes who have meniscus tears and don’t want to have arthroscopy because they don’t want the meniscus removed,” says Hauser, who has been practicing prolotherapy for 15 years and provides about 18 patients with treatments every day. “We see athletes with sprained ankles who have been told they’re out for six to eight weeks—they come in for prolo and we can get them back to playing in half that time.” Author of the books, Prolo Your Sports Injuries Away! and Prolotherapy: an Alternative to Knee Surgery, Hauser says that last year during the NFL season, he had a starting linebacker with a glenoid labral tear visit his office. “They wanted to operate on his shoulder, but he didn’t want to have surgery,” says Hauser. “So we did prolotherapy and he got through the season and had a great year. He wasn’t 100 percent, but I’d say he was 90 percent healed thanks to the injections.” Glick says prolotherapy is also an opTR AINING-CONDITIONING.COM

TREATING THE ATHLETE tion for multi-faceted problems. But, he cautions, the results may not be as easy to gauge as they are for localized, singletendon or ligament injuries. “It works for broader injuries such as hip pain, where there can be a lot of things going on like arthritis, iliotibial band tightness, and hip and pelvic dysfunction,” says Glick, who estimates that about 75 percent of his patients experience a positive outcome after prolotherapy treatments. “The injections may help only some of those problems and the global response may not be as dramatic as if you were targeting one tendon. If someone has hip or low back pain, there are a lot of structures to treat, so it’s hard to get a complete response.”

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“To me, it’s clear that anti-inflammatories inhibit the healing process after you’ve had an injury … It’s more important to allow the injury to get repaired through prolo and other therapies, even if that means missing a game or two.” When treating an athlete, Glick says it’s important to carefully schedule the timing of their injection sessions in order to minimize negative effects on performance. “I try to see athletes when they have some type of break,” he says. “I do this because if you overlap the prolotherapy injections with normal athletic activity, they’re going to have more pain and more limitations. Even though you’re strengthening the structure in the long run, you are creating inflammation, which in the short term will probably impact their performance. Therefore, I try to treat athletes before their season, some time in the middle when they have a lull, and then at the end of the season.” Despite a lack of support from the mainstream medical community, Hauser says prolotherapy practices around the country are packed with patients—including athletes. “We see more and more athletes every year,” he says. “Even though you won’t find many, if any, college or professional team physicians willing to recommend prolotherapy yet, athletes are finding out about it on their own through the Internet and word of mouth.” Hauser also feels that prolotherapy is better for an athlete’s long-term health. “These days, we’re so focused on getting athletes back into the game that we forget to ask whether these actions are in their best interests a month, a year, or even 10 years down the road,” he says. “To me, it’s clear that antiinflammatories inhibit the healing process after you’ve had an injury. For instance, should an athlete get a cortisone shot in his shoulder so he can play in the game this week? I would say no, because that shot is going to inhibit the repair of cartilage in his shoulder. It’s more important to allow it to get repaired through prolo and other therapies, even if that means missing a game or two. “It’s also very cost-effective,” Hauser continues. “Prolotherapy of the knee costs about the same as one session of physical therapy and is obviously much less expensive than surgery. Why would an athlete want surgery when they can get the same results, if not better, from prolotherapy—and without the risks?” ■ TR AINING-CONDITIONING.COM

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The Right Route BY VERN GAMBETTA

t has been said that even the longest journey begins with a single step. But most journeys actually begin long before the first footprint is laid. Few people would embark on a trip without first plotting their way, usually with help from maps or travel guides. The same holds true for functional training programs. Whether you’re planning a summer vacation or a training program, you must begin by clearly identifying your origin and destination. Only then can you devise the best way to get from one to the other. THE IMPORTANCE OF MAPPING When examining a roadmap, you usually find many routes to your intended destination. Options typically include

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Different athletes sometimes need different routes to reach the same goals. Here’s how to map out an effective training plan for any situation. a fast route with several shortcuts, a scenic route with some side trips, and a direct route with very few twists and turns. Each choice has its advantages and disadvantages, depending on the priorities you set. If this is your first trip to your destination, you may want to take more time and travel the scenic route. If it’s a trip you’ve made many times before, you’ll probably prefer the fastest route. If you don’t like highways, you’ll stay on the two-lane roads.

As coaches, we have all been guilty of tethering ourselves to a particular training method or exercise to help athletes prepare for their sport. In doing so, we sometimes overlook possibly better routes to the destination. On the surface, this approach can appear to produce great gains, especially with younger athletes. When athletes show improvement due to normal growth and development, we sometimes mistakenly credit it to the one-diVern Gambetta is President of Gambetta Sports Training Systems in Sarasota, Fla., and a frequent contributor to Training & Conditioning. His daily thoughts on training athletes can be viewed on his blog at: www.functionalpathtraining.blogspot.com. TR AINING-CONDITIONING.COM

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OPTIMUM PERFORMANCE mensional training method being used. This leads the athlete down a one-way, dead-end street, which confuses and ultimately hinders their athletic development. Once they’ve maxed out the gains they can make from normal growth and development, their one-dimensional training leaves them little opportunity for further progress. If we take a step back and examine the process rather than the results, we will quickly realize we are creating an athlete who has adapted to the chosen training method or selection of exer-

These are the types of maps you want to use in athletic development. Your maps should outline the functional path to the destination of a complete athlete. They should provide all the information you need so that the finished product is highly adaptable to all the demands of the sport. DRAWING A PATH Each journey is unique, even if the destination is not. Sometimes the weather will be clear, other times stormy. Sometimes construction or a special event

There will be speed limits, red lights, and construction zones along the way, all of which must be accounted for. While it may be tempting to ignore those limits, doing so may actually slow you down. cises. Instead, what we really want is an athlete who’s adaptable to a broad range of activities. That’s the only way they’ll develop a movement skill set that allows them to meet all the physical demands of competition. How many times have we seen football players who can lift weights like nobody’s business, but are busts on the field? They work harder than anyone else in the weightroom and top all the lifting charts. Yet once the game starts, they find themselves on the bench because they can’t get out of their own way. They have adapted to the weightroom instead of the playing field, which is where they really need to perform. They’ve followed the map, but ended up at the wrong destination. As helpful as roadmaps are in planning a journey, they have one major limitation—they are flat. Being one-dimensional, a road map does not show the terrain you must traverse. There is simply not enough detail to help you make a good decision in choosing a route, so you need more information. Someone who has traveled your route before can tell you what obstacles or difficulties they ran into. Another idea is to get a better map. A three-dimensional relief map, or at the very least a topographical map, will give you an idea of the elevation changes and obstacles you could face. A good map will also tell you where the restaurants, rest stops, and motels are along the way. It will warn of detours or road construction that could delay the journey. 22

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may slow you down or steer you toward another route. If you’re taking a fully loaded truck, you’ll probably want to take a different route than if you have a sports car. Similarly, no two athletes are the same. Even when it appears they’re going to the same destination, they may need to get there via different routes.

devices, will find a way to get the job done. We do not need a detailed script or a paint-by-numbers approach. That only stifles an athlete’s creativity and limits their natural movement patterns. Still, you must have a well-planned progression that builds on previous gains to keep the athlete moving forward. There will be speed limits, red lights, and construction zones along the way, all of which must be accounted for. While it may be tempting to ignore those limits, doing so may actually slow you down if you end up being pulled over for speeding, find yourself breaking down, or get into an accident. Similarly, if you rush the adaptation process by having athletes try to lift too much, too soon or move on to more complex movements before mastering basic ones, you risk doing more harm than good. Only the proper progression will lead you to your ultimate athletic destination. When determining the best way to progress an athlete’s development, remember that the key is enhancing his or her physical literacy. This is a term coined by Kelvin Giles, an innovator and pioneer in athletic development, who maintains that attempting performance enhancement without developing physical literacy is like trying to

The athlete is a living, dynamic system and learns partially through repetition and trial and error. But he or she also has the ability to process information and use feedback to produce efficient, coordinated athletic movement. Each sport has unique demands, as does each position or event within a sport. Developing athletic performance is a complex process with seemingly endless variables in play. However, to make the journey more manageable, you must look for similarities in movements and common characteristics between sports and individual positions. If you don’t, the complexity will be too great. You’ll either get lost entirely or revert to a one-dimensional training philosophy and trade effectiveness for simplicity. Regardless of the destination, the most effective roads on the functional path are progressive and sequential, giving the athlete increasingly difficult movement problems to solve, a process known as adaptation. The body is highly adaptable, and if left to its own

write a novel without first mastering the alphabet. Obtaining physical literacy starts with establishing the physical competencies that give direction and individuality to the athletic development process. These are the basic ABCs that the athlete must master before moving onto more complex movements—pulling movements, pushing movements, stepping, jumping, and hopping. We combine and enhance letters to form words and sentences, then paragraphs and chapters and books. Likewise, enhancing individual skills and chaining them together, then laying sports skills on top makes an athlete physically literate. The athlete is a living, dynamic system and learns partially through repetition and trial and error. But he or she TR AINING-CONDITIONING.COM

OPTIMUM PERFORMANCE

STAYING ON COURSE On any trip, we naturally self-correct by constantly seeking input from road signs, landmarks, and people we meet along the way. It’s the way we know that we are on the right track to our destination. I once heard a presentation about the Apollo moon rockets, and the speaker made a statement that was alarming to me at the time but which makes a lot of sense now. He said that while on their missions to the moon, the rockets were off course 98 percent of the time. They obviously got to their destination and did so within the allotted timeframe, the key being that the computers controlling the rockets were constantly self-correcting in order to get there. In athletic development, we have to realize that athletes are very much like the

Apollo moon rockets. As coaches, we must seek constant input and recognize that correcting will always be necessary. We need to understand that process and not be discouraged by it. If you have built-in feedback mechanisms that allow

weight on subsequent lifts. Before global positioning systems, compasses were the best way to stay on course, and they still provide an important lesson for developing athletic performance. In navigation there is a magnetic

While on their missions to the moon, the Apollo rockets were off course 98 percent of the time. They obviously got to their destination … The key was that the computers controlling the rockets were constantly self-correcting. you to self-correct along the way, you’ll most likely stay on the intended path. A global positioning system in your car provides immediate feedback about where you are in relation to your destination. When coaching an athlete, you need the same type of monitoring a GPS can provide. This means constantly watching the timing of repetitions, weight loads, and the exertion required to complete an exercise. Based on what you see you’ll make corrections along the way by modifying an exercise here or there, or changing the amount of

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north, which is the direction a compass points, and there is true north, where the directional star points on a map. They’re usually close in proximity, but rarely are they exactly the same, so when we navigate, we have to account for the difference between them to stay on course. In training for athletic performance, true north is the training goal for the athlete’s body. Magnetic north is the direction laid out by the demands of competition. In order to properly enhance athletic performance, we must be able to recognize and reconcile the differ-

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also has the ability to process information on many different levels and use feedback to produce efficient, coordinated athletic movement on demand. As training allows for greater and greater adaptation, we have to teach the athlete to raise the bar in order to achieve higher and higher levels of performance.

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OPTIMUM PERFORMANCE ence between the two. When traveling and training, we also need a timeframe to get to our destination. In training, these parameters are typically determined by the length of the competitive season and the amount of time the athlete spends in the off-season. Arriving at the destination precisely on the chosen day or time is important to the outcome of the journey. Accomplishing that means timing your arrival correctly at various points along the way. Poor planning of these interval stops can negatively impact your trip.

For example, if you arrive at a hotel to sleep at 3:30 a.m. and you have to get up again at 6:30 a.m., you will likely be too tired to drive safely. The same thing occurs in training when we spend too much time on one component and do not have enough time to recover properly for the next, negatively affecting performance. THE BIG PICTURE The athletic development process is not linear—it is a sinusoidal process. There are ups and downs, and judging an athlete’s progress using a quick

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snapshot can be deceiving. If we’re not thinking long term, we are really shortchanging the athlete’s potential for reaching his or her peak level of performance. Growth and development are big parts of this process because during this phase the athlete is highly adaptive. Similarly, when taking a journey, you don’t just transport yourself instantly from Point A to Point B—you progress there over time. Simply looking at the amount an athlete has lifted or their latest 40 time provides a skewed picture of performance gains. That’s why it’s important to keep the big picture in mind and recognize the interaction of the various biomotor qualities and how they are ultimately synergistic. In developing athletic performance, adaptability results from the interaction of and coordination between all the biomotor qualities—speed, strength, endurance, power, flexibility, and skill. All of these interact to produce athletic movement. No one of them is more important than another. If you train speed, you will affect endurance. If you train endurance, you will affect speed. Or when we’re doing highly ballistic work in the weightroom, there may also be some range-of-motion adaptations occurring in the background. As a professional who has been in the field for more than 38 years, I know there are no secrets, no shortcuts, and no one-size-fits-all answers. A journey on the functional path is a complex one with many different solutions and many ways to reach the final destination within the desired timeframe. But it is crucial to understand the principles of adaptation in order to set sound goals and find the right ways to apply methodology to the athletes you are working with. Following the functional path is a journey to new territory where we can help the athlete reach the final destination of athletic excellence. The key is drawing a map that will help them explore and find their limits, then testing those limits on a consistent basis to achieve even higher levels of performance. The true joy in athletic performance training is the joy of discovery—of finding new ways to do and to solve movement problems. This is an exciting process. It is a growth process that allows for creativity and individual expression. Enjoy the journey, and the destination will be more meaningful and satisfying when you get there. ■ TR AINING-CONDITIONING.COM

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NUTRITION

BY SUSAN KUNDRAT

Magic Beans Due to their nutritional value and protein content, soybeans can be a great fuel source for athletes.

aving grown up in a small Iowa farming community, the soybean has long been a part of my life. Our local economy depended on an up soy market and many of my summers were spent “walking beans,” which meant hundreds of hours trekking up and down rows of bean plants looking for unwanted weeds. I had no idea that I would one day gain a growing interest in the use of soybeans in athletes’ diets. But my time with the soybean is nothing compared to its own history. References to soybeans date back 5,000 years to ancient China, when farmers grew them as one of their “five sacred grains.” In the early 1800s, they were brought to the United States and initially cultivated just for the production of soy sauce. In the late 1800s, soybeans were also used in cattle feed. Thanks to the work of George Washington Carver after the turn of the last century, the soybean was thought of as more than animal feed because of its high quality protein and oils. Since then, it’s slowly become a larger part of the American diet, and according to the

Susan Kundrat, MS, RD, CSSD, is President of Nutrition on the Move, Inc., based in Urbana, Ill., and Sports Nutrition Consultant to Northwestern University athletics, Bradley University athletics, and several University of Illinois teams. A former collegiate athlete and the 2003 recipient of the SCAN Excellence in Practice Award for Sports Nutrition, she can be reached at: www.nutritiononthemove.net.

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NUTRITION

SOY IN THE STORE Soybeans are formulated into so many foods these days that it’s a challenge to keep them all straight while traversing the grocery aisles. Here’s a sampling of many available soy foods, with their specs. Canned soybeans: Soybeans that are cooked and ready-to-eat are easy to use and provide a good source of quality protein. They can be thrown into soups, chilis, bean dips, salads, burritos, etc. ✦ 1/2 cup supplies 13 grams of protein and 150 calories. Edamame: These large green soybeans are harvested when sweet and can be frozen (either in the pod or out). They taste great salted and make a healthy snack for athletes on the go. ✦ 2/3 cup out of the pod supplies 9.5 grams of protein and 105 calories. Frozen meals: More and more companies are utilizing soy as a form of protein in non-meat frozen meals and entrees, and these are a good option for a healthy, fast meal. Jerky: In many natural food stores, “soy” jerky is available for a quick snack option. Most jerkys are flavored concentrated forms of soy protein and provide 10 or more grams of protein per serving. Meat analogs: Soybean-based meat alternatives combine soy protein or tofu and other ingredients to simulate various kinds of meat. Many of these products look like meat and have flavors very close to meat. ✦ 1 soy “sausage” patty supplies 7 grams of protein and 55 calories. ✦ 1 soy “chicken” patty supplies 9 grams of protein and 150 calories. ✦ 1 soy “hot dog” supplies 11 grams of protein and 62 calories.

chili, spaghetti sauce, “meat” balls, lasagna, and tacos. ✦ 2/3 cup of soy crumbles supply 10 grams of protein and 70 calories. Soy flour: Made from roasted soybeans ground into a fine powder, soy flour is at least 50 percent protein. It comes in three forms: natural or fullfat, which contains natural oils found in the soybean; defatted, which has the oils removed during processing; and lecithin-added. It can be substituted for up to half of the wheat flour called for in recipes. ✦ 1/2 cup supplies 21 grams of protein and 164 calories. Soy milk: When soybeans are soaked, finely ground, and strained, soymilk is produced. Soy milk is generally fortified with calcium and is an excellent source of protein. ✦ 1 cup supplies 9 grams of protein and 120 calories. Soy sauce: Made from fermented soybeans and heavily salted, soy sauce can be a great condiment for athletes needing to replace sodium losses from heavy workouts. Soybean oil: A natural oil extracted from whole soybeans, it’s the most widely used oil in the United States. Many oils are blends of soybean oil and other oils. It’s also used in many margarines and is high in monounsaturated fat, a “good” fat.

Sports bars and shakes: Many sports bars and shakes utilize soy protein isolates or soy protein Miso: A smooth paste made from soy- concentrates (70 to 90 percent beans, a grain (such as rice), salt, and protein) as their protein source. These are both highly digestible a mold culture, then aged in special cedar vats for one to three years, miso forms of protein. is traditionally used in Japanese cooking to flavor soups, sauces, dressings, Soy nuts: Whole soybeans that have been soaked in water and then baked and marinades. until browned become soy nuts. They Soy crumbles: This product is found are packaged ready to eat and make great on-the-go snacks. They are in the frozen food aisle and can be used to replace ground beef or turkey higher in protein and lower in fat than most nuts. in recipes. It works well in foods like

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✦ 1/4 cup supplies 10 grams of protein and 136 calories. Soy nut butter: Made from roasted soy nuts that are crushed and blended with soybean oil and other ingredients into a spreadable form, soy nut butter is similar to peanut butter but lower in fat and higher in protein. ✦ 2 tablespoons supply 8 grams of protein and 170 calories. Soy yogurt: Made from soymilk, soy yogurt has a similar texture to milkbased yogurts. It’s found in many flavors and is often calcium-fortified. ✦ 8 ounces of soy fruit yogurt supplies 6 grams of protein and 150 calories. Tempeh: Whole soybeans (often mixed with another grain) are fermented into a dense cake with a smoky or nutty flavor. High in protein, this product can be baked or sautéed, used in casseroles or soups, or added to a stir-fry. ✦ 1/2 cup supplies 15 grams of protein and 160 calories. Textured Vegetable Protein (TVP): Perhaps the least-expensive way to incorporate soy, this product is a dried form of processed soybeans. Sometimes known as “soy chunks” or “soy flakes,” it can be found in bulk in many stores and when rehydrated, can add a boost of quality protein (70 percent protein) and fiber to soups, stews, and sauces. ✦ 1/4 cup supplies 12 grams of protein and 80 calories. Tofu: Also known as soybean curd, tofu easily absorbs the flavor of foods mixed with it. It comes in three varieties: firm tofu (can be cubed and used in soups or stir-fries); soft tofu (softer texture and good for recipes where a creamier texture is needed); and silken tofu (creamy and great for smoothies or to replace sour cream or cream cheese). ✦ 1/2 cup supplies 10 grams of protein and 97 calories.

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NUTRITION United Soybean Board, soybeans are now the country’s second largest crop in cash sales and the number-one value crop export. Due to its nutritional value and an expanding vegetarian market, the variety of soy foods available to consumers has skyrocketed in recent years. And with more and more athletes looking to maximize their nutritional intake, many are wondering how to make soybeans a positive addition to their diets. BREAKING DOWN THE BEAN Like most legumes, including dried peas and beans, soybeans are inexpensive and an excellent source of key nutrients. Soybeans, however, provide even more health benefits than other legumes thanks to some additional components in soy. Here’s a quick breakdown of what’s found in the soybean: Protein: Soybeans are made up of 35 to 38 percent protein. That is higher than most other legumes, which generally contain 20 to 30 percent protein. Even more important is that the protein in soy is ranked as a high-biological value protein, receiving a rating of one

(the best possible) from the FDA. That means it contains the protein equivalent of meat and milk. Soy is considered a “complete protein” because all the amino acids needed to form proteins are found in soybeans.

of fiber, which can equal one-third of a day’s goal. Soy foods that utilize the whole bean (such as tempeh, textured soy protein, and soy flour) are also high in fiber. About 30 percent of the fiber in soybeans is soluble fiber,

The protein in soy is ranked as a high-biological value protein, receiving a rating of one (the best possible) from the FDA. That means it contains the protein equivalent of meat and milk. Soy is considered a “complete protein” because all the amino acids needed to form proteins are found in soybeans. Fat: Soybeans are approximately 40 percent fat, significantly higher than other legumes. However, most of the fat in soybeans is polyunsaturated and monounsaturated fat. It’s a good source of linoleneic acid, an omega-3 fatty acid, which may help decrease inflammation. Fiber: Soybeans are an excellent source of dietary fiber. Just one cup of green soybeans contains over 10 grams

which helps regulate blood sugars and manage lipids. Calcium: Soybeans provide a good supply of calcium, containing 175 mg of calcium per cup of cooked soybeans. In addition, many soy foods are fortified with additional calcium. Iron and zinc: Soybeans are a good source of iron and zinc, which are key nutrients for athletes. However, due to

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NUTRITION the fiber and phytates found in soybeans, these minerals are not well-absorbed. Isoflavones: Soybeans are rich in isoflavones, plant-derived compounds with estrogenic and antioxidant properties. ATHLETIC STUDIES When talking with athletes about protein intake, I inevitably get the question, “Which is better for performance: soy protein or whey protein?” Unfor-

participated in a six-week resistance program, with participants ingesting soy, wheat, and carbohydrate supplements. Lean muscle mass increases were the same in the soy- and wheysupplemented groups and both groups saw greater increases compared to carbohydrate supplements. In the Journal of Nutrition, a recent controlled study examined treadmill-exercised rats that had soy protein and whey

Because of their high quality protein, soy foods may have the greatest impact on overall health when used to replace proteins with high saturated fat content. For example, replacing a serving of high-fat meat with a soy-based substitute will benefit overall health with no loss of protein. tunately, the answer to that question is not clear cut. Whey protein is found in dairy products and is a high-biological value protein as ranked by the FDA. It contains all essential amino acids for building proteins and other tissues in the body. Some studies have indicated that whey protein may be utilized better than soy protein by the body for muscle building. But other studies find that both protein sources aid muscles equally. Don Layman, PhD, Professor of Nutrition at the University of Illinois, has found that the key amino acid for stimulation of muscle protein synthesis is leucine, with whey and dairy foods being the richest sources. “If 25 grams of whey protein are enough to optimize muscle protein synthesis, it will take 40 grams of soy protein and 50 grams of wheat gluten to get the same result,” he says. In a study of young men completing a 12-week resistance training program published in the Journal of the American College of Nutrition, researchers found a tendency for greater lean mass gains with the consumption of milk compared to soy protein. But the differences were thought to be due to the way the amino acids were delivered to the body, not the differences in amino acid composition. However, another recent study, in the International Journal of Sport Nutrition and Exercise Metabolism, found both soy and whey to be equally beneficial. Twenty-seven young adults 28

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protein added to their diets. The rats that ate soy and whey had similar increases in skeletal muscle protein synthesis to those that weren’t fed supplements. Obviously more research needs to be done in this area. In the meantime, I tell athletes that both whey and soy protein

proteins with high saturated fat content. For example, replacing a serving of high-fat meat with a soy-based substitute will benefit overall health with no loss of protein. However, it’s important to note that much of the research linking health benefits to diets containing soy over the long term are based on “typical” Asian diets. That means the soy intake is primarily from natural sources of soy (soybeans, soy milk, tofu, tempeh) rather than foods fortified with soy protein or soy supplements. Based on these studies, the typical recommended intake is 15 to 20 grams of soy protein, or two to three servings of soy foods a day. That actually does not add up to very much soy. Athletes need 1.4 to 1.7 grams of protein per kilogram of body weight per day, or 0.6 to 0.8 grams of protein per pound of body weight. That means: • For a 150-pound athlete (eating 100 grams of protein), soy would make up 15 to 20 percent of total protein intake for the day. • For a 200-pound athlete (eating 140 grams of protein), soy would supply 11 to 14 percent of total protein. • For a 250-pound athlete (eating 175

For athletes who are not getting enough protein, adding soy-based foods can be an easy way to add the extra 15 to 20 grams of protein needed to reach recommended levels. I encourage my athletes to eat natural sources of soy as first options for the greatest benefit. provide great benefits and they should choose whichever one better fits into their diets. HEALTH IMPACT Thousands of research studies have documented soy’s relationship to health-related concerns including cardiovascular disease, osteoporosis, and cancer. In 1999, the FDA approved a health claim that soy may be beneficial for reducing cholesterol. While more recent studies suggest that soy is not as powerful as once thought in lowering lipid amounts, its quality protein combined with fiber and key nutrients may have additional effects on cardiovascular health. Because of their high quality protein, soy foods may have the greatest impact on overall health when used to replace

grams of protein), soy would comprise eight to 11 percent of total protein. Should certain athletes avoid soy for any health reasons? Athletes with thyroid dysfunctions or iodine deficiency should be aware that phytoestrogens in soy may inhibit thyroid function in some people. For those athletes, it’s important to work with a medical professional to determine if this is a concern. In addition, if an athlete has a family history of estrogen-dependent cancer, soy foods as a staple in the diet may be contraindicated because of the estrogenic properties. BIG BENEFITS One of the neat things about soy is that it can help athletes at both ends of the diet spectrum—those who consume little fat but need more protein, and TR AINING-CONDITIONING.COM

NUTRITION

SNACK TIME The following is a list of 10 soy-based foods and snacks athletes can prepare and consume quickly and easily: ■ Homemade trail mix: 1 cup soy nuts + 1 cup raisins + 1 cup granola (6 servings) ■ Fruit smoothie: 1/2 cup silken tofu + 1/2 cup OJ + 1/2 cup frozen berries + ice ■ Pasta sauce: replace ground meat with soy crumbles ■ Chocolate soy milk: a great snack or chocolate “fix” ■ Tempeh stir fry: chop one block of tempeh into small pieces and add to veggie stir fry ■ Soy yogurt: add a sliced banana to 8 ounces vanilla soy yogurt for a quick snack ■ High-protein salad: mix 1 cup drained soybeans with 1 can drained tuna and fresh veggies ■ High-protein soup: soak 1/4 cup Textured Vegetable Protein in water for five minutes and add to a can of chunky tomato and veggie soup ■ Bagel boost: spread a whole grain bagel with two tablespoons soy nut butter ■ Veggie burger: grill veggie patties (two veggie patties replace the protein in one lean hamburger patty) and add your favorite condiments

those who get plenty of protein but from fatty products. Even those with a balanced diet can use soy to help improve the timing of their protein intake. For athletes who are not getting enough protein, adding soy products to the diet can be a big boost. Vegetarian athletes often fit this description. Even vegetarian athletes who incorporate milk products and eggs in their diet may be low in overall protein. Adding soy-based foods can be an easy way to add the extra 15 to 20 grams of protein needed to reach recommended levels. I encourage my athletes to eat soybeans, soy nuts, soy milk, tofu, tempeh, and other natural sources of soy as first options for the greatest overall health benefit. For athletes who are consuming sources of protein with high fat contents, such as fatty meats or high-fat dairy products, I recommend they switch to soy products. Similarly, I suggest soy products to athletes trying to lose bodyfat. Soy foods like soybeans, soy nuts, and tempeh (which contain both protein and fiber) are good options as they keep athletes satisfied longer and aid in keeping calories low, while supplying needed protein for maintaining muscle mass. For athletes who have had stress fractures or are at risk for bone problems down the road based on genetics, adding soy may be critical since some studies show soy to have a bone-strengthening effect. Many soy foods (such as soy milk and soy yogurt) are also fortified with calcium and Vitamin D, providing an extra boost. As an added benefit, the calcium in soy milk is easily absorbed. Another issue to consider is when the athlete eats pro-

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NUTRITION tein. According to Layman, 65 percent of the protein in American diets is consumed after 6:30 p.m. “You get a three- to five-hour impact on protein synthesis from a meal depending on the amount of protein consumed. Most athletes get plenty of protein at big meals, but they need to focus on getting at least 30 grams of protein at breakfast and lunch,” he says. There’s no question that many athletes skip breakfast, grab a small lunch, and eat huge dinners after workouts. So developing a simple strategy for helping athletes balance out their protein intake is key. This is where soy can help. For example, a fruit smoothie made with soy or a bagel with soy butter can serve as breakfast, lunch, or a snack. (See “Snack Time” on page 29 for more ideas.) Post-workout protein is also important. The latest recommendations call for recovery fuel with one gram of carbohydrate per kilogram of body weight plus 15 to 20 grams of protein within 30 minutes of a hard workout. Athletes can experiment with both soy and whey protein in recovery shakes and recovery drinks, although I suggest they try whey first since some studies find it to be superior. In addition, they should be looking to get their soy from more natural sources. If I had to sum up a simple recommendation to athletes on this topic it would be this: Be aware of your protein intake and consider using soy as a source. In reality, the most important message for most athletes is that they need to get enough (but not too much) quality protein in their diet while avoiding excess fat. If soy can help them in this goal, great! ■

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Resources & References: The Soyfoods Guide, which lists calories and soy protein content in foods, is available through the United Soybean Board Web site at: www.soybean.org. Soy Connection, also from the United Soybean Board, offers a wide range of information and a newsletter at: www.soyconnection.com. The Illinois Center for Soy Foods provides recipes and cookbooks at: www.soyfoodsillinois.uiuc.edu. Journal articles referenced in this article: Phillips, S., et al. “Dietary protein to support anabolism with resistance exercise in young men.” Journal of the American College of Nutrition 24, No. 2:134S-139S. Candow, D., et al. “Effect of whey and soy supplementation combined with resistance training in young adults.” International Journal of Sport Nutrition and Exercise Metabolism 16, No. 3:233-244. Anthony, T., et al. “Feeding meals containing soy or whey protein after exercise stimulates protein synthesis and translation initiation in the skeletal muscle of male rats.” The Journal of Nutrition 137, No. 2:357-362.

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Exertional Rhabdomyolysis: Prevention and Early Detection are Key E. Randy Eichner, MD is the Team Internist for the University of Oklahoma football team

habdomyolysis is the breakdown of skeletal muscle cells and the release of intracellular contents into the bloodstream, and is a common, and sometimes serious, complication of unaccustomed exercise. Because exertional rhabdomyolysis in athletes can range from trivial to fatal, athletic trainers must understand the causes of rhabdomyolysis and how to prevent, recognize, and treat it.

Causes of Rhabdomyolysis The main cause of acute rhabdomyolysis is novel overexertion or doing “too much too fast.” The most common episodes of acute rhabdomyolysis result from exercise that involve eccentric muscle contractions—muscles exerting force as they lengthen, like the hamstring during downhill running. Examples of novel overexertion may include football two-a-day practices, running a long race when untrained, or abruptly doing hundreds of push-ups, sit-ups, or squat-jumps.1 Other factors that may contribute to exertional rhabdomyolysis include: -

excess body weight poor acclimation to exercise fever or viral illness diarrhea with dehydration potassium depletion2

Some athletes with rhabdomyolysis have an inborn muscle-enzyme abnormality3 that predisposes them to the condition, while others abuse drugs, such as amphetamine, cocaine, or ephedra that trigger rhabdomyolsis. Alcohol binges can also predispose athletes to acute rhabdomyolysis2. Further, the condition complicates exertional heatstroke, and is often the cause of death in athletes with sickle cell trait who collapse from exertional sickling.4

Examples of Rhabdomyolysis in Football Players Mild rhabdomyolysis is common in football two-a-day practices and after games. Checking the serum creatine kinase (CK) level is the best laboratory test to gauge the extent of rhabdomyolysis. CK is an enzyme found inside muscle cells; serum levels are normally low. When 12 college players were studied during two-aday practices, mean CK rose sharply, from a mean normal level of 204 IU/L at baseline to 5,125 IU/L on day four. One athlete had a CK level of 18,800 IU/L on day four. The mean CK level was still elevated at 1,264 IU/L on Day 10. Players who were more accustomed to exercise had smaller increases, but CK rose in all 12 athletes. No player, however, missed a practice or had medical issues.5 In another study, 23 NFL players were assessed two days after a game. All of the athletes had elevated CK (mean 1,028 IU/L, peak 2,475 IU/L), but none complained of muscle soreness.6

Other Athletes Football players are not the only athletes at risk for acute rhabdomyolysis. Many other athletes develop elevated CK levels. To point out a few, runners who overtrain and soccer or volleyball players with “heavy legs” are likely suffering from mild rhabdomyolysis. The same applies to strength athletes lifting too much too fast or endurance athletes cycling against too much resistance. Athletes who suffer from overtraining and fatigue are sometimes sent for analysis of “elevated liver chems”. Often, these athletes also have elevated CK levels. The elevated “liver chems” (transaminases and lactic dehydrogenase) come not from the liver but from muscle that is suffering from rhabdomyolysis.

Three Complications Three complications of acute rhabdomyolysis are: 1) sudden death from cardiac arrhythmia from high potassium; 2) muscle compartment syndrome; and 3) acute renal failure.7 Compartment syndrome comes only with severe rhabdomyolysis and is a hospital concern, not a concern for athletic trainers. Acute renal failure from myoglobin from damaged muscle can be a key threat. High urine myoglobin levels clog the kidneys and make urine brown. Renal failure occurs in 5% to 7% of cases with athletes suffering from very high CK levels, often with heat stress, dehydration, acidosis, and shock. It’s crucial that affected athletes get immediate medical attention to maintain urine ﬂow and correct acidosis and high potassium. Often this therapy saves the athlete’s life.8

Management and Return to Play Questions • What CK level merits hospital admission? No ﬁrm cutoff exists since each case is unique. Usually an athlete with CK levels as high as 20,000 to 50,000 IU/L who is stable in the emergency room and has normal serum creatine and good urine output will recover smoothly with oral hydration and outpatient follow-up8. • If the athlete is admitted, without subsequent acute renal failure or compartment syndrome, how long will the athlete need to stay in the hospital? The stay can be brief, roughly a day or two, although at discharge the involved muscles may still be sore and swollen. • When should the athlete return to play? It may take weeks for badly damaged muscles to regain full force.9 Some practitioners hold athletes out until CK levels are less than 1,000 IU/L. Practitioners should note that CK “moves slowly” in acute rhabdomyolysis; it may take a day or two for CK to peak and another week or more to return to normal. For some athletes recovering from rhabdomyolysis, waiting for CK to drop to less than 1,000 IU/L might be too long. It’s likely that some athletes, when muscle soreness and stiffness is resolved, could begin gradual retraining on CK levels of less than 5,000 IU/L. Athletes should pay attention to early fatigue and avoid prior triggering factors. These practical questions need more research for more deﬁnitive answers.

References 1

Clarkson, P.M. (2006) Case report of exertional rhabdomyolysis in a 12-year-old boy. Med Sci Sports Exerc, 38,197-200. Sayers, S.P and Clarkson, P.M. (2002) Exercise-induced rhabdomyolysis. Curr Sports Med Rep, 1:59-60. 3 Krivickas, L.S. (2006) Recurrent rhabdomyolysis in a collegiate athlete: a case report. Med Sci Sports Exerc, 38, 407-410. 4 Eichner, E.R. (2007) Sickle cell trait. J Sport Rehab, 16, 195-201. 5 Ehlers, G.G., et al. (2002) Creatine kinase levels are elevated during 2-a-day practices in collegiate football players. J Athl Train, 37,151-156. 6 Garry, J.P., and McShane, J.M. (2000) Postcompetition elevation of muscle enzyme levels in professional football players. Medscape Gen Med, 2,1-3. 7 Brown, T.P. (2004) Exertional rhabdomyolysis. Early recognition is key. Phys Sportsmed 32:15-20. 8 Clarkson, P.M. and Eichner, E.R. (2006) Exertional rhabdomyolysis: Does elevated blood creatine kinase foretell renal failure? Curr Sports Med Rep, 5,57-60. 9 Sayers, S.P. and Clarkson, P.M. (2001) Force recovery after eccentric exercise in males and females. Eur J Appl Physiol, 84,122-26. 2

Circle No. 120

LEADERSHIP

Meeting in the Middle

Although many athletic trainers cringe at the thought of negotiating, learning the art can help you get more staff, more pay, and more respect. BY DR. CHADRON HAZELBAKER

his spring I was fortunate to be in Washington, D.C., for joint meetings of the NATA’s COE, COR, CIC, and GA task forces. During one session, the groups discussed obtaining professional level salaries for certified athletic trainers. A comment by a highly respected NATA member, who is in an executive position at her clinic, has stayed with me since. Explaining that she has hired and set salaries for healthcare professionals for many years, she said, “Upon offering a job to an athletic trainer, I have never had one of them negotiate a salary. All other professionals have negotiated their pay and position. Athletic trainers have taken what I’ve offered.” Being an athletic trainer means we have to be talented in many areas. Negotiating is obviously not one of those areas. Or is it? When working with coaches, athletes, physicians, and administrators, we often need to discuss and reach decisions on a wide variety of issues. This is certainly a form of negotiating. Maybe it’s just when we negotiate for our own needs that we become hamstrung. In this article, I’ll take a look at how the business world tackles the art of negotiation and how the methods they use can help us become better at our jobs and more effective at the bargaining table. Chadron Hazelbaker, PhD, MPE, ATC, CSCS, NSCA-CPT, is an Instructor at Eastern Washington University, Head Athletic Trainer at Liberty High School in Spangle, Wash., and NATA District 10 CIC Representative. He recently completed his doctorate in Leadership Studies at Gonzaga University and can be reached at: chadronblue@yahoo.com.

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LEADERSHIP WHAT IS NEGOTIATING? Negotiations come into play in any relationship where two parties want seemingly conflicting outcomes. One example that immediately comes to people’s minds is setting a salary. On one side, the worker wants to get the most money for his or her work. On the other side, the manager or business owner strives to keep operating costs down. Both parties have desires. Both parties have vested interest in the outcome. Negotiations are the way that process comes to a close.

The coach wants the athlete back as soon as possible, while you focus on serving the interests of the athlete’s long-term health. Working a wrestling tournament a few years ago, I was asked to evaluate an athlete on another team who injured his shoulder. In this situation I had a certain amount of expert power due to my training and skill sets, but no real authority to keep the athlete out of competition that day. I could only give advice after completing my evaluation of his shoulder.

Most people imagine negotiations as a contest. Two sides wrestle over an issue and the conquering side takes all at the end of the day. Because we work in an athletic setting, I think this idea is especially true for us. Another typical example involves negotiating prices with a vendor. Many athletic trainers order supplies to keep their athletic training rooms running. This consists of working with companies you trust and want to continue a relationship with, while still getting a price that best serves your athletic department or clinic. When a topic involves financial gain or loss, it’s easy to see how negotiating is important. But when else in an athletic trainer’s workday does this skill present itself? Actually, it occurs more often than you might think. In fact, all of us negotiate without even thinking about it. Consider what happens when you’re working with an athlete on a rehab. Let’s say you feel a cautious approach is needed in this particular case, but the athlete wants to do “whatever it takes” to get back in the game. You suspect he may start doing additional workouts on his own if he doesn’t feel pushed hard enough. So you educate him on what happens if he overdoes it and increase the intensity a bit so he feels challenged. You negotiate an outcome that works for both of you. Return-to-play decisions also require a form of negotiation. There are some cut-and-dried criteria and goals that must be met before an athlete is allowed to safely and fully return to participation in a sport. However, the athletic trainer must communicate and negotiate with the coach as part of the work leading up to this total return. 34

T&C OCTOBER 2007

The athlete, wanting to please his parents and coaches, was determined to get back on the mat and compete in the tournament. I felt he should not, and had to negotiate with the athlete and his coach. I listened to why he wanted to compete and explained what longterm problems could arise if he did. I

negotiating as a win-lose proposition is especially true for us. In most sports medicine settings or athletic departments, we help athletes overcome obstacles or conquer competition. We help them win. In an athletic contest, there is a winner and a loser, and athletes learn to leave the emotions of the game in the locker room. In most cases, there are no hard feelings afterward. However, when negotiations have a win or lose outcome, the participants tend not to leave the emotions of losing in a locker room. Personal feelings often come into the negotiation sessions, and then the discussion becomes about sides—an “us vs. them” attitude—and getting “my way.” The hurt feelings of “losing” can remain, especially if the “loser” feels their personal position has been beaten down. The relationship between the two parties may be permanently damaged. Think about this model in terms of the wrestler who wanted to ignore his shoulder injury. If the athlete says, “I don’t care what the athletic trainer says, I’m wrestling,” then the athletic trainer involved may feel disrespected. He or she may carry that attitude for-

When negotiations have a win or lose outcome, the discussion becomes about sides—an “us vs. them” attitude—and getting “my way.” The hurt feelings of “losing” can remain, especially if the “loser” feels their personal position has been beaten down. helped him understand that a preseason tournament was not as important as his long-term health, and that rushing back could hurt his chances for future athletic success. As you can see, athletic trainers practice the art of negotiation every day. You actually already have the skill set. But how can you extend this expertise to other contexts where negotiating may not come as naturally? And how can the art of negotiation help in your daily work? WINS & LOSSES Most people imagine negotiations as a contest. Two sides wrestle over an issue and the conquering side takes all at the end of the day. Because we work in an athletic setting, I think this idea of

ward and resent the athlete. What if that athlete is injured again in the tournament? Does the athletic trainer carry a bit of an “I told you” attitude into the next examination? Does the athletic trainer hesitate to help the athlete a second time? The truly ethical professional may not have these emotions, but many of us will. On the other hand, if the athletic trainer wins the negotiation by telling tournament officials to ban the athlete from competition, the athlete ends up feeling powerless. He may no longer trust that athletic trainer or any future athletic trainer he deals with, and when he is injured again, he will avoid medical assistance entirely. In either of these situations, one side wins the negotiations. But the lasting TR AINING-CONDITIONING.COM

LEADERSHIP I would have the feeling that the company didn’t care about my family. The reality is that it did care about my family a great deal, but it also must make fiscally responsible decisions. I didn’t

ramifications of a broken long-term relationship outweigh the superficial victory. Similar things can happen in negotiating a salary with a boss. I have been in a position where I felt the need to negotiate a salary increase while working in the clinical setting. When I was a young professional making the “standard pay” for an athletic trainer in the company, my wife gave birth to our first child. As I looked at this new responsibility in my life, I felt my pay, benefits, and work hours would all have to change in order for me to be the best family man possible. Unfortunately, my personal story and emotions walked into the clinic manager’s office with me. My thoughts centered on my needs only, and my feelings came out in phrases like “you’re taking food out of my family members’ mouths if you don’t give me a raise.” Yes, my emotions and my position were strong—I truly needed and deserved the raise. However, I failed to consider what would happen if I didn’t get the raise. In that situation, my side takes a hit, and when I come to work

win, if we look closer at what we do as allied healthcare providers, we can realize our role is more about helping athletes, coaches, and co-workers reach their highest potential. We work to help

When working toward positive discussions, remember that the other side is made up of people, not just titles … Not only do you bring your emotions, values, and experiences into the negotiations, they do too. stop to think about how the company needed to consider its own long-term viability. This approach damaged our relationship. But what if there is a way for negotiations to give both sides what they want? If negotiations are about getting an outcome that pleases a person when a conflict arises, can both parties come out of a conflict with the feeling that they’ve won? Can there be a win-win situation in these types of issues? Luckily, the answer is a resounding yes. While we may work in a competitive environment where the goal is to

everyone around us win. Victory may be the goal on the field, but it is not the goal of our everyday interactions. MEETING OF MINDS A wonderful book that presents the idea of win-win negotiating in an insightful way is Getting to Yes by Roger Fisher, William Ury, and Bruce Patton of the Harvard Negotiation Project. First published in 1981 (with a second edition published in 1991), its ideas have slowly been tested out in the business world and are trickling down to all professions. With a little translation, I feel the con-

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LEADERSHIP cepts can be a great tool for athletic trainers in any setting. They are organized into four guidelines: people, positions, creative solutions, and objective goals. People Bring Emotions: In conflict,

officials. Especially in a new situation, there may be no precedent for what are appropriate or inappropriate arguments. Third, egos tend to become involved. When people have strong emotions

In dealing with the wrestler who wants to return to competition, is the issue just about what is best for the athlete’s long-term health? Or is there a deeper issue about the athletic trainer’s pride and the athlete’s drive? we often label the other side in order to dehumanize it. The team in the visiting locker room is the enemy to be crushed. In negotiations, we use empty terms like “them” or “upper-level administrators” or “clinic owner.” However, when working toward positive discussions, remember that the other side is made up of people, not just titles. And people have emotions. Not only do you bring your emotions, values, and experiences into the negotiations, they do too. Both parties are also unpredictable. There is no rule book nor are there any

about an issue, winning means upholding their pride as well as their interests. For example, in dealing with the wrestler who wants to return to competition, is the issue just about what is best for the athlete’s long-term health? Or is there a deeper issue about the athletic trainer’s pride and the athlete’s drive? Is the salary negotiation about fair wages, or is it also about feeling inadequate as a new parent and seeing the clinic owner drive an expensive sports car? In order to negotiate successfully, you must be able to get past the emotions of the situation. You have to work at sepa-

rating the people from the problem at hand and work on solutions. Interests vs. Positions: Part of the work toward productive negotiations then becomes what Fisher, Ury, and Patton call focusing on interests instead of positions. This idea completely reframes the negotiation from a competition to a creative process that takes into consideration both parties’ interests. Each side strives to understand the other’s interests, so together they can find a mutually agreeable solution. Say you are buying supplies for the upcoming football season. The vendor sets a price for athletic tape that is considerably higher than the year before. You are angry at how this will affect your already too tight budget and assume the dealer is trying to make a quick buck. When you complain, the dealer assumes you are cheap and unrealistic. This negotiation will quickly break down and cause hurt feelings and bruised relationships. However, by considering the interests of both parties, the situation is framed in a more understanding way. The athletic trainer may not be cheap, but rather

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LEADERSHIP needs to find a way to provide optimal services for athletes within a cut budget. Likewise, instead of being out to make a quick buck, the dealer may only look to cover the cost of supplies and make a profit that will allow her to pay her employees a livable wage. By looking at these two parties’ interests rather than the position of lower or higher prices, the negotiations can occur at a different level and a deeper understanding. This can lead to creative solutions where both parties walk away satisfied. Getting Creative: I know an athletic trainer who has thought about leaving the field due to long hours and low pay. She is struggling with balancing work and family, and feels if she is going to work long and hard hours, making more money will at least allow her to afford better daycare and pay for some household help. But when she asks her athletic director for a raise, he says no. The athletic program is facing budget problems and can’t afford to increase anyone’s salary. The athletic trainer considers leaving the field. This would be a huge loss for

her athletic department, and the profession would lose a promising future leader. What would happen if both sides understood and discussed each others’ interests and worked on a creative solution? The athletic trainer’s interest is in fulfilling her role as a parent and the department’s interest is in controlling

cation time. Or how about compiling comp time? Maybe other athletic trainers can assume some of her duties to lighten her workload. Other solutions can focus on the department’s needs. Perhaps the athletic program can offer a bonus to the athletic trainer if she can figure out how to cut her budget by a certain amount.

Bringing objective factors to the table does require preparation … For example, in a salary discussion, the athletic trainer needs to understand the market value for his or her position. What are similar people in similar positions making in their work? its costs. If both parties are able to focus on these interests, the negotiations no longer focus on the win and lose of “who gets the money” but instead look for ways to find a solution that fits both parties’ interests. Understanding this, both sides can realize that the solution may lie outside of a raise. One idea may be decreased overtime. Another may be increased va-

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Objective Factors: In order to successfully go through this type of negotiation process, a key point is to focus on objective factors. By focusing on what is objective, the negotiations are able to move away from emotions and egos, and focus on the outcomes based on the interests of the parties. Bringing objective factors to the table does require preparation—the athletic

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LEADERSHIP trainer needs to do his or her homework before entering into discussions. For example, in a salary discussion, the athletic trainer needs to understand the market value for his or her position. What are similar people in similar positions making in their work? If the standard wage in a given area for an entry level clinical athletic trainer is $13 an hour, and you arrive with five years of experience and are offered $12, you have excellent objective data to negotiate for a higher starting salary. You can also research objective data when negotiating for an additional assistant athletic trainer on your staff. Find out how many athletic trainers are on staff at other schools in your conference. Take a look at research articles and NATA position papers on appropriate numbers of athletic trainers per sport team. Also, bring to the table any factors that make your situation unique, such as practice fields that are a long distance from each other. FINAL DECISIONS Sometimes, it also helps for both par-

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ties to agree on fair procedures for their negotiations. What are the options for making decisions? Who will have the final say? Is there an objective source that both parties trust? What procedures will be fair for everyone to follow and use in the negotiation process? In the example of my own negotiation as a young athletic trainer seeking a raise, one procedurally fair process may have been to take the decision past my direct supervisor to an upperlevel manager. Similarly, there might be an outside arbitrator who can examine an issue from the outside and help guide the process without emotions and egos. These guidelines are not meant as a cure-all for negotiations, but rather to help broaden the perspectives of athletic trainers seeking to hone their skills in this area. By focusing on objective data and the interests of all the involved parties rather than people and emotions, everybody will walk away from the table feeling like they have won. Effective and efficient negotiations can happen. â&#x2013;

Resources www.mindtools.com This site teaches life, career, and management training skills. It also has forums to allow professionals to discuss their approach to solving career problems and conflicts. http://conflict.colorado.edu A multi-disciplinary center for research and teaching about conflict and its transformation, the University of Colorado Conflict Research Consortium site offers articles on more than 400 topics as well as links to recommended sources. www.pon.harvard.edu/main/ home The home page of the Program on Negotiation at Harvard Law School, this site includes the â&#x20AC;&#x153;Negotiationâ&#x20AC;? newsletter as well as links to articles on negotiating.

SPORT SPECIFIC

Strong Holds

Wesleyan University wrestler Dan deLalla was ranked in the top 10 among NCAA Division III wrestlers at 157 pounds last year. BRIAN KATTEN, WESLEYAN UNIVERSITY SPORTS INFORMATION

A college wrestling coach who is also a certified strength coach combines his knowledge and experience in both areas to help his wrestlers get a leg up on the competition. BY DREW BLACK

restling is a demanding sport both physically and mentally, but as strength and conditioning coaches know, this hardly makes it unique. What differs about wrestling is the need to develop strength, speed, and stamina while keeping a close eye on the athlete’s weight. This poses many exciting training challenges for wrestling coaches and strength and conditioning coaches alike. At Wesleyan, I am fortunate to fill both those roles. Even so, when I sit down to design a program that fits all of a wrestler’s training needs, the task is challenging and complex. I take the same approach with wrestling programs that I do for other sports—I reflect on what makes an athlete better in

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the particular sport and formulate the plan from there. “Sport-specific training” is a buzz phrase that is thrown around quite a bit and can mean different things to different coaches. In my mind, our athletes will get their sport-specific training by performing the drills, skills, and movements of their sports in their specific arenas of play. Simply put, if you want to be a better wrestler, then you must wrestle. However, the greatest supplement to sport-specific training a strength Two years after is beginning a and conditioning program that targets strength and conditioning program, the needs of theUniversity sport. Incaptured wrestling, Vanderbilt the it is essential to2007 develop and pullNCAApushing Championship. ing movements for the upper and lower body, total-body speed and power enhanced through Olympic lifts and variations, and a strong core. Building

these components enables our wrestlers to succeed and achieve their individual and team goals during their four years at Wesleyan. DESIGN PHILOSOPHY When designing a wrestling strength program, I try to make sure the training carries over to the mat by relying on closed chain, multi-joint, multiplane movements. My approach to periodization is a little different than most, Drew Black, MA, CSCS, USAW, is in his 10th year as the Head Wrestling Coach and Strength and Conditioning Coach at Wesleyan University. A former collegiate wrestler at Syracuse University, he is responsible for training 29 varsity sports at Wesleyan and can be reached at: dblack@wesleyan.edu. T&C OCTOBER 2007

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SPORT SPECIFIC though. One of my favorite methods to train our wrestlers is integrating all of these essential components into an undulating or non-linear program. Typically, periodization means starting with higher reps and lower weights and then reducing the reps and raising the weights stage-by-stage every few weeks through the training season. A non-linear program, by comparison, changes the focus from session to session. So in a three-day-a-week preseason schedule, I will have a speedpower day, a maximal-strength day, and a high-rep day. At the same time, we emphasize one of three areas each day, either upper-body pushing, upper-body pulling, or lower-body training. This way there’s always a change in training stimulus each day they train, and we’re hitting all the different muscle types each week. (See “Non-Linear Schedule” below for a sample scheduling scheme.) A staple of our workouts are pairs of a functional movement and strengthtraining lift. These functional activities include stability ball and medicine ball exercises, single-leg movements for balance and strength, and core strength exercises. Performing the two different exercises in pairs allows me to get a wide variety of work done in a limited amount of time, keeps the sessions interesting for the athletes, and helps provide the proper amount of rest between sets. As many strength coaches know, a lot of male athletes love to train their arms, most notably the biceps and the triceps, even if that area is not a focus of the strength-training program. I have found that having our wrestlers perform tricep extensions and bicep curls while standing on one leg keeps everyone happy. The athletes get their arm work in, and I get some single-leg balance and stability work performed. Plus, as a wrestling coach, I’m pleased because this kind of work is important in defending single-leg attacks on the mat as well as contributing to numerous other wrestling skills. There is one aspect of strength training for wrestlers that can trip up some strength coaches and that’s the issue of body weight. In most sports, it’s no big deal when an athlete adds five pounds while developing increased strength and power. It might even be preferable. But in wrestling this can be a problem. As a wrestling coach, I would usually TR AINING-CONDITIONING.COM

rather have a stronger wrestler competing at a higher weight class than an athlete who has to avoid strength training to stay in a lighter weight class. But the culture of wrestling is such that athletes may balk at activities they fear will cause them to bulk up. Also, coaches may be limited in their ability to shuffle their lineup to accommodate a weight class change. As a result, it’s important to keep weight gain in mind when designing a program. As a general rule, I try to limit the hypertrophy work that is part of a typical strength-training program and avoid high-rep schemes as much as possible. Although it seems counter-intuitive, especially to the wrestlers, the biggest weight gains generally come when performing multiple sets of highrep exercises. If weight is a major concern, I will have individual wrestlers skip high-rep schemes and instead focus on lifting for max strength with fewer reps. GETTING READY During the off-season, I like to have our wrestlers lift three days a week for about an hour and 15 minutes each day. The non-lifting days typically include one day for mat work

and another day for speed and agility training. I believe it’s extremely important that our wrestlers have at least one day off per week so the mind and body can regenerate to train again the following week. Although we emphasize either upper-body pushing, upper-body pulling, or lower-body training each lifting day, every session is really a full-body workout. We usually start with an Olympic lift, an Olympic lift variation, or a combination lift. These are followed by pairs of strength lifts and functional activities, such as a bench press followed by a stability leg curl or a bar dip followed by a medicine ball side throw. Sets and reps are determined by whether it’s a power-speed day, max strength day, or max reps day. (See “Off-Season Program” on page 42 for a sample week.) In the past year or so, I’ve started adding an interval training component to the end of weightroom sessions. After finishing their lifting program, our wrestlers will perform 10 to 12 minutes of interval work. They are free to choose the modality they prefer—stationary bike, stair-climber, short hill runs, stair runs, elliptical with arms, and so on. The important factor is

NON-LINEAR SCHEDULE Each workout in the Wesleyan University wrestling off-season strength training program targets one area of the body and one type of work. The area of the body stays consistent while the type of work rotates through Days 1, 2, and 3 each week. The cycle continues again with Week 4 repeating Week 1 and so on. Area of Focus

Week 1

Week 2

Week 3

Day 1: Upper-Body Pushing

Max Reps

Max Strength

Speed/ Power

Day 2: Lower Body

Speed/ Power

Max Reps

Max Strength

Day 3: Upper-Body Pulling

Max Strength

Speed/ Power

Max Reps

T&C OCTOBER 2007

SPORT SPECIFIC

OFF-SEASON PROGRAM Here is a sample week from the Wesleyan University wrestling offseason strength and conditioning program. Wrestlers are told to rest 30 to 60 seconds between each paired exercise.

Day 1 Area: Upper-body pushing Type: Max reps Olympic lift: Push press or jerk 3x8 or squat jump 3x10 Pair A x 3: Flat bench press x 12-15 & single-leg squat opposite hand toe touch x 10 each side Pair B x 3: Incline bench press x 12-15 & stability ball leg curl x 20 Pair C x 3: Bar dip x 12-15 & Medicine ball side throw x 10 each side Pair D x 4: Standing singe-leg tricep extension x 12-15 each leg & wrist curls x 12 both flexion and extension Interval training x 10 min.

Day 2 Area: Lower-body

Type: Speed/power

Olympic lift: Clean and push press 3x6 Pair A x 4: Front squat x 6-8 & stability ball push up x 10 Pair B x 3: Dumbbell walking lunges x 16 & bent-arm row with twist x 16 Pair C x 3: Stiff-legged dead lift x 6-8 & medicine ball twist chop x 8 each side Dumbbell standing calf raise 4x6-8 Interval training x 10 min.

Day 3 Area: Upper-body pulling

Type: Max strength

Olympic lift: Barbell or dumbbell clean 4x4 Pair A x 4: Lat pulldowns x 3-5 & single-leg front reach x 6 each side Pair B x 4: Upright row x 3-5 & stability ball push up x 10 Pair C x 4: Bent over row x 3-5 & standing DB overhead rotational press x 10 Pair D x 4: Two-legged bicep curls x 8 & wrist curls x 4 (flexion x 2, extension x 2) Interval training x 12 min.

T&C OCTOBER 2007

completing the interval work. Wrestling matches are often decided in the closing moments and our wrestlers need to explode, finish, and win while fatigued. This is a nice way to get some short, quick, effective training in at the end of each session and has helped our wrestlers improve their late-match performance. Our off-season schedule culminates in October with our strength and conditioning test day. At this time, we test vertical jump, hang clean or power clean, flat bench press, maximum number of overhand grip pullups, front squat, and 300-yard shuttle or basketball line sprint test. To save time on the lifts, we record a 1-to-10 repetition max, where the athletes do a set of no more than 10 reps to failure. Then based on the weight and number of reps they completed, I can calculate a one-rep max. This saves time and, in my mind, works just as well as having the athletes perform a true one-rep max. These measures give me a great sense of the effectiveness of the strengthtraining program, where each person stands physically, and where our team is as a whole. It also provides the athletes a chance to showcase their work ethic over the past year before we get into the grind of competition. DURING THE SEASON Once our competitive schedule starts, the challenge becomes finding ways to help our wrestlers remain strong and confident during a long season that can include multiple competitions in one week. This requires a mixture of art and science and calls on my knowledge as both a strength coach and wrestling coach. Typically we have matches on Wednesdays and Saturdays, and some weekend tournaments, which results in several matches for certain wrestlers, so I aim for two lifting days per week. Weâ&#x20AC;&#x2122;ll mix up the intensity of the workouts depending on the schedule, usually having either two moderate days or one heavy day and one light or moderate day. I also keep the lifting sessions short, no more than 30 minutes. The sessions generally start with three sets of four to six reps of an Olympic or combination lift using either a weighted bar or dumbbells. The wrestlers have a choice among nine or so exercises to do, including TR AINING-CONDITIONING.COM

SPORT SPECIFIC

IN-SEASON PROGRAM Here is a sample week from the Wesleyan University wrestling in-season strength and conditioning program. Wrestlers are told to rest one minute between sets except for the core circuit, which is to be completed with no rest. Day 1 Olympic/combo lift (DB or weight bar): Choose one from: Clean (from thigh, knee, or floor) 3x5-6 Snatch 3x5-6 Push Press 3x5-6 Push Jerk 3x5-6 Split Jerk 3x5-6 Clean/Push Jerk or Push Press 3x4 Clean/Front Squat 3x4 Clean/Split Jerk 3x4 Split Clean 3x5-6 Pair A x 3: Flat bench press x 6-10 & upright row x 6-10

Lower-body: DB lunges forward or backward 2x16 Pair B x 2: Tricep extension x 12 & Bicep curls x 12 Core circuit x 3: Crunch sit up x 15 followed immediately by low back extension x 15

Day 2 Olympic/combo lift: same as Day 1 Pair A x 3: Incline bench with bar x 6-10 & lat pull down x 6-10 Lower body: Leg press 3x6-10 Pair B x 2: Tricep extension x 12 & Bicep curls x 12 Core circuit x 3: Medicine ball twisting chops x 15 followed immediately by stability ball extensions x 15

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SPORT SPECIFIC pulls, snatches, cleans, presses, and jerks. We’ll then do two or three sets of paired upper-body exercises, such as pull downs or rows, followed by lower-body work, such as lunges or squats. We’ll finish up with extensions and curls followed by a core circuit. (See “In-season Program” on page 43 for a sample week.) The art of in-season workouts comes in the adjustments I make from time to time. The first change is moving the Olympic lift to the end of the workout, when the wrestlers are fatigued. Al-

though this goes against the tradition of doing Olympic lifts when the athletes are fresh, it provides another opportunity to help the wrestlers develop the stamina they need to perform explosive moves at the end of a match or in overtime, despite being fatigued. The other change involves combining wrestling-specific skill work with our strength work. This way, the wrestlers are working on technique at the same time they’re doing their strength training. For example, instead of pairing a bench press with an upright row,

I might combine it with a push, fake, snap, or hi-C wrestling drill. Consultations with your wrestling coach may help you produce other similar combinations. I have no set schedule for making these changes. It’s really just a matter of feel based on the demands of the schedule, how the wrestlers are responding, and the need to shake things up. Any strength coach looking to make these sorts of changes should work closely with the wrestling coach to make sure the timing is right and the wrestlers won’t be negatively affected. A new change I began making last year was to work in some weeks with three days of shorter lifting sessions, usually about 20 minutes each instead of 30. These sessions consist of four or so sets of only two or three movements and heavy loads. An example would be four sets of five reps of a bench press and lat pull down followed by some core work on a stability ball. The idea is to go hard, but keep it brief. Once again, communication with the wrestling coach is vital in implementing this kind of change. The type of practices planned for the week, injuries, soreness, and the challenges of making weight all have a contributing effect on what lifting is best suited for a certain week. I am also a firm believer in using a variety of training schemes to help our wrestlers stay enthused and motivated to work hard both in the weightroom and the practice room. I am biased, but I believe wrestling is a fantastic sport that presents many challenges to coaches and athletes. Generating effective, innovative, and enjoyable training sessions for wrestlers requires a mix of scientific knowledge and artistic flair as well as close communication with the wrestling coach. There is no one right way to train wrestlers, but here at Wesleyan, the undulating non-linear program has met my needs, both as a strength coach and a wrestling coach. ■

More information on Wesleyan University’s strength and conditioning program can be found on the Web at: www.wesleyan.edu/ athletics/strength/. Circle No. 128

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SPECIAL ADVERTISING FEATURE

Portable VersaPulley—Reactive Power with Explosive Speed

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he key to a successful sports training product is its ability to train speeds and forces that increase the power of movements speciﬁc to the requirements of the sport. The new Portable VersaPulley is one of those unique products that allow an athlete to train the movements that he or she needs to succeed in their sport. The Portable VersaPulley (PVP) features patented MV2 resistance technology that provides 100% responsive concentric, eccentric, plyometric resistance, causing explosive maximum

rate of force development and deceleration loading required for all multi-directional sports. Recent studies prove MV2 technology produces comparable speed, force and power to free weights.1, 2 MV2 technology is an Inﬁnitely Variable Cam using inertial resistance that automatically generates a responsive resistance to exercise. This form of resistance is user-deﬁned and automatically loads the muscles for explosive movements, through the full range of motion, to match the capability of the user at any speed.

speed, just like sports. The VersaPulley was designed to enhance sport movement and athletic performance. The PVP allows the user the ability to perform multi-joint diagonal/rotational movements with compliant resistance. Other training exercises and movements which can be applied include: Acceleration Step-Ups, Lateral Deceleration Lunges, Standing Pulls From the ground, Standing Shoulder Shrug, 45-Degree Squat to Extension and much more. “The Portable VersaPulley adds both eccentric and concentric resistance to an athlete’s workout,” said George Morrison, a wellknown conditioning coach who works with several top professional and amateur athletes. “Because an athlete can still maintain a fluid motion using the product, he or she doesn’t have to stop (sticking points) during any phase of the training motion. As a result, the athlete can apply the correct type of resistance to the movements that he or she will be performing in the sport and not have to make any compromises in that movement. Because of the design of the product, you really focus on the biomechanics of the movement. The PVP is as functional a training tool you’re going to find.” Morrison uses the PVP for all types of sportspecific footwork and lateral training. “I use it to apply resistance to lateral drills like the three-step step over, side shuffles and backsteps—even with sprint drills,” he said. “I also add more resistance to the drills by hooking an X-Vest (#1 weighted vest) to the Portable VersaPulley.

A Portable Workout Station for All Sports The PVP’s lightweight, compact design, and ease of mobility is ideal for on-the-field or on-the-court training. You simply secure the PVP with adjustable straps or field stakes; it can also be permanently secured to walls or floors. While the PVP weighs just 60 pounds, its patented technology can produce up to 400 pounds of resistance. Thanks to the Portable VersaPulley, a strength and conditioning coach now has the ability to easily hand-carry this equipment to any location whether it be a football field, tennis court, baseball field etc. basically any setting where athletes are training can now apply a multitude of safe, sport-specific, multiple plane, power enhancing training drills. The PVP combines speed, power and functional mobility through any range of motion with accommodating inertial resistance at any

Morrison gives two examples of how the PVP can be used with football conditioning drills. “I use the PVP with defensive backs to work on the ﬁve-step back peddle and go,” he said. “With quarterbacks, I use the product as quarterbacks work on their three- and ﬁve-step drops. “I’ll hook up the PVP to a quarterback and have him practice three-step drops and see how many he can do in 60 seconds while having to deal with all of that extra resistance. The addition of the Portable VersaPulley helps

the quarterback work on maintaining the proper footwork for the drop while becoming fatigue. “The PVP is such a well-designed product. It’s amazing that such a lightweight, portable device can be such a valuable tool for learning to maintain proper footwork under stress and fatigue.”

Advantages of the Portable VersaPulley: Exceptional inertial loading for superior eccentric resistance that bands and air equipment fail to provide. Provides unique “responsive, fully accommodating resistance”—there are no weights to select or change. No “sticking point,” as is the case with weights where the resistance is limited to the weakest muscle/joint angle. Automatically produces an explosive resistive force that matches the capability of any user from the ﬁrst to the last repetition, at any speed, at any direction. Each rep can compound on the next for unlimited Force/Speed production.

For more information call 1.800.237.2271 or visit versapulley.com

References: 1

Lohnes, C., Fry, A., Schilling, B., Weiss,L. Kinetic Comparison Between Various Resistance Settings on the VersaPulleyTM Training System. ACSM National Conference, New Orleans, La. 2007.

COMPARISON OF JOINT KINETICS DURING FREE WEIGHT AND FLYWHEEL RESISTANCE EXERCISE LOREN Z.F. CHIU AND GEORGE J. SALEM Journal of Strength and Conditioning Research, 2006, 20(3), 555–562 2006 National Strength & Conditioning Association

STRAIGHT TALK

A Personal Trainer and an Aspiring Pro Athlete Discuss the Benefits of Vibration Training

One of the latest and most promising innovations to hit the athletic training world is vibration training. As with any new technology, you can learn more about it by reading the growing body of clinical research, visiting company Web sites, or speaking with representatives from manufacturers in the industry. But to predict whether you’ll be satisfied with a vibration training device in your facility, there’s no substitute for firsthand testimonials from those who have actually used the products. Bryan Janzen, NASM-CPT, is a certified personal trainer and the owner of Experience Fitness, a private athletic training studio in Reno, Nev. He recently purchased an ExerVibe total-body vibration training unit from VersaClimber, and he says it has provided a major boost to the quality of his athletes’ workouts. “One of the greatest things about vibration technology is that it recruits and activates muscles and muscle groups that have started to shut down or aren’t functioning the way they should during a particular movement pattern,” Janzen explains. “As a result, you get a better balance of working muscles during an exercise instead of exacerbating a movement deficiency by forcing other muscles to compensate for the ones that aren’t doing their job. “It can be something as simple as vibration energizing the body and correcting a posture problem during a workout,” he continues. “That means less compensation and a more efficient movement, which can improve performance and even help prevent injury.” Janzen has athletes at Experience Fitness perform all types of exercises 46

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on the vibration unit. “Some of our favorite exercises for incorporating vibration are standing squats and one-legged squats,” he says. “I’ll also have clients do inverted rock climbing movements and pull-ups, so the vibration goes through their arms and their back. We use the device’s hand pedals and foot pedals to do push-ups and dips. We really get creative with it, and the versatility is a great asset.”

that involves vibration—which can lead to faster muscle growth.” For Janzen and the athletes he trains, perhaps the greatest benefit of vibration training is that the performance gains are highly transferable to competition. After all, most athletes are not training to be the best in the weightroom or the gym—they want to excel on the field, the rink, or the court.

“When I’m working out on the vibration platform, I know I’m getting the most out of the workout. That has made me a real believer in this type of training.” Vibration can also increase the effectiveness of rehab workouts. Janzen has used it to assist athletes who are recovering from injury, and even some patients who are performing physical therapy after a stroke. “Those clients don’t always have the strength or muscle control to do a basic squat, for instance,” he explains. “But on the vibration unit, they can stand in place and just bend their knees enough to activate the muscles in their legs. The vibration gives those muscles a lot more activity and recruitment than they would otherwise get. “Another way it can help rehabbing athletes is by improving circulation throughout the whole body,” continues Janzen. “And the physiological benefits don’t stop there. Vibration can stimulate the lymphatic system and even increase hormone levels. I’ve seen studies that have shown a big increase in testosterone and human growth hormone levels after a session

“For all types of athletes, from football players to basketball players to runners, if they have more muscles working for them, their coordination, control, first-step speed, and acceleration will be enhanced,” Janzen says. “Athletes who have worked out with vibration have been truly excited about the results they’ve seen. Immediately after using the device, they feel energized and totally relaxed. In the long run, they are stronger, quicker, more coordinated, and better able to meet the demands of their sport.” One athlete who agrees with Janzen’s view of vibration training is Taylor Holiday, a former star outfielder at the University of California-Irvine and a 2007 draft choice of the New York Yankees. This summer, Holiday played for the Yankees’ Class A minor league affiliate, the Staten Island Yankees, and ranked in the team’s top five in hits, batting average, RBIs, and home runs.

TR AINING-CONDITIONING.COM

STRAIGHT TALK Holiday has made the Evolution from Vibration Health Systems a staple of his pre-workout warmup. “I’ll get on it for 10 minutes before a training session, and once I step off the platform, I feel completely energized and ready to work hard,” he says. “Sometimes I use it when I don’t have time to perform a full stretch before working out, because it gets my whole body loose very quickly. It also burns calories, so I think of it almost like going for a short jog to get loose before training or practice. It’s been awesome for me.”

it, I have more endurance, and it helps me to activate more muscles.”

Holiday has found that simple exercises performed on the vibration unit are more beneficial than the same work on solid ground. “The platform is large enough that it allows me to do squats and other leg exercises on it, and I really prefer doing those reps with vibration added because it enhances the quality of the workout,” he says. “I even do some weightlifting on it to build arm strength, and I can definitely feel a difference. The workout is more efficient, it feels better while I’m doing

ON THE WEB...

While Holiday has been fortunate enough to avoid significant injuries thus far in his baseball career, his experience with vibration training has convinced him that it would be an effective rehab protocol. He’s particularly impressed with how it provides energy to the whole body during all types of exercises and lifts.

As he hopes to crack the Bronx Bombers’ lineup in the near future, Holiday is confident the strength and agility gains he has experienced from vibration training will help him to progress in his baseball career. “Obviously, any improvement in training will correlate to improved sport performance,” he says. “When I’m working out on the vibration platform, I know I’m getting the most out of the workout. That has made me a real believer in this type of training.”

For an in-depth look at the history of vibration training, an explanation of how it works, and commentary from athletic trainers and performance specialists who make it part of their training regimens, read “Shake, Rattle & Roll” in the October 2006 issue of Training & Conditioning. To access the article online, go to:

www.training-conditioning.com/2007/03/shake_rattle_roll.html Or type in “vibration training” in the article keyword search box on the www.training-conditioning.com home page.

STAY CONNECTED, STAY CURRENT...DAILY DAILY Training & Conditioning has developed an innovative Web site to keep you in touch with issues facing sports medicine and ﬁtness professionals

News items on injury treatment and strength/conditioning, updated daily Bonus editorial not found in the pages of Training & Conditioning Downloadable MRSA educational posters Help with researching products and vendors

Archives of articles from past issues Search function to ﬁnd articles and research published on other related sports medicine and conditioning Web sites

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9/19/07 10:24:53 AM T&C OCTOBER 2007

COMPANY Q&A

Ankle Brace Improvements Pay Off for Athletes Rob Mogolov has worked for two years as the Marketing Product Manager at Cramer Products, where he is responsible for new product development. Before coming to Cramer, he worked for Galyan’s and Dick’s Sporting Goods for 10 years. Why should an athletic program use ankle braces? Today’s coaches and athletic trainers have severe demands on both their time and budget. Ankle braces can be applied by the athletes themselves to save time, and they provide an economical solution for protection because they can be used throughout the entire year. Why develop a new ankle brace? Currently, almost all ankle braces focus on heel support or forefoot support—not both. The mechanics of a sprain involve stress to both the heel and the forefoot. The PowerLacer ankle brace from Cramer Products offers a simple means of application without the use of complex straps, and it provides proper support to both the heel and forefoot.

Why focus on simplicity? Ankle braces provide excellent support, but only if they’re applied correctly. Coaches and athletic trainers like simple ankle braces because players can apply them on their own, unlike tape. Both support and protection are compromised if the brace is not strapped correctly because of complex straps and ties. The PowerLacer has just one point of pull and requires no confusing wraps or straps. Where did the concept for the PowerLacer come from? The original design was developed in the field by a certified athletic trainer to address two specific needs: support and simplicity. Over several years, extensive testing was done to integrate other features, with the help of athletes and athletic trainers. What features are most important in ankle braces? Protection, support, and durability are the key features for any brace, but comfort and fit are very important, too. The PowerLacer was designed for the athlete’s comfort, with a padded tongue and a lacing system that fits the foot and ankle very well.

Cramer Products, Inc. P.O. Box 1001 Gardner, KS 66030 800-345-2231 Fax: 913-884-5626 www.cramersportsmed.com 48

T&C OCTOBER 2007

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PAIN MANAGEMENT Avazzia Med-Sport 800-688-3767 www.AlertServices.com When the BEST-RSI™ microcurrent biofeedback electro-stimulation TENS device from Avazzia is applied to an athlete’s body, a highvoltage microcurrent signal is passed through the skin. With each signal, the electrical properties of the tissue change. The device detects the changes and responds, resulting in versatile, effective electrotherapy and pain relief. This battery-operated, handheld unit is easy to use and delivers outstanding results. Circle No. 500 The next generation of the Med-Sport interactive biofeedback therapy device from Avazzia detects and adapts to the microcurrent stimulus, so every output signal is modified according to the body’s response. The result is improved non-pharmaceutical relief from pain, quicker return of range of motion, and accelerated return to activities. It offers micro-current electrotherapy with automatic interactive biofeedback, all in an economical handheld unit with auto time-out. Administer four to 351 Hz of pulsed, damped, or bi-phasic sinusoidal waveforms. Avazzia has earned the prestigious ISO13485 quality certification. Circle No. 501 Biofreeze/Performance Health® 800-246-3733 www.biofreeze.com Applied generously, Biofreeze® pain relieving gel and roll-on effectively relieve pain from heel injuries, sore arches, muscle spasms, strains, sprains, and tendonitis, and will help minimize next-day aches and pains. Use it up to four times a day. It’s available in a 16-ounce spray bottle and 16-ounce, 32-ounce, TR AINING-CONDITIONING.COM

and gallon gel pump bottles. Also available is a gravity dispenser box with 100 five-gram single-use application packets for clinical settings. Circle No. 502 Brace International, Inc. 800-545-1161 www.braceint.com Brace International offers the MAX™, a major advancement in the design of shoulder girdle supports. The snug-fitting, lightweight material allows for comfort with movement while protecting the glenohumeral joint from subluxations and dislocations. Its strap design system offers many options for maximal stability where needed, allowing athletes to reach their required range of motion. Circle No. 503 Cho-Pat 800-221-1601 www.cho-pat.com Cho-Pat’s Shin Splint Compression Sleeve eases the pain associated with shin splints. Designed and evaluated by medical professionals, this unique device tackles inflammation and discomfort by using gentle compression to support the lower leg muscles. It also stimulates circulation, maintains warmth, and controls excess fluid. Finally, two straps act as shock absorbers to reduce microtrauma to the tendons and other soft tissue and keep the device in proper position. Call Cho-Pat or visit the company’s Web site for more information. Circle No. 504 DM Systems, Inc. 800-254-5438 www.dmsystems.com AnkleTough offers a system of progressive resistance straps specifically designed for the ankle and customizable for a variety of athletes. AnkleTough can help prevent the recurrence

of ankle injuries by strengthening and conditioning the ankle muscles and tendons. The system comprises colorcoded resistive tension straps in four strengths (light, medium, strong, and tough). AnkleTough is available in a four-pack featuring one unit of each strength, and in an eight-pack with each unit having the same resistance level. Circle No. 505 Cadlow Shoulder Stabilizer®, a dynamic, multi-sport shoulder-stabilizing brace from DM Systems, significantly reduces subluxations and dislocations. In a recent survey, 93 percent of respondents confirmed that when worn during athletic activity, Cadlow reduced shoulder injuries. Cadlow’s unique and patented pull system strengthens the shoulder, allowing athletes to fully function in their sport without the fear of shoulder pain or re-injury while maintaining a full range of motion. An improved design makes fitting Cadlow easier than ever, requiring less than 15 minutes, and its reduced price makes Cadlow an affordable solution. Circle No. 506 Dynatronics 800-874-6251 www.dynatronics.com Why buy multiple machines when you can buy just one? The Dynatron Solaris Series offers ultrasound, seven stim waveforms (including direct current), and the option of adding light therapy. The state-of-the-art Solaris Series also provides your choice of four infrared light probes, including the D405 infrared/blue light probe and the powerful 8” x 10” Dynatron Xp light pad. Expand your options and save money at the same time with the Dynatron Solaris Series. Circle No. 507

Check out

www.AthleticBid.com to contact these companies. T&C OCTOBER 2007

PAIN MANAGEMENT Dynatronics 800-874-6251 www.dynatronics.com

includes testimonials from athletes and healthcare professionals. Circle No. 510

The new Dynatron X5 Soft-Tissue Oscillation Device is a highly effective treatment for both acute and chronic pain. This remarkable machine features two independent channels and six treatment modes, and includes both large and small treatment probes. Featuring four frequency sweeps, frequency ranges from 0 to 200 Hz, a conductance meter, and a two-year warranty, the X5 is cost-effective and affordable. Feeling is believing: For a free demonstration, call your Dynatronics dealer or contact the company to learn more. Circle No. 508

Kneebourne Therapeutic 866-756-3706 www.eliteseat.com

Gebauer Co. 800-321-9348 www.gebauer.com Gebauer’s Spray and Stretch® topical anesthetic skin refrigerant replaces Gebauer’s Fluori-Methane, which has been discontinued. Use Gebauer’s Spray and Stretch fine stream spray in conjunction with the spray and stretch technique to effectively manage myofascial pain, restricted motion, trigger points, muscle spasms, and minor sports injuries. The product is non-flammable and available only by prescription. It can be purchased through your medical supplier or wholesaler, or directly from Gebauer. Circle No. 509 Jump Stretch, Inc. 800-344-3539 www.jumpstretch.com “Don’t Ice that Ankle Sprain!” by Jump Stretch founder Dick Hartzell and Dr. Michael Shimmel will introduce you to the FlexBand Ankle & Strengthening Traction Technique, which is designed to reduce pain and swelling and to speed recovery time from ankle injuries. You will never deal with a sprain the same way again. The book is 85 pages long, includes a companion DVD, and covers horizontal traction, vertical traction, deferred pain, and more. It also 50

T&C OCTOBER 2007

The Elite Seat by Kneebourne Therapeutic is a portable knee-extension device designed for the non-operative treatment of degenerative knee conditions. By evenly distributing force across the leg, the Elite Seat provides effective fullknee hyperextension and reduces pain in bent knees caused by any of these conditions: acute ACL injury; inadequate post-operative rehabilitation after ACL reconstruction; total-knee arthroplasty; arthrofibrosis; deconditioned knee with a flexion contracture; and arthritis. Circle No. 511 Kustomer Kinetics 800-959-1145 www.kustomerkinetics.com Pain Blocker is an effective topical pain relieving lotion. This new product from Jay Alan, a division of Kustomer Kinetics, will ease the discomfort associated with muscle soreness, muscle spasms, strains, sprains, exercise overuse, tendonitis, bone and joint pain, and arthritic pain. It is formulated with potent analgesics and skin-softening emollients in a soothing lotion. Apply Pain Blocker generously to trouble spots for quick relief. Call for more information. Circle No. 512 Lippincott Williams & Wilkins 800-638-3030 www.lww.com Clinical Mastery in the Treatment of Myofascial Pain, by Lucy Whyte Ferguson, DC, and Robert Gerwin, MD, is a concise and easily referenced clinical text that addresses therapeutic approaches to common muscle and joint pain. Organized by

chief complaint, each chapter follows a structured format that takes readers from overview and assessment, through a case history, to a planned program of rehabilitation, generalization to similar conditions, and a treatment protocol. You will explore key differences in assessment, treatment, and rehabilitation—a great aid in choosing the best therapy for each patient. Circle No. 513 Mettler Electronics 800-854-9305 www.mettlerelectronics.com Mettler Electronics has introduced the new Sonicator Plus 940 four-channel combination unit. Therapeutic ultrasound is 1 and 3 MHz. Stimulation waveforms include interferential, premodulated, Russian, EMS, highvolt, TENS, microcurrent, and DC. There are 61 preset and 80 user-defined protocols. The membrane panel and back-lit LCD touch screen make the selection of treatment parameters quick and easy. Call Mettler for more information. Circle No. 514 Neuro Resource Group 877-314-6500 www.nrg-unlimited.com The InterX Professional Sport is dedicated to your success. Handheld and battery-operated, it is one of the most convenient products on the market today. It’s an effective and user-friendly way to deliver pain relief and increased range of motion to keep your athletes out of the athletic training room and in the game. The InterX is easy to incorporate into all your usual treatment programs, and is used by the athletic trainers for several professional and collegiate teams. Go online for more details. Circle No. 515 The new Dual Flex Array electrode from Neuro Resource Group is used with the InterX Professional Sport device and offers completely new treatment options for athletic trainers. Each of the 18 elecTR AINING-CONDITIONING.COM

PAIN MANAGEMENT trodes delivers stimulation, which is drawn to the optimal treatment point within an area. Use it strapped onto an extremity during dynamic function or as an unattended treatment before or after rehab. It’s an excellent option for knee, elbow, and ankle injuries. Circle No. 516 NExTT Solutions, LLC 574-233-6695 www.nexttsolutions.com NExTT Injury Management© software has been servicing athletic training rooms for more than 24 years, incorporating methods and styles from a variety of staffs. This first-hand working knowledge is the foundation of the program and what sets NExTT Solutions apart from the competition. With quick filter views, a single-page treatment log, and an interactive episode history calendar, this software operates just like a real day in the athletic training room. Circle No. 517 Oakworks 800-916-4603 www.oakworkspt.com Strong, stable, and remarkably durable, Oakworks’ PowerLine® treatment tables are in a league of their own, with a massive 500-pound dynamic load capacity. Heavy-duty hardware reinforces the professional-quality engineering found in each detail of this solid performer. The solid hardwood construction resists humidity and withstands any application requirement. Unique table length extenders increase the table length up to 84 inches. The PowerLine treatment table is also available with a backrest top. Circle No. 518 The Oakworks Prone Pillow offers superior comfort while positioning patients properly. The advanced lower-profile design reduces excessive cervical extension/flexion, while the radiolucent TR AINING-CONDITIONING.COM

platform provides the optimal support needed for both prone and supine positioning. The pillow features large vent areas for easy breathing, while the removable pads provide a long-lasting barrier against germs and bacteria. Your athletes will be comfortable, more relaxed, and better able to focus on their therapy. Circle No. 519 Power Systems 800-321-6975 www.power-systems.com The Thera Cane is a self-massage device that lets you apply pressure to just the right spot on sore muscles and trigger points anywhere on the body to obtain optimum relief from muscle spasms and tightness. Use it for deep-pressure massage to self-treat myofascial pain. The fiberglass construction allows for a light flexing action when pressure is applied, and the multiple pressure knobs pinpoint the exact area to be released. The Thera Cane is recommended as part of a total program of hot/cold therapy and appropriate stretching and exercise. Circle No. 520 The Massage Bar from Power Systems features the same spike design as the Massage Balls, but the spikes are arranged on a bar to facilitate self-massage over a wider area. The Massage Bar encourages increased circulation to muscle fibers prior to exercise, disperses lactic acid after workouts, and diffuses muscle stiffness and knots. Roll the four smooth-tipped spiky balls along specific muscle areas to stimulate tissue and promote blood flow through tired or cold muscles. The nodules deepen the massage effect and the ergonomic handle grips provide outstanding comfort. Circle No. 521 Pro-Tec Athletics 800-779-3372 www.injurybegone.com Iliotibial band syndrome, commonly referred to as ITBS, is a difficult injury to treat. But Pro-Tec Athletics has an answer. The Iliotibial Band Wrap sta-

bilizes the IT band and reduces stress to the area, alleviating symptoms of ITBS. Applied above the patella, it is designed with a compression pad that provides direct compression on the IT band. Circle No. 522 Wobenzym 888-766-4406 www.wobenzym.com/tandc Let Wobenzym®N, the clinically validated enzyme formula for sports injuries, work for your athletes and your reputation. Its proven bio-active enzymes get both elite athletes and weekend warriors back into action more quickly and safely than ordinary non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids. During the recent world soccer championships in Germany, several teams used Wobenzym®N with their athletes, and it helped get the world’s most elite soccer players back onto the field more quickly. Circle No. 523 Wobenzym®N Crème provides fast, penetrating relief for minor arthritis pain, back pain, muscle pain, and sports injuries. It incorporates traditional herbs used for centuries in Asia and Europe to help ease surface pain. Bromelain and Papain help promote robust circulation and normalize inflammation. This product has been validated by the latest research to interfere with COX-2 activity. Visit the Wobenzym Web site to learn more. Circle No. 524

STAY CONNECTED, STAY CURRENT... DAILY Training & Conditioning has developed an innovative Web site to keep you in touch with issues facing sports medicine and fitness professionals:

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CASE STUDY

Pittsburgh Steelers Rely on Total Gym PowerTower to Stay in Top Form All Season In the hard-hitting, ferociously competitive world of professional football, nothing sidelines dreams of Super Bowl rings faster than having key players out with injuries. Fast and effective rehabilitation is a necessity, and teams like the Pittsburgh Steelers rely on the Total Gym PowerTower—the motorized model of efi Sports Medicine’s flagship incline training apparatus Total Gym— to keep their players healthy, strong, and ready to compete each week. “We use a shotgun approach to rehab,” says Ryan Grove, the Steelers’ Assistant Athletic Trainer for the past seven years. “We do whatever we can to get the athlete back on the field as quickly as possible.” That approach has paid off: The Steelers have hosted more conference championships than any other NFL franchise, and are one of only three teams to win five Super Bowls, most recently earning the title of Super Bowl XL champions in 2005. “The Total Gym PowerTower is a valuable tool for helping our athletes overcome injuries safely and quickly,” says Grove, who has an extensive background in athletic training and exercise physiology. “Compared to other rehab equipment, the PowerTower is equally effective yet safer than other options available.”

efi Sports Medicine 7755 Arjons Dr. San Diego, CA 92126 800-541-4900 Fax: 858-764-0018 www.efisportsmedicine.com 52

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The PowerTower uses body weight as resistance on an inclined free-rolling glideboard, allowing for partial weight bearing closed-chain rehab and advancement to high-level plyometric training. It facilitates cable exercises in all three planes of motion, as well as multi-plane movements. The athlete

recruits core stabilizers during virtually every exercise. The PowerTower also provides unlimited increases in resistance from three percent to 72 percent of the user’s body weight. At the press of a switch, an athletic trainer can increase or decrease the athlete’s resistance load electronically during an exercise in progress for a more productive workout session. Now, the PowerTower also includes a wireless handle that the athletic trainer can operate remotely or attach to the cable system. This innovative addition allows the user to control resistance changes during an exercise in progress. “With an infinite range of resistance levels, we can easily track progress and positively reinforce the athlete,” explains Grove. “This often motivates the athlete to push himself while maintaining a safe rehab environment.” Grove is one of countless athletic trainers who have discovered the advantages of training athletes on the PowerTower. efi Sports Medicine, a trusted leader in functional exercise equipment for the physical therapy and athletic training markets, has created this outstanding piece of equipment that’s used by athletic trainers and physical therapists across the country for rehab, functional conditioning, sport-specific training, and performance enhancement. Designed, engineered, and manufactured to meet the rigorous demands of the most intense clinical environments, the PowerTower was created for wellness centers, clinical therapeutic exercise, athletic training, and high-performance functional sports training. “Our goal,” says Tom Campanaro, efi’s co-founder and CEO, “is to provide quality products that help people achieve their health, fitness, and rehabilitation goals. We deliver and guarantee results.” To date, efi products are in more than 15,000 rehab clinics, schools, hospitals, athletic training centers, and health clubs worldwide, and in 2.5 million homes. TR AINING-CONDITIONING.COM

HOT & COLD Hygenic Performance Health Products 800-321-2135 www.thera-band.com/ paraffin_bath.html The Parabath® paraffin bath provides soothing, moist heat to warm joints, tissue, and skin for the treatment of pain associated with arthritis, strains, sprains, and joint stiffness. It is also used to increase range of motion. Lightweight and portable, the Parabath features a deep, oversized stainless steel tank that allows for easy immersion of the hand and wrist, foot and ankle, or elbow. It comes with a five-year warranty. Call today to find a distributor near you. Circle No. 525

Gebauer Co. 800-321-9348 www.gebauer.com

Mettler Electronics 800-854-9305 www.mettlerelectronics.com

Gebauer’s Instant Ice® non-prescription skin refrigerant can be used like ice for minor pain and swelling from sprains, strains, bruising, contusions, and minor sports injuries. Gebauer’s Instant Ice is ideal for facilities that restrict the use of flammable components. It is available in a mist spray or stream spray aerosol can, and can be purchased directly from Gebauer by calling the company or visiting its Web site. Circle No. 526

Mettler Electronics is pleased to introduce Polar Frost Cold Spray for the temporary relief of pain and swelling from sprains, contusions, and minor injuries. The skin is instantly chilled to quickly reduce pain when Polar Frost Cold Spray is applied to an injury or muscle spasm. This is followed by the longer-lasting cooling relief of menthol. To find out more about Polar Frost Cold Spray, call Mettler Electronics today. Circle No. 527

Stabilize Chronic Shoulder Dislocators, Separators, and Subluxators With over a decade of experience in shoulder brace design the MAXTM Shoulder Brace by Brace International, Inc. is an evolution in shoulder girdle support. The snug-fitting, lightweight material (under 2 pounds) allows for comfort with movement while its strap design system allows for many options to help protect the glenohumeral joint. Maximum Protection, Maximum Range of Motion

Bio-Dermal Hydrogel Kit For Fast Effective Transdermal Pain Relief This easy to use, over-the-counter kit consists of 3-2oz. roll-on bottles; 1-1% Hydrocortisone, 1-4% Lidocaine, and 1-15% Methyl Salicylate & 10% Menthol, 10-3”x5” Hydrogel Pads, and 10-4”x6” Tape Pads.

We highly recommend its use for all sports.

y Easy to use for Analgesic, Anesthetic and Anti-inflammatory applications. y May be used as a transdermal patch, applied directly to the skin, or used with Iontophoresis and Phonophoresis. y No Prescription Necessary. Call For More Information

800-545-1161 Toll Free - www.braceint.com

Kustomer Kinetics, Inc. (800) 959-1145 sales@kustomerkinetics.com Circle No. 131

Circle No. 130 TR AINING-CONDITIONING.COM

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HOT & COLD Pro-Tec Athletics 800-779-3372 www.injurybegone.com The Ice-Up portable ice massager by Pro-Tec Athletics stays frozen for up to 12 hours in a portable carrying cooler. You can take it anywhere to experience the benefits of direct, active, immediate post-activity ice massage. The Ice-Up is leakproof and offers effective treatment in five to seven minutes, not 15 to 20 minutes like passive ice packs. Enjoy quick deep-tissue relief for ligament, tendon, and muscle injuries. Immediate ice massage increases treatment effectiveness and speeds recovery. Circle No. 528 Two Cool, Inc. 971-344-5221 www.coldone.com Many champion PGA golfers and a host of caddies benefited from the

use of Cold One wraps at the recent Boeing Classic in Seattle. Cold One wraps efficiently stop pain and inflammation from critical or chronic soft tissue injuries to the back, knee, and elbow. They’re also great for other sports related conditions. “Nothing out there compares to the Cold One product,” says PGA senior Mitch Adcock. Cold One donated its proceeds from sales at the event to the Virginia Mason Team Medicine Charity. For more information, please visit the company’s Web site. Circle No. 529 Whitehall Mfg., Inc. 800-782-7706 www.whitehallmfg.com Whitehall Manufacturing offers a complete line of moist heat-therapy treatment products that are convenient and easy to use. Each heating unit is fabricated from heavy-gauge stainless steel

and polished to a satin finish. Standard features include a snap-off thermal protector that prevents overheating and a rounded bottom that minimizes bacteria build-up. The heating units are available in various sizes and colors. Circle No. 530 The ThermaSplint™ from Whitehall Manufacturing features dual voltage, an illuminated on/off switch, and quick heat-up time. The unit operates on a solar-powered digital thermometer that allows the temperature to be adjusted with digital readouts for different splinting thermoplastics. The ThermaSplint is constructed of heavygauge stainless steel. Circle No. 531

CATALOG SHOWCASE

Get A GRIP! FLEXGARD® BRAND OLYMPIC GRIP PLATES featuring

Rubber-Coated Cast-Iron Construction! F $20 OF Receiveﬁrst online 0. your e over $10 purchas

www.ﬁtnessrubber.com’s

Annual Back to School Sale Save an additional 25% OFF our regular web pricing now through October 2007! Use the ﬁtness code “ﬁtness09” when you check out. Offer expires Oct 31.

Call 888-894-0204 Today! Circle No. 132

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Creative Health Products, Inc. 800-742-4478 www.chponline.com

Power Systems 800-321-6975 www.power-systems.com

Since 1976, Creative Health Products has been a leading discount supplier of rehabilitation, fitness, exercise, and athletic equipment, as well as health, medical, and fitness testing and measuring products, all available at reduced prices. Creative Health Products offers heart rate monitors; blood pressure testers; pulse oximeters; body fat calipers; scales; strength testers; flexibility testers; stethoscopes; pedometers; exercise bikes; ergometers; stopwatches; fitness books and software; exercise bands; step benches; hand and finger exercisers; heating pads; and more. Circle No. 532

Power Systems continues to provide the industry with the essential tools for advancing health, fitness, and physical performance through the release of the Power Systems 2008 product catalogs. This year, Power Systems introduces three new catalogs: the 88-page Comprehensive, the 72-page Sport Conditioning, and the 24-page Strength. The Comprehensive catalog combines the Fitness and Sports catalogs into one convenient resource book. For specialized training, there are the Sport Conditioning and Strength catalogs. With more than 1,200 innovative products and programs available and a knowledgeable staff of professionals on hand, Power Systems is committed to providing fitness and sports professionals with the quality products and service they expect. Circle No. 533 TR AINING-CONDITIONING.COM

7/22/07 5:07:20 PM

COMPANY NEWS

Dynatronics Acquires Six Key Distributors; Revenues Projected to Jump 80 Percent vide quality products to the physical medicine marketplace,” says Larry K. Beardall, Executive Vice President of Sales and Marketing for the company. “The relationships built over the years have paid off and we can now enjoy the increased efficiencies, synergies, and benefits of vertical integration working through a direct sales force in approximately 20 states.” Dynatronics Corp. has announced that on June 30, 2007 and July 2, 2007, it acquired six of its key independent distributors: Rajala Therapy Sales Associates of Pleasanton, Calif.; Responsive Providers, Inc. of Houston, Texas; Therapy and Health Care Products, Inc. of Girard, Ohio; Cyman Therapy, Inc. of Detroit, Mich.; Al Rice and Associates, Inc. of Jeffersonville, Ind.; and Theratech, Inc. of Minneapolis, Minn.

these acquisitions provide competitive advantages and form a vital part of Dynatronics’ strategic plan to strengthen distribution channels and improve company performance.” The six dealers generated approximately $19 million in combined revenues in 2006. After adjusting

Adding sales of these distributors is expected to increase overall Dynatronics revenue for the company’s fiscal year ending June 30, 2008 by an estimated 80 percent. “We are thrilled to join forces with six of our top dealers,” says Kelvyn H. Cullimore, Jr., Dynatronics’ Chairman and President. “Each of these dealers represents, in our opinion, the best rehab products sales force in the territories they serve. Importantly,

for the direct sales of Dynatronics products to these dealers, Dynatronics’ overall revenues are expected to increase by an estimated $15 million. “We’ve worked closely with most of these dealers for two decades to pro-

“We are very pleased to be part of the Dynatronics team,” adds John Rajala, President of Rajala Therapy Sales, the largest of the independent distributors. “Dynatronics’ leadership in the therapy market for the past two decades was an important factor in our decision to join the company. We look forward to helping grow Dynatronics’ sales and profitability in the future.” Dynatronics manufactures, markets, and distributes advanced-technology medical devices, orthopedic soft goods and supplies, treatment tables, and rehabilitation equipment for the physical therapy, sports medicine, chiropractic, podiatry, plastic surgery, and dermatology markets, and other related medical, cosmetic, and aesthetic markets. More information regarding Dynatronics is available at the company’s Web site.

Dynatronics 7030 Park Centre Dr. Salt Lake City, UT 84121 800-874-6251 Fax: 801-568-7711 info@dynatron.com www.dynatronics.com TR AINING-CONDITIONING.COM

T&C OCTOBER 2007

ADVERTISERS DIRECTORY CIRCLE COMPANY NO.

PAGE NO.

CIRCLE NO.

COMPANY

PAGE NO

112 . . . AthletiClean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

125 . . . NASM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

105 . . . Biofreeze速/Performance Health速 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

103 . . . Nautilus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

130 . . . Brace International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

122 . . . NCCPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

118 . . . Cadlow Shoulder Stabilizer (DM Systems) . . . . . . . . . . . . . . . . . . . . . . . . 29

121 . . . Neuro Resource Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

123 . . . California University of Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . 36

111 . . . NExTT Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

102 . . . Cho-Pat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

110 . . . Oakworks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

107 . . . Cold One (Two Cool) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

124 . . . OPTP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

100 . . . CytoSport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IFC

104 . . . Perform Better . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

135 . . . Dynatronics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IBC

108 . . . Pro-Tec Athletics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

114 . . . Empi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

120 . . . PROTEAM by Hausmann. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

132 . . . Fitnessrubber.com . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

128 . . . Samson Weight Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

101 . . . Gatorade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

134 . . . Save-A-Tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

115 . . . Gebauer Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

116 . . . Vibration Health Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

133 . . . Jump Stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

117 . . . Stott Pilates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

119 . . . Kneebourne Therapeutic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

106 . . . TurfCordz/NZ Mfg. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

131 . . . Kustomer Kinetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

127 . . . VertiMax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

126 . . . Lippincott Williams & Wilkins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

113 . . . Whitehall Manufacturing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

109 . . . Mettler Electronics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

136 . . . Wobenzym N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BC

PRODUCTS DIRECTORY CIRCLE COMPANY NO.

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CIRCLE NO.

COMPANY

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500 . . . Avazzia Med-Sport (BEST-RSI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

542 . . . Nautilus (XPLOAD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

501 . . . Avazzia Med-Sport (Med-Sport). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

536 . . . NCCPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

502 . . . Biofreeze/Performance Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

516 . . . Neuro Resource Group (Dual Flex Array). . . . . . . . . . . . . . . . . . . . . . . . . . 50

503 . . . Brace International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

515 . . . Neuro Resource Group (InterX Sport) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

534 . . . California University of Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . 57

517 . . . NExTT Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

504 . . . Cho-Pat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

518 . . . Oakworks (PowerLine treatment tables) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

529 . . . Cold One (Two Cool) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

519 . . . Oakworks (Prone Pillow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

532 . . . Creative Health Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

545 . . . OPTP (Exercise Ideas books). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

505 . . . DM Systems (AnkleTough) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

544 . . . OPTP (Foam Roller Techniques) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

506 . . . DM Systems (Cadlow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

537 . . . Perform Better (Drive Sled) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

507 . . . Dynatronics (Solaris Series). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

538 . . . Perform Better (Swing Core Trainer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

508 . . . Dynatronics (X5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

533 . . . Power Systems (catalog) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

535 . . . Fitnessrubber.com . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

521 . . . Power Systems (Massage Bar) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

526 . . . Gebauer (Instant Ice) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

520 . . . Power Systems (Thera Cane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

509 . . . Gebauer (Spray and Stretch) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

550 . . . Power/Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

525 . . . Hygenic Performance Health Products . . . . . . . . . . . . . . . . . . . . . . . . 53

528 . . . Pro-Tec Athletics (Ice-Up) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

510 . . . Jump Stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

522 . . . Pro-Tec (Iliotibial Band Wrap) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

511 . . . Kneebourne Therapeutic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

546 . . . Save-A-Tooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

512 . . . Kustomer Kinetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

547 . . . SportsTemp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

543 . . . LW&W (Conditioning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

548 . . . Stott Pilates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

513 . . . LW&W (Myofascial Pain) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

549 . . . VersaClimber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

527 . . . Mettler Electronics (Polar Frost Cold Spray) . . . . . . . . . . . . . . . . . . . . . . . . 53

551 . . . Vibration Health Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

514 . . . Mettler Electronics (Sonicator Plus 940) . . . . . . . . . . . . . . . . . . . . . . . . . . 50

530 . . . Whitehall Manufacturing (moist heat) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

539 . . . NASM (Corrective Exercise Specialist) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

531 . . . Whitehall Manufacturing (ThermaSplint) . . . . . . . . . . . . . . . . . . . . . . . . . . 54

540 . . . NASM (Performance Enhancement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

523 . . . Wobenzym N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

541 . . . Nautilus (One) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

524 . . . Wobenzym N (Creme) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

T&C OCTOBER 2007

TR AINING-CONDITIONING.COM

MORE PRODUCTS California University of Pennsylvania 866-595-6348 www.cup.edu/go California University of Pennsylvania’s Global Online offers 100-percent online degree programs designed to fit into your busy schedule. Access your classes from anywhere, at any time, through an asynchronous class format. All you need is a computer with Internet access—no special software is required. For more information, visit the Cal U Global Online Web site or call toll-free. California University of Pennsylvania: Building Character, Building Careers. Circle No. 534 Fitnessrubber.com 888-894-0204 www.fitnessrubber.com Fitness Rubber is a new Web fitness resource that offers “manufacturer direct pricing” for all your fitness rubber equipment needs. The company’s products include Kraiburg Solid Rubber Weight Plates, Kraiburg-Sportec Rolled Rubber Flooring, Kraiburg-Sportec Interlocking Fitness Tiles, and FLEXGARD Rubber Coated Cast Iron Weight Plates, to name just a few. Make it a point to visit Fitnessrubber.com and receive immediate savings of up to 45 percent. Act now and receive a $20 discount on your initial Web site order over $100. Circle No. 535 NCCPT Personal Training Certification 800-778-6060 www.NCCPT.org The National Council for Certified Personal Trainers (NCCPT) is much like a trade school, providing students with the tools they need to work as personal trainers. NCCPT instructors are in the trenches, training. The information is presented in a practical manner, so students can apply their academic knowledge to themselves and their athletes. The NCCPT constantly updates its materials to stay current with the latest cuttingedge techniques. Use this certification to recruit personal trainers. Both live courses and home courses are available. Circle No. 536 TR AINING-CONDITIONING.COM

Perform Better 800-556-7464 www.performbetter.com Perform Better has introduced its new heavy-duty 12-gauge steel Drive Sled for pushing and pulling exercises. The cleverly designed rear handle lets you drive the sled from two different heights. Multiple plate storage stations allow for overload strength training while keeping the sled evenly balanced. Just add your Olympic plates to achieve the desired resistance. A heavy-duty harness lets you comfortably handle heavy loads. The Drive Sled is available only in the 2007 Perform Better catalog. Request your free copy by calling or going online today. Circle No. 537 Perform Better has introduced the new Swing Core Trainer. This hollow ball has inserted handles, making it ideal for gripping, throwing, and rotating. The handles are reinforced with PVC inserts to prevent them from flattening out during upperbody exercises. The Swing Core Trainer is available in five color-coded sizes ranging from five pounds to 14 pounds with a nine-inch diameter. It’s available only in the 2007 Perform Better catalog. Circle No. 538

Experience two days of hands-on performance assessments and exercise technique training at the NASM Live Workshop: OPT for Performance Enhancement. Practice speed, agility, and quickness, and design sportspecific programs. Upcoming dates and locations are: San Francisco, CA, Nov. 9-10, 2007; New York, NY, Jan. 25-26, 2008; Schiller Park, IL, Mar. 78, 2008; Calabasas, CA, Apr. 18-19, 2008; Houston, TX, Jun. 27-28, 2008; Minneapolis, MN, Aug. 15-16, 2008; Calabasas, CA, Oct. 3-4, 2008; and Secaucus, NJ, Nov. 7-8, 2008. Earn 1.6 NASM CEUs, 0.8 NSCA CEUs, and 16 NATABOC CECs for only $199. To register, call the NASM or go online today. Circle No. 540 Nautilus 877-657-7762 www.nautilus.com/One www.nautilusxplode.com

NASM 800-460-6276 www.nasm.org

Nautilus One represents the next generation of single-station strength. Nautilus One equipment combines a revolutionary new weight stack technology with one of the most intuitive and userfriendly selection methods ever created: a dial. The unique modular design of Nautilus One equipment offers a sleek, modern looking, maintenance-free strength floor. With 14 available movements, Nautilus One equipment provides a simpler and more effective workout. Circle No. 541

NASM’s Corrective Exercise Specialist (CES) advanced specialization provides you with evidence-based knowledge, skills, and abilities to achieve superior results with clients suffering from musculoskeletal impairments, imbalances, and post-rehabilitation concerns. Comprising nine modules that cover advanced corrective topics such as movement assessment, inhibitory techniques, muscle activation techniques, and common musculoskeletal impairments, the CES integrates innovative science and solutions for optimal success. Go online to find out more. Circle No. 539

Designed and tested by strength trainers for strength trainers, Nautilus XPLOAD equipment is a collection of professional-grade plate loaders, racks, platforms, and accessories, all designed to be some of the best elite strength training tools available. With features such as sevengauge steel, low loading points, and oversized comfort upholstery, Nautilus XPLOAD gives your athletes the advantage they deserve. Play hard. Train harder. Go online to learn more. Circle No. 542 T&C OCTOBER 2007

MORE PRODUCTS Lippincott Williams & Wilkins 800-638-3030 www.lww.com

Save-A-Tooth 888-788-6684 www.Save-A-Tooth.com

VersaClimber 800-237-2271 www.versaclimber.com

Conditioning for Strength and Human Performance, by T. Jeff Chandler, EdD, CSCS*D, FACSM, and Lee E. Brown, EdD, CSCS*D, FACSM, offers everything you need to train athletes for maximum performance and prepare yourself for certification. You’ll get detailed instructions on testing, assessment, exercise techniques, program development, and more. A CD-ROM with a practical exam, video demonstrations, and quizzes comes with the book. Circle No. 543 OPTP 800-367-7393 www.optp.com/ad

Every year, 800,000 teeth are knocked out during sports and only 10 percent of athletes consistently wear mouthguards. Knocked-out teeth begin to die within 15 minutes. Save-A-Tooth can preserve and nourish knocked-out teeth for up to 24 hours. Save-A-Tooth is a scientifically proven system with a cell-preserving solution and a suspension basket that protects and saves tooth root cells. Protect your athletes by keeping a SaveA-Tooth on hand. Information about knocked-out teeth and Save-A-Tooth can be obtained at the Save-A-Tooth Web site or by calling the company. Circle No. 546

Exervibe is a whole-body vibration stepper that provides athletic enhancement when used in either the static (standing) or dynamic (pedaling) position. Vibration is applied to the feet, hands, arms, and core simultaneously. The Exervibe is a cardio stepper and a vibration trainer in one. It has a step range from one to 18 inches, an adjustable seat, and a control module with four different settings. It is an extremely versatile device that efficiently and effectively implements the benefits of vibration. Circle No. 549

SportsTemp, LLC 877-570-HEAT www.sportstemp.com

Power/Balance 888-769-2250 www.powerbalance.net

The SportsTemp™ Thermostrip effectively reflects the intensity of a workout by measuring the core temperature of the brain and displaying a clear, accurate, easy-toread yellow color indicator. The twoinch self-adhesive Thermostrip is easy to apply to the forehead or upper chest, and is scientifically proven to reflect the physiology of the brain. Go online or call SportsTemp for more information. Circle No. 547

The Power/Balance holographic performance booster is a hologram that, like a CD or DVD, can be programmed with data. Instead of media data, Power/ Balance uses bio data that reacts with the body’s energy field to increase cell-to-cell communication. When it comes into contact with the body, it instantly improves power, balance, flexibility, range of motion, endurance, focus, and more. It is truly a one-of-akind performance booster. Circle No. 550

Now you can have the most popular exercises from the bestselling book Foam Roller Techniques in one convenient poster set. Broken down by upperand lowerbody exercises, this set of 18” x 24” posters is an ideal resource for fitness centers, rehab facilities, offices, and homes. The posters, along with additional foam rollers and resources, are available from OPTP. Call or go online today to request a free catalog. Circle No. 544 The Exercise Ideas books, available from OPTP, are perfect for health and fitness professionals who want to vary their workout routines and enhance their own personal knowledge of exercise possibilities. The set of four books includes Exercise Ideas for Core Strengthening, Exercise Ideas for Conditioning on the Ball, Exercise Ideas for Upper Body Strengthening, and Exercise Ideas for Lower Body Strengthening. The books are also sold separately. Circle No. 545

T&C OCTOBER 2007

Stott Pilates 800-910-0001 www.stottpilates.com The V2 Max Plus Reformer is a revolutionary all-in-one unit that’s taking the industry by storm and pushing programming options to the max. It features hundreds of stellar modifications and possibilities for countless sportspecific and cross training exercises, all facilitated by unrestricted, fluid movement that mimics the demands of everyday life. Create a completely customized workout for every athlete to help maximize their results. Circle No. 548

Vibration Health Solutions, Inc. 888-386-8471 www.vibrahs.com Regardless of age or health and fitness level, the Evolution offers individual therapeutic and exercise opportunities to meet your needs. In just 10 minutes, the Evolution improves bone density, muscle tone, endurance, strength, and much more, without the constraints of conventional exercise. The Evolution is ideal for fitness and rehab facilities, health practitioners’ offices, retirement centers, spas, and even the privacy of your own home. Circle No. 551 TR AINING-CONDITIONING.COM

Calling Cards Here is what these companies are most known for...

Winning taste... Championship results. www.cytosport.com

Highly respected strength and conditioning and personal training certifications. www.nsca-cc.org

Building equipment for football champions for 35 years. www.rogersathletic.com

Manufacturer and distributor of advanced-technology medical and rehabilitation equipment, supplies, and treatment tables. www.dynatronics.com

Created for the extreme demands of high-level athletic training. www.nzmfg.com

Supplier of functional exercise equipment for rehabilitation and athletic training. www.totalgym.com

Manufacturer of quality therapeutic devices and supplies for 50 years. www.mettlerelectronics.com

Supplier of quality tools and resources for more than 30 years. www.optp.com/ad

An excellent strength-enhancing, power-producing conditioning tool. www.thexvest.com

Do you have ENOUGH BANDS for your team? WVU does! Shown here is just one of three rubber-band rooms at West Virginia University.

For information on setting up a band room in your facility, call us at 1-800-344-3539. Stay ahead of your competition with Flex Bands...the best-kept secret in pro sports! Used by the Giants, Jaguars, Raiders, Ravens, Angels, Padres, Red Sox, and many more, Flex Bands have been improving athletic performance since 1980!

Jump Stretch, Inc. 1230 N. Meridian Rd. Youngstown, OH 44509 www.jumpstretch.com 1-800-344-3539 Fax: 1-330-793-8719 Circle No. 133 TR AINING-CONDITIONING.COM JumpStretchAdForTC1505v3.indd 1

T&C OCTOBER 2007 7/14/05 10:59:42 AM

CEU QUIZ

T&C October 2007 Volume XVII, No. 7

Training & Conditioning is pleased to provide NATA and NSCA members with the opportunity to earn continuing education units through reading issues of the magazine. The following quiz is based on articles that appear in this issue of Training & Conditioning. By satisfactorily completing the quiz and mailing it to MAG, Inc., readers can earn 2.0 BOC Athletic Training and 0.2 NSCA (two hours) continuing education units.

Instructions: Fill in the circle on the answer form (on page 62) that represents the best answer for each of the questions below. Complete the form at the bottom of page 62, include a $20 payment to MAG, Inc., and mail it by November 15, 2007 to the following address: MAG, Inc., ATTN: T&C 17.7 Quiz, 31 Dutch Mill Road, Ithaca, NY 14850. Readers who correctly answer 70 percent of the questions will be notified of their earned credit by mail no later than January 1, 2008. Vaulting Over Pain (pages 14-19) Objective: Get the latest research and conclusions on prolotherapy treatments used in rehab treatments. 1. What is involved in prolotherapy? a) Lying over special foam rolls. b) Trigger point releases. c) Anti-inflammatory injections. d) Injecting an irritant solution to further inflame connective tissue and result in increased blood flow to the area. 2. The most common athletic injuries treated with prolotherapy are: a) Muscle tears. b) Disc bulges and herniations. c) Tendinopathy and ligament strains. d) Achilles tendon ruptures. 3. The generally accepted healing mechanism of prolotherapy is: a) Increased inflammation helps splint the area to allow healing. b) The injection decreases inflammation. c) Increased blood flow brings more white blood cells to the affected area. d) The injections cause muscle relaxation which allows healing to occur. 4. Prolotherapy promotes collagen fibers that are: a) Laid down haphazardly. b) Similar to scar tissue. c) Stronger than the initial tissue. d) Very organized in a linear fashion along force lines of the tendon or ligament. 5. What is a common prolotherapy injection solution made up of? a) Concentrated sugar solution with a local anesthetic. b) A concentrated sugar solution with a steroid. c) Cod liver oil and a steroid. d) Sucrose and phenol. 6. The negative side effect of using P2G is: a) If the medicine goes to an area where there is a nerve, there is a possibility of numbness or weakness that may last up to 6 months. b) Permanent paralysis in the muscle tissue near the injection site. c) An allergic reaction to the phenol with the possibility of internal bleeding. d) Aggravation of the injury.

T&C OCTOBER 2007

7. Glick uses solutions containing what for interjoint injuries? a) 10% glucose. b) 25% dextrose. c) 30% phenol. d) 30% sucrose. 8. The injection site is typically: a) Where the tissue connects to the bone. b) Mid-tendon or ligament. c) At the most tender point. d) In the muscle belly.

The Right Route (pages 20-24) Objective: Gain an understanding of how different athletes need to use different routes for training and conditioning gains. 9. Constantly watching the timing of repetitions, weight loads, and exertion is considered by this author to be: a) Time consuming. b) Self-correcting. c) Counter-productive. c) Synergistic. 10. Adaptability results from the interaction of and coordination among: a) Skill, competition, and diet. b) Speed, strength, endurance, power, flexibility, and skill. c) Speed, agility, and strength. d) Practice, competition, endurance, power, speed, and the off-season.

Magic Beans (pages 25-30) Objective: See what the newest information on soybeans is and how their nutritional value can help supplements athletesâ&#x20AC;&#x2122; diets. 11. Soybeans are made up of _____ percent protein. a) 10-25. b) 25-34. c) 35-38. d) 41-49. 12. Soybeans are considered a complete protein because they: a) Contain a perfect balance of carbohydrates, protein, and fat. b) Contain enough calories to count as a meal. c) Contain all the necessary amino acids to form proteins. d) Are easily digested.

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13. Soybeans are a good source of linoleneic acid, which may help: a) Sustain energy. b) Decrease inflammation. c) With recovery. d) Promote cell regeneration. 14. One cup of green soybeans contains over how many grams of fiber? a) 10. b) 15. c) 20. d) 25. 15. Soluble fiber in soybeans helps: a) Regulate blood sugars and manage lipids. b) Improve glucose production. c) Decrease inflammation. d) Sustain energy. 16. One cup of cooked soybeans contains how many milligrams of calcium? a) 160. b) 165. c) 170. d) 175. 17. Athletes need how many grams of protein per pound of body weight? a) 0.1 to 0.2. b) 0.2 to 0.4. c) 0.4 to 0.6. d) 0.6 to 0.8. 18. Athletes with _____ should consult a medical professional before ingesting soy. a) Cardiovascular disease. b) Obesity concerns. c) Thyroid dysfunction. d) Progesterone deficiencies. 19. According to Layman, 65 percent of the protein in American diets is consumed: a) At breakfast. b) At lunch. c) After 6:30 pm. d) After 9 pm. 20. What do the latest recommendations indicate when it comes to recovery fuel? a) One gram of carbohydrate per kilogram of body weight plus 15 to 20 grams of protein within 30 minutes of a hard workout. b) Four grams of carbohydrates per kilogram of body weight plus 15 to 20 grams of protein within 30 minutes of a hard workout.

TR AINING-CONDITIONING.COM

c) Two grams of carbohydrates per kilogram of body weight plus 30 grams of protein within 30 minutes of a hard workout. d) One gram of carbohydrate per kilogram of body weight plus 15 to 20 grams of protein within 120 minutes of a hard workout.

Meeting In the Middle (pages 33-38) Objective: Learn more about the art of negotiating and how you can use it in your everyday negotiations as an athletic trainer. 21. Part of productive negotiations involves the idea of: a) Focusing on interests instead of positions. b) Setting goals. c) Communicating your needs to your employer. d) Taking a realistic position. 22. Successful negotiating should move away from emotional factors to: a) A need basis. b) Objective factors. c) Feasibility factors. d) A limited communication approach.

Strong Holds (pages 39-44) Objective: See how a college wrestling coach who is also certified as a strength and conditioning coach uses his knowledge to train his team. 23. What does typical periodization mean? a) Starting with higher repetitions and lower weights, then reducing the repetitions and raising the weights stage-bystage, every few weeks. b) Changing the focus from session to session. c) Sport-specific training composed of closed-chain exercises. d) Alternating closed chain, multi-joint, multi-plane plyometrics. 24. What does a non-linear program mean? a) Starting with higher repetitions and lower weights, then reducing the repetitions and raising the weights stage by stage, every few weeks. b) Changing the focus from session to session. c) Sport-specific training composed of closed-chain exercises. d) Alternating closed chain, multi-joint, multi-plane plyometrics. 25. According to this article, wrestlers generally have their biggest weight gains when performing: a) Cardiovascular exercise for periods longer than one hour. b) Multiple sets of high repetition exercise. c) Fewer repetitions with maximum weight. d) Olympic lifts more often than two days per week.

Answer sheet is on page 62

T&C OCTOBER 2007

CEU QUIZ

ANSWER FORM

Instructions: Fill in the circle on the answer form below that represents your selection of the best answer for each of the previous questions. Complete the form at the bottom of this page, include a $20 payment to MAG, Inc., and mail it to the following address: MAG, Inc., ATTN: T&C 17.7 Quiz, 31 Dutch Mill Road, Ithaca, NY 14850, no later than November 15, 2007. Readers who correctly answer 70 percent of the questions will receive 2.0 BOC Athletic Training and 0.2 NSCA (two hours) CEU’s, and will be notified of their earned credit by mail no later than January 1, 2008.

Vaulting Over Pain

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1. 2. 3. 4. 5. 6. 7. 8.

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The Right Route

9. 10. Magic Beans

11. 12. 13.

14. 15. 16. 17. 18. 19. 20.

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Meeting In the Middle

21. 22. Strong Holds

23. 24. 25.

Last Name ____________________________________ First Name _______________________________ MI______ Title ______________________________________________________________________________________________ Mailing Address ____________________________________________________________________________________ City ________________________________________________ State _________ Zip Code _____________________ Daytime Telephone ( _________ ) ________________________________________ E-Mail Address ____________________________________________________________________________________ Payment Information

❏ $20 check or money order (U.S. Funds only) payable to: MAG, Inc. (please note “T&C 17.7 Quiz” on check) ❏ Visa

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T&C OCTOBER 2007

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ADDITIONAL EDUCATIONAL PROGRAMS

EARN BOC CEUs • Complete quizzes found in the NSCA’s Strength & Conditioning Journal • Complete online quizzes at www.nsca-cc.org Toll-free: 888-746-2378 I Online: www.nsca-cc.org E-mail: commission@nsca-cc.org

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2/27/07 5:08:47 PM

UNITED STATES POSTAL SERVICE Statement of Ownership, Management, and Circulation (Required by 39 U.S.C. 3685)

ncss60v0.indd 1

1. 2. 3. 4. 5. 6. 7.

15. Extent and Nature of Circulation: 9/14/06 3:41:54 PM

Publication Title Training & Conditioning Publication Number 1058-3548 Filing Date September 11, 2007 Issue Frequency Monthly except Jan., May, & July No. of Issues Published Annually 9 Annual Subscription Price $28.00 Complete Mailing Address of Known Office of Publication 31 Dutch Mill Rd. Ithaca, NY 14850-1014 Contact Person: David Dubin, Telephone: 607-257-6970 x 12 8. Complete Mailing Address of Headquarters or General Business Office of Publisher 31 Dutch Mill Rd. Ithaca, NY 14850-1014 9. Full Names and Complete Mailing Address of Publisher, Editor, and Managing Editor Publisher: Mark A. Goldberg 31 Dutch Mill Rd. Ithaca, NY 14850-1014 Editor and Managing Editor: Eleanor Frankel 31 Dutch Mill Rd. Ithaca, NY 14850-1014 10. Owners MAG, Inc. 31 Dutch Mill Rd. Ithaca, NY 14850-1014 Mark A. Goldberg 31 Dutch Mill Rd. Ithaca, NY 14850-1014 11. Known Bondholders, Mortgagees, and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages, or Other Securities: None 12. Tax Status: Has not changed during preceding 12 months. 13. Publication: Training & Conditioning 14. Issue Date for Circulation Data September 2007 vol. 17.6 (August 30, 2007)

TR AINING-CONDITIONING.COM

a. Total Number of Copies (Net Press Run) b. Legitimate Paid and/or Requested Distribution (1) Individual Paid/Requested Mail Subscriptions Stated on PS Form 3541 (2) Copies Requested by Employers for Distribution to Employees by Name or Position Stated on PS Form 3541 (3) Sales Through Dealers and Carriers, Street Vendors, Counter Sales, and Other Paid or Requested Distribution Outside USPS (4) Requested Copies Distributed by Other Mail Classes Through the USPS c. Total Paid and/or Requested Circulation (Sum of 15b (1), (2), (3), and (4)) d. Nonrequested Distribution (1) Nonrequested Copies Stated on Form 3541 (2) Nonrequested Copies Distributed Through the USPS by Other Classes of Mail (3) Nonrequested Copies Distributed Outside the Mail e. Total Nonrequested Distribution (Sum of 15d (1), (2), and (3)) f. Total Distribution (Sum of 15c and 15e) g. Copies not Distributed h. Total (Sum of 15f and g) i. Percent Paid and/or Requested Circulation (15c divided by 15f times 100)

Average no. copies No. copies of single issue published each issue during preceding 12 months nearest to filing date 34,003 33,780 22,721

22,495

-0-

1,458

1,442

-0-

24,179

23,937

8,665 -0-

8,281 -0-

300

500

8,965

8,781

32,144 859 34,003 72.9%

32,718 1,062 33,780 73.2%

16. Publication of Statement of Ownership is required and will be printed in the October 2007 issue of this publication (9/27/07). 17. Signature and Title of Editor, Publisher, Business Manager, or Owner

Mark Goldberg, Publisher

Date: 9/11/07

I certify that all information furnished on this form is true and complete. I understand that anyone who furnishes false or misleading information on this form or who omits material or information requested on the form may be subject to criminal sanctions (including fines and imprisonment) and/or civil sanctions (including civil penalties).

T&C OCTOBER 2007

WEB NEWS Your Online Home for Personal Training Certification

Expanded Site Features More Sports Medicine Treatment Options

The National Council for Certified Personal Trainers (NCCPT) is different from most personal training certification bodies. The NCCPT is like a trade school, providing students with the tools needed to work as personal trainers. Visit the council’s Web site to learn about its certification and education program. The curriculum is based on sound academic principles, and the information is presented in a practical manner so students can apply the knowledge to themselves and their clients. The site also contains course materials, a sample test, and information on other certifications.

Pro-Tec Athletics’ Web site has been expanded to include more information on sports medicine injuries, treatments, and new products. The site also offers improved navigation and graphics, and now features articles by professional athletes on training and nutrition. An improved clickthrough Web cart makes buying products easier and quicker than ever. You also have the option of buying through leading sports medicine distributors with a simple click of the mouse. Despite these improvements, the site does not abandon its core purpose: Being your sports medicine information source.

www.nccpt.com

www.injurybegone.com There’s Much to See and Learn on the VertiMax Site The VertiMax Web site is functional and informative. It provides a demonstration of the VertiMax and has links to many resources. There are written and video testimonials, studies, and technical details about VertiMax, along with extensive athletic training support for customers. Sport-specific pages outline how VertiMax can enhance performance for specific athletic moves, and position-specific pages explain the benefits of VertiMax for coaches and parents alike. A literature page allows you to download brochures and pricing sheets, along with product warranty information. You can request quotes, free brochures, and demo DVDs on the site as well.

Information on Preserving Knocked-Out Teeth Available Online Save-A-Tooth, the emergency tooth-preserving system, is available through the company’s Web site. The site offers a convenient ordering area, information about the benefits of Save-A-Tooth, an explanation of who should use it, and answers to frequently asked questions. The site also provides information for dental and medical professionals about the company’s practice building program, testimonials about Save-A-Tooth, and a list of distributors that carry the product. Contact information is also available.

www.save-a-tooth.com

www.vertimax.com Build Your Dream Weightroom at Keiser’s Site Keiser produces low-impact pneumatic resistance equipment that’s utilized by athletes, fitness enthusiasts, and rehabilitation experts worldwide. The company’s Web site features detailed information on Keiser’s complete line of equipment and the science behind it. The site features 24-hour equipment service and marketing support, as well as a layout generator that will assist you in deciding how your equipment will fit into your space. You can also see how some of the nation’s top performance facilities, including Athletes’ Performance, Test Sports, and Mike Boyle’s Strength and Conditioning, are using Keiser equipment to develop today’s top athletes.

New Topaz Medical Web Site Offers Online Purchasing Check out Topaz Medical’s new Web site, which offers an updated look and online purchasing capability. The company continues to offer its top-selling medicine balls and rebounders, but has also added other quality rehabilitation and fitness products. Don’t forget to review the descriptions of popular exercises to perform with MediBalls. Go online today to review the company’s products and take advantage of convenient online shopping.

www.topazusa.com

www.keiser.com

Your athletes are counting on you!

STAY CONNECTED, STAY CURRENT... DAILY

800,000 teeth are knocked out each year during sports! Is your dental kit ready?

NOT This

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Training & Conditioning has developed an innovative Web site to keep you in touch with issues facing sports medicine and fitness professionals:

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(888) 788-6684 or www.Save-A-Tooth.com Circle No. 134

T&C OCTOBER 2007

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TR AINING-CONDITIONING.COM 5/22/07 11:41:29 AM

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Dynatronics 800.874.6251 Circle No. 135

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Desk Reference

For more information or to order literature for your clients, visit our website at www. Wobenzym .com/tandc †These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. ©2007 Naturally Vitamins, a Marlyn Nutraceuticals, Inc. company. Wobenzym®N is a registered trademark of Mucos Pharma, GmbH

Circle No. 136