Saturday, May 30, 2015

Easy Peasy

An abundance of fresh English peas can turn any dish into a bright springtime meal.

from Well http://well.blogs.nytimes.com/2015/05/30/easy-peasy-pea-recipes/

ScottsdaleSportsMedicine.net

Dietary Guidelines Advisory Committee Issues New Guidelines

The Dietary Guidelines Advisory Committee issued new guidelines that call for less sugar and no restriction on consuming cholesterol.

Take a look and comment

 

 




from Michael Boyle's Strengthcoach.com Blog http://strengthcoachblog.com/2015/05/30/dietary-guidelines-advisory-committee-issues-new-guidelines/
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Friday, May 29, 2015

Once Targeted by Racists, Housing Worker Now Loses Daughter


By THE ASSOCIATED PRESS from NYT U.S. http://www.nytimes.com/aponline/2015/05/29/us/ap-us-harassed-housing-worker.html

The Weekly Health Quiz: College Stress, Flossing and Back Pain Relief

Test your knowledge of this week's health news.

from Well http://well.blogs.nytimes.com/2015/05/29/the-weekly-health-quiz-college-stress-flossing-and-back-pain-relief/

ScottsdaleSportsMedicine.net

Ask Well: Floss or Brush First?

Few studies address the question, and dentists have opinions both ways. One says it’s human nature to skip the tougher job, so get that done first.

from Well http://well.blogs.nytimes.com/2015/05/29/ask-well-floss-or-brush-first/

ScottsdaleSportsMedicine.net

Thursday, May 28, 2015

Kluber Strikes Out 13 in Indians' 5-3 Win Over Mariners


By THE ASSOCIATED PRESS from NYT Sports http://www.nytimes.com/aponline/2015/05/29/sports/baseball/ap-bba-indians-mariners.html

Ask Grover: What’s Your Favorite Breakfast Fruit?

Grover of "Sesame Street" takes over Ask Well and solves the riddle of his favorite breakfast fruit.

from Well http://well.blogs.nytimes.com/2015/05/28/ask-grover-whats-your-favorite-breakfast-fruit/

ScottsdaleSportsMedicine.net

Smuggling a Beer for My Hospital Patient

When I think about being a doctor, I think of adrenaline and a rush of decisions and the hope of saving lives. But I also think of one moment in a hospital room sharing a smuggled Guinness.

from Well http://well.blogs.nytimes.com/2015/05/28/smuggling-a-beer-for-my-hospital-patient/

ScottsdaleSportsMedicine.net

LIFE Students at Noraxon 2015 Biomechanics Symposium

Three students from Life University’s Doctor of Chiropractic Program recently traveled to the Noraxon 2015 Biomechanics Symposium. The symposium was held in the biomechanics lab of Dr. Nick Studholme, a Denver, Colorado sports chiropractor. Life U’s Center for Chiropractic Research got their force-sensor treadmill and motion capture system from Noraxon, a company specializing in biomechanical analysis methods for clinical and research use. Students Mike Weiner, Jonathan Bryson (“Bryson”) and Lori Beth Bryson (“LB”), accompanied by Dr. Brent Russell, learned more about measurement of forces during walking, joint angles during movement and many more topics. Other attendees included biomechanics and health professionals from Arizona, California, Colorado, Pennsylvania, Germany and South Africa. Expect to see some interesting research coming from these folks in the future!



from Noraxon USA http://www.noraxon.com/life-students-at-noraxon-2015-biomechanics-symposium/

Scottsdale Sports Medicine

Committing to a Dog After Cancer

It was a month before my two-year cancer anniversary, and I was ready to make a commitment – to life, longevity and a puppy.

from Well http://well.blogs.nytimes.com/2015/05/28/committing-to-a-dog-after-cancer/

ScottsdaleSportsMedicine.net

Wednesday, May 27, 2015

@MarilynKaminski




Scottsdale Sports Medicine

Ask Grover: How to Get Children to Eat Vegetables

Sesame Street's Grover took over Ask Well this week to answer questions about the new cookbook "Sesame Street Let's Cook!" and how to encourage healthful eating for children.

from Well http://well.blogs.nytimes.com/2015/05/27/ask-grover-how-to-get-children-to-eat-vegetables/

ScottsdaleSportsMedicine.net

Anxious Students Strain College Mental Health Centers

Anxiety has surpassed depression as the most common mental health diagnosis among college students.

from Well http://well.blogs.nytimes.com/2015/05/27/anxious-students-strain-college-mental-health-centers/

ScottsdaleSportsMedicine.net

The Art of Screening: Simple Questions

Screens are a good idea.

A screen creates a situation requiring a low investment of time and expertise that provides a high return of information regarding potential next decisions and beneficial priorities. The best screens work even when time is short and resources are scarce.

In times of convenience and in the presence of technology, screens are even more important because they keep us grounded in a standard operating procedure based on history and science. It forces the next new ‘shiny thing’ to prove itself against a set baseline. I like the way the book Sway by Ori and Rom Brafman elaborates on this concept and I highly recommend it.

YSway-the-Irresistible-pull-of-irrational-behavior-195x300ou see, a screen creates direction. It’s not an assessment. It lets us know if we need further assessment in a particular direction. The biggest misconception in the health and fitness world about the FMS is that it is an assessment.

When we think about movement screening, it’s better to think about good screening before considering the specific movements we would prefer to cram into our movement screen. We must protect ourselves from our own movement biases, our own movement methods, our own movement preferences and our own movement abilities.

Simply stated, the only agenda in movement screening should be the question, “does the individual being screened move well enough to enter at the next level?”

“Did they meet movement vital signs?” Yes. Then get on with whatever is next.

If we’re screening human beings, then the prediction of behavior is a very important thing. General behaviors will tell us a lot. Until we know general behaviors, asking questions about specific behaviors may not be the best use of our time. Psychologists know this all too well.

When the movement screen was first introduced, I was hit with a barrage of questions about a screen for soccer or a screen for baseball . . . or middle school or the military? My response: a movement screen should be species-specific, not sport, activity or even age-specific. That is what I have always said. Obviously, we can have different distributions, grades, and assigned values, but movement is movement. We need to do it from the time we’re born until the time we leave.

Young and old

At some level there should be a baseline for movement that holds our hand across the entire lifespan of movement existence. The FMS may or may not do this job, but the category is needed and proven. Screens across the life span create clarity and direction.

From the time you can recognize letters, you are exposed to an eye chart. As long as you have some degree of vision and letter-literacy, the eye chart can tell us if your vision is acceptable for movement to the next level or if you need a more thorough assessment. If the next level is reading and writing, you may be ready. If you would like to drive a motor vehicle, knowing about peripheral vision and color blindness are helpful and sometimes vital. Want to be a pro golfer? The ability to read distances is also key.eye chart2

It all starts with the eye chart, every time . . . all the time. Things change and baselines are the best way to apply science and objectivity to get to the truth when it seems unclear or hidden.

If I were developing a psychological screening questionnaire that would predict your basic and general behaviors, I would have to ask simple questions, while creating a situation in which you were forced to answer them honestly. That’s a hard task.

Let’s look at the first dilemma: asking a simple question. A simple question is one that cannot be misconstrued or misinterpreted, regardless of who is doing the asking. That’s the first and most important part of a screen: a question that can be reproduced by people of different skill levels in different situations. A simple question, hopefully, with the intent of improving both communication and accountability regarding the answer to that question, which then creates the second dilemma: the answer to the question is only beneficial if it is honest.

The simplest question I can ask you about movement is, “can you or can’t you?” Regardless of your answer, I should pick a movement and ask you to do it. If you choose, you could always do worse. But if I asked the question correctly, you can never do better than your ability.

When we’re trying to predict future behavior by asking a series of questions, we must decide whether we want to try to predict success or failure. If we follow the laws of nature, nature does not necessarily create success opportunities. Nature offers us non-failure opportunities. With our failures and non-failures, we learn about ourselves and our environments. If we learn correctly, we succeed. If not, we don’t succeed.

successfailure

 

We actually learn more through our failures than our non-failures, and that’s why following nature is so important. Some of our failures can have pretty harsh consequences—consequences that may not be deserved. Sometimes they’re not survivable. A little bit of prudence and learning needs to be pre-installed allowing us to gauge our own abilities in different environments.

We might not always succeed, but we can create opportunities where we quickly and clearly learn from failure. It is not necessary to fail the same way (action) at the same task (environment) a second time. Always modify the action or the environment if the desired result is not observed. Remember, modifying both at the same time destroys the feedback loop. Some of the most successful people in the world have a history of numerous failures, but it’s what they did with that information that took them to the next level.TOITW

They used a failure opportunity as a feedback loop. The Obstacle is the Way by Ryan Holiday is a study of this learning process—highly recommended.

Next time, we’ll delve deeper into improving the art of screening, the patterns of the FMS and keeping it all simple.

 

 

 


“What’s Behind a Mobility Problem” is my new talk at MovementLectures.com. It’s a good look into how my mind and our systems think about the causes and remedies of mobility problems.

gray-cook-22



from Gray Cook, Physical Therapist, Lecturer, Author http://graycook.com/?p=2468

Scottsdale Sports Medicine

Slushies vs. Frozen Underwear for Hot-Weather Workouts

To stay comfortable when exercising in higher temperatures, precooling with ice can be helpful. But the benefits depend on where you put the ice.

from Well http://well.blogs.nytimes.com/2015/05/27/slushies-vs-frozen-underwear-for-hot-weather-workouts/

ScottsdaleSportsMedicine.net

Tuesday, May 26, 2015

Core & Balance Training for Runners

Core & Balance Training for Runners

Core training for runners without a crunch or plank in sight!

Posted by Kinetic Revolution on Tuesday, 26 May 2015

In this week’s new video I demonstrate and discuss two great exercises for training core strength and balance in runners.

Not a crunch, plank or wobble board in sight :)

The post Core & Balance Training for Runners appeared first on Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution.



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Scottsdale Sports Medicine

Coach James Leath on Playing Time

This is a great piece. Please don’t credit me with writing it!

At times I have been accused of playing my favorites. Let me be very clear:

Yes, I do play my favorites.

Here is the reality. I am a youth coach. Before you stop reading let me also say I believe it is very important everyone plays in youth sports. But this is not the NBA and I do not have to play my best players in order to keep my job. A benefit of coaching youth sports is there is less pressure to win, and as a coach I can focus on player development without worrying about getting fired. Ask the average youth athlete why they play sports and I bet they would say because it’s fun. Maybe they will say because they get to hang out with friends. Maybe they like the coach. Rarely will they say it’s because they like to win.

If I have a win-less season as a 5th grade football coach and every athlete wants to play again the next year, was I successful? That actually happened to me. In 2013, we lost every game; we were defeated. And we made sure every player played in every game. Every Monday the whole team showed up ready for another week. At the end of the year party, I was brought to tears. I asked the team who was going to play the next year. Every single athlete raised his or her hand. I just happened to run into one of those athletes last weekend at his lacrosse game. (I am not coaching, but I hear a whistle and I cannot resist). You know what we didn’t talk about? Losing every game. I asked him what he remembered about the season and he said, “It was a lot of fun, and you let us play tag at the end of practice.” He thought it was fun. He played a lot and yes, he was one of my favorites. Keep in mind we lost every, single, game.

At the beginning of every season I hold a parent meeting where I present my goals for that season. They include character development, skill development, tons of encouragement to take chances and lots of high-fives. Notice: winning is not on that list. It doesn’t need to be. When you keep things simple and kids are learning and improving every week, winning is a by-product. And let’s not fool ourselves; the scoreboard at a youth game is for the parents and the coaches, not the athletes.

So yes, I play my favorites.

Here are six things I look for in an athlete to be on the starting roster:

Punctual:If a kid is late to youth practice, it’s the parents’ fault. Being a parent is tough and getting all their kids to practice on time is just not always possible. I’ll never punish a kid for being late to youth practice, as long as when they come in they jump right into the drills and get to work. However, if a high school kid is late to practice, it’s the athlete’s fault and that athlete is running.
Committed: I appreciate when an athlete is trying to juggle two sports, but most of the time it is unnecessary. When a player shows up to practice, I expect them to be ready to practice, not exhausted because they just got done with travel ball practice. When you commit to a team for a season, see it through. I do not believe a young athlete should specialize, a subject I have written about before here and here.
Adaptable: The game is on Saturday and I get a call Friday night that a kid got in trouble at school and they won’t be at the game the next day. Now I need someone to play a position they may have never played before. Being adaptable is an indispensable attribute for an athlete.
Aggressive: As a coach I do whatever I can to keep game assignments simple. I tell an athlete, “This is your position, and these are your two options. Pick one and go all out. If you pick the wrong one, it’s okay, just go all out.”
Growth Mindset: This TedTalk by Carol Dweck talks about how what someone believes about their ability to learn actually affects their ability to learn! She contrasts a growth mindset with a “fixed mindset” and proves that anyone can learn something new if only you believe you can and then work smart about it.
Confident: Confidence is something that builds over time. If my team is in week-three of basketball practice and my athlete is still afraid to shoot the ball, then we have a problem and we need to fix it. It’s okay, it’s youth sports and it will take time to build confidence. However, if the athlete is afraid to shoot the ball because her parents will be disappointed that she missed, then I have a problem with the parent and that is a whole other issue. Don’t mind me, I’ll be on the sideline ecstatic that she shot the ball regardless of the result. You know what that does? It shows her it’s okay to shoot and she will most likely shoot again. She is bound to make it eventually.
These are the attributes all coaches look for in an athlete. Ultimately they are developed or under-developed because of the parents. Teach your kids to have these six attributes by modeling them yourself. Remember, most kids do what they see us do, not what we tell them to do.

Please forward this to someone you feel it will help, or if you received this from a friend, click here to sign up .

Until next week…
James Leath
San Luis Obispo, Ca
twitter | Instagram | website




from Michael Boyle's Strengthcoach.com Blog http://strengthcoachblog.com/2015/05/26/coach-james-leath-on-playing-time/
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Monday, May 25, 2015

Sesame Street Says ‘Let’s Cook’

A new cookbook from Grover, Cookie Monster and friends encourages children to take part in the cooking of their meals.

from Well http://well.blogs.nytimes.com/2015/05/26/meals-with-muppets/

ScottsdaleSportsMedicine.net

Oral Steroids May Be Ineffective Against Sciatica Back Pain

Prednisone is almost completely ineffective as a treatment for the pain caused by a herniated disk, a randomized trial has found.

from Well http://well.blogs.nytimes.com/2015/05/25/oral-steroids-may-be-ineffective-against-sciatica-back-pain/

ScottsdaleSportsMedicine.net

Wide Use of Antibiotics Allows C.Diff to Flourish

Hospitals have reported drastic increases in severe cases of C. difficile, but new treatments offer hope.

from Well http://well.blogs.nytimes.com/2015/05/25/antibiotics-c-diff-infections/

ScottsdaleSportsMedicine.net

Saturday, May 23, 2015

Bull Riding Struggles to Combat Concussions


By THE ASSOCIATED PRESS from NYT Sports http://www.nytimes.com/2015/05/24/sports/bull-riding-struggles-to-combat-concussions.html

Friday, May 22, 2015

Understanding the Gluteal Muscles

Understanding the Glute Muscles

What do each of the different Gluteal muscles do in running gait?

Posted by Kinetic Revolution on Friday, 22 May 2015

 
It’s a message we as runners hear consistently: Do your glute exercises!

I certainly seems to be the consensus within the the Sports Medicine community that the function of your gluteal muscles, and hip strength / stability in general, is a big factor in protecting our when we run knees. In fact the consequences of having poorly functioning glutes can be wide-reaching across the body.

While we often talk about ‘the glutes’ in general, I am however often surprised how infrequently we discuss the differences between the different muscles that comprise the glute complex.

In the video above, I take a few minutes to explain the differences between Gluteus Maximus, Gluteus Medius and Gluteus Minimus; their individual anatomy, functions and role in running gait.

For more information about gluteal re-training exercises, check out our Runner’s Knee Programme [SAVE 50%]

The post Understanding the Gluteal Muscles appeared first on Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution.



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Scottsdale Sports Medicine

Not Even Helmets Help Pro Bull Riders Stave Off Concussions


By THE ASSOCIATED PRESS from NYT U.S. http://www.nytimes.com/aponline/2015/05/22/us/ap-us-concussions-bull-riding.html

The Weekly Health Quiz: Probiotics, Belly Fat and Pot Edibles

Test your knowledge of this week's health news.

from Well http://well.blogs.nytimes.com/2015/05/22/the-weekly-health-quiz-probiotics-belly-fat-and-pot-edibles/

ScottsdaleSportsMedicine.net

10 Presenting Tips from Success Magazine’s Darren Hardy

Here’s a nice PDF with 10 presentation tips from Darren Hardy. 

PS- Subscribe to Success Magazine at least for the monthly audio CD.




from Michael Boyle's Strengthcoach.com Blog http://strengthcoachblog.com/2015/05/22/10-presenting-tips-from-success-magazines-darren-hardy/
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Ask Well: Massage and Toxins

A reader asks whether drinking a lot of water after a massage really helps flush away toxins, or otherwise augments massage’s benefits.

from Well http://well.blogs.nytimes.com/2015/05/22/ask-well-massage-and-toxins/

ScottsdaleSportsMedicine.net

Thursday, May 21, 2015

Warning Signs For Runner’s Knee (Patellofemoral Syndrome)

Warning Signs of Runner's Knee

When it comes to common overuse injuries in runners, PFS (patellofemoral syndrome) is without a doubt one of the top five. In addition to affecting as many as 1 in 4 runners, it’s also one of the trickier injuries to fix.

Why? In true overuse fashion, PFS is a symptom of a bigger problem.

The big thing to remember about PFS (and knee problems in general) is the ‘overuse’ nature of the injury. This essentially means that the knee is getting beat up as the middle man in the leg chain.

It also means that it has been stuck in this position for a while and is only now breaking down to the point where it’s symptomatic and limiting.

In a normal leg, the knee is able to absorb the impact and workload from the foot/ankle and then transmit it up the leg for the large hip muscles to absorb and use to propel you forward.

If that is not allowed to happen, then the workload remains down in the leg at the knee. Now, instead of pushing off with the large glute muscles, you wind up pulling yourself forward using the hamstrings and adductors. While the glutes help externally rotate the leg, the adductors and hamstrings produce the opposite rotation.

Here’s a quick test to show you what I mean:

  • Stand up with your feet hip width apart. Keep your knees straight (though not locked). Squeeze your glutes! As you do so you will feel your thighs rotating out. If you do this in front of a mirror you can see how the knee cap gets pulled laterally (towards the outside of the leg).
  • Now, try it a second time but instead of squeezing your glutes squeeze your adductors (inner thigh muscles) together. See how this has the opposite effect? It pulls your knee cap in as it rotates your thigh in.

That internal rotation is a big driving force behind PFS pain. As the femur rotates, the groove that the patella sits in is moved as well. Now instead of sitting happily where it should, it’s getting pulled to the edge and ground over the bone.

Once that inflammation cycle starts the only way to get rid of it is take pressure off the knee cap but reversing the rotation and restoring normal alignment to the knee and leg.

What Do PFS Problems Look Like In the Early Stages?</2>

Noisy Knee Caps

Are you one of those people who’s knees caps crack or pop every time you bend down to tie your shoes?

This is a warning sign that you’re knee cap is being pulled out of it’s normal position. While the noise alone isn’t something to worry about, the frequency of that noise is something that you definitely need to be paying attention to.

Cracking and popping left unchecked will eventually lead to grinding and audible creaking that are much, much harder to get rid of.

Duck Walking / Pigeon Toes

Have you ever noticed that your toes point out (duck walk) or in (pigeon toed) when you walk and run?

If you haven’t, has one of your training partners ever mentioned it? Both of these are warning signs that there are some serious mobility restrictions in your foot and ankle.

If you are unable to come forward over your ankle, the body will compensate by rotating your foot in our out so that you don’t trip and fall over it.

The real problem with this is that if the lower leg starts rotating, the upper leg will need to rotate as well. It can either go with it, or it can rotate in the opposite direction to try and balance things out.

Doesn’t sound very nice to the poor knee stuck in the middle does it?

New Calluses/Wear on Shoes

New blister and callus patterns are a great warning sign that your foot is working harder than it should be. This is typically common under or on the inside edge of the big toe or along the outer ridge of the foot.

An easy way to look at it is this. When the foot makes contact, it “rolls” to absorb impact and transfer it from the outer part of the foot over to the big toe to prepare for push off/propulsion. This allows the ankle and calf to do the heavy lifting.

If you’re getting new blisters in the same spots or calluses, then something is off and that foot is “rolling” more/less than it should.

Another thing to look at here is are the backs of your shoes vertical when you look at them? Or are they tilted in or out? Does your big toe pop through the top mesh after a hundred miles?

Chronically tight calves and hamstrings

Chronic tightness in the posterior chain (muscles along the backside of the legs) is a warning sign.

In a normal leg, the workload is shared between the big muscle groups. It also means that as every muscle contracts, it has the opportunity to relax before the next contraction. A muscle that doesn’t relax will always stiffen and will eventually get stuck that way.

Since both the gastrocnemius and hamstring muscles criss-cross behind the knee, restrictions in both will pull on the retinaculum, pulling that knee cap even tighter against the bone.

Popping Hip

Just like noisy knees, noisy hips are a warning sign that the alignment is off and that tendons are being pulled out of their grooves. Just like the knees, the noise itself isn’t bad but increasing frequency or the feeling that things are getting stuck definitely are things to pay attention for.

Pay Attention!

The great thing about warning signs is just that! They warn us that we need to start paying attention. If you find yourself  experiencing any of the signs above, here are a few tips to start loosening up those knees.

The easiest and cheapest way to go after muscles is always to break out the foam roller. Here are some tips to walk you through a session with the roller using three techniques.

  • Typically I start off with 2-3 minutes with the foam roller. The goal here isn’t to beat my legs up so they’re sore/bruised for the rest of the week. It’s to get some slack in there and find where the “problem spots” are (aka ‘where it hurts the most’).
  • From there I like to use mobilizations to free up both ends of the leg chain: the ankle and hip. I also like to dig a little deeper into the sorest muscle groups.
  • Lastly, I always follow it up with stretching. Frequency trumps everything with these. Aim to get in 1-2 reps every few hours versus one killer stretch session at the end of the day. Here’s a video to walk you through the stretch routine.

Try This Routine

Here’s a quick five minute routine:

  • One minute with the foam roller each muscle group (calf, hamstrings, quadriceps, adductors, ITB, hip flexors).

  • Mobilization techniques: 5 reps nice and easy. (hip, ankle, big toe; quads, hamstrings, calf).

  • Stretches: 2 x 20 seconds calf, hamstrings, adductors, hip flexors and piriformis.

The post Warning Signs For Runner’s Knee (Patellofemoral Syndrome) appeared first on Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution.



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Scottsdale Sports Medicine

What an incredible testimonial from Sarah at Sloane Stecker for Noraxon!

“I was referred to visit Sloane Stecker from a friend who had received therapy at his Irvington (Westchester) office. They just opened this new renovated studio on the 15th Floor with high tech equipment, sweeping views, and personalized one-on-one attention. As a runner, the Noraxon Gait and Running analysis helped show me how I was running incorrectly and causing pain to my knees. Sloane showed me how to shift weight onto my mid foot, strengthening the muscles in my hips, ankles and core. I then was able to practice the new technique on the Alter-G (Anti-Gravity) Treadmill. I look forward to my next visit and getting back to 100% for my next race!”

— Sarah



from Noraxon USA http://www.noraxon.com/what-an-incredible-testimonial-from-sarah-at-sloane-stecker-for-noraxon/

Scottsdale Sports Medicine

Living With Cancer: Patients on Our Own

Great medical care doesn't matter if doctors and hospitals fail to adequately advise and care for patients once they leave the hospital, writes Susan Gubar in Living with Cancer.

from Well http://well.blogs.nytimes.com/2015/05/21/living-with-cancer-patients-on-our-own/

ScottsdaleSportsMedicine.net

Documenting My Patients’ Next of Kin

What if a patient dies and nobody is there to mourn? Is it like a tree falling soundlessly in the forest?

from Well http://well.blogs.nytimes.com/2015/05/21/documenting-my-patients-next-of-kin/

ScottsdaleSportsMedicine.net

Great Piece on Foam Rolling from Thomas Myers

Here’s a great post from Thomas Myers of Anatomy Trains fame ( courtesy of Kevin Carr, thanks for the email). I can only say READ THIS.

Myers On Foam Rolling




from Michael Boyle's Strengthcoach.com Blog http://strengthcoachblog.com/2015/05/21/great-piece-on-foam-rolling-from-thomas-myers/
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Wednesday, May 20, 2015

Big Toe Extension & Running Gait

 

I received an email today asking a question about how important the big toe is during running gait. The short answer: Massively important!

The slightly longer answer however is nicely presented in the video above from Physical Therapist Steven Gonser. Check out his article on the same topic here on his blog.

Essentially, we need a certain amount of big toe extension to get through late stance phase of running and walking gait without compensation. When range of motion at the ball of the foot (first metatarsalphalangeal joint) is limited, either due to joint pathology, tight plantar fascia, or another reason we lose the capacity to push-off using the first two toes of the foot.

Without this ability to load properly through the first and second toes, we lose the capacity to use the all-important Windlass Mechanism of the foot.

It’s the strong push-off through the first two toes we want to see during walking and running gait. But what we often see when big toe extension is lacking is a tendency to compensate by altering the movement pattern and rolling off the outside of the foot, as just one example.

But the compensations don’t end there. When big toe extension is lacking during late stance phase of running and walking gait, the quality of the triple extension we want to see decreases. When the foot and ankle ceases to act as an effective rocker mechanism, the knee and hip both usually sacrifice extension at terminal stance in running and walking gait.

You can test your big toe extension using the video I posted previously here: Running Foot Health: Self Assessment.

How’s yours looking? Comment below…

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Scottsdale Sports Medicine

Sportsmetrics Course at LSU- Lafayette

On May 9th and 10th, we traveled to Louisiana State University- Lafayette, LA.  The course was hosted by Tiina Garrison, PhD, MS, CSCS, who has been certified with the Sportsmetrics program since March of 2008.  Tiina was kind enough to get me acquainted with local tradition on arrival including a swamp tour and introduction to the region’s friendliest gator, Sheree.  The Ragin’ Cajuns know how to welcome their visitors!  The course roster included PT’s, ATCs and coaches from the region as well as Kala Kuhlmann from the University of Nebraska Medical Center and Shelby Cedotal from Mid-Tennessee Bone and Joint PT.  We are happy to welcome our 13 new certified instructors to the Sportsmetrics family!

Bob Austin, Head Women’s Basketball Coach:  Louisiana State University- Alexandria, LA

Shelby Cedotal, PTA:  Mid-Tennessee Bone & Joint PT, Murfreesboro, TN

Dustin Chadwick, CSCS/USAW:  Northwestern State University, Natchitoches, LA

Jason Drury, ATC:  Northwestern State University, Natchitoches, LA

Jean Hall, LAT, CSCS:  Physical & Occupational Therapy of Alegent, Alexandria, LA

Austin James, PTA:  Physical & Occupational Therapy of Alegent, Alexandria, LA

Troy James, PT, MS, SCS:  Physical & Occupational Therapy of Alegent, Alexandria, LA

Anna Kubiczki, Head ATC:  Louisiana State University- Alexandria, LA

Kala Kuhlmann, DPT:  University of Nebraska Medical Center, Omaha, NE

Mandy Guilliams, ATC:  Mid-State Orthopedics, Alexandria, LA

Tyler Martinez, Grad Student:  Louisiana State University- Lafayette, LA

Michael Poropat, Head Men’s & Women’s Soccer Coach:  Louisiana State University- Alexandria, LA

Gage Trahan, ATC:  Mid-State/Pineville High School, Pineville, LA

The post Sportsmetrics Course at LSU- Lafayette appeared first on Sportsmetrics.



from Sportsmetrics https://sportsmetrics.org/sportsmetrics-course-at-lsu-lafayette/

Scottsdale Sports Medicine

How a Childhood Vaccine Reduces Risk of a Cancer

The vaccine for Haemophilus influenza type B lowers the risk for acute lymphoblastic leukemia, the most common childhood cancer.

from Well http://well.blogs.nytimes.com/2015/05/20/scientists-unravel-how-a-vaccine-reduces-risk-of-a-cancer/

ScottsdaleSportsMedicine.net

Depression Tied to Increased Risk of Parkinson’s Disease

The more severe the depression, the higher the risk of Parkinson’s, a new study found.

from Well http://well.blogs.nytimes.com/2015/05/20/depression-tied-to-increased-risk-of-parkinsons-disease/

ScottsdaleSportsMedicine.net

Scientists Unravel How Flu Vaccine Reduces Risk of a Cancer

The vaccine for Haemophilus influenza type B lowers the risk for acute lymphoblastic leukemia, the most common childhood cancer.

from Well http://well.blogs.nytimes.com/2015/05/20/scientists-unravel-how-flu-vaccine-reduces-risk-of-a-cancer/

ScottsdaleSportsMedicine.net

Lack of Exercise Can Disrupt the Body’s Rhythms

Exercise may affect our daily movement patterns even more than age does.

from Well http://well.blogs.nytimes.com/2015/05/20/lack-of-exercise-can-disrupt-the-bodys-rhythms/

ScottsdaleSportsMedicine.net

Tuesday, May 19, 2015

Turn Your Fruit Into Ice

Fruit ices, including these from Martha Rose Shulman, are a delicious rite of summer.

from Well http://well.blogs.nytimes.com/2015/05/19/turn-your-fruit-into-ice/

ScottsdaleSportsMedicine.net

Many Probiotics Taken for Celiac Disease Contain Gluten

More than half of the 22 top-selling probiotic supplements that researchers analyzed contained gluten, a protein found in wheat, barley and rye that is harmful to people with celiac disease.

from Well http://well.blogs.nytimes.com/2015/05/19/many-probiotics-taken-for-celiac-disease-contain-gluten/

ScottsdaleSportsMedicine.net

The Kitchen Garden Goes High Tech

Smart new products offer ways to grow food indoors without without soil, or a green thumb.

from Well http://well.blogs.nytimes.com/2015/05/19/the-kitchen-garden-goes-high-tech/

ScottsdaleSportsMedicine.net

Monday, May 18, 2015

Caffeine Powder Poses Deadly Risks

Ten grams of powdered caffeine, about a tablespoon, is a lethal dose for an adult. But its sale is virtually unregulated.

from Well http://well.blogs.nytimes.com/2015/05/18/caffeine-powder-poses-deadly-risks-2/

ScottsdaleSportsMedicine.net

Depression Tied to Stroke Risk, Even if Symptoms Ease

Studies have shown that depression increases the risk for stroke. Now a new analysis has found that the risk persists even if symptoms subside.

from Well http://well.blogs.nytimes.com/2015/05/18/depression-tied-to-stroke-risk-even-if-symptoms-ease/

ScottsdaleSportsMedicine.net

Is It Ordinary Memory Loss, or Alzheimer’s Disease?

Simple memory assessments are a way to get an idea of whether cognitive problems are drawing nearer.

from Well http://well.blogs.nytimes.com/2015/05/18/tests-can-answer-fears-about-dementia/

ScottsdaleSportsMedicine.net

Video: Prescribing Running Shoes

I’m so often asked by runners new and experienced to offer advice when it comes to running shoe selection. This is a topic where each runner’s solution will be individual to them.

Above is a great new video from Dr. Kevin Maggs at Running Reform which provides excellent practical advice for runners of all types, new and experienced.

Grab yourself a coffee and let this 8:25min video debunk some common myths you’ve probably been fed over the years…

The post Video: Prescribing Running Shoes appeared first on Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution.



from Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution http://feedproxy.google.com/~r/KineticRev/~3/vY-8TVYDR24/

Scottsdale Sports Medicine

Sunday, May 17, 2015

Running Technique Drill: Resisted Running on the Spot

 

I want to share the above drill with you. It has become one of my favourite resistance band exercises for running form :)

In particular, I find that this simple drill helps runners better develop a sense for holding their hips ‘up and forward’ as they run, maintaining a tall posture with gentle forward lean.

The resistance of the band trying to hull the hips into flexion (pulling the butt backwards) is met my increased engagement of the glutes and hamstrings to extend the hip more forcefully. Combine this drill with some short sets of strides and feel the transfer into your running form…

Give it a go, and let me know how you get on!

The post Running Technique Drill: Resisted Running on the Spot appeared first on Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution.



from Run Coaching, Ironman and Triathlon Specialists - Kinetic Revolution http://feedproxy.google.com/~r/KineticRev/~3/aBvBSNs_T4I/

Scottsdale Sports Medicine

Saturday, May 16, 2015

Mike Boyle Interview on Off-Season Hockey Training

Jamie McDonald did a great interview with me for Mass Hockey on off-season training

Mass Hockey: Is there a specific mistake that even well-meaning parents are making?

Mike Boyle: As parents, we think that the way we get good at something is the way they get good at something. As an adult, if you’re a writer, you can get really good at writing. But to learn to be a writer, there are a bunch of things you need to do first. Your parents wouldn’t start you out writing a book.

It’s the same thing with sports. People are saying, “I want my kid to be a good hockey player, so I’m going to put him in hockey, in all the summer camps, in summer tournaments, 100 games a year, three different teams.” And the reality is that those kids tend to not be the ones who succeed. They tend to get bypassed in their team by the kid who played lacrosse or baseball and did some martial arts or tumbling. That kid’s a better athlete.

And then you get in to the on-ice game. The amount of time a kid actually experiences a puck in a youth hockey game is somewhere in the neighborhood of 30 seconds. If a kid plays 100 games, he gets 15 minutes of puck contact. If you think about how long it takes to get to 100 games, driving to a rink and back, you realize you’ve spent 300 hours to accumulate 15 minutes. You could do that in one good skill session. Parents don’t always see it that way.

TO read the entire interview go to:

http://www.mahockey.org/news_article/show/514682?referrer_id=662793




from Michael Boyle's Strengthcoach.com Blog http://strengthcoachblog.com/2015/05/16/mike-boyle-interview-on-off-season-hockey-training/
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Friday, May 15, 2015

The Weekly Health Quiz: Coffee, Work Breaks and a Vitamin for Skin Cancer

Test your knowledge of this week's health news.

from Well http://well.blogs.nytimes.com/2015/05/15/the-weekly-health-quiz-coffee-work-breaks-and-a-vitamin-for-skin-cancer/

ScottsdaleSportsMedicine.net

Head Position Effects Running Posture: How’s Yours?

Ask Well: Reducing Belly Fat

A reader asks: What is the best way to cut down on belly fat if weight loss is not necessarily the goal?

from Well http://well.blogs.nytimes.com/2015/05/15/ask-well-reducing-belly-fat/

ScottsdaleSportsMedicine.net

CarGo Hits 3-Run HR in 9th, Rockies Top Dodgers to Stop Skid


By THE ASSOCIATED PRESS from NYT Sports http://www.nytimes.com/aponline/2015/05/15/sports/baseball/ap-bbn-rockies-dodgers.html