Take it from the pros: Injury prevention matters

Women’s National Team player and Ladue High product BeckySauerbrunn is a well-respected soccer player. All of her talentdoes the team no good if she’s sidelined with an injury.

It’s a fact she wants every young athlete to keep in mind:Injured soccer players don’t stop shots, they don’t move the balldown the field, and they can’t score goals.

“I’m impassioned about injury prevention as an athlete,” saidSauerbrunn, who returned to St. Louis this week to spread themessage about the meaures young players need to take to stayhealthy.

She’s partnered with Signature Medical Group, a St. Louisorganization of orthopedic and other medical specialists, to getthe word out about how to avoid ending up in offices such astheirs. the push is timely, given the steadily increasing number ofathletes incurring serious ankle, knee, back and head injuries.

“Obviously, the name of the game is protection and prevention,”said Dr. John Tessier, an orthopedic surgeon with SMG.

Even as a young player with J B Marine Soccer Club and later asa high school standout, Sauerbrunn was fortunate to avoid seriousinjuries. that trend has continued with the national team and inher career with Women’s Professional Soccer. while some of thatcomes down to luck, she said much is attributable to properpreparation.

“It’s lucky I haven’t been in a bad tackle,” said Sauerbrunn, adefender on the national squad and most recently with Florida’smagicJack team. “I could be prepared, but if my body gets wrenchedin the wrong way, I can’t help that.”

She trains and conditions her body to stay in shape year-round,incorporating exercises that will prepare her limbs and muscles tomove in a multitude of ways.

“Anything you train can be improved upon,” she said. “If you doit over and over again, your body is going to remember these movesand not be surprised in the game.”

Young players should never take shortcuts when warming up orconditioning, she added.

“You’ve got to take nutrition and conditioning and flexibilityand things like that seriously,” Tessier said. “Let’s keep ourplayers healthy.”

Sauerbrunn suggested soccer players can include injuryprevention in their workouts by doing drills that require lateralmovement as well as forward and back motion.

“You can incorporate jumping and cutting before the balls areeven put out in the field,” she said.

Lateral moves can help strengthen the knees and ankles, two bodyareas prone to soccer-induced injury.

“Certainly more in soccer, where they’re running and there’smore limited contact, then you are looking at ankle sprains andankle instability as very common,” Tessier said.

“Some of these are training-related,” he added. “They jump intothe sport without really getting themselves ready. Part of this iskind of not really being prepared to dive into the demands of theseason.”

Core strengthening can help protect an athlete’s back frominjury, or at least make it stronger to withstand the damage that atough hit or fall can incur, he said.

Not all injuries are easily avoided, though.

With the rapid-fire movements and aggressive ball play oftenseen in soccer games, head injuries such as concussions can bedifficult to protect against.

Villa Duchesne soccer coach Tim Twellman knows more about thissubject than he’d like to.

His son, former professional player Taylor Twellman, saw hiscareer end as the result of a concussion sustained in 2008 whilepart of the new England Revolution.

“It’s crazy,” said Tim Twellman, a former collegiate andprofessional player himself who also leads training camps as partof Twellman Soccer. “The sport seems friendly, but it’s not.”

Taylor Twellman suffered lingering effects from the hit, such asmemory lapses, long after the game, and eventually was forced toretire.

Now working the broadcast side of soccer, he’s also behind”ThinkTaylor.org,” an awareness project to educate about thedangers of concussions and the need for proper treatment.

His father said concussions are particularly insidious becausethe signs aren’t visible.

“Unlike any other injury, you can’t see this one,” he said. “Youcan see a sprained ankle, or a broken bone.”

With concussions or any other injury, Twellman and Sauerbrunnemphasized the need for athletes to pay attention to their body’swarning signals.

For a concussion, symptoms such as blurred vision and nauseashould not be ignored.

“If a girl on the Villa (Duchesne) team tells me she has aproblem, she’s out,” Twellman said. “They’re out until a doctorputs them back on the field.”

Many of the injuries that keep an athlete sidelined are due tooveruse, Sauerbrunn said. And the best remedy for that is simplypatience and time off the field to recover.

“Kids are doing so much with sports now,” she said. “They’ll goto soccer practice and then have basketball practice or baseballpractice. They’re cramming a lot into a little time.”

In fact, Sauerbrunn was a three-sport athlete in high school,but she noted that there was more time off between sports then.

“I wasn’t shuffling from one sport to the next that much,” addedSauerbrunn, who is enjoying a five-week break from the nationalteam before training for Olympic qualifying events begins inNovember. “I had downtime to just be a high school student.”

Sauerbrunn, Twellman and Tessier all mentioned the importance ofnot just training, but proper nutrition to an athlete’s overallhealth.

“I stress that so much at the high school level,” Twellman said.”I surprise them at lunch occasionally. What they eat is a crime.They’re so worried about their bodies, but you cannot perform, youcannot go on a field and play 80 minutes or whatever it is and run.You don’t have the energy.”

What young athletes need to realize is that not doing the rightthings — whether in regard to nutrition, training or injuries –may take them off the field or keep them out longer.

“It’s really about getting them back on the field,” Twellmansaid. “We want them playing the sport, because it’s a greatsport.”

Take it from the pros: Injury prevention matters

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The benefits of strength training for youth are clearly documented. Yet teachers, fitness instructors, and youth coaches are often not sure how to proceed, and they end up watering down adult versions of strength-training programs.

That is definitely not the way to go. But authors Avery Faigenbaum and Wayne Westcott, with their 50 years of combined experience in teaching youth strength-training classes and coaching, can tell you the way to go--and back it with the most current research on instructional techniques and program design for youth.

Long recognized as leading authorities on strength training, Faigenbaum and Westcott guide you in designing efficient, enjoyable, and productive programs for kids of varying abilities in elementary school (ages 7 to 10), middle school (11 to 14), and high school (15 to 18). You will focus first on broad-based, balanced muscle development, and then move into comprehensive, sport-specific strength-training programs.

In addition, Youth Strength Training will teach you
  • productive protocols for warming up and cooling down;
  • procedures for enhancing joint flexibility;
  • innovative ways to incorporate resistance exercises into physical education classes, sport practice sessions, and exercise facilities; and
  • proper exercise technique for 111 resistance exercises using weight stack machines, free weights, medicine balls, elastic bands, and body-weight resistance.

Much has changed since the authors first wrote a book on strength training for youth, and those changes--including information in the areas of nutrition, hydration, and recovery to maximize the effects of strength training and minimize the risks of overtraining--are incorporated in this book. Additional changes, based on the authors' studies, are reflected in workout frequency, exercise repetitions, related training components, and other factors that affect program design and conditioning results. All programs were fashioned with the latest NASPE standards in mind.

Faigenbaum and Westcott have included new information on periodization and long-term planning, perceived exertion scale for youth, overtraining and undertraining, dynamic warm-ups and static stretches, new exercises, effective instruction of youth, and plyometrics.

Through strength training, kids as young as 7 can safely develop a strong musculoskeletal system that can help them improve their health and fitness and also withstand the rigors of sport participation.

Youth Strength Training is the definitive source to guide you in designing and overseeing the programs of the kids you work with, whether you're in a school, fitness center, or home setting. If you want to see high rates of strength development and spark a lifelong interest in strength-building activities, rely on Youth Strength Training.

On the Podium: With Heather Leiggi

Heather Leggi is no stranger to the professional triathlon scene. Discovering the sport post graduate school, her background as a soccer player lended itself to a stellar running career, which then built into strong performances as a triathlete.

This season has been somewhat of a breakthrough season for Leiggi with top three performances at Ironman Florida 70.3, Rhode Island 70.3 and solid performances at new Orleans 70.3, Buffalo Springs 70.3 and Rev 3 Quassy, it looks like things are falling into place.

Heading to the Ironman 70.3 World Championships in Las Vegas this September, we took a few minutes to pick the brain of this hard working fast charging athlete as she is clearly on the ascent.

Your running career began when you were 10 years old, yet your true love was soccer as a child. now that you are a professional triathlete, what are some of the lessons that you learned from soccer…if any…do you think help you in multisport?

Soccer was definitely my passion as a child. Had I not moved in 8th grade to a school with no women’s soccer team I probably would still be playing soccer. I still miss it but I’m completely happy to have found triathlon! Soccer taught me the love of sport and to love being outside and active. it was soccer that showed me I was a pretty good runner since I was always one of the fastest girls on the field. After my family moved and I couldn’t play soccer anymore, running sounded like something I would rock at and have fun with. I do wish I had discovered triathlon a little earlier. I didn’t do my first race until after graduate school. while I had run and done a few bike races here and there I had no swimming experience. Needless to say I barely survived the swim part of my first triathlon. Triathlon seemed so low key at the time that I basically taught myself how to swim and just went out there and hoped for the best. I had no idea what I was getting myself into but I definitely loved it. It’s great to see the sport grow so much and I love being able to participate in triathlon clinics, coach athletes and offer advice to those who are interested in getting involved into triathlon.

At what point in your amateur career did you decide to turn professional? What helped make that decision for you?

I have always wanted to be an elite athlete in some form or another. When I was a soccer player I dreamed of playing at the top, as a young runner I dreamed of making the Olympics, and when I became a triathlete I had thoughts of racing as a professional. so once I started have some success as an amateur, I realized that racing as a professional might be realistic. I’ve always loved challenging myself and I love pushing myself to be the best I can be. Turning pro was definitely something I wanted to do and it was the push I needed to step up my game. After winning the Columbia triathlon as an amateur in 2008, I decided to go for it. Looking back I know I would never have been able to reach this level had I not decided to take the leap and become a pro.

You’ve had several top finishes in 70.3 events, and you are aiming for the 2011 70.3 World Championships. Can you speak about the venue change, what that might mean for you and what your training will be like leading up to the event?

Yes, I love racing the 70.3 distance and have, what seems like very slowly, worked my way up the ranks to a few top finishes last year. with my focus being on the 70.3 distance, it always seems like a good goal to qualify and race at 70.3 World Championships. Honestly I always enjoyed racing in Clearwater. I like flat fast courses and I loved being in Clearwater. with that being said, I am looking forward to racing on a new course and am very happy they moved the World Championship race from November to September. it has always been a struggle staying focused and peaking for race in November. I had many more thoughts about what I was going to be doing after the race was over last year than I should’ve had even though I tried my best to keep my head focused on the race. Racing in September will make this much easier and after getting in a lot of early season races, I will be able to take a bit of a break before heading into a big build phase for Worlds am I seeing lots of hill work in my future!… Plus, I don’t have to feel any pressure going into the World Championships race since no one will ever know my race results… What happens in Vegas, stay in Vegas, right?! What do you think of the new WTC rules regarding professionals? has it changed the way you race?

the new WTC rules have given me quite a bit more to think about and organize with regards to my race schedule and probably trying to get in one or 2 more races than I might normally have done. I love to race so I don’t mind the extra racing too much but I don’t like the feeling of being forced into it. with the points system being new this year, I have no idea how it is going to work out with regards to World Championship slots. I definitely feel a little more pressure when doing the 70.3 races to perform well so I can get more points.

Tell us a little bit about your family!

I have a huge support system when it comes to racing…everyone except for my cat who is really unhappy with me right now for all the time I have been away from home. seriously though, I would not have been able to get to this level without the continued support and encouragement of my parents. They taught me from a very young age to follow my dreams and to do things that make me happy. They have made a lot of sacrifices, encouraged me to take advantage of important opportunities, and taken a lot of time out of their lives to support me. My husband has been one of the most positive influences to come into my life. while he only dabbles in triathlon himself, he has an amazing understanding of the sport and an impressive way of guiding me in the right directions and knowing what I need to continue to improve. I trust him 100% and knowing that he believe in me has helped get me through the rough times and keep on pushing.

I also need to thank my amazing sponsors for being there for me, especially Zoot Sports. Zoot has been a sponsor of mine since I was an amateur and have stuck with me. They are constantly asking for feedback and looking for ways to make their products better. I particularly love their new wetsuit, the Prophet, and their Ultra TT race shoes. Zeal Optics make some of the coolest sunglasses around and I have so much fun wearing them. They come in so many different colors and styles I never get bored. Ridley is my new bike sponsor for this year and I am absolutely in love with the Ridley Dean. I have had my fastest bike splits yet on it and a trip to the Wind Tunnel in NC helped to make sure it was super aero! GU has also been a long time sponsor of mine and I love the new flavors they have come out with although vanilla is still my favorite. And thanks to Garmin, I have finally started racing with a watch!

You spent some time training in Australia this season, how did that come about and how did that help your fitness coming into 2011?

Lifesport, the group that my coach works for, puts on a camp in Noosa, Australia every year. When I started working with Dan last year, he encouraged me to get to this camp. I had my doubts. I was coming off a disappointing 2009 season and struggling with fitting into the pro scene. I wasn’t sure if travelling all the way to Australia for a few weeks of training was going to be worth it and maybe a little scared I wouldn’t be able to handle it. I ended up having a great time and really loved the training. having the chance to train with other professional athletes, have my coaches present for most of workouts, and having no distractions from your training really made a big difference. I was still a little overwhelmed with the quantity and volume of the workouts and by the end of the 2 weeks I was ready to come home and have a rest! regardless, the camp really did help me and I started off my season much better than I would have hoped. When it came time for camp again this year, I was onboard immediately. I was super excited to go and had even given myself an extra week over there. What really shocked at camp this year what a different experience I had. I could tell I was a completely different athlete than I had been the year before. the training was hard as always and the workouts were long but I handled the work so much better and could feel myself getting stronger and faster as the camp progressed. it gave me perspective on how far I had come and a lot of confidence going into this years’ race season.

Tell us a bit about your coach Dan Smith of Lifesport.

Working with Dan has made a world of difference in my racing. he definitely had his work cut out for him when I came to him in the end of 2009. My confidence had taken a huge beating throughout the prior season and while I stubbornly refused to give up on myself, I really doubted my abilities to compete at the elite level. I like the fact that Dan is very thorough and detail oriented. he is able to sort through all the data and feedback I give him from my workouts and races and know what tweaks need to be made and what the next steps need to be. we are constantly tweaking and rearranging my schedule in order to keep the improvements coming. Dan has also taught me how to be a smarter racer. I used to just go out there and race as hard as I could and hope for the best. Dan taught me about race strategy, how to race more in control and all the little things I can do to that will really pay off. as he keeps telling me, at this level, it’s often the small things that are most important.

In may you had an amazing race at Florida 70.3 against a field that included Cait Snow and Nina Kraft. tell us a bit about your race and what a top 3 podium finish means to you.

Well, I can tell you it is a dream come true and one of the best moments of my sporting career so far. I had set a goal of finishing in the top 3 this season so to have done it in my second race of the year was amazing. Time to re-write some goals! while the race itself ended well, it did not go quite as well as I had hoped (they rarely do!). After a terrible swim which put me several minutes down on most of the women, I thought I’d be lucky to even finish in the top 5. I am not that unfamiliar to coming out of the water with a bit of ground to make up so while I didn’t exactly panic when I headed off on the bike, I wasn’t exactly thrilled either. I love to bike and thanks to a strong bike leg which turned out to be the second fastest of the day, I managed to move me into 5th place, right behind Cait. This was my first race on my new bike, my Ridley Dean, and it felt amazing. I knew I didn’t have much of change to catch her and there were several women hot on my heels though. I was a little worried since my nutrition had been off thanks to some stomach issues I was having but was determined to at least hold onto my 5th place. I was halfway through the run and still feeling surprisingly good when I noticed I was making up quite a bit of ground on the 4th place woman and was not far behind her. I decided to go after her. I caught her around mile 10 and then ½ mile from the finish line I caught the 3rd place woman whom I hadn’t seen ahead of me. I could not believe I had managed to run myself into 3rd place and was so ecstatic crossing the finishing line. it was especially gratifying to see my run finally coming around which I have been working really hard to improve. Coming from a running background makes me expect more from my running. Swimming is a whole nother story though!

Thanks Heather for allowing us a peek into your life!

Mary Eggers is a 37 year old age group triathlete, race announcer, writer, mother, wife, triathlon coach, yoga teacher, and nurse. as the race announcer for the Score This Multisport Series in Upstate new York, she’s been in the sport for over 15 years. She’s a 6 time Ironman finisher and Kona qualifier, and has raced everything from sprint upward. Mother to 10 year old Luc, wife to Curt, she calls Rochester NY home.

On the Podium: With Heather Leiggi

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The benefits of strength training for youth are clearly documented. Yet teachers, fitness instructors, and youth coaches are often not sure how to proceed, and they end up watering down adult versions of strength-training programs.

That is definitely not the way to go. But authors Avery Faigenbaum and Wayne Westcott, with their 50 years of combined experience in teaching youth strength-training classes and coaching, can tell you the way to go—and back it with the most current research on instructional techniques and program design for youth.

Long recognized as leading authorities on strength training, Faigenbaum and Westcott guide you in designing efficient, enjoyable, and productive programs for kids of varying abilities in elementary school (ages 7 to 10), middle school (11 to 14), and high school (15 to 18). You will focus first on broad-based, balanced muscle development, and then move into comprehensive, sport-specific strength-training programs.

In addition, Youth Strength Training will teach you

- productive protocols for warming up and cooling down;

- procedures for enhancing joint flexibility;

- innovative ways to incorporate resistance exercises into physical education classes, sport practice sessions, and exercise facilities; and

- proper exercise technique for 111 resistance exercises using weight stack machines, free weights, medicine balls, elastic bands, and body-weight resistance.

Much has changed since the authors first wrote a book on strength training for youth, and those changes—including information in the areas of nutrition, hydration, and recovery to maximize the effects of strength training and minimize the risks of overtraining—are incorporated in this book. Additional changes, based on the authors' studies, are reflected in workout frequency, exercise repetitions, related training components, and other factors that affect program design and conditioning results. All programs were fashioned with the latest NASPE standards in mind.

Faigenbaum and Westcott have included new information on periodization and long-term planning, perceived exertion scale for youth, overtraining and undertraining, dynamic warm-ups and static stretches, new exercises, effective instruction of youth, and plyometrics.

Through strength training, kids as young as 7 can safely develop a strong musculoskeletal system that can help them improve their health and fitness and also withstand the rigors of sport participation.

Youth Strength Training is the definitive source to guide you in designing and overseeing the programs of the kids you work with, whether you're in a school, fitness center, or home setting. If you want to see high rates of strength development and spark a lifelong interest in strength-building activities, rely on Youth Strength Training.

How To Benefit From Resistance Training On A Regular Basis

Many health experts today talk about the importance of doing some kind of resistance training as part of your overall fitness program. This may be weight lifting with free weights, strength training machines or any number of exercises done without any equipment at all. Everyone, male or female, from teens to seniors can gain many benefits from resistance training. In the words that follow, you will learn vital reasons that you should begin doing this exercise program on a regular basis.

Weight training, or other types of resistance training can not only make you stronger, but also faster and more agile. This can be helpful for many sports, as well as being helpful in everyday life. This type of weightlifting is essential to increasing your speed and agility over time. This type of training will actually complement any type of sport that you do whether you are a runner or an all-around athlete. One of the highlights of this type of training is that it only needs to be done a couple times a week for about 20 minutes a day. If you don’t want to go to a gym, you can still engage in effective resistance training exercises. a way to compensate would be to purchase resistance bands or cables that you could use at your house. by doing pull-ups and chin-ups a few times a week, you will effectively be doing proper resistance training exercises. Push-Ups are an ideal resistance exercise that you can do without equipment. 50 years ago fitness expert Charles Atlas devised the famous Dynamic Tension exercises that use only your body weight. Regardless of where you would prefer to work out, you can still do resistance training at the gym or at home.

In more ways than one, resistance training can improve your life with one of its most desirable benefits being added strength. whether you are an avid golf or tennis player, this increase in physical strength can help your game. for daily activities, such as going to the store, or simply walking around, you will have much more strength because of this routine. the stronger you become, less likely you will be to injure yourself while doing physical activities of any kind. as with most weightlifters, you will have been added feeling of confidence knowing that you are stronger than ever before.

Donald Smith is skilled in fast weight loss diets as well as fast weight loss.

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How To Benefit From Resistance Training On A Regular Basis

Staying in the Game

July 14 Putting off a medical evaluation is rarely an appropriate option

"you wrote about me." This is what my new patient said as I introduced myself to her.

She had read my previous column about lower back and leg pain caused by the sacroiliac joint. she was one of many readers that emailed me for more information. she also wanted an appointment for an evaluation.

She has been an athlete all her life. she also has coached women’s basketball at the college and high school levels. Now all she wants to do is play golf without pain while summering in Maine.

She tells me her pain is in the right side of her back and goes into her buttocks. she has had the pain for several months. it was not going away.

I asked if there was any weakness in her leg. she said her foot feels weak at times, especially when she gets tired.

My examination found muscle spasm in the lower back and buttocks. she can stand on her heals and toes. the strength of her large toe is weak. Stretching the sciatic nerve is negative.

Overall she is a very fit and healthy woman.

I diagnosed her with a possible herniated disc in her lumbar spine. This was indicated by the weakness in her leg and was complicated by her sacroiliac and pelvic misalignment.

Not all herniated discs need surgery. Studies indicate only about three percent of patients with herniated discs require surgery. Surgery is warranted for severe and unrelenting pain or when neurological signs like motor weakness progress.

Portland is fortunate to have an excellent neurosurgical group. our practices work well together and we often refer our patients to the most appropriate care.

I agreed to treat her. I told her we would constantly monitor her for any negative changes in her neurological signs. if this happened she would be referred for an MRI and neurosurgical consultation.

We started using chiropractic manipulation. the strength came back in her toes and her pain subsided so she could play golf in comfort.

She was thrilled. after three visits she stated "this is the best I have felt in years."

Another patient contacted our office for an appointment after reading my last column. she is training for the Beach to Beacon 10K. she had pain in her left-lower back and buttocks.

As athletes increase the intensity of their workouts this puts more strain on their structure. if they are out of balance they are prone to injuries.

I found that her pelvis was not level. she had a weakness of the hip flexor and gluteus maximus. she had one very tender spot on the outside of her buttocks. This is the attachment of the piriformis muscle.

This muscle was described by Dr. Glazer in his column last week. he wrote how training with a properly fitted bike is so important to a cyclist with piriformis syndrome.

I recommended manipulating her sacroiliac and some sacroiliac exercises before and after each run. These exercises are easy to do and are so effective. they help heal and prevent abnormal gait issues.

On her follow-up visit the strength of the hip flexor and gluteal muscles returned to normal strength. what most impressed her was the pain in her piriformis was reduced by 50 percent after one visit. she is expecting to run a great race.

If you are training for a summer competition and your training is not going well, your structure may be out of balance. Do not postpone an evaluation. Diagnosing and correcting the problem will make your summer more enjoyable.

Dr. Robert Lynch is a former president of the Maine Chiropractic Association and head of the Lynch Chiropractic Center in South Portland. "Staying in the Game" appears every other Thursday in the Press Herald. Contact him at:

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Staying in the Game

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