What Makes a Great Coach?

Being  a coach in any sport is not an easy task, beyond being technically and tactically sound, what else can you do to become a better coach.  These are  few tips that came from instructing the Hockey Canada Safety Course. 

1) Be a Good Role Model - demonstrate to your athletes good life skills, teach them to win gracefully, learn from their mistakes and failures.  

2) Create a Safe & Respectful Environment - Not only will skills develop better when athletes feel safe, your athletes will achieve more success as those skills develop.  Respect plays a major role in safety be it respect for your competition, team-mates or training partners, the respect you give the athletes and show to other coaches and officials. 

3) Continue Education - Educate yourself. Take courses, be it to improve your technical or tactical repertoire as it is always important to fill your tool box.  It is also important to take courses or seminars that will improve player health, safety and well being.  First Aid, CPR, and injury courses, nutrition, goal setting, anything that can improve you or give you tools to improve your athletes is a benefit. 

4) Take in Account the Whole Athlete - We all at times forget that athletes are not just physical beings.  When we ask how they are doing we need to get beyond the skills, the techniques, the injuries or the performance.  The mental and emotional aspects of athletes can effect all of those.  Events that are occurring with family, friends or at school can weigh on how an athlete performs.  These distractions can also lead to being more injury prone as they aren't focusing on proper technique or tactics. 

While this list is definitely not inclusive these few tips can help you be just a coach who can teach skills and tactics into a coach who truly creates a great environment for their athletes to excel both in sport and life. 

The Hype Behind Sport Specialization

We recently did a presentation for Ever Active Schools - Shaping the Future conference 

Here is the presentation 

Risk Management the Coach's Responsibility

Many coaches find it difficult to come up with a complete risk management plan for their team.  For some it may be that they don't understand the importance of one or not feel it is their responsibility, for others it is not knowing where to start or what all comprises of a complete plan.  As a coach you are the decision maker for your team, you need to make safety and risk management a priority as it can be the difference between success and failure or life and death. 

Risk management is an ongoing process that must begin prior to the season beginning and does not end until after the season is over. 

So what all does a coach need to do? We will discuss the basics of a risk management program for sport teams. 

Emergency Action Plan (EAP) - the EAP is designed to make sure all the proper steps are taken when an injury occurs and that specific people have a designated roles/jobs so that all are prepared.  Basic EAPs consist of 3 roles, the charge person who is attending to the injured athlete, the call person who contacts EMS and the control person who maintains order among the crowd, opposing team and liaises with the facility.  

Have First Aid and CPR - it is all great that you have an EAP but if you don't have basic injury management skills such as first aid and CPR, what are you going to do if something occurs?  You can not rely on always having a trainer, athletic therapist on your staff or that each year you will have parents who are doctors, nurses or paramedics.  These are added bonuses not sure things.  

Take an Injury Management Seminar - First aid and CPR only get you so far in the world of sports.  You need to understand the types of injuries that will occur in sports and how to apply the knowledge you gained in first aid and CPR to those situations.  A good seminar will not only discuss sports injuries but go in-depth on risk management, injury prevention and return to activity. 

Carry a First Aid Kit - each team should carry an individualized first aid kit for their sport and the knowledge of those who will be using it.  Sports require more than just few pieces of gauze and band-aids but unless you are trained to do so you don't need a stitch kit. 

Do Risk Assessments - at practices and games.  Know what the areas of risk are in your sport and at each facility you are at.  By doing so you can implement prevention strategies and be more prepared for situations that are specific to each activity. 

By no means is this a complete list of everything that comprises a risk management program.  After each practice, game or competition you will tweek your plan based on what occurred.  Rely on past experiences as well to help form your full plan.  Risk management is about creating a safe environment for your athletes, your staff as well as the other team and spectators.  Though when you first start working on your plan it is a lot of work, the benefits pay off throughout the seasons.  When injuries do occur, because you were prepared they will take less energy and focus at that time than if you did not have an effective risk management plan. 

For more information on risk management, EAPs and the coaches role please visit our website at www.eliteinjury.com  and follow us on Twitter @EliteInjuryMgmt 

What Came First the Athlete or the Injury?

The question of whether there is more sport related injuries in youth sports begs is similar to the which came first the chicken or the egg, or is the rooster crowing more?

Though in recent years there has been some decrease in sport participation for adolescents, overall 75% of children aged 5-17 participate in some form (Sports Participation 2010).  All sports bring with them a risk of injury, younger athletes tend to suffer traumatic injuries while those over the age of 13 tend to suffer more chronic overuse type injuries, (Pediatric Sports Injuries An Age Comparison of Children Versus Adolescents)

So what really came first?  Are there more young athletes or are the young athletes getting injured more?  If there are more athletes participating then it would be logical to assume that there would be more injuries.  However statistics do show that there has been a decrease in participation in certain sports, yet sports that did not exist in 90's are very popular today.  

However, the way sports are played has changed.  Many things that would be considered activities are now organized sports, ie. Ultimate Frisbee.  Sports are seen as a means to an end, school scholarships and professional contracts are the ultimate goal for many parents and athletes.  Due to this athletes are pushing and being pushed at a younger age.  Sport specialization and the formalization of youth sports has these young athletes performing more often and at higher intensities.  

One of the major changes in sport is the culture.  The "old school" thought was that if it wasn't broke you played.  Former athletes were taught to tape an Aspirin to it and keep playing, that playing through injuries no matter how severe was what made you strong.  Athletes are now taught to let their coaches, parents, teachers and athletic therapists know if they are injured.  This point alone could attest for the rise in injuries.  It may not be there is more occurring, it is just that there are more being reported.  

No matter the reasoning for the increase in sports injuries, they are occurring at a greater rate.  As a parent, coach, teacher, athletic therapist/trainer, and athletes we need to focus on injury prevention and proper management.  There needs to be a greater focus on player safety and overall wellness.  For our young athletes to truly get the best experience in sport, they need to be able to participate without fear of injury. 

For more information follow us on Twitter @EliteInjuryMgmt and our website at www.eliteinjury.com 

Preparing for the Upcoming Season as an Athlete

As an athlete there are many things that come up as your season starts.  For many of you school starts at the same time as your sport, adding more pressure and time commitments.  

There are a few things that you must do to prepare yourself for the year.  Some of the aspects that are part of this is being physically prepared to participate and participating because you want to. 

Eat well.  Your mind and your body can not function properly if it is not being given the appropriate fuel. As much as a bag of chips and a pop seem like a good idea for lunch.  By the time you finish school, practice and studying you will not be doing so at full capacity.  Depending on your schedule and activity level, the amount and number of times you will eat will vary.  What is important is to make sure you are eating whole food, and drinking lots of water.  The less you let your energy levels fluctuate, the more consistent your performance at school and sport will be. 

Have a schedule.  Know when your practices are, when your games/competitions are and when your assignments and tests are.  If you know there is going to be a conflict, talk to your teachers ahead of time, this way you are both prepared for the situation. 

Find a buddy. It can be a team mate, class mate, sibling, friend, coach or teacher.  There is going to come  time where you may feel overwhelmed or not sure of how to handle a situation.  Use this buddy to talk to.  Sometimes just talking to someone can make the world of difference.  Knowing that someone else is going through the same thing as you or maybe them not being directly involved will give them a different perspective.  Never feel like you have to make it through anything alone. 

Take time for yourself.  Outside of school and sport, do something else.  Go to a movie with your friends, spend time with your family outside of driving to a practice or game.  By being involved in other things you will avoid mental burnout, what you must remember is not to over schedule your life.  Down time and rest are extremely important. 

The final thing to do for the season and during is to have fun. Nothing else matters.

To find out more of our athlete services please visit our website at www.eliteinjury.com and follow us on Twitter @EliteInjuryMgmt 

Preparing for the Upcoming Season as a Parent

Well the September long weekend is over, kids are back at school and the fall/winter activities are starting up.  As a parent you are getting the year schedule and are soon finding your calendar is full.  Before you reach for the bottle of wine, take a deep breath, you will get through this.  The following will help you get through this season hopefully injury free, but if an injury does occur with your young athlete, you will be prepared for it. 

Write down the schedule, not just this months, but the whole year.  Put it in a master calendar with everything on it.  Important school dates, holidays, practices, games, tournaments and competitions.  Again before you scream there is a reason for this.  Do you notice any trends?  Are there days off?  If you your child is in multiple activities are there any conflicts?  Is there conflicts between each child's schedule?  By noticing any conflicts now, you have the time to manage them now, instead of last minute.  The stress that you express when something happens is felt by your children and can distract them their task at hand.  Back to days off.  Rest is important, very important.  Both physical and mental fatigue lead to injuries or burnout.  For more on fatigue in athletes go here.  

Proper meal planning is also very important.  Being prepared with lots of meals in the freezer that can be easily thrown into the oven or slow cooker will save you time and the dread of heading through the drive thru.  A supply of healthy snacks in the car can get you through those school to sport moments.  

Being prepared for injuries is like having insurance, you hope you don't need to use it but are glad you have it if something does happen.  Knowing basic injury management principles will help you not only with your child's injuries but are also a good life skill to have.  It is also important to have a health care professional that you trust in case your child does suffer an injury, that way your not searching after the fact.  If the sport your child is involved in is prone to concussions, have baseline evaluations done by a qualified health care professional.  

Asking your child's coach, teacher or instructor as to their qualifications and preparedness for injury situations.  Do they have first aid and CPR?  Have taken an injury management seminar or course?  Do they have an EAP and a risk management plan?  What is their policy on return to activity after injury?  These are all questions you need to ask them.  Most of the time they will be the one responding to your child's injury, not you.  You want to make sure they are prepared for the situation and that there will be no confusion after the fact as to return to activity. 

The final thing that you must remember to do for the season is to have fun. 

For more information on our injury management seminars and other services offered check out our website at www.eliteinjury.com.  Please follow us on Twitter @EliteInjuryMgmt

Athletic Therapist Spotlight - Kim Schneider

Here is our final spotlight for National Athletic Therapy Month. 

Name: Kim Schneider 

Job: Athletic Therapist with The Edmonton Wildcats Football Club and Mentor Therapist for the Sherwood Park Kings Athletic Club (hockey)

Education Background: I have a Bachelor of Physical Education with a specialization in Sports Performance from the University of Alberta as well as an Advanced Certificate in Athletic Therapy from Mount Royal College.

What is a typical day for you:  A typical practice day with the Wildcats consists of arriving at the clubhouse 1.5 hours before practice starts to get everyone prepared and taped up. We are there for 30-45 min after practice to assess anything that may have happened at practice. On game day, we get to the field 2.5 hours before the game as we need to have everyone ready and taped up in time for warm ups. We are usually there for 45 min after a game to assess any new injuries or have our team doctor assess injuries that do not seem to be responding to our treatments. For hockey, I will typically get to the rink 1-1.5 hours prior to the game to prep the athletes and to prepare the bench with water bottles, towels, etc. I am basically the equipment manager too! For both sports, game day is a 5-6 hour commitment. 

Favourite part of job: My favourite part of the job is seeing my athletes eyes light up and the smile that comes across their face when I tell them that they are able to play again after an injury. I also enjoy the camaraderie of being a part of a team. 

Why did you become an AT: I became an AT because I like helping people and I love sports. I put the two together and found a fantastic job!

Highlight of Career: The highlight of my career thus far would have to be winning the 2013 Western Canadian Challenge Cup with the U16 boys Team Alberta Hockey as the Head Athletic Therapist. Representing our province is a privilege that not everyone gets to do and to do that while bringing home the gold was an experience that I will never forget!

Follow us on Twitter @EliteInjuryMgmt and check out our website Elite Injury Management 

Athletic Therapist Spotlight - Nicole Lemke

Name: Nicole Lemke

Job: Athletic Therapist for Football Alberta

Education background: Bachelor of Physical Education from the University of Alberta, Advanced Certificate in Athletic Therapy from Mount Royal College and a Master of Science from the University of Alberta.  

What is your typical day: My typical day on the road with Football Alberta's U18 provincial team involves per-practice preparations, sideline coverage in the event of an injury and treatment time in a host clinic.  

What is your favourite part of your job: The favorite part of my job is always game day.  Being part of the team and sharing in their pre-game anxieties and post-game reactions.  

Why did you become an AT: I became an AT because I enjoy sports.  I was an active high school athlete and this gave me a great opportunity to stay involved in sport.  

What is the highlight of your career: Football Alberta takes a team to Maui, Hawaii each summer.  I have gone 8 times! It's a beautiful location and there's a lot to be said for working on a sideline that overlooks the ocean. 

Follow us on Twitter @EliteInjuryMgmt and check out our website www.eliteinjury.com  

Athletic Therapist Spotlight - Andrea Hanssen

This weeks Athletic Therapist spotlight is on Andrea Hanssen. 

Name: Andrea Hanssen

Job: Owner of Activa Sports Therapy Athletic therapist & Red Cross First Aid Instructor. 

Education Background:  Bachelors of Physical education from the University of Alberta & Mount Royal University Advanced Certificate in Athletic Therapy 

What is a typical day for you: During the school year I provide Athletic therapy services at a local high school and everyday can be very different.  The days go by fast doing assessments  and treatments for the students and staff,mostly the athletes that pick up injuries in football, Rugby or other school sports or activities. Other tasks that keep me busy are supervising and providing guidance in the fitness centre and assisting teachers as guest instructor of subjects such as first aid, athletic injury management, taping, nutrition and other topics.  Outside of the school you will most likely find me on the soccer pitch taking care of a variety of different levels from youth to professionals. 

Favorite part of job: Travelling is one of my passions and often times that is  a part of the job.  I have been fortunate that Athletic Therapy has taken me all over Canada, USA, Sweden, England, France and Spain. 

Why did you become an AT: I love sports and couldn't imagine doing anything else. I am happiest around a field or court, either on it playing or helping those that are. 

Highlight of Career:  There are so many great events to choose from, but one memorable moment that will always stick out in my mind is quite comical.  Dwayne Laing and I received a Red Card from the Ref (as Therapists) during a professional soccer game while on the field assisting an injured player. Apparently the he had not waved us on, however the fourth official did signal us to enter the field.  We had to leave the game. 

Follow us on Twitter @EliteInjuryMgmt and our website at www.eliteinjury.com 

SCORE - Saving & Creating Better Athletes

Today is the official launch of our SCORE - Saving and Creating Better Athletes - program.   This program has been designed to give all school athletes tools to help them succeed in all areas of their lives.  The goal of the SCORE program is to create athletes who are not only better prepared to participate in sport and excel but also create athletes who are able to reduce the risk of injury and deal with injury and emergency situations if they do occur.

The SCORE program consists of the following. 

First Aid & CPR Certification 

In the case of any emergency having someone present who is able to perform CPR and       administer life saving first aid can be the difference between life and death.  Having these skills is not only applicable to those in sport but is a great life skill.  Student athletes will be certified in CPR, AED and First Aid.

Injury Recognition 

The importance of having first aid and CPR is great, however without the knowledge of how to recognize common sports injuries those skills are not useful.  We offer numerous injury recognition seminars including concussion recognition. musculoskeletal injuries, anaphylactic    reactions, spinal injuries, heat illness and medical episodes such as cardiac arrest, diabetes, and asthma.  

Sport Taping & Strapping

If you want to learn unique and practical taping techniques for most common sports injuries.  Participants learn proper taping procedures, when to tape and when not to, taping versus bracing, as well as have the opportunity to practice different taping techniques for all parts of the body.

Education Seminars 

Seminars will increase athletes awareness of health and safety topics. Participants will gain knowledge on how to perform at peak levels as well as knowledge to use in everyday life.  Topics include nutrition, injury prevention, drugs in sport and mental training skills such as goal setting.

Student Trainer Course

For those students who wish to expand their knowledge of sports medicine or who are wanting to pursue a career in sports medicine this is the place to start.  This course is comprised of three parts: First Aid and CPR certification, Sport Taping and Strapping and our Managing Injuries—A Trainer’s  Responsibility.

 By creating an athlete that not only has the skills to compete on the playing field or gym, but who now has the knowledge as to how injury prevention and management plays a role in athletic success.  The SCORE program truly makes athletes - student athletes as it gives direct education applicable to sport that they can carry over into every day life.

Please follow us on Twitter @EliteInjuryMgmt and check out our website www.eliteinjury.com 

Athletic Therapist Spotlight - Carrie Mussbacher

In our second National Athletic Therapy Month spotlight we feature Carrie Mussbacher. 

Name: Carrie Mussbacher

Job: Athletic Therapist, Fitness Centre Coordinator & Personal Trainer

Education Background: I completed my Bachelors of Physical Education at the U of A, and while there I became a Certified Personal Trainer through Canadian Society for Exercise Physiology (CSEP). Then I completed Advanced Certificate Athletic Therapy at Mount Royal University which prepared me for becoming a Certified Athletic Therapist with CATA.

What is a typical day for you: A typical day will involve supervising the fitness centre at Strathcona High Schoool, helping with Phys Ed or Sports Performance classes who use the facility. I will do a few clinical assessments every day, as well as injury treatment/rehabilitation sessions. I am on call for any injuries occurring in the school (sports teams, phys ed classes or sports performance classes mostly). Depending on the season, I provide on-field coverage for rugby and football games and any tournaments that we host. At the end of the day I often have one personal training session/group fitness class outside of my work at the school.

Favorite part of job: I love being apart of competitive sports, the adrenaline rush you get when you run onto the sports field to help an athlete, and the feeling you get when your injured athletes return to sport and are able to compete again after sustaining an injury. I love being challenged daily, and that no two days will ever be the same!

Why did you become an AT: I was once told as an athlete myself that I would have to quit sport in the middle of the season if I wanted my shoulder to get better. I wasn't given any other options. I don't want to put individuals in that position if they don't have to be. I want to promote the idea of returning to sport/activity in a healthy way. You don't have to play in pain but you also don't have to quit. There are options for every individual. 

Highlight of Career: 

-Winning 2006 CIS National Championship with U of A Bears Soccer

-Working with the Edmonton Rush Lacrosse Team (2011-12 & 2012-13 seasons

For more information on Athletic Therapy and Certified Athletic Therapists please visit www.athletictherapy.org or www.aata.ca

Follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com 

Ask the Therapist

We have joined YEG Fitness for their Ask the Therapist article. Here are our two most recent questions posed by readers and our answer.  

How important is stretching before exercising?

Stretching prior to training or exercise is important. What needs to be clarified is what type of stretching. Typically we see people doing static stretching both prior to and after training. Static stretching has a role but should be used at the end of a session as part of the cool down to increase flexibility. Prior to training incorporate dynamic stretching as part of your warm up. Dynamic stretching is controlled motion through the complete range. Do movements that mimic activities in your sport or training session. For more information check out our blog post Dynamic Stretching in Warm Up

What is the general time for Hamstring strain take to heal?

The average time for a hamstring strain to heal depends upon a five factors. Firstly the grade of the injury. Muscle strains are categorized into 3 grades. A grade 1 strain where there is not disability to a grade 3 which is a complete rupture, a grade 2 falls between these. Grade 1 strains typically resolve in around 1 week, grade 2 take 2-4 weeks and grade 3 beyond that. The second factor is if there is a prior hamstring strain. There is evidence showing that hamstring strains are a recurrent injury. Thirdly, the state of the body when the injury happened, fatigue and muscle imbalance can prolong the healing process. Fourth, the sport in which you participate. Any sport that involves running especially sprinting will take longer to get back to full competition. Finally, proper injury management. During the acute stage the principles of rest and ice are very important, followed by proper rehabilitation to increase range of motion, strength and functionality.

If you have a question about injury prevention, injury management or sport safety please email us at info@eliteinjury.com 

Follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com 

Lightning Safety in Sport

With warm weather comes, thunderstorms and of course lightning.  We all enjoy spending time outside either participating or watching outdoor activities and sports.  Many times when a storm approaches we all fail to proceed safely.  Many assume that only sports that involve metal implements, ie. golf, softball and some track events, need to have lightning safety policies.  In Canada there are an average of 10 deaths per year from lightning strikes and around 164 injuries. Most occur between June and August with a whopping 94% of deaths and 74% of injuries occurring this time. Those aged between 16 and 45 and male are the most prone to suffer a lightning related death or injury.  The activities that are most common are camping/hiking and work, golf and baseball rank third and fourth.  

We can not prevent thunderstorms from occurring, so to prevent lightning related injuries we must have a thorough lightning emergency action plan.  

1) Have a designated person who is responsible for suspending play. 

2) Have a designated weather watcher, who's job is to watch for incoming weather systems.

3) Have pre set safe zones for each venue in case severe weather does occur. 

4) Have a set of criteria as to when it is safe to resume activity. 

When deciding when to suspend play paying attention to the incoming weather is key.  As soon as there is a approximately 9.25 km from the edge of the storm and the area of activity, if you can hear thunder then there is lightning near by.  You must allow for everyone involved to be able to reach the safe area prior to the storm hitting.  The safe area must be indoors, places like shelters and picnic canopies are not sufficient.  When it is time to resume your activity the standard rule is 30 minutes after the last lightning strike and sound of thunder is heard.  

Having a well thought out EAP for lightning is important for all outdoor activities.  Being prepared to suspend play and stick by your actions is beneficial to all.  As with all safety initiatives lightning safety needs full team buy in to be successful.  Be proactive and set out your plan, do not rely on the officials or other team to make the call.  Research within your league as to who's responsibility it is to suspend play and if there is already a lightning policy in place.  Though lightning strikes are not as common as other injuries the damages from them are much more devastating and tragic.  

For more information on lighting safety in sports check out the NATA Position Statement on Lightning Safety for Athletics and Recreation and for general lightning information in Canada go to Environment Canada - Lightning Safety.

Please follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com 

June is National Athletic Therapy Month

June is National Athletic Therapy Month, please see the press release from Sandy Jespersen, Executive Director of the Canadian Athletic Therapy Association (CATA)

National Athletic Therapy Month reminds us that we’re all athletes

While we usually think of sports when we talk about athletic activity, most Canadians engage in some form of physical activity every day. Whether it’s lifting an infant into a highchair, running for the bus, or bending to reach a fallen sock behind the dryer, we move and exert our bodies constantly. And sometimes we feel the pain from those movements.

That’s the idea behind National Athletic Therapy Month this June: an annual reminder that everyone can benefit from the expertise of Canada’s Certified Athletic Therapists. By declaring, “We are all athletes”, the Canadian Athletic Therapists Association (CATA) hopes to educate Canadians who have sustained an injury to their muscles, bones, or joints that a Certified Athletic Therapist (CAT(C)) can help get them back to work and play.

 “While we’re primarily known for our role in helping athletes recover from injury faster and achieve peak performance, our skills can be used to help anyone with an injury,” said Richard DeMont, President of CATA. “Whether you’re a weekend golfer an avid gardener, or a busy soccer mom, moving without pain or discomfort is an important part of our overall health and well being.”

 Being able to translate the knowledge gained from years of treating elite athletes at the highest levels of competitive and professional sports into the needs of all Canadians makes the role of a Certified Athletic Therapist very valuable for injury recovery. 

 "For professional and elite athletes, the sporting arena is their workplace, and we treat workplace injuries,” said DeMont. “Whether that workplace is a playing field or an office tower makes no difference; we help get people back into their game.”

 From injury prevention to emergency care to rehabilitation, Certified Athletic Therapists are committed to assisting all of life’s athletes. 

For more information on Athletic Therapy or National Athletic Therapy month go to www.athletictherapy.org or www.aata.ca

We will be featuring local Edmonton area Athletic Therapists throughout the month to help you get to know your local ATs a little better.

Please follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com for more information on Athletic Therapy and the services we offer. 

Why Proper Injury Management is Important

I recently treated a young dancer who hurt her leg at school.  The story of how she hurt her leg and her subsequent recovery is a perfect example as to why safety recognition and proper injury management is key. 

Now her mechanism of injury is somewhat amusing but totally preventable.  While at school she slipped on a pencil and awkwardly caught her balance.  She was unable to extend her leg fully and was walking around on her tippy toes when I saw her.  She complained of pain in her upper calf.  She had no swelling or deformity.  Her hamstring and calf were in spasm which was causing her pain.  I sent her home with instructions to RICE (rest, ice, compress & elevate).  This is where the story turns ugly.  She went to school the next day feeling better, that was until she was not allowed to ice during recesses and lunch.  When her mother arrived home, her ankle was swollen, bruised and sore.  She was in so much pain, you could not touch her leg without her crying.  Click here to see her ankle.  After one day of ice, elevation and rest the swelling had gone down and by day five full range of motion had returned and she is back to dance.

  

Her injury was totally preventable, making sure that things are not left on the floor and encouraging kids to be aware of their surroundings.  However, kids will be kids and that can't always happen.  What could have happened is the proper management post injury.  As was seen by her recovery once the RICE principle was initiated, if this had been done the day after injury then the swelling, pain and bruising would not have been so severe. 

Basic injury management principles are just that basic and simple.  The RICE principle has been around for many years and does not require much advanced knowledge of injury management.  Correct management obviously creates a more ideal situation for healing, which is in the best interest for everyone.  A similar situation is a friend of mine who hurt her knee during soccer.  Her husband told her to heat it that night.  These two situations show the importance of more education on basic injury management.  

As health professionals we may feel that everyone knows how to deal with acute injuries, but everyday athletes both young and old are getting improper advice which in turn prolongs their injury and taking them away from being active and achieving success. 

For more information on injury prevention and management follow us on Twitter @EliteInjuryMgmt and check out our website www.eliteinjury.com 

Year Long Sport and Early Specialization

Early sport specialization and year long sport has become a major problem for our young athletes.  There are many reasons and justifications for this by parents, coaches and administrators as there is a perceived success for those who do specialize early.  Some are unaware of the detriment to their athletes bodies and some just choose to ignore what they see and hear.  Athletes can achieve success in their careers even when starting to specialize as late as age of fifteen.  

There are both physical and psychological negatives to the early specialization of young athletes. Overuse injuries and burnout are the most common, which lead to early retirement.  By the age of thirteen 70% of adolescent and child athletes will have dropped out of their given sport or activity.  By encouraging and registering them in a cross spectrum of sports benefits include an increase of joy, talent and the use of the full body.  

By involving your child in sports that involve the full body, you decrease the likely hood of overuse injuries.  Repetitive strain injuries such as Osgood-Schlatter, Sever's disease, Little League Elbow, tendinosis, and stress fractures are all linked to excessive repetitive motions and repetitive training cycles.  Gymnastics, diving and figure skating are the only sports to show some benefit with early specialization due to their use of periodization.  Graded increases in activity, are the most beneficial for the physical and skill development of athletes.  Rest both during the season and off season, is imperative to keeping young athletes engaged and injury free.  

The long term effects of overuse injuries can be seen in the number of baseball players especially pitchers in both the college and professional levels who are suffering ulnar collateral ligament sprains.  The philosophy of no pain, no gain has long been shown detrimental in both coaching and conditioning realms.  By engaging in multiple sports different parts of the body and brain are engaged, making turning the child into a better overall athlete.  People marvel at college athletes who compete and excel in more than one sport.  What we should be doing is using them as an example of how non-specialization actually leads to success.

By allowing our young athletes to engage in more than one sport and delaying specialization we will create not only better athletes but better adults as well.  By reducing overuse injuries and burnout at the younger ages, athletes will continue on being active throughout their adult lives.  That is true success over medals and accolades.

Follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com

Resources used for this post

 Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine, DiFiori et al; Br J Sports Med 2014;48:287-288

Any Given Monday: Sports Injuries and How to Prevent Them for Athletes, Parents, and Coaches - Based on My Life in Sports Medicine, Dr. James Andrews 

http://researchrepository.murdoch.edu.au/4422/1/sport_specialization_in_youth.pdf

The Art of Taping

As an Athletic Therapist one of the things that we do on a regular basis and by regular I mean multiple times daily is taping.  Be it an ankle, thumb, knee or wrist we have to know that exact place to put the tape and what way the that piece of tape needs to go to prevent and stabilize the joint.  

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Recently I was instructing a class of high school students on various tape jobs.  There were varying degrees of experience with taping as well as degrees of interest in doing them properly.  One of the first steps we went over was reviewing the motions of the joints we were going to tape.  Before you even can touch a roll of tape you have to know what way the joint your going to tape moves.  It would be very detrimental to tape an ankle inversion sprain and pull the ankle into inversion instead of eversion.

Learning to tear tape is another skill that needs to be mastered prior to applying tape to the body.  Poor tears cause wrinkles and tight spots which are both huge no-no's with any tape job.  The use of scissors or tape sharks to cut regular white taping tape is not efficient nor practical.  

You may be asking by now why is this post called the Art of Taping.  It may seem more technical than artistic.  As much as you need the technical knowledge as to the body and its motions, taping is truly an art.  No body part is the same.  For example no arch in the foot is the same.  Being able to recognize this and know the difference, while taping essentially on the fly is part of the artistic aspect. 

 Many of you may not think so but tape jobs are pretty.  They should be viewed like a sculpture.  The absence of wrinkles and windows (where skin shows through between two pieces of tape) makes for a smooth, flawless tape job.  This combined with the ability of the strength of the tape to prevent injury is beautiful.  

If you still doubt how taping can be art.  Watch an Athletic Therapist at work.  The fluidity of their motions as they move the roll of tape around the body of their athlete or patient is at times as graceful as a ballerina or pianist.  

I hope that after reading this you have gained a little more appreciation for those of us who tape.  It is not as simple as throwing on a piece of tape as though it is a bandage.  Each piece is in its place for a reason and put there purposefully, as a painter puts each brush stroke on their masterpiece.  

Please follow us on Twitter @EliteInjuryMgmt and check out our website www.eliteinjury.com for more tips and services that we offer in keeping everyone in the sport of life.  

Fatigue in Athletes

Many athletes become fatigued during the season.  With the prevalence of year round sport, young athletes are becoming fatigued more often that before.  As a coach and parent there are two main ways you can help deal with athlete fatigue.  Firstly you must plan a schedule that will help prevent athlete fatigue, secondly you must be able to recognize the signs and symptoms of athlete fatigue.  

Signs to look for when seeing if your athlete is becoming fatigued come as both physical, mental and emotional.  Physically athletes may become more prone to sickness.  Missing practices, games and competitions due to illness more often than normal is an easy sign for parents and coaches to see.  An increase in pain as well as slower recovery from work outs or injuries occur as athletes become more fatigued during the season.  As the body uses its energy to try to keep up with normal daily activities, It finds it harder to find the energy to heal, compete and learn new skills.  Skills that were once automatic become harder to complete.  

Mental and emotional fatigue can end up leading to depression, so it is imperative that early recognition occurs.  Athletes may appear moodier or more emotional.  The happy go lucky athlete who cheers everyone on, soon becomes withdrawn and irritable.  You may notice an increase in irritability.  Snapping at parents, siblings or teachers without cause or over reacting to situations can be early indicator of fatigue.  

Altered sleep patterns, both a increase or decrease in the amount of sleep is a sign of both mental and physical fatigue.  When or wear an athlete chooses to sleep as well.  You may find that an athlete is falling asleep during dinner or needing naps after school.  If this is typically abnormal and becomes more than an occasional occurrence, further investigations as to the cause need to occur.  

One of the major clues or signs to look for is a decreased enthusiasm for their sport.  Not wanting to attend practices or competitions, coming up with excuses as to why they don't want to go or wanting to leave early are all signs of this loss of enthusiasm.  This type of fatigue is associated with burnout and is typical with athletes involved in sports with early specialization and year round sport.  

Prevention of fatigue as with all types of injuries is simpler than dealing with it after it occurs.  When organizing an athletic year follow the principles of periodization.  Both physically and mentally the athlete can not be at peak performance all the time.  There must be highs and lows of training and competition. 

As parents, coaches and teacher-coaches; a balance between school, sport and social life must be achieved.  When scheduling practices and games allow time for both the body to recover as well as time for your athletes to complete homework and spend time with friends and family.  

Communication is pivotal for both recognition and prevention of fatigue.  Talking and listening to your athletes to both verbal and non-verbal actions will allow you to take any steps needed before it is too late.  

Athlete fatigue is more than just being tired and can lead to long term health problems.  Preventing and recognizing this before it becomes severe is important in truly making the athletes health a priority. 

Follow us on Twitter @EliteInjuryMgmt and check out our website at www.eliteinjury.com