Back and Spinal Fitness at PUSH as Rx leads the field with a laser focus on supporting our youth sports programs. The PUSH-as-Rx System is a sport-specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes.
The program is the multidisciplinary study of reactive agility, body mechanics, and extreme motion dynamics at its core. A clear quantitative picture of body dynamics emerges through continuous and detailed assessments of the athletes in motion and under directly supervised stress loads.
Exposure to the biomechanical vulnerabilities is presented to our team. Immediately, we adjust our methods for our athletes to optimize performance. This highly adaptive system with continual dynamic adjustments has helped many of our athletes return faster, stronger, and ready post injury while safely minimizing recovery times.
Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics. PUSH-as-Rx offers specialized extreme performance enhancements to our athletes no matter the age.
Your schedule is jam-packed, and you’ve lost all hope of making it to the gym. But here’s some good news: You can still fit in a serious workout�even when you have almost zero�time. Really!
Research suggests that a 10-minute sweat session with�1 minute of high-intensity exercise (think�sprints, on foot�or a stationary bike) can lead to the same benefits�including�improved cardiovascular�health,�increased endurance, and fat percentage loss�as exercising at a moderate pace for 45 minutes.
If you’re wondering how that could possibly be, it’s all explained in the new book�The One-Minute Workout:�Science Shows a Way to Get Fit That’s Smarter, Faster, Shorter�($27; amazon.com). Author Martin Gibala, PhD, is the chair of the kinesiology�department at McMaster University and�the pioneering researcher behind�ultralow-volume exercise.
“We have this notion that it takes at least an hour to get in a good workout�more if you factor in the time required to get to and from the gym,” he writes. “My studies show that idea is nonsense.” Below, Gibala�shares two routines from his book that deliver maximum results in minimal time.
The One-Minute Workout
“[T]his protocol can be used by almost anyone who wishes to improve or maintain cardiovascular fitness in the most time-efficient manner science has yet discovered,” Gibala writes.
Peak Intensity:�10+
Duration:�10 minutes, with just 1 minute of hard exercise
1. Warm up with some light physical activity for 3 minutes at an easy pace.
2. Blast through a 20-second sprint at an all-out pace.
3. Rest with some light activity at intensity 1 for 2 minutes.
4. Blast through another 20-second sprint.
5. Repeat the cycle until you�ve completed 3 sprints.
6. End with a 2-minute cool-down for a total duration of 10 minutes.
Feel free to customize the sprint activity to any full-body movement that significantly elevates your heart rate.
“If I could only do one type of workout, it would be this one,” Gibala says in his book. “It includes some of the best elements of the most time-efficient workouts in this book, including body-weight training for upper- and lower-body strength and active recovery periods that keep the heart rate elevated for cardiovascular training.”
Peak Intensity � 10
Duration � 10 minutes
1. As a warm-up, perform 30 seconds of jumping jacks.
2. Alternate bodyweight resistance-training exercises with some type of cardiovascular exercise in repeating 30-second intervals. The bodyweight exercises should be performed hard, at an intensity of 10, such that you �fail� or are unable to perform any additional repetitions at the end of the 30-second period. Reduce the intensity somewhat during the cardio intervals in between, but the pace should remain vigorous, perhaps starting out at an exertion of 5 and progressing to an 8. So while these are �recovery� intervals in between the bodyweight exercises, your heart rate remains high throughout the entire 10-minute workout, providing an effective cardiovascular training stimulus.
3. The bodyweight intervals should incorporate upper- and lower-body exercises. One great combination is push-ups, pull-ups, and air squats. If you�re unable to conduct the exercise for the whole 30-second interval, just do as many as you can. Also, feel free to work in such other exercises as mountain climbers, burpees, or lunges.
4. The cardiovascular exercise could be cycling, climbing stairs, or running a predetermined �lap� around a park or even briskly in place. You could stick with one type of exercise or vary this throughout the workout.
And you�re done! Congratulations�you�ve just employed a variety of the most potent, scientifically proven fitness and strength-boosting techniques to improve health, in only 10 minutes!
Reprinted from The One Minute Workout by arrangement with Avery, a member of Penguin Group (USA) LLC, A Penguin Random House Company. Copyright�2017, Martin Gibala, PhD
Female soccer players suffer the highest rate of concussions among all high school athletes in the United States, a new study finds.
“While American football has been both scientifically and colloquially associated with the highest concussion rates, our study found that girls, and especially those who play soccer, may face a higher risk,” said study author Dr. Wellington Hsu. He is a professor of orthopaedics at Northwestern University in Chicago.
“The new knowledge presented in this study can lead to policy and prevention measures to potentially halt these trends,” Hsu said in a news release from the American Academy of Orthopaedic Surgeons.
The researchers analyzed data on nearly 41,000 injuries suffered by high school athletes in nine sports between 2005 and 2015. The injuries included nearly 6,400 concussions. The sports studied included football, soccer, basketball, wrestling and baseball for boys; and soccer, basketball, volleyball and softball for girls. During the study period, participation in the sports rose 1.04-fold, but the number of diagnosed concussions increased 2.2-fold.
In sports played by both girls and boys, girls had much higher concussion rates than boys, Hsu’s team found. Between 2010 and 2015, the concussion rate was higher in girls’ soccer than in boys’ football, the findings showed. During the 2014-2015 school year, concussions were more common in girls’ soccer than in any other sport in the study.
Girls may be at greater risk of concussion while playing soccer due to “heading” the ball, a lack of protective gear, and an emphasis on contact during the game, the researchers suggested.
Each year, about 300,000 U.S. teens suffer concussions or mild traumatic brain injuries while participating in high school sports, the study authors said.
The findings were presented Tuesday at the American Academy of Orthopaedic Surgeons meeting in San Diego. Research presented at meetings should be considered preliminary until published in a peer-reviewed journal.
SOURCE: American Academy of Orthopaedic Surgeons, news release, March 14, 2017�
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Headache and Auto Injury
Whiplash is a common type of automobile accident injury. Characterized by symptoms of neck pain, whiplash is caused when the complex structures and tissues of the neck are stretched beyond their limit as a result of an abrupt back-and-forth motion of the head. While neck pain is the most common symptom associated with the auto injury, headaches can also occur due to complications along the cervical spine.
Parkinson’s disease can cause tremors, stiffness and trouble with walking. But a new study suggests that regular exercise can slow the progression of the disease. Even those with advanced Parkinson’s can benefit from activity, the study authors said.
The research included more than 3,400 patients in North America, the Netherlands and Israel who were followed for more than two years. During that time, Parkinson’s-related changes in mobility were assessed by timing how long it took patients to rise from a chair, walk about 10 feet, turn and return to a sitting position.
The results were published online recently in the Journal of Parkinson’s Disease.
Connection Between Parkinson’s Disease and Exercise
“We found that people with Parkinson’s disease who maintained exercise 150 minutes per week had a smaller decline in quality of life and mobility over two years compared to people who did not exercise or exercised less,” said lead investigator Miriam Rafferty, of Northwestern University and Rehabilitation Institute of Chicago.
“The smaller decline was significant for people who started the study as regular exercisers, as well as for people who started to exercise 150 minutes per week after their first study-related visit,” she said in a journal news release.
The study didn’t look at what specific types of exercise might be best for people with Parkinson’s disease. But the findings suggest that at least 150 minutes a week of any type of exercise offers benefits.
“People with Parkinson’s disease should feel empowered to find the type of exercise they enjoy, even those with more advanced symptoms,” Rafferty added.
The study also found that people with more advanced Parkinson’s disease saw the greatest benefit from 30-minute-per-week increases in exercise. This finding could prove important in making exercise more accessible to these people. Currently, their increased disability may limit their independent participation in community and group exercise programs, according to the researchers.
“The most important part of the study is that it suggests that people who are not currently achieving recommended levels of exercise could start to exercise today to lessen the declines in quality of life and mobility that can occur with this progressive disease,” Rafferty said.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Chiropractic Care for Older Adults
Chiropractic care is an alternative treatment option which focuses on the diagnosis, treatment and prevention of injuries and/or conditions associated with the musculoskeletal and nervous system, primarily the spine. Chiropractic utilizes spinal adjustments and manual manipulations to treat a variety of injuries and conditions. As people age, degenerative injuries and conditions can commonly occur. Fortunately, chiropractic treatment has been demonstrated to benefit older adults with spinal degeneration, helping to restore their original health and wellness.
Parkinson’s disease can cause tremors, stiffness and trouble with walking. But a new study suggests that regular exercise can slow the progression of the disease.
Even those with advanced Parkinson’s can benefit from activity, the study authors said.
The research included more than 3,400 patients in North America, the Netherlands and Israel who were followed for more than two years. During that time, Parkinson’s-related changes in mobility were assessed by timing how long it took patients to rise from a chair, walk about 10 feet, turn and return to a sitting position.
The results were published online recently in the Journal of Parkinson’s Disease.
“We found that people with Parkinson’s disease who maintained exercise 150 minutes per week had a smaller decline in quality of life and mobility over two years compared to people who did not exercise or exercised less,” said lead investigator Miriam Rafferty, of Northwestern University and Rehabilitation Institute of Chicago.
“The smaller decline was significant for people who started the study as regular exercisers, as well as for people who started to exercise 150 minutes per week after their first study-related visit,” she said in a journal news release.
The study didn’t look at what specific types of exercise might be best for people with Parkinson’s disease. But the findings suggest that at least 150 minutes a week of any type of exercise offers benefits.
“People with Parkinson’s disease should feel empowered to find the type of exercise they enjoy, even those with more advanced symptoms,” Rafferty added.
The study also found that people with more advanced Parkinson’s disease saw the greatest benefit from 30-minute-per-week increases in exercise. This finding could prove important in making exercise more accessible to these people. Currently, their increased disability may limit their independent participation in community and group exercise programs, according to the researchers.
“The most important part of the study is that it suggests that people who are not currently achieving recommended levels of exercise could start to exercise today to lessen the declines in quality of life and mobility that can occur with this progressive disease,” Rafferty said.
It may be tempting to latch on to the latest diet fad like juicing or going gluten-free to lose weight or achieve other health goals. But when it comes to heart health, doctors say sticking with old standbys like fruits, veggies and olive oil is still the best approach.
To see what kind of diet patterns might be the most heart healthy, a team of doctors and researchers examined results from more than a dozen previously published nutrition studies. Taken together, all of this evidence shows the best regimen for heart health includes plenty of fruits, vegetables, whole grains and legumes, the study concludes.
“There is a great amount of misinformation about nutrition fads, including antioxidant pills, juicing and gluten-free diets,” said lead study author Dr. Andrew Freeman, director of cardiovascular prevention and wellness in the division of cardiology at National Jewish Health in Denver.
“However, there are number of dietary patterns that have clearly been demonstrated to reduce the risk of many chronic diseases, including coronary heart disease,” Freeman said in a statement. “There is growing consensus that a predominantly plant-based diet that emphasizes green, leafy vegetables, whole grains, legumes and fruit is where the best improvements are seen in heart health.”
Based on the scientific data available, nuts in moderation, extra-virgin olive oil and lean meats can also be part of a heart healthy diet, Freeman and colleagues report in the Journal of theAmerican College of Cardiology.
To help avoid high cholesterol, one risk factor for heart disease, the study authors also recommend skipping or limiting eggs and other oils like coconut and palm oil.
Even though U.S. dietary guidelines released last year removed previous recommendations to limit cholesterol, the current research review still advises against eating too many eggs because they are associated with higher cholesterol levels in the blood.
Coconut oil and palm oil may be trendy, but there isn’t much data to show they’re healthy for routine use, the study also concludes. Olive oil does have proven benefits, but should be consumed in moderation because it’s high in calories.
When it comes to antioxidants, another diet fad, there’s no evidence that supplements can help the heart and some evidence that they may have harmful health effects. But the science does support eating whole fruits and vegetables to get these nutrients.
Juicing, too, may not be as good for the heart as whole fruits and vegetables if people end up drinking too many calories, the researchers note. Juices without added sugar may, however, make sense for people who don’t eat enough fruits and vegetables.
“The problem with juicing is that many individuals who drink these tend to consume more calories from added sugars (fruit, yogurt, milk) than they realize,” Dr. Daniel Rader of the Perelman School of Medicine at the University of Pennsylvania in Philadelphia said by email. He wasn’t involved in the study.
Gluten-free diets that avoid ingredients like wheat, barley and rye are necessary for people with celiac disease or gluten allergies, but don’t have proven benefits for anyone else, the study concludes.
It’s possible that fad diets avoiding gluten without a medical reason to do this might appear to be successful because people who try eating this way to improve their health also do other things that are healthy like getting plenty of exercise and sleep and avoiding smoking and junk food, said Alvaro Hernaez, a researcher at the Hospital del Mar Medical Research Institute in Barcelona.
“They feel better because of the general improvement in their lifestyle habits,” Hernaez, who wasn’t involved in the study, said by email.
Fads diets, especially those that load up on meat or restrict too much food, should be avoided, said Samantha Heller, a nutritionist at New York University Langone Medical Center who wasn’t involved in the study.
“We would all benefit from eating fewer foods that come from animals such as ham, beef, cheese, butter and pork, and eating a lot more plant foods,” Heller said by email.
Running is a great workout, and it comes with all of the heart-strengthening benefits of aerobic exercise. But doing it for long distances�like in a marathon�may come with unintended health consequences. A small new study finds that marathon runners can experience short-term kidney injury after the race.
In the study, published in the American Journal of Kidney Diseases, researchers took blood and urine samples from 22 people who ran the 2015 Hartford Marathon, and looked for evidence of kidney injury. The researchers reported that based on the markers they observed in the samples, 82% of the runners had evidence of stage 1 acute kidney injury after the race. The problem appeared to be short-term, and most people�s kidneys returned to normal within 24 to 48 hours.
Still, the researchers say that their findings underline the fact that running a marathon is a stressful event for the body, and that some people may want to be extra vigilant. �We knew we would find something, but I was surprised by the level [of injury],� says study author Dr. Chirag Parikh, a professor of medicine at Yale University. �It�s comparable to what I see in hospitals.�
More research is needed, but Parikh says that people who have no risk factors for kidney disease probably don�t need to worry. People with diabetes or high blood pressure, or people who are older, may want to work closely with trainers and doctors to keep an eye on their kidney health if they�re running marathons.
Though the researchers did not determine how exactly running a marathon can temporarily hurt kidneys, Parikh says the damage may be due to less blood flow to the kidneys, high core body temperature and dehydration. It�s still unknown whether this short-lived kidney injury can cause cumulative damage, or if some people may not recover in the short-term.
The study is not the first to find that marathons can come with health risks. While it�s clear that getting exercise is important, research suggests that more isn�t always better. A 2015 review published in the journal Current Sports Medicine Reports found that while runners in the study lived longer than non-runners, men and women gained the lifesaving benefits of running if they ran at slow or moderate speeds for about one to two hours a week. Among the runners, the people who ran the most had worse survival rates than people who ran less.
Parikh says that his study did not identify who might be at a higher risk, but notes that people over age 40 are increasingly signing up for marathons, and may want to take more precautions. Today, people 40 and older make up nearly 50% of marathon finishers in the U.S., compared to 1980 when this age group made up just 26%.
�Is there a right amount of distance for each person?� says Parikh. �Like everything else, there might be a balance of the benefits and risks. People can find the right distance for them and train their body.�
Any marathoner will tell you that the grueling 26-mile races can do a number on the hips, knees, ankles and feet.
Now, a small study suggests that these tests of endurance are also tough on the kidneys.
“Marathon runners demonstrate transient or reverse short-term kidney injury,” said Dr. Chirag Parikh, professor of medicine at Yale University.
In his study of 22 participants in the 2015 Hartford, Conn. Marathon, Parikh found that 82 percent showed acute kidney injury after the race. In this condition, the kidneys fail to filter waste from the blood. The good news is that the kidney injury seems to clear up within two days of the race, he said.
“On day 2, they are all fine,” Parikh said.
Runners likely don’t even know they’ve had this transient injury, Parikh said. “For the short term, I don’t think they would notice anything,” he said. Parikh isn’t certain why the strenuous event is linked with kidney injury. But some potential causes include the sustained rise in core body temperature, dehydration, or the decreased blood flow to the kidneys that occurs during a marathon, he explained. When the blood is pumped to the skin and muscles while running, he said, the kidneys may not get as much blood as they normally do.
Nor can Parikh say whether the effect might be cumulative, getting worse with more marathons run. It may be that the kidney adapts over time instead, he noted.
To evaluate this type of kidney injury, his team looked at blood and urine samples collected before and after the marathon. These tests included measuring blood creatinine levels and proteins in the urine, along with looking at kidney cells on a microscope. Creatinine is a waste product excreted by the kidneys; measuring it in the blood helps assess kidney health.
In a previous study, published in 2011, Dr. Peter McCullough, vice chief of medicine at Baylor University Medical Center in Dallas, and colleagues evaluated 25 men and women marathoners. They found 40 percent of the runners met the definition of acute kidney injury based on their blood creatinine levels.
In the new study, Parikh’s team also “performed an in depth evaluation of the urine and found evidence of injury,” McCullough said.
“The larger question looming is: do these repeated bouts of injury in endurance athletes lead to chronic kidney disease years later? Can anything be done about the injury at the time including hydration strategy?” McCullough said. More study is crucial, he added.
Parikh said additional research is also needed to assess whether certain people may not recover as quickly. For now, those with a family history of kidney disease should let their physician know they run marathons, he suggested.
Dr. Cathy Fieseler said marathoners who want to reduce their risk of kidney injury should avoid anti-inflammatory drugs before the race. Those drugs include over-the-counter ibuprofen (Advil, Motrin IB) and naproxen (Aleve), Fieseler said. Acetaminophen (Tylenol) is cleared through the liver.
Fieseler is a primary care sports medicine doctor at Christus Trinity Mother Frances Health System in Tyler, Texas. She’s also medical director of the American Running Association.
The study was published March 28 in the American Journal of Kidney Diseases.
SOURCES: Chirag Parikh, M.D., Ph.D., professor of medicine, and director of applied translational research, Yale University, New Haven, Conn.; Cathy Fieseler, M.D., primary care sports medicine physician, Christus Trinity Mother Frances Health System, Tyler, Texas; Peter McCullough, M.D., vice chief of medicine, Baylor University Medical Center, Dallas; March 28, 2017, American Journal of Kidney Diseases
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Chiropractic and Athletic Performance
Many athletes who are injured performing their specific sport or physical activity, frequently seek treatment from chiropractors. Chiropractic care focuses on the prevention, diagnosis and treatment of injuries and conditions affecting the musculoskeletal and nervous system. While chiropractic is a safe and effective form of conservative care for a variety of ailments, chiropractic can also be utilized to enhance athletic performance.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
