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Field Hockey Conditioning: El Paso Back Clinic

Field Hockey Conditioning: El Paso Back Clinic

Field hockey is one of the world’s oldest team sports, dating back to the classical Greek era. It also is recognized as one of the oldest college sports in America. It is a game where teams composed of 11 players, including one goalkeeper, come together on a field and use hockey sticks to drive a ball into a net to score points. The winner is determined by whoever has the most points at the end of the game. The sport requires high aerobic and anaerobic fitness to provide endurance, strength to position, trap, pass, and hit the ball, push and flick the ball, and acceleration/speed and agility. Here we look at the basic fitness components and chiropractic care benefits.

Field Hockey Conditioning: EP Chiropractic Functional Team

Field Hockey

Aerobic Fitness

Field hockey players need to have high levels of endurance to perform. The game consists of 2 35 – minute halves, with a 10-minute break, plus stoppages. This consistent use of energy and muscular strength requires the cardiovascular system to supply oxygen through the blood.

  • A conditioning workout should include long-distance and interval training.
  • Long-distance running or biking is a great way to build up the endurance to run back and forth on the field.
  • To keep workouts fun, alternate between long-distance and interval.

Strength and Power

Players need to be physically strong to power through an opponent, drive the ball, or push the ball out from another player’s stick. Incorporating exercises that strengthen the entire body will help.

  • Body-weight workouts will work if you don’t have access to a gym or weights.
  • Squats, glute bridges, and lunges can help build a strong lower body.
  • Push-ups and tricep dips are great for the upper body.

Lower body injuries are common. The risk can be reduced by 50% through regular participation in a strength training program with a resistance component, such as neuromuscular training.

Agility

  • The ability to change direction quickly is important, as players will change direction at least every 5 seconds during a game.
  • Players should include interval training to increase quickness and agility.
  • Common agility drills are ladder drills, lateral sprints, and hill climbs.

Flexibility

  • Healthy hamstring and lower back flexibility maintain stability and balance, which is also important for injury prevention.
  • Yoga and simple stretches increase flexibility.

Field hockey fitness is about perfecting moves to become an automatic reaction.

Chiropractic Benefits

After putting their body through intense training, players can benefit from sports massage and chiropractic. Benefits include:

Increased Range of Motion

The sport requires a wide range of motion. A misaligned area like the spine and hips causes weakness in the muscles and tendons near the joints causing the player to take on awkward positioning that can lead to various neuromusculoskeletal issues and injuries. Chiropractic reset and realignment maintain body flexibility, muscle relaxation, optimal circulation and strengthen the areas causing weakness.

Enhanced Balance and Coordination

Balance and coordination are critical as the players sprint, shift, twist, and turn. The eyes and ears are the main balance components, but the nervous system plays a role. Chiropractic spinal alignment increases the nervous system’s function of sending signals to the rest of the body.

Speeds up Recovery From Injury

Chiropractic helps heal injury quicker because fluids and nutrients released after an adjustment will move toward the damage expediting healing. Chiropractic breaks up scar tissue and trigger points to rebuild that strength and stamina without the risk of worsening or further injury.

Chiropractic care will improve how the central nervous system communicates with the rest of the body.


Strength Training


References

Espí-López, Gemma V et al. “Effect of manual therapy versus proprioceptive neuromuscular facilitation in dynamic balance, mobility and flexibility in field hockey players. A randomized controlled trial.” Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine vol. 32 (2018): 173-179. doi:10.1016/j.ptsp.2018.04.017

Krzykała, M et al. “Does field hockey increase morphofunctional asymmetry? A pilot study.” Homo : internationale Zeitschrift fur die vergleichende Forschung am Menschen vol. 69,1-2 (2018): 43-49. doi:10.1016/j.jchb.2018.03.003

Reilly, T, and A Borrie. “Physiology applied to field hockey.” Sports medicine (Auckland, N.Z.) vol. 14,1 (1992): 10-26. doi:10.2165/00007256-199214010-00002

Tapsell, Liam C et al. “Validity and Reliability of a Field Hockey-Specific Dribbling Speed Test.” Journal of strength and conditioning research vol. 36,6 (2022): 1720-1725. doi:10.1519/JSC.0000000000003700

Rodeo Training: El Paso Back Clinic

Rodeo Training: El Paso Back Clinic

Rodeo Training: Rodeo has become a sport that is now open to anyone, and there are even programs for weekend warriors. Like all sports, it can offer a rewarding experience but can be dangerous. As the sport grows, individuals and spectators realize the importance of being strong, mobile, and durable. Individuals need to assess their health and ability and be in top shape due to the demands this sport places on the body. Here we look at the muscle groups needed in this sport.

Rodeo Training: EP Chiropractic Functional Health Clinic

Rodeo Training

Fitness has always had a place in rodeo and all equine sports, but it wasn’t paid much attention. Professional rodeo instructors recommend incorporating a strength, conditioning, and personal training regimen, to keep rodeo athletes, including bull riders, steer wrestlers, and calf ropers, in top form. Even for weekend warriors and hobbyists, increasing strength and mobility will make the hobby much more enjoyable.

Body Strength

The core strength of the abdominals and lower back is very important. The connection between the upper and lower body and groin strength has to be strong for the athletes to stay on the animal and control their bodies as the animal runs, shifts, and jumps. The focus should be on every muscle needed to move with proper form and control and learning how your body moves.

Upper Body

Scapula Stabilizers

  • These muscles help control the shoulder blade and maintain a healthy posture.
  • These muscles aid the rotator cuff and deltoid muscles to upwardly or downwardly rotate the shoulder blade/scapula while the shoulder joint/arm is moving overhead, behind the back, or reaching away from the trunk.
  • Strengthening these muscle groups prevents the rounding of the shoulders and provides strength when dealing with a strong animal.
  • Roughstock riders use these muscles to maintain pressure when lifting their rigging, reign, or rope while maintaining a square posture.

Back and Spine Muscles

  • The Erector Spinae Group and Quadratus Lumborum muscles play an intricate role in coordinating movement between the upper, core, and lower body.
  • These muscles support stabilization, rotation, and side flexion of the spine, which is very important when positioning in a saddle.
  • If the balance is shifting, these muscles help the body recover quickly.

Chest Muscles

  • This group is known as Pectoralis Major and Minor.
  • This muscle group needs strengthening, but it is equally important to ensure they’re flexible throughout the chest.
  • Many individuals have strong chest muscles, but there may be an imbalance of strength and flexibility, causing unhealthy posture.
  • The spine and stabilizer muscles cannot work to maintain proper posture or stabilize if the chest muscles are too tight.
  • The focus is maintaining balance in the chest’s mobility while ensuring they are strong enough to handle the force.

Core

Abdominal Muscles

  • Four major groups comprise the abdominal muscle group, including the rectus abdominis, internal and external oblique, and transversus abdominis.
  • These muscles work together with the spine and back muscles to help create core stability.
  • Core strength is not as important as core stability in rodeo sports.
  • The core fundamentals of riding require the hips, pelvis, and low back to move with the animal.
  • These muscles coordinate with each other to produce stability.
  • Focusing only on strength causes rigid or stiff riding.
  • Being excessively rigid through the abdominals and back muscles prevents shock absorption and can lead to lower back symptoms.

Lower Body

Hip Adductors

  • These inner thigh muscles include the gracilis, obturator externus, adductor brevis, longus, and magnus.
  • These muscles should typically be the strongest because of their natural riding use.
  • Problems with these muscles happen because the athletes generally don’t ride horses recreationally and don’t know how to strengthen them.
  • This leads to various injuries throughout the pelvic floor and hips.
  • Balance is required as the muscles can be too weak or too strong.
  • Where riders begin to depend/rely too much on them can lead to imbalances with the upper and lower body muscles.
  • Too much use/gripping with the adductors can lead to over-rotation of the hip, resulting in the toes-out walking gait and musculoskeletal issues.

Hip Abductors

  • The outer thigh/hip muscles are the gluteus medius, gluteus minimus, and tensor fasciae latae/TFL.
  • They move the leg away from the body and help rotate at the hip joint.
  • The abductors are necessary for staying stable when walking or standing on one leg.
  • They help stabilize the hip and pelvis and maintain proper leg alignment, allowing correct leg movements without excessive shifting in the saddle.
  • Sitting in the saddle with more pressure on one side or leaning to one side when jumping will cause an imbalance in the hip abductors.

Hip Extensors

  • These are the posterior/back and hip/thigh muscles and are made up of the gluteus maximus and the hamstrings.
  • These are the most powerful muscles in the body and are responsible for giving the horse the cues to perform what they need to.
  • Strong hamstrings and glutes allow the rider to exert appropriate pressure through the legs to move the horse from a walk, trot, lope, run, and direction change.
  • The gluteus maximus acts as a buffer between the hamstrings and the lower back muscles.
  • Weakened gluteus maximus muscles can cause tight hamstrings that shift the pelvis and begin pulling on the low back muscles.
  • Building strength and mobility throughout the hip extensors will prevent injury.

Understanding which muscles are responsible for each part of the movements needed to compete in this sport is essential. However, rodeo sports are learned by doing, and it is recommended to go to a rodeo school or rodeo clinics as there is no substitute for experience. Some schools hold numerous classes around the country. These are usually taught by championship athletes and are a great way to try rodeo in a safe and controlled learning environment.


Rodeo Training: What It Takes


References

Meyers, Michael C, and C Matthew Laurent Jr. “The rodeo athlete: injuries – Part II.” Sports medicine (Auckland, N.Z.) vol. 40,10 (2010): 817-39. doi:10.2165/11535330-000000000-00000

Sinclair Elder, Amanda J, and Rachel Tincknell. “Epidemiology of Hip Injuries in Professional Rodeo: A 4-Year Analysis.” Orthopedic journal of sports medicine vol. 8,10 2325967120959321. 27 Oct. 2020, doi:10.1177/2325967120959321

Sinclair, Amanda J, and Jack W Ransone. “Physical activity and its relationship to rodeo injury and success.” Journal of strength and conditioning research vol. 18,4 (2004): 873-7. doi:10.1519/14623.1

Watts, Melinda, et al. “Characteristics of Injury in Collegiate Rodeo.” Clinical journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 32,2 (2022): e145-e150. doi:10.1097/JSM.0000000000000904

Table Tennis Health Benefits: El Paso Back Clinic

Table Tennis Health Benefits: El Paso Back Clinic

Table tennis is a sport that individuals of all ages and abilities can play. The small scale and reduced movement make it more accessible. It has become more physical, with professional players making fitness an important part of their training. However, at all levels, it offers moderate-intensity activity, which is good for the heart, mind, and body. Recreational table tennis has been found to increase concentration, stimulate brain function, help develop tactical thinking skills and hand-eye coordination, and provide aerobic exercise and social interaction.

Table Tennis Health Benefits: EP Chiropractic and Functional Team

Table Tennis

The setup and rules are similar to tennis and can be played solo or in doubles. The skills needed to develop are learning to hit and control the ball consistently. Table tennis can be complex, with various shots, spins, and styles, but the foundational skills required include:

Proper Footwork

  • Although the body does not move that far, footwork is essential with the quick movements that are made in a short period.
  • Basic footwork techniques include fast dynamic movement, balance, and weight distribution.

Serving

  • Basic serving is necessary to get the point going.
  • There are many types of service in table tennis, but the major ones are the forehand and backhand serve.

Forehand and Backhand Strokes

  • Different stroke styles can be used, but forehand and backhand strokes are the most common.
  • Learning how the body activates and responds to the swing, the point of contact and the follow-through of each stroke is essential to get the most out of each stroke.

Speed and Agility

  • Table tennis is a fast-twitch muscle sport that utilizes quick bursts of energy and explosive strength.
  • Coaches and players use a combination of hybrid, high-intensity, and functional training to condition the body.
  • High-intensity interval training incorporates explosive movements, like squat jumps, to activate the muscles and the anaerobic threshold.

Hand-eye coordination

  • Playing improves hand-eye coordination skills and stimulates mental alertness and concentration.
  • This is great for sharpening overall reflexes.

Health Benefits

Table tennis offers several health benefits that include:

  • It is a social sport that provides a fun way to spend time with family and friends.
  • The overall risk for injury is low.
  • Easy on the muscles and joints.
  • Increases energy.
  • Improves balance.
  • Improves reflexes.
  • Burns calories.
  • Keeps the brain sharp.
  • Relieves stress.

Table Tennis


References

Biernat, Elżbieta, et al. “Eye on the Ball: Table Tennis as a Pro-Health Form of Leisure-Time Physical Activity.” International journal of environmental research and public health vol. 15,4 738. 12 Apr. 2018, doi:10.3390/ijerph15040738

Picabea, Jon Mikel, et al. “Physical Fitness Profiling of National Category Table Tennis Players: Implication for Health and Performance.” International journal of environmental research and public health vol. 18,17 9362. 4 Sep. 2021, doi:10.3390/ijerph18179362

Pilis, Karol, et al. “Body composition and nutrition of female athletes.” Roczniki Panstwowego Zakladu Higieny vol. 70,3 (2019): 243-251. doi:10.32394/rpzh.2019.0074

Zagatto, Alessandro Moura, et al. “Energetic demand and physical conditioning of table tennis players. A study review.” Journal of sports sciences vol. 36,7 (2018): 724-731. doi:10.1080/02640414.2017.1335957

Zhu, Ke, and Lina Xu. “Analysis on the Influence of Table Tennis Elective Course on College Students’ Health.” Journal of healthcare engineering vol. 2022 8392683. 17 Jan. 2022, doi:10.1155/2022/8392683

Skiing Training: El Paso Back Clinic

Skiing Training: El Paso Back Clinic

Skiing sports require balance, strength, endurance, and muscle power. It is recommended to start training for ski season about eight to twelve weeks before heading to the slopes. However, any amount of training is better than no training; as long as you stay consistent and focus on exercises that enhance skiing or snowboarding, even a few weeks of fitness training can make a difference. A ski conditioning workout can help you ski better, stay out longer, prevent injuries, and have more fun.Skiing Training: Injury Chiropractic Functional Wellness

Skiing

Before beginning any training plan, check with your doctor or a certified training professional. The recommended strategy is a cardio and strength workout routine that trains and strengthens the lower-body muscles, including the quads, hamstrings, and glutes. This will improve mobility and balance to help control the skis better and support body parts like the knees, which are more prone to skiing injuries.

General Overview of Training

Increase Muscle Power

  • Strengthen the quads, glutes, hamstrings, and hips.

Posture and Balance

  • Train the core and the muscles around the hips, which helps provide stability.

Increase Endurance

  • Condition the body to handle vigorous conditions.

Increase Cardiovascular Function

  • Cardiovascular activities include running, biking, or interval training to strengthen the lungs and heart.

Training Schedule

Starting

  • With skiing, you’ll need a combination of cardio and strength training and enhanced aerobic fitness for the higher altitude.
  • Individuals are encouraged to start around six to eight weeks before ski season because it takes around that amount of time to experience the benefits.
  • The muscles need time to recover and repair themselves between sessions.
  • As aforementioned, you can still exercise even if you have missed the training window.

Cardio

  • Cardio increases lung capacity and heart rate.
  • The best cardio exercises for getting into ski shape work the entire body.
  • Pick an enjoyable activity: jogging, biking, and high-intensity interval training/HITT.
  • The goal should be 30 minutes of cardio activity 2-3 times a week to prepare the heart and lungs for downhill runs.

Recommended workouts for getting into ski shape:

  • Elliptical trainer – The elliptical trainer is highly recommended for ski training, as it mimics the same upper-body and lower-body movements used in Nordic skiing.
  • Stair climber
  • Running

Other recommended workouts:

  • Biking
  • Jumping jacks
  • High-intensity interval training (HITT)

Strength Training

Recommended strength training exercises will help with the following:

  • Leg strength
  • Lower body strength
  • Core muscle strength
  • Balance
  • Endurance
  • Muscle power

Keep the following in mind:

  • Make the exercises fit your body.
  • Move at your own pace.
  • If something hurts or doesn’t feel right, modify the activity or skip it.
  • Increase the number of sets or add more resistance/weight as the training progresses.

Warm-up:

  • Start the workout with five to 10 minutes of easy cardio activity.
  • This could be a short session on a treadmill, jumping jacks, or a quick jog.

Guidelines as you progress through the workout:

  • Inhale during initial exertion, and exhale as you return to the starting position.
  • Maintain breathing patterns during faster exercises.
  • Rest at the end of each exercise.

Walking Lunge with Rotation Exercise

This exercise works the glutes, quads, hamstrings, and abdominals and improves core rotation.

  • Stand with your feet slightly apart.
  • Step one foot forward into a lunge.
  • As you step forward, rotate your body to the side in the direction of your lead knee.
  • Arms should be at chest height, slightly elevated from the sides.
  • Drive up and through your forward leg to take the next lunge.
  • Repeat ten times on each side for a total of 20.

Tips and modifications:

  • If you don’t have enough space, you can stay in one spot and alternate lunging.
  • Make it easier by keeping the back leg straight.
  • Make sure that your knees do not go inward.
  • Stay in a straight line with your foot and hip.

Lateral Ski Jump Exercise

This power exercise prepares for the explosive ski movements and energy bursts needed to control the descent.

  • Stand with your feet hip-width apart and knees slightly bent, balancing on one leg.
  • Jump to the side, landing on the other leg.
  • Think about landing softly with your knee slightly bent.
  • Jump to the other side, landing softly on the other leg.
  • Swing the arms sideways across your body like a speed skater.
  • Repeat 15 on each side.

Tips and modifications:

  • Make smaller jumps to the side
  • Move slower
  • Touch your toe to the ground instead of keeping it off the floor.

Chop Exercise

This exercise will strengthen the core to initiate turns using the core rather than the arms or shoulders and help prevent lower back pain.

  • Use a resistance band that you can secure slightly above the shoulders.
  • Stand sideways to where the band is anchored.
  • Position yourself so that you can reach up evenly with your shoulder to grab the free end of the band with both hands.
  • Your knees should be slightly bent.
  • Pull the band down across your body while turning your body.
  • Think about the trunk doing most of the work for this exercise, not the arms and shoulders.
  • Keep your arms as straight as you can as you pull the band down
  • The arms should act as guides, with the obliques and back muscles generating the pulling and rotating power.
  • Do this 15 times, then repeat facing the other way.
  • Rest for 90 seconds before moving on to the next exercise.

Tips and modifications:

  • Adjust the band resistance level by shortening it to increase resistance or lengthening it to ease resistance.
  • The goal is to feel tired at the end of the reps but not so exhausted that you struggle to finish.

Hip Roll Exercise

This exercise strengthens the muscles of the hips, including the glutes, to help prevent knee pain. There’s a direct relationship between hip strength and knee control. When hip strength is weak, the knees tend to shift inward.

  • Stand on your left leg.
  • Lean your body forward at the hips, keeping the back straight.
  • Lift your right leg back behind you, slightly off the ground.
  • Rotate or roll your hip away from your standing foot.
  • Maintain the body in a straight line as you roll your hips back.
  • Repeat 10-15 times on each side.

Tips and modifications:

  • If balancing is difficult, hold on to the back of a chair or keep your toes on the ground.

Whether you’re going alpine or Nordic skiing, these are just a few exercises designed to help all types and levels of recreational skiers and snowboarders. Always check with your doctor before starting any exercise routine, and it is recommended to consult a ski instructor or personal trainer for more comprehensive and intense workouts.


Ski Team Workout


References

Laskowski, E R. “Snow skiing.” Physical medicine and rehabilitation clinics of North America vol. 10,1 (1999): 189-211.

Nagle, Kyle B. “Cross-Country Skiing Injuries and Training Methods.” Current sports medicine reports vol. 14,6 (2015): 442-7. doi:10.1249/JSR.0000000000000205

Steadman, J R et al. “Training for Alpine skiing.” Clinical orthopedics and related research,216 (1987): 34-8.

Therell, Terese, et al. “Effects of Core Strength Training on Skiing Economy in Elite Junior Cross-Country Skiers.” Research quarterly for exercise and sport vol. 93,3 (2022): 608-614. doi:10.1080/02701367.2021.1887441

Running With A Prosthetic Leg: El Paso Back Clinic

Running With A Prosthetic Leg: El Paso Back Clinic

Before you begin running, talk with your physician, prosthetist, and other clinicians involved in your rehabilitation/health care treatment. Learning to use a prosthetic takes time and practice. Individuals that meet the minimum recommendations for running and have mastered walking on a prosthesis can begin running. The world of sports prosthetics has realized technological advancements to become highly refined and targeted for all levels of competition.Running With Prosthetic Leg: Injury Medical Chiropractic Team

Before Running Recommendations

Every individual has specific healthcare needs, and guidelines should be considered to prevent injuries.

  • To become a runner and progress to a good runner, individuals need to focus on strengthening their legs to build endurance levels to meet the energy demands.
  • Working with a sports chiropractic and physical therapy team is recommended to build, strengthen, and condition the muscles and develop healthy posture and walking habits.

Skin Health

Talk with your healthcare team to ensure the skin can withstand the forces while running. If limb skin quality is insufficient, running can result in sores and blisters that prevent wearing a prosthesis until they heal. Other considerations include the following:

  • The incision should be healed.
  • All stitches and staples have been removed.
  • There should be no drainage.
  • Ensure there are no open wounds or blisters.

Bone Health

  • Research suggests in some cases that a decrease in bone density/osteopenia or osteoporosis of the residual limb can occur after amputation.
  • This can result in pain when applying weight through the residual limb.
  • Some amputations can result in heterotopic ossification – bone growth in the soft tissues outside the normal skeleton.
  • If heterotopic ossification is causing symptoms, it is not recommended to run and talk to your physician and prosthetist about options.

Proper Fitting of Prosthetic

  • Suboptimal socket fit can result in an altered gait.
  • If there is any compensation when walking, the gait deviations will be exacerbated when running.
  • Gait deviations can result in abnormal loading, resulting in injuries.
  • Talk to your prosthetist about the fit if it is less than optimal.
  • It is recommended to participate in gait training with a chiropractic physical therapy team to learn to walk with proper form.

Balance and Agility

Agility drills are recommended to transition from walking to running.

  • They help coordinate the limbs and can be done with a regular prosthesis.
  • Agility and balance exercises promote stability in the socket to become more stabilized during quick movements.
  • They can help to prevent balance-related falls.
  • When working on balance, do it in a safe environment with a friend, family, or something to hold on to.

Strength Training

  • The unaffected leg will now be the main powerhouse, so the focus needs to be on strengthening all the muscles in that leg.
  • If you have bilateral amputations or both legs, the hips will be the powerhouse for running. It needs to generate all the force to propel the body forward.
  • Individuals with a below-knee amputation will also have the hamstrings to help out.
  • Hip musculature needs to be strong to meet running demands.
  • Without proper strength, the body will compensate in various ways, which can lead to injuries.

Endurance

  • Endurance training is essential.
  • A high level of endurance is required before training to run to meet the energy demands.
  • One study showed that running with a SACH/Solid Ankle Cushion Heel Foot requires 28-36% more energy than individuals without amputations.

Running With Prosthetic

Energy

Running on a prosthesis requires more energy. It could be recommended to use a running prosthesis instead of the everyday prosthesis. The energy needed to run is:

  • Greater for individuals with amputations above the knee than those below the knee.
  • Even greater for those with amputations on both sides.

Asymmetry

Asymmetrical loading is a common problem when running with a prosthesis. Runners want to use the unaffected limb more than maintain balance for reasons that include:

  • Not trusting the prosthetic.
  • Discomfort when loading the residual limb.
  • Not enough strength in the residual limb.
  • Unbalanced amounts of force from impact can result in injuries.

Practice Schedule

  • In the first week, asses how the socket fits and if there is any discomfort.
  • If something does not feel correct, check with your prosthetist.
  • Don’t run for more than 10 minutes in the beginning without stopping to check the skin to see if any red spots appear.
  • The pressure will be increased, so be aware of anything irritating or rubbing the skin.
  • Individuals who had their amputations some time ago may be able to tolerate the load more easily at the beginning than individuals who recently had an amputation.
  • Too much too soon can result in injuries.
  • Slowly ease into running and give the limbs and body time to adapt to the physical and mental stress.

Running With A Prosthetic Limb


References

Beck, Owen N et al. “Reduced prosthetic stiffness lowers the metabolic cost of running for athletes with bilateral transtibial amputations.” Journal of applied physiology (Bethesda, Md.: 1985) vol. 122,4 (2017): 976-984. doi:10.1152/japplphysiol.00587.2016

Bragaru, Mihai, et al. “Sport prostheses and prosthetic adaptations for the upper and lower limb amputees: an overview of peer-reviewed literature.” Prosthetics and orthotics international vol. 36,3 (2012): 290-6. doi:10.1177/0309364612447093

Kanas, Joanne L, and Mark Holowka. “Adaptive upper extremity prostheses for recreation and play.” Journal of pediatric rehabilitation medicine vol. 2,3 (2009): 181-7. doi:10.3233/PRM-2009-0082

Matthews, D et al. “Return to sport following amputation.” The Journal of sports medicine and physical fitness vol. 54,4 (2014): 481-6.

Meyers, Carolyn, et al. “Heterotopic Ossification: A Comprehensive Review.” JBMR plus vol. 3,4 e10172. 27 Feb. 2019, doi:10.1002/jbm4.10172

Morgan, Sara J et al. “Mobility with a lower limb prosthesis: experiences of users with high levels of functional ability.” Disability and rehabilitation vol. 44,13 (2022): 3236-3244. doi:10.1080/09638288.2020.1851400

Training Oneself To Enjoy Vegetables: El Paso Back Clinic

Training Oneself To Enjoy Vegetables: El Paso Back Clinic

It is difficult for individuals to achieve health and fitness goals when they don’t like to eat vegetables. Intermittent fasting, Paleo, vegan, Mediterranean, or New Nordic, almost all healthy nutrition plans require vegetable consumption to achieve optimal health. However, it is never too late to learn to enjoy vegetables. Injury Medical Chiropractic and Functional Medicine Clinic can recommend ways not just to eat vegetables because they are healthy but to truly enjoy them.Training Oneself To Enjoy Vegetables: Functional Chiropractor

Training Oneself To Enjoy Vegetables

Everyone’s taste preferences are different.

  • Many individuals grew up in homes where vegetables were prepared in unappetizing ways.
  • Over boiling and steaming are common preparation methods that many had experience with, including broccoli, cauliflower, asparagus, and Brussels sprouts, which made them flavorless, mushy and is where many decided they were not going to eat these foods.
  • Many don’t like vegetables because many have chemical compounds that make them taste bitter.
  • If food intake is more packaged and less fresh, an individual’s palate will be more conditioned to seek out processed food’s fatty, sweet flavors.
  • Some individuals may be genetically inclined to dislike vegetables.

Vegetable Purpose

Vegetables are full of nutrients that are very beneficial to the body.

  • Vegetables contain antioxidants, vitamins, minerals, fiber, and phytonutrients.
  • These nutrients help keep the mind and body healthy and avoid deficiencies.
  • Vegetables add fiber that provides a feeling of fullness by giving volume to fill the stomach without added calories.
  • This controls energy balance/calories in vs. calories out, which helps shed body fat without feeling hungry and maintain body weight.
  • Vegetables feed the intestinal bacteria that help the digestive tract.
  • Vegetables provide hydration that helps the fiber eliminate waste products.
  • Vegetables add variety to help maintain healthy nutrition.

Branching Out

The key is to branch out incrementally. Most individuals will have a vegetable or two that they can tolerate. This could be a starting point by expanding on new variations on those tolerable vegetables that will lead to broadened taste preferences. This can be done through different cooking methods that include:

Regardless of where you’re starting, there are simple ways to make the vegetable bitterness less intense, more palatable, and more enjoyable that consists of:

  • Vegetable Challenge
  • Vegetable Complement
  • Vegetable Cushion

Vegetable Challenge

  • Pick a vegetable that you would not normally eat that requires effort to try.
  • Motivate yourself to try it – health reasons, children, family, friends, etc.
  • Take a small bite; you may hate it, like it, or it has no effect.
  • You at least tried it.
  • Research suggests that individuals may need to try new foods many times (prepared differently) before tolerating or liking them.

Vegetable Complement

  • Build on flavor perception
  • Well-developed recipes have flavor harmony.
  • It means pairing food with a vegetable to activate various tastes and flavors pleasing to the palate simultaneously.

Vegetable Cushion

  • On the tongue are a variety of receptors that bind to the chemicals in food.
  • When these receptors are activated, they send a chemical signal to the brain about the taste.
  • Variations in the number and type of receptors help develop flavor preferences.
  • Basic tastes – sweet, sour, spicy, salty, bitter, and umami.
  • Pairing bitterness with other distinct flavors, like sweet and spicy, can develop and change the brain’s perception of bland or bitter vegetables to tasty and delicious.
  • Cushions for bitterness include honey, real maple syrup, sour cream, Mexican crema, hot sauce, oils, almonds, and butter used in balance to enhance and bring out flavors.

The objective is to start small and work your way to becoming more comfortable with experimenting and combining more flavors. Consultation with a professional nutritionist can help individuals get on a healthy nutrition plan that they can enjoy.


Tip From A Dietitian


References

Christoph, Mary J et al. “Intuitive Eating is Associated With Higher Fruit and Vegetable Intake Among Adults.” Journal of nutrition education and behavior vol. 53,3 (2021): 240-245. doi:10.1016/j.jneb.2020.11.015

Melis M, Yousaf NY, Mattes MZ, Cabras T, Messana I, Crnjar R, Tomassini Barbarossa I, Tepper BJ. Sensory perception of salivary protein response to astringency as a function of the 6-n-propylthioural (PROP) bitter-taste phenotype. Physiol Behav. 2017 Jan 24;173:163-173.

Mennella JA. Development of food preferences: Lessons learned from longitudinal and experimental studies. Food Qual Prefer. 2006 Oct;17(7-8):635-637.

Tordoff, Michael G, and Mari A Sandell. “Vegetable bitterness is related to calcium content.” Appetite vol. 52,2 (2009): 498-504. doi:10.1016/j.appet.2009.01.002

Wallace, Taylor C et al. “Fruits, vegetables, and health: A comprehensive narrative, umbrella review of the science and recommendations for enhanced public policy to improve intake.” Critical reviews in food science and nutrition vol. 60,13 (2020): 2174-2211. doi:10.1080/10408398.2019.1632258

Wieczorek, Martyna N et al. “Bitter taste of Brassica vegetables: The role of genetic factors, receptors, isothiocyanates, glucosinolates, and flavor context.” Critical reviews in food science and nutrition vol. 58,18 (2018): 3130-3140. doi:10.1080/10408398.2017.1353478

Baseball Training: Chiropractic Back Clinic

Baseball Training: Chiropractic Back Clinic

All sports differ in the relative importance of various physical skills contributing to the game and individual performance. Baseball is a precision sport with fast, explosive movements and full-body activity. The ability to repeatedly perform near maximum level with little rest is necessary for baseball players. Baseball training involves a multidimensional approach that focuses on speed, agility, and strength in a way that is relative to the motions and requirements of the sport.

Baseball Training: Injury Medical Chiropractic ClinicBaseball Training

Trainers have to assess the unique needs of the sport and determine the time needed to improve each quality within the athlete. They should focus on the following:

  • Improving core strength and trunk rotation.
  • Increasing shoulder stability and strength.
  • Improving quick reactive movements.
  • Increasing explosiveness.
  • Improving running, throwing, and bat speed.
  • Injury prevention.

Baseball training workouts are targeted at increasing running speed, bat speed, pitching, and throwing velocity that breaks down the muscle groups for improving performance while decreasing the risk of injury. Training consists of combined conditioning that includes:

  • Sprinting
  • Interval runs
  • Jump rope
  • High-intensity cardio
  • Strength training

Rotational Movements

  • Players often lack abdominal or core strength.
  • One of the main aspects of baseball is the hitting and throwing that is done in a rotational movement and are explosive.
  • Players are recommended to train rotationally with light weights and high speed.
  • Exercises emphasizing rotating the hips and torso with resistance, including cable and pulley machines, dumbbell workouts, and medicine ball workouts, are effective.
  • Abdominal crunches and various rotational twists with a medicine ball can develop a strong muscular base in this area.
  • This will improve strength and power in the core area, which is vital for swinging a bat and throwing.

Shoulder and Rotator Cuff Work

  • High stress is placed on the shoulder joint and the rotator cuff muscles.
  • Pitching happens at the shoulder joint and is one of the fastest human movements.
  • Repetitive stress increases the risk of injury.
  • Exercises that strengthen the anterior and posterior shoulder muscles in a balanced manner are recommended.
  • Shoulder flexibility is necessary to allow external rotation when throwing at high speeds.
  • Deceleration is the area of pitching where injuries happen most.
  • Plyometric shoulder and upper body exercises can help with the explosive pitching motion.

Explosive Speed

Bat Speed

  • Players need increased lower body and core strength to develop power in the swing.
  • The muscles require rotational training at a high velocity.
  • Strong hip and leg muscles initiate the swing.
  • The core area transfers the rotational speed to the torso.
  • The arms complete the swing.
  • The efficient transfer of force from the lower body to the upper body or the kinetic chain principle requires balance for optimal transfer.
  • Strong lats, triceps, and forearms facilitate optimal bat acceleration during ball contact.
  • Forearm and triceps exercises, squats, bench presses, and pull-ups are recommended.

Throwing Velocity

  • Throwing a baseball at high velocity is a full-body movement that requires total body development.
  • Strong leg, hip, and core muscles are necessary to transfer power from the ground, up through the lower body, to the torso, and then the arm and hand to generate a fast, whipping ball release.
  • Weighted or medicine ball exercises can improve velocity.
  • This will improve generating power in the throwing muscles.
  • The objective is to build power utilizing a heavy and then a light load to build arm speed, and using proper form will improve throwing velocity safely.
  • Proper trunk rotation during arm cocking and strength and flexibility training should involve trunk rotational exercises to develop the obliques so that maximum arm speed can be generated.

Biomechanical Analysis

Video analysis of a player includes:

  • Pitching mechanics
  • Hitting mechanics
  • Fault correction
  • Feedback
  • Assessing progress

Mental and Emotional Skills

  • Mental and emotional skills training helps players deal with success, failure, and game pressure.
  • Players have to deal with consistent failure and remain confident.

Hitting Mistakes


References

Ellenbecker, Todd S, and Ryoki Aoki. “Step-by-Step Guide to Understanding the Kinetic Chain Concept in the Overhead Athlete.” Current reviews in musculoskeletal medicine vol. 13,2 (2020): 155-163. doi:10.1007/s12178-020-09615-1

Fleisig, Glenn S et al. “Biomechanical Analysis of Weighted-Ball Exercises for Baseball Pitchers.” Sports health vol. 9,3 (2017): 210-215. doi:10.1177/1941738116679816

Rhea, Matthew R, and Derek Bunker. “Baseball-specific conditioning.” International journal of sports physiology and performance vol. 4,3 (2009): 402-7. doi:10.1123/ijspp.4.3.402

Seroyer, Shane T et al. “The kinetic chain in overhand pitching: its potential role for performance enhancement and injury prevention.” Sports health vol. 2,2 (2010): 135-46. doi:10.1177/1941738110362656

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