It’s Allergy Season! Volume 4, Issue 2 Elizabeth Lamb, ATC/L S pringtime has arrived. worsen your asthma allergy medications. Here’s April 2005 The time of year when symptoms. If the allergen is how they work: When you all of the flowers are in the air, the allergic are exposed to an allergen, it blooming, the grass is reaction will occur in the triggers your immune system green, and we step outside to eyes, nose, and lungs. If the to go into action. After this engage in all the outdoors has allergen is ingested, the exposure, immune system to offer! Unfortunately, this allergic reaction will occur in cells in your nose and sinuses too, is when spring pollens the mouth, stomach, and release a substance called make their appearance in many intestines. histamine, which parts of the country, causing attaches to receptors in over 35 million Americans to REDUCTION OF blood vessels located ALLERGY in nasal tissues, suffer from seasonal allergies. SYMPTOMS causing them to WHAT IS AN ALLERGY? enlarge. Histamine Anyone can Allergies are an overreaction of develop an also binds together the immune system. Let’s use allergy, but the receptors located in pollen for an example. probability is nasal tissues causing Antigens on the pollen of plants increased if one or redness, swelling, activate antibodies in white both parents itching and, changes in blood cells to release suffer from some kind of nasal secretions. By histamines which cause the allergic condition. Typically, blocking histamine receptors, allergic reaction. The body most people develop their antihistamines prevent these detects harmless pollen as an allergies by the time they symptoms. The swelling in invader and responds as it reach early adulthood. the nasal tissue causes an normally would; it releases Allergies cannot be cured, overproduction of mucus and DOCTORS HOSPITAL histamine. But with allergies, but there are steps you can the swollen blood vessels in the body produces much more take to reduce the symptoms the eyes cause redness. than is necessary. This excess they cause. Allergy-proof Decongestants shrink histamine then binds with other your home by keeping the swollen nasal tissues and cells to produce the symptoms windows closed and refrain blood vessels to relieve the of allergies such as sneezing, from using fans since they symptoms of nasal swelling, itchy eyes, and a stuffy nose. can stir up dust. If you have congestion, mucus secretion, pets, consider keeping them and redness. COMMON CAUSES outside, or at least not in the When searching for a There are a number of allergy- bedroom. Vacuum your medication to relieve all of causing substances. The most home twice a week, and your symptoms, you may common triggers include wash shower curtains and want to search for those that pollen, dust mites, mold, tiles with mold-killing contain both an animal dander, insect stings, solutions. Antihistamine and latex, and certain foods and Decongestant. If you suffer medication. Allergy symptoms MEDICATION OPTIONS from allergies more than can range from mild eye Avoiding your triggers isn’t three months out of the year, irritation and congestion to a always practical or possible; you may be a candidate for a more severe reaction causing therefore many people turn to prescription medication. As swelling and difficulty medication for relief. always, check with your breathing. For those who suffer Antihistamines and doctor about what medicine from asthma, any offending Decongestants are the two is right for you, and have a allergy-causing substance can most common types of fun, allergy-free spring! It’s Allergy Season 1 • Delayed Onset Muscle Soreness Preventing Shoulder Injuries in 2 • Living with Arthritis Baseball • What is a Certified Athletic Trainer? Evaluation of Soccer Players 3 • Preventing Heat Illness in Sports Doctors Hospital Balance and Mobility 4 Center Preventing Shoulder Injuries in Baseball Benetta Albaugh, MA, ATC/L A s any baseball player knows, is key since most of the time during • Dumbbells, flexible tubing, and shoulder pain is a common delivery body weight is supported on one medicine balls are much more complaint. Many may think leg. When the legs, hips, and trunk are functional than using machines in is it just part of the game. weak, coupled with poor mechanics, the the weight room. However, this is not the case. Your arm takes most of the stress of the throw. SOME EXERCISES TO AVOID: baseball season can be pain free with The following are conditioning tips for all proper preparation. players to develop their functional • Bench press with the bar– use strength: dumbbells instead Throwing is a fundamental skill that is often overlooked by coaches at all levels. • Work the whole body - focus on • Military press Many coaches believe that throwing functional exercises that help develop the rotational forces of the • Clean and Jerk ability is innate: you have it, or you don't. hips and trunk– like multi- • Upright rows Although some athletes have more directional lunges, one-legged natural ability than others, almost anyone squats, medicine ball abdominals, or • Dips can improve their throwing by rotational pushups. • Lat pull-downs behind the neck understanding and practicing proper • In the beginning of your • Preacher or concentration curls throwing mechanics. A proper conditioning training you can build strength ADDITIONAL INJURY PREVENTION in the lower body using heavier By using proper mechanics many program is essential for weights as well as the upper Many young players fail to realize the body using lighter weights, but importance of a proper warm-up and shoulder injuries can injury prevention. as the season progresses your stretching routine. Without this you are be prevented. concentration should move risking injury each time you take the towards functional exercises. field. A general body warm-up (jogging, STRENGTH AND CONDITIONING • After strengthening the legs, focus etc) should be done prior to stretching. heavily on the hips and the trunk. By following these tips you can reduce A proper conditioning program is your risk of injury and improve your essential for injury prevention. However, • Do arm care exercises for the shoulder three times a week. Use performance. For any additional the weight room alone will not provide questions please contact Doctors Hospital the necessary functional strength for light weight dumbbells or flexible tubing. Also incorporate abdominal Sports Medicine at 651-2270. throwing. You should include proper balance training in this functional exercises emphasizing twists for program. For pitchers this core stability rotation. Rehab Health Center Staff Members Brian Lancaster, MSM, ATC/L - Director of Will Duncan, MPT - Physical Therapist Laurie Cox, COTA - Occupational the Rehab Health Centers and Therapist Assistant Cardiopulmonary Health Stacy Rush, DPT - Physical Therapist Trudi Dunn, RN - Cardiopulmonary Benetta Albaugh, MA, ATC/L - Kevin Seymour, PT - Clinical Manager/ Rehabilitation Nurse Coordinator of Sports Medicine/Athletic Physical Therapist - North Augusta Trainer Jane DuMond - Office Manager Melissa Pitts, PT - Physical Therapist, Evans John Ellis, MS, ATC/L, CSCS - Athletic Michele Herron - Medical Secretary- Ray Domyslawski, MS, OTR/L, CHT - Evans Trainer/ Strength and Conditioning Occupational Therapist and Hand Specialist Specialist Adrianne Burchette - Medical Elizabeth Lamb, ATC/L - Athletic Trainer Secretary - North Augusta Karen Dorr, OTR/L - Occupational Therapist Page 2 Evaluation of Soccer Players John Ellis, MS, ATC/L, CSCS S occer is a popular area sport for Soccer players experience a wide range girls and guys between the ages of energy demands during the 20-40 5 and 18. Because the sport’s minute halves (depending on the age of popularity is increasing, soccer the athlete). At times players stand still is becoming more competitive. Coaches or walk if the ball is not on their end of and parents are beginning to focus more the field, and at other times they are on strength and conditioning to assist the required to perform maximum sprints. performance of soccer players. Most Aerobic and anaerobic capacity plays a competitive players are currently large role in soccer performance and involved in resistance training and sport- should be evaluated. specific conditioning programs, but how Leg strength and power are required for do we evaluate the progress of athletes’ gaining position over opponents, winning conditioning and assess the training balls by out-jumping opponents, methods used to condition them? preventing injury, and kicking the ball THE IMPORTANCE OF EXERCISE TESTING with velocity or for distance. Exercise testing should be done Like many team sports, soccer requires NORMATIVE VALUES FOR 16 TO 19 YEARS OF AGE periodically throughout your conditioning players to be fast and agile. Speed and program to assess athletes’ progress and agility, combined with the ability to Males Females Value the effectiveness of their program. handle the ball, are characteristics <15.2 sec <17.0 sec Excellent Choosing appropriate field tests can be an shared by good soccer players. Speed effective and cost efficient evaluation is the ability to cover a distance in a 16.1-15.2 sec 17.9-17.0 sec Above Average method. It is important to select field certain amount of time, while agility is 18.1-16.2 sec 21.7-18.0 sec Average tests valid for your sport. Tests should be the ability to decelerate, change 18.3-18.2 sec 23.0-21.8 sec Below Average able to provide data on skills, movement direction, and accelerate. Speed and patterns, and other attributes a sport agility should definitely be a focus of >18.3 sec >23.0 sec Poor demands. The data can then be used to soccer conditioning, therefore should evaluate the strengths and weaknesses of be evaluated by coaches and players. players and/or the conditioning program Below is an example of a soccer-specific COACHES they are participating in. field test to assess agility. Soccer coaches should look at the PHYSICAL DEMANDS OF SOCCER ILLINOIS AGILITY TEST demands of their sport to see what activities and/or movements should be Soccer is a sport that demands tested. Test data should exceptional coordination between the Course Setup (As shown at top) : The length of the course is 10 be used as a tool to eyes and lower extremity (also hand-eye meters and the width (distance between the start and finish points) is identify strengths and coordination for goal keepers). Examples 5 meters. 4 cones are used to mark the start, finish and the two turn- weaknesses on their team include: ing points. Another four cones are placed down the center an equal and for individual distance apart. Each cone in the center is spaced 3.3 meters apart. players. Strength and • Dribbling to advance the ball and Test Procedure: Subjects should lie face down (head to the start conditioning goals should avoid opponents line) and hands by their shoulders. On the 'Go' command the stop- be set after evaluating • Passing and receiving passes watch is started, and the athlete gets up as quickly as possible and test data. If you need any runs around the course in the direction indicated, without knocking information about soccer • Handling the ball while observing the cones over, to the finish line, at which the timing is stopped. field testing or the field of play conditioning please give Equipment and Personnel: One tester (coach), one athlete, a flat us a call. • Shooting at the opponents goal non-slip surface, 8 cones, a stopwatch, and measuring tape. VOLUME 4, ISSUE 2 Page 3 Presorted Std US Postage Pd Augusta GA #263 Rehab Health Centers 3624 J. Dewey Gray Circle, Suite 302 Augusta, GA 30909 Phone: 706-651-2270 Fax: 706-651-2271 www.doctors-hospital.net Official Healthcare Provider Treating the Athlete in Everyone Doctors Hospital Balance and Mobility Center M ost of the time you take your balance disorder. The dizziness and loss of assessment of balance, vision, dizziness and balance for granted. Then balance you may be experiencing are strength as well as walking and movement suddenly, without warning, among the most difficult symptoms to tasks. This assessment will take about one your world turns upside understand and diagnose. This is why we hour to complete. A comprehensive report down. A spell of dizziness, a flash of have the most advanced technology will be provided to your physician and unsteadiness, a wave a nausea. What’s available to help our specialists and your recommendations for individualized going on? In most cases, it’s a problem physician assess the symptoms you are treatment will be discussed. with the body’s balance experiencing. Our SMART center. Balance Master objectively THE STEPS TOWARDS SUCCESS assesses physical function, Following the evaluation, a program is Three systems– your inner balance disorders, sensory ears, your eyes, and your designed to meet your specific needs with deficits and mobility problems. progressively challenging balance and muscles and joints — Our program includes a continuously work together to strengthening activities. Most rehabilitation comprehensive balance programs last about 45 minutes twice a send information to your evaluation and individualized brain that helps you walk, week for 6-8 weeks. Computerized training training program designed to equipment and home exercises help you turn, and bend over easily. If restore your function and one of these systems develops learn about your balance and how to control improve your mobility. your movements. At the end of the a problem, you may experience dizziness or loss of balance. Injuries from falls are Most balance disorders can be successfully program, a reassessment is completed. due to a combination of poor balance, weak treated by using our specialized program of Results of the evaluation, rehabilitation balance retraining. Using the sophisticated program and reassessment are summarized bones and loss of muscle strength. technology of the SMART Balance Master, and made available to the participant and KEEPING LIFE IN BALANCE your therapists will design exercises for you their physician. The goal of Doctors Hospital Balance and that will send the correct signals to your If you are interested in more information Mobility Center is to help find the source of brain to maintain balance. regarding Doctors Hospital Balance and your problem and successfully treat your The initial visit consists of an objective Mobility Center please call (706) 651-2270.
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