PROUDLY PRESENTS

EST

1983 Spring 2019 // Vol. 32

The

NEWSLETTER

Spring 2019 // Vol. 32 PBATS NEWSLETTER The Annual Publication of the PROFESSIONAL BASEBALL ATHLETIC TRAINERS SOCIETY

IN THE SPOTLIGHT: ROGER CAPLINGER Not All Cancer Wears Pink By: Magie Lacambra, M.Ed., ATC

hey say that life only gives you as much as you can handle. Well, Roger Caplinger was T given the biggest challenge of his life, and he rose to the occasion.

A Denver, Colorado native, Roger always knew he wanted to be an athletic trainer. Following his freshman year, when football was dropped at Southern Colorado State as a result of Title IX equity, Roger transferred to Metropolitan State University to complete his bachelor’s degree (1989). This same (From left): Brett, Kyle, Roger and Jackie at the 2018 Purple Stride Walk year, Roger secured a position as an intern for the Denver Zephyrs, the Triple A affiliate of the getting burned out with the schedule and wanted Milwaukee Brewers, which eventually turned into to spend more time at home with his family. Roger positions with the club’s Rookie Ball team and pitched a new position, director of medical Pioneer League team. In 1992, Roger took a year off operations, to Doug Melvin, senior advisor baseball from baseball to earn a master’s degree from the operations, and Gord Ash, vice president Baseball University of Colorado in Boulder, before returning Projects, at the Brewers. He explained how he would to the Brewers organization as the athletic trainer ensure continuity of care by overseeing psychology, for the club’s Arizona Rookie League team. Roger rehab, strength and conditioning, sports realized that the club needed a Minor League performance, and athletic training, as well as handle coordinator, a position that did not exist with the workers’ compensation, budgeting and all other Brewers, and only a couple of other clubs had, and administrative tasks. Melvin and Ash understood convinced the club’s then farm coordinator, Fred the burnout that Roger was experiencing, while Stanley, to let him serve in that role, which was acknowledging the value he could add to their club quickly adopted by all 30 Major League clubs. and moved forward with the new position. After the season in 2011, Roger transitioned to this new role. In 1998, Roger was promoted to assistant athletic trainer with the Milwaukee Brewers, working with Fast forward to November 2017; Roger began Head Athletic Trainer John Adam, while continuing to experiencing low-grade stomach aches, which serve as Minor League coordinator for the club. Four at first he assumed to be food poisoning. When years later, changes in the organization made Roger they didn’t subside after three days, Roger head athletic trainer with the Brewers. decided to call his personal doctor, who also happened to be the Brewers’ team During the 2011 season, Roger realized that, although physician, Dr. Mark Niedfeldt. Dr. Niedfeldt he loved his job as head athletic trainer, he was saw Roger in his office that same day, IN THIS ISSUE

3 In the Spotlight: 6 In the Spotlight: 7 News and 9 Trick of the 10 Sports 11 Sports Roger Caplinger PBATS Alumni Notes Trade: Trending Medicine Science Society Topics CONTINUED... IN THE SPOTLIGHT: ROGER CAPLINGER

and after multiple tests and scans, confirmed Roger had to remove tumors of the pancreas, offering the best stage 1 pancreatic cancer. “I remember immediately chance for long-term control of all pancreatic cancers. thinking to myself, ‘Roger you better get your act This surgery is very difficult and complex as it removes together because you are way stronger than this. You and reconstructs a large portion of the gastrointestinal cannot let this beat you. You have way too much to live tract. On the date of surgery, in the pre-op room, Dr. for and you are a fighter.’” That was the first and last Evans asked Roger if he was ready. “Dr. Evans I am time Roger thought about himself during this journey. more than ready. I am more than ready for me, but I am more than ready for everyone else but me. I want to be Right away, the Brewers organization responded with an advocate for this disease. The organization is going support, even offering transportation via the team plane to give me a platform to promote this disease. You held to cancer centers across the country. After researching my hand in your exam room and you are holding my the various options and talking to Bob Uecker, a hand right now and you told me, ‘You are going to be pancreatic pathology survivor, Roger decided to stay in fine,’” he said. Milwaukee for his treatment. He wanted to show the city of Milwaukee that they have the best medical care Post-surgery, Roger needed drains in his abdomen to for pancreatic cancer in the country. manage small leaks in his pancreas. After discharge, Jackie, Roger’s wife, became his primary caregiver. She Roger chose Dr. Douglas Evans, professor of surgery converted the spare bedroom into his personal retreat, and chair of the Department of Surgery at The complete with a mechanical bed, pillows, TV, dimming Medical College of Wisconsin, to lead the treatment as lights and a night stand, which gave Roger a quiet place he had specific interest in research in the biology of to recover and rest. He received lots of support from pancreatic cancer. His treatment would consist of six friends across the country. From heating pads and weeks of chemotherapy and radiation, six weeks of various Gatorade bars from Medco, to many messages clinical trials with Doxycycline, a clinical trial for Linac of encouragement from colleagues and friends, the Elekta MRI, and Whipple procedure, followed by response of support was overwhelming and greatly extensive chemotherapy. appreciated. “Those are the friends we have. I have Roger agreed to participate in clinical trials that the a hard time asking for help, but friends helped,” Medical College of Wisconsin is known for, as this he admitted. would not only help him, but it could help others Anyone who knows Roger is familiar with his diagnosed with pancreatic cancer after him. One of the commitment and determination for everything he does. trials focused on T cells. Imaging cannot pick up Roger’s goal was to make it to Opening Day, and on microscopic T cells that could manifest and cause April 2, 2018, with drains still intact, Roger attended cancer to return. A clinical trial using Doxycycline, a Opening Day at Miller Park. traditional acne medication, is helping mitigate the T cells from returning, and is showing huge success. As With support from the entire Brewers organization, part of this trial, Roger donated his tumor to MIT for Roger continued to work as much as he was able while continued research on pancreatic cancer tumors. undergoing treatment, but nobody placed any expectations on him other than to take care of himself. Another very promising clinical trial that Roger The club built Roger an office in his home, identical to participated in involves the use of Linac Elekta MRI. This his office at Miller Park. “Our organization has been technology provides real-time imaging with unbelievable in handling my journey. They have given unparalleled clarity, allowing the clinician to deliver me the latitude to do whatever I need to do to beat this radiation directly to the tumor, while visualizing thing. From front office administration to Craig Counsel, surrounding healthy tissues and improving the outcome the team has been ultra-supportive of me, and I could of radiation therapy. The Medical College of Wisconsin not have made it through this journey without them,” has one of only two of these units in the country. he said.

Following chemotherapy and radiation therapy, Roger Roger’s family has also been instrumental during this would undergo the Whipple procedure. Otherwise journey. Jackie was with him every step of the way. She known as pancreaticoduodenectomy, this is a surgery

4 served as his partner, motivator, enforcer, nurse and Erickson (radiation oncologist), nurses, a personal advocate. She held his hand on every trip to the cancer trainer and a nutritionist. Each member of this team center, and she spoke up on his behalf when he was played a special role, and Roger credits all of them pushed too far. She searched for food that he could eat, for his success. They adjusted the treatment plan as and she kept everyone informed of his status. Their needed during the process, including post-surgery sons, Kyle and Brett, and close family friend, Nick, were chemotherapy that Roger did not realize would be pillars of support throughout the process, too. so extensive, to helping him find the right foods to eat, and keeping his strength and fitness up as much Another support group that has been instrumental to as possible. Roger is PBATS. Roger recalls phone calls and texts of support from President Mark O’Neal, advisor Neil As a result, Roger became a major advocate for We Romano and a host of athletic trainers within the Care, the philanthropic entity of the Medical College of brotherhood. PBATS presented Roger with the Wisconsin for Pancreatic Cancer. One hundred percent President’s Most Distinguished Award at the MLB of donations to We Care go directly toward research Winter Meetings in December 2018. “This award for pancreatic cancer. recognizes Roger’s relentless fight in his personal battle, as well as his direction heading up the EMR On December 1, 2017, Roger received his diagnosis of program from its inception,” said O’Neal. Stage 1 Pancreatic Cancer. On October 30, 2018, Roger heard the words Dr. Evans had promised he would say, Roger wanted to bring this team concept together, so “Roger, you are cured.” he and Jackie decided they needed a slogan. Two phrases quickly surfaced: “We’ve Got This” and “Battle “My diagnosis changed me. It has changed me for the Ready.” The Brewers decided to make blue bracelets better. It is not about being at the ballpark 15 hours a with “WE’VE GOT THIS” and “BATTLE READY” printed day. It’s not about being married to your cell phone. It’s in yellow on the outside and MBBC (Milwaukee Brewers about how you live your life. It’s about how you treat Baseball Club) and RC (Roger Caplinger) printed on the other people and how you can make a difference in this inside. These bracelets were handed out to just a few world,” he said. people initially, but interest grew with folks who wanted Last December, the Caplingers took a family trip to to show support for Roger, and soon many wore the Hawaii to celebrate Roger’s victory. One morning, on blue bracelets. Roger was also given a bracelet that the beach alone, tears running down his face, Roger read “MR HAPPY” – the nickname Samantha, a thought, “We did it! We did this! We beat this! Our entire colleague, gave him for his upbeat personality and just team, whether they know it or not, we did it!” wanting to get things done. Roger wore that bracelet and used it as a reminder every time he went to the Spring training 2019 is underway and Roger is excited clinic or cancer center to be positive and appreciative to be in Arizona with the team. He is excited about the with everyone. team’s new facility and to get back to normalcy, while continuing to bring awareness to pancreatic cancer. The national survival rate of pancreatic cancer is 9 percent. Dr. Evans’ survival rate of pancreatic cancer is 22 percent. These numbers scared Roger. This fear fueled his desire to increase the survival rate. Roger never once questioned why he got pancreatic cancer. Instead he thought, “The good Lord gave me this for a reason, and I am not going to focus on myself, but instead focus on helping other people. I want to eradicate this disease.” While fighting this disease, Roger did interviews with local news outlets and he spoke at various events to bring awareness to the disease and encourage people to listen to their bodies and get checked out.

In addition to Dr. Evans, Roger assembled a team of caregivers from the Medical College of Wisconsin, including Dr. Paul Rich (medical oncologist), Dr. Beth Roger on his last day of chemotherapy

5 IN THE SPOTLIGHT: PBATS ALUMNI SOCIETY Bridging the Gap By: Larry M. Starr, Ed.D., LAT, ATC, CSCS, USPTA, President, Starr Athletic Solutions

When the first informal, “clandestine” discussions of forming the Professional Baseball Athletic Trainers Society (PBATS) were held in Bill Buhler’s and Gene Gieselmann’s hotel rooms in 1981 and 1982, respectively, professional baseball athletic trainers’ relationship with the National Athletic Trainers’ Association (NATA) was, at best, cautiously cordial. Since professional baseball athletic trainers rarely, if ever, attended NATA’s annual meeting, we were basically an unknown commodity. There was also a fear PBATS Alumni members pictured at the recent NATA Convention and of management reprisals caused by the misnomer that Symposia Alumni Reunion event. Seated: Sandy Krum, Mark Letendre, we were creating a union, similar to what the players Brad Henderson; Standing: Paul McGannon, Larry Mayol, Jeff Cooper, had done a number of years previously. However, Larry Starr, Tony Garofalo, Rollin Mallernee, Gene Gieselmann, Mark Rogow, Paul Spicuzza thanks to the leadership of Gieselmann, Buhler, Charlie Moss (first president), Jeff Cooper (constitution), Dave opportunities to solidify the relationship and align on Pursley (first treasurer) and others, PBATS was formed priorities for the two organizations. in 1983. From then on, the relationship between the NATA It would take almost seven years before PBATS could and PBATS has flourished. PBATS continues to have hold its meetings in conjunction with the MLB Winter educational presentations at each NATA annual Meetings. Obviously, this relationship has grown meeting and has increased the number of annual exponentially over the years, and PBATS is now scholarships. PBATS also now has a much stronger recognized as a vital and important part of the fabric of presence at the NATA annual meeting, with the Major and Minor League Baseball. With continued great scholarship recipients being recognized at the annual leadership from President Moss through to current Pinky Newell Scholarship and Student Leadership President Mark O’Neil, PBATS continues its mission Reception. “to encourage, promote, and provide the ideas, techniques, and data necessary to improve the care Where we saw continued room for improvement was of professional baseball players.” addressing the lack of MLB ATs in the NATA Hall of Fame. It was felt that more exposure and input by The relationship with the NATA did not take the same PBATS members at NATA’s annual meeting would help linear progression. In 1984, PBATS established a in this issue. Since it was still difficult for the active scholarship committee that would provide $1,000 to members to attend, we sent PBATS alumni, which athletic training students through the NATA. In addition, had grown to almost 75 members by this time. And PBATS strived to ensure all new MLB ATs were NATA thus, under the guidance and development of Mark certified. The first PBATS educational presentation was Letendre, the PBATS Alumni Society was born. at the NATA Clinical Symposia and AT Expo in 1986 in PBATS alumni were now front and center at numerous Las Vegas, and we have offered presentations every receptions, roundtables, events and education year since. sessions at the NATA annual meeting.

The 1990 MLB Winter Meetings was a turning point in This increased and improved presence has not gone the relationship between PBATS and the NATA. That unnoticed by the NATA board of directors and other same year, President Kent Biggerstaff was given the prominent committee members, including the Hall of opportunity to address the NATA executive meeting, Fame committee. The PBATS Alumni Society, now led and NATA Executive Director Eve Becker-Doyle and by Sandor Krum, continues to promote PBATS members NATA President Kent Falb were invited to the PBATS within NATA and works to recognize their outstanding hospitality suite for some informal discussions about service to the athletic training profession. PBATS and the NATA, providing two intimate

6 NEWS AND NOTES PBATS President’s Distinguished Service Award Winners: • Roger Caplinger, Director of Medical Operations, Milwaukee Brewers • George Poulis, Head Athletic Trainer, Atlanta Braves The PBATS President’s Distinguished Service Award is presented to individuals who are recognized in the field of athletic training and among PBATS membership as supportive leaders, loyal members of the athletic training community and forward- thinking advocates for all. The award is given to those who assist in maintaining the integrity of athletic trainers and go above and beyond to ensure the ongoing evolution of the profession and PBATS membership as an educational society. As an integral part of the athletic training profession, the recipients of this award have made significant impacts on the lives of athletic trainers, PBATS members and the industry as a whole. 2018 PBATS Minor League Athletic Trainers of the Year: Individual League Awards

MINOR LEAGUE LEAGUE ATHLETIC TRAINER MAJOR LEAGUE TEAM AFFILIATE Coordinator Chuck Baughman Chicago Cubs –

International League Chris McDonald Detroit Tigers Toledo Mud Hens

Pacific Coast League Lee Meyer Houston Astros Fresno Grizzlies

Eastern League Mickey Kozack Philadelphia Phillies Reading Phillies

Southern League TJ Saunders Atlanta Braves Mississippi Braves

Texas League Jacob Newburn Texas Rangers Frisco Rough Riders

Florida State League Kiyoshi Tada New York Mets St. Lucie Mets

California League Ricky Huerta San Diego Padres Lake Elsinore Storm

Carolina League Nick Kuchwara Boston Red Sox Salem Red Sox

Midwest League Brian Thorson Oakland Athletics Beloit Snappers

South Atlantic League Kris Terrian Philadelphia Phillies Lakewood Blueclaws

New York – Penn League Sean McFarland Detroit Tigers Connecticut Tigers

Northwest League Mickey Clarizio Colorado Rockies Boise Hawks

Appalachian League Tyler Brooks Pittsburgh Pirates Bristol Pirates

Pioneer League John Duff Colorado Rockies Grand Junction Rockies

Arizona League Clete Sigwart Cincinnati Reds AZL Reds

Gulf Coast League Adam Sparks Baltimore Orioles GCL Orioles

Dominican Summer Nick Voelker Oakland Athletics DSL Athletics

7 2018 PBATS Major League Staff 2018 PBATS Major League Team of the Year Physician 20 Year Service Award Chicago White Sox – Herm Schneider, Brian Ball, Dr. Frank T. Finlan – Miami Marlins Brett Walker 2019 All Star Game Athletic Trainers National League • Scott Sheridan – Philadelphia Phillies • Todd Tomczyk – Pittsburgh Pirates American League • James Quinlan – Cleveland Indians • Jeff Desjardins – Cleveland Indians

2019 Futures Game Athletic Trainers • Chuck Baughman – Chicago Cubs • Chad Wolfe – Cleveland Indians

2018 PBATS Minor League Athletic Trainer of the Year Chuck Baughman – Chicago Cubs

8 TRICK OF THE TRADE: TRENDING TOPICS Cold Weather Preparations By: Brett Walker, PT, ATC, SCS, CSCS, Assistant Athletic Trainer, Chicago White Sox

As baseball season approaches, we think about moving Keeping the feet warm is another aspect that should from the warm weather of the Cactus League to the not be overlooked. It is recommended that athletes stiff, cold wind that blows off Lake Michigan in Chicago. wear shoes one size larger than they normally would. It April baseball in the Windy City presents us with added is important the layers on the legs and the socks don’t challenges for maintaining the health of our athletes. create too much compression as it may impede blood Having a cold weather plan in place to limit the effects flow and cause the feet to be more at risk for cold- of frigid temperatures is imperative to reduce modifiable related injury.4 risk in athletes. Aside from clothing, there are other things that should Wearing proper clothing is an essential part of any cold be considered as part of a cold weather plan. This weather plan. There are three layers that help keep the includes heaters, personal hand and toe warmers, body warm in cold temperatures. emollients, nutrition, fluids and acclimatization. In Chicago, we use large gas heaters and heated seats • Base Layer: The base layer is usually made of merino for players between innings. We have athletes who use wool or synthetics and must be moisture wicking. emollients, such as petroleum jelly. However, the effects • Mid Layer: The mid layer is usually soft and pliable of petroleum jelly may give the athletes a false sense of while providing some wind and rain resistance. The security as it does not lower the risk of frostbite.1 mid layer could be polyester fleece or wool and able to transfer moisture to the air. This layer can also be It is difficult to factor in acclimatization during spring the primary insulation or outer layer. training because of the warm climates. Ultimately, it is important to know that exposure to long periods of • Outer Layer: The outer layer or shell should not be moderately cold weather on consecutive days over worn during competitive play and only donned during two weeks will allow for acclimatization.1 However, 1,2 rest periods. that may only decrease discomfort and increase Appropriate headgear should also be considered skin temperature, while not actually preventing 1,5 when developing a cold weather plan. Heat loss from environmental injuries. There are many challenges the head trails only the chest, abdomen and thighs.3 that we face in preparing our athletes to perform at their Wet clothes may increase heat loss by two times in highest level in a cold environment. The most important comparison to a dry environment.1,5 Layers and vents thing to provide is a well-thought-out plan for dealing in the clothing are important as they prevent sweating with the elements. and thus a wet environment where heat is lost at a References 1. Castellani, J. W., Young, A. J., Ducharme, M. B., Giesbrecht, G. G., Glickman, E., Sallis, R. E., quicker pace. American College of Sports Medicine. (2006, November). American College of Sports Medicine position stand: prevention of cold injuries during exercise. Medicine & Science in Sports & Exercise. http://doi.org/10.1249/01.mss.0000241641.75101.64 2. McMahon, J. A., & Howe, A. (2012). Cold weather issues in sideline and event management. Current Sports Medicine Reports, 11(3), 135–141. http://doi.org/10.1249/JSR.0b013e3182578783 3. Wang, L., Yin, H., Di, Y., Liu, Y., & Liu, J. (2016). Human local and total heat losses in different temperature. Physiology & Behavior, 157, 270–276. http://doi.org/10.1016/j.physbeh.2016.02.018 4. Fudge, J. (2016). Exercise in the Cold. Sports Health, 8(2), 133–139. http://doi. org/10.1177/1941738116630542 5. Castellani, J. W., & Young, A. J. (2012). Health and performance challenges during sports training and competition in cold weather. British Journal of Sports Medicine, 46(11), 788–791. http://doi. org/10.1136/bjsports-2012-091260

9 SPORTS MEDICINE ATs and SCCs: The Importance of Collaborative Care By: Matt Lucero, ATC, LAT, Head Athletic Trainer, Texas Rangers

conditioning coaches. It is crucial that athletic trainers and strength and conditioning coaches have regular communication regarding the care of our athletes. The evolution of specialized fields creates the need to come out of our comfort zones to create the best protocols for our players. Several instances arise when a post- surgical or rehab player is ready for the transition from training room to weight room. This transition is a crucial time and should be a smooth, natural progression that is customized to each player.

The success of an athletic trainer and strength and conditioning coach is interdependent. Communication and good working relationships ensure proper transitions. Weight room visits offer opportunities for athletic trainers to observe the work ethic, intensity, Matt Lucero (L) with Rangers Strength and Conditioning Coach focus, strength and power and pain thresholds of Jose Vazquez players. Athletic trainers in the Texas Rangers The strength of any organization can be defined by the organization are encouraged to spend time in the quality of the relationships among those working to weight room to see the players’ workout programs, make that organization successful. The relationship limitations, health concerns and tendencies. between an athletic trainer and a strength and Collaboration also allows us to relay a common message conditioning coach is of key importance in any sports and plan to players, which eliminates confusion. One organization. Both share the common goal of educating very important thing we have learned working with elite athletes and creating healthier athletes so they may athletes is that they strive for clarity. Putting a unified, achieve peak performance. Players recognize when we solid and defined health plan together for the players have confidence in them, ourselves and our co-workers. can be a huge part of the collaborative effort. The more cohesive a staff is, the more confidence an athlete will have in that staff. This confidence is one of Sports organizations regularly mention “clubhouse the greatest tools in getting positive work out of our chemistry” and how important it is for success. We players. When athletes trust the people working on are an extension of this statement, and there is no them, they are much more inclined to follow the advice doubt that this strong relationship is one of many that and guidance we offer. will contribute to the goal of winning a championship. The professional baseball player trains or plays about 10 out of 12 months with plenty of opportunities for chronic body adaptations. Six weeks of spring training followed by 162 games and fewer than 25 days off can contribute to these changes. To compound this, the competition for success and demands of the game drive players to be bigger, stronger and faster, leaving little room for off-season recovery.

This increase in workload can contribute to several body imbalances, and keeping the body balanced takes the effort of both athletic trainers and strength and

10 SPORTS SCIENCE Hydrating Baseball Players in Cold Environments: Importance and Considerations By: Lisa E Heaton, MS, RD, CSSD and Meagan O’Connor, MS, RD, CSSD

When preparing a hydration strategy for an athlete euhydrated state. The player’s habits leading up to competing in cold weather environments, the primary practices and games are just as important as his on-the- areas to focus on are euhydration and body field hydration strategy. The simplest way for the athlete temperature regulation. Many athletes will focus on to assess if he is drinking adequately is to monitor urine staying warm but have little concern for hydration color and volume. If urine is a dark yellow, then the status because they may not feel or notice that they athlete has not consumed enough fluid. Alternately, if are sweating. It is important to help your athletes the urine is clear and the athlete is using the bathroom understand that when practicing or competing in a frequently, he may be consuming too much too quickly. cool environment, their muscles are still generating Encourage your athlete to have fluid readily available heat and they are sweating, even if they cannot see it. and to consume it throughout the day versus in large bolus doses. Table 2 provides practical tips to support On the Field Hydration all-day hydration. Many factors may impact how much fluid a player will voluntarily drink during a practice or game in a cold Table 1: Factors that May Increase Risk of 3 environment (table 1). It is important to address and Hypohydration When Playing in Cold Environments minimize the impact of these factors to support appropriate player hydration. In the cold, hypohydration Cold-induced diuresis of <3% body weight (BW) loss is unlikely to be detrimental to performance.1-3 That does not mean that Impaired thirst sensation your players can be careless with fluid replacement though, because if an athlete does lose 3% or more of Reduced desire to drink their BW then their performance may become impaired.

Sweating rates may remain high in some players. Sweat Limited access to fluids rate will depend on exercise-induced heat production Self-restricted fluid intake to and how many layers of clothing a player wears to stay minimize urination warm, as well as the permeability of that clothing.3, 4 Clothing that is less permeable will trap sweat, impeding Sweat losses from over-dressing evaporation.4 Understanding the clothing your athlete will wear and his unique sweating rate in those cooler Evaporation through respiration conditions can help to determine how much fluid he will need to maintain BW within 3%.

Other factors to consider are if the conditions are cold, Hydration When Traveling windy and rainy. Wet clothing may increase the risk of Staying hydrated during travel is very important for hypothermia.3, 4 In these conditions, it may be beneficial athletes, especially since travel days are when they for the athlete to change out of wet clothing as soon as have the chance to recover between games. Proper possible. The availability of warm fluids in this situation hydration should be included as part of the overall may be beneficial to promote warming. strategy to promote recovery and adaptation to travel because it may lessen the effects of jet lag.5, 6 All-Day Hydration Dehydration may be detrimental to performance when flying across the country to compete. Encourage General Hydration athletes to travel with an empty bottle so that they can Regardless of the conditions that an athlete will be fill it prior to the flight or bus ride. Opting for still water, competing in, they want to come to the field in a sparkling water or 100% juice will be better options than

11 CONTINUED... SPORTS SCIENCE

soda or alcoholic beverages. To help retain fluids, Table 2: Practical Tips to Promote athletes should choose salty snacks such as pretzels, All-Day Hydration nuts or jerky while on the plane or bus. Consuming carbohydrate sources will also help the body to Carry a refillable bottle, try a 32oz bottle so that it absorb fluids. doesn’t need to be refilled as frequently Space fluids throughout the day, rather than large Key Take-aways amounts in one sitting • Fluid losses from cold-induced diuresis and Include fruits and vegetable in meals, they are made evaporation through respiration increase in cold of a significant amount of water weather – these may not be as visible to your athletes and the desire to drink is reduced Add salty foods to meals and snacks, especially after games or practices or when athletes are sweating • Clothing worn for warmth to accommodate cold weather can impact evaporation of sweat Include fruits or vegetables (cucumber is great) in water to add flavor • Preparing for competition and all-day hydration is as important as in-game hydration If an athlete prefers soda, encourage he try sparkling water • Focus on travel hydration as part of the athlete’s recovery process/preparation for the next game References 1. Meyer NL, Manore MM, Helle C. Nutrition for winter sports. Journal of Sports Sciences. 2011; Conclusion 29(suppl 1): S127–136. 2. Cheuvront SN, Ely BR, Wilber RL. Environment and Exercise. In: Maughan RJ, ed. Sports Nutrition, The Encyclopaedia of Sports Medicine, an IOC Medical Commission Publication, 1st edition. It is important for athletes to focus on hydration West Sussex, UK: John Wiley & Sons Ltd.; 2014: 425–438. throughout the day and in all environments. By staying 3. Thomas DT, Erdman KA, Burke LM. American College of Sports Medicine, Academy of Nutrition and Dietetics, Dietitians of Canada. Joint Position Statement: Nutrition and Athletic Performance. on top of hydration needs throughout the season, we Med Sci Sport Exerc. 2016; 48(3):543-568. can better help to prepare athletes to compete to the 4. Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS. ACSM Position best of their ability. Stand: Exercise and fluid replacement. Med Sci Sport Exerc. 2007; 39(2):377-390. 5. Reilly T, Waterhouse J, Burke LM, Alonso JM. Nutrition for travel. J Sport Sci. 2007; 25 (suppl 1): S125-34. 6. Samuels CT. Jet and travel fatigue: a comprehensive management plan for sports medicine physicians and high-performance support teams. Clin J Sport Med. 2012; 22(3):268-273.

PBATS Newsletter The Annual Publication of the Professional Baseball Athletic Trainers Society Spring 2019 // Vol. 32 PBATS Newsletter Mission Statement: To provide the members of PBATS and other healthcare providers with an insider’s view of the life and work of PBATS members, and facilitate the membership’s sharing of knowledge about the care and prevention of baseball related injuries. Committee Editorial: Mark Vinson, Assistant Athletic Trainer, Tampa Bay Rays Advisors: Matt Lucero, Assistant Athletic Trainer, Texas Rangers Joel Smith, Minor League Rehab Coordinator, Tampa Bay Rays Direct Inquiries to: Emily Meyer 225 N. Michigan Ave; Floor 23 Chicago, IL 60601 (312) 729-3653 [email protected] The PBATS Newsletter is made possible through the courtesy of The Gatorade Company (1-800-88-GATOR, www.gatorade.com).­ The Gatorade Sports Science Institute website can be accessed at www.GSSIweb.org.

12