ACTIVE P.T. SOLUTION S ...BECAUSE LIFE SHOULD BE ACTIVE APTS Monthly Office Hours: VOLUME VI, ISSUE VIII AUGUST 2016 Monday - 8:00am - 5:30pm Tuesday - The Benefits of Being a Three-Sport Athlete 8:00am - 7:00pm Wednesday - As the summer comes to an end and Some coaches and parents have the Most young athletes begin to special- the school year begins, the smell of fall ability to see the big picture for the ize when it is too early to tell. Gen- 8:00am - 5:30pm fills the air and our nervous system is student athlete and some don’t. There erally speaking, each athlete should bombarded with the theme music from are coaches and parents that encourage be looked at individually. Certain Thursday - Monday Night Football. The upcoming the student athlete to participate in sports have times when decisions 8:00am - 5:30pm high school sports season brings an- multiple sports and/or non-sport activi- may need to be made to provide the other opportunity for an athlete to be ties. Coaches that encourage multi-sport best opportunity for the athlete to Friday - the next Vincent Edward Jackson. He activity also have the ability to communi- succeed. As an example, overly ag- was perhaps the best modern day cate with the other coaches, advisors, gressive club coaches promising 8:00am - 4:00pm three-sport athlete and perhaps the and parents in support of the student Olympic dreams at a very young age Location: best all-around athlete to date. This athlete’s human development. Coaches unfortunately often fuel sports like bodes the question: what are the bene- and parents can be territorial when they gymnastics. Specializing too early 91 Columbus Street fits of multi-sport participation and why know they have a gifted student athlete. often results in burnout. Athletes don’t more athletes strive for that? Characteristics of territorialism dis- give up before their time because Auburn, NY 13021 played by a coach in reference to a par- they get exposed to too much too The idea of the three-sport athlete was ticular athlete are a red flag that should soon. Lack of interest in a sport is a P: (315) 515-3117 born out of the “big three”. In high be recognized and remedied. hint to parents that the interest may school, this referred to football, bas- be elsewhere. Parents should always ketball, and baseball. This formula can The benefits of multisport participation remember to encourage participation, take on different combinations in to- but never force participation. Ask INSIDE THIS are physical, psychological, and social. day’s athletically diverse world. As the These benefits last a lifetime. Sports like your son or daughter what his or her ISSUE: business world has become highly spe- baseball, softball, lacrosse, and hockey goals are. You may find out that they cialized, so has the world of athletics. are not only physical sports but they are are different than originally thought. Athletes now train 12 months out of The Benefits of Being 1 specifically sports that emphasize chess- the year for one sport. Teams have like thinking and rapid hand-eye coordi- The research shows that there are a Three-Sport Ath- players for highly specific situations of a lete nation. Football and ice hockey are colli- several benefits to multisport partici- game. In baseball, there are pitchers sion sports with higher physical risk but pation. Unfortunately, society has all kept on a roster to pitch to one batter. encompass personal sacrifice and team but eliminated the three-sport ath- Exercise of the 2 Football teams keep “third down Month: Ball Tables concepts. Track and field can be wide- lete from our vocabulary. This has backs” on the roster. So, is specializing ranging in physical development for been done for the sake of either good? It can be. Is it bad? It can be, too. strength, speed, endurance, sacrifice, winning a championship at 10 years

What’s going on at 2 and dedication. These are a few exam- old or beating the Chinese on a stan- Unfortunately we must answer the APTS? ples of the attributes of various sports. dardized test at 14 years old. Some- original question with another ques- Let’s use a high school male as an exam- where out there is the next Vincent tion: why are kids specializing at a ple: he competes in soccer, basketball, Edward Jackson. There is also a APTS Night at the 3 young age? The answer is: parents, and lacrosse. This combination has coach, teacher, and parent willing to coaches, and society. Parents see in- Doubledays blended multiple team sports with a high forgo society and encourage him or vestment for the future scholarship, degree of hand-eye coordination and her to become a multi-sport/multi- competitive edge, living out their physical conditioning for his entire body. activity student athlete. The Myth of the Sports 3 dream, a future-paying job playing Had he specialized, he would not have Hernia/The Downtown sports, and winning a championship. had the benefits and experiences from Auburn Mile When coaches see an athlete, they see By, the way Mr. Jackson’s common an opportunity to improve their team different situations. name? Bo. If you don’t know Bo… APTS Recipe Box: 3 and perhaps win a state title. According Google him. Peachy Pork-a-Bobs to sociologist Dr. Harry Edwards, the Multisport athletes display improved influence of society on kids comes health and wellness, including decreased Article by Dale Buchberger, DC, injury rates, improved athletic perform- primarily from money. The underlying PT, CSCS Nutrition 101: Eating 4 theme of sports, music, television, and ance (master alternative activities faster Healthy at the Great movies is money and the pressure to than single sport athletes), improved NY State Fair co-exist in an adult world exhibiting leadership skills and teamwork, have adult traits. better attendance in school, and per- form better academically. P A G E 2 Exercise of the Month: Ball Table

Ball tables are a great exercise hands, all while rolling the ball repetition of this exercise! for improving posture and for up your back toward your Perform 10 repetitions every strengthening your glutes and head. Stop when you feel the day, never progressing to core muscles. When added to ball between your shoulder more than 20 repetitions. your daily exercise routine, blades and you are able to rest Use caution if you don’t feel ball tables will help to prevent your head on the ball (as stable on the ball. Have some- lower back and lower extrem- shown in the bottom photo- one spot you, or perform ity injury. graph). Squeeze your glutes close to a piece of furniture Start by sitting tall on the ball and draw your navel toward you can hold onto if needed with good posture and with your spine without arching until you can perform the ex- your feet on the ground (as your back. Hold that position ercise on your own. for 3-5 seconds. Then walk shown in the top photograph). Don’t have an exercise ball to Walk your feet forward (not your feet backward and raise your body back to a com- use? We sell various sizes here shown) and lower your body at APTS—just ask! Ball table, start posi- onto the ball without using your pletely seated position. All of tion (top) and end the above constitutes one position (bottom)

Multisport athletes What’s Going on at APTS? display improved Julie Hauberg, student PT from comed their 4th child, a third Zachary Buchberger returns to health and wellness, Ithaca College, finished her baby girl, Ari Elizabeth, on the University of Dubuque, including decreased first clinical rotation at APTS Friday, August 5 at 5:15 P.M. Iowa, to start his second year on July 29. She passed with She weighed a whopping 8 lbs on August 25. injury rates, improved flying colors! She returns to 15.9 oz and was 20.5” long. Big We will see you at the Down- athletic performance, Ithaca College at the end of sisters Morgan (6) and Bristol town Auburn Mile sponsored improved leadership August to continue two more (2) and big brother Jonas (4) by Active Physical Therapy years of school. We wish her are excited to have her here. skills and teamwork, Solutions on Friday, August 26! the best in her studies and In other child news, Maggie’s (See page 3) have better attendance career! She will make a great daughter turns one year old in school, and perform PT someday! this month, and Carolyn’s better academically. Cara and Ryan Cuthbert wel- daughter turns 4. Time flies! APTS Night at the Doubledays

The Active Physical Therapy thrown by Dr. Dale Buchber- Active Physical Therapy Solu- Take me Solutions Night at the Auburn ger. Dale was also interviewed tions cup if they visited our Doubledays was Thursday, by Syracuse University student table. Although the Double- out to the August 4, 2016. Our clinic Michael Tricario during his live days lost 5-3, it was a great ballgame! bought out the stadium and radio broadcast. Former pa- night for a game! We’ll see you gave out free general admis- tients who had APTS there again next summer! sion tickets for a few weeks “graduation” t-shirts were prior to the game. The team invited to wear them to re- played the State College Spikes ceive a special gift from us. with the first pitch being Other attendees received an

APTS MONTHLY VOLUME VI, ISSUE VIII P A G E 3 The Myth of the Sports Hernia

You can’t watch trauma such as an automobile accident or diagnose it on physical exam. Once an MRI A sports hernia, a professional sports collision. It can also occur from the is performed, the radiologist must be ex- sporting event rigors of intense athletic training. It can be perienced and knowledgeable in reading today or an seen in males and females alike. It is com- and recognizing APS on the MRI. A specific or athletic episode of ESPN mon in older athletes trying to revive or APS MRI protocol has been developed and SportsCenter maintain athletic careers. Sports having a is helpful in the accurate diagnosis of APS. pubalgia without hearing notorious association with sports hernia Depending on the grade or severity of APS, the term sports hernia. Donovan McNabb, are ice hockey, soccer, football, running/ surgical repair may be necessary for ade- syndrome (APS), Jeremy Shockey, Dave Harris, and the list sprinting, lacrosse, baseball, golf, and swim- quate correction and may be the most goes on of professional athletes that have ming. efficient management strategy. In less se- is actually a tear had to deal with the pain and disability that vere cases of APS, a non-operative thera- this elusive disorder brings. Considering the Athletic pubalgia syndrome commonly peutic approach may be effective. Non- of the rectus notoriety this injury brings, you would think presents with one-sided lower abdominal operative treatment of APS is focused on its diagnosis and treatment would be more and/or groin pain. The pain may radiate soft tissue treatment of the involved mus- abdominis commonplace. In fact, the athletic popula- down the front of the thigh to the knee. cles and restoring balance in strength and tion and general population alike does not Unlike the common inguinal hernia, there is flexibility to the muscles of the thigh, hip, know what a sports hernia really is. It is not no bulge or herniation of anything. There and pelvis, also referred to as “the core”. muscles off of uncommon for patients to equate a “sports may be pain with coughing, sneezing, turn- Athletes need to be “retrained” on their hernia” with the more common “inguinal ing over in bed at night, sprinting, kicking, way of training and traditional exercises the pubic bone hernia”. In plain terms, a sports hernia is sidestepping, weight training, and perform- such as sit-ups should be removed from the NOT a hernia of any type. This is why ing certain maneuvers specific to your workout plan. The process can be tedious and/or a tearing experts in the field are trying to get away athletic activity. The condition will settle and frustrating. from using the term and replace it with down with rest and discontinuing the ath- of the athletic pubalgia. Unfortunately we will letic activity. Return to the athletic activity Athletes suffering from hip, groin, or lower need sports announcers such as Trey usually brings a return of the symptoms and abdominal pain should be examined to “conjoined” Wingo and Chris Berman of ESPN fame to athletic frustration. The elusive ability to establish the presence of athletic pubalgia stop using the phrase “sports hernia” be- diagnose the condition results in an average syndrome, or sports hernia. Please keep in fore the name will change. So let’s answer of 14-20 months before most athletes are mind that while sports hernia is being tendon of the the question: “What is a sports hernia?” diagnosed and effectively treated for APS. diagnosed at a higher rate due to our in- Part of the elusiveness of APS is that 17 creasing familiarity with its presentation, abdominal A sports hernia, or athletic pubalgia syndrome different variations of the same condition there are more severe conditions that can (APS), is actually a tear of the rectus ab- have been identified. result in hip and groin pain. Seeing your oblique muscles. dominis (abdominal “6-pack”) muscles off of sports medicine healthcare provider is the the pubic bone and/or a tearing of the There are several things required for an first step in ruling out one of these more “conjoined” tendon of the abdominal appropriate diagnosis: a practitioner that is severe conditions and getting to the most oblique muscles. It can occur in athletes or familiar with the condition and who under- efficient management of the injury. non-athletes. It can be the result of severe stands the exam procedures necessary to Article by Dale Buchberger, DC, PT, CSCS The 39th Annual Downtown Auburn Mile: Friday, August 26, 2016

Active Physical Therapy Solutions is race will start on Genesee Street in is online only, $12 in advance, $20 on race once again sponsoring the Downtown front of the Pettigrass Funeral day. Visit www.lightboxreg.com/downtown- Auburn Mile this year. It takes place Home and end at the Prison City auburn-mile_2016. For more information, on Friday, August 26, at 7:00 PM. The Brewery, with the after party being visit www.auburnymca.org. held at A.T. Walley’s. Registration APTS Recipe Box: Peachy Pork-A-Bobs

ground black pepper Here’s what you need for 8 hearty servings: onion. Trim off the stem of the jalapeno and remove the seeds Instructions: Make the marinade for the kabobs by and ribs. Toss the peaches, onion, jalapeno, with the remaining Pork Kabobs: 1 small red onion, roughly chopped; blitzing together the first eight ingredients in a high ingredients into a high speed blender or food processor. Blitz 1/3 c macadamia nut oil; 1/2 c coconut aminos; 3 tbsp speed blender or food processor until smooth. Cut until smooth. Pour the sauce into a saucepan and bring to a boil fish sauce; 2 tbsp apple juice; 1 tbsp tomato paste; 2 pork shoulder into uniform 1-1/2–inch cubes. Put the over high heat. Lower the temperature to medium-low and garlic cloves, minced; freshly ground pepper; 3 lb pork cubes in a large storage container and pour the mari- simmer for 5-10 minutes or until slightly thickened. The sauce will shoulder roast, cut into 1-1/2 inch cubes; 1/2 c diced nade over the pork, making sure it is well-coated. keep in the refrigerator for up to 4 days. Finally, heat the grill to fresh peach Cover and refrigerate for at least 1 hour and up to 8 medium-high. Thread 5 or 6 pieces of pork on each skewer. (Flat Spicy Peach BBQ Sauce: 2 med peaches (1 lb), hours. Next, heat grill or grill pan to medium-high. Cut metal skewers are best.) Grill for about 10 minutes, turning halved and pitted; 1/2 red onion, peeled and cut peaches in half and pry out the pits. Brush melted ghee occasionally until cooked through. Remove from the grill and through the root end; 2 tbsp melted ghee; 1 jalapeno on the cut surface of the peaches and onion. Place brush on the barbeque sauce. Let sit for 5-10 minutes before pepper; 1/2 cup coconut aminos; 2 tbsp tomato paste; peaches, onion, and pepper on the hot grill for a couple digging in! 1-1/2 tablespoons rice wine vinegar; 2 tsp fish sauce; 2 of minutes per side until grill marks appear. Roughly Source: http://nomnompaleo.com/post/56702305894/ peachy-pork-a-bobs cloves garlic, minced; 1 tbsp minced ginger; freshly chop the peaches and onion, discarding the stem of the At Active Physical Therapy Solutions, we utilize the most cutting edge treatment and management techniques available. Our goal is to deliver the best possible healthcare in Active P.T. Solutions a friendly, caring, and well-organized 91 Columbus Street environment. Our staff is here to Auburn, NY 13021 provide active solutions to achieving Phone: 315-515-3117 Fax: 315-515-3121 your personal goals! E-mail: [email protected] website: www.activeptsolutions.com ...BECAUSE LIFE SHOULD BE Get Well...Get Active...Be Active ACTIVE! Newsletter Edited by Carolyn B. Collier, PTA Nutrition 101: Eating Healthy at the Great NY State Fair

The Great New salads and wraps are available at several vanilla or Greek yogurt with fruit or gra- York State Fair locations, and King David’s Gyro even has nola. Opening Day is fast veggie sandwiches. You can always ask for Of course, most of us have a few Fair -approaching on your sandwich without a bun and with the staples that we HAVE to have every year Thursday, August sauce on the side so your meal isn’t slath- (mine is the wine slushies, which, conven- 25. A lot of us love ered in it. Wrap It Up, located outside the iently are gluten- and dairy-free AND to go to the fair for Dairy Building, has vegetarian wraps and vegan!), so go ahead and splurge, but do the food, but how grilled chicken or steak that you can load so in moderation. Maybe make one or do we eat healthier, up with veggies as well. Again, ask for your two more trips to The Fair than you nor- or even just limit the amount of junk we dressing on the side so you don’t overdo. mally would to spread out your indul- eat in one visit? Or even protect our- Sterling Creek General Store has assorted gences over several days. Your body will selves from the sudden outpouring of dried fruits, nuts, trail mixes, and cheeses thank you! various allergens or special diets? What for a quick, filling snack. Fresh roasted corn Article by Carolyn Collier, PTA if you’re simply just working at the fair can be found outside the Grange Building, for the full 12 days and you don’t want and last year they had a baked sweet potato In loving memory of our friend, to eat fried food every day? at the Horticulture Building (but be pre- Marjorie “Marty” Bieling January 22, 1925—July 25, 2016 The good news is that the International pared to stand in line!). Fruit smoothies are Building now has a lot of ethnic options readily available and are always a good op- that are healthier, gluten-free, and/or tion. Several B Wilson Enterprise locations vegan. The Strong Hearts Café, new in have frozen bananas which are a delicious 2015, has vegan salads, vegan burgers, healthy treat! And, of course, get your still vegan cupcakes, and vegan milkshakes! If 25-cents glass of ice cold milk at the dairy you are sticking to more of a Paleo diet, building—before or after you check out there are all kinds of meats on sticks to this year’s butter sculpture! You can also try. Grilled chicken breast and various visit the yogurt bar and top your regular