Tag Archives: Trainer

Preventing Lacrosse Injuries: “Certified Athetic Trainers” Act As The “Initial Triage For Injury” And Help Save Lives AND Money For Schools And Parents


“The athletic trainer serves as the initial triage for injury. Coaches and administrators acting on their own don’t want to take on that liability.”

Athletic trainers also save their schools, athletes and their families a great deal of time and money each year.

Where there were more athletic trainers, a higher percentage of teens with serious injuries like concussions, fractures and internal injuries were sent to emergency rooms.

Distinct from personal trainers or fitness instructors, certified athletic trainers must have at least a bachelor’s degree from an accredited university to practice and receive specialized training in the prevention, diagnosis, treatment and rehabilitation of sports-related injury and illness among people of any age.

There are about 6,400 athletic trainers working in secondary schools across the United States, according to the National Athletic Trainers’ Association (NATA), compared with some 18,400 public and private high schools sponsoring interscholastic sports, according to a review of state high school athletic association rolls by Scripps.

High school athletic trainers are more likely to work full time at larger, suburban schools, and they are less common in smaller, rural schools and inner-city schools, according to statistics provided by NATA, which represents about 85 percent of the profession nationwide.

“The bigger schools in our state and probably most states have pretty good access, but we did a survey a couple years ago that found only about 10 percent of our smallest 1A and 2A schools had an athletic trainer full time,” said Mike Carroll, athletic trainer for Stephenville High School in Stephenville, Texas.

Organizations as disparate as the American Medical Association and the North American Booster Club Association endorse having a certified trainer in high schools, but many administrators feel they can’t afford one.

Athletic trainers on school staff typically make about the same salaries as teachers — many do have classroom assignments — but usually receive a bonus for extra hours. The average salary nationally is about $42,400. About a third of high school athletic trainers work for clinics that contract with schools for their services, full or part time.

Most of the nearly 2 million injuries among U.S. high school athletes each year are not life-threatening, but half are serious enough to require medical attention and to keep the athlete off the field for at least one day. Having someone trained to know what requires ice and tape or a 911 call can make all the difference.

Scripps analyzed the most recent five years of data on injuries from sports typically played in high school among 14- to 18-year-olds reported by a national network of emergency rooms to the U.S. Consumer Product Safety Commission.

For more:  http://www.redding.com/news/2010/sep/04/handled-with-care-n-larger-schools-more-likely/

Lacrosse Injury Prevention: Only One-Third Of High School Athletic Programs Have A Regularly Assigned Athletic Trainer

A four-month Scripps Howard News Service review found that for every high school that has one or more athletic trainers regularly assigned to the training room, two other schools rely on a patchwork of coaches trained in first

Tommy Mallon and Riki Kirchoff, athletic trainer at Santa Fe Christian High School in San Diego, shown while the injured lacrosse player was still wearing a brace to protect his fractured neck. Mallon and his family are convinced that Kirchoff saved him from paralysis or death by not letting him move after he was injured in a collision during his final high school game. The Mallon family founded an advocacy group that promotes having an athletic trainer in every high school. Photo courtesy of Beth Mallon.

aid and part-time athletic trainers, nurses, emergency medical technicians or team doctors.

As Beth Mallon of San Diego knows, this distinction could mean life or death.

Mallon’s son, Tommy, broke his neck in a collision during his final high-school lacrosse game as a senior at Santa Fe Christian in May 2009.

He wanted to get up off the field. But athletic trainer Riki Kirchoff wouldn’t let him move and called for a backboard.

“That saved his life,” said Mallon, whose family has set up an advocacy group for injured athletes. “It maintained the integrity of the fracture and it didn’t kill him or paralyze him. There couldn’t be better testimony for having athletic trainers in all high schools.”

Nine months earlier, in Louisville, Ky., there was no athletic trainer at Pleasure Ridge Park High School when 15-year-old Max Gilpin collapsed, suffering from apparent heat stroke, as the team ran sprints at the end of football practice. He died three days later.

The coaches who cared for Gilpin had little training in heat illness and didn’t use a whirlpool and ice available in the locker room to cool him.

For more:  http://www.naplesnews.com/news/2010/aug/22/athletic-trainer-series-one-three-us-schools-lacks/

Injury Treatment And Prevention In Lacrosse: Athletic Trainers Are Now Being Outfitted With PDA’s Loaded With Injury Tracking Software And An Athlete’s Medical History

While the PDAs will obviously come in handy in an emergency, they’re also used every day in doing routine injury reports. They track how long athletes have been out, the type of treatments they’re receiving and when they’re expected to return to action.

While the PDAs will obviously come in handy in an emergency, they’re also used every day in doing routine injury reports. They track how long athletes have been out, the type of treatments they’re receiving and when they’re expected to return to action.

Raleigh General Hospital, which provides free sports medicine to all Raleigh County athletes, is outfitting its athletic trainers with PDAs featuring SportsWare injury tracking software.

“We now have all the athletes’ medical history stored digitally,” said Paul Bailey, Raleigh General’s director of sports medicine and rehabilitation services. “We have it right in our hands on the PDA.”

Bailey and athletic trainers Chris Proctor and Matt Lacek no longer have to carry a box around with medical records or make sure their laptops are nearby and charged.

Instead, a ton of information is right there in their pockets.

“The PDAs are great. I can document things and not have to remember it later,” said Proctor, who serves as athletic trainer for Shady Spring High School sports.

“Instead of carrying around a big notebook full of everyone’s emergency information, I have it all handy,” he said. “I have their insurance information, their emergency contacts — everything I need to know to get to a doctor.”

“If the parents aren’t at an away game, I have everything I need,” said Lacek, the athletic trainer at Liberty High School.

While the PDAs will obviously come in handy in an emergency, they’re also used every day in doing routine injury reports. They track how long athletes have been out, the type of treatments they’re receiving and when they’re expected to return to action.

Very soon, the PDAs will be able to communicate directly with the computers at Raleigh General.

“If a high school has a server, we can piggyback on it and have access to the hospital,” Bailey said. “(Doctors) can look at anything we have here.

“It’s not all up and running yet, but we’re working on it.

“One day we’ll be able to pull up X-rays and MRI scans on our PDAs. It’s exciting.”

Lacek likes how the PDAs help out with statistics.

“They track the sports athletes are playing when they get hurt, or how many ACL tears or shoulder dislocations we have,” Lacek said. “In the past, we’d have to go through a mountain of paperwork to find out all that stuff.”

Bailey said a new module is coming out that will particularly help with head injuries.

The athletic trainers will be able to tie in to a national data bank.

“It’s a way of analyzing how traumatic the injuries are,” Bailey said. “It will allow us to integrate and bring a higher standard of care.”

Athletic training has certainly come a long way since it was more about wrapping knees or putting ice on sprains.

“Southern West Virginia has been hit or miss as far as athletic training goes,” Bailey said. “(The new technology) is one way for us to provide a better service for our athletes.”


Lacrosse Training And Conditioning: Fall Conditioning Workout From Devoe Human Performance

Devoe Human Performance logoWe are a little different at Devoe Human Performance. We don’t need a lot of Equipment to get you in shape.

This workout was actually created for Maverik Baller Sean Lindsay. We took it and started using it with our high school players and got great results. (Click link below)


If you think you do Try this out and then tell me what you think.

This is the kind of stuff you will find inside www.laxspeedtv.com if you have not joined it is free

Injuries In Lacrosse: Muscle Strains, Sprains And Tears Are Top Injuries To Female Athletes (Top Ten Injury List)

 Treatment of any soft tissue injury during the first 24 to 72 hours is important to offset any further injury and inflammation. The general rule of thumb is to use the R.I.C.E.R. principle (REST, ICE, COMPRESSION, ELEVATION, REFERRAL FOR MEDICAL ASSISTANCE). Many soft tissue injuries are a result of training overload. Photo by LaxBuzz

Treatment of any soft tissue injury during the first 24 to 72 hours is important to offset any further injury and inflammation. The general rule of thumb is to use the R.I.C.E.R. principle (REST, ICE, COMPRESSION, ELEVATION, REFERRAL FOR MEDICAL ASSISTANCE). Many soft tissue injuries are a result of training overload. Photo by LaxBuzz

(From Mark Dilworth, Certified Personal Trainer)

1. Muscle strains, sprains and tears. Soft tissue injuries can lead to major injuries if left untreated. Treatment of any soft tissue injury during the first 24 to 72 hours is important to offset any further injury and inflammation. The general rule of thumb is to use the R.I.C.E.R. principle (REST, ICE, COMPRESSION, ELEVATION, REFERRAL FOR MEDICAL ASSISTANCE). Many soft tissue injuries are a result of training overload. I will discuss some common injuries in a future article.

2. Knee anterior cruciate ligament (ACL) injuries. The knee ACL is located within the capsule of the knee and connects the thigh bone (femur) to the shin bone (tibia). Females injure their ACLs at six times the rate of males. Females demonstrate a lower hamstring to quadricep ratio. This means they typically have weaker hamstrings compared to males. They also demonstrate different muscle activation patterns compared to males. Females are typically quadricep dominant which means they use their strong quadriceps muscles and do not use their weak hamstrings enough. Strength training for females should be adjusted to adequately strengthen the hamstrings.

3. Hamstring injuries. There are few injuries as bothersome and harder to recover from than hamstring injuries. Prevention of hamstring injuries is the best solution. Many times, the hip flexors are tight and they cause weakness in the gluteus maximus. This often leads to the hamstrings doing the work that the gluteus maximus should be doing. And, since the hamstrings are not equipped to handle this type of workload, injury to the hamstrings is the result.

4. Shin splints. Shin splints are much more than shin soreness. Shin soreness happens through overuse of your shins during training. Soreness can be treated with the R.I.C.E.R. principle. Shin splints refer to a medical condition called Medial Tibial Stress Syndrome (MTSS).

Problems with your tibia (shin bone), fibula and the many muscles that attach to them cause shin splints. There are two main causes of shin splints: overloading and biomechanical problems.

5. Foot injuries. Plantar fasciitis and Achilles tendinitis are two of the most painful foot injuries that can be avoided. Plantar fasciitis happens when the long, flat ligament on the bottom of your foot (Plantar Fascia) stretches too much, small tears develop and the ligament inflames.

Achilles tendinitis is an inflammation of the Achilles tendon (the largest tendon in the body). The pain is felt just above the heel. The Achilles tendon connects the two major calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus) and it stabilizes your heel. Over-training is a major cause of these injuries.

6. Low back pain. Many people put too much emphasis on the front-side of their bodies with exercises like bench press and abdominal exercises. Your back is an important part of your core muscles so don’t ignore them. It’s also important to maintain muscular balance between the front-side and back-side of your body.

Seventy to 80 percent of Americans have back pain (many times low back pain) at some point. The spine also needs to be protected. Doing exercises with incorrect technique causes many low back and trunk-related injuries.

7. Shoulder injuries. Three major shoulder injuries you want to avoid are frozen shoulder, shoulder tendonitis and rotator cuff injury. Frozen shoulder affects the shoulder joint capsule. Joint stiffness and loss of movement are the primary symptoms.

Shoulder tendonitis does not affect the joint capsule but does affect the muscles and tendons of the shoulder joint. Pain, weakness and inflammation accompany shoulder tendonitis. The two main causes are degeneration and wear and tear.

Rotator cuff injury can be a muscle strain or tear due to heavy lifting or excessive force being placed on the shoulder (such as wear and tear from throwing a ball). The larger the tear, the harder it is to lift or extend the arm. As with tendonitis, pain, weakness and inflammation accompany rotator cuff injuries. This condition also does not affect the joint capsule but does affect the muscles and tendons of the shoulder joint.

8. Piriformis Syndrome. The piriformis muscle lies deep to the gluteus maximus. It is often a neglected stretching area. Piriformis Syndrome is a condition in which this muscle irritates the sciatic nerve causing pain in the buttocks and referring pain along the sciatic nerve. This pain goes down the back of the thigh and/or into the lower back. Deep pain is often made worse by sitting, climbing or squatting. Keeping this area flexible is important to avoid Piriformis Syndrome.

9. Oblique muscle injuries. The external oblique are muscles on the side and front of the abdomen and wrap around your waist. The internal oblique are muscles that lie under the external oblique and run in the opposite direction. If you have ever pulled these muscles by twisting or turning too much, you know the pain and long recovery time.

10. Hip flexor Injuries. These injuries are very painful and the recovery time is long. Every move you make will involve your hips in some way so it’s best to take care of them. Long hours sitting at a desk (or any prolonged, daily sitting) puts you at risk for some fitness problems such as tight hip flexors. Besides, strains and pulls, tight hip flexors cause other problems (see Hamstring Injuries).


Lacrosse Performance Training: Flex Nimbo “Resistance” Training For Lacrosse Players Presented By Rashad Devoe Of “Devoe Human Performance”

 Lacrosse Magazine

devoehumanperformanceAs a strength coach, I look for every edge to give my players, and a year ago we found a piece of equipment that has definitely given our players the edge: the Flex Nimbo.

The Flex Nimbo is a rubber band suit that provides constant resistance along all movement planes. This is better thanflex nimbo resistance suit a weighted vest, and the neuromuscular demand that it puts on the body is incredible.

If you are looking to increase your speed, strength, vertical jump, footwork and all-around flexibility, then a Flex Nimbo program is the way to go. It adds resistance and increases the intensity of the workout, along with working on balance and coordination.

Start with a dynamic warm-up. Then try these three drills while wearing the Flex Nimbo. (Click on link below)


Corey Star

The Corey Star is a drill that I took from Corey Crane, strength coach at Manhattanville College. Take nine cones and set them up in three rows of three about 2-3 yards apart from each other.

• Start in the middle row, first cone. This is your start cone.
• Sprint to middle cone; sprint back to start cone.
• Sprint to middle cone, plant and cut to bottom left cone.
• Back to start cone; sprint to middle cone, plant and cut to left middle cone.
• Back to start cone; sprint to middle cone, plant and cut to left top cone.
• Back to start cone; sprint to middle cone and explode straight to top middle.
• Back to start cone. Do what you did on the left, but on the right side.


Place three cones in an L shape, with each cone 5 yards apart. Start at the first cone, sprint to the second cone, plant and cut around the cone, and sprint to the third cone. Run around cone three and head back to cone two, plant and cut around cone two, and sprint to the first cone for the finish.

Sprint/Backpedal with Directional Change

This is one of our favorite drills. The coach goes about 30 yards in front of the athlete. On the coach’s whistle, the athlete sprints. On subsequent whistles, the athlete changes directions, shuffling sideways right or left, sprinting forward or backpedaling based on the direction in which the coach points.

Sample sequence: Forward sprint. “Whistle” — shuffle left. “Whistle” — backpedal. “Whistle” — sprint forward. “Whistle” — shuffle right. “Whistle” — sprint to finish line.

Work on a quick first step, smooth transition movements and quick direction changes.
These drills increase explosive speed, power and footwork.

Rashad Devoe is a lacrosse-specific strength and conditioning coach who has worked with some of the best players in the country for over 13 years. For more info on Devoe Human Performance or Devoe’s training, go to www.devoehp.com.

Lacrosse Training: Hockey Trainer Dennis Chighisola Finds Success Training Lacrosse Athletes Using Stick Skill Drills With Obstacle Training

newenglandhockeyinstituteThere has long been rumored to be a correlation or talent-share between lacrosse and hockey. Many youth hockey players take on lacrosse as their off-season sport. Why do those athletes who spend their winters on the ice find themselves spending their summers on the field? I posed this question to Dennis Chighisola, better known as “Coach Chic,” founder of the New England Hockey Institute in Whitman, MA.

“Long ago, Canadian ice hockey players would use lacrosse as a form of cross-training and readying for the winter,” explained Chighisola. Why does the correlation continue to this day? “In my opinion, the conditioning systems (for both sports) seem fairly close.”

Chighisola used an example from his years of coaching hockey to illustrate the correlation between the two sports. “A long-time student of mine considered giving up hockey for lacrosse. I guess he saw his future on the field, rather than on the ice, and he asked if I would help him train.”

Chighisola is known for his thorough off-ice training programs, thus the student’s request. But he had little knowledge of lacrosse beyond watching games here and there. He thus embraced lacrosse to help his student, watching hours and hours of college lacrosse to increase his knowledge of the game.

“Because he was used to handling his hockey stick as a righty shooter, I suggested he hold his lacrosse stick as a lefty while he relaxed around the house,” explained Chighisola. He also helped his student embrace the game more by “putting together a video combining all sorts of fancy stick moves to the theme of Sweet Georgia Brown, ala the Harlem Globetrotters.” Chighisola then gave his student an CD of the same music, and encouraged him to pair his watching of the video with 8 minutes of practicing his own stick handling to the same music.

Later on, “I introduced obstacles to the drilling so that he would have to climb over and under them while still performing his stuck handling exercises,” said Chighisola. The practice of building obstacles to stick handling drills is an exercise Chighisola’s hockey players were more than used to. “This idea of (the student) needing to deal with several physical problems at once was borrowed from my typical hockey stick-handling clinics.”

Replacing the former hockey student’s power skating work was running and sprinting work. “I borrowed various sprint training techniques and the same agility ladder drills my hockey players had been doing,” and replaced his off-ice cross-over footwork exercises with lateral shuffling moves.

With a few tweaks here and there, the now-former hockey player was able to use his normal hockey conditioning to make his transition into a full-time lacrosse player. Chighisola noted that this student continued on to play college lacrosse. “I’ll suggest that his hockey background provided a solid footing in which to start.”


Lacrosse Performance Training: Devoe Human Performance Specializes In Speed, Agility, Strength Training, And Conditioning For Lacrosse Athletes

“We created Devoe Human Performance because lacrosse players could not get access to the weight room like football and basketball players, so we created programs that you could do right on the field or with very minimal equipment”

“We created Devoe Human Performance because lacrosse players could not get access to the weight room like football and basketball players, so we created programs that you could do right on the field or with very minimal equipment”

devoehumanperformanceRashad Devoe is owner of Devoe Human Performance; they specialize in lacrosse specific performance training. Coach Devoe is the former strength coach to the Rochester Knighthawks™ and has worked with numerous pro players, college, high school, and club teams. Coach Devoe has created a training system that is specified for lacrosse and the movements of lacrosse.


 Coach Devoe is the strength and conditioning guru for US Lacrosse Magazine and writes a monthly article and video for US Lacrosse Magazine and laxmagazine.com. He also provides content to www.laxspeedtv.com which is a website that has the country’s best pro, college, and high school lacrosse strength coaches. www.laxspeedtv.com has over 190 pages of content 20 hours of video workouts and audio interviews with the pros.


 Coach Devoe is also a head lacrosse coach and coached the Plano West Lacrosse team in Plano, Texas to a 9-2 record in his first year. The team won the Division Championship and had its best season in 4 years. Blending his knowledge of strength and conditioning with lacrosse concepts Coach Devoes’ program is unlike any speed/agility or weight training program in the world. 


To see more of coach Devoes’ training go to www.laxspeedtv.com

To learn more about Devoe Human Performance go to www.Devoehp.com

Or to contact coach Devoe rjdevoe@devoehp.com 


(From USA Today)
Providing “appropriate” medical care for high school athletes goes way beyond having an ambulance at football games or student managers handing out ice packs, according to a game plan for such care released Wednesday by the National Athletic Trainers’ Association.

NATA partnered with 16 groups, including the National Federation of State High Schools Associations, to form a task force that released its strategies Wednesday in St. Louis at the athletic trainers’ annual meeting.

Estimating seven million students play high school sports each year, NATA said those at only 42% of schools have “access” to athletic trainers for treatment, rehabilitation and prevention of injuries.

“Just as you have a responsibility to make sure there is a coach, a facility, a field to play on, equipment and an opposing team to play, you also have a responsibility to provide care,” said Jon Almquist, chair of the task force and athletic training administrator for Fairfax Count public schools in Virginia.

Defensive end Chris Long, a first round pick by the St. Louis Rams in this year’s NFL draft, participated in the news conference. He had the benefit of athletic training support in high school in Virginia.

“I had minor bumps and bruises, things that wouldn’t keep me off the field, but if I didn’t manage them would potentially keep me off the field,” said Long.

“If some kids don’t have the proper guidelines and don’t have people specializing in injury prevention and treatment, that’s when things can go even more wrong.”

First on the list of recommended strategies was that school form “athletic health care” teams made up of physicians, athletic trainers, school nurses, administrators, coaches and parents.

Almquist said a school can hire a full-time athletic trainer for about the same salary as a teacher at that school, with about 10% extra for working year round. “If you’re paying a teacher to start a job at $27,000, you’ll probably want to pay the athletic trainer a starting salary of $30,000,” he said.

NATA’s estimate of students at 42% of school having “access” to athletic trainers includes full-time employees and part-timers who may work only games.

“There is a lot more practice time than there is game time. So there is a lot of time when there is no health care provided,” said Almquist. ” … Does the coach have first-aid training? Many times coaches will provide a decision based on their (past injury experiences) as opposed to basing their decision on education about an injury. That is a critical problem.”

NATA also has partnered with the North American Booster Club Association. “Hopefully, that will take it to the parents’ side,” said Almquist.

Among other strategies recommended by the task force:

•Use of pre-participation physicals to identify athletes who may be at risk of injuries or have medical conditions that could be life-threatening during sports.

• Make sure protective equipment, such as a football helmet, is properly fitted and maintained.

• Establish policies on “hazardous environmental conditions,” which could include heat and lightning.

• Have “qualified individuals on site who can not only care for the injured but also make decisions on when they can return to play.

• Provide nutritional counseling and identify athletes with such potential problems as eating disorders so they can be referred to appropriate treatment.

Joe Hart was head athletic trainer at St. Anne’s-Belfield School in Charlottesville, Va., where Chris Long participated in football, baseball, basketball and lacrosse. Now doing research and teaching at the University of Virginia, Hart is attending this week’s meeting.

He said the goal of athletic training is to provide care for all athletes.

“We treated everyone from the struggling JV-B (team) field hockey player to the starting varsity baseball or softball player,” he said. “All were treated equally and were equally important.”