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stretch, football combine preparatory training program, Wyle Maddox, In Motion Sports Performance, football training, football coach, football specialist, combine specialist, Virginia Beach, Hampton, Newport News, Norfolk, Suffolk, Chesapeake, Norfolk, Portsmouth, Hampton Roads, speed and agility trainingEnergy drinks are popular among some athletes but two new studies may lead many to rethink how they fuel their bodies for competitions, games and workouts.

Energy drinks are non-alcoholic beverages that contain caffeine, vitamins, and other ingredients for example, taurine, ginseng, and guarana. They are typically marketed as boosting energy and increasing physical and mental performance.

In one study from Spain, researchers found that energy drinks cause insomnia and nervousness in athletes in the hours following competition. Contrary to their name, “energy drinks” do not provide more energy than other soft drinks but they do produce an energizing feeling related to the stimulation provided by caffeine.

“Athletes felt they had more strength, power and resistance with the energy drink than with the placebo drink,” according to a news release from the Spanish Foundation for Science and Technology. “However, the energy drinks increased the frequency of insomnia, nervousness and the level of stimulation in the hours following the competition.”

Another study prompted a team of researchers from the World Health Organization Regional Office for Europe in the open-access journalFrontiers in Public Health to warn that increased consumption of energy drinks may pose danger to public health.

Part of the risks of energy drinks are due to their high levels of caffeine. Energy drinks can be drunk quickly, unlike hot coffee, and as a result they are more likely to cause caffeine intoxication. Energy drinks can cause caffeine intoxication, which can lead to heart palpitations, hypertension, nausea, vomiting, convulsions, psychosis and in rare cases, death, a news release from Frontiers states.

Additionally, many young people mix energy drinks with alcohol. According to the National Poison Data System in the United States, between 2010 and 2011, more than 4,850 calls were made to poison information centers about energy drinks. Almost 40 percent involved alcohol mixed with energy drinks, the release states.

+ Learn how to fuel your body properly for your best sports performance. Consult a Registered Dietitian to learn about healthy eating tailored to your needs.

+ Improve your sports ability through many of our sports performance programs at Bon Secours In Motion.

Bon Secours In motion Physical Therapy and Sports Performance, physical therapist, physical therapyPhysical therapy after total knee or hip replacement surgery is an important part of a patient’s recovery.

But seeing a physical therapist before surgery can also help, according to a new study published in the Journal of Bone & Joint Surgery.

Undergoing physical therapy before joint replacement surgery can diminish the need for postoperative care by nearly 30 percent, researchers say.

In fact, this type of therapy – called prehabilitation – saved an average of $1,215 per patient in skilled nursing facility, home health agency and other postoperative care, a news release from the American Association of Orthopaedics states.

The findings could have widespread implications as the nation’s population ages and more people need total knee or hip replacement. Roughly 50 million adults nationwide have been diagnosed with arthritis by a physician. As the condition progresses, arthritis patients often need to have their hip or knee replaced to maintain their mobility and quality of life.

Researchers estimate that the number of hip replacements will grow by 174 percent between 2005 and 2030, while the number of knee replacements will increase 673 percent in that same timeframe.

In the study, researchers found that patients who received physical therapy before their surgery showed a 29 percent reduction in postoperative care use.

Additional benefits of have physical therapy before surgery included:

  • The percentage of patients needing postoperative care services decreased from nearly 80 percent to 54.2 patients for those who had physical therapy before surgery.
  • Patients who underwent preoperative physical therapy saved $1,215 each by not needing as much care in a skilled nursing facility or from a home health agency.

“This study demonstrated an important opportunity to pre-empt postoperative outcome variances by implementing preoperative physical therapy along with management of comorbidities before and during surgery,” said Dr. Ray Wasielewski, co-author of the study.

Source: AAOS news release

+ Learn more about the physical therapy programs offered at Bon Secours In Motion.

football, team training, men's health, weight loss, fitnessMany overuse injuries in young athletes can be prevented with simple communication.

Teaching young athletes to let their coach or parent know if they’re having any type of pain can help prevent an undiagnosed injury from becoming more severe.

Unfortunately, many young athletes are not aware that it’s easy to develop an overuse injury, according to the American Academy of Orthopaedic Surgeons.

During this time of year, it’s pretty common for athletes playing football, volleyball and soccer and participating in cheerleading to sustain an injury. In 2013, roughly 882,000 football-related injuries occurred in children 5 to 18 years old, according to the Consumer Product Safety Commission. Nearly 434,000 children had soccer injuries. Cheerleading accounted for close to 100,000 injuries while there were more than 94,000 injuries related to playing volleyball.

“Overuse injuries are the most common type of sports-related injuries,” said AAOS spokesman Dr. Michael S. George, who specializes in sports medicine. “Often times, the initial aches and pains felt during the progression of an injury are overlooked by young athletes.”

To help reduce and prevent the number of sports-related injuries reported every year, the AAOS recommends the following tips:

  • Have a pre-season physical examination and follow your doctor’s recommendations.
  • Warm-up and cool down properly with low-impact exercises like walking or cycling.
  • Consistently incorporate strength training and stretching. A good stretch involves not going beyond the point of resistance and should be held for 10-12 seconds.
  • Hydrate adequately to maintain health and minimize muscle cramps. Waiting until you are thirsty is often too late to hydrate properly.
  • Keep an eye out for unsafe play surfaces. Playing grounds should be in good condition.
  • Don’t play through the pain. Speak with an orthopaedic sports medicine specialist or athletic trainer if you have any concerns about injuries.
  • When participating, wear protective gear such as properly fitted cleats, pads, helmets, mouth guard or other necessary equipment for the selected sport.
  • Play multiple positions and/or sports during the off-season to minimize overuse injuries.
  • Pay attention to weather conditions such as wet, slippery fields that can lead to injuries.
  • Avoid the pressure to overtrain. Listen to your body and decrease training time and intensity, if pain or discomfort develops. This will reduce the risk of injury and help avoid “burn-out.”

Source: AAOS news release

+ Learn about the Bon Secours Sports Performance’s Injury Prevention Program. Our program is built to screen for the deficiencies that cause pain and incorporate corrective exercises to allow your body to move more functionally and efficiently. Our program uses the tools that the NFL, MLS and many professional athletes are using to increase the quality of everyday life.

+ Find a certified athletic trainer through Bon Secours Hampton Roads Health System Primary Care Sports Medicine.

Diabetes, Diabetic Counseling, Hampton Roads, Hampton, Virginia, nutritional care plans, nutrition counseling, registered dietitian, Bon Secours In Motion Physical Therapy, fitnessAmericans face a 40 percent risk of developing type 2 diabetes during their lifetime, a new federal study shows.
But they may be able to lower that risk by seeking nutritional counseling that includes how to make lifestyle and dietary changes from a Registered Dietitian, according to the Academy of Nutrition and Dietetics.
“Health professionals are in agreement that nutrition services are one of the first treatments individuals should receive to improve conditions such as diabetes and its related complications,” said registered dietitian nutritionist and Academy Spokeswoman Angela Ginn.
The study, conducted by researchers at the Centers for Disease Control and Prevention found that two out of every five Americans are expected to develop type 2 diabetes during their lifetime.
“As the number of diabetes cases continue to increase and patients live longer, there will be a growing demand for health services and extensive costs,” said Dr. Edward Gregg, study leader in a CDC news release. “More effective lifestyle interventions are urgently needed to reduce the number of new cases in the USA and other developed nations.”
For people who have been diagnosed with diabetes, a Registered Dietitian can help create an eating plan that’s individually tailored, Ginn said in an Academy news release. It can take into account a person’s weight, medications, lifestyle and other health problems.
“Research has shown that weight loss through moderate diet changes and physical activity plays a significant role in reducing a person’s risk of diabetes and its complications such as heart disease, stroke, kidney disease, blindness, nerve damage and other health problems,” said Ginn, who is also a certified diabetes educator. “A registered dietitian nutritionist is one of your best resources for developing a plan to make these lifestyle changes.”

RDNs often work as part of a medical team, in many practice settings, such as hospitals, physician offices, private practice and other health care facilities. Thankfully, medical nutrition therapy provided by an RDN is covered by numerous insurance plans including Medicare Part B.

“Check with your insurance plan for specific medical nutrition therapy coverage details. Your plan may cover nutrition counseling for chronic conditions and health concerns like diabetes and prediabetes. Together with a registered dietitian nutritionist, you can set nutrition goals to improve your health,” Ginn said.

+ Have you been recently diagnosed with type 2 diabetes or are at risk for this chronic health condition? Try Individual or Group Counseling at Bon Secours In Motion Physical Therapy and Sports Performance to learn how healthy strategies can help people living with diabetes.

lose weight, Bon Secours Weight Loss InstituteCooking and eating at home more often may be an excellent strategy for anyone trying to lose weight by watching how many calories they consume.

Researchers have found that eating out at restaurants often means consuming an additional 200 total daily calories, according to a study published in Public Health Nutrition. When you consider how often in a week you head out for lunch or dinner, those calories can quickly add up to extra pounds.

Along with the extra calories, people who eat in restaurants are also taking in significant increases in sugar, saturated fat, and sodium, a news release from the American Cancer Society states.

It’s an important finding because the United States is one of the most obese nations in the world. More than one in three adult men and women are considered obese, which means their body mass index is 30 or greater.

Obesity causes many health problems such as type 2 diabetes, increased risk of stroke, cardiovascular disease and certain cancers. It can also shorten a person’s lifespan by 6 to 14 years.

Eating fewer calories and burning more are one strategy to lose weight. Many people also find it helpful to meet with a Registered Dietitian to learn about eating healthy meals.

For the study on eating in restaurants, researchers looked at data collected from more than 12,000 people between the ages of 20 and 64. The study found that on days when eating at a fast-food restaurant, a person ate an additional 195 calories, 3.5 grams of saturated fat, 4 grams of sugar and about 300 mg of sodium.

Eating at a full-service restaurant did not mean the meals were healthier. People ate an additional 205 calories, with an extra 2.5 grams of saturated fat and 451 mg of sodium.

Source: American Cancer Society news release

+ Need help losing weight? Learn about the Bon Secours In Motion Fitness and Weight Loss Program.

+ Are you eating the right foods for your activity level? At Bon Secours In Motion, our Registered Dietitians help clients live healthier lives through nutritional analysis.

sports-drinksSummer weather in South Hampton Roads leaves many thirsting for something cold to drink.

Sweet tea might sound downright delicious but it’s important to remember that your body needs hydration, not empty calories.  This is especially important for those trying to lose weight and fuel their body with nutritious foods.

“With an endless variety of beverages to choose from, we need to make smart choices when it comes to hydrating right while keeping calories in check,” said Kelly Pritchett, a Registered Dietitian and spokeswoman for the Academy of Nutrition and Dietetics.

Indeed, studies have shown that people who struggle with losing weight or being obese drink more sugar-sweetened beverages than people who maintain a healthy weight. Other research has shown that calorie intake from beverages has more than doubled since the 1960s, mainly due to more people drinking soft drinks, sports drinks and sweet tea.

“According to research, people don’t balance out these extra liquid calories by eating less from food or by increasing physical activity,” Pritchett said. “Over the long run, these additional beverage calories can lead to energy imbalance and weight gain.”

The Academy of Nutrition and Dietetics recommends the following tips to help people stay healthy and hydrated without consuming too many calories:

  • Drink plenty of calorie-free water. Add slices of citrus fruit, strawberries or cucumber to give water some fresh flavor. Making water taste better may help you drink more. Make sure to drink enough water especially if you are playing sports. Drink enough water for your urine to be pale or almost without any color.
  • Limit soda and sugary drinks. More than 35 percent of added sugars in the United States come from soft drinks, according to the Academy. Keep these drinks reserved for special treats. Don’t make them a part of your daily habit. Sports drinks are appropriate for athletes engaged in moderate to high intensity exercise that lasts for more than one hour.
  • Drink milk every day. Not only is milk a great source of calcium, it is nearly 90 percent water.
  • Drink alcohol in moderation. Whether you’re at a barbecue or a baseball game, drink water before you have a beer or a glass of wine. Alcohol can dehydrate the body.

“If you feel thirsty, drink water first and alternate a glass or two of water in between each alcoholic beverage to keep your body hydrated,” Pritchett said.
Women who drink should only have one alcoholic beverage per day. For men, the recommended limit is two.
“Fluids, like food, are essential for our health, but it’s important to remember that not all beverages are treated the same,” Pritchett said.

Source: American Academy of Nutrition and Dietetics news release

+ This summer, make a commitment to living a healthier lifestyle. Learn the latest about nutrition with nutritional analysis, a program offered by the Registered Dietitians at Bon Secours In Motion Physical Therapy and Sports Performance.


Bon Secours InMotion Nutrition Experts recommend eating for energyImproving the overall quality of your diet helps to prevent type 2 diabetes, according to new research.

The study, by researchers at the Harvard School of Public Health, found that those who improved their diet over four years – by eating more whole grains, fruits and vegetables, and less sweetened beverages and saturated fats, for example – reduced their risk for type 2 diabetes by about 20 percent, compared to those who made no changes to their diets.

The study also examined whether improved diet was a marker of other lifestyle changes, such as weight loss or increased physical activity, or if it could independently reduce a person’s risk for developing type 2 diabetes. The research was presented at the American Diabetes Association’s 74th Scientific Sessions®.

“We found that diet was indeed associated with diabetes independent of weight loss and increased physical activity,” said lead researcher Sylvia Ley, PhD, a post-doctoral fellow at the Harvard School of Public Health.

“If you improve other lifestyle factors you reduce your risk for type 2 diabetes even more, but improving diet quality alone has significant benefits,” she said. “This is important because it is often difficult for people to maintain a calorie-restricted diet for a long time. We want them to know if they can improve the overall quality of what they eat – consume less red meat and sugar-sweetened beverages, and more fruits, vegetables and whole grains – they are going to improve their health and reduce their risk for diabetes.”

The study also found that it didn’t matter how nutritious or poor a person’s diet was when they started out, she said. “Regardless of where participants started, improving diet quality was beneficial for all.”

Source: American Diabetes Association news release

+ Learn how to choose healthy foods for you and your family through our nutrition programs at Bon Secours In Motion.


Bon Secours In Motion Physical Therapy, arthritis rehabilitation, joint pain, physical therapy clinic, occupational therapists, hand therapistsHaving arthritis puts people at a higher risk for falling and fall-related injuries, according to new federal statistics.

Researchers from the Centers for Disease Control and Prevention found that when people had arthritis, they were 1.3 times more likely to have a fall, 2.4 times more likely to have two or more falls and 2.5 times more likely to be injured after falling.

“It’s important to know the risk of falling that comes with arthritis,” said Dr. Alexander Aboka, an orthopaedic surgeon with Virginia Orthopaedic & Spine Specialists. “Many patients can help protect themselves by staying active, maintaining a healthy weight and avoiding joint injuries.”

Falls can be extremely dangerous. They can cause hip fractures and brain injuries. They can also affect a person’s ability to do daily activities, be physically active and stay social.

“Although each patient is different and needs careful evaluation, some people are able to improve their gait, balance and lower body strength by exercising,” Dr. Aboka said.

The number of people nationwide with arthritis is growing by about 1 million each year, according to the CDC. About one in five adults in the United States or 52.5 million people have arthritis. Arthritis is the most common cause of disability among adults in the U.S.

While most people are familiar with the risk of falling for older people, falls and fall injuries are also common among middle-aged adults with arthritis, CDC researchers have found. One risk factor for falling is poor neuromuscular function, which affects balance and gait speed.

Federal health officials recommend arthritis patients follow these guidelines:

  • Learn arthritis management strategies. These strategies give those with arthritis the skills and confidence to effectively manage their condition.
  • Be active. Research shows physical activity decreases pain, improves function and delays disability It is recommended that people with arthritis undertake 30 minutes of moderate physical activity at least 5 times a week, or a total of 150 minutes per week. The 30 minutes can be broken down into three ten minute sessions throughout the day.
  • Watch your weight. A healthy weight can limit disease progression and activity limitation In fact, for every pound lost, there is a 4 pound reduction in the load exerted on the knee. A modest weight loss (5 percent or 12 pounds for a 250 pound person) can help reduce pain and disability.
  • See your doctor. Early diagnosis is critical to maintaining a good quality of life, particularly for people with inflammatory arthritis.
  • Protect your jointsAvoiding injuries to joints can reduce the likelihood of developing osteoarthritis.

Sources: Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, May 2

+ Learn about advanced techniques used in total joint replacement at Virginia Orthopaedic & Spine Specialists.

+ Find out how to improve your mobility and strength with the Arthritis Rehabilitation physical therapy program at Bon Secours In Motion.

video games, television, childhood obesity, youth obesity prevention, weight loss, fitness, nutritional counseling, adolescent health, Bon Secours In Motion Youth Fitness Program, diabetes counseling, childhood nutrition, registered dietitian, nutritionist, Hampton Roads, Norfolk, Virginia Beach, Suffolk, Hampton, Chesapeake, Portsmouth, Newport NewsWhen children head back to school this fall, parents and teachers expect them to need a little remediation. But a new study shows that some of them may need something else – more physical activity and healthier meals.

Researchers from Harvard School of Public Health found that some kids are gaining weight more quickly during the summer months.

Is it video games? Fast food? Late-night sleepovers?

The study, published in the journal Preventing Chronic Disease, suggests that children between the ages of 5 and 12 may be more sedentary. They’re sitting more during the summer with their electronics and snacking. Without the structure of school, their sleep patterns also may not be consistent.

The study comes at a time when one in 3 children in the United States is considered obese. Many efforts are being made in schools to serve healthier lunches and give children more time to exercise. In some schools, children are told to play outside after school for at least thirty minutes every day as part of their homework.

But when school ends, children are often less active, researchers found. Children who are already overweight or obese are the most at risk for gaining weight over the summer break, the study found.

Fortunately, many solutions exist.

“Potential solutions for the problem of accelerated summer weight gain include greater access to recreational facilities, physical activity programming and summer food programs,” the researchers wrote.

Source: Centers for Disease Control and Prevention, Preventing Chronic Disease

+ Does a child in your life need to lose weight? Bon Secours In Motion offers a youth fitness program designed to help children make healthier food choices and find ways to enjoy physical exercise.

+ This summer, make a commitment to living a healthier lifestyle. Learn the latest about nutrition with nutritional analysis, a program offered by the Registered Dietitians at Bon Secours In Motion Physical Therapy and Sports Performance.


Brain, concussion, ImPACT™ Neurocognitive Testing Children who suffer from a concussion can experience a number of symptoms immediately after being injured. Physical symptoms - headache, dizziness and fatigue – begin immediately after the injury.

But emotional symptoms may appear later on during recovery, according to a new study in the journal Pediatrics.

For the study, researchers examined questionnaires from 235 children aged 11 to 22 who sustained a concussion. They answered questions regarding symptoms, cognitive and sports activity, and school and athletic performance for 3 months after their head injury or until all symptoms resolved.

While most children recovered from their concussion within two weeks of being injured, they experienced a large number of symptoms during that time period, according to a news release from the American Academy of Pediatrics. More than two-thirds of patients still had a headache one week after the injury. The most common symptoms were physical complaints such as headache, dizziness, and fatigue, which tended to start immediately after the injury but resolved over time.

Emotional symptoms such as frustration and irritability were not as common right after the injury, but developed later during the recovery period in many patients.

A majority of patients also experienced cognitive symptoms such as difficulty concentrating and taking longer to think.

The authors of the study conclude that physical symptoms of a concussion are likely to be more burdensome immediately after the injury, while the emotional symptoms often begin later even as the physical symptoms subside.

Understanding this is important for caregivers and families who will be managing symptoms and helping with the child’s recovery, the news release states.

Source: American Academy of Pediatrics

+ Learn about ImPACT™ Neurocognitive Testing at Bon Secours In Motion Physical Therapy and Sports Performance. ImPACT™ is a computer-based program that tests multiple aspects of brain function. Athletes, especially those involved in contact sports who are susceptible to concussions, should have a test before the season begins, to establish a baseline. If they sustain a head injury, they should be retested. This gives athletic trainers, physicians and other health care professionals a comparison to determine if it is safe for the athlete to return to play.