Number Ten, December 2002    -    SPORTS MEDICINE     &     USAPL SUSPENSION LIST 
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Dr. Michael Hartle
Medical Committee Chair

Trunk Stabilization Concepts and Exercises
by Michael A. Hartle, D.C., D.A.C.B.N., C.C.N., C.C.S.P., C.S.C.S., E.M.T.



Part Six of Six

Exercises
	   
Balance/Proprioception
   Single-Leg Standing
      Progression:	Shoes - Bare Feet - Unstable Apparatus 
         (i.e. Airex pad, wobble board, sand, etc.)
         Eyes Open - Eyes Closed
         Arms Static => Arms Dynamic => Arms Dynamic Weighted
      Up to 1 minute per leg
   Wobble Board
      Front - Back; Side - Side; All Over Balance
         Can be done for sets/reps (2-3 sets x 10-20 reps) 
		 or for time limit (10 sec to 1 minute)

Bench Press
   Ball Push-ups
      Tempo:        1-1-1
         Sets/Reps: 2-3 Sets x 5-15 reps
   Forward Ball Roll
      Tempo:        3-3-3
      Sets/Reps:    2-3 sets x 10-12 reps
   Rotator Cuff Exercises
      Shoulder Horn
         Tempo:     2-0-2
         Sets/Reps: 2 sets x 15-20 reps
      Side Lying Lateral Raises
         Tempo:     2-2-2
         Sets/Reps: 2-3 sets x 10-15 reps

Squat/Deadlift/Trunk
   Supine Lateral Ball Roll
      Tempo:        1-0-1
      Sets/Repetitions: 2-3 sets x 6-8 reps
   Bridging - Floor => Ball
      Tempo:         Hold for 5 seconds, rest for 10 seconds, 
	  eventually moving to hold for 10 sec., resting for 5 sec.
      Sets/Reps:     2 sets x 10-12 reps
   TVA (Transverse Abdominis)
      4 Point TVA
         Tempo:     Hold for 5 seconds, rest for 10 seconds, 
		 eventually moving to hold for 10 sec., resting for 5 sec.
         Sets/Reps: 2 sets x 10-12 reps 

		Sample TVA Training
       Week Exercise  Rest    Intensity   Reps   Tempo   Sets	
        1	4 Point   1:00                10     10/10   1-4	
        2	BP Cuff   1:00    - 10 mm Hg  10     10/10   2-4	
        3	BP Cuff   45 sec. - 10 mm Hg  10     10/5    2-4	
        4	BP Cuff   30 sec. - 10 mm Hg  2-4    =/> 100 s.  
		
		CRAC Deadlift
            Tempo:        3-1-3
            Sets/Reps:    2-3 sets x 6-8 reps
References In addition to the above studies, material used in research for this presentation was obtained from the following sources:
  1. Liebenson C (ed) Spinal Rehabilitation: A Manual of Active Care Procedures. Williams and Wilkins, Baltimore 1996
  2. Murphy D. New concepts in spinal stability and instability, Part Two. Chiropractic OnLine 1996
  3. Chek, P. Back Strong and Beltless. Testosterone.net Magazine. Colorado Springs, CO 2000
  4. Lander J.E., Hundley J.R., Somonton R.L. The effectiveness of weight-belts during multiple repetitions of the squat exercise. Medicine and Science In Sports and Exercise 1992 May;24(5):603-9
  5. Ed by: Vleeming A., Mooney V., Snijders C.J., Dorman T.A. and Stoeckart R. Movement, Stability & Low Back Pain - The essential role of the pelvis. Churchill Livingstone, New York, Edinburgh, London, Madrid, Melbourne, San Francisco and Tokyo, 1997
  6. Lee D. The Pelvic Girdle (2nd. Ed.) - An approach to the examination and treatment of the lumbo-pelvic-hip region. Churchill Livingstone Edinburgh, London, New York, Philadelphia, Sydney, Toronto, 1999
  7. Miyamoto K., Iinuma N., Maeda M., Wada E., Shimizu K. Effects of abdominal belts on intra-abdominal pressure, intra-muscular pressure in the erector spinae muscles and myoelectrical activities of trunk muscles. Clinical Biomechanics, Feb. 1999 14(2):79-87
  8. Bauer J.A., Fry A., Carter C. The Use of Lumbar Supporting Weight Belts While Performing Squats: Erector Spinae Electromyographic Activity
  9. Lander J.E., Simonton R.L., Giacobbe J.K.F. The effectiveness of weight-belts during the squat exercise. Medicine and Science In Sports And Exercise Vol. 22, No.1 Feb. 1990 pp 117-26
  10. Chek P. Scientific Core Conditioning (correspondence course). Chek Institute, Encinitas, Ca. 1993,1999
  11. Chek P. Scientific Back Training (correspondence course). Chek Institute, Encinitas Ca. 1995
  12. Janda V. Muscles, Central Nervous Motor Regulation and Back Pain (27-41)In: Korr I.M. (Ed.) The Neurobiologic Mechanisms in Manipulative Therapy. Plenum Press New York and London 1978
  13. Richardson C., Jull G., Hodges P. and Hides J. Therapeutic Exercise For Spinal Segmental Stabilization In Low Back Pain - Scientific Basis And Clinical Approach Churchill Livingstone, London, New York, Philadelphia, Sydney and Toronto, 1999
  14. Cresswell A.G., Grundstrom H., Thorstensson A. Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 1992, 144, 409-418
  15. Norris C.M. Functional load abdominal training: part 1. Journal Of Bodywork And Movement Therapies, July 1999
  16. Kegel A.H. Progressive Resistance Exercise In The Functional Restoration Of The Perineal Muscles American Journal of Obstetrics and Gynecology August, 1948

FOR FURTHER INFORMATION:
Michael A. Hartle, D.C., D.A.C.B.N., C.C.N., C.C.S.P., C.S.C.S., E.M.T.
3835 West Jefferson Boulevard
Fort Wayne, Indiana 46804
Telephone: (219) 432-7339
Facsimile: (219) 436-4750
Website: www.chiropower.com
Email: pwrdoc@fwi.com

I would like to announce that starting December 1st, 2002, we are creating and opening a new division of our clinic. The Athletic Performance Center will offer physical therapy and rehabilitation services, one-on-one personal training and last, but certainly not least, athletic performance training. We have brought a Ball State University graduate, Michael Robertson, MS, CSCS, onboard to direct this new division. This will be the place to go in the Midwest for the aforementioned services. More to come on this in the future!!

Michael A. Hartle,
USA Powerlifting Executive Committee Board Member
Chairman, USA Powerlifting Sports Medicine Committee
Chairman, USA Powerlifting Drug Testing Committee


 USAPL Suspension List, Effective Sept 2002

 Name                State          Offense                                     Date/Offense  Length     End Date
 --------------------------------------------------------------------------------------------------------------------
 Tim King            North Carolina Indebtedness to the Association             May 20, 1998  Indefinite Indefinite
 Chris Kostas        California     Indebtedness To The Association             Jul 20, 1998  Indefinite Indefinite
                                    Refusal To Do Drug Testing At Meets
 Steve Gavin         Minnesota      Indebtedness To The Association             May 21, 2001  Indefinite Indefinite
                                    Bringing organization into disrepute
 Antonio Garcia      Colorado       Nandrolone (second offense)                 Sep 23, 2001  Indefinite Indefinite
 Scott Purto         New Mexico     Nandrolone                                  Oct 03, 1999  3 years    Oct 03, 2002
 Greg Faulkenberry   South Carolina Nandrolone                                  Oct 16, 1999  3 years    Oct 16, 2002
 Stella Krupinski    Virginia       Nandrolone                                  Oct 23, 1999  3 years    Oct 23, 2002
 Michael D. Jones    Ohio           T/E Ratio 66.6                              Nov 13, 1999  3 years    Nov 13, 2002
 Steven J. Ayre      Colorado       Nandrolone                                  Nov 13, 1999  3 years    Nov 13, 2002
 Brett Neuman        Wyoming        Nandrolone                                  Nov 20, 1999  3 years    Nov 20, 2002
 Christine Rovnak    Idaho          Methandienone, T/E Ratio 50.0               Nov 20, 1999  3 years    Nov 20, 2002
 Andrew Bates        Colorado       Nandrolone                                  Dec 05, 1999  3 years    Dec 05, 2002
 Jason Bennett       Colorado       Nandrolone                                  Dec 05, 1999  3 years    Dec 05, 2002
 Shane McShane       Hawaii         T/E Ratio 22.5                              Dec 18, 1999  3 years    Dec 18, 2002
 Zindy Coss          Alaska         Nandrolone                                  Dec 27, 1999  3 years    Dec 27, 2002
 Debbie Christensen  Utah           Methyltestosterone                          Jan 17, 2000  3 years    Jan 17, 2003
 Michael A. Bradley  Maryland       T/E Ratio 9.2                               Jan 15, 2000  3 years    Jan 15, 2003
 Tom Conklin         Wisconsin      Nandrolone                                  Jan 22, 2000  3 years    Jan 22, 2003
 Lonnie Coxsey       Colorado       T/E Ratio 4.4                               Feb 13, 2000  3 years    Feb 13, 2003
 Terry Nelson        North Dakota   Nandrolone                                  Mar 04, 2000  3 years    Mar 04, 2003
 Jeff A. Peshek      Ohio           Nandrolone                                  Mar 11, 2000  3 years    Mar 11, 2003
 Chris Scott         Ohio           Nandrolone, Stanozolol, T/E Ratio 87.9      Mar 11, 2000  3 years    Mar 11, 2003
 Jeff Cook           Ohio           Nandrolone, T/E Ratio 20.4                  Mar 11, 2000  3 years    Mar 11, 2003
 Jason Buccek        Minnesota      Nandrolone                                  Mar 18, 2000  3 years    Mar 18, 2003
 Mary Jacobson       California     Failure to report for testing               Apr 08, 2000  3 years    Apr 08, 2003
 John Wagner         Pennsylvania   Methandienone                               Apr 15, 2000  3 years    Apr 15, 2003
 Al Dawson           Washington     Nandrolone, Methandienone, Oxymetholone     Apr 15, 2000  3 years    Apr 15, 2003
                                    T/E Ratio 181.1
 Jeffrey Boutot      Maine          Nandrolone                                  Apr 22, 2000  3 years    Apr 22, 2003
 Leonard Brightwell  Virginia       Nandrolone                                  Apr 29, 2000  3 years    Apr 29, 2003
 Alex Galant         Colorado       Nandrolone                                  May 06, 2000  3 years    May 06, 2003
 Adam Stiverson      Michigan       Nandrolone                                  May 06, 2000  3 years    May 06, 2003
 Kenneth Tuohey      Virginia       Nandrolone                                  May 13, 2000  3 years    May 13, 2003
 Jerry Willis        Michigan       Nandrolone                                  May 13, 2000  3 years    May 13, 2003
 Joe Thompson        Wyoming        Methandienone, Nandrolone                   May 20, 2000  3 years    May 20, 2003
 Chris Berry         Idaho          Nandrolone                                  May 20, 2000  3 years    May 20, 2003
 Joe Bider           Texas          Boldenone, Ephedrine, Pseudoephedrine       Jun 11, 2000  3 years    Jun 11, 2003
 Chris Brigham       California     Methyltesterone                             Jun 17, 2000  3 years    Jun 17, 2003
 James McGlynn       Florida        Nandrolone, Methenolone, Stanozolol         Jul 08, 2000  3 years    Jul 08, 2003
                                    T/E Ratio 150.1
 Jeff Himmelrick     Nebraska       Boldenone                                   Jul 16, 2000  3 years    Jul 16, 2003
 Scott Brone         California     Nandrolone                                  Oct 28, 2000  3 years    Oct 28, 2003
 Jeffery Hunter      New Mexico     Nandrolone, T/E Ratio 9.5                   Oct 28, 2000  3 years    Oct 28, 2003
 Ralph Kiebach       Ohio           Nandrolone, T/E Ratio 51.7                  Nov 12, 2000  3 years    Nov 12, 2003
 Thomas Lamoureux    Massachusetts  Nandrolone, T/E Ratio 8.5                   Nov 19, 2000  3 years    Nov 19, 2003
 Jeff Diederich      Kentucky       Nandrolone, Oxymetholone                    Dec 02, 2000  3 years    Dec 02, 2003
 Jeff Holzbauer      Illinois       Nandrolone                                  Dec 02, 2000  3 years    Dec 02, 2003
 Greg Zoeller        Indiana        Methandienone, Oxymetholone, T/E Ratio 408.0Dec 02, 2000  3 years    Dec 02, 2003
 George L Ferrell    Virginia       Fluoxymesterone,  Methandienone, Nandrolone Dec 09, 2000  3 years    Dec 09, 2003
                                    T/E Ratio 29.1
 Jeremy Biewer       Minnesota      Failure to report for testing               Jan 20, 2001  3 years    Jan 20, 2004
 Paul F Unis         Colorado       Nandrolone, T/E Ratio 22.7                  Jan 28, 2001  3 years    Jan 28, 2004
 Steve T Fergen      South Dakota   Nandrolone                                  Feb 10, 2001  3 years    Feb 10, 2004
 CJ Salas            Nebraska       Nandrolone                                  Feb 10, 2001  3 years    Feb 10, 2004
 David Pierce        Michigan       Nandrolone                                  Feb 10, 2001  3 years    Feb 10, 2004
 Eric Sampson        Wisconsin      Nandrolone                                  Feb 17, 2001  3 years    Feb 17, 2004
 Warren Fahrenfeld   New Jersey     Nandrolone, Epitestosterone                 Mar 24, 2001  3 years    Mar 24, 2004
 James Rictor        Oregon         Nandrolone, Stanozolol                      Mar 24, 2001  3 years    Mar 24, 2004
 Patrick Gratton     Missouri       T/E Ratio 74.7                              Mar 31, 2001  3 years    Mar 31, 2004
 Matthew Hebert      Louisiana      Nandrolone                                  Apr 01, 2001  3 years    Apr 01, 2004
 Boomer Fleming      Hawaii         Nandrolone, Methandienone                   Jun 30, 2001  3 years    Jun 30, 2004
 Jason Berkowitz     Pennsylvania   Nandrolone                                  Apr 29, 2001  3 years    Apr 29, 2004
 Robert Abfalter     Michigan       Nandrolone                                  Jul 28, 2001  3 years    Jul 28, 2004
 Jacob W Heglar      Virginia       Nandrolone                                  Oct 21, 2001  3 years    Oct 21, 2004
 Tim E Geyer         Michigan       Nandrolone                                  Oct 27, 2001  3 years    Oct 27, 2004
 Brett J Polofsky    Rhode Island   Nandrolone, Oxymetholone                    Nov 17, 2001  3 years    Nov 17, 2004
 Douglas D Mounkes   Kansas         Nandrolone, Epitestosterone                 Nov 17, 2001  3 years    Nov 17, 2004
 Elizibeth Volk      Texas          Nandrolone                                  Nov 17, 2001  3 years    Nov 17, 2004
 Theresa J Fish      Wisconsin      Nandrolone, Stanozolol                      Nov 26, 2001  3 years    Nov 26, 2004
 Toe Preston         Hawaii         Nandrolone                                  Dec 08, 2001  3 years    Dec 08, 2004
 Karen C Phillips    Virginia       Nandrolone, Methandienone,T/E ratio 126.4   Dec 08, 2001  3 years    Dec 08, 2004
 Garnet C Boudreau   Maine          Methenolone; T/E ratio 57.5                 Dec 08, 2001  3 years    Dec 08, 2004
 Joshua McMillan     Michigan       Boldenone                                   Feb 02, 2002  3 years    Feb 02, 2005
 John Onorato        Colorado       Nandrolone                                  Feb 10, 2002  3 years    Feb 10, 2005
 Jim Thompson        Montana        Boldenone; T/E ratio 44.9                   Feb 23, 2002  3 years    Feb 23, 2005
 Ralph Buckles       Minnesota      Nandrolone, Epitestosterone, T/E ratio +6.0 Mar 16, 2002  3 years    Mar 16, 2005
 Dwayne Poucher      Florida        Nandrolone                                  Mar 24, 2002  3 years    Mar 24, 2005
 Ben White           New York       Nandrolone                                  Mar 30, 2002  3 years    Mar 30, 2005
 Richard Davis       Pennsylvania   T/E ratio 15                                Apr 07, 2002  3 years    Apr 07, 2005
 Antonio Lanzellotta New Jersey     Failure to report for testing               Apr 27, 2002  3 years    Apr 27, 2005
 Avery Adams         Tennessee      Boldenone                                   May 04, 2002  3 years    May 04, 2005
 Chad Crigger        Iowa           Nandrolone; T/E ratio 28.3                  May 19, 2002  3 years    May 19, 2005
 Vincent Niedoliwka  Michigan       Methylphenidate                             Jun 15, 2002  6 months   Dec 15, 2002