Strength and Conditioning Training: It Is Not Just About Getting Strong

What is strength and conditioning?
Strength and conditioning may better be referred to as “physical preparation.” An athlete needs to be physically capable of accomplishing the goals set by the coach to compete in the game. Benefits of strength training go beyond just getting an athlete bigger, stronger and faster. Proper training improves an athlete’s resiliency and confidence in their performance as well. Though preventing injuries may not be directly related to movement and strength training, there are studies that suggest that overuse injuries may be reduced by as much as one-half with appropriate training.

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Ideally, an athlete participating in a strength and conditioning program is:

  • At a developmentally appropriate level.
  • At a physically appropriate level.
  • Receiving proper instruction and supervision.
  • In a setting with equipment that is appropriate for both the athlete and the sport.

KEISER YOUTH TRAINING CLASSES KE 0000000 D 10 10 45 St PB 48KG. A group of young boys squatting in a gym

What is training age?
An athlete’s training age may vary across skills or activity. The “training age” is typically much lower than the chronological age. A soccer player may have started playing soccer at age 4 but didn’t start resistance training until age 12. Therefore, that athlete should not begin a strength and condition program at the level of an athlete with five years of resistance training who may be lifting weights and using other forms of resistance.

How should goals be set for a young athlete?
The goals of the program should also be individualized and progress should be tracked. Measures for strength, power, endurance and speed are commonly used. More importantly, an assessment of movement quality should be integrated in the progression. Proper form in fundamental movements should always precede increased resistance or other challenging elements of an exercise.

Younger athletes should learn that “bulking up” is not an appropriate goal for them. These changes will not occur until developmental stages where hormones are present to create those visual changes. What is more likely to occur with movement and strength training in this population are neurological changes that lead to improved neuromuscular control, which is believed to reduce the risk of knee and ankle injuries common in young athletes.

What happens after an injury?
After proper diagnosis, a transition to a supervised strength and conditioning program is ideal only after treatment and rehabilitation for a musculoskeletal injury. An athlete often completes formal physical or occupational therapy before they are ready to return to sport. Therefore, a continued progression of sport-related and other activities help the athlete to complete recovery and prepare for realistic sport environments. Complex movements and distractions that are common during competitions can be integrated into training sessions where variables are controlled.
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In a recent program for medical professionals, strength and conditioning coach Justin Haser, M.S., CSCS, and physical therapist Daniel Stokes, P.T., D.P.T., CSCS., explained how strength and conditioning is integrated in the continuum of care for healthy and injured athletes. Watch now on YouTube.

Get to Know our Staff: Madelyn White, Therapy Services

Get to Know our Staff: Madelyn White, Therapy Services

What is your job title/your role at Scottish Rite for Children?  
I’m a sports physical therapist at our Frisco campus.
 
What do you do on a daily basis or what sort of duties do you have at work?
I work with youth athletes with various injuries to get them back to their sports safely. My job consists of examining and assessing athletes and coming up with a plan to get them back to their sports. I spend most of the day in our sports therapy gym, leading patients through exercises tailored to their injury and their sport. 
 
What was your first job? What path did you take to get here or what led you to Scottish Rite? How long have you worked here?
Prior to becoming a physical therapist, I worked at an ice rink teaching young kids how to skate and play hockey. 
 
My first job as a physical therapist was here! I was a student physical therapist at Scottish Rite for Children for my final clinical rotation, and I started working as a full-time physical therapist about a year later in March 2021. 
 
My family lives in this area, and I remember seeing the Frisco facility being built. I thought it was really unique to have such a specialized clinic for youth sports, and I knew I wanted to be a part of it. After having my clinical rotation here, I couldn’t imagine working anywhere else. I feel very lucky to get to work in such a great facility.
 
What do you enjoy most about Scottish Rite?
The people! Whether it’s my patients or my colleagues, it’s always fun to be here. We have such a great staff in the Therapy Services department and beyond, and my patients always brighten my day!
 
Tell us something about your job that others might not already know?
I think most people don’t know how hard physical therapy (PT) sessions are for patients. A lot of people think PT is just massages and stretching, but most patients spend the majority of sessions lifting weights, running and jumping. There is a lot more strength and conditioning involved than people expect.
 
Where is the most interesting place you’ve been?
I went to Europe for the first time last summer and loved it. Paris was the most beautiful place I’ve ever seen. 
 
What is your favorite game or sport to watch and play?
Ice hockey! I grew up in a hockey family, and I played and/or coached ice hockey until I went to college. I’m a big Dallas Stars fan and go to (almost) all the home games.
 
I also had a brief stint as a gymnast/cheerleader, and I ran track throughout high school. 
 
If you could only eat one meal for the rest of your life, what would it be?
Any kind of sushi.
 
What’s one fun fact about yourself?
I am currently on a daily running streak and have run at least one mile a day for more than 450 days in a row. I haven’t missed a day!
Get to Know our Staff: Lindsey Ham, Therapy Services

Get to Know our Staff: Lindsey Ham, Therapy Services

What is your job title/your role at Scottish Rite for Children?  
I am an occupational therapist and certified hand therapist working primarily at the Frisco campus. 

What do you do on a daily basis or what sort of duties do you have at work? 
My primary role is an outpatient occupational therapist, specializing in pediatric hand conditions. While this sounds like a small subset, I assess and treat a wide range of diagnoses, including upper limb and hand differences, traumatic injuries and sport-related injuries involving hand, wrist, elbow and/or shoulder. In addition, I also see patients with cerebral palsy, arthrogryposis, arthritis and brachial plexus injuries. My job is to figure out what deficits are limiting their participation and independence with daily activities, such as dressing, bathing, toileting, school participation, sports and leisure participation and play. I then address these deficits through meaningful activities to get them back to doing what they love. Since we see all ages from newborn and up, every hour of my day looks different, ranging from playing a game of Connect 4 or Mancala to bear walks, push-ups and weight machines. We also fabricate custom orthoses (splints) for children who have fractures or surgeries that require immobilization.

What was your first job? What path did you take to get here or what led you to Scottish Rite? How long have you worked here?
My first job was as a certified nursing assistant at a hospital while I was in college. I always knew that I wanted to be in the medical field. My high school had an amazing health careers program where we were able to shadow many different jobs across the medical field. It was then that I was able to shadow an OT and fell in love with the career! I have been an OT for 13 years and at Scottish Rite for almost three years. I moved from Nashville to Dallas just to work at Scottish Rite, and it was one of the best decisions I’ve made! 

What do you enjoy most about Scottish Rite?
I love the atmosphere and team here! It is such a positive place to work. I love the collaborative approach to treat every patient. There is an open line of communication between therapists and physicians and that creates great outcomes for our patients. I love that everyone here has the same mission — to give kids back their childhood. 

Tell us something about your job that others might not already know. 
Your hand strength is important! This is something that I preach daily. People know to go to the gym and workout, but no one really focuses on hand strengthening. So, grab a stress ball and keep your hands strong! 

What was the best vacation you ever took and why?
I love traveling, so it is hard to pick just one. I would have to say my favorite was the cruise I took to the Bahamas last month because I got engaged!!  

Do you collect anything? How did you start?
Shoes and sunglasses — I guess not a true collection, but I have a lot of both! 

Do you play any sports or instruments?
I was a competitive cheerleader in high school and then coached through college. My sister owns a cheer and tumbling gym, so I am still surrounded by it. I also belong to a kickboxing gym and love it. 

Get to Know our Staff: Rushi Patel, Therapy Services

Get to Know our Staff: Rushi Patel, Therapy Services

What is your job title/your role at Scottish Rite for Children?  
I am a sports physical therapist. 

What do you do on a daily basis or what sort of duties do you have at work?
As a sports physical therapist, I help rehabilitate patients following a wide variety of sports injuries — everything from overuse injuries of the shoulder, spine and knee to post-operative care. 

What was your first job? What path did you take to get here or what led you to Scottish Rite? How long have you worked here?
Following physical therapy school, my first job was an orthopedic physical therapist. Once I developed my passion of specializing in sports rehab, I completed a sports physical therapy residency at Baylor Scott & White at The Star, where I was able to sharpen my skills. As soon as I heard about a job opening at Scottish Rite and saw the facility, I immediately knew that this is what I wanted. I have been here for about one year. 

What do you enjoy most about Scottish Rite?
I enjoy the collaborative approach to care. Being able to have a close relationship with a patient’s health care team plus the open lines of communication are key when providing quality care that best suits the complexities and needs of each individual child. 

Tell us something about your job that others might not already know. 
I would want others to know how important recovery and lifestyle are for good physical therapy outcomes. I always provide education on the importance of sleep and good nutrition to each family. It is always humbling to accept the fact that exercises will only go so far. Proper sleep and diet are important to optimize recovery between physical therapy sessions. 

What was the last thing you read?
The Science and Practice of Strength Training. It’s always good to reinforce the science behind what we do on a daily basis. 

What was the best vacation you ever took and why?
Tulum, Mexico. Long story short: I went scuba diving with stingrays.  

Do you collect anything? How did you start?
Starbucks traveler mugs. I started randomly one day at the Seattle airport, and I have been collecting them when I travel to a different city ever since. 

Do you play any sports or instruments?
I try my best to practice what I preach in the sports rehab setting. I love staying active by working out in the weight room so that I can still enjoy playing recreational flag football and basketball as an adult.  

Donate Crutches!

Donate Crutches!

At Scottish Rite for Children, crutches are one of the most commonly used pieces of hospital equipment we provide to our patients. It is crucial for children with healing lower extremities to refrain from walking or bearing weight, and our teams at Scottish Rite issues an average of 20+ pairs of crutches a week.

Currently, there is an international shortage of aluminum crutches, according to U.S. News and World Report, prompting many health care facilities across the country to ask their communities to help.

Starting today, Scottish Rite for Children is asking for new or gently used crutches in any size (youth and adult) to be donated to the Dallas and Frisco campuses.

“We are definitely feeling the impact of the nation-wide shortage of aluminum crutches, especially in the most commonly issued pediatric size of 5-foot-2 to 5-foot-10,” says therapy services manager Mickey Hensley, O.T.R. “Similar to other hospitals, our need is on the rise. With unfilled backorders and no delivery dates in sight, we are reaching out to our community for support.”

Donated crutches will go through a safety inspection and sanitization process like all medical equipment to ensure each pair is clean, sanitized, operational and safe for our patients to use. Please drop off your crutch donations at the main entrances of our Dallas and Frisco facilities.

Dallas
2222 Welborn Street
Dallas, TX 75219
Frisco
5700 Dallas Parkway
Frisco, TX 75034

For more information, please contact crutches@tsrh.org

Get to Know our Staff: Michelle Gurrusqueta, Therapy Services

Get to Know our Staff: Michelle Gurrusqueta, Therapy Services

What is your job title / your role at Scottish Rite for Children?
I’m a therapy technician, and I assist the physical and occupational therapists with patient care and equipment needs. 

What do you do on a daily basis or what sort of duties do you have at work?
My daily activities consist of being readily available for any therapist’s patient needs, such as ordering equipment, restocking materials and cleaning up after each patient. I also help with medical translating. 

What was your first job? What path did you take to get here or what led you to Scottish Rite for Children? How long have you worked here?
My very first job was as a cashier at Braum’s Ice Cream & Dairy Store, during my sophomore year of high school. Coincidentally, my high school AVID class toured Scottish Rite that same year, and I was able to see different departments. While I was earning my bachelor’s degree, I always had in my mind that it would be really cool to come back and work at Scottish Rite. This October will be my one year anniversary.

What do you enjoy most about Scottish Rite?
I love that I have the opportunity to continue growing and pursuing my education. Being around different therapists gives me the opportunity to not only see a wide range of diagnosis, but I also see how therapists can adapt to different diagnoses.

What energizes you outside of work?
I like staying active by being outside on different trails, walking my dog, playing soccer and playing sand volleyball.

What’s your favorite memory?
My favorite memory would have to be when I got my first puppy. His name was Snoopy, and he was the best!

What three words would your friends use to describe you?
Friendly, caring, charming

What kind of music do you like? What’s the best concert you’ve been to?
I listen to a variety of music genres such as bachata, rock, rumba, pop, cumbia, rap, etc. The best concert I’ve been to would be the Aventura concert back in February of 2020.

What’s the top destination on your must-visit list?
My top destination to visit is Japan.