Nutrition and the Female Athletic Triad

Just how important is your nutrition to your physical health? Find out in a particular instance here.

Nutrition Staves Off Female Athlete Triad Syndrome

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Pre-Hire Testing: “The Safe Method of Gaining New Employees”

In the world of manufacturing, it is imperative that the company match the employee to the job so that they can avoid costly worker’s compensation claims. The physical demands of the job are a measure of the physical challenge that the daily job tasks require of the employee. If the employee is unable to perform the physical demands of the job, there is a good chance that employee will experience an injury, and the company will once again be searching for the right employee for the job. By doing pre-hire testing, the company can be assured that the new hire will be able to perform the physical demands safely. No employee wants to take a job that could potentially injure them and take them out of the job market, so the pre-hire testing is also meant to protect them.

The pre-hire test is developed through an onsite evaluation of the position being offered and through a review of the job description for that position. A trained healthcare professional will evaluate the performance of the job, and will take measurements of weights, heights, and repetitions of the physical demands. After gathering all of the information necessary, a pre-hire test is developed with collaboration of the healthcare professional and the employer’s safety director, and consists of portions of each of the physical demands that the job requires. This is a post offer test, so that if the employee passes the test the job is theirs.

There are several elements to every pre-hire test that insures the health and ability of the employee. First, cardiac health is tested through blood pressure testing, and the employee candidate wears a heart rate monitor for the entirety of the test. A heart rate that is above 90% of the ACSM maximum heart rate calculation is considered a red flag for test failure. Secondly, an evaluation is performed by the healthcare professional, with strength, ROM, and flexibility being tested. Lastly, a review of the employee’s medical history is performed to ensure that there are no underlying health concerns to be monitored during the physical demands portion of the test.

No company wants an injured employee and no employee wants to be injured. The pre-hire test is a good way to ensure the safety of the employee and assist the employer in matching the correct employee with the correct job.

Submitted by Dave Meers, PT – Owner

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Nate Wilmes, MEd, ATC, LAT, EMT-B, CSCS Has Been Busy!

Nate Wilmes has been very active in the community in the past few weeks! Check out what he has been up to!

On February 7, Nate Wilmes attended the Third Annual EMS Conference and Clinical Save Awards held at the Eric P. Newman Education Center in St. Louis. It was hosted by Children’s Hospital and Washington University physicians. Over 400 EMS professionals were on site for this event. Dr. Halstead has the first speaker and spoke about Sideline Assessment of Sports-Related concussions. Nate learned about a new SCAT3 form for children (attached) used as a tool to assess concussions.

On February 12, Nate Wilmes spoke to over 200 soccer officials at Parkway West High School about Functional Flexibility and soccer fitness. With that, Nate is forming a relationship with the group as the official athletic trainer for the group. Nate has been invited back to speak to another group of officials on March 12, again at Parkway West. Nate is working with the project leader to put together a dynamic presentation for August that will allow all coaches an opportunity to improve their flexibility and fitness at an event in August.

On February 18, Nate Wilmes spoke to students at The Alpha School in Warrenton about the basics of the First Aid, CPR and AED.

On February 19, Nate Wilmes hosted a first aid and CPR/AED class for area coaches.  For more information about how to bring this event to your workplace, please contact Nate directly at

Child SCAT3

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Distric Wrestling Results!!


St. Charles High: Reid Hanmore (120), Lucas Clay (182)

St. Charles West: Drew Ditter (106), Chad Hachtel (120), Dalton White (126), Brendan Hachtel (132), Mike Barnett (145), Steven Biondo (152), Jonathan Haupert (170), Blake Rugraff (195), Marcus Paddack (220)

Francis Howell: Jack Heese, Brock Fisher, Cory Fleming, Dylan Komperda, Ty Purler, Mason Mitchell, Nick McGhee

Fort Zumwalt South High School: DISTRICT CHAMPS!!! Josh Kemper, Christian Hundley, Charlie Henson, Hunter Brazil, Demetrious Ross, Cody Forest, Christian Yates, Patrick Klix, Nick Schmeiderer

Fort Zumwalt North High School: Austin Graeler (126), Trenton Jaco (132), Luke Sammelmann (152), Levi Kessels (170), Mason Seeger, Josh Stockton

Warrenton: Dominic Kennedy (114), Dakota Werner (120), Drake Meine (132), James Bishop (138), Dan Filipeck (145), Dillon Wade (152)

CBC: Bay Roehr (120), Luis Martinez (195), Jordan Davis (220), Tim Gant (285)


STL Today – District Wrestling Results MO

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Attention Missouri Athletic Trainers:

Pat Anthony Forbis

Pat Anthony Forbis, 58, of Jefferson City, passed away unexpectedly Wednesday, February 12, 2014, at University Hospital.

Mass of Christian Burial will be 11 a.m. Monday, February 17, 2014, at St. Andrew Catholic Church in Holts Summit.

Visitation will be 3-7 p.m. Sunday at St. Andrew Catholic Church in Holts Summit with a prayer service at 2:30 p.m.

Further arrangements are pending with Dulle-Trimble Funeral Home.

Directions can be found at

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Microstructural brain damage detected in concussed hockey players

Check out this article about concussions and brain damage that is occurring in hockey players. Concussions are a serious injury that need to be addressed. More research and information is becoming available, and helping to raise awareness. Our athletic trainers through Excel Sports and Physical Therapy are trained in concussion diagnosis, treatment, and return to play guidelines to keep athletes safe.

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Frozen Shoulder Syndrome

Frozen shoulder, also known as adhesive capsulitis, is a pathological condition affecting the shoulder. It causes pain and stiffness in the shoulder joint, and over time makes the shoulder difficult to move. Approximately 2% of the population suffers from frozen shoulder syndrome. It is more prevalent in people ranging from 40 to 60 years old and in women more commonly than men.
Your shoulder is a ball-and-socket joint, composed of your upper arm bone (humerus), your shoulder blade (scapula) and your collarbone (clavicle). The head of your upper arm bone fits into a shallow socket in your shoulder blade and is surrounded by strong connective tissue, called the shoulder joint capsule. In a frozen shoulder, the shoulder capsule thickens and becomes tight, causing stiff bands of tissue to form, called adhesions. These adhesions begin to cause a loss of motion in your shoulder.

There are three separate phases of this condition:

1. Freezing: In the freezing stage you will gradually notice increasing pain. As your pain worsens, you begin to lose range of motion. This phase typically lasts from 6 weeks to 9 months.

2. Frozen: In the frozen stage, your pain may lessen; however, the stiffness will remain. This phase typically lasts 4-6 months and will make daily activities very challenging.

3. Thawing: In this stage, your shoulder motion begins to improve. A full return to normal strength and motion typically takes from 6 months to 2 years, depending on the severity of the condition.

What causes a frozen shoulder?

The causes of a frozen shoulder are not fully understood and there is no correlation to arm dominance or occupation. There are known contributing factors that may lead to frozen shoulder syndrome, including diabetes, prolonged immobilization due to a surgery or other injury, or as a result of other medical conditions including hypothyroidism, Parkinson’s disease and cardiac disease. Symptoms of a frozen shoulder include dull or aching pain and gradual loss of shoulder mobility.

How do you treat a frozen shoulder?

The focus of treatment is to control the pain and restore shoulder motion and strength through physical therapy. Therapy will include stretching or range of motion exercises as well as the use of heat occasionally to help loosen up the shoulder. Occasionally your physician may prescribe non-steroidal anti-inflammatory medicines to help reduce pain and swelling in addition to physical therapy.

If conservative treatment does not improve your symptoms, surgical interventions may be discussed with your physician. The goal of surgery is to stretch and release the stiffened joint capsule. The most common method includes manipulation under anesthesia in which you are put to sleep and your doctor will force your shoulder to move, causing the scar tissue to stretch or tear. Another common method is a shoulder arthroscopy, in which your doctor will cut through the tight portions of the joint capsule using a small instrument inserted through small incisions around your shoulder. Recovery following surgical intervention varies from 6 weeks to 3 months and will include physical therapy.

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Dish of the Week: Honey-crusted Ginger Chicken

Nonstick cooking spray
4 small, boneless chicken breast halves (12 ounces total)
1 tablespoon honey
1 tablespoon orange juice
¼ teaspoon ground ginger
¼ teaspoon black pepper
Dash ground red pepper (optional)
¾ cup cornflakes, crushed (about 1/3 cup)
½ teaspoon dried parsley flakes

Spray a shallow baking pan with nonstick spray. Place chicken breasts in baking pan. In a small bowl combine honey, orange juice, ginger, black pepper, and red pepper (if desired). Brush honey mixture over chicken. Combine cornflakes and parsley flakes. Sprinkle cornflake mixture over chicken to coat. Bake, uncovered, in a 350* oven for 18 to 20 minutes or until chicken is tender and no longer pink (170*).

Makes 4 servings.

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Dish of the Week: Edamame “Fried” Rice

3 cups cooked brown rice
2 egg whites, scrambled
1 whole egg, scrambled
1 tbsp Smart Balance oil
½ onion, chopped
2 cloves garlic, diced
5 scallions, chopped, whites and greens separated
½ cup shredded carrots
Cooking spray
1 cup ready-to-eat shelled edamame
2 tbsp low sodium soy sauce
Salt and pepper to taste

Whisk egg and egg whites, season with salt and pepper. Coat a wok with cooking spray and cook the eggs. When cooked, remove from wok and set aside. Then let the wok get really hot. Add the Smart Balance oil and cook onions, scallion whites, carrots and garlic for about 30-60 seconds, careful not to burn. Add brown rice and stir well to heat through. Add cooked egg along with soy sauce, scallion greens and edamame, mixing well for about 3-4 minutes.

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Power Primavera Recipe: Dish of the Week

1 carrot, peeled and cut into strips
1 medium zucchini, sliced
½ small eggplant, sliced
½ red onion, sliced
½ bell pepper, any color, sliced thin
3 tbs olive oil
Salt and pepper
½ tsp Italian herbs
½ lbs of dry pasta
¼ – ½ cup of spaghetti, tomato, or marinara sauce
¼ cup water
1 pint of cherry tomatoes, halved
Grated parmesan cheese (optional)

Bring large pot of water to a boil. Heat a large skillet on medium high heat. Add all the prepared vegetables except for the cherry tomatoes and coat with oil. Heat for 10 minutes, stirring occasionally until the vegetables are cooked. Add the dry pasta to the boiling water. Add ¼ cup of the tomato-based sauce to the vegetables and ¼ cup of water to thin the sauce, if needed. Also add Italian herbs to the sauce to taste. If using a prepared sauce, ½ tsp will be plenty. Once the pasta is ready, add to the vegetables. Add more sauce and seasoning, if needed. Gently mix in the cherry tomatoes. Serve with fresh parmesan.

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