April 12, 2005
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Los Angeles Angels' player Juan Rivera, on a stability training ball, works out with the team's strength and conditioning coach Brian Grapes.
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Comeback
It doesnt matter whether youre a couch potato or a pro athlete, getting your body back into condition takes physical training and mental discipline
By JEANNINE STEIN
Los Angeles Times
itcher Matt Hensley of the Los Angeles Angels comes off the field after throwing a few innings in a spring training game in Tempe, Ariz., and heads for the training room.
There hes put through a methodical rotator cuff exercise, gets a soft tissue massage and has his shoulder packed in ice. The treatment isnt pitcher pampering; its part of a
comprehensive program geared to one thing: sports injury prevention.
Most people will never make it to the major leagues, but weekend warriors and other adults who exercise may share one thing with pro athletes: suffering the pain and frustration of an injury. For
the dedicated runner, the enthusiastic softball player or the occasional golfer, sports injuries can mean anything from sore muscles to a torn ligament that requires surgery.
And although millions of dollars arent at stake for most of us, as with the baseball pitcher who is sidelined for months with an injury, getting hurt can greatly affect ones quality
of life.
Doctor visits, repeated physical therapy treatments, surgery and persistent pain can lead to depression and frustration, especially if exercise is an important part of ones life.
Jenna Ainsworth, a 21-year-old senior at Pepperdine University, suffered a ligament tear during her sophomore year while playing soccer. The injury required surgery and several months of
recuperation.
"You definitely notice a difference when you cant work out, she says. "Your mood is definitely affected. I realized how much I enjoyed running, doing the elliptical
trainer, hiking, all sorts of things.
The fear of serious injury is why many pro athletes are often looked after like prizewinning thoroughbreds, and why the average person can benefit from aspects of their meticulous training.
Pro athletes conditioning has been modified over the years by trainers and doctors, some basing their programs on research showing how sports-specific training can greatly reduce the risk
of injury. Some sports medicine specialists have worked with college and pro teams and can pass along their knowledge of injury prevention to their patients, from proper ways to warm up to
sports-specific strength training.
The big mistake most people make is not progressing slowly in their exercise routine, says Dr. William O. Roberts, president of the American College of Sports Medicine. When couch potatoes hit
the gym or softball field, they often do too much too fast, he says.
"Theyre thinking back to when they were in shape and really could do it, he says. "And they think they can do these things without that gradual
introduction.
Roberts and other experts recommend year-round activity and a regular routine of cardiovascular exercise and strength training. This is especially important for those in sedentary lifestyles
whose underused and under-stretched muscles and joints are vulnerable to injury.
"People dont necessarily have to be in playing shape, but in living shape, Roberts says.
The Angels, like other teams, are strongly encouraged to exercise off-season. Team members are given individually designed workouts before they head home at the end of the season.
Pitcher Kelvim Escobar credits year-round training with his relative lack of serious injuries in 12 years of playing professionally.
"If you ask guys who have been around a long time, he says, "they say the key is working hard, keeping yourself in shape and strong, and being able to go out there and
compete. A lot of the guys here are ready, and if youre not ready, theyre going to kick your butt.
Escobar towels off his face as he speaks, standing in the Angels training room, where hes just finished a short but intense leg workout led by Brian Grapes, the Angels strength
and conditioning coach.
The Angels training room in Tempe is stocked with an elliptical trainer, two treadmills, two recumbent and two upright stationary bikes, one stair climber and one VersaClimber. For core
work (strengthening muscles that surround the trunk) there are eight large stability balls, and strength training is done on weight machines and with free weights.
The space is large enough for several players to work out at once, but small enough that the athletic trainers can survey the room.
Athletic trainers take all the guesswork out of players workouts, from spring training on through the end of the season. Cardio and strength-training routines are developed for each player
and carefully monitored so athletes dont overtrain before the season ends. Players are continually assessed, asked questions about their eating habits, hydration and any aches or pains.
Because players dont always like to divulge their injuries, trainers and coaches are constantly observing them during play and practice, monitoring how they move.
The rest of us arent looked after so vigilantly. Ignoring injuries can lead to further problems in what fitness experts call the kinetic chain, or a chain of motion that occurs when one
part of the body compensates for another. A tennis player who has a shoulder injury might rely more on the elbow or wrist, resulting in further damage.
Having a strong core, its believed, can better help the body handle the transfer of motion the swing of a tennis racket, the dunking of a basketball and good core strength is
recommended for practically every sport and activity. Stability balls, balance boards and foam balance blocks help train the core, as do yoga and Pilates.
Fernando Montes, director of strength and conditioning for the Texas Rangers baseball team, began recommending Pilates about 10 years ago when he was with the Cleveland Indians. Montes says it
helped players like the Rangers Sandy Alomar (formerly with the Indians) strengthen their cores while "limiting the amount of stress on the joints. It gave them greater range of
motion, and exposed some of their weaknesses, such as imbalances from pushing off from the same foot.
Despite Montes belief in Pilates, most teams havent formally included it in their training. So it still makes news when a player like Chicago Cubs pitcher Kerry Wood reveals that he
has practiced Pilates for recurring back problems.
But the physical aspect of sports injuries is just one component of the healing process; there are psychological ramifications as well, which can be similar for pro athletes and average
exercisers.
"For a baseball player who hasnt played in six months, hes got to compare himself to where he was before he was injured, says Ken Ravizza, a sports psychologist and
professor at California State University, Fullerton who has also worked with the Angels. "We compare ourselves to where we were before too, and when we see how far we have to go, it can be
overwhelming.
Taking small steps to increase strength and endurance is important, adds Ravizza, as is properly valuing ones accomplishments:
"The thing I always tell athletes is to be in the present and be into the process and be as positive as you can with what youve got. If you have 60 percent of what you had, focus on
that, dont dwell on the 40 percent that isnt there. Coming back gradually requires that you be aware. Listen to your body.