Boston Sports Medicine and Performance Group, LLC Blog

Obesity on the Rise in America by Daniel Lieberman

Posted by Boston Sports Medicine and Performance Group on Fri, Mar 2, 2012 @ 07:03 AM


Barefoot expert and Harvard Professor Daniel Lieberman talks about the obesity problem in America.  This 13 minute presentation examines our evolutionary path to obesity and concludes with a radical idea to fight this growing problem.



Topics: BSMPG, athletic training conference, Daniel Lieberman, barefoot strength training, barefoot running, barefoot training

Are We Recession Proof?

Posted by Boston Sports Medicine and Performance Group on Wed, Feb 29, 2012 @ 07:02 AM

by Scot Spak

Athletic Trainer, Massachusetts Institute of Technology



MIT athletics



In the past four years, home values have fallen as fast and as hard as Tiger Woods.  Government officials are spending too much money (or is it too little?), and yet our economy hasn’t budged.  Jobs seem as scarce as an L.A. Clipper’s post-season visit (Thank You Chris Paul).  All of this should sound familiar, and if it does, should we as Sports Medicine professionals be concerned?

In a world where everyone is looking at increasing revenue or decreasing expenses, where do athletic trainers fit?  In the traditional Sports Medicine setting, can we accomplish either without creating too much strain on an already overtaxed resource?

Can Sports Medicine Departments sustain the current economic environment without adapting or proving their worth, an environment where the all mighty dollar speaks very loudly?  Athletic trainers traditionally bring in NO money for its employer, while draining their bottom line.  It’s time to re-evaluate that model: demonstrate your value!

Investigate implementing a Medical Model of health care at your setting.  Bring in the college’s student-health center or your University’s hospital and place the athletic trainer in a clinical health care structure versus an athletic structure.  The potential benefits include:

  • enhance your professional development as you interact and operate with other health care professionals.  
  • report to and get feedback from another health care professional instead of an athletic director
  • enhance your work-life balance by demonstrating, documenting, and presenting your overall volume and load to individuals who understand what it takes to provide adequate health care
  • increase your salary to more accurately reflect a health care providers income

Collect Injury Data anyway you can:

  • producing reports with actual values will help you better demonstrate what you do on a daily basis, but objective data is more tangible and easier to understand than subjective statements
  • we employ a swipe system where each patient swipes there ID for certain items they need: Injury Evaluation, Wound Care, Rehab, etc. 

Let me tell you how powerful those numbers look when you present the data set to the administration, coaches, and health center.  These figures allow you to more adequately defend your time. For example, you are given a new project to conduct, without new allocation of funding or human resources to support it.  Explain to administration based off of your current volume (objective data) what you can’t get to because of the new request.  Explain to a coach that “Sarah” will need to complete her rehab off-campus at a PT facility do to your new project. Could you get release time to finish the project?  Could you get Per Diem money allocated to your department to complete this task?  You won’t know unless you can support your rationale and then ask.

Find ways to bring money into your institution:

Focus on looking at alumni outreach/support for fundraising. College and University revenue is hugely impacted by alumni gifts.  This form of generating money is so large for these entities that they employ substantial departments to bring in alumni donations.  Tap former patients to contribute to the Athletic Department, Health Center, or the Sports Medicine Department. Generate a targeted outreach letter to past patients.  Your predecessor could have positively influenced the life of a patient who turned out to be the CEO of a financial institution.  Considering giving back already for several reasons the CEO needed a push from the alumni office, gets a targeted letter from you, and before you know it you receive $250,000 to create a new athletic training room named after your predecessor.  Now that’s creating worth. 

You could start as simple as creating a Sports Medicine Fund.  Every former student-athlete would receive a letter from athletics asking for a contribution and your unit will be represented on the form.  Image starting to receive annual contributions and building relationships with donors; your perception around the institution would positively change.  You would be seen as more instrumental within your department and provide more power when needing or asking for things (think staff and money).     

These are just a few options to explore.  Justifying your position and making it a sustainable resource provides job security.  Providing objective data to highlight underserved areas or increasing your institution’s revenue make you a valuable resource.  Reporting to individuals who understand healthcare can produce increase job satisfaction and support for additional resources.

Consider these items and think outside of the box to create a better working environment for yourself and enhancing opportunities for the profession.  Promote your value and worth as a professional.






Topics: BSMPG, athletic training conference, Scot Spak

Top Reads from Last Week - BSMPG

Posted by Boston Sports Medicine and Performance Group on Mon, Feb 27, 2012 @ 07:02 AM

Retention of Movement Pattern Changes After a Lower Extremity Injury Prevention Program Is Affected by Program Duration



Massage Therapy Attenuates Inflammatory Signaling After Exercise-Induced Muscle Damage.



Breathing and Low Back Pain: Is there a correlation?




Remember to Save the Date for the BSMPG 2012 Summer Seminar - May 19-20th in Boston MA.

Topics: basketball conference, athletic training conference, boston hockey conference, Barefoot in Boston

The Path to Excellence - A Comprehensive View of Development of U.S. Olympians

Posted by Boston Sports Medicine and Performance Group on Fri, Feb 24, 2012 @ 07:02 AM



The Path to Excellence was a study undertaken by the United States Olympic Committee (USOC) in an attempt to describe and understand the factors that contributed to the development of U.S. Olympians (1). This study presents a number of practical findings relevant to athlete development and talent identification that are along similar lines to those being investigated in the Pathways to the Podium Research Project.

816 male and female Olympians were recruited to participate in this study; all of whom competed in either the Summer or Winter Olympic Games between the years 1984 to 1998. All athletes completed a detailed questionnaire regarding the history of their involvement in sport, and their experiences throughout their journey to the Olympics. Some of the main findings that I found particularly interesting and applicable to coaching and athlete development are outlined below.

The Important Qualities of a Coach

What do athletes look for in a coach? The Olympians were asked to identify and rank the characteristics they value most in a coach. Here are the results:


Topics: basketball conference, BSMPG, athletic training conference, boston hockey conference, athletic training books

The Wait is Over - Triphasic Training is HERE!

Posted by Boston Sports Medicine and Performance Group on Thu, Feb 23, 2012 @ 07:02 AM

The wait is finally over - Triphasic Training by Cal Dietz and Ben Peterson is finally here. 

Click HERE to order Cal's Book.

Read a portion of Cal's Book by viewing a previous post HERE.






What the book is about:
The eBook contains over 350 pages, divided clearly into 2 parts: the why and the what.  The first section goes through the physiological basis for the Triphasic method, undulated block periodization, and general biological applications of stress. The authors will explain how to incorporate the Triphasic methods into existing programs, with complete descriptions on adapting it to virtually any scenario. Section 2 is devoted entirely to programming, with over 3,000 exercises hyperlinked to show you specifically how to perform every exercise. Included in this section are 5 separate 24-week training programs built for either 6 day, 5 day, 4 day, 3 day, or 2 day models. Also included is a complete 52 week training program for football. Cal and Ben show you why and how to peak football lineman or skill players, baseball, swimming, volleyball, and hockey players (among others). By reading this book, you will learn how to take the principles of Triphasic Training and apply it in the correct context for YOUR needs and YOUR athletes! 
What is Triphasic Training?
It is the pinnacle of sports performance training. By breaking down dynamic, athletic movements into their three components (eccentric, isometric, and concentric), the Triphasic system maximizes performance gains by applying stress to the athlete in a way that allows for the continuous development of strength, speed, and power.
Who uses Triphasic Training:
Everyone! From elite level athletes to absolute beginners, the triphasic method of training allows for maximal performance gains in minimal time. For that reason professional athletes from all backgrounds seek out Coach Dietz each off-season to train with his triphasic system. Coach Dietz has worked with hundreds of athletes from the NFL, NHL, and MLB, as well as several dozen Olympic athletes in track and field, swimming, and hockey. 

Table of Contents

Authors's Note
Section 1
1.1 Basic Principles and Their Application to Training
1.2 Stress, Stress, Stress!
1.3 Five Factors for Success
1.4 Results Speak Louder than Words
1.5 Variation is Key
1.6 Summary and Review
Periodization And The Implementation of Stress
2.1 Microcyle: Undulating Model
2.2 Mesocycle: Block System
2.3 Comparison to Linear Periodization
2.4 Summary and Review
The Triphasic Nature Of Athletic Movement
3.1. The Importance of Triphasic Training
3.2. Eccentric Phase
3.3. Isometric Phase
3.4 Concentric Phase
3.5 Summary and Review
Section 4
High Force at Low Velocity(Above 80%)
4.1: Training Above 80 Percent
4.2: Loading Parameters
4.3: Above 80 Training Blocks
4.4: How to Read the Workout Sheet
4.5: Specialized Methods of Applying Training Means
4.6: Monday, Medium Intensity (Submaximal Effort)
4.7: Wednesday, High Intensity (Maximal Effort)
4.8: Friday, Low Intensity (High Volume)
4.9: Above 80 Percent Three-Day Program Overview
4.10: Triphasic Q & A
4.11: Above 80 Percent Four-Day Program
4.12: Above 80 Percent Five-Day Program
4.13: Above 80 Percent Six-Day Program
4.14: Above 80 Percent Two-Day In-Season Program
Section 5
High Force at High Velocity(55-80%)
5.1: Training Between 55 and 80 Percent
5.2: Loading Parameters
5.3: 55 To 80 Training Block
5.4: Specialized Methods of Applying Training Means
5.5: Monday, Medium Intensity (Submaximal Effort)
5.6: Wednesday, High Intensity (Maximal Effort)
5.7: Friday, Low Intensity (High Volume)
5.8: 55-80 Percent Three-Day Program Overview
5.9: 55-80 Percent Four-Day Program
5.10: 55-80 Percent Five-Day Program
5.11: 55-80 Percent Six-Day Program
5.12: 55-80 Percent Two-Day In-Season Program
Section 6
High Velocity Peaking(Below 55%)
6.1: Transfer of Training and Dynamic Correspondence
6.2: AFSM
6.3: Loading Parameters
6.4: Below 55 Percent Training Block
6.5: Specialized Methods of Applying Training means
6.6: How to Read The Workout Sheet: Part II
6.7: Monday, Medium Intensity (Sport-Specific Time: Ideal)
6.8: Wednesday, High Intensity (Sport-Specific Time: Below Ideal)
6.9: Friday, Low Intensity (Sport-Specific Time: Above Ideal)
6.10: Three-Day High Velocity Peaking Program Overview
6.11: Sport Specific Peaking Programs
6.12: Below 55 Percent Two-Day In-Season Program
Putting It All Together
7.1: The Big Picture
7.2: Wrap-Up

Topics: Basketball Related, athletic training conference, boston hockey conference, Cal Dietz, barefoot training

The Importance Of Seeing The Big Picture

Posted by Boston Sports Medicine and Performance Group on Wed, Feb 22, 2012 @ 07:02 AM

See Alan Grodin at the 2012 BSMPG Summer Seminar as he discusses the importance of matching the appropriate intervention strategy to your patient's underlying pathology.  Learn why exercise and strengthening is not always the answer for a muscle testing weak, along with the appropriate interventions for the most common musculoskeletal pathologies.

Alan Grodin  Grodin


Topic: The Importance of Seeing the Big Picture: Choosing the Appropriate Intervention Strategy 

Alan Grodin is Senior Vice President of Sovereign Rehabilitation (SR).  A nationally renowned, master clinician, Alan is recognized as one of Atlanta’s leading physical therapists.  Especially respected for his expertise in spine-related physical therapy, Alan commonly treats Atlanta Hawks players.

As a licensed physical therapist, Alan’s career spans more than three decades. After spending his early years in a hospital setting and several years in mentorship under the industry’s pioneers, Alan formed the first Sovereign Rehabilitation's (SR) in 1982. After 12 years of significant growth, SR merged with a national rehabilitation company. Alan subsequently led that company’s most successful region . 

After 13 years in the corporate rehabilitation environment, Alan decided to return to the ideals and operational environment afforded by private practice. Thus, SR was re-launched in 2007.

A member of the American Physical Therapy Association, Alan is extensively published, including a third-edition textbook. He is a sought after instructor and lecturer, who has taught courses throughout the United States as well as in Chile, Japan, and Iceland. Alan is also a longtime faculty member of University of St. Augustine, a premier physical and occupational therapy college.

Alan earned his bachelor’s degree in biology and anthropology from the State University of New York (SUNY) - Binghamton and his physical therapy degree from SUNY Downstate Medical Center. He has also completed kinesiology master’s work at New York University.  


Excerpt from Alan's book, MYOFASCIAL MANIPULATION: Theory and Clinical Application (first edition)

"One of the classic works on muscle response to immobilization was performed by Tabery et al. In this study, cat soleus muscles were immobilized at various lengths of time. The animals were immobilized by plaster cast. Some of the animals were killed and the muscles were biochemically and histologically analyzed. Biochemically, the passive length-tension was increased in the muscles immobilized in the shortened position, probably because of the connective tissue changes within and surrounding the muscle. Muscles immobilized in the lengthened position had no significant changes in passive length-tension characteristics. From a histological standpoint, the muscles immobilized in the shortened position had a 40% loss of sarcomeres, with an overall decreased in fiber length. The muscles immobilized in the lengthened position exhibited a 19% increase in sarcomeres and an overall increase in fiber length. After 4 weeks of remobilization, the number of sarcomeres in the muscles returned to normal. This study illustrates the principle that muscle tissue will adapt to change in length by increasing or decreasing sarcomeres in order to keep sarcomeres at optimal lengths.

In a follow- up study performed by Tabery and Tardieu, muscle changes caused by prolonged active shortening were studied. Sciatic nerves of guinea pigs were stimulated for 12 hours in either the shortened or lengthened position. The muscles stimulated in the shortened range had a loss of 25% sarcomeres after only 12 hours of contraction. Sarcomeres were completely recovered in the muscles between 48 and 72 hours. The implication of these studies is that muscles passively shortened lose sarcomeres at a much slower pace than muscles actively shortened.

The clinical implication of these findings relates to the types of immbolization that occur in the practice setting. Immobilization may occur artificially (external or internal fixation), or as a physiological mechanism. In the clinical setting, immobility may be due to trauma, past or present. A good example is the whiplash injury, in which immobilization is caused intrinsically by the cervical and upper thoracic paravertebral muscles, the scapulothoracic muscles, and the shoulder girdle muscles. In many cases, the surrounding musculature remains tonically active long after the facet or ligamentous sprain-strain has healed. The body learns a new recruitment pattern for surrounding muscles, and this hypertonic pattern remains long after healing. The muscles are then actively “immobilized,” causing some of the histological changes mentioned above. Often, the most difficult part of the therapeutic process is dealing with this hypertonicity, which is secondary to the original injury." (page 52)

Topics: BSMPG, athletic training conference, athletic training books, Cal Dietz, Bill Knowles, Alan Grodin

Appreciating The Importance of Foot Strike in NBA Injuries

Posted by Boston Sports Medicine and Performance Group on Thu, Feb 9, 2012 @ 07:02 AM


Wondering why there seems to be so many injuries this NBA season?

Learn from Dr. Bruce Williams at the 2012 BSMPG Summer Seminar and understand how poor foot strike and foot function may predispose athletes to injuries.

Join the nations best sports medicine and performance professionals in Boston this May 19th and 20th at the Annual BSMPG summer seminar.


Bruce Williams



Topic: Hit the Ground Running: Appreciating the Importance of Foot Strike in NBA Injuries

There have been many published studies on the relationship between foot function and lower extremity injuries.  Specifically, a 2010 Study on NBA injuries showed that 62% of all injuries in professional basketball and 72% of all games missed were due to lower extremity injury.

There are many popular technologies on the market for quantifying data on gait and movement in sports.  GPS systems, accelerometers, jump plates, motion capture technology, and in-shoe pressure systems are owned by many professional athletic teams.  Though utilized, few of these systems have really made an impact toward injury reduction or prediction.

The general sports medicine system is flawed. Very few teams, let alone individual medical practitioners, fully quantify and record the structural and functional findings of the physical examination of an athlete. 

The association between foot strike and foot function will be discussed in relationship to the five most common injuries in the NBA:  Lateral ankle sprains, Patellofemoral inflammation, Lumbar sprain / strain , Hamstring strain, and Adductor strain.

Suggestions will be made on how to utilize the above technologies for validation of the structural and functional components of the foot strike for improvement in injury rates and injury risk assessment.

It is time for sports medicine to exit the dark ages and enter the age of analytical enlightenment.  Adapt, quantitate and validate, or die!


Dr. Bruce Williams graduated from Scholl College in 1991 and completed his Podiatric Surgical Residency at St. Mary’s Medical Center in Merrillville, Indiana in 1992.  He has been in private practice for the last 19 years in Merrillville Indiana.  Initially he was in practice with his Father, Dr. Robert M. Williams ( ICPM ’72) who is now deceased.

Dr. Williams is a Diplomate of the American Board of Podiatric Surgery and also a fellow and past president of the AAPSM (American Academy of Podiatric Sports Medicine.)  His practice focus is foot and lower extremity biomechanics, computerized gait analysis, and sports medicine.  Dr. Williams has numerous published articles in in-shoe pressure analysis and custom foot orthotics.  He wrote a chapter on Clinical Gait Evaluation of the Athlete in the book, “Athletic Footwear and Orthoses in Sports Medicine” Springer; editors M. Werd, E. Knight 2010.

Dr. Williams is also the teams podiatrist for Valparaiso University and Calumet College of St. Joseph’s.






Topics: basketball conference, basketball training programs, BSMPG, athletic training conference, boston hockey conference, Foot Strike

Register for the 2012 BSMPG Summer Seminar and Win Prizes!

Posted by Boston Sports Medicine and Performance Group on Mon, Feb 6, 2012 @ 19:02 PM

Who Doesn't Love Free Prizes?

Complete details are now available for the 2012 BSMPG Summer Seminar and this year looks better than ever!  In addition to another world-class speaker list, BSMPG and our sponsors are offering a ridiculous number of prizes.

Prizes: Attendees are automatically registered to win prizes from a number of our sponsors including: Freelap Timing Systems, Zeo Sleep Manager and Perform Better.

Other Raffle Prizes include: Barefoot in Boston by Art Horne and Human Locomotion by Thomas Michaud


Human LocomotionBarefoot in Boston 

 freelap timing system zeo


Attendees who register before April 15th will be placed in a raffle to win a Free Registration pass to the  2013 BSMPG Summer Seminar!


Click HERE for registration and complete details.



Topics: Art Horne, basketball conference, BSMPG, athletic training conference, Craig Liebenson, boston hockey conference, Andrea Hudy, Bruce Williams, Cal Dietz, Bill Knowles, Alan Grodin, Barefoot in Boston, Dr. DiMuro, Dan Boothby

BSMPG is proud to announce Art Horne & Pete Viteritti as speakers at the 2012 BSMPG Summer Seminar

Posted by Boston Sports Medicine and Performance Group on Fri, Jan 27, 2012 @ 07:01 AM

BSMPG is proud to announce Art Horne and Pete Viteritti as co-presenters within the Sports Medicine and Rehabilitation Track for the 2012 BSMPG Summer Seminar, May 19-20, 2012 in Boston MA.


Art Horne  Pete Viteritti


Northeastern University

Topic: Improving Health & Performance: Restoring ankle dorsiflexion utilizing a manual therapy approach

Art Horne is the Director of Sports Performance at Northeastern University and works directly with the Men’s Basketball team as both their Athletic Trainer and Strength & Conditioning Coach in addition to overseeing the complete development and care of all varsity student-athletes. Horne holds certifications from both the American College of Sports Medicine and the National Strength and Conditioning Association and is a licensed and certified athletic trainer in Massachusetts. Horne also serves as a reviewer for Athletic Therapy Today, the professional journal of certified athletic trainers and athletic therapists in addition to his regular contribution to Training and Conditioning, Dime Magazine and Stack Magazine.

Horne came to NU in July 2003 after graduating with a Master’s degree in Education from Boston University. He received his Bachelor’s degree in Athletic Training and Physical Education with Teacher Education Certification from Canisius in 2000.  In addition to his work with collegiate teams, Horne continues to work with former Northeastern basketball players as they continue their careers on the professional stages including the NBA, NBA-D League and numerous foreign basketball leagues.

Peter Viteritti is a Diplomate of the American Chiropractic Board of Sports Physicians who maintains private practices in two multidisciplinary centers. As a sports chiropractic consultant to several collegiate athletic programs, he integrates patient centered, functional examinations and advanced manual procedures with traditional medical care. 

He has been privileged to serve on the sports medicine staff at various national and international sporting events.  In addition, he instructed on the post-graduate faculty of five chiropractic colleges throughout the country and has been a featured speaker at both national and international sports medicine symposiums.



Famously uttered by Sir Isaac Newton,

“If I can see further than anyone else, it is only because I am standing on the shoulders of giants.”

In 2011 BSMPG invited the titans of Sports Medicine and Performance to Boston for the largest conference of its kind, and many attendees left asking the question, "how could you ever top that speaker line-up?" Well, we did. BSMPG is proud to announce May 19-20, 2012 as the selected date for Sports Medicine and Strength professionals to desend upon Boston MA for another monster conference!

So how could we ever top last year's speaker set?

Let's just say that we asked last year's speakers who they wanted to hear and we got em!

Stay tuned over the next few weeks as we reveal our entire 2012 speaker set. As we did last year, this seminar will be divided into three distinct educational tracks including a Hockey focus, a Basketball Focus and a clear Sports Medicine/Rehabilitation Track with Keynote Speakers throughout the weekend bringing each track together for common lectures. Attendees may choose to stay within one track throughout the entire weekend or mix and match to meet their educational needs. Remember to save the date now - you won't want to miss another great summer seminar presented by BSMPG.

May 19-20, 2012 - Boston MA. Complete details coming soon!


Remember to Save the Date for the BSMPG 2012 Summer Seminar - May 19-20th in Boston MA.


Only 4 seats remain for our DNS "A" course. Sign up now before the last seat is gone!

Topics: Art Horne, basketball conference, athletic training conference, Pete Viteritti

Only 4 Seats Remain - DNS Course "A" in Boston March 30-April1st

Posted by Boston Sports Medicine and Performance Group on Thu, Jan 26, 2012 @ 07:01 AM

This course is almost full!! Register for this course before it's too late.  Price increases after Feb 15th.


DNS Boston

Course Description

The nervous system establishes programs that control human locomotion that includes posture and movement.  This critical “motor control” is largely established during the first years of life.   Based upon the principles of neurodevelopmental kinesiology, i.e. the neurophysiologic aspects of the maturing movement system on which the Prague School was established, the scope of clinical rehabilitation options for many of our neurologic and musculoskeletal pain patients have been expanded.  The DNS approach involves every component of the movement system (i.e. muscles, joints, nerves and soft tissue by stimulating movement control centers in the brain through activation of ideal inborn movement stereotypes.  This, in turn helps restore the  structural and postural alignment of the body’s neuro-musculo-skeletal system by evoking the global motor patterns.  Global motor patterns form the foundation of human movement and represent genetically predetermined elements for uprighting and equilibrium.  These patterns are essential for the control of posture and dynamic stability of the spine through the lifespan of the individual. Participants in this course will be introduced to the application of these principles. 


Click HERE to read more about his course.


DNS Course - 2012


(Paypal Link can be found under COURSE DETAILS)


This course is sure to fill up and is limited to 30 people MAX! Don't miss out on your opportunity for this once in a lifetime event.


Topics: athletic training conference, Clare Frank, DNS course, DNS