News & Events

5 Reasons to Prep For Football During Baseball

I got a great question from a parent the other day I wanted to share with you:
“What are your thoughts about strength and conditioning during baseball season to prepare my 14-year-old son for football?”  
I think every parent has an assumption about this topic that is either rooted from their personal experience as an athlete and what they were exposed to and/or what they have researched on the internet.   
What is your assumption?
The truth is, if your player is in a good program that is tailored to them, then strength training and conditioning can be powerful in helping their performance in-season on the field or court.  In breaking down this parent’s question as it pertained to her son, here are five reasons why I said “yes” he can and should be training.

football, baseball glove and baseball
5 Reasons to Train For Football During Baseball Season

1. Helping to maintain body weight
Often baseball players will lose weight over the course of a baseball season. Some of that weight will be water volume and some will be lean muscle tissue. Losing body weight via water or lean tissue loss will negatively affect performance.  A dehydrated and thinner body will not produce the same power and explosiveness as a healthy, hydrated body. This parent’s son will be transitioning right from baseball season into football. This transition time is not enough time to likely restore the body to where it was prior to baseball season.
2. Maintaining strength
Maintaining strength directly ties to the first point.  Strength training is the stimulus the body needs to continue to build lean muscle tissue and reverse the natural decline that happens when strength training is stopped.  Maintaining strength really is not the most accurate way to phrase it.  In reality, we are either gaining strength or losing strength.  For this parent’s son, to walk into a football season in the “losing strength” mode is not going to lead to the performance outcome he is looking for.
3. Helping the body adapt to football demands faster
Football and baseball are very different in their physical demands and athletes transitioning from baseball to football will have a shock to their bodies that they will have to overcome.  That shock comes from the lack of preparation of the specific physical intensity football creates.  An in-season program has the opportunity to progressively build the athlete’s body up to those more intense requirements without overtaxing them physically for their in-season sport.  This preparation will help the athlete adapt sooner, be less sore, and perform closer to top performance right away when football practice starts.
4. Preparing the athlete to get into “football shape”
The fitness demands in football easily exceed that of baseball.  In baseball, there could be upwards of a 1:20 work to rest ratio whereas in football the ratio is closer to 1:6.  In football, a 1-way player will have about 70 plays while in baseball there might be 30 balls put into play in a 9-inning game.  In football, a player will run twice as many plays with 70% less time between plays.  An in-season strength and conditioning program will help the athlete’s fitness to be gradually built up so they will be at or close to “football shape” when making the transition between sports.
5. In-season training should not affect your performance
The first goal of in-season training is to make sure the athlete can continue to perform when it matters at a high level.  An athlete cannot do that if they are sore. 

Soreness comes from inappropriate exercise selection, inappropriate progressions in volume and/or intensity, and an inability to recover from previous bodily stresses (which could be exercise or sports induced).   

In a youth baseball season the schedule can be erratic, so the in-season program has to be constructed in such a way that takes into consideration the weekly volume and intensity as well as game and practice schedules.  
If an athlete normally trains Monday and Wednesday and this week only has games on the weekend, then our volume and intensity could be a little more intensified as the athlete will have time to fully recover.  On the flip side, if a makeup game is scheduled for Tuesday then we know we need to have less volume and intensity Monday but on Wednesday we could amp it back up and focus on those key area needed to prep for football.  
In-season training is something that many parents and coaches tend to overlook the value in.  For a multi-sport athlete who goes from one in-season to the next, they inevitably will see a drop in performance.  
Remember, your athlete is either “gaining” or “loosing”. 
Written By: Travis Manners, PT, SCS, CSCS, Owner & Founder 

The Football Helmet vs. Concussions

Who is excited for the Super Bowl this weekend? I know I am as football is definitely my favorite sport to enjoy as a spectator. Along with my role as a spectator though, I am also a provider who may treat those players who may sustain a concussion from participation in this sport. It is this role which led me to find research on the efficacy of helmets protecting against concussions.

Let’s dive into one of the questions that I receive pretty frequently. Do football helmets protect against concussions?

The head can sustain many types of trauma in the midst of a football game. This trauma can mostly be categorized into two different kinds of force, linear and rotational. Helmets do a great job of protecting against linear forces, or those which lead to skull fractures and focal bruising.

As stated in John Lloyd and Francis Conidi article entitled, “Comparison of Common Football Helmets in Preventing Concussion, Hemorrhage And Skull Fracture Using A Modified Drop Test” their study showed that skull fracture was reduced by 60-70 percent and focal bruising by 70-80 percent compared to not wearing a helmet.

On the other side of the spectrum there are traumatic brain injuries, which concussions are a mild form of. These injuries are often caused by rotational forces and are more diffused due to the bio-mechanics of the injury.

Their study also found that helmets, on average, only reduced the risk of concussion by 20 percent compared to not wearing a helmet.

At the end of the day, all sports involve some sort of risk but the more we know the better we can mitigate those risks.  Research continues to work towards finding a helmet that more effectively protects against brain injury.

In the meantime, safe tackling techniques and immediate removal from play should an injury occur are our best lines of defense.

The next line of defense is treatment starting after 2-3 days of rest.  If you find yourself or someone you know injured, find treatment as soon as possible from an athletic trainer or a physician trained in concussion management and if symptoms linger more than 2-3 weeks then contact us for further evaluation.


John Lloyd, Francis Conidi. “Comparison of Common Football Helmets in Preventing Concussion, Hemorrhage And Skull Fracture Using A Modified Drop Test. ” neurology.comNeurology April 8, 2014 vol. 82 no. 10 Supplement P5.320


What can a physical therapist do for a concussion?

What to learn more on the basics of concussion symptoms and how your physical therapists can help relieve these prolonging concussion symptoms? Then check out Josiah Parker’s blog, 3 Unexpected Treatments for Concussions – That Work! 

3 Unexpected Treatments for Concussions – That Work!

Written By: Josiah Parker, PT, DPT

Understanding Exertion Therapy

Concussion Treatment #1

The treatment of concussions has been widely debated over the past few years. What was previously known and proven with research about concussion treatment suggested that the patient must rest, both mentally and physically. This is indeed true for initial treatment of concussions. There has now been a shift with concussion treatment that suggests moderate amounts of exertion may be used to help treat those who suffer from lingering concussion symptoms.

If you read my earlier blog 3 Unexpected Treatments for Concussionsit may have stuck out to you that I used the term “exertion therapy.” You may have even thought to yourself, “is this guy insane?” People with concussions need rest. They don’t need to exert themselves!”  If this is what you thought, then you definitely aren’t alone.

As we all know, not all concussion injuries are the same. Sometimes people have symptoms months or years after sustaining an injury, this is called Post Concussion Syndrome (PCS). I will share a case study that comes to mind; he was a colleague of mine who played football and whom experienced long-term concussion symptoms.


Case Study

He was a running back and had played football since he was eight years old. Throughout his career he suffered his fair share of hits and injuries and received two concussions before playing in college. On his last football game of his career he sustained his 3rd concussion, what a way to wrap up your collegiate career right?

This concussion was different than his previous injuries. He lost consciousness and had severe migraines for weeks, months and even years to follow. He had tried everything to relieve the pain. He had visited neurologists and multiple chiropractors. He had gotten mixed results and he never got rid of his migraines and overall neck stiffness. I reconnected with him years later and had heard his struggle. That was when I told him to come and get it checked out by a physical therapist. He was diagnosed with Post Concussion Syndrome.

Eighty percent of people who suffer a concussion are symptom free within 2-3 weeks of their injury. However, this means that 1 in 5 people make it past this 3-week time frame and continue to have symptoms.


Post Concussion Syndrome (PCS) Symptoms

  1. Elevated heart rate – Tends to be high even at rest for those with PCS.
  2. Depression – Many people with PCS begin to feel some level of depression due to their decreased tolerance to activity. This can be especially true in an athlete who is used to a regular high level of activity.

Thinking back to the case study that I shared above, there are a few techniques that can be used to help address symptoms of PCS that can speed up recovery time.

Exercise is a great start, and that’s the basis of exertion therapy. Of course I am not suggesting that three weeks after a concussion you should go out for a 10 mile run and then that evening suffer from a throbbing headache.What I am suggesting is that your daily exercise routines should be monitored by a professional.

This is crucial so that your exercise does not negatively affect your concussion recovery. Sometimes it is hard to know if your workout negatively affects you without having someone monitor you, so let me help clarify what I can do for PCS patients.

PCS patients who are seeing me are taken through a graded exercise test, which helps me to find how high they can get their heart rate prior to their symptoms getting worse. I then use this information to help them develop a program they can use to get moving again.

If this situation describes you or someone you know then contact us today to get a more comprehensive evaluation!

Written by, Josiah Parker – PT, DPT

Question: Do you have any questions about exertion therapy treatment for physical therapy?

Rehab Report – Tommy Armstrong Jr.

What do we take away from Nebraska Huskers Tommy Armstrong’s violent helmet-to-turf collision during the Nebraska Ohio State game? Listen to the Rehab Report on AMSPORTS590 as Travis Manners and the Omaha Sports Insider team discuss his injury and also breakdown the proper protocol for a concussion injury. 

Click below to listen now.

3 Unexpected Treatments for Concussions – That Work!

I often get asked about what I do for a living and when I respond that I am a physical therapist many people ask me what kind of injuries I see. My response usually begins with the orthopedic injuries, which everyone kind of already expects, but one area in particular that almost always catches people off guard is when I tell them that I treat concussions.

What can a physical therapist do for a concussion?

That is a great question! Let me share with you the basics on what a concussion actually is.

Concussions: A mild form of traumatic brain injury, which is caused by a bump, blow, or jolt to the head. These injuries may be classified as mild but the symptoms they cause can be devastating to the people who are experiencing them.

Symptoms: Dizziness, headaches, poor balance, trouble concentrating, depression from lack of participation ability. Surprisingly, the symptom most correlated with a lengthened recovery is dizziness. For more information on the basics of concussions visit

Now that you understand the basics of a concussion, I promised that I would begin to reveal the three unexpected concussion treatments…and here they are!

  1. Exertion therapy is used to help get the body back to regulating its normal functions like heart rate, and also returning the patient back to sport or work.
  2. Finally, the musculoskeletal piece is used to help with neck or back pain, which often goes hand in hand with a concussion.
  3. Vestibular therapy is used to help address dizziness, headaches, and lack of balance.

In order to avoid getting too long winded, I will be breaking down each one of these three main areas in future blog posts. For now I know this is a very general overview so if you have any further questions feel free to contact me!

Written by, Josiah Parker – PT, DPT

Question:  What do you want to know about concussion therapy?

Rehab Report – Chicago Bears, Kevin White

This week’s Rehab Report, Travis Manners, Joe Quinn and Nick Handley from Omaha Sports Insider will analyze high ankle sprains. They will specifically dive into the injury Kevin White from the Chicago Bears suffered a few weeks back. Click below to listen now.


Jennie A., Collegiate Track & Field Athlete

Athletes’ Training Center has worked to specialize workouts to fit my athletic needs. The strength coaches have a one on one personal connection to fix minor details that have had a major impact on my athletic performance.