TSAC REPORT MAY / JUNE 2013 | ISSUE 28 NSCA MISSION As the worldwide authority on strength and conditioning, we support and disseminate research-based knowledge and its practical application, to improve athletic performance and fitness. TSAC EDITORIAL REVIEW PANEL Danny McMillian, DPT, ATC, CSCS Mick Stierli, CSCS Mark Stephenson, MS, ATC, CSCS,*D Katie Sell, PhD, CSCS Ty Colvin, MS, LAT, ATC, CSCS Travis Ireland, MS, ATC, CSCS Patrick Conway, MS, CSCS,*D Henry “Hal” Williamson, TSAC-F Bradley Nindl, PhD Jon Barba, CSCS Luc Poirier, CSCS Stew Smith, CSCS Ian Crosby, CSCS Tony Soika, MS, CSCS Jon Carlock, MS, CSCS,*D STAFF Editor T. Jeff Chandler, EdD, CSCS,*D, NSCA-CPT,*D, FNSCA Publisher Keith Cinea, MA, CSCS,*D, NSCA-CPT,*D Senior Publications Coordinator Matthew Sandstead Publications Coordinator Cody Urban TSAC REPORT MAY / JUNE 2013 | ISSUE 28 TABLE OF CONTENTS 03 05 07 10 12 SPRINTING TECHNIQUES FOR LAW ENFORCEMENT KELLY KENNEDY, PHD, CSCS RULE OF THREE GREG WHITE TRAINING LARGE GROUPS OF TACTICAL ATHLETES MARK TAYSOM, MS, CSCS DISCONNECTION BETWEEN SAFE AND EFFECTIVE EXERCISE AND FADS IN FIREFIGHTER TRAINING BRYAN FASS, ATC, LAT, EMT-P, CSCS ENERGY DRINKS: HELP OR HYPE? GUY LEAHY, MED, CSCS,*D CONTACT NSCA TSAC 1885 Bob Johnson Drive Colorado Springs, CO 80906 phone: 800-815-6826 email: tsacreport@nsca.com © 2013 National Strength and Conditioning Association. Reproduction without permission is prohibited. NSCA’S TSAC REPORT | ISSUE 28 2 KELLY KENNEDY, PHD, CSCS SPRINTING TECHNIQUES FOR LAW ENFORCEMENT Law enforcement officers may have to apprehend a subject at any moment, regardless of where they are located or what they are doing at the time. The importance of training officers to improve sprint speed and acceleration technique may seem obvious, but the specific training used should be evaluated to help reduce potential injuries. Ultimately, the goal should be to increase the success of foot pursuits without the officer getting hurt. This article will show that by utilizing proper programming with law enforcement-specific variations in mind, improvement of officer performance in occupational settings can be made. It can be advantageous for officers to practice sprinting from various positions. For tactical facilitators responsible for training law enforcement officers, it is easy to train an officer to start sprinting from the blocks, or sprint a line from a standing start position and yell, “on your mark, get set, GO!” But, what if you do not give them the option to get ready before starting? Or, what if you do not give them a thorough warm-up? This is appropriate and desirable if you train these professionals in a controlled training environment—the first time they experience sprinting without a warm-up and preparation should be in a training setting, not in an operational setting. The controlled training setting is the optimal environment to undertake what otherwise could be a hazardous activity. A controlled training environment provides officers the ability to ask questions, refine their sprinting technique, and moderate the pace to help avoid injury. SPRINT FROM VARIED POSITIONS In sport-based sprint training, coaches pay close attention to the start of the sprint. The sport athlete can focus on where the feet should be placed, anticipation of the start, the distribution of bodyweight, and even finger placement. Law enforcement officers most often do not have this luxury, as it is common for officers to sprint from positions typically deemed unconventional (e.g., after being confined in a car for a long period of time). Officers also have the potential to be interrupted, whether eating lunch at a restaurant, talking to a citizen, or writing a report. All of these unconventional positions require training to improve footwork and improve performance when making unexpected directional changes. It is important for law enforcement officers to sprint train from a variety of positions such as prone (face down), supine (face up), seated (in a car), or “reversed” (resulting from being pushed to the ground or knocked to the ground). By placing the officer in variable positions to start, they can gain valuable insight to improve balance, speed, and coordination for future occupational settings. MAKE SURE THE OFFICER IS AWARE OF DIRECTION, SURROUNDINGS, AND INTERSECTIONS When referring to traditional sport-based sprinting, coaches do not spend much time telling the athlete where they should be running, or even mention the direction they will be running; it is usually based within a confined field or arena. When an officer gets into a chase with a subject, they must be aware of the direction they are running (North, South, East, or West), the street they are running on, and any intersection they are approaching. When in a stressful situation, it is very easy to become disoriented and become unable to describe a location and/or description of the offender effectively. This is an important skill to cultivate for law enforcement officers. In order to improve these skills, tactical facilitators could develop drills that require the officers to demonstrate a clear ability to advise other officers of the exact direction they are running and the approaching intersection while chasing another officer. RECALL AND RADIO USE WHILE SPRINTING For law enforcement officers, the ability to communicate clearly is another important factor in occupational settings. A valuable sprint training drill is for officers to spell, or recall, names phonetically (e.g., for “Kelly,” Kilo, Echo, Lima, Lima, Yankee), or give precise locations over the radio while sprint training and be understood by other officers. It is optimal for the officers to become comfortable carrying a radio while sprinting—the presence of a radio in one hand can change an officer’s sprinting mechanics significantly. In addition, using that radio while sprinting effectively enough to have someone understand is another layer of complexity that is not trained frequently enough. (Visual cues can also be added, such a flash cards or stand-ins, to help assist officers train to scan surrounding areas and potentially avoid chasing someone into an ambush.) START SPEED SHOULD BEGIN SLOW AND INCREASE ACCORDINGLY Traditional sprinting requires an athlete to accelerate and maintain top speed for as long as possible. When training law enforcement, the conditioning of an officer dictates how top speed is maintained. When a subject runs from an officer, that subject will likely run at 100% effort. It is suggested that the officer that engages in a pursuit of a subject start by sprinting at 50% effort initially, and incrementally accelerate while keeping visual contact with the subject. When that subject starts to decelerate from exhaustion, the officer has an opportunity to either close the distance quickly, or maintain their top speed until the subject has been caught. If that officer is confident in their sprint training and recovery, then they might start to accelerate to close the distance faster (once the distance has been closed, there is always a NSCA’S TSAC REPORT | ISSUE 28 3 SPRINTING TECHNIQUES FOR LAW ENFORCEMENT possibility the subject will resist arrest further). For the officer that is not confident in their recovery after accelerating towards the subject, they might be better off maintaining a tolerable pace until contact is made with the subject. SAVE ENERGY FOR A POSSIBLE FIGHT AT THE END If a person is running from an officer, they are resisting arrest. Therefore, it is important to reinforce the concept that this person may continue to fight once the pursuit is over. During sprint training, it is easy to focus on improving time and efficiency of movement, but it is important not to lose sight of the training goal by training at 100% effort all the time. Since the officer may have to deal with a resistant subject at the end of that sprint, a great way to encourage saving energy while sprinting is to surprise the officers by introducing a heavy bag at the end of a sprint, or having them perform a given number of callisthenic exercises at the end of a sprint. It is critical to habituate the same sprinting techniques in training as what is required on the job. Remember, when in a stressful situation, training will kick in, so tactical facilitators need to ensure training is framed correctly, which will make the transition from training to application easier. Instantaneous recall will become easier for officers when the only thing they have practiced is the very technique that should be used when on the job. ABOUT THE AUTHOR Kelly Kennedy is one of the nation’s leading experts in fitness training for police. While working for the largest Police Department in the Southeast United States, she has physically trained and tested over 2,000 police recruits and officers since 1999. After graduating with a Master’s degree in Health Education with a specialization in Exercise Physiology, she worked as an adjunct instructor at Florida International University. She has a consulting business called Fit-to-Enforce.com and an iPhone app called iEatnburn. Kennedy is certified with American College of Sports and Medicine (ACSM) as a Health Fitness Instructor (HFI); National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist® (CSCS®); Certified International Society of Sports Nutrition (CISSN), as a certified CrossFit Instructor, Defensive Tactics Instructor; and earned a PhD in Educational Leadership from Lynn University. CONCLUSION When sprint training with law enforcement officers, it is important to sprint from varied positions to prepare officers for future agility and coordination requirements, train recall skills while handling a radio in training settings, train officers to incrementally increase their effort to end the pursuit, and prepare the officer for any confrontation that may occur once the pursuit ends. These skills can be developed through proper training, but are best learned in a controlled environment where they can be developed, and modifications in techniques can be made by certified tactical facilitators. ■ NSCA’S TSAC REPORT | ISSUE 28 4 GREG WHITE RULE OF THREE “3 minutes without air, 3 days without water, 3 weeks without food” This saying is often quoted as the “rule of 3” for survival. While the actual numbers can be adjusted somewhat based upon circumstance, the basic sentiment remains the same. Currently, pretty much everyone in the tactical community knows how valuable and necessary water is for proper performance and function in the demanding environments in which tactical athletes work. In the quote above, what is not said is that while one can survive for three days without water, performance levels will be severely decreased the longer proper hydration levels are not maintained (1,2,4). The subject of clean drinking water is vast, with topics ranging from how to find it in survival situations, to how to create a reverse osmosis system for your house. Rather than trying to cover every conceivable situation, this article will focus on the topic of treatment methods for unknown sources of water, specifically treatment methods applicable to the tactical environment, such as, filtering/purifying, chemical treatments, and boiling. Tactical athletes must be ready for whatever the situation may be, and be prepared to not only survive, but also thrive in any environment. Oftentimes, tactical athletes are called to go into the most physically challenging and dangerous situations. Preplanning for the worst case scenario will lead to being better prepared for all types of operations. Weapons, ammunition, armor, first aid, and communications have the priority, with “comfort” items taking second place to mission essentials. Therefore, every ounce of weight carried must be ruthlessly evaluated for necessity and purpose. Water is heavy. Without getting too much into density based upon temperature, a fluid ounce of water weighs approximately 1.04 dry oz (0.065 lb). Based on this conversion, a full 70-oz water bladder will weigh about 72.8 oz (4.5 lb) and a full 100-oz water bladder will weigh around 104 oz (6.5 lb). This is in addition to the weight of the bladder. For example, if a tactical athlete’s military-grade 100-oz water bladder and drinking tube weigh 115 oz (7.1 lb) when full, that does not include the weight of the pack used to carry it. When evaluating the entire load, it could easily weigh in at over 50 lb before even accounting for a rifle or other encumbers, so every ounce counts. The key then is to bring just enough water. However, when the situation does not allow for that, or the water supply runs out, how does a tactical athlete determine which water sources are safe to drink? When in doubt, it is better to be safe than sorry. Therefore, knowing the methods for treating water (filtering/ purifying, chemical treatments, and boiling) is essential for tactical athletes. The first question that needs to be answered is why does the water need to be treated? The answer is to prevent the ingestion of three major threats to heath: protozoa—for example Cryptosporidium and Giardia intestinalis (generally 1 – 300 microns in size); bacteria—for example, Campylobacter, salmonella, shigella, and E. coli (0.1 – 10 microns in size); and viruses—for example, enterovirus, hepatitis A, norovirus, and rotavirus (generally 0.005 – 0.01 microns in size) (3). Each of these contaminants can have dire, long-term consequences to the health of the tactical athlete if ingested. As such, it is generally better to treat all water encountered in a wilderness setting, and each of the treatment methods will have inherent advantages and disadvantages. Water filters are perhaps the most common type of water treatment. The water is passed through a matrix, generally made of ceramic, with small pores that filter out the contaminants. Filters are generally very effective for protozoa and bacteria, but not as effective against viruses. Most of the “hiking” water filters on the market are not desirable for tactical use. They are very light, but tend to be fairly delicate. Additionally, the “ultra light” versions can be very slow to filter water, a liability for the fastpaced tactical environment. There is a subset of water filters that are designed to be used either in a bottle or attached to the hose of a hydration bladder. However, these are useful only in limited circumstances because they require attention and care not to contaminate the “clean” side of the system, and should not be relied upon for use as a primary system. Water purifiers are essentially filters with smaller pores and/or a chemical treatment that purifies the water by removing viruses from the water. Some also use ultraviolet (UV) light to purify the water. This can work well, but with some caveats. UV light only works well in clear water without a lot of particulate matter in it so the light can do a thorough job. UV filters are also electronic devices that use batteries, thus adding weight by requiring the carrying of extras. Another major caveat to a purifier is the smaller pores, which means it will need to be cleaned more often and it won’t last as long. For most tactical operations, this is not a big deal, but it can matter in the long term. Chemical treatments are generally iodine or chlorine dioxide tablets. They have the advantage of being very light to carry and highly effective in removing the contaminants, although iodine has been shown to not be completely effective against Cryptosporidium (3). The downside is that they take time to use. Adding iodine to a 1-qt bottle requires waiting at least 20 – 30 min before the water is safe to drink. Some chlorine dioxide tablets suggest a wait time of up to 4 hr, which is clearly a liability in tactical environments. A common complaint about chemical treatments is that they may give an unpleasant taste to the water, NSCA’S TSAC REPORT | ISSUE 28 5 RULE OF THREE though this is not a major concern for a tactical operation in the short term. Additionally, household bleach can also be used at a rate of eight drops per gallon of clean water to produce similar effects. Finally, boiling water is an excellent method for killing live contaminants in the water. However, it is fuel and time intensive to boil large amounts of drinking water, especially for a group. Water should be boiled for at least 1 min (3 min in an altitude above 6,500 ft) in order to ensure maximum effectiveness (3). Like virtually everything in the tactical arena, there is no one best solution to the entire problem. Therefore, it would be better to use a layered system of water treatment to maximize efficiency of water availability. The Centers for Disease Control and Prevention (CDC) recommends a combination of filtration and chemical disinfection as the most effective in pathogen reduction (3). For short-term operations, I personally keep a set of iodine treatment tablets in my pack, along with a collapsible 1-qt water bottle. The whole system weighs less than an ounce, and will suffice for most emergency water needs. I also make sure to completely fill my hydration bladder before going out on those missions and change the tablets out once a year. For long-term missions or multi-day tactical operations with limited support, one can bring a pump-style water purifier. This purifier is quite robust, simple to use, and can attach directly to a hydration bladder or collapsible bottle. In those cases, bottles can be used for cooking and the bladder can be reserved strictly for drinking water. This system weighs 1 lb and is a little bulky but the ruggedness and simplicity can make it worth the weight in certain situations. Typically, just filtering the water is a more popular approach but if there were any concerns about contamination, it would be wise to first filter or purify the water and then treat it with the iodine or chlorine dioxide tablets. This tandem can be the most effective method of treatment short of taking the time to boil all of the water. An example of a pump-style water purifier and iodine/chlorine dioxide tablets can be seen in Figure 1. The odds of a tactical athlete encountering this issue will vary greatly based on the tactical setting. For this reason, this article should not be used as medical advice. It is important to keep in mind that each water treatment method will have its own advantages and disadvantages so it is imperative that each tactical athlete select a strategy that will work best for them in their specific situation. Hopefully, this article will give tactical athletes some ideas of where to start to wade through the plethora of information on the market regarding this issue. ■ FIGURE 1. SAMPLE OPERATION PACK CONTENTS (INCLUDING PUMP-STYLE WATER PURIFIER AND CHEMICAL TREATMENT TABLETS) REFERENCES 1. Anderson, JR. Everything you know about hydration debunked. Army Times. 2012. Retrieved March 3, 2013 from http://www. armytimes.com/offduty/health/offduty-everything-you-knowabout-hydration-debunked-080712/. 2. Cain, J and Klaff, A. Hyponatremia, hydration and heat: Preventing illness in the tactical athlete. The Tactical Edge, Fall 2012. 3. Centers for Disease Control and Prevention. A guide to drinking water treatment and sanitation for backcountry & travel use. 2009. Retrieved March 3, 2013 from http://www.cdc.gov/healthywater/ drinking/travel/backcountry_water_treatment.html. 4. Contreras, M, and Espinoza, N. Safety and performance implications of hydration, core body temperature, and postincident rehabilitation. Orange County Fire Authority. Final report, 2007. ABOUT THE AUTHOR Detective Greg White has been an avid backpacker since his first Outward Bound trip in 1991. He has been a sworn Law Enforcement Officer since 1998, holding several different assignments including Detentions, Patrol, ATF Gun Unit Task Force Officer, SWAT, Investigations, and others. He also instructs Firearms and Law in his agency’s Basic Academy. As both a patrol officer and a tactical team member, he has been involved in several backcountry calls and manhunts. After spending a year in Iraq as a contractor training their police, he has been a part of the NSCA TSAC program since 2010. He can be reached at gregorywhite@elpasoco.com. NSCA’S TSAC REPORT | ISSUE 28 6 MARK TAYSOM, MS, CSCS TRAINING LARGE GROUPS OF TACTICAL ATHLETES The views expressed in this article are those of the author, and do not necessarily reflect the official position or policy of the U.S. Army, the Department of Defense, or the U.S. Government. Training large groups of tactical athletes can be very challenging depending upon the number of tactical athletes and the space or equipment available. Moreover, it can be difficult to create an individualized program for each tactical athlete and be able to evaluate the effectiveness of each program. Recently, the Iron Horse Performance Optimization program (IHPO) was used to evaluate the success of a singular, modifiable Tactical Athlete Program (TAP) implemented on an entire brigade. The IHPO is a pilot program aimed at quantifying the effectiveness of a professional managed strength and conditioning program and staff on the combat readiness of an entire brigade. The professional IHPO staff consists of two strength and conditioning coaches, two athletic trainers, one dietitian, one physical therapist, and one physical therapy tech. This pilot program was applied to the TAP administered to a brigade of nearly 3,700 soldiers. Prior to initiating the TAP training, the following 17 fitness tests were administered: 1. Vertical jump 2. Broad jump 3. Single-leg crossover hop test 4. 30-m up and go test 5. Agility T-test 6. Pull-ups 1. Principles of exercise 2. Exercise program design 3. Injury prevention/treatment 4. Sports nutrition 5. Adaptations to exercise 6. Endurance and mobility 7. Strength and mobility 8. Physical training for the injured (profile PT) 9. Foundational lifts 10. Understanding the Army’s physical training manual Included, and paramount to this multifaceted approach, was the creation and design of a training facility that was suitable to train an entire company (~100 soldiers) at one time. This facility included custom power racks, platforms, FreeMotion dual cable cross trainers, sets of dumbbells ranging from 5 – 150 lb, bumper plates, and specialty bars (e.g., trap/hex bars, safety squat bars, axel bars). This facility was created by converting a basketball court in one of the recreational facilities to meet all safety requirements. Each company in the brigade was assigned to train with the strength coaches of the IHPO team once every two weeks during the pilot program. Although this is not an ideal frequency for weight training, it was the most that could be arranged logistically. This was because there were only two strength coaches, there was a limited amount of equipment, and there was a limited amount of time to devote to physical training. 7-13. Functional movement screening 14. Y-balance 15. 300-yard shuttle 16. 300-yard weighted shuttle 17. developed approach, which included weeklong classes for every company in the brigade that focused on the following subjects: Fitness and nutrition survey After the testing data was collected and analyzed, a multifaceted approach was created to maximize improvement. The IHPO team met with the Brigade Commander to discuss the needs of the brigade with respect to fitness and the best approach to improving the combat readiness and the Army Physical Fitness Test scores of the entire brigade successfully. This led to a newly Even with the low frequency of training, there were benefits from having the soldiers train once every two weeks. First, from the initial surveys taken by the soldiers, it was learned that less than 10% of the soldiers lifted weights on a regular basis, which exhibited that a majority of the soldiers were novices. Significant gains in performance were seen quickly because most of the soldiers were novice lifters. A second benefit was the instructional aspect of training. During training, all of the soldiers were introduced to a variety of exercises and exercise progressions that they could perform with confidence at other times on their NSCA’S TSAC REPORT | ISSUE 28 7 TRAINING LARGE GROUPS OF TACTICAL ATHLETES own during the week to reinforce what had been provided in the weeklong classes. It was shown that when soldiers are confident in their ability to put together basic workouts based on familiar exercises that they could perform correctly, their adherence to the exercise program increased. The introduction and instruction of these exercises was not random, but based on a plan. The plan was to teach three exercises, one exercise at the power racks, one exercise at the platforms, and one exercise at the dumbbell rack area, and to rotate the entire company through each of the three exercises in the first session. A maximum of three sets per station and a repetition range of 5 – 10 were assigned for each exercise. Limits on how much weight could be placed on the bar helped ensure safe training sessions and less stressful supervisory responsibilities for the strength coaches during the first session. After the second, third, and fourth training sessions, one additional exercise was explained and demonstrated by the strength coaches for the entire company. After learning the six new exercises through the first four training sessions (three exercises during the first session and one exercise per session during the second, third, and fourth), each company would then rotate through six different exercises. Every two weeks, slight modifications or additions to the program were made to adjust for adaptations and gains. Four large whiteboards were utilized to present the workouts and specific exercises clearly to the soldiers. All soldiers were instructed on how to read the workout board, and over time, the exercises included associated ranges of sets and repetitions more specific to the unit working out. This began to allow for differences in ability and made the workouts less likely to interfere with the weight training of those soldiers who already regularly engaged in a weight training program because they could lower their volume and intensity to allow for adequate recovery from their previous workout. Allowing for individual choice in the workouts was very helpful in keeping the program in “good standing” with the soldiers. Keeping track of and posting “performance records” for the brigade also ignited competition between the soldiers. The IHPO/TAP training has been operating with much success since beginning in August 2010. It has now become the focal point of the physical training of the entire brigade. The program shows that large groups of tactical athletes, possessing the widest range of physical abilities imaginable, can be taught to perform the foundational exercises of weight training safely and effectively. TABLE 1. IHPO/TAP SAMPLE TRAINING PROGRAM LAYOUT Snatch-Grip Push Press Overhead Squat or Back Squat Speed Ladder Speed Ladder Platform Clean Pulls off Box Deadlift Cables/ Dumbbells Metskas Squat-Row Combo* Cable Push-Pull Kung-Fu Cone** Single-Arm Dumbbell Push Press/ Rear Lunge to High Knee Combo Power Rack Incline Bench Press Trap Bar Deadlift High-Kneel Wood Chop (high to low) *Metskas Squat-Row Combo: This combination exercise is performed on a FreeMotion dual cable cross trainer. This exercise helps train the athlete to perform a rapid triple extension movement with the hips, knees, and ankles while at the same time completing an equally rapid upright row by drawing the cable handles in towards the armpits. With the pulleys positioned in the lowest position, the tactical athlete begins by holding the cable handles with arms outstretched in the full upright position and tension on each cable. Next, the athlete descends into a full squat with arms still outstretched and rises rapidly into full triple extension, pulling the handles forcefully up toward the armpits. Upon full extension, the athlete instantly returns to the “power” or “skier” position with arms once again outstretched. The tactical athlete should pause 1 – 3 s, and repeat for the designated amount of reps/sets. Things to remember: • Keep elbows up higher than wrists to avoid excessive shoulder rotation • Keep toes pointed forward to ensure maximum ankle dorsiflexion • The weight stacks of the FreeMotion dual cable cross trainer should never touch, there should be constant tension on the cables at all times Currently, this training program consists of 12 exercises that are constantly modified to stimulate improvements and physical performance. An example of this program layout can be seen in Table 1. NSCA’S TSAC REPORT | ISSUE 28 8 TRAINING LARGE GROUPS OF TACTICAL ATHLETES **Kung-Fu Cone: To perform this exercise, the tactical athlete stands on one foot at the center of six radiating lines. With the hand opposite of the balancing foot, the tactical athlete lowers his body to place a cone on the line (starting on the farthest radiating line on either the right or left). The tactical athlete should focus on placing the cone as far along the line as possible, without losing balance. Once the tactical athlete retrieves the cone and returns to the starting, balancing position he should repeat the motion on each line sequentially before switching legs. Things to remember: • Remain on one foot through six consecutive lowers, then switch feet and repeat for three sets • Focus on hip internal/external rotation ■ SAMPLE LINE CONFIGURATION FOR KUNG-FU CONE ABOUT THE AUTHOR Mark Taysom is currently a Certified Strength and Conditioning Specialist® (CSCS®) with the Iron Horse Performance Optimization Program of the U.S. Army. Taysom has co-created the Tactical Athlete Program (TAP) for the 3rd Brigade Combat Team 4th Infantry Division at Fort Carson, Colorado Springs, CO. The TAP team trains 200+ soldiers a day in all aspects of weight training. The TAP team has conducted 1,000s of fitness performance tests with the 4th Infantry Division soldiers, as well as fitness screenings including the Functional Movement Screening (FMS). Taysom has worked with professional athletic teams including the Denver Broncos and Colorado Avalanche. He has also worked with Olympic athletes at the Olympic Training Center in Colorado Springs. Personally, Taysom is a top-ten strongman competitor in the world. Combining his years of experience with top athletes and soldiers, Taysom adds his expertise of strongman events to give a unique perspective on utilizing strongman-style training with tactical populations. NSCA’S TSAC REPORT | ISSUE 28 9 BRYAN FASS, ATC, LAT, EMT-P, CSCS DISCONNECTION BETWEEN SAFE AND EFFECTIVE EXERCISE AND FADS IN FIREFIGHTER TRAINING Walk into almost any professional fire service station and you will most likely find a myriad of fitness and exercise tools: everything from kettlebells, tires, CrossFit type gear, and traditional weight training equipment. Yet, often found in stations is a vast variety of equipment being either misused or not used at all. Then take it another step further and realize that firefighters and emergency medical technicians (EMTs) are performing exercises that follow no logical programming or periodization sequence. Take it even further with the realization that many of these responders do not possess the physical capability to perform many of the daily exercises required of them safely. From a personal standpoint, I have counseled hundreds of responders all over the country that have sustained injuries on the job by experimenting with highintensity and tactically based exercises that they were ill equipped to perform. It is possible that there is a disconnection in many services between safe and effective exercise, and the exercise fads. A study published in 2012 in Injury Prevention clearly showed the significance of this issue. “These injuries occurred at twice the frequency of the next highest job task (i.e., patient transport). The purpose of physical exercise is to prepare one for their job and to condition a person to perform those job tasks with the utmost amount of efficiency, as well as reducing the risk of injuries on the job. Therefore, it is paradoxical that physical exercise, which aims to prevent injuries (and other adverse health outcomes), is actually the most frequent cause of injury. While most studies related to the fire service have focused attention on the hazards and injuries during fire ground operations, findings from the current study indicate that the largest percentage of injuries result from participation in some form of mandatory physical exercise during one’s shift,” (4). The results of this study, which showed upwards of 33% of injuries to firefighters occur while training to be fit, may actually be outpacing the cause of career-related injuries. As everyone learns in sports medicine training, rule number one is to do no harm, and that holds equally true for exercise. So, the questions to be asked are: Where is the disconnection? Where is the breakdown? First, it would be beneficial to look at some of the exercises that may actually be contributing to injury. No one can argue that firefighters and EMTs do not sit for long periods of time. In the station, in their apparatus, or traveling to and from their department, these dedicated professionals are subject to similar repetitive and sedentary biomechanics that affect the rest of society. Additionally, many responders work in multiple departments or have secondary jobs that also place them into a flexed posture, often under load. It has been shown that the traditional sit-up imposes approximately 730 lb of compression on the lumbar spine (2). Sit-ups, crunches, curl-ups, v-ups and many other variations of this popular exercise are staples in many strength and conditioning routines. Yet, all we have to do is look back at the compressive load on the spine from one sit-up and then simply take it a step further. The National Institute for Occupational Safety and Health (NIOSH) said the action limit for low back compression is 730 lb; repetitive loading above this level is linked with higher injury rates in workers, yet this is imposed in the spine with each repetition of the sit-up (2). If performing these exercises, specifically for this example of a sit-up, fire stations should utilize proper technique under the supervision of a certified Tactical Facilitator. Next, let us look at overhead activities and shoulder injuries. The argument can be made that many responders lack sufficient shoulder girdle rotation as well as thoracic spine mobility to perform overhead activities safely. These activities can range from overhead pressing and pulling exercises all the way to jobspecific tasks such as the use of an axe or ladder. “If a joint that is supposed to have good mobility does not, often the next joint in the kinetic chain, which should be a stable joint, compensates for the lack of movement,” (3). This may be the case with many responders due to their prolonged sedentary and seated forward flexed postures; it may also explain why pain and injury in the shoulders, neck, and mid-thoracic are so prevalent in the fire service industry. Also common in the fire and emergency medical services (EMS) departments are team-based sports being used in place of traditional fire-specific strength and conditioning routines. While this is a good form of general fitness and fun for on-duty crews, data from the sports medicine community indicate that ankle injuries make up approximately 25% of all sports injuries (1). For the sake of comparison, assume that an average 42-year-old firefighter is equally as prone to injury as young competitive recreational athletes. Therefore, if everyone on one shift (approximately 1,000 people) plays competitive basketball for one hour, one can expect approximately 3.85 ankle injuries (1). If these injured participants are put off duty for 2.2 weeks (the average time for ankle injuries), that would result in 8.5 weeks of total lost time. Multiply 8.5 by the average weekly salary and include the overtime for backfilling, plus all medical treatment expenses associated, and it is likely that basketball-related ankle injuries could be responsible for several hundred thousand dollars of injury related costs per year (1). Furthermore, it has been reported that 73% of athletes incurring an ankle injury, will have a recurrence and 59% will have a significant disability (1). This is not to stay that NSCA’S TSAC REPORT | ISSUE 28 10 DISCONNECTION BETWEEN SAFE AND EFFECTIVE EXERCISE AND FADS IN FIREFIGHTER TRAINING firefighters should avoid fitness-based activities in conjunction with properly designed training programs, but individuals responsible for the training of firefighters should be aware of the potential for injury during these activities and prepare them accordingly. However, for the vast majority of departments, both paid and volunteer, there are no professional strength and conditioning coaches on staff. What they have instead ranges from a firefighter or EMT who enjoys working out or a local personal trainer who has no idea what is required of a responder’s body, let alone the effect of sleep interruption, fatigue, poor nutrition, and stress. Additionally many departments often have outdated equipment or have made their own “gyms” following a CrossFit-style approach. As the International Association of Firefighter (IAFF) has clearly demonstrated in their publications, well over 50% of all injuries to firefighters are from soft tissue traumas; the strength and conditioning community must understand that one of the primary issues that these departments face is not only keeping their employees fit but also keeping costs in check (1). Sadly, many chiefs stop mandating fitness on duty to get a handle on job-related fitness injuries. The tactical community needs to understand this and properly train their fitness leaders to design programs and training approaches that meet the needs of the entire firefighting and EMS community to prevent injuries. ■ REFERENCES 1. International Association of Firefighters. Iaff.org. Accessed online at http://www.iaff.org/HS/.../Fitness/ FitnessPolicyBackgroundLACounty.doc. 2. McGill, S. Low Back Disorders. Champaign, IL: Human Kinetics; 88, 2007. 3. NSCA TSAC Program. Move well before you lift heavy. E-Learning Article. Accessed online at http://www.nsca.com/ ContentTemplates/PublicationArticleDetail.aspx?id=2147484582. 4. Poplin, GS, Harris, RB, Pollack, KM, Peate, WF, and Burgess, JL. Beyond the fireground: injuries in the fire service. Injury Prevention 18(4): 228-233, 2012. ABOUT THE AUTHOR Bryan Fass is an expert on public safety injury prevention, fitness and wellness, speaker, consultant, author of the “Fit Responder” and column writer for officer.com, firerescue1.com, and ems.1com. Fass works nationally with departments, corporations, and state and local governments to design and run targeted injury prevention and wellness programs for public entities and private organizations. He is frequently contacted for expert opinion and content contribution for all aspects of public safety. President and founder of Fit Responder, Fass also functioned as a paramedic for over eight years. NSCA’S TSAC REPORT | ISSUE 28 11 GUY LEAHY, MED, CSCS,*D ENERGY DRINKS: HELP OR HYPE? The views expressed in this article are those of the author, and do not necessarily reflect the official position or policy of the Air Force, the Department of Defense, or the U.S. Government. In the United States, consumption of energy drinks has exploded from an estimated 2.3 billion energy drinks in 2005 to 6 billion in 2010 (32). Approximately 6% of adolescent and young adult males in the United States consume energy drinks daily. Sales of energy drinks were nearly $9 billion in the United States in 2011 (23). The recent popularity of energy drinks is also seen in military populations. In 2011, Monster Energy Drink® became the top-selling cold beverage in the Army and Air Force Exchange Service worldwide according to an online survey (34). The Air Force conducted this online survey to assess energy drink usage amongst active duty and civilian members of the Air Force (34). A recent published survey of 1,249 U.S. Army and Marine service members deployed to Afghanistan in 2010 found that 44.8% of deployed service members consumed at least one energy drink daily, with 13.9% drinking three or more per day (14). Of those service members reporting daily energy drink use, 56.6% consumed more than one energy drink per day. Thus, in comparison to similar aged civilian populations, energy drink usage in deployed service members is far higher. The study found no associations with rates of energy drink use and age, rank, branch of service, or marital status. The primary ingredient seen in energy drinks is caffeine. The caffeine dose seen in energy drinks varies, but is equal to or exceeds the caffeine content of typical coffee, and is far higher than what is seen in caffeine-containing sodas. The caffeine content of energy drinks ranges from 100 – 260 mg per 16 oz serving. By comparison, a standard 16 oz of black coffee contains 170 mg of caffeine, and 20 oz of soda contains 58 – 118 mg of caffeine (36). The caffeine content of some energy drinks is comparable to nonprescription caffeine medications. Numerous health organizations recommend adults limit their caffeine consumption to 500 mg per day (36). This may be difficult for regular consumers of energy drinks to monitor, as many energy drinks contain “natural” ingredients such as gingko biloba, taurine, ginseng, and guarana, and are regulated as dietary supplements, rather than beverages. Under the 1994 Dietary Supplement and Education Act, dietary supplements are not required to disclose caffeine content. High doses of caffeine have been linked to a variety of adverse effects, including increases in heart rate and blood pressure, as well as insomnia, headaches, nausea, and cardiac arrhythmias (32). The physiological responses to caffeine have been extensively studied in civilian and tactical athletes. Two recent reviews have evaluated caffeine’s role in endurance exercise performance (15,16). When used in moderate doses (3 – 6 mg/kg), caffeine significantly improved time trial performance in a variety of sports, including cycling, running, swimming, rowing, and cross-country skiing (15,16). The improvements varied widely, with no difference between modes or protocols (if >5 min in duration). Because habituation may compromise the ergogenic benefits of caffeine, it is recommended that athletes abstain from caffeine at least seven days prior to competition (15). To maximize the effect, caffeine consumption should begin no more than 60 min prior to the sporting event. More limited evidence supports the use of caffeine for team sports such as soccer, rugby, and field hockey, primarily by increasing intermittent sprint performance (15,16). The benefits of caffeine for strength, power, and muscular endurance performance are more controversial. One study examined the use of 5 mg/kg caffeine on National Football League (NFL) Combine performance (40). No significant difference was found in Combine performance with caffeine, though 59% of the subjects did see improved bench press/40-yard dash performance, and 47% improved in the 20-yard shuttle. By contrast, another recent study found that use of 5 mg/kg of caffeine in moderately strength-trained males significantly improved bench press performance to exhaustion and reduced muscle pain perception (11). One recent meta-analysis concluded that caffeine had a small but significant effect on maximal voluntary contraction (MVC) strength, with the benefits primarily seen in knee extensor muscles (39). A small benefit of caffeine on muscular endurance was also observed. Elite athletes may benefit more from caffeine consumption (1). Caffeine does not appear to have benefits for improving 1-repetition maximum (1RM) strength (2). In tactical athletes, several studies document the benefits of caffeine consumption for physical and mental performance (20,22,24,25,26,27,35). Caffeine provided in the form of capsules or gum significantly improved run time, run time to exhaustion, obstacle course performance, marksmanship, vigilance, and reaction time. Caffeine also significantly mitigated the effects of sleep deprivation. Caffeine use among U.S. Army soldiers averages 285 mg/day. Eighty-two percent of soldiers consume caffeine at least once a week (19). Interestingly, caffeine consumed as a powder, capsule, or gum may have greater benefits on performance than caffeine consumed as coffee (1,15,16). This may be due to organic compounds present in coffee which have been thought to inhibit caffeine utilization (1,15,16). There also appears to be a responder-nonresponder effect (1). Some subjects see large improvements from caffeine, others may see minimal or no effect. These high individual differences may be related to genetic differences in caffeine metabolism mediated by the cytochrome P450/adenosine receptors (1,8,7,31). NSCA’S TSAC REPORT | ISSUE 28 12 ENERGY DRINKS: HELP OR HYPE? Several studies have investigated the effects of energy drinks on sports/physical performance. One study found that an energy drink with a caffeine dose equal to 3 mg/kg significantly improved repeat sprinting ability and jump height in soccer athletes (9). Another study concluded an energy drink with 3 mg/kg caffeine significantly improved half squat and bench press maximal power (24). Other studies using energy drinks have documented improvements in time to exhaustion, VO2max, fatigue resistance, reaction time, and muscular endurance (5,12,21,29,33,38). One study found energy drink consumption resulted in a 10.8% increase in resting metabolic rate in young women compared to a placebo (30). One study in pilots reported an improvement in G-force tolerance using an energy drink, though performance in a simulated air combat maneuver was not enhanced (37). A smaller number of studies have reported no benefits of energy drinks on run time to exhaustion, repeated sprint performance, upper body strength, muscular endurance, or vertical jump height (3,4,6,13). The negative results in these studies might be explained by the lower doses of caffeine (1.0 – 2.1 mg/kg.) Such low doses do not appear to significantly improve athletic performance (15,16). those secondary ingredients invites caution on the regular use of energy drinks for enhancing tactical abilities (17). In addition, the high sugar content of many energy drinks (up to ¼ cup of sugar in a typical serving) slows gastric emptying, and will likely inhibit performance relative to a 4 – 8% carbohydrate sports drink (17). High consumption of energy drinks (three or more per day) has been associated with sleep problems among deployed U.S. service members (14). Based on the research to date, energy drinks would not appear to be the best choice for enhancing performance in tactical athletes. Instead, consumption of water and/or a sports drink with 3 – 6 mg/kg caffeine in either capsule, powder, or gum would appear to be a better option. If, for a specific event, consumption of the caffeine at least 60 min prior to the event, with at least 7 days abstention from caffeine has been suggested (15). Because of the high individual response to caffeine, it is best for athletes of all sorts to experiment with caffeine out of competition, in order to determine tolerance. Energy drinks, though popular, appear to be more hype than help to tactical athletes. ■ REFERENCES Energy drinks contain many ingredients in addition to caffeine, such as taurine, ginseng, B-vitamins, glucuronolactone, guarana, and glucose. A recent literature review of these other ingredients concluded that “with the exception of some weak evidence for glucose and guarana extract, there is an overwhelming lack of evidence to substantiate claims that components of EDs (energy drinks), other than caffeine, contribute to the enhancement of physical or cognitive performance,” (23). 1. Astorino, TA, and Roberson, DW. Efficiacy of acute caffeine ingestion for short-term high-intensity exercise performance: a systematic review. Journal of Strength and Conditioning Research 24(1): 257-265, 2010. One recent study tested whether or not the secondary ingredients in energy drinks enhanced performance (28). This study compared the consumption of a commercial energy drink (Red Bull®) with a control drink containing an equivalent amount of caffeine. The subjects completed two 10-min constant-load cycling bouts, at an intensity equal to the gas exchange threshold (GET.) Excess post-exercise oxygen consumption (EPOC) was also measured. Although both accumulated liters of O2 and EPOC were greater for the first than the second bout of cycling, there was no difference between the energy drink and placebo beverage. The authors concluded “these results indicate that the secondary ingredients contained in a single serving of Red Bull do not augment aerobic metabolism during or subsequent to heavy exercise.” In addition, many energy drinks contain high amounts of the amino acid taurine. A recent case report describing anaphylaxis associated with the artificial taurine in an energy drink highlights another potential caution regarding use of such products (18). 3. Astorino, TA, Matera, AJ, Basinger, J, et al. Effects of red bull energy drink on repeated sprint performance in women athletes. Amino Acids 42: 1803-1808, 2011. In summary, energy drinks do appear to enhance physical and cognitive performance. However, the effect seems entirely the result of the caffeine contained in the drink, not to any of the other secondary ingredients. Concerns about the health effects of 2. Astorino, TA, Martin, BJ, Schachtsiek, L, et al. Minimal effect of acute caffeine ingestion on intense resistance training performance. Journal of Strength and Conditioning Research 25(6): 1752-1758, 2011. 4. Campbell, B, Parker, B, Gomez, B, et al. The effects of a commercially available energy drink on vertical jump performance. Journal of Strength and Conditioning Research 25: S70, 2011. 5. Campbell, B, Wilborn, C, La Bounty, P, et al. International society of sports nutrition position stand: energy drinks. Journal of the International Society of Sports Nutrition 10(1): 16 pgs, 2013. 6. Candow, DG, Kleisinger, AK, Grenier, S, et al. Effect of sugarfree red bull energy drink on high-intensity run time-to-exhaustion in young adults. Journal of Strength and Conditioning Research 23(4): 1271-1275, 2009. 7. Cornelis, MC, El-Sohemy, A, and Campos, H. Genetic polymorphism of the adenosine A2A receptor is associated with habitual caffeine consumption. American Journal of Clinical Nutrition 86(1): 240-244, 2007. 8. Cornelis, MC, El-Sohemy, A, Kabagambe, EK, et al. Coffee, CYP1A2 genotype, and risk of myocardial infarction. Journal of the American Medical Association 295(10): 1135-1141, 2006. NSCA’S TSAC REPORT | ISSUE 28 13 ENERGY DRINKS: HELP OR HYPE? 9. Del Coso, J, Munoz-Fernandez, VE, Munoz, G, et al. Effects of a caffeine-containing energy drink on simulated soccer performance. PloS ONE 7(2): e31380, 2012. 10. Del Coso, J, Salinero, J, Gonzalez-Millan C, et al. Dose response effects of a caffeine-containing energy drink on muscle performance: a repeated measures design. Journal of the International Society of Sports Nutrition 9(21): 10 pgs, 2012. 11. Duncan, MJ, and Oxford, SW. Acute caffeine ingestion enhances performance and dampens muscle pain following resistance exercise to failure. Journal of Sports Medicine and Physical Fitness 52(2): 1-6, 2012. 12. Duncan, MJ, Smith, M, Cook, K, et al. The acute effect of a caffeine-containing energy drink on mood state, readiness to invest effort, and resistance exercise to failure. Journal of Strength and Conditioning Research 26(10): 2858-2865, 2012. 13. Eckerson, JM, Bull, AJ, Baechle, TR. et al. Acute Ingestion of Sugar-free Red Bull Energy Drink has no Effect on Upper Body Strength and Muscular Endurance in Resistance Trained Men. Journal of Strength and Conditioning Research (epub ahead of print) 2012. 14. Energy drink consumption and its association with sleep problems among U.S. service members on a combat deployment – Afghanistan, 2010. Morbidity and Mortality Weekly Report 61(44): 895-898, 2012. 15. Ganio, MS, Klau, JF, Casa, DJ. et al. Effect of caffeine on sportspecific endurance performance: a systematic review. Journal of Strength and Conditioning Research 23 (1): 315-324, 2009, 16. Goldstein, ER, Ziegenfuss, T, Kalman, D. et al. International society of sports nutrition position stand: caffeine and performance. 7(5): 15 pgs, 2010. 17. Higgins, JP, Tuttle, TD and Higgins, CL. Energy beverages: content and safety. Mayo Clinic Proceedings 85(11): 1033-1041, 2010. strength-power performance. Strength and Conditioning Journal 34(4): 11-16, 2012. 23. McLellan, TM, and Lieberman, HR. Do energy drinks contain active components other than caffeine? Nutrition Reviews 70(12): 730-744, 2012. 24. McLellan, TM, Bell, DG, Kamimori, GH. Caffeine improves physical performance during 24 h of active wakefulness. Aviation Space and Environmental Medicine 75(8): 666-672, 2004. 25. McLellan, TM, Kamimori, GH, Bell, DG, et al. Caffeine maintains vigilance and marksmanship in simulated urban operations with sleep deprivation. Aviation Space and Environmental Medicine 76(1): 39-45, 2005. 26. McLellan, TM, Kamimori, GH, Voss, DM, et al. Caffeine maintains vigilance and improves run times during night operations for Special Forces. Aviation Space and Environmental Medicine 76(7): 647-654, 2005. 27. McLellan, TM, Kamimori, GH, Voss, DM. et al. Caffeine effects on physical and cognitive performance during sustained operations. Aviation Space and Environmental Medicine 78(9): 871-877, 2007. 28. Pettitt, RW, Niemeyer, JD, Sexton, PJ, et al. Do the non-caffeine ingredients of energy drinks affect metabolic responses to heavy exercise? Journal of Strength and Conditioning Research (epub ahead of print) 29. Rahnama, N, Gaeini, AA, and Kazemi, F. The effectiveness of two energy drinks on selected indices of maximal cardiorespiratory fitness and blood lactate levels in male athletes. Journal of Research in Medical Sciences 15(3): 127-132, 2010. 30. Rashti, SL, Ratamass, NA, Kang, J, et al. Thermogenic effect of meltdown RTD energy drink in young healthy women: a double blind, cross-over design study. Lipids in Health and Disease 8(57): 7 pgs, 2009. 18. Lee, SE, Lee, SY, Jo, EJ, et al. A case of taurine-containing drink induced anaphylaxis. Asia Pacific Allergy 3(1): 70-73, 2013. 31. Sachse C, Brockmoller, J, Bauer, S, et al. Functional significance of a C--A polymorphism in intron 1 of the cytochrome P450 CYP1A2 gene tested with caffeine. British Journal of Clinical Pharmacology 47(4): 445-449, 1999. 19. Lieberman, HR, Stavinhova, T, and McGraw, S, et al. Caffeine use among active duty U.S. Army soldiers. Journal of the Academy of Nutrition and Dietetics 112: 902-912, 2012. 32. Sepkowitz, KA. Energy drinks and caffeine–related adverse effects. Journal of the American Medical Association 309(3): 243244, 2013. 20. Lieberman, HR, Tharion, WJ, Shukitt-Hale, B, et al. Effects of caffeine, sleep loss, and stress on cognitive performance and mood during U.S. Navy SEAL training. Sea-Air-Land. Psychopharmacology 164(3): 250-261. 2002. 33. Spradley, BD, Crowley, KR, Tai, CY, et al. Ingesting a preworkout supplement containing caffeine, B-vitamins, amino acids, creatine, and beta-alanine before exercise delays muscular fatigue while improving reaction time and muscular endurance. Nutrition and Metabolism 9(28): 9 pgs, 2012. 21. Lockwood, CM, Moon, JR, Smith, AE. et al. Low-calorie energy drink improves physiological response to exercise in previously sedentary men: a placebo-controlled efficacy and safety study. Journal of Strength and Conditioning Research 24(8): 2227-2238, 2010. 34. Svan, JH. Air Force studies effects of highly popular, supercaffeinated drinks. http://www.stripes.com/news/air-force-studieseffects-of-highly-popular-super-caffeinated-drinks-1.201067 Accessed 12/18/2012. 22. McCormack, WP, and Hoffman, JR. Caffeine, energy drinks, and NSCA’S TSAC REPORT | ISSUE 28 14 ENERGY DRINKS: HELP OR HYPE? 35. Tharion, WJ, Shukitt-Hale, B, and Leiberman, HR. Caffeine effects on marksmanship during high-stress military training with 72 hour sleep deprivation. Aviation Space and Environmental Medicine 74(4): 309-314, 2003. 36. Torpy, JM. Energy drinks. Journal of the American Medical Association 309(3): 297, 2013. 37. Walker, TB, Balldin, U, Fischer, J, et al. Acceleration tolerance after ingestion of a commercial energy drink. Aviation Space and Environmental Medicine 81(12): 1100-1106, 2010. 38. Walsh, AL, Gonzalez, AM, Ratamass, NA, et al. Improved time to exhaustion following ingestion of the energy drink Amino Impact. Journal of the International Society of Sports Nutrition 7(14): 6 pgs, 2010. 39. Warren, GL, Park, ND, Maresca, RD, et al. Effect of caffeine ingestion on muscular strength and endurance: a meta-analysis. Medicine and Science in Sports and Exercise 42(7): 1375-1387, 2010. ABOUT THE AUTHOR Guy Leahy is currently serving as the exercise physiologist at Davis-Monthan Air Force Base in Tucson, AZ. Leahy is a member of the ACSM (American College of Sports Medicine), NSCA (National Strength and Conditioning Association), and is CSCS® certified. Leahy is the author/co-author of over 30 professional articles, including original research which has appeared in publications such as the Journal of Strength and Conditioning Research, TSAC Report, Medicine and Science in Sports and Exercise, Nature, Science, and Scientific American. Leahy is also a columnist for the TSAC Report. He has presented at several conferences, most recently at the 2012 NSCA and ACSM Annual Meetings. He was also a guest speaker at the 2012 TSAC Conference. Leahy holds a Master of Education degree from Western Washington University and a Bachelor of Science degree from the University of Oregon. This author can be reached at Guy.Leahy@dm.af.mil. 40. Woolf, K, Bidwell, WK, and Carlson, AG. Effect of caffeine as an ergogenic aid during anaerobic exercise performance in caffeine naïve collegiate football players. Journal of Strength and Conditioning Research 23(5): 1363-1369, 2009. NSCA’S TSAC REPORT | ISSUE 28 15 ZZZUPXRKSHGX DGPLVVLRQV#UPXRKSHGX MASTER OF SCIENCE IN HEALTH SCIENCE 6SRUWV3HUIRUPDQFH The Sports Performance program involves evidence-based analysis of advanced physiological, musculoskeletal, and nutritional concepts specific to the development of the tactical athlete. This includes program design models based on improving tactical readiness. 3HGLDWULF([HUFLVH6FLHQFH The Pediatric Exercise Science program is geared for those individuals interested in becoming specialists in developing appropriate physical activity plans for inactive children who could benefit from enhanced health- and skill-related fitness. 352*5$0'($'/,1(6 Early Application Deadline: June 7, 2013 Semester Start: September 3, 2013 Advancing Knowledge, Advancing Healthcare