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Hello hockey friends and families around the world, and welcome to another edition of our kids play hockey powered by NHL Sensorina.
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I'm Lee Elias with Mike Benelli.
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Christy Casciano-Burns is on assignment today Really, she actually is but today's episode is all about the health of your kids and making sure that they are cognizant to their growing bodies and the correct and recommended types of workloads they should be taking in order to become the best athletes possible, while also making sure they preserve their bodies for the long run, something that, if you're listening to the show, you know what I'm talking about.
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To do that, we'd like to introduce you to Dr Addison Leonard-Lentz.
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She is the owner of Pain Relief and Physical Therapy in Havertown, pa, a suburb of Philadelphia, and is an expert in the field of physical therapy.
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Addison has a lot of distinctions that come with a lot of letters after her name, but for the purpose of not making this a 10-minute intro, we will just say that she is just shy of 15 years experience in the field of PT.
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She has over 10 years of experience coaching collegiate sports and she is the mother of four children.
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And for this show, addison, those are actually extremely high qualifications.
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I also want to mention that Addison is my PT doctor and she has pulled off what I consider to be two miracles, having fixed a severe back issue that I had, which helped me avoid surgery, and also extended the life of my severely injured left shoulder, which was a result of playing hockey, so that I can continue to play recreationally.
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Today, I really cannot thank her or the team enough for allowing me to play the game I love and, more importantly, reducing my physical pain significantly, significantly, and it was actually through that process that we discovered that we need to share some of her knowledge to help prevent this from happening to our kids, to my kids, to your kids, and also to prepare them for the rigors of sports as they continue through their youth.
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It's something that's really important, and I know that parents have a lot of questions.
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But before we get to those questions, addison, welcome to Our Kids Play Hockey.
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Thanks for having me.
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No, it's a pleasure.
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We've been wanting to do this for a while.
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Addison and I have an affinity for movie quotes.
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We'll try and keep them to a minimum here today while we talk about the important subject matter.
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But, addison, before we dive into the tricks of the trade, let's just talk about you as an athlete from youth for a minute here, because I know you've been involved in many team sports.
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Because I know you've been involved in many team sports, you're also very active today.
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What has your athletic journey looked like?
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Oh God, you name it, I've played it.
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So I probably started playing soccer when I was four, just because I had older siblings, so I always had to kind of play up.
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So I started off as a soccer, played soccer until I was about 12.
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When I was in third grade I decided to take up basketball.
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No one in my family played, it was just something that I loved.
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So I played basketball from third grade straight through college and then I started coaching college basketball.
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I was at Haverford College for 11 years and then I was at our signage for two, briefly taking a hiatus right now just because of my four young children, really hoping to kind of get back to that, just because I do miss it From there.
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I also played field hockey.
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So when I was in middle school I decided that I needed something else to do.
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So I played field hockey and basketball and then by the time I got to high school, I ended up doing cross country in the fall, basketball in the winter, and then I would do track in the summer.
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Uh, in my mind I just needed something to kind of keep me in shape for the sport that I loved.
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Um, it was just a different way to kind of just use different muscles, different, uh aspects of team sports, just because track and cross country are very different from basketball, very much a team sport but also very much an individual sport as well.
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So, um, but also had to learn so many different things because trying to stay stretched and stay warmed up for a track and cross country meet are so totally different than a basketball game.
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So yeah, it sounds pretty lazy to me, um, only doing a few sports with all those kids, but no, that, like, that's amazing.
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I wanted to qualify that because, um, like, anytime you bring a medical professional on the show, there's always the question of what have they done?
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What are they doing?
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You're just extremely well-versed in sports obviously, sports, physical therapy, and then, as I alluded to, in the open, you have done not only the education, but you also are heavily involved in educating new PT people, right, Because every time I come in, there's someone there that you're teaching, or someone there that's that's, uh, I guess in a residency of some sort.
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Um, you've extended into that, right.
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So so I don't know if you're still actively with a university or not, but you're always teaching every time I'm there.
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I am yeah.
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So, um, we we take students from every local university.
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Um, I mean, we do get some from out of state, but we we get a ton from um Widener to sales used to be you sciences but now is St Joe's just because they merged together so basically any local kind of area we take students in.
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So very much in the process of kind of teaching, educating them.
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I also am a adjunct professor for Tufts University, so I go up there two, three times a year for a week at a time just to it's a, it's their, their program's like 80% online.
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So they go up for two weeks at a shot every eight weeks.
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So it's a very heavy in-person manual based, so able to kind of put our niche on how we treat, to kind of help progress them.
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I also involved in Maitland seminars, so the hands-on therapy that we do in our clinic is a very specific niche so I actually teach for them as well.
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So not only do I educate physical therapy students, I also then help educate physical therapists to kind of better their skills in manual therapy.
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Yeah, and you only have the four kids.
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That's it, just the four.
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And remind me their ages Again, they're young, I know that.
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They are.
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So I have a five-year-old, I have a three-year-old, and then I have one-year-old twins.
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Right, I'm just going to give the collective audience of the show a minute to breathe, as they've heard that.
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So, addison, this is what's funny Our co-host, christy Cascio on a Burns one.
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Yeah, but it's a good question, mike, it's a good question.
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So, christy, and we would like to know this is kind of a hot button topic right off the bat, edison but how soon is too soon?
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And she says age for off-ice gym programs, what kind of wear and tear on young muscles and joints if doing too much too soon, what could?
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And joints, if doing too much too soon, what could happen there?
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And what's a better alternative for youth athletes, 12 and under, to stay physically fit in the off season?
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Now, again, I don't think we need to make this hockey specific, but more of there's a lot of questions about you know, what is too soon for someone to be in a gym or working out and what is the, from your opinion, from your professional opinion, the process for a youth athlete to kind of get into this world?
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opinion, the process for a youth athlete to kind of get into this world.
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So the biggest thing to kind of think about is diversity in sports.
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So there is a lot of research out there that goes to show that young athletes who specialize too soon actually run the risk to have more injuries.
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So this kind of looks back to, if you look at people that would everyone would know the most If you look at a LeBron James, an Allen Iverson, a Michael Jordan, the big names out there even we'll go Kobe Bryant, just to the local area people who know those names they did not specialize in a sport.
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Not one of them specifically played one sport their entire lives.
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They switched from basketball to football to baseball.
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I mean, everyone knows the story about Michael Jordan.
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He didn't make his high school basketball team so he did other things.
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So a lot of research out there just goes to show that if you specialize too early, too soon, you actually run the risk of injuring yourself more just because it's too much repetitive motion to a growing child.
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We don't finish growing until we're in high school.
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Some men grow up until they get to college.
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So when you're still growing and you're still trying to mature into your body.
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When you're putting all those extra stresses to an area, you're just asking yourself to have those injuries.
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You see it mostly in those baseball players, especially those young pitchers, who think that, which is not a problem.
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It's just you're seeing more of the stresses on your elbow and your shoulder because we're not, we're not done growing, so you're still lax, you're still trying to have those uh ligaments, those tendons, those joints kind of form together.
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Um, honestly, your recommendations of like going into a gym or doing all that type of stuff probably won't even start until you are in middle school, just because at that point you are just so young, so susceptible to any type of injury.
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It doesn't say that you can't be more involved in one sport versus the other, but it is extremely important to do different sports because it allows your body to have those changes.
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You know, go ahead, Mike.
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No well, the baseball analogy is great analogy.
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I think you know my, my son played baseball growing up and it was always I always laughed because I I'm immersed in what Addison is talking about, right?
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I mean, I think, from a hockey perspective, I think one of the sports by far that have done the best job of the reeducation of parents and coaches is USA hockey.
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I mean, they're they really have led the charge in their long-term athletic development model to play other sports.
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Now do we follow those guidelines?
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Great, I would probably venture to say we don't, but at least the science is out there, right?
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So I used to have these debates with you.
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Addison mentioned, uh, pitchers syndrome, right, with these young kids, and my son was a catcher and the stress that you put on your hips and your legs and your back and he was the only catcher, like he's the only kid that wanted to play catcher.
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So I would have these debates with the coaches.
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Like he can't play catcher the whole game.
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I'm like he's throwing more pitches back to the mound than any single pitcher you have in the whole rotation.
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So I think that that that education piece has to come from a, you know, an overuse, injury perspective, not just position, cause we see it in goalies too.
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I mean, we've seen just this year alone multiple NHL goalies, college goalies, having to sit out with real big you know, hip issues and labrum issues and things like that.
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That.
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That really can't just be contributed to genetics.
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There has to be, there's, there's other underlying circumstances in that.
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Well, and I'll say to Mike, this might be a more of an opinion based question for the whole group here but I'm trying to figure out when we made the shift and why we made the shift from when we were all growing up playing a hundred different sports to now that there is like this FOMO of if you don't play hockey year round you're going to lose something and it might.
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I mean it's it's silly to think about.
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Right, like kids are so resilient If they're active year round, they're just going to be good athletes.
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There's nothing you're missing over the spring or summer that you're not going to pick up again in two weeks at the start of the season in August or October.
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So I'm kind of putting that out there to the whole group here.
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I'm curious of why this is happening, why there's this FOMO, why organizations kind of create I don't think intentionally but this well, you got to play spring and summer If you want to play in the fall.
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If you don't do this, you might not make.
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I mean.
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Because it's us.
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It's us, it's the people that want to make the money.
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It has nothing to do with kids' development.
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It has nothing to do with long-term athletic development success.
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Allison Addison just mentioned it.
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She's like well, the facts are the facts.
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The facts show that if you're a more diverse student or athlete at the youngest levels, the chances of success at the high like if you wanted to do everything you could to get your kid to be a pro, like that was your only goal you, the kid comes out of the womb is like this is going to be a pro hockey player.
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The worst thing you could do is put them into that sport right all the time, year round.
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You know for, and we, and and addison, maybe you could even mention you know some of the athletes you've had.
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I mean we, because we see it in like once you, what's your prime?
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Like in gymnastics 13, like you know it's like.
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So those scales are different and hot in our hockey world.
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You, you know the late bloomer is the normal bloomer.
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Like the 17, 18, 19-year-old phenom is normal compared to gymnastics.
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Maybe swimming, you know you could go with running as well.
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I mean a lot of people who are runners and swimmers.
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They peak so early because they practice so much.
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My younger brother was a swimmer.
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I mean he swam before school and after school.
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I mean it was Michael Phelps was the first person to say it he ate so much during a day because he swam so much during a day.
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We used to have a running joke with my younger brother and his friends.
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We called it the Burger King diet.
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They would go to Burger King twice a day and lose weight and we're like how is that possible?
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Like you're eating the worst foods under the sun but you're still losing weight?
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And it's because he was swimming eight 9,000 yards a day.
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I mean you're in water, so it's gravity eliminating, so it's putting less stress on your body, but it's still providing all of those injuries.
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You're seeing those shoulders, those knees, those ankles.
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I mean he swam in college.
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He had a scholarship, a swimming scholarship, but he was so burnt out by time he was a junior in college.
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He just lost the love for it, um, which unfortunately, I feel like and he started swimming when he was really little.
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They saw something in him and they knew that he'd be a good swimmer.
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So he played soccer, but he mainly focused on swimming because he was good at it.
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And now I can tell you, the last time I've seen my brother get in a pool, he just he could care less to do it.
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He has no desire to get in there.
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And most of his friends the exact same way.
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They're burnt out they're.
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They're the stresses on their shoulders, their knees.
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There you see, with runners, as they get older, I mean you're seeing so many injuries of women and men in their forties, fifties, sixties, because their bodies are just so burnt out, because it's just the amount of stress on on their joints.
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I just wanted to add one thing to Christie's question, cause I thought it was a good one that that 12 and under um, I think this specifically was a better alternative for young athletes to stay physically fit in the off season.
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So I guess first we have to determine is there an off season, right?
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And then you know in the sport that you're in and I think, more importantly, what I see mostly out of the people that I try to educate myself with it's that there's no 12 and under kid that needs like a physical fitness personal trainer.
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Like activity is what is the best thing.
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Would we agree to that?
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Like activity is what is the best thing.
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Would we agree to that?
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I mean that just being active in whatever you're doing is more important than a sports specific type trainer.
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Oh, absolutely.
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I mean, should there be an off season?
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100%.
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Should you just be able to go outside and play with your friends?
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That's enough active being that you need, like you're going to go play a pickup game of basketball or you're going to go just throw the football around or you're going to go do that.
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I mean that's enough physical activity for a 12 and under young boy or young girl.
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That it's, that's all you need.
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It's just the movement.
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It's not the stress of, yeah, let's go to the gym, let's go do this.
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I mean, you see it, those gyms that specifically work on agility.
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What do you need that for?
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I mean, you're young, you're little.
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Once you're older, does that make sense?
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Absolutely, but you're getting that same movement, just going playing with your friends.
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Go play tag, go play football, go play basketball.
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It's the same quick, high intensity movements, but you're having fun with it and you're enjoying it.
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You know it's funny guys.
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I'll bring this up real quick too.
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You know, my daughter came up to me the other day and she was asking me about, like in preschool, why they don't do the same type of schoolwork that they're doing now.
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It was kind of an innocent question and she said, well, we just played all day.
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And I said, yeah, well, that's what they wanted you to think.
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I working on gross motor skills and the other types of things, and it's a very diverse environment in terms of what they make you do.
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And we lose the patience with that as soon as they get into organized sports.
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And the truth is this it's no different than preschool.
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You should be trying and doing different sports, different things.
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I always like to mention too that, look, while we all love sports here, there are other extracurricular activities as well, like music and plays, and you know, to me these are also part of the well-rounding of a kid.
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Again, they're not as physically active, but they are something else to do.
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Another thing I thought Addison, you'll find this funny.
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So both of my kids are now playing baseball and softball and they're enjoying it.
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They're not fighting it, they want to go to the field.
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But Mike softball, and they're enjoying it.
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They're not fighting it.
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They want to go to the field.
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But, mike, this will make you laugh.
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We're about three weeks removed from the hockey season.
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They both came up to me recently and said so when are we?
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When are we playing hockey again?
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Like, when are we getting on the ice again?
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And it's actually music to my ears because if they don't try other things, they don't experience the missing of this sport.
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And this is also how you cultivate love of a game.
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Addison, you mentioned Allen Iverson.
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We talked about this, actually, in your office not too long ago.
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There's probably a better football player than a basketball player.
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A lot of people don't know that, right, like, he could easily have been in the NFL, right, but he loved basketball, right, and he talks about how much he loves that game, right.
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I don't always like to categorize the greatest of all time in our conversations.
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I think he's a great example, but the truth is this Any professional athlete, even the one you jar at home for being horrible who's not horrible played multiple sports.
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They all do.
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No, and they were the best at those sports.
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Right?
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That's a funny thing like people miss the fact that the, the worst player in nhl, was the best athlete in anything ever played against hometown like they're.
00:17:32.929 --> 00:17:34.115
Like I couldn't play against that kid.
00:17:34.115 --> 00:17:35.986
He was the best athlete we ever saw in my life.
00:17:35.986 --> 00:17:36.548
Because they're not.
00:17:36.548 --> 00:17:39.421
They're freaks of nature like this is just like a normal human being.
00:17:39.421 --> 00:17:40.442
Now, they didn't.
00:17:40.442 --> 00:18:07.080
It's not that they didn't work hard but, to addison's point, they probably did things to build the base of their development through multiple sports and multiple activities and multiple experiences to get them into the place where they ultimately wanted to be sport career.
00:18:07.080 --> 00:18:26.990
And you said, hey, by the way, whether if you don't make it to pro, you're probably going to have joint pain, you're probably going to have broken bones, you're probably going to have some kind of issues with, you know, your sinuses and your ears and your head and you're going to have all kinds of multiple injuries your hair will your life because because you know the wear and tear you put on your body and and no preventive maintenance going on because you're playing a year-round sport.
00:18:27.451 --> 00:18:47.349
Nobody looks at those kind of things and they just say the end game is I want my son or daughter to play Division I athletics without really knowing what goes into that ultimately down the road and I'm not talking about a 16-year-old parent, I'm talking about a parent of a seven year old- yeah.
00:18:48.502 --> 00:18:50.047
And it's just a funny it's.
00:18:50.047 --> 00:19:07.771
I think one of the things I think that we all knew need to do a better job in sport is making sure that the people that run the sports are as educated as possible to discuss these things, because I think a lot of parents go in blind and they shouldn't, you know, have to research.
00:19:07.771 --> 00:19:13.480
I mean, the whole idea of joining an organization is that you're trusting the fact that that organization has the best interest of your student athlete.
00:19:14.323 --> 00:19:34.111
I hope yeah, you know, it would be cool to see more hockey organizations team up with local baseball, basketball, tennis, whatever, pickleball doesn't matter organizations for more of a year round program where they could feed athletes to each other, because I think ice hockey is also a great sport for other athletes, right For baseball players and basketball players to teach them.
00:19:34.111 --> 00:19:47.693
Let's just round this segment out by saying this and Addison correct me if I'm wrong All studies and research, all of it we preach this all the time points towards you must play multiple sports if you want to be a great athlete.
00:19:47.693 --> 00:19:55.193
And I don't believe there's anything out there that says, before the age of 12, that sports specific mentality is beneficial.
00:19:55.193 --> 00:19:57.405
Is that, from your knowledge, all correct?
00:19:58.107 --> 00:19:58.328
Yeah.
00:19:58.829 --> 00:20:01.297
Okay, so confirmed, go ahead.
00:20:01.297 --> 00:20:05.421
You can continue on that if you want affirmed.
00:20:05.441 --> 00:20:06.385
Go ahead, you can continue on that if you want.
00:20:06.385 --> 00:20:15.573
I just going to say I mean the reason I say that is I had literally just spoken with two different doctors and a sports psychologist about that subject, and I mean they also were on the same kind of background that we are.
00:20:15.573 --> 00:20:17.846
It's just, there's no reason for it.
00:20:17.846 --> 00:20:18.970
You're just creating.
00:20:18.970 --> 00:20:28.894
Not only are you creating an unhappy, unhealthy lifestyle for your child developmentally, but mentally as well, because then you feel like you are, this is what they have to do.
00:20:28.974 --> 00:20:29.919
So they have no enjoyment.
00:20:29.919 --> 00:20:31.584
They feel like they can't go play with their friends.
00:20:31.584 --> 00:20:47.705
They feel like I have to practice this many days a week and just to go shoot a basketball or go on the ice rink and just skate around with my friends or do this I can't, because my focus is I'm going to get to the NHL or I'm going to get to the NBA or the NFL, and it just completely.
00:20:47.705 --> 00:20:58.388
Just their psyche just changes and then their nutrition changes and then so not only does it just deal with the physical aspect of it, which I see, you then have that other aspect along with it.
00:20:58.388 --> 00:21:01.847
You have the nutritional aspect, you then also have the psychosocial aspect of it.
00:21:01.847 --> 00:21:07.950
So it just becomes this huge kind of rotational force of it's not healthy to do.
00:21:07.950 --> 00:21:12.523
There's too many aspects that it changes along with just your physical wellbeing.
00:21:13.586 --> 00:21:15.471
I know Lee wants to get off the subject, but I can't yet.
00:21:15.471 --> 00:21:36.622
So, as we're speaking, can we just maybe discuss then the fact that I can't get away with the comment that no, no, no, my kid's a multi-sport athlete, but he does the other sport during all of the hockey year round that I'm doing, like so.
00:21:36.622 --> 00:21:40.432
So a lot of people will claim to me like no, no, my mike, my kid's a multi-sport athlete.
00:21:40.432 --> 00:21:41.903
He plays lacrosse and he plays.
00:21:42.123 --> 00:21:51.224
You know, he's a track and field star, and they did it and I'm like you're always playing hockey, so you're never, never allowing that piece of your body to shut down.
00:21:51.224 --> 00:21:53.111
And because I, I agree with you.
00:21:53.111 --> 00:22:08.173
I mean, I think, if you know, like I, I, I personally push kids that I work with to like lacrosse, I think, mentally, spatially, a lot of the things you're doing, lacrosse complement hockey, in my opinion, and soccer the same thing.
00:22:08.173 --> 00:22:16.150
So in an ideal world for me, it would be like a soccer kid goes to hockey and then goes to lacrosse, but not on Wednesday.
00:22:16.150 --> 00:22:18.684
You know what I'm saying and that's what we see now.
00:22:19.020 --> 00:22:30.567
On Wednesday we see the kid leaves his soccer trainer, he runs over and does lacrosse and then he runs in with his cleats on to hockey and he's considered a multi-sport athlete.