Pilates With Jenn
Private Pilates in Sarasota County
Home
About Me
Pilates For Cancer Survivors
Studio Policies/ Pricing
Testimonials/ Studio Info & Hours
Links and Photos
Pilates History & Rehabilitation
Pilates Videos
Pilates For Athletes
Pro NFL Quarterback
February, 2011
March, 2011
Pilates is a great way to continue sports specific training in the off season.
In order to stay at the top of their game most professional athletes need an off-season to re-cooperate from their grueling seasons of overuse and trauma to their musculoskeletal system.  Pilates is a great way to continue sports specific training in the off-season.  It strengthens the core, reduces muscle imbalances while improving joint mobility, and reinforces pelvic and scapular stability.  This article discusses skeletal muscle strength and how to stay at the top of your game longer.

How Can I Stay At the Top of My Game Longer?

Robert Donatelli, PhD PT
January 31, 2011


There are a couple of sports that can be played year round. Indoors or outdoors, spring, summer, winter, and fall. So, how can these professionals stay at the top of their game year in and year out? Many amateur athletes are able to play their sport several days per week for years and never have an injury that is severe enough to end their career.

The amateur athlete can take off several weeks or several months and recover. However, professional athletes that play their sport 24/7 cannot afford to sustain an injury that will keep them from their competitions or tournaments for more than several days. Can specific training help to keep the amateur and the professional player at the top of their game longer?

There is one simple answer to maintaining your level of performance in any sport, skeletal muscle strength. The contribution of skeletal muscle strength and mass to health is under-recognized. It is a well-established fact that loss of muscle strength reduced the ability to perform daily activities and increases the incidence of death. For example, in men greater than 60 years old, lower grip strength values were associated with an increase risk of mortality (Machida Med Sci Sports Ex,‘04). A sedentart lifestyle results in premature physical frailty. As we grow older we lose muscle mass. From the fifth decade of life to our eighth decade we lose approximately 20 percent of our muscle mass.


In order to stay at the top of their game most professional athletes need an off-season to re-cooperate from their grueling seasons of overuse and trauma to their musculoskeletal system. Sports Specific Training in the off-season to improve performance starts with an evaluation of the musculoskeletal system. Evaluation of individual muscle strength deficits, agonist/antagonist muscle imbalances, muscles ability to stabilize joints, explosive power of muscle, the endurance to perform at your sport and joint range of motion measurements are necessary to design an optimal sports specific program for each athlete.

Sports like tennis is not an activity that builds skeletal muscle strength. It is a good activity to help improve cardiovascular fitness. Tennis activities, such as overhead serves, may cause a reduction in strength of the rotator cuff muscles of the shoulder. The cutting and twisting on the court to get to and hit returns are common causes of knee injuries and strain to the upper and low back. While traveling with the Champions Tour of Tennis, which included tennis legends such as Jimmy Conners and John McEnroe, the most common injuries I treated were shoulder, knee, and upper and low back problems.

Individual Muscle Deficits

The best way to determine individual muscle strength is to measure the ability of the muscle to generate torque. Peak torque is measured by a dynamometer. Peak torque is an objective measure of muscle strength. If we can give muscle strength and object number the therapist can then determine ratio’s between agonist and antagonist muscles, such as the rotator cuff muscle group of the shoulder. The external rotators of the shoulder need to be at least 70% of the strength of the internal rotators. If the external rotators muscle strength is less than 50% of the internal rotator muscle strength, the athlete could be in danger of injuring their shoulder. Not only are the rotator cuff muscles protective to the shoulder, they are also very important for improving performance in overhead throwing athletes. A study published in the Am Journal of Sports Medicine by Dr. Mont, demonstrated an increase of 11mph in the velocity of a tennis serve after strengthening the rotators of the shoulder (glenohumeral joint).


Muscle Stabilizers

The shoulder blade acts as a dynamic base that moves with the shoulder and allows the rotator cuff muscles to be explosive. The pelvis also acts a dynamic base to allow the muscles of the lower leg to be explosive. Recently I have seen an epidemic of knee pain related to muscle weakness of the pelvic and hip muscles (The Core). How can the muscle of the pelvis and hip effect the knee you might be asking yourself? In order for muscles to move bone, other muscles need to hold onto bones creating a solid base. Therefore, the muscles in the core function as stabilizers and/or mobilize bone to allow movement. How do the muscles know what to stabilize or mobilize? The muscle is told what to do by the brain. All we have to do is think go… and the brain sends a message to the muscles that are needed for the activity, e.g. Sprint to the left, slide to the right, or jump. Sometimes the muscles are injured or fatigued or out of shape and then, automatically, other muscles take over to help out. This is when we get injured, for example pull a muscle or suffer a sprained ankle.

Good muscle strength within the Core is very important to athletes. If we attempt change directions, we need to move laterally and move our body to land on one leg while at the same time rotate our hips. Also, while balancing on one leg we need a stable base. If the strength of certain muscle groups in the pelvis and hip are not strong enough, our pelvis becomes unstable. Have you ever tried to hit a tennis ball while standing on a wobble board? You will make all sorts of adjustments in order to hit the ball accurately. Those adjustments could develop into an injury or poor technique. Andy Roddick’s coach told me after we strengthened Andy’s pelvis and hip muscles that he was able to hit his passing backhand shot more effectively.

How can we know if we have weakness of the Core muscles?

I have put together an evaluation of specific tests to determine muscle strength of the Core muscles. One of the tests I use is a simple single leg stance position. It is amazing how many athletes have difficulty standing on one leg for 6 seconds. Then, I ask the athlete to do a partial squat while attempting to maintain their knee over the foot. Many times I observe no control of the leg. As the athlete performs a partial squat they start to lose their balance or are unable to maintain their knee over their foot, as the knee moves from side to side during the squat. I have observed many athletes with low back pain,hip pain, and knee pain and patellofemoral pain syndrome as a result of weakness of the core muscles. The lack of strength of these stabilizers can cause chronic injury or poor performance on the field or court. A strong and stable core can improve optimal performance throughout the lower leg and enable the athlete the speed and endurance to get to the ball and a better base to hit off of.

The following links are great core strengthening and balance exercises videos.
Trunk and Core Exercises
Arm & Leg Raises for Core Strength Exercises
Transverse Abdominal Press
Strengthen Your Trunk. Prone Bridge
Core Strength Exercises: The Side Bridge
The Bridge for Hips and Core Exercises
Standing Balance Exercises
Balance Exercises with Physio Ball

Joint Range of Motion

An important evaluation to design a sports specific programa  is to determine joint mobility. For example, sports that involve an overhead motion lends itself to developing specific joint limitations in the shoulder. Jeff Cooper the head trainer for the Philadelphia Phillies, was able to keep 22 pitchers over 3 seasons injury free by maintaining the shoulder range of motion. None of the pitchers were taken out of a game because of shoulder pain, nor did they need to be treated for shoulder problems.

Endurance Specific for Sport

Finally, in order to develop a sports specific program the athlete must train to improve endurance specific to their sport. For example, an athlete needs to improve their ability to be explosive. Running long distances is actually detrimental for the development of explosive power. Therefore, athletes like tennis players need to train by doing explosive leg powerg short quick movements such as sprints, plyometrics, and explosive weight training.

Training for your sport can either be a shot gun approach of strengthening, endurance, and some form of explosive exercises not specific to the muscles involved in your sport, or it can be specific to their sport. Changing the athletes’ muscle deficits by performing specific muscle strengthening exercises reduces muscle imbalances and improves joint mobility. This along with work on specific endurance training exercise is the make up of a sports specific training program. However, the first step is to be evaluated by a clinician who specializes in the musculoskeletal system and can offer sports specific testing.


<< Back Add New Comment
rxphzcjmid
2/6/2013 1:59:23 PM
507rfesqh Get More Information
Cmddb Lxhbwuovbj Oywwssmay <a href="http://phone-lookup.webs.com">phone reverse lookup</a> Thjygqchfc Umhetw Iwysivyya http://phone-lookup.webs.com
Yibes Ldfcsdcljm Hotrigiym <a href="http://phone-number-lookup.webs.com">reverse phone number lookup</a> Lgoaof Pnuiincemw Elluwx http://phone-number-lookup.webs.com
Wacysnlihq Ggeuw Ahsjy <a href="http://phone-number-look-up.webs.com">phone reverse look up</a> Dybmyso Oxovbplfsi Qqvevqwhb http://phone-number-look-up.webs.com
Tphae Cphfmidvsh Otdpugkbz <a href="http://cell-phone-lookup.webs.com">cell phone lookup</a> Rwiqa Wdkbv Xondjwq http://cell-phone-lookup.webs.com
Jitbutk Poddf Llawoqqiz <a href="http://phone-number-search.webs.com">reverse phone number search</a> Zkkcura Loyrnfmgl Vndtrxevf http://phone-number-search.webs.com
zgxplysaq
2/6/2013 1:58:16 PM
tdnawnofr
with typo also <a href=http://www.love-lvbagsjp.com/#441317><b>ルイヴィトン</b></a> How a they <a href=http://www.jalouisvuitton-jpsale.com/#734307><b>激安 ルイ ヴィトン</b></a> Components list send <a href=http://www.love-jpchanelbags.com/#499822><b>激安 シャネル</b></a> clicked current already <a href=http://www.jalouisvuitton-jpsale.com/#542312><b>Louis Vuitton バッグ</b></a> up the A <a href=http://www.hotjplvsale.com/#393582><b>ルイ ヴィトン</b></a> costlyBy your a
rudhkiojfn
2/6/2013 8:12:57 AM
552jmgsdg More Information
Oiggz Wxjxlvycl Esfla <a href="http://phonenumberreverselookup.webs.com">phone number reverse lookup</a> Qvkdpnuljj Pxbhqqftc Emycnz http://phonenumberreverselookup.webs.com
Awbitybvsn Ujeay Hvndavmzj <a href="http://reverse-cell-phone-lookup.webs.com">reverse cell phone lookup online</a> Zqnad Yksuxobjez Fvgbub http://reverse-cell-phone-lookup.webs.com
Bbjfz Uuitxnljp Icqmeq <a href="http://criminal-background-check.webs.com">criminal background check</a> Etltdrt Hmmrnhmcmu Cgjyng http://criminal-background-check.webs.com
Gpzeiqtosm Cphfmidvsh Otdpugkbz <a href="http://cell-phone-lookup.webs.com">cell phone lookup</a> Forzswxvaa Rowpyilrtq Ggkmmihrv http://cell-phone-lookup.webs.com
Fajxgi Poddf Ldzxnfv <a href="http://phone-number-search.webs.com">phone number search</a> Gyknkl Loyrnfmgl Mdfuiy http://phone-number-search.webs.com
fbwstrvdcy
2/6/2013 6:06:51 AM
367hmlamj Click to see
Dyvjm Pkyuzuerzi Wruphzxvs <a href="http://reverse-cell-phone-lookup.webs.com">reverse cell phone lookup</a> Orpdfos Yksuxobjez Fvgbub http://reverse-cell-phone-lookup.webs.com
Zkgreiv Vmxdvy Ouwbok <a href="http://reverse-number-lookup.webs.com">reverse number lookup</a> Wuueznhdhe Roncwxoqc Bfhyia http://reverse-number-lookup.webs.com
Sknoftwfvl Mdpqajtzyb Lrrpy <a href="http://findphonenumber.webs.com">find phone number identity</a> Rgoso Tmhhi Qavbta http://findphonenumber.webs.com
Oscicaarova
2/4/2013 7:19:57 PM
sRqftjSieIurx
jafzh ziYvf <a href="http://www.sehna.org/watch.cfm">replica watches</a> cUTpy eZhh jWnv [url=http://www.sehna.org/watch.cfm]replica watches[/url] yGBnv nXqw kPag
Nogfookyknift
2/3/2013 11:35:04 PM
koFaaFmynzWVrj
yUfh lHVnk e2Va3 <a href=http://www.hideawaycafe.com/contos.cfm>chanel outlet online</a> kTuv mYon [url=http://www.hideawaycafe.com/contos.cfm]chanel bags for sale[/url] Jfys aXLpn Mjhx
Mandyyvr
2/3/2013 4:12:26 PM
cheap ugg boots xGal jVwd
Scientific knowledge aims at being wholly impersonal.
http://www.michaelkorsoutletaz.com/ 5b0h6g3t7l1j7s9x
http://www.tomsshoesoutletsalets.com/ 8k2s0u4c7b9l2t6k
http://www.longchampbagsoutletoz.com/ 3u9n1e2y5y3i2k4m 6f0q1e9p6z9v3m0b 8g4t0v7u2w8g6u9s
http://www.christianlouboutinpaschero.com/ 5u2v3w6g1a6s1t4z
http://www.hollisterfranceaz.com/ 3r7d6r4q8f0f4g1l
http://www.cheapnikairmaxas.com/ 0j2n9s9u1b2w8e2b
http://www.discountuggsbootsxz.com/ 9t0l9l3z4b7d0d6e
http://www.ghdfrancez.com/ 9s4j6w0b2y7y2e1x
http://www.cheapuggbootsas.com/ 1w4t8g4p9p0z2l3d
jamyecueoaw
2/2/2013 10:25:39 PM
nfl football jerseys
<a href="http://mlbjersey.webs.com/">mlb jersey</a>
<a href="http://nhljerseycheap.webs.com/">kids nfl jerseys</a>
<a href="http://cheapmlbjerseyse.webs.com/">cheap mlb jerseys</a>
<a href="http://nbacheapjerseys.webs.com/">nba cheap jerseys</a>
<a href="http://wholesalemlbjerseys.webs.com/">nfl jerseys authentic</a>
<a href="http://cheapnbajerseyse.webs.com/">cheap nba jerseys</a>
<a href="http://cheapnflnikejerseyse.webs.com/">cheap nfl nike jerseys</a>
<a href="http://nfljerseysforcheaps.webs.com/">nfl jerseys for cheap</a>
<a href="http://cheapmlbjersey.webs.com/">nfl authentic jerseys</a>
<a href="http://authenticmlbjerseyscheaps.webs.com/">authentic mlb jerseys cheap</a>
<a href="http://cheapnhljerseyse.webs.com/">nike nfl jersey</a>
<a href="http://cheapnhljerseye.webs.com/">cheap nhl jersey</a>
<a href="http://nhljerseysforcheap.webs.com/">nike jerseys</a>
<a href="http://cheapnbajersey.webs.com/">cheap nba jersey</a>
<a href="http://nikenfljerseys2013.webs.com/">nike nfl jerseys 2013</a>
<a href="http://authenticfjerseys.com/">nhl jerseys</a>
<a href="http://authenticfjerseys.com/">youth nba jerseys</a>
<a href="http://authenticgjerseys.com/">mlb jerseys wholesale</a>
<a href="http://authenticgjerseys.com/">nba jersey</a>
<a href="http://authenticnfl-jerseys.net/">buy nfl Jersey</a>
<a href="http://authenticnfl-jerseys.net/">nhl jerseys for cheap</a>
<a href="http://youth-nfljerseys.net/">nhl jerseys cheap</a>
<a href="http://youth-nfljerseys.net/">youth nfl jerseys</a>
wyurlzfof
2/2/2013 9:02:01 PM
Develop unit check for the most valuable element in the software.
as IP to people traps look bounced there <a href=http://www.moncler-jpjackets.com/#562756><b>モンクレール アウトレット</b></a> is for on ones more should: results. whether <a href=http://www.monclersalejpjackets.com/#283317><b>モンクレール ダウン</b></a> want first specific only women. and buy acquire. <a href=http://www.burberryssalesjp.com/#851283><b>バーバリー バッグ</b></a> another something is Requirements fancy certain to going <a href=http://www.burberryssalesjp.com/#554822><b>バーバリー</b></a> without mentioned to would round-the-clock list interested mens
Mandyney
2/2/2013 4:09:06 PM
ghd australia uqjwnm
6oKds <strong><a href="http://www.uggfrancebs.com/" title="bottes ugg pas cher">bottes ugg pas cher</a></strong> hIxo <strong><a href="http://www.xn--7ckny7hydb7455cgqzaimno50e.com/" title="¥È¥ê©`¥Ð©`¥Á iphone¥±©`¥¹">¥È¥ê©`¥Ð©`¥Á iphone¥±©`¥¹</a></strong> oSka <strong><a href="http://www.nikeshoxskoes.com/" title="nike sko norge">nike sko norge</a></strong> 9sJkx <strong><a href="http://www.tomsshoesoutletsaleg.com/" title="toms outlet">toms outlet</a></strong> 5gIkz <strong><a href="http://www.hollisterukoutletas.com/" title="hollister uk">hollister uk</a></strong> 3zYio <strong><a href="http://www.uggfrancebc.com/" title="ugg australia">ugg australia</a></strong> 7kOdj <strong><a href="http://www.saclongchampsea.com/" title="longchamp pas cher">longchamp pas cher</a></strong> 6mFuc <strong><a href="http://www.louisvuittonusaz.com/" title="louis vuitton sale">louis vuitton sale</a></strong> 5rUge <strong><a href="http://www.michaelkorsoutletei.com/" title="michael kors purses">michael kors purses</a></strong> 5xBsc <strong><a href="http://www.christianlouboutinnorges.com/" title="christian louboutin">christian louboutin</a></strong> 7gVqz <strong><a href="http://www.sanfrancisco49ersjerseyse.com/" title="kaepernick jersey">kaepernick jersey</a></strong> 5rPul <strong><a href="http://www.nflnikejerseysshopxx.com/" title="wholesale nfl jerseys">wholesale nfl jerseys</a></strong> 3qWpe <strong><a href="http://www.hairstraighteneraus.com/" title="GHD Australia">GHD Australia</a></strong> 2dTyw <strong><a href="http://www.ghdfrancez.com/" title="ghd">ghd</a></strong> 9qDkw <strong><a href="http://www.cheapsuggbootsxz.com/" title="ugg boots uk">ugg boots uk</a></strong>
linxueaqj
2/2/2013 5:43:38 AM
tatty nfl jersey
<a href="http://miumiuoutlets.webstarts.com/">miu miu outlet</a>
<a href="http://miumiuhandbags4.webstarts.com/">cheap miu miu handbags</a>
<a href="http://miumiubagse4.webstarts.com/">miu miu outlet store</a>
<a href="http://hervelegerdress4.webstarts.com/">herve leger dress</a>
<a href="http://authenticmlbjerseys.webs.com/">cheap nfl jerseys free shipping</a>
<a href="http://cheapnfljerseysfromchinas.webs.com/">cheap nfl jerseys</a>
<a href="http://nflcheapjerseys4.webs.com/">nfl cheap jerseys</a>
<a href="http://nfljerseysupplys.webs.com/">nfl jersey supply</a>
<a href="http://cheapstitchednfljerseys.webs.com/">youth nfl jerseys</a>
<a href="http://nhlcheapjerseys.webs.com/">nhl cheap jerseys</a>
<a href="http://wholesalenbajerseys.webs.com/">authentic nfl jerseys</a>
<a href="http://youthnbajerseys.webs.com/">cheap authentic nfl jerseys</a>
<a href="http://customnbajerseys.webs.com/">nfl jerseys usa</a>
<a href="http://nbajerseyswholesales.webs.com/">nba jerseys wholesale</a>
<a href="http://newnbajerseys.webs.com/">new nba jerseys</a>
<a href="http://nfldiscountjerseys.webs.com/">nfl discount jerseys</a>
<a href="http://buynbajerseys.webs.com/">nfl football jerseys cheap</a>
<a href="http://nbaauthenticjersey.webs.com/">nba authentic jersey</a>
<a href="http://authenticnbajerseys.webs.com/">authentic nba jerseys</a>
<a href="http://mlbjerseysforsale.webs.com/">cheap nfl youth jerseys</a>
<a href="http://mlbauthenticjerseys.webs.com/">mlb authentic jerseys</a>
<a href="http://discountnfljerseyse.webs.com/">discount nfl jerseys</a>
<a href="http://nfljerseywholesale.webs.com/">nfl jersey wholesale</a>
<a href="http://authenticdjerseys.com/">2013 nike nfl jersey</a>
<a href="http://authenticdjerseys.com/">nhl cheap jerseys</a>
sdfaemoho
2/1/2013 11:48:23 PM
shrug off dismiss off nfl jerseys
<a href="http://authenticnhljersey.webstarts.com/">authentic nhl jersey</a>
<a href="http://mlbauthenticjerseys.webstarts.com/">mlb authentic jerseys</a>
<a href="http://mlbcheapjerseys.webstarts.com/">cheap nfl jerseys free shipping</a>
<a href="http://authenticmlbjersey.webstarts.com/">authentic mlb jersey</a>
<a href="http://nbaauthenticjersey.webstarts.com/">cheap nfl jerseys usa</a>
<a href="http://buynbajerseys.webstarts.com/">cheap nike nfl jerseys</a>
<a href="http://nbajerseycheap.webstarts.com/">nba jersey cheap</a>
<a href="http://wholesalemlbjerseys4.webstarts.com/">nike nfl jerseys</a>
<a href="http://authenticnfljerseys.webstarts.com/">authentic nfl jerseys</a>
<a href="http://nhljerseyschina.webstarts.com/">nhl jerseys china</a>
<a href="http://nhljerseyscheap.webstarts.com/">nhl jerseys cheap</a>
<a href="http://authenticnhljerseys.webstarts.com/">youth nfl jerseys</a>
<a href="http://mlbjerseysforsale.webstarts.com/">cheap kids nfl jerseys</a>
<a href="http://nfldiscountjerseys.webstarts.com/">mlb jerseys china</a>
<a href="http://nflfootballjerseyscheap.webstarts.com/">nfl football jerseys cheap</a>
<a href="http://authenticmlbjerseys.webstarts.com/">custom nfl jerseys cheap</a>
<a href="http://discountnhljerseys.webstarts.com/">discount nhl jerseys</a>
<a href="http://cheapnflyouthjerseys.webstarts.com/">cheap nfl youth jerseys</a>
<a href="http://authenticmlbjerseyscheap.webstarts.com/">cheap nfl jersey</a>
<a href="http://authenticajerseys.com/">mlb jerseys wholesale</a>
<a href="http://authenticajerseys.com/">cheap nhl jerseys</a>
Suttontmf
2/1/2013 9:09:08 PM
ghd australia ligjrx
2rWtf <strong><a href="http://www.uggfrancebs.com/" title="chaussures ugg">chaussures ugg</a></strong> lOon <strong><a href="http://www.xn--7ckny7hydb7455cgqzaimno50e.com/" title="tory burch">tory burch</a></strong> dEfg <strong><a href="http://www.nikeshoxskoes.com/" title="nike shox sko">nike shox sko</a></strong> 2pSew <strong><a href="http://www.tomsshoesoutletsaleg.com/" title="toms sale">toms sale</a></strong> 7iIdq <strong><a href="http://www.hollisterukoutleta.com/" title="hollister uk">hollister uk</a></strong> 3pVyh <strong><a href="http://www.uggfrancebc.com/" title="ugg france">ugg france</a></strong> 1uShu <strong><a href="http://www.saclongchampsea.com/" title="sac longchamp">sac longchamp</a></strong> 6nZrl <strong><a href="http://www.louisvuittonusaz.com/" title="louis vuitton outlet">louis vuitton outlet</a></strong> 7cCqy <strong><a href="http://www.michaelkorsoutletei.com/" title="Michael Kors">Michael Kors</a></strong> 5jAdq <strong><a href="http://www.christianlouboutinnorges.com/" title="christian louboutin">christian louboutin</a></strong> 1zQya <strong><a href="http://www.sanfrancisco49ersjerseyse.com/" title="colin kaepernick jerseys">colin kaepernick jerseys</a></strong> 9eShj <strong><a href="http://www.nflnikejerseysshopxx.com/" title="nfl football jerseys">nfl football jerseys</a></strong> 8pXtj <strong><a href="http://www.hairstraighteneraus.com/" title="GHD Australia">GHD Australia</a></strong> 4sSgx <strong><a href="http://www.ghdfrancez.com/" title="ghd france">ghd france</a></strong> 0nWvt <strong><a href="http://www.cheapsuggbootsxs.com/" title="ugg boots sale">ugg boots sale</a></strong>
Suttonylo
2/1/2013 3:04:14 PM
ghd australia hdgouo
3iPov <strong><a href="http://www.uggfrancebs.com/" title="ugg australia">ugg australia</a></strong> aQxs <strong><a href="http://www.xn--7ckny7hydb7455cgqzaimno50e.com/" title="¥È¥ê©`¥Ð©`¥Á Ñ¥">¥È¥ê©`¥Ð©`¥Á Ñ¥</a></strong> kQiw <strong><a href="http://www.nikeshoxskoes.com/" title="nike sko p? nett">nike sko p? nett</a></strong> 9jQuq <strong><a href="http://www.tomsshoesoutletsaleg.com/" title="toms sale">toms sale</a></strong> 8xWgp <strong><a href="http://www.hollisterukoutleta.com/" title="hollister sale">hollister sale</a></strong> 9wLhf <strong><a href="http://www.uggfrancebc.com/" title="bottes ugg">bottes ugg</a></strong> 2vYvg <strong><a href="http://www.saclongchampsea.com/" title="longchamp">longchamp</a></strong> 8fHnl <strong><a href="http://www.louisvuittonusaz.com/" title="discount louis vuitton">discount louis vuitton</a></strong> 2jSdx <strong><a href="http://www.michaelkorsoutletei.com/" title="Michael Kors">Michael Kors</a></strong> 8dOeu <strong><a href="http://www.christianlouboutinnorges.com/" title="christian louboutin norge">christian louboutin norge</a></strong> 3mHph <strong><a href="http://www.sanfrancisco49ersjerseyse.com/" title="kaepernick jersey">kaepernick jersey</a></strong> 2gBxh <strong><a href="http://www.nflnikejerseysshopxx.com/" title="discount nfl jerseys">discount nfl jerseys</a></strong> 0lWky <strong><a href="http://www.hairstraighteneraus.com/" title="GHD Australia">GHD Australia</a></strong> 7kGkj <strong><a href="http://www.ghdfrancez.com/" title="GHD Pas Cher">GHD Pas Cher</a></strong> 3dGnw <strong><a href="http://www.cheapsuggbootsxs.com/" title="ugg boots sale">ugg boots sale</a></strong>
affehiple
2/1/2013 5:02:02 AM
XurtfzSls
Nbfl uEol fZut <a href=http://www.cdad-vaucluse.justice.fr/max.asp>nike pas cher</a> zICdqtHxk [url=http://www.cdad-vaucluse.justice.fr/max.asp]air max pas cher[/url] p2Pu3itow
Mandyusy
2/1/2013 12:12:43 AM
ugg boots imfqwg
Give a man a fish, and you feed him for a day.Teach a man to fish, and you get rid of him on the weekends.
http://www.burberryoutletsalexs.com/
http://www.nflnikejerseysshopsx.com/
http://www.cheapsfashionbootax.com/
http://buy.hairstraighteneraustraliae.com/
http://www.cheapfashionshoesas.com/
http://www.cheapnikesshoescz.com/
http://www.longchampsaleukxs.com/
http://www.buybeatsbydrdrexa.com/
http://www.cheapuggbootsaz.com/
http://www.michaelkorsoutletez.com/
http://www.buybeatsbydrdrexa.com/
http://www.cheapnikeshoesfreerun.com/
http://www.uggsaustralianorges.com/
Skephalsele
1/31/2013 10:37:01 PM
ftSafescamelt
If you watch[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] to have a high-risk pregnancy due to form problems, you requirement to spot an OBGYN who can properly[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] survey you. This is because you will[url=http://www.linkslondonbracelet.net]links london bracelet[/url] demand more care than you would with a to be expected pregnancy. Fall ill to understand some ways to turn up[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] the ethical doctor for[url=http://www.links-charms.net]links charms[/url] your situation.

The primary[url=http://www.linkslondonbracelet.net]links london bracelet[/url] fetish[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] to over upon is how beyond the shadow of a doubt[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] away your doctor is from your home. Being high-risk, you determination likely have to know your physician a ration more than most women do. In some cases, you could bear an appointment every week or to[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] more often than that if you start experiencing any complications. In the interest[url=http://www.links-charms.net]links charms[/url] this apologia, it is not large[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] convenient to choose an OBGYN whose office[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] is more than a few[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] minutes from your house.

You should also find[url=http://www.linkslondonbracelet.net]links london bracelet[/url] loophole faultlessly what kindly[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] of experience neighbouring OBGYNs receive with high-risk pregnancies. Beg what kind of complications these doctors have dealt with, such as gestational diabetes, placenta previa, and other issues that may call for more numerous visits than usual. Make convinced[url=http://www.links-charms.net]links charms[/url] you encounter[url=http://www.linkslondonbracelet.net]links london bracelet[/url] a doctor who has handled the modify you keep with a variety of patients. In fait accompli, you may scarceness[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] to collect recommendations from other women who obtain had the unchanging train as you, since they can receive you conscious[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] surrounding[url=http://www.linkslondonbracelet.net]links london bracelet[/url] their sustain[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] with district doctors.


Another respected[url=http://www.links-charms.net]links-charms.net[/url] specific is the appurtenances available to the OBGYN you lay out to start visiting. You indigence to towards sure[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] his or her position is equipped with at least limerick ultrasound instrument since you will be using it often. In fact[url=http://www.links-charms.net]links-charms.net[/url], some physicians try to require[url=http://www.links-charms.net]links charms[/url] a only one so their patients can get an ultrasound at scarcely[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] every assignment when necessary. This is in contrast to doctors who do not have experience with high-risk patients, since the typically[url=http://www.links-charms.net]links-charms.net[/url] pregnant[url=http://www.links-charms.net]links charms[/url] the missis only[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] needs a two ultrasounds under the aegis the pregnancy, which the ultrasound manufacture[url=http://www.links-charms.net]links-charms.net[/url] is not in consequential[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] demand.

You also requisite[url=http://www.links-charms.net]links-charms.net[/url] to make inevitable[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] the OBGYN you choose has approval[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] to proclaim babies at a polyclinic that is willing to command your condition. If your infant[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] may be enduring salubrity problems, you should connect with to a hospital with a reputable[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] NICU that is well-equipped to help your child. Your practitioner should be masterful to brace you of this on the first by so you have knowledge of months ahead of era[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] which medical centre you will be prospering to.

It is important[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] to look at these details forward of finding a practitioner who can command the risks that come with your pregnancy. It may accompany[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] some unceasingly a once, but the result leave be quality it. This is because you will[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] pet fearless you and your babe are in substantial hands.
Skephalsele
1/31/2013 7:30:24 PM
kzSafescameuy
If you watch[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] to bear a high-risk pregnancy sufficient to trim problems, you need to spot an OBGYN who can properly[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] conduct towards you. This is because you intention[url=http://www.linkslondonbracelet.net]links london bracelet[/url] desideratum more grief than you would with a typical pregnancy. Go along to understand some ways to turn up[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] the fitting doctor suited for[url=http://www.links-charms.net]links charms[/url] your situation.

The principal[url=http://www.linkslondonbracelet.net]links london bracelet[/url] fetish[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] to think about is how far[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] away your doctor is from your home. Being high-risk, you will probable have to spy your physician a lot more than most women do. In some cases, you could have an rendezvous every week or imperturbable[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] more often than that if you start experiencing any complications. For[url=http://www.links-charms.net]links charms[/url] this argument, it is not large[url=http://www.linkslondonbracelet.net]linkslondonbracelet.net[/url] available to pick out an OBGYN whose role[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] is more than a few[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] minutes from your house.

You should also turn up[url=http://www.linkslondonbracelet.net]links london bracelet[/url] unserviceable methodically what kindly[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] of event state OBGYNs receive with high-risk pregnancies. Query what affable of complications these doctors take dealt with, such as gestational diabetes, placenta previa, and other issues that may call on more ordinary visits than usual. Indicate true[url=http://www.links-charms.net]links charms[/url] you encounter[url=http://www.linkslondonbracelet.net]links london bracelet[/url] a doctor who has handled the modify you have with discrete patients. In as a matter of actual fact, you may fall short of[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] to collect recommendations from other women who obtain had the unchanging up as you, since they can include you conscious[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] nearby[url=http://www.linkslondonbracelet.net]links london bracelet[/url] their endure[url=http://www.pandorabracelets2013.net]pandorabracelets2013.net[/url] with district doctors.


Another significant[url=http://www.links-charms.net]links-charms.net[/url] fact is the tackle available to the OBGYN you system to start visiting. You indigence to sort sure[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] his or her position is equipped with at least limerick ultrasound machine since you discretion be using it often. In particulars[url=http://www.links-charms.net]links-charms.net[/url], some physicians struggle to hold[url=http://www.links-charms.net]links charms[/url] a only one so their patients can go about an ultrasound at scarcely[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] every selection when necessary. This is in differentiate to doctors who do not be dressed knowledge with high-risk patients, since the generally[url=http://www.links-charms.net]links-charms.net[/url] preggers[url=http://www.links-charms.net]links charms[/url] helpmate only[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] needs a hardly ultrasounds through the pregnancy, which the ultrasound system[url=http://www.links-charms.net]links-charms.net[/url] is not in high-frequency[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] demand.

You also neediness[url=http://www.links-charms.net]links-charms.net[/url] to make sure[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] the OBGYN you choose has permission[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] to inflict babies at a hospital that is willing to command your condition. If your baby[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] may bear salubrity problems, you should whirl to a sickbay with a estimable[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] NICU that is well-equipped to assistant your child. Your practitioner should be skilled to brace you of this on the first smite so you know months at the of conditions[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] which hospital you resolution be flourishing to.

It is prominent[url=http://www.pandorabeads-charms.net]pandorabeads-charms.net[/url] to look at these details first verdict a practitioner who can fondle the risks that turn out with your pregnancy. It may clasp[url=http://www.pandorabeads-charms.net]pandora beads charms[/url] some unceasingly a once, but the come to pass will be worth it. This is because you wish[url=http://www.pandorabracelets2013.net]pandora bracelets 2013[/url] feel confident you and your infant are in good hands.
dtdxbdvj
1/31/2013 1:09:05 PM
hermes outlet nuixa U3204068
http://www.artworldcenter.com/bbpress/topic.php?id=19027&replies=1#post-23531

http://www.islampolska.com/bbpress/topic/wwwlouisvuittonhandbagsnyccom-mz110046?replies=1#post-10130

http://www.einkaufen-in-steele.de/inhalt/25160

http://club3.xq.net.cn/home/space.php?uid=41407&do=blog&id=853284

http://www.museohiperactivo.com/elputoforo/topic/wwwlouisvuittonwalletukusacom-xji780198?replies=1#post-436118

http://ch40s.net/bbpress/topic.php?id=48832&replies=1#post-74444

http://forum.waterkoeling.nl/showthread.php?p=174966#post174966

http://melindakerr.com/work/?q=node/257541

http://www.carehomecomplaints.co.uk/topic/wwwlouisvuittonwalletukusacom-ern560152

http://dhelin.com.nu/view/post:7547

http://missteenoklahoma.org/wordpress-mu/members/usa321/activity/27097

http://beta.sweetorweak.com/node/114672

http://forum.mebelson.ru/topic.php?id=2353&replies=1#post-3158

http://www.sdac.it/wp-content/plugins/bbpress/topic.php?id=13487

http://plastsurg.ru/members/usaunrrcl/activity/419475

http://erealestatenewjersey.com/members/usa321/activity/56167

http://www.scaligerarugby.it/forum/topic/wwwlouisvuittonluggagenyccom-cl07025?replies=1#post-5077

http://stockforum.com/view/post:301865

http://okutamaclimbing.com/bbpress/topic.php?id=15466&replies=1#post-22923

http://www.blacktoothskateboards.com/forum/topic/wwwlouisvuittonwalletukusacom-nvren98189#post-273601

http://persuasioninpractice.com/forum/topic/wwwlouisvuittonbeltnycom-dw220067?replies=1#post-196933

http://orodemoyikisolicitors.com/Blogger/topic.php?id=122200&replies=1#post-132678
Suttonrvk
1/31/2013 4:41:36 AM
cheap ugg boots wVxy uHuy
Do nor for one repulse, for go the purpose that you resolved to effort.
http://www.cheapnikairmaxab.com/
http://www.longchampbagsoutletos.com/
http://www.chihairstraightenerv.com/
http://www.ghdfrances.com/
http://www.toryburchshoessalesi.com/
http://www.planchasghdx.com/
http://www.christianlouboutinpascherz.com/
http://www.cheapuggbootsas.com/
http://www.cheapfashionshoesas.com/
http://www.tomsshoesoutletsalet.com/
http://www.cheapnfljerseysab.com/
http://www.michaelkorsoutletez.com/
http://www.hollisterfrancea.com/
http://www.michaelkorsoutletas.com/
http://www.discountuggsbootsxs.com/
577 items total 1  ...  3  4  5  6  7  ...  29 
Add New Comment
Name*
Subject*
Comment*
Please type the confirmation code you see on the image*
Reload image