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The Seven Ps of Dr. Nicholas

The elements of sports medicine, simplified.

The first three Ps are the most important - the "Primary Ps," if you will.

1. PERFORMER - everyone who exercises.

    Everyone who is physically active during their leisure time or their employment qualifies     as a


2. PERFORMANCE - the form of exercise and its demands on the individual.

    Every form of physical activity places some stresses on the individual. These stresses are dictated

    by the level of participation and the condition of the performer.

3. PATHOLOGY - an underlying physical condition, weakness or injury.

    Pathology is ubiquitous in the world of sports and athletes. Few individuals are free from some

    acute or chronic condition, physical impairment, body asymmetry or residual muscle

    weakness which is likely to impact their performance.


4. PRESCRIPTION - who should play what sports, for what duration, with what intensity and how


    Exercise is medicine and like any medicine dosage is an important consideration. The goal of

    prescription is to optimize the positive aspects of physical activity while at the same time

    eliminating the likelihood of injury.

5. PRACTITIONER - the physician, coach, trainer, therapist, teacher, parent or other advisor to the


    Anyone who advises on how to exercise is a practitioner. This is an area which is often poorly

    regulated and one which relies heavily on the good graces of those who consider

    themselves practitioners.

6. PRACTICE - the act of acquiring speed, skill and endurance for enjoyment of recreational activity

    and optimal performance for competitive sport.

    To reap the greatest rewards from sport, repetition of patterned movements, acquisition of new

    skills, conditioning of muscles and the cardiopulmonary system are all necessary components.

7. PREVENTION - avoidance of injury or illness by careful attention to the prior 6 P's.

    Many people exercise to help prevent diseases associated with modern societies and physical

    inactivity. In doing so, care must be taken to prevent injury. Similarly, all people who exercise

    should be made aware of ways of preventing injury. Often, common sense and attention to how

    your body feels are the keys to prevention.