Tuesday, June 5, 2012

How to forestall Sports Injuries

New Jersey Rehab - How to forestall Sports Injuries
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Keith Scott is a Certified Athletic educator (Atc) through the National Athletic Trainer's connection and also a Certified vigor and Conditioning scholar (Cscs) through the National vigor and Conditioning Association

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Keith received his Master's Degree in exercise and Sports Science with a attention in Sports rehabilitation from the University of Arizona. During his 13 years in Tucson, he had the satisfaction and opportunity to work with hundreds of athletes each year in the youth, high school and college levels.

Keith focused on injury prevention, post surgical/injury rehabilitation, and vigor and Conditioning. He worked extensively with athletes of all levels and many separate sports, with over 15 years working directly with athletes in the trenches. Keith currently resides in Southern New Jersey.

Cb: Keith, how do you use your background of athletic therapy when designing programs for habitancy and taking them through their workouts? How might they differ from man like myself with only a minor background in the area of Rehabilitation?

Ks:
I have a very strong background in assessment, so I take a lot more time evaluating range of appeal in all major joints (some minor joints too), muscle and tendon strength, joint integrity, and basic movement patterns and mechanics.

I will take a whole session just doing an assessment sometimes. I also take a pretty thorough history on each person, seeing out about old injuries, persisting problems, pain, etc... And not to forget...the person's caress level in training.

Once I have a good insight of the person's situation I fabricate my programs much like I would a rehab agenda for man with an injury. After all, I have yet to meet anything that does not have problems, imbalances or pain somewhere, so it's well no different.

I create a "problem list" first and form the agenda nearby that. For example, if man comes in with very tight hip flexors, tight dorsiflexors, and horrible scapular operate (like a lot of habitancy that we probably see) those go on my problem list. I create a agenda nearby those areas first and work on those things right away. I won't introduce an exercise in those areas until we precise them or at the very least, are on the road to correcting them.

People that can't operate their hips, or ankles for example, have no company squatting any kind of weight until those things are handled, yet we see trainers, and coaches doing just that everyday.

What I have seen with a lot of trainers and coaches is that this "problem list", if ever well generated in the first place, gets lost in the agenda and things never well get addressed that should. Ultimately, the athlete gets injured or never improves. Each agenda should be separate because each athlete is different. Of policy this takes more time and endeavor from the trainer/coach.

All of my programs use a lot of hands on work - myofascial work (releasing), teaching of self myofascial work, muscle activation, and hands on stretching (Pnf patterns...contract/relax, etc...). I am a big proponent of complete chain proprioception too, for upper and lower extremities as well as joint mobilization techniques and exercises.

I also use a lot more rescue methods with my athletes especially after training sessions. separate types of cold and heat therapy as well as separate types of rehabilitation massages and stretching.

Cb: what are the typical muscle groups, lifts, and bodily abilities that you focus on when training young athletes for sports?

Ks:
Assuming that we are talking about high school age athletes first, I use the same type of muscle group training that I would an older athlete. This assumes that there are no major problems that need attacking first.

I work a lot of posterior chain with all of my athletes. Every one of my programs has glute work -extension, abduction, stability, as well as adductor work (which I believe is missed in a lot of programs)

My programs will always have upper extremity pulling exercises included for the posterior chain, and rotator cuff work, especially the external rotators, but a good share of subscapularis work as well...that muscle is overshadowed a lot by the other internal rotators and is very important.

I like to train the rotator cuff as a stabilizer more than just as internal/external rotators. Its job is to stabilize first. Here is where I will throw in some complete chain proprioception, Pnf patterns, etc..

Along with the pulling and rotator cuff work, I will address scapula stability and function a lot. Sometimes this is just teaching the athlete precise movement of that area. Young athletes are in a perfect place to start to fabricate precise scapular movement patterns, and stability of that shoulder complex.

This is not to say that I don't put pushing exercises in programs, because I do, but I well don't think benching needs to be the crux of every program.

Cb: What do young athletes well need?

Ks:
Young athletes need movement training first...running mechanics, jumping mechanics, lifting mechanics, etc...

I focus a lot of enchanting correctly. Just by learning how to move correctly and with the precise muscles, will sacrifice injuries with out a doubt...not to mention make a good and stronger athlete. After that, they need to fabricate both stability work in all joints, and reactive work.

Common lifts - squats (front, back, split), lunges - (sag. Plane first, and no multi-plane until they scholar that movement), dead lifts, cleans, push press, rows (seated, bar, db), rehabilitation ball work.

Of policy this all will be altered slightly depending on the sport, caress level, and problem list/

Cb: Okay, describe a typical session for a young athlete.

Ks:
Typical session - address problems first if applicable at this point (ex: pain, tight areas, areas that need activating, releasing, etc.)

If time permits, I will do some releasing or the athlete will him or herself (foam rolling, etc.), followed by a well good active warm up. Mobility drills, and large muscle group warm up (lunges, jump rope, push ups, etc..) Active stretches, proprioception work (balance, coordination work)

Teaching and learning come next - younger athletes need to be taught how to do the lifts, or mechanics correctly, so I will spend some time there at the beginning. It's vital with kids that you repeat things and get the movement patterns ingrained.

Depending on whether it's a speed day, the athlete may do some speed, footwork, basic agility work first, and some reactive training. This will be followed with resistance training (major lifts first - dl's, squats, cleans, presses, etc..) And then any added work at the end. I will include a lot of core training within the session usually in the middle of sets for more advanced athletes.

Most sessions end with some static stretching (ex: hip flexors, calves, heel cord, hip rotators, shoulders), and then rescue modalities if possible. Depending on which season the athlete is in, some power ideas work might follow.

Cb: At a young athlete level, how much dissimilarity is there in the programs in the middle of sports?

Ks:
As far as resistance training not too much. Practically all of my athletes will do squats of some sort, dead lifts, presses and pulls. I work large muscle groups with all of the younger athletes, and besides rep and set schemes, it is pretty much the same.

I find that most need work on the same areas and those areas are usually the prominent one's for all sports. With that said, I will plug obvious things into each agenda depending on the sport.

For example, a wrestler and basketball player will be trained much separate when it comes to intensity, rep/set, especially as the competing season nears. Off-season schemes look much more similar. power ideas training will be very definite to the sport however, as will reactive training and preventive exercises.

Cb: What rehab, recovery, and prehab stuff would apply to young athlete training programs that most other trainers are missing?

Ks:
As I already made mention to, most young athletes just need to learn how to move correctly first. This goes for all resistance training. precise form will help to sacrifice both acute and persisting injuries.

Second, insight muscle activation should be a thorough in all programs, and especially when working with youth. Young athletes just don't move very well these days and in so many instances I find muscle groups that are just "shut off". Many trainers are so stuck on increasing flexibility whenever there is a problem, that they miss all things else.

When something hurts, "stretch more", when you can't do something "stretch more". This is the retort to everything. It drives me insane.

In many cases these athletes don't need more stretching, they need activation. Both primary and antagonist muscle groups. Activation doesn't only need to be manual, meaning from the trainer/coach, but it can be taught to the athlete as well through easy exercises and drills.

It may sound like a strange form of "prehab", but its so prominent in joint stability, and generating strength/power, and efficiency.

Proprioception!!! I don't see many trainers/coaches dealing with this at all. I like to describe proprioception as how the brain and muscles/joints/body talk to each other...it controls your balance, coordination, and how much of an athlete you well are. operate is a must in all movements. Good trainers and coaches can work it in the agenda without anything ever knowing, but in many cases, it needs to be addressed straight up.

Finally, rescue is huge in my world. I don't see this even talked about much, but it is so prominent to unabridged strengthen and health. Just an ice bag over a sore joint, or a heating modality in the right place can make a huge dissimilarity in the athlete and how they retort to your program.

Pain will stop a training agenda in its tracks. operate pain, soreness, and stiffness and you will get ahead so much faster and safer.

How come some coaches/trainers never share rescue methods with their athletes or clients? It's a must for me and makes a bigger dissimilarity than habitancy think. If you are not using rescue methods with your athletes and clients, you are missing the boat on good progress. Of course, rest and good nutrition are the key for permissible recovery. It all needs to be addressed.

Cb: Any other normal recommendations for young athletes?

Ks:
Start eating well when you are young; it makes it so much easier to fabricate good life long habits when you do so at a young age. It will also pay off more than you think doing the training and completive seasons.

Even if you don't have a educator or a coach, make sure you train and health before your season starts for at least a month, if you are not already playing someone else sport. The majority of the injuries I have seen over my 15 plus years are because athletes are not in permissible health when the first institution begins.

Get off of the computer and get your rest. Tired athletes usually become injured athletes. Besides, muscles grow and the body heals when you are sleeping and resting. Most teens ignore going to bed at an early sufficient time.

Play as many sports as you can while you are in high school. Specialization isn't needed at a young age and may wind up hurting you. The majority of department I athletes that I have worked with were 2 or 3 sport participants.

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