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The Rehab Room!
Welcome to our Sports Injury and Rehab Room! This section features both injury prevention and rehab. Everything from icing and injury to post-rehab protocols...
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Should It Hurt?
Michael Boyle et al
I got some great responses to a blog post of my Does It Hurt article. Take a moment to read the article if you haven't and then make sure to read all the comments. . . .
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Alleviating Ailing Ankles
Carson Boddicker
Anyone that has worked with field and court sport athletes has undoubtedly dealt with his fair share of athletes with ankle injuries. The ankle is the most frequently injured joint in sport accounting for one-third of all injuries. As the Western approach to medicine is highly reactionary in nature, we typically follow ankle injuries up with rest and taping to assist the body in stabilizing motion. Unfortunately in many cases, this is not enough to restore proper function at the ankle and leads to a loss of ankle dorsiflexion and an increased likelihood of repeated ankle injury in the future.
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MBSC Low Back Rehab/ Prehab
Michael Boyle
At Mike Boyle Strength and Conditioning we use some version of the following program as our basic core program for those with low back pain. Exercises may be deleted if we feel the client is not ready. Rarely are exercises added. This program is a good example of generic overkill. In addition to this we always begin a program of bodyweight squats. Partial squats are fine if the client is to weak to perform a full squat. It is key that the client learns to squat correctly. VIDEOS ADDED . . .
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Coaching The Injured Athlete
Sean Skahan - Anaheim Ducks
During the days leading up to the 2008 superbowl between the New England Patriots and the New York Giants, there was a short piece on the NFL network featuring Patriot Strength and conditioning coach, Mike Woicik. The story was about coach Woicik's 6 superbowl rings and his work with the Patriots and the Dallas Cowboys in the 1990's. The story featured several of current and former players who were coached by Woicik. Michael Irvin told a story of a conversation he had with coach Woicik when he suffered an ACL injury in 1989. After the injury, Coach Woicik told him "There are 6 parts of running. 2 ankles, 2 knees, and hips. Although 1 of them isn't 100%, there is no way why we can't keep you going". I found that interesting because I think that is a unique part of being a strength and conditioning coach. Obviously, you hope that your strength and conditioning program will prevent injuries from happening, but you must be prepared when your athletes suffer an injury and be there for him every which way you can be.
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If Your Post-Operative Knee Athlete Lacks Confidence, Post Them Up
Robert Panariello MS, PT, ATC, CSCS
The rehabilitation and athletic performance training of the post-operative knee athlete requires a structured and organized plan to ensure optimal success. This "plan" often includes progressions or "goals" that the athlete must achieve prior to progressing to the next "level" of their rehabilitation/performance training. Until the athlete regains total confidence in their post-op knee, these program guideline progressions, necessary for optimal rehabilitation and athletic performance training, will be difficult to achieve. Achieving confidence in their knee is also essential for the successful performance and accomplishment of specific exercises and drills performed by the athlete during their rehabilitation/performance training regimen. One weight room exercise commonly utilized by the athlete during this rehabilitation or athletic performance training progression is the back or front "squat" exercise. . . .
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ACL Injury Prevention Is Just Good Training
Michael Boyle
Is ACL injury prevention just good training? I think so. The program we use for ACL injury prevention is actually the same program we use with everyone! The truth is ACL injury prevention programs often consist more of packaging than new concepts. Calling a program an ACL prevention program may be nothing more than a way into the head of the athletic trainer, physical therapist or coach. But, if that's what it takes, I'm all for it. However, as coaches we have to realize that we should be practicing great injury prevention concepts with all our athletes and our weekend warriors. . . .
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Comprehensive Training Program for Knee Rehab Continuation
Jonas Beauchemin MBSC Assistant Strength Coach
Audio Interview Included
If you are a strength coach or a personal trainer the chances that you have encountered an athlete recovering from some sort of ligamentous knee injury at some point in your career is pretty high. Whether it is damage to the ACL, MCL, PCL, LCL, or some combination of any of these, the incidence in the athletic and general population is alarming. Hirshman, et al estimated that 1 out of every 1000 people in the US incurs a knee ligament injury each year. The current US population is around 304,000,000 so that means according to Hirshman's figures there will be a projected 304,000 knee ligament injuries in the US in 2008. Of course our primary goal must be a pro-active one with an eye toward reducing the incidence of knee injuries. Unfortunately the mindset of the majority is to get hurt and then train or rehab rather than training with prevention in mind. Therefore it is inevitable that at some point you are going to work with a client that has suffered some sort of ligamentous knee injury.
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Sports Hernia Follow Up- Stuart McGill Comments
Stuart McGill
One of the best things about working on the Perform Better tour is getting to meet and interact with real experts. Stuart McGill is one of those real experts, a man who is using his lab every day to validate what so many of us just think or blindly do. Stuart was nice enough to read my Sports hernia articles (www.strengthcoach.com/members/1569.cfm www.strengthcoach.com/public/1606.cfm ) and send me some comments. In addition he was also kind enough to allow me to pass on his comments to our readers. Stuart stated the following in an email: . . .
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Understanding Sports Hernia
Part 2
Michael Boyle
Prevention and Rehabilitation of Sports Hernia
Sports Hernia Prevention
A big key in prevention of any injury is to use appropriate screening techniques. For screening athletes I am a proponent of Gray Cook's Functional Movement Screen ( www.functionalmovement.com) The FMS is a seven part screen designed to predict risk of injury and should be done in it's entirety on every athlete at least once. Of particular interest in the sports hernia area is the FMS- Hurdle Step (a test of the hip flexion pattern). An impaired hip flexion pattern usually demonstrates a lateral shift of the pelvis when attempting to flex the hip. This would indicate an impaired hip flexion pattern. In the impaired hip flexion pattern it is theorized that the deep flexors (psoas and iliacus) are weak or inhibited. This forces the athlete to use quadratus lumborum to hip hike to create the illusion of hip flexion. In essence, lateral flexion of the pelvis on the spine raises the hip. Cook advocates not focusing on individual muscles but rather on fixing the pattern. To fix the pattern we have adopted a "top down" approach to attempt to recruit the deep hip flexors. . . .
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The Essence of Bulletproofing
Mike Davis, DPT, ART
Audio Interview Included
Musculoskeletal pain is one of the primary reasons why individuals seek medical attention. Whether you are a sedentary person or an avid gym patron, musculoskeletal pain reaches most of us at some point and time in our life. While this pain may not be totally avoidable, there are ways to manage the extent of occurrences.
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Understanding Sports Hernia May Mean Understanding Adduction
Michael Boyle
Last year I wrote a piece called Understanding and Training Hip Flexion (www.strengthcoach.com/members/1283.cfm ). The idea was to take a look at muscles of the hip and how these muscles function from a slightly different perspective. This process led me to continue to study the hip and how we look at this critical area. One of the things I pride myself on is continuing to try to learn. Fortunately or unfortunately I feel like the more I learn the more I realize I don't know. An area that has become of increasing interest to me, and to many others in the fields of performance enhancement and physical therapy, is the area of sports hernia. It seems like every week another athlete is having surgery for a 'sports hernia". In order to begin to understand the concept of sports hernia, the first thing we need to do is attempt to describe a sports hernia. In the technical sense, the sports hernia is a tear in the lower abdominal wall in the inguinal area. Unlike a classic inguinal hernia there is rarely a significant tear that results in a bulge. Rather there is a gradual onset of pain in the lower abdominal area, usually beginning as groin pain. . . .
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Dissecting the Sports Hernia
Kevin Neeld
In collegiate and professional athletics, the term "sports hernia" seems to be frequenting conversations more and more. While the diagnosis of a sports hernia seems to be increasing both in prevalence and media attention, the injury remains poorly understood and defined. An in-depth look into the associated research helps explain why there is so much confusion surrounding this injury. . . .
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