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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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Is It Just a Sore Back?
Mark Toomey
Too many trainers and internet experts out there are too willing to guess at what a person's "pain" is but treating pain is outside of a personal trainers scope of practice. Read below for quite a few instances where it could have gone horribly wrong: . . .
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Preventing Lower Back Pain: Assuming is OK
Eric Cressey
It's widely known that approximately 80% of the population will suffer from lower back pain at some point during their lives. What isn't widely known, however, is that even those who are asymptomatic are usually walking around with a host of nasty stuff going on with their spines. Don't believe me? A 1994 study in the New England Journal of Medicine found that in a study of MRIs of 98 asymptomatic individuals, 82% of those MRIs came back as positive for a disc bulge, protrusion, or extrusion at one level. And, 38% actually had these issues at more than one level. . . .
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What I Learned From Training Someone With A Disability
Joseph Lightfoot
Recently I had the opportunity to coach Mike whilst coaching at Strength & Performance, a gym based in Manchester, England. Mike is a Paralympian, who ran at the Beijing Olympics in the 100m. He is aiming to compete at the London 2012 Paralympics. Mike has cerebral palsy, which affects his right hand side. It affects his upper body more than his lower body. Despite his disability Mike trains incredibly hard. . . .
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The Case for Direct Cuff Training in Contact Sports
Anthony Donskov
Building a strong "posterior dominant" shoulder has been shown to be of great value for the overhead athlete. Based on the demands of the sport (the fact that many great overhead athletes have acquired laxity) and the construct of the joint (the shoulder joint in and of itself sacrifices large amounts of stability for mobility) this anatomical landmark plays an important role in the athletes' protocol. However many times direct cuff strengthening is overlooked in the practical programming for the contact athlete. Is this valid or do we need to look deeper into preparing our athletes for the demands of their sport? . . .
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Video of the Week: Dowel Rod Leg Circuit
US Olympian Karen Thatcher demonstrates a leg circuit that can be used for a client recovering from back injury. The dowel is positioned in the lumbar spine to keep the athlete in extension and to encourage movement at the hip rather than from the lumbar spine. . . .
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Infraspinatus Trigger Point Syndrome
Perry Nickelston
Why care about this syndrome? Simple really. Clients will be moving and loading the shoulder in every conceivable force vector during a well designed training program. You had better make sure the shoulder can tolerate those force vectors or clients will get injured. Count on it! Numerous musculoskeletal pain syndromes and movement dysfunctions can be related to trigger points in infraspinatus muscle. Due to the inhibitory nature of chronic trigger points, there is eventual decreased muscle activation and tone causing poor stability in functional movement patterns. The infraspinatus is a nasty culprit in almost everything! You can count on this muscle being a factor in every shoulder dysfunction, pain, or injury. But there are even more body regions that are affected by his trigger point when the body compensates for the lack of motor control and stability. . . .
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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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