Lecture 19 Training Managing injury and return to play Flashcards
Why is training management of injury important?
Injury is not uncommon in elite and recreational sport / physical activity. Some acute injuries are the result of direct collisions and cannot be mitigated, however, a large amount of sporting musculoskeletal injuries are termed overuse injuries and whilst the variables linked to overuse injury are multifactorial, some are the result of poor preparation and ill conceived training programmes. As coaches and trainers we should be able to manage athlete health to promote well being, participation and performance.
How much load is too much LOAD?
- We are trying to get the performance window
- We may need to rethink what we know and go into the research and think how will we resolve that.
- ~Not an easy thing to get a person inot the performance window when you want them ie. When they are at their peak.
- We sometimes need to rethink what we know
- Thinking how can re evolve that
- Peole come into the equation and they are complex
- Not easy to get someone into the window when we want them too.
Explain how the conditioning of an athlete is reliant on strength, speed, power, endurance and flexibility
- Needs to be within a functional package otherwise it won’t make a different to the sport.
- Movement Literacy (Competent ROM + strength = optimal function)
- Optimal function = Enhanced performance and injury protection: if e gte the above right we may be able to push away injuries.
- If it;s not within a functional package it won’t make a difference within our sports performance
- Can we bring to life what we do in training?
Explain how physical conditioning is supportive of prevention and injury prevention is a subset of prevention.
- Physical Conditioning = general injury prevention
- Injury prevention does not = physical conditioning
- If we get general conditioning right, then w should get the general injury protection right Aswell.
Fitness requirement are supportive of 2 functions, what are these?
- Health Enhancing Fitness (long-term Fitness: currency = protection)
- Sport Specific (Sport Specific Fitness: preparedness = risk reduction)
- We need to be prepared for the rigors of the sport as well as being prepared for the health aspect of the platform.
- If we don’t engage in PA the we don’t get the engagement with the health benefits
- We need that in the background.
- We also ned sports specific conditioning if we are talking bout both health and sport
- Need to be prepared for the Vigors of the sport.
What is periodisation?
progressive training stimuli, adaption, with rest and restitution “built-in” .
Describe how injury is linked to performance potential and activity enjoyment
- Injury does not just affect the person itself it can also affect their occupation.
- It can also affect their social life the idea od collective adversity.
- Injury can affect sleep and sleep quality; it can affect our training and our performance.
- If we don’t get the right rest it can affect our training and our whole perfomace
- Ned to think of injury not just about the specific injury but the wider areas and also how can we try and mitigate these areas.
- Thinking can we help mitigate these areas.
- What we will se in good performing teams the people in rehab will be in the same environment but are ust doing a differ programme
- Don’t isolate people who have an injury.
Injury prevention and performance
- Those that don’t get injury have better performance, yes they will if they have better talent.
- No injury means that the level of performance can be maintained.
- If everything was aligned correctly the we will have better performance and we can do that reputably as we wont have the injury
What are the types of sport related MSKI?
· Traumatic
* Direct impact
* Indirect impact
* Incorrect technique
* Over stretching
* Uncoordinated actions (landing / falling)
Which overuse injuries do we want to prevent?
- Medial Tibial Stress Syndrome
- Achilles tendinopathy
- Plantar fasciitis
- patellofemoral syndrome
- Non-specific mechanical lower back pain
- Etc
We are trying to create systems and environment which prevent al injuries, but if we dont set out to try and do that we will end up doing something else.
Will athletes tell coaches that they are injured?
Know your athlete : break down the power dynamicand then we have an easy route of convrsatiom
Recognise chnages in…..
- Confidence
- Skill
- Technique
- Commitment
- Movement
Consider social desirability…
- People may not say things regarding I injury as they don’t think that its what people want to hear.
- Peple still want to be considered for the team and make the sponsors happy etc.
Managing injury and rehab
- The idea is that we want to try and get that person back on the pitch as fast as possible.
- Sounds easy to say but not as easy fro the person to do.
- Could be physical or mental barriers.
- Sometimes athletes can overdue it and this is also something to think about.
- Want to get the person back on the pitch as soon as possible
- Refocus so that their focus is now rehab and not sports performance.
- There can be physical and mental barriers
Grief in response to career ending injury…
- People begin to accept the grief.
- Some people have career ending injuries.
- Need to think about the context of injury and the effect that can have ask.
- People get angry about being injured
- The problem is getting people motivated for rehab
- This is when we have to refocus and reframe and consolidate on the weakness and will come back faster and stronger.
- Some people have career ending injuries.
- Whoever we are engaging with you, old, para, normal we need to think about the context
Basic response to tissue - Injury
Inflammatory response phase (0 – 72 hr)
- Everything gets inflamed
- The bodies protective response.
Fibroblastic repair phase (72 hr – 6 weeks)
- The body isn’t promoting
Maturation / remodelling phase (6 weeks – 1 – 2 years)
- Body iss back to where it was or even better.
What are the cardinal signs of inflammation?
- Redness (vasodilation)
- Heat (increased blood flow)
- Swelling (oedema, exudation)
- Pain (nerve fibres, serotonin)
- Loss of function (due to swelling and pain)
