November 2019

TENNS machine Rugby

hamstring injury

MET and Soft tissue release before and after

 

Wax, oil, lotion

Green notes

Rotator cuff Rehab

RFU head case

TAPE?

Next step ……. ZERO GRAVITY

Knee Rehab MCL (Rugby S+C)

one of the Marjon first XV rugby team suffered an MCL injury, as part of the rugby strength and conditioning sessions I was implementing a knee strengthening program as part oh his graduated return to play.

 

ENGLAND BASKETBALL (Aspire)

I have been lucky enough to gain a placement opportunity to with England youth basketball as part of the Aspire program this forms part of an elite pathway to team GB basketball.

The Talent Pathway contains four tiers of progression that sits astride the adjoining Talent System and showcases the various stages of development for basketball players from the age of 11 through to senior GB representation.

The Aspire Programme sits at the base of the model and is for 11 to 15-year-old basketball players originally selected through the National Scouting, Talent Identification & Tracking Programme from a talent pool of 20,000 boys & girls in clubs & schools nationwide.

As well as providing Pitch side first aid cover and assisting with warm ups and cool downs one of the main roles was to conduct a Functional movment assessment of the players and feedback information to the coaches to aid them in selection.

What is functional movement?

Squat Myths…..Question Everything

it turns out many things I was told by my PE teacher or rugby coach who first qualified in the 1970’s are not entirely true. I have played sport and have had several laws or rules drilled in to me such as when you squat your knees should not go in front of your toes. this is a prime example on why we should always ask questions and not just rely on things people have told us, as rehab experts I think it is our responsibility and duty to keep up to date with the latest research to make sure our own knowledge is always correct.

I have always believed a popular  training myth that the knees shouldn’t travel forward past the toes during a squat, otherwise your knees will have to much force going through them and give way causing an injury This myth has been passed on by every PE teacher I ever had and it is possible that it has come from them misinterpreting a study then passing on the incorrect knowledge

Rowland (2017) stated that ”One such study that may have contributed to this belief was conducted in 2003 by Fry et al. (1), who looked at how joint torques at the knees and hips changed when restricting forward knee travel during a squat. As you can see in the picture below, in ‘A’ the knees were allowed to travel forward freely, whereas in ‘B’ they were restricted to not travel forward past the toes at all.”

”Although restricting forward movement of the knees may minimize stress on the knees, it is likely that forces are inappropriately transferred to the hips and low-back region. Thus, appropriate joint loading during this exercise may require the knees to move slightly past the toes.” (fry 2003).

Therefore, ‘it is true that anterior knee stress increases as the knees come forward during a squat, it is important to know that the amount of stress from the knees going slightly in front of the toes is still WELL within the limits of what the knee can handle Reference: Schoenfeld 2010.’

it just goes to show that not every thing you hear can be trusted and it is important to always back up what you have been told with facts and research.

References:

1 Fry AC., Smith JC, Schilling, BK. Effect of knee position on hip and knee torques during the barbell squat.  J Strength Cond Res. 2003 Nov;17(4):629-33. https://www.ncbi.nlm.nih.gov/pubmed/14636100

2 Schoenfeld BJ. Squatting kinematics and kinetics and their application to exercise performance. J Strength Cond Res. 2010 Dec;24(12):3497-506. https://www.ncbi.nlm.nih.gov/pubmed/20182386

3 Rudavsky A, Cook, J. (2014) Physiotherapy management of patellar tendinopathy (jumper’s knee). Journal of Physiotherapy 60: 122–129] http://www.journalofphysiotherapy.com/article/S1836-9553(14)00091-5/fulltext

4  Swinton PA., Lloyd R., Keogh JW., Agouris I., Stewart AD.
A biomechanical comparison of the traditional squat, powerlifting squat, and box squat. J Strength Cond Res. 2012 Jul;26(7):1805-16.
https://www.ncbi.nlm.nih.gov/pubmed/22505136