Friday, March 2, 2012

Core Stability Training


Guest Post by Emily Sis, University of Kansas Intern at LMH Therapy Services

Many people think that having a “good” core means rock-hard abs and chiseled, six-pack muscles. Sure, performing a couple hundred crunches per day will make your abdominal muscles more noticeable, but it doesn’t help you use the core during everyday functional activites or sports. Unfortunately, just because you have a six-pack doesn’t mean you can correctly perform a simple squat or lunge. These exercises require integration of all the core muscles, not just the superficial abdominal muscles that are isolated with crunches. This shows the importance of core stability.

A stable core is necessary to hold the spinal column in alignment during all the movements you do throughout the day. The deep muscles of the core that surround the spine are the transversus abdominis, multifidus, the diaphragm, and the pelvic floor muscles. If the spinal column does not get enough support from these muscles, other muscles must compensate and are overused. This can lead to muscle strains, ligament tears (ACL tear) and back pain.


Since these core muscles link the trunk to the shoulders and hip, their activation is essential for initiating limb movements, like throwing a baseball or kicking a soccer ball. Performing exercises to gain core stability helps with balance and coordination needed in all sports and daily activities.
If you’re not sure where to begin building your deep core muscles, first just practice activating these muscles. Often called “bracing” or “hollowing,” work on tightening in your tummy as if you are laughing or are about to be punched in the stomach. After practicing this, the next step is working on stabilization by doing bridge exercises and planks.



You can then progress to functional movements using balance and coordination with a stability ball or resistance bands to further increase your core stability. By building your core with these exercises, functional movements can be performed correctly and athletes will see a higher performance level and fewer injuries.

Looking for a challenge? Check out these rotational stability ball exercises:


Composed by Emily Sis, University of Kansas Exercise Science Intern at LMH Therapy Services

Wednesday, January 25, 2012

The dreaded ACL rupture epidemic: Part 4 "Reduce ACL Tears"


ACL ruptures in youth athletes lead to surgery and minimum 6 months of rehabilitation before returning to competitive play. Coaches, athletic trainers, parents, athletes, performance coaches, physicians and physical therapists are important in helping reduce the incidents of this debilitating injury. 

How you may ask? 

1) Recognize the warning signs: Athletes with high potential to rupture an ACL while playing adolescent sports show signs of poor jumping, landing, and cutting mechanics as described in the previous post discussing "knocked knee" positioning.


2) Train athletes to move properly: Train athletes with poor mechanics to properly move in athletic positions. Encourage or develop body weight training programs to ensure athletes can move their body weight perfectly before adding resistance type exercise. Exercises involving single leg squats, step ups, step downs, one leg hops, and jump rope are excellent to develop leg stability and strength that translates well to sport!

3) Develop and maintain appropriate cardiovascular endurance: Many competitive and recreational athletes suffer knee and ankle injuries toward the end of basketball games. When players become tired or fatigued, it appears muscle control decreases leading to increased stress on fragile ligaments.

4)Perform a dynamic warm-up routine before playing: Research studies have shown cold muscles are more prone to injury.  Prepare your body for the physical demands of basketball by performing a series of dynamic movements to increase your core temperature, activate muscles for explosive movement, and excite your nervous system for activity. Examples of exercises to perform include 10 repetitions of body weight squats, forward lunges, side lunges and simple jump jacks.

5) Increase functional glute strength: Greater than 70% of season ending ACL knee sprains are non-contact injuries and are associated with poor knee position when cutting or landing. The glute musculature complex is the foundation that controls knee position. Glutes must be developed to protect the knee and ankle from injury when the leg decelerates or stops. Consider adding single leg dead lifts and monster walks with elastic band wrapped around your ankles to your exercise routine.

LMH Therapy Services is dedicated to helping the youth of Lawrence and surrounding communities through education and resources to help reduce sports injuries. If you would like to speak to the sports injury rehabilitation specialist, call 785.505.2712 and request to speak with physical therapist and athletic trainer Adam Rolf. He is willing to speak to parents, coaches and sports teams about ways to reduce injury and train smarter. 

Adam

Friday, December 9, 2011

The dreaded ACL rupture epidemic: Part 3 "How do ACL injuries happen?"

How does the ACL injury happen? Can it be prevented? Lets dive in!
The dreaded ACL injury typically occurs during sports participation and is described as happening when the ACL is strained by either physical contact or  non-contact when a player cuts/pivots. Contact injuries occur when another individual hits the leg after a player changes directions quickly and pushes the knee into rotation or hyperextension. Non-contact injuries do not involve any other individuals except the injured athlete. During this scenario, the athlete’s knee is exposed to quick deceleration, hyperextension or rotation, and out of control movement causing the ligament to fail.
Click on the link to see the video of each type of ACL injury mechanism.
Noncontact injury -> http://www.youtube.com/watch?v=1JQKko6C42s

http://www.youtube.com/watch?feature=endscreen&v=LuClWeD9ouI&NR=1

Non-Contact injuries are described as hyperextension or rotational.

Hyperextension Tear: (forceful over-straightening) is most often caused by accidents associated with:
  • Skiing
  • Volleyball
  • Basketball
  • Soccer
  • Football
Rotational Tear: Because the ACL becomes taut with inward rotation of the tibia, activities placing any excessive inward rotation of the tibia (usually seen from a plant and twist mechanism) are seen in sports such as:
  • Football
  • Tennis
  • Basketball
  • Soccer
Injury to the ACL may occur in other sports, but less likely due to nature of contact and training:
  • Wrestling
  • Gymnastics
  • Martial arts
  • Running
Male/Female Comparison
National Collegiate Athletic Association (NCAA) has performed research finding female athletes injure the ACL more frequently than their male counterparts. Females in soccer and basketball have the highest incidence of ACL knee injuries. Research suggests ACL injuries in females are greater due to strength imbalances, joint laxity, anatomical hip/knee angles, and training/development patterns.
Next week Part 4: “How to reduce ACL injuries”
Referenced from: http://ehealthmd.com/content/what-causes-acl-tear