Thursday, June 14, 2012


Cheerleading Injury Prevention: 
The Background
By Nami Stone, Physical Therapist and College Cheer Coach

Cheerleading started in 1898 when a few male college students formed the first “pep club” to lead the crowd in cheers during one of the first American football games. It wasn’t until the 1920’s that women started cheering, and skills such as tumbling, fight song motions, and other acrobatics started to emerge to help lead the crowd.

Training camps and the National Cheerleading Association (NCA) emerged in 1961, spurring cheer to be one of the fastest-growing youth activities in the nation. But it wasn’t until the Universal Cheerleading Association (UCA) was formed in 1974 that cheerleading started to look like it does today with partner stunts, pyramids, and routines choreographed to music, culminating in the first ESPN-televised UCA Cheerleading National Championship in 1982.

At the collegiate level, the KU Cheer squad’s primary purpose hasn’t strayed far from the intent of the original pep clubs: to support our athletic teams and energize the crowd. But like most modern squads, we also entertain the crowd by performing difficult and physically demanding stunts, pyramids, basket tosses, and tumbling – the same skills we perform in a routine trying to win a UCA College Cheer National Championship.

But with the advent of modern skills, the physical demands and risk placed on cheerleaders have grown so much that from 1982 to 2008, over half the catastrophic injuries in female athletes involved cheerleading, and was 2nd overall only to football. The good news is, there has been a marked decrease in cheer injuries over the past several years, probably due to the emergence of the American Association of Cheerleading Coaches and Administrators (AACCA).

The NCAA partnered with AACCA and Varsity Brands (the leading provider of cheer camps, and parent company of UCA and NCA) to create new high school and college cheer rules to decrease injuries. AACCA made major changes in the skills allowed based on the performance surface. For example, basket tosses can’t be performed on any hard surface, and only limited basket tosses on grass surfaces. From a coaching perspective, all college cheer coaches must be AACCA certified and present in order for their cheerleaders to perform skills. Although it is not mandatory at the high school level, it is highly recommended.  If a coach does not follow the rules and regulations set by AACCA, their certification can be revoked and they cannot coach at the collegiate level. ACCAA certification can also provide some added liability coverage to the coach in the case of injuries.

So how can a cheerleader or parent of a cheerleader keep a participant safe from injury? My most honest answer is that you can’t. Just like all other sporting activities, you can follow all the rules and safety guidelines but there is always a risk of injury. However, there are ways you can decrease your chance of injuries. Below are the recommendations I give to coaches at our summer camps:
  1. Know and follow all safety guidelines set forth by ACCAA as well as any additional rules your particular program may have in place.
  2. Know the proper progression of skill advancement (i.e. cheerleaders should not be attempting the more advanced skills if they have not mastered the intermediate skills).
  3. Know the physical limitations of each member of your team.
  4. Do not let an injured cheerleader return to activity until a doctor or a school trainer has released them.
  5.  Leave enough time for proper warm up and conditioning at each practice.
  6. Make sure your cheerleaders are educated on proper nutrition and conditioning to be in the best physical shape possible.

Also, when choosing a cheer program, try to find one whose coaches are properly trained to ensure that injuries are only a risk, not a probability.

In my next blog entry, I’ll provide exercises and conditioning to help cheerleaders of any age or skill level maximize their performance and minimize their chance of injury.

Friday, May 25, 2012

Introducing Summer Speed and Agility Training at LMH


Starting this June, LMH Therapy Services will be offering youth athletes Sports Performance services.  Participants can choose to join a group or train as an individual to enhance speed, agility and plyometric skills.  This initial summer performance training session will be available for athletes age 12-18 and will kick-off training in the newly updated 3rd floor suite in the LMH 4th Street Health Plaza building. 

Athletes will train with suspension trainers, resistance bands, weighted sleds, training ropes and medicine balls on a 15’ x 60’ padded field turf surface. Athletes are trained by qualified performance coaches that are Certified Strength and Conditioning Specialists.

The summer session will feature small group sessions of athletes of similar age working with the performance coach on acceleration, cutting and jumping.  High school athletes typically lift weights and run in the summer, but forget to spend specific time training speed, agility, and plyometric skills to enhance performance next season.  Each challenging speed and agility session at LMH will compliment these programs without overworking the athlete.

Exclusively at LMH, each athlete is individually assessed by a Sports Physical Therapist. The athlete receives a comprehensive screening and analysis of posture, muscle imbalances, flexibility, balance and injury prone areas.  Training goals and advice regarding injury prevention will be provided to the athlete as part of the assessment.

Speed and Agility Training groups are forming now and class sizes are limited.  To register in the summer training program, call LMH Therapy Services (785) 505-2712. Individual and Team Training sessions are available as well.

Training Schedule: June 11-August 3rd 2012

SPEED & AGILITY  TRAINING (Ages 12, 13, 14)

Acceleration/Quickness/Coordination

Group Sessions ……………………………………...$315 per person

16 sessions: 8 weeks, 2x/week, 50 minute sessions

Includes Individual Assessment ($75 value)

Males & Females: Monday and Wednesday—3:00 pm

                                                     Or

                                Tuesday and Thursday—4:00 pm

SPEED & AGILITY TRAINING (Ages 15,16,17,18)

Acceleration/Reaction/Jump Training/Coordination

Group Sessions ………………………………….....$365 per person

Includes Individual Assessment ($75 value)

16 Sessions: 8 weeks, 2x/week, 60 minute sessions

Males:      Monday and Wednesday—11:30 am  or   Tuesday and Thursday—2:00 pm

Females:  Monday and Wednesday—2:00 pm  or Tuesday and Thursday—11:30 am


Friday, May 11, 2012

Part II:Eliminate Running Injuries -> Hip Strengthening Exercise Progression


Hip strengthening exercises as discussed in the "Part 1: Eliminate Running Injuries" post can be progressed. Check out the exercises below and perform 2-3 sets of 10 repetitions twice a week to keep you off the training table and on the running path.

Forwad Lunge
•        
           PROCEDURE Stand with feet together and take a large step forward with one foot.  Lower opposite knee towards the floor while keeping trunk upright.  Use front foot to push back to standing position.
•         COACHING KEY: Activate your core to keep body straight and be careful your front knee does not pass your toes.  Keep hips level—do not let your back hip drop.

       Lateral (Side) Lunge

       PROCEDURE: Standing with feet together, take a large step sideways with one foot.  Bend knee and drop buttocks backwards while keeping opposite knee straight.  Use front foot to push back to starting position.
·         
·         COACHING KEY: Be sure your bent knee does not advance forward over your toes and your feet remain pointing forward.  Keep hips level—do not let your back hip drop.

Forward Step Up 
PROCEDURE: Using a 4-8 inch step, place foot on step and raise body while focusing on pushing knee as straight as possible. Simultaneously pull the opposite leg up in front of you with knee bent. Try to raise thigh over 90 degrees and stabilize for 3-4 seconds. Keeping bottom leg secured on step, reach back with raised leg to touch the ground behind the step with toes. Quickly return to raised leg position.
COACHING KEY: Focus on keeping planted leg straight. Engage abdominals and explode up onto step after touching toes to ground.  Keep hips level when stabilizing on top step—don’t let your hips drop!

Forward and Side Touchdowns
•       PROCEDURE: Standing with one foot on a step, lower the heel of the other leg until it just touches the floor. (Do NOT shift your weight onto this leg). Push through leg on the step to return to a standing position.
•       Start with 4” step and progress up to 6-8”.  If you don’t have a 4” step, put a book on the floor to decrease the step height or only lower leg as far as you can without your hip dropping
•       COACHING KEY: Focus on keeping your waistline level (do not let your hip drop) by pushing back your buttocks and engaging your hip stabilizers.  Be sure your knee does not extend over your toes.

Have more questions regarding these exercises or need help getting back to your running program?  Contact a sports physical therapists at one of our LMH locations:
Hospital (785) 505-2712
South (785) 505-3780
Eudora (785) 542-3344

Julia Noonan, DPT
Sports Physical Therapist
LMH Therapy Services