Injury Management, Data & Planning · 2018-05-16 · Injury Management, Data & Planning Ivan Hooper...
Transcript of Injury Management, Data & Planning · 2018-05-16 · Injury Management, Data & Planning Ivan Hooper...
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Injury Management, Data & Planning
Ivan Hooper
Swimming Australia Clinical Services Manager (Physiotherapy)
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Traditional Model
• Athlete trains hard
• Athlete gets sore
• Athlete presents to physio
• Athlete, coach and S&C have to make modifications until athlete better
• Can it be done differently?
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• Most common injury in a swimmer is shoulder pain
• Typically rotator cuff tendinopathy
• This occurs when load exceeds the tissues capacity to adapt and cope
• Increase in load
• Lack of strength / tissue resilience
• Faulty mechanics that increase load
• Can this be predicted or prevented?
What causes injury?
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• Healthy athlete in full training
• Training loads (esp impact on the athlete)
• Tissue soreness
• Muscle performance
• Injured athlete grading back to training
• Training loads
• Injury soreness / status
• Muscle performance relative to injury
• Ensure full recovery
Swimming Australia
Use of data monitoring
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Monitoring training loads
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Training Stress Balance
• Chronic Load is the average training load of the last 4 weeks
• Acute Load is the training load of the last 1 week
TSB = acute/chronic (expressed a percentage)
For example: acute =900, chronic=600
TSB =900/600=150%
Foster and de Koning (1999)
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Injury risk relative to loads
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Monitoring training loads
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RPE Measures
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1000
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7000
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9000
Nov Dec Jan
370%
49%
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Garmin Data
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900
1/11/2010 1/12/2010 1/01/2011 1/02/2011
On Water
Ergo
Total Rowing
425%
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Rotator Cuff Strength
IR ER
Male 30% 20%
Female 26% 18%
• We do know what swimmers should be
• Can be a useful monitoring tool
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2/0
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2/0
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2/1
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2/1
6/2
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2/2
6/2
01
8
3/1
2/2
01
8
3/2
0/2
01
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4/1
0/2
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8
New
ton
s
Date
Groin Squeeze
Groin Strength
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Past Future Past Future
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/7/1
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31
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7/8
/15
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/8/1
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21
/8/1
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28
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4/9
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/9/1
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/9/1
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25
/9/1
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30
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6/1
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/11
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/11
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4/1
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1/1
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8/1
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5/2
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/2/1
6
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/2/1
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26
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4/3
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/3/1
6
18
/3/1
6
25
/3/1
6
Acute Load (7 Day) Chronic Load (28 Day) TSB
Injury Rehabilitation
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Viral Illness
Two Athlete Comparison
Stress # rib
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Questions?
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