Category Archives: Sports and Fitness

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PT News June 2019

PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout June 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

1. 8 Great Pelvic Floor Stretches to Do During Pregnancy
Written by Ability Rehabilitation with multiple locations throughout Orlando and Tampa Bay.

retching and strengthening your pelvic floor muscles during pregnancy can help relieve your aches and pains — and alleviate stress and tension too. Pelvic floor stretches will also help you have an easier delivery and decrease your risk of urinary incontinence later on.  Read more

 

get active square

2. Get Active to Stay Active

Written by Rebound Physical Therapy, a privately owned, outpatient physical therapy practice throughout Central Oregon.

Summer is a time to have fun and spend time outdoors. It is an opportunity to enjoy the sunshine. It’s a time when you can go out for a walk and roll down the windows and take in everything that nature has to offer, allergies and all. Read more

 

3. For Shoulder Relief Try These Home Remedies

Written by Sport and Spine Physical Therapy with 4 physical therapy locations in Southern, WI.

Shoulder pain can be one of the most disabling problems to deal with. Whether you realize it or not, you use your shoulder pretty frequently throughout most days, as it permits practically any movement that involves your arms. Read more

Periodization Weight Training

A Guide to Periodization with Weight Training

Periodization Weight Training

Periodization is an important technique utilized with training in order to maximize gains, whether it be through increased aerobic performance, speed, and strength. This guide outlines simple tips customizing training programs to prevent plateauing with training and improve performance. By no means is this an exhaustive guide, or an end all be all in regards to what specific exercises to perform to improve function or performance. For specifics on what exercises to perform, this depends on what goals you seek to achieve and physical characteristics, which can be outlined by a physical therapist or certified strength and conditioning coach.

1. Strength, endurance, hypertrophy, power continuing and rest

The amount of resistance, number of repetitions, and speed the exercises are performed all have an impact on how the body will respond to training. Proper training requires proper rest between sets to maximize the effect of whatever you are trying to accomplish. For a rough and dirty guide on training loads and adaptations, use the following:

weight training


Brute Strength
100% of Max (1-5 Reps)
In this range, gains are made more from neuromuscular adaptations with little effect on muscle fiber size.
REST: When training for maximum strength or power, rest for 3— 5 minutes between sets.

 

weight training


Power Training (High Velocity)
80-90% of Max (1-3 Reps)
At a high velocity to promote endurance and power.
REST: When training for maximum strength or power, rest for 3— 5 minutes between sets.

 

weight lifting


Strength and Mass
76-82% of Max (6-8 Reps)
This range still heavily taxes the neuromuscular system but provides a high enough volume to help elicit gains in muscle mass.
REST: When training for strength, utilize a rest scheme of 2— 3 minutes between sets.

 

weight lifting


Mass
68-74% of Max (9-12 Reps)
This range is the best for providing a high enough volume to elicit large gains in muscle mass, but not enough of a stimulus to cause as great of a strength gain as high resistances.
REST: When training to maximize muscle mass, utilize a rest scheme of 60— 90 seconds between sets.

Endurance Training
13+ REPETITIONS- These rep ranges do a better job at promoting muscular endurance, but do not have a high enough intensity to elicit large changes in muscle mass.
REST: When training for endurance, utilize a rest scheme of 30— 45 seconds between each sent.

*Note the above information is applicable to multi-joint movements like squats and deadlifts. Single joint movements, such as bicep curls, can typically be done for a greater number of repetitions at any percentage of an individual’s given maximum, and so, will need to be assessed accordingly when developing a training program.

2. Training Cycles

Training cycles are an organized way to design a training program to meet a specific over-arching goal. This consists of macrocycles, mesocycles, and microcycles.

weight training cycle

3. Progressive vs. an Undulating Program

Progressive programs revolve around a systematic increase in volume, intensity, or both in a given cycle while an undulating program utilizes a randomized progression within a cycle, in which the volume, intensity, or both can vary daily, weekly, or monthly. Neither progression displays a significant superiority over one another in regards to peak performance. However, some suggest that undulating programs carry a smaller risk of overtraining. In reality, the utilization of both progression techniques allows progression and reduces the risk of overtraining while reducing the risk of plateauing.

Putting it all together (Example: 3 Month Training Progression)

Month 1- Capacity Building
Higher rep range to help the body become accustomed to training. Utilizing a combination of periodization an undulation in a month progression:

Example:

  • wk 1— 4 sets of 13—15 reps at 55% — 60%;
  • wk 2— 4 sets of 11—13 reps at 64%—70%;
  • wk 3— 4 sets of 10—12 reps at 68%—72%;
  • wk 4— 4 sets of 10—12 at 60% — 64%

Each week the rep ranges decreased with increasing resistance until week 4. The 1st 3 weeks utilize a linear progression in order to increase the body’s ability to handle a given training volume, but week 4 acts as a deloading week. This takes the undulating approach into account to alter load parameters to allow for recovery within a training cycle in order to reduce the risk of overtraining.  Another important note, the higher the resistance, the lower the number of repetitions performed.

Month 2- Hypertrophy Phase
Utilize a weight that is challenging for 9 to 12 repetitions with eventually progressing to 8 to 10 repetitions utilizing progressive system detailed in month 1.

Example:

  • wk 1— 10 to 12 reps at 68%— 72%
  • wk 2— 9 to 11 reps at 70%— 74%
  • wk 3— 8 to 10 reps at 72%— 76%
  • wk 4— sets of 8 at 64%— 70%

 

Month 3- Strength Phase
Utilizing resistance that is challenging for 6 to 8 reps and eventually progressing to a resistance that only allows for performing 4 to 6 reps.

Example:

  • wk 1— 6 to 8 reps at 76%— 82%
  • wk 2— 5 to 7 reps at 78%— 85%
  • wk 3— 4 to 6 reps at 82%— 88%
  • wk 4 sets of 5 to 8 at 70%— 75%

This would training progression could be used a stand-alone training progression, or as part of a more comprehensive training program. The three-month block could act as a mesocycle for a larger training program with each month acting as a microcycle to address short term goals.

*Note this is by no means an exhaustive list, nor is this a specific training progression for different sports. This is just an example of how the different concepts are written in this paperwork together in a training progression.

physical therapy near me

This article was written by Rehab Associates of Northern Virginia. Rehab Associates of Central Virginia is an outpatient physical therapy clinic that focuses on putting the patient’s needs first. Their physical therapists have advanced degrees in specialty orthopedic care from head to toe.

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PT News May 2019

PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout May 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

nutrition strategies

1. Effective Nutrition Strategies
Written by The Center for Physical Rehabilitation with 8 physical therapy locations throughout Greater Grand Rapids, MI.

How do you stay on target with eating healthy and being active? Between work schedules, kids schedules, appointments, and change of plans, finding time to exercise and eat right can sometimes feel impossible. Read more

 

physical therapy for headaches

2. Physical Therapy Can Help Headaches
Written by Mishock Physical Therapy and Associates, a privately owned, outpatient physical therapy practice throughout Montgomery, Berks and Chester Counties.

Headache pain is the third most common pain complaint worldwide. Some people suffer from the occasional headache, but others suffer from daily, chronic headaches which can be disabling, interfere with one’s ability to work and result in decreased quality of life. Read more

 

Does Mono Mean no exercise

3. Does Mono Mean No Exercise?
Written by The Jackson Clinics with 21 physical therapy locations throughout Northern Virginia and Maryland.

Mononucleosis—often known simply as “mono”—has an incubation period of one to two months. Once symptoms appear, recovery can take an additional four to six weeks. Until your physician tells you it is safe to resume more strenuous workouts, avoid any but the mildest exercise. Read more

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PT News February 2019

PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout February 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

 

2. Can I Exercise Safely with a Cold?
Written by the Therapy Team at The Jackson Clinics with physical therapy locations throughout Northern Virginia and Maryland.

The average adult gets one to six colds every year, with symptoms lasting a week to 10 days. Should you let these colds interrupt your exercise routine? Probably not, as long as you pay attention to what your body tells you. Read more

 

3. Physical Therapy for the Treatment of Osteoporosis
Written by the physical therapy team at Mishock Physical Therapy & Associates with locations throughout Montgomery, Berks and Chester, PA counties.

Osteoporosis is the leading cause of fractures in the elderly. It is a disease which causes diminished bone mass and leads to a decrease in bone quality which results in increased risk for bone fractures. Fractures can lead to functional disability, chronic pain, and at times, early death. Read more

seniors start exercising

Seniors: It’s Never Too Late to Start Exercising

seniors start exercising

For years, seniors have attributed their aches, pains, and illnesses to the normal aging process. Age is often used as a reason to avoid exercise. But a regular exercise program can improve the quality of your life and help you avoid illness, including heart disease, stroke, and diabetes. As always, you should consult with your health care provider before starting any exercise program.

WHAT WE KNOW
Most people know that with age, come certain physiological changes. Studies show that we lose the following as we age:
• Lean muscle tissue—Most of us will lose muscle mass as we get older. We usually hit our peak muscle mass early—around age 20—and begin losing muscle mass thereafter.
• Aerobic capacity—The aerobic capacity is the ability of the heart and the body to deliver and use oxygen efficiently. Changes in the heart and decrease in muscle tissue decrease aerobic capacity.
• Balance—As we age, our ability to balance decreases, making falls and injuries more likely. The loss of muscle is a major contributor to losses on balance.
• Flexibility—Our joints and tendons lose some of their range of motion with age, making it difficult to bend and move around comfortably.
• Bone density—Most of us reach our peak bone density around age 20. After that, bones can become gradually thinner and weaker, which can lead to osteoporosis.

Fortunately, regular exercise can help delay some of these changes and give you the energy you need to do everyday activities like walking, shopping, and playing with your grandchildren. Exercise may even help decrease depression and stress, improve mood and self-esteem, and postpone age-related cognitive decline.

By adding endurance, strength, flexibility, and balance training into your routine, you will be healthier, happier, and more energetic.

senior push ups

ENDURANCE
Decades ago, doctors rarely recommended aerobic exercise for older people. But we now know that most people can safely do moderate exercises. Studies have shown that doing aerobic exercise just a few days a week can bring significant improvements in endurance.

Aim to get 30 minutes of moderate exercise—such as brisk walking, bicycling, or swimming—at least 5 days a week. You do not have to do 30 minutes at once—you can break these sessions up into two 15-minute sessions or three 10-minute sessions. Moderate exercise will cause your heart rate to rise and your breathing to be slightly elevated, but you should still be able to carry on a conversation.

STRENGTH
It is not just aging that makes people lose muscle. One of the main reasons older people lose muscle mass is that they stop exercising and doing everyday activities that build muscle.

Building stronger muscles can help protect your joints, strengthen your bones, improve your balance, reduce the likelihood of falls, and make it easier for you to move around in general. Even small changes in your muscle size and strength—ones that you cannot even see—will make things like walking quickly across the street and getting up out of a chair easier to do.

Aim to do strength exercises (eg, weight lifting) every other day, or at least twice a week. For each exercise, do three sets of 8-12 repetitions.

FLEXIBILITY
Increasing your overall activity level and doing stretching exercises can markedly improve your flexibility.

To improve the flexibility—or range of motion—of your joints, incorporate bending and stretching exercises into your routine. A good time to do your flexibility exercises is after your strength training routine. This is because you muscles will already be warmed up. Examples of exercises that you may enjoy include Tai chi, yoga, Pilates, and exercises that you do in the water.

By regularly stretching, you will be able to move around easier. You may also feel less stressed, and your posture will improve.

BALANCE
Just becoming more physically active will improve your balance and decrease your risk of falling. If you add some basic balancing exercises to your exercise routine, you will begin feeling more stable on your feet. Balance exercises can be done just about anywhere and usually require no more equipment than a chair.

Keep in mind that if you are having severe problems with balance, a fall prevention physical therapy program can be a great way to regain your balance, increase strength or improve flexibility.

GETTING STARTED
To avoid injury, start slowly. Add one or two sessions a week at first and progress from there as you begin to feel stronger. A physical therapist, or other health professional, can help develop a program that will be both safe and effective. Check with your local fitness or community center, which may offer exercise classes designed especially for older adults. Check with your primary health care provider if you are planning to participate in vigorous activities.

Remember, it is never too late to start exercising. The sooner you start, the sooner you will start feeling healthier, more energetic, and less stressed.

RESOURCES:
American Heart Association
http://www.heart.org

The President’s Council on Physical Fitness, Sports, and Nutrition
http://www.fitness.gov

CANADIAN RESOURCES:
Health Canada
http://www.hc-sc.gc.ca

Public Health Agency of Canada
http://www.phac-aspc.gc.ca

REFERENCES:

Effects of aging. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00191. Updated September 2009. Accessed April 4, 2016.

Exercise and physical activity: your everyday guide from the National Institute on Aging. National Institute on Aging website. Available at: http://www.nia.nih.gov/health/publication/exercise-physical-activity-your-everyday-guide-national-institute-aging-1. Updated February 16, 2016. Accessed April 4, 2016.

Physical activity: glossary of terms. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nccdphp/dnpa/physical/terms/index.htm#Moderate. Updated June 10, 2015. Accessed on April 4, 2016.

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

common workout injuries

Common Workout Injuries and How to Avoid Them

Nothing can put a halt in your fitness journey like a workout injury. As we start the new year, many will embark on a journey to achieve their own personal fitness goals. However, injuries such as sprains, fractures, lower back pain, and other injuries can stop you from reaching your goals. Making sure you are educated on the different types of injuries and how to prevent them can help you avoid the headache of a potential injury. If you do injure yourself, resting, icing the injury, compressing it and elevating it can help you recover from minor injuries and get right back into your fitness routine. If you are experiencing a lingering pain, please consult your physical therapist. Pain can be a warning sign from your body that an injury is likely to occur. Fitness19 has created an infographic highlighting the most common workout injuries and how you can avoid them. Check it out below for more information.

Common Workout Injuries and how to avoid them.

lack of exercise worse than smoking

Lack of Exercise Worse than Smoking, Diabetes, and Heart Disease

lack of exercise worse than smoking

As physical therapists, it is our job to promote movement and overall well-being.  Exercising regularly is linked to better physical and mental health and can help to prevent or delay heart disease, strokes, certain types of cancer, and diabetes. What is perhaps less known is that not being active can be harmful to your health. This lifestyle, called sedentary, has been linked to a number of preventable diseases. Researchers wanted to assess the impact of a sedentary lifestyle on all-cause mortality. The study, published in JAMA, suggests that a sedentary lifestyle has a larger impact on our health than previously thought.

About the study
The study by Jama included 122,007 participants at an academic medical center. The mean age of the participants was 53 years and they were 59% male. Among these, 13,637 died during the study.

The study followed participants for median of 8.4 years. Their physical fitness was measured using exercise treadmill testing and they were arranged by age and gender into the following performance groups:

  • Low—less active than 25% of participants
  • Below average—less active than 49% of participants
  • Above average—more active than at least 50% of participants
  • High—more active than at least 75% of participants
  • Elite—more active than almost 98% of participants

The study found that death from any cause was lowest among elite category. Death rates were highest among those in low category. It also found that the increase in risk of death linked to sedentary behavior was equal to or greater than the risk of death from smoking, diabetes, and heart disease.

How Does This Affect You?

Cohort studies are observational studies. These studies simply observe events as they unfold, but do not interfere or introduce factors that can affect the outcome. While they can’t show direct cause and effect, they can show a possible link between two factors. A large number of studies have found that sedentary behavior affects health, however this is the first that showed it may be as significant as smoking, diabetes, or heart disease.

If you are sedentary, start moving. Make changes in small increments to help you adjust. Starting a workout routine can be a challenge, but with the help of a physical therapist, you can learn how to get started and safely build up to a regular routine. Work toward at least 150 minutes a week of moderate intensity aerobic activity. Here are some tips to help you get started:

  • Start with short episodes of activity. Try doing 3-4 bouts of walking for 10 minutes at a time, spread throughout the day.
  • Try out different activities to see which work best for you.
  • Look for opportunities to move during the day. Take stairs instead of the elevator, park a little further away, or walk instead of taking your car. Little bits can add up and help you reach longer goals.

If you are already active, keep it up! Make sure to schedule activity into your daily routine.

Need help getting started? We have some great ideas for you here!

exercise tips starting a workout program

SOURCES:

2008 physical activity guidelines for Americans Summary. Office of Disease Prevention and Health Promotion website. Available at: https://health.gov/paguidelines/guidelines/summary.aspx. Accessed October 25, 2018.

Mandsager K, Harb S, et al. Association of cardiorespiratory fitness with long-term mortality among adults undergoing exercise treadmill testing. JAMA Netw Open. 2018;1(6):e183605. Available at: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2707428?resultClick=3. Accessed October 25, 2018.

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PT News October 2018

PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout October, 2018. Featuring published articles from PTandMe partnering clinics!

Kicking injury aside Rebound Physical Therapy Review

1. Kicking Injury Aside and Back on the Field
Written by Rebound Physical Therapy with 10 physical therapy locations throughout Bend, OR and the surrounding communities.

Physical therapists help patients with all kinds of disabilities or injury. Read about Kaylee’s journey through rehab as she goes from being a soccer athlete to having to relearn how to walk, and eventually get back into her sport.  Read more

 

Transitioning Indoor Activities

2. Transitioning to Indoor Activities
Written by the Therapy Team at The Jackson Clinics with 18  physical therapy locations throughout Northern VA and soon branching into Maryland.

While summer offers opportunities to walk, jog, bicycle, garden, play sports and get into shape, cold weather brings the temptation to eat more, move less and hibernate indoors. Shorter days, frosty air and holiday parties can threaten the fitness gains you made during the summer.  Read more

women's health

3. The Importance of Physical Therapy on Women’s Health: All You Need to Know
Written by the Therapy Team at Cornerstone Physical Therapy with 5 physical therapy locations in Ohio.

Ever since the #1 New York Times bestseller entitled “Men Are from Mars, Women Are from Venus” by John Gray was published, more and more people have asked the question “What makes men and women so different?” Read more

5 Most Common Sports Injuries

Top 5 Most Common Sports Injuries and How to Avoid Them

 Most Common Sports Injuries and how to avoid them: We list some of the most common injuries that can occur from sports

 

Injuries are a byproduct of sports, no matter if you are a professional athlete or just a sports enthusiast. You may go to extra lengths to prevent them and avoid the pain and trouble, but prevention can only go so far when you’re trying to achieve performance. Depending on the type of physical activity that you are engaging in, some injuries might occur more often than others. In this article, we will be talking about the most common of them and also, what to do to avoid suffering from them.

1. Ankle Sprain

Scary official numbers tell us that every day, about 25.000 people end up spraining their ankle in the United States. This is probably the most common injury among people of all ages. However, it doesn’t necessarily result from playing sports. It can also happen while you’re walking on the street or walking down some stairs. Nevertheless, the problem with ankle sprains resulted from playing sports like basketball, soccer, tennis or volleyball is that they can be more serious because of the increased force and speed at which the injury occurs. Naturally, this means that the time needed for recovery is longer and the treatments costlier.

Ankle sprains have three degrees of severity, according to doctors:

  • Grade 1: Minimal damage to the ligaments, just some slight stretching;
  • Grade 2: A loose ankle joint and partial tearing of the ligament, more pain is involved;
  • Grade 3: The most severe case, very unstable ankle joint, a complete tear of the ligament.

The good news is that an ankle sprain is preventable if you truly want to avoid going through all that trouble and pain. Here are a few tips:

  • Practice ankle strengthening exercises and stretching before every exercise session;
  • If you’ve had a sprain before, always wear preventive braces before and while playing sports;
  • Practice balance training regularly so that your ankle will become stronger and your body will gain more control over various types of exercises and positions;
  • Wear proper footwear for the surface you’re exercising on and for the sport, you’re practicing.

2. Shoulder dislocation

Shoulder dislocation is also among the most common injuries that you can get. It usually occurs when your upper arm bone goes out of the shoulder socket where it should normally stay. This kind of injury is often caused by a nasty fall, a tackle in football for example, or by any other type of strong collision. Apart from football, rugby and hockey are the two other high contact sports where shoulder dislocations occur most frequently. However, surfers, tennis players, weightlifters, and cyclists can also suffer from it, but not as frequently.

A dislocated shoulder is a very visible problem, as you will immediately notice the deformed shape it will take after an injury, and you will feel a lot of pain. If you’re lucky, your arm bone might go back into the shoulder socket on its own, but if it doesn’t do that, a doctor is the only one who can fix your problem. Thankfully, you can also prevent your shoulder from becoming dislocated:

  • Do strengthening exercises for your rotator cuff muscles so that you can decrease your chances of a shoulder dislocation;
  • Wear a shoulder brace or some kind of support while doing physical exercise or playing sports, especially if you have suffered from a dislocated shoulder before;
  • Invest in a resistance band and use it for exercises. Also, do some push-ups and shoulder shrugs to avoid a shoulder dislocation.

3. Knee Sprain

A knee sprain resulted from physical exercise is very similar to an ankle sprain. It happens when the ligaments in the knee become either stretched, partially or completely torn. The four ligaments in your knee that can be affected by a knee sprain are the anterior and posterior cruciate ligaments, and the medial and lateral collateral ligaments. People or professional athletes who play football, soccer, and basketball, as well as cyclists, tennis players, and runners often end up suffering from knee sprains. Often, this injury is the result of an abrupt directional change or a hit to the knee area from either side of it.  There are a few ways in which you can avoid this very common injury. Here are some of them:

  • If you maintain your body weight under control and don’t go overboard you are less likely to injure your knee in any way because they won’t have to sustain so much pressure;
  • Warm-up before your exercise session by biking, jogging, or walking;
  • Strengthening exercises for your quadriceps, calf, and hamstring muscles will also help you prevent knee sprains.

4. Lower back injuries

Most people are affected by lower back injuries at one point in their lives, no matter if they’re professional athletes or not. However, people who play a sport or are physically active usually end up with common back strains. Those are, in fact, a group of injuries that affect the soft tissue of the spine like ligaments, muscles, blood vessels, and tendons. There are many causes of back strains like obesity, trauma, poor posture, etc. Even lifting something heavy or moving suddenly can cause such an injury. Here is how to prevent a lower back strain:

  • Stretching helps a lot in these cases. So, if you have a sedentary job, try to get up as often as possible and walk around;
  • Spine and lower back muscle strengthening exercises can help a lot when it comes to preventing injuries;
  • Always warm up your back before doing any type of exercise. Also, after your routine, apply some ice on your lower back area in case you feel it sore or tight.

5. Hamstring strain

A hamstring strain is definitely one of the most common sports injuries and regardless of what sport or type of physical activity you have done, you most likely suffered from it. The biggest problem with it is that it can last for a very long time, and sometimes, you carry it for your entire life. Stopping suddenly can cause a hamstring strain, as well as running and jumping. In most cases, it’s caused by failure to warm up before routines, and poor flexibility and balance. However, there are a few things that you can do to avoid and prevent it:

  • You always need to properly warm-up before doing any kind of exercise;
  • Massage your hamstring before starting your routine;
  • Strengthen your quadriceps and glutes to relieve the pressure off your hamstring.

Conclusion
All in all, it seems that certain injuries resulted from various types of sports and physical exercises are very common among people of all ages. Fortunately, there are certain things that you can do in order to avoid them. The truth is that certain injuries are sometimes unavoidable no matter how hard you try, but just a bit of precaution might go a long way.

This guest post was written by Benjamin Holeman, an amateur pickleball player and a writer for toppickleballpaddle.com.
He thinks that sport has many benefits and that’s why he wants more and more people to play sports.

soccer injuries

Prevent Common Soccer Injuries with Physical Therapy

soccer injuries

Soccer is a great way to build endurance, improve speed, and stay fit, all while enjoying being a part of a team. However, it does not come without it’s risks. By regularly performing quick, complicated movements combined physical contact, injuries can range from mild sprains and strains – to those that may require surgery like a torn ACL. Risk of injury is no reason not to play soccer, though. Soccer players just need to be aware of the risks and know what steps they can take to play as safely as possible.

1. Sprains

Sprains are common soccer injuries. They often happen to the ankle or knee. The pivoting and lateral movements of soccer contribute to these injuries. To avoid unnecessary risk, always check the condition of the field before you play. Do not play on fields that are uneven or have holes or rocks on them. Also, proper footwear and appropriate strength and balance training are the key to prevention.

2. Strains

Muscle strains can be caused by:

  • Pulling a muscle too far in a direction it does not want to go
  • Contracting a muscle hard against resistance
  • Contracting a muscle hard when the muscle is not ready

The most common muscle strains in soccer occur with groin muscles, hamstrings, and quadriceps. A muscle strain won’t send you to the emergency room, but it can be painful and can keep you off the field for a few days or weeks. Strains occur frequently in soccer due to constant stop and go movement, or taking a longer stride than muscles can handle. Good flexibility and strength can lower your chances of muscle strain. Start with a warm up, then stretch the areas that are most likely to suffer a strain. Make sure that you are also doing strengthening exercises before the season begins. Wearing well-fitted cleats with appropriate spikes (longer spikes in softer turf and shorter spikes on dry, hard turf) may also help prevent strains.

3. Fractures

The majority of soccer-related fractures are also in the lower extremities . Fractures often occur as a result of contact, so wearing protective gear like shin guards is important.

4. Head Injury

Closed-head injury is most often the result of a collision between players or from not heading the ball properly. Correct heading involves use of the forehead to contact the ball, the neck muscles to restrict head motion, and the leg muscles to to propel the body from the waist. You may want to consider strengthening your neck muscles to prepare them for heading. You can use your hand to provide resistance against your head. Then, use your neck muscles to turn your head right, left, forward, and backward. Wear a fitted mouth guard to protect your mouth and teeth. You may also want to consider protective eye-wear.

Preventing Soccer Injuries with Physical Therapy.

By working with a physical therapist for injury prevention you get the opportunity to work with an expert of the human body. A physical therapy team will be able to target specific muscles in the legs to strengthen and prepare for the movements performed regularly from athletes of all performance levels. For example, to help prevent an ACL Tear  they may provide an athlete with multi directional knee stability training.  In regard to head injuries a physical therapist may ask you to complete baseline testing, giving coaches and athletic trainers the ability to track your cognitive progress in case of a concussion.

Physical therapists can also help by working with teams to create more effective warm-up exercises designed specifically for your sport and ability levels.

After an Injury Occurs

If you have experienced a soccer injury that doesn’t recover after a few days of rest it may be time to consult a physical therapist or your primary health care provider.  Pushing through pain while trying to remain active in a sport may lead to a more severe injury as well as improper healing of the affected muscles. By going through a physical therapy program, athletes are not only given all of the tools needed to recovery from the initial injury, but also the education and exercises needed to prevent injury in the future.

REFERENCES:

Asken MJ, Schwartz RC. Heading the ball in soccer: what’s the risk of brain injury? The Physician and Sportsmedicine. 1998;26(11).

Boden BP, Kirkendall DT, Garrett WE Jr. Concussion incidence in elite college soccer players. Am J Sports Med. 1998;26(2)238-41.

Metzl JD, Fleischer GR. Sports-specific concerns in the young athlete: soccer. J Pediat Care. 1999 April.

Soccer and the brain. University of Washington website. Available at: https://faculty.washington.edu/chudler/soccer.html. Accessed Accessed January 18, 2017.

Soccer injury prevention. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00187. Updated September 2013. Accessed January 18, 2017.

Soccer injury prevention. Stop Sports Injuries website. Available at: http://www.stopsportsinjuries.org/soccer-injury-prevention.aspx . Accessed January 18, 2017.