Transcript ACL PREVENTION PROGRAM

BUILDING A BETTER ATHLETE
- IMPROVE ATHLETIC PEFORMANCE
- INJURY REDUCTION / PLAYER DURABILITY
DESIGNED PROFESSIONALLY
Expert in Lower Extremity Injuries / Soccer Professional
JULIE EIBENSTEINER PT, DPT, CSCS
• USSF A LICENSE
• NSCAA PREMIER DIPLOMA
• USSF NATIONAL YOUTH LICENSE
PHYSICAL THERAPIST SPECIALIZING IN ACL INJURY REHAB & PREVENTION
THE GOAL
1. KEEP STMA PLAYERS ON THE FIELD
-
DECREASE LOSS OF PLAYERS FOR SEASON WITH MAJOR INJURIES (ACL
INJURIES)
-
DECREASE LOSS OF PLAYERS FOR GAMES WITH MINOR INJURIES
(MUSCLE PULLS / ANKLE SPRAINS / ETC)
 MUSCLE BALANCE / SYMMETRY
 STRENGTH
 PROPER MOVEMENT PATTERNS
2. IMPROVE ATHLETIC PERFORMANCE
 PHYSICAL AND MENTAL READINESS TO TRAIN
 BUILDING A MORE EFFICIENT ATHLETE
THE PLAN
1. IMPLEMENTING A PROPER DYNAMIC WARM-UP TO FACILITATE GOOD
HABITS
 USED EACH PRACTICE: MOST VALUABLE 10-15 MIN OF EACH TRAINING SESSION.
 MODIFIED VERSION AVAILABLE FOR GAMES
IMPROVED ATHLETIC PERFORMANCE  LESS INJURIES
SOCCER INJURIES
1 in 3 sports related injuries occur at the knee (37%)
2 in 5 occur at the ankle (40%) in pediatric populations
OTHER COMMON SOCCER INJURIES: Quad, Hip Flexor, and Hamstring
sprains, stress reactions/fractures in lower back.
Females have up to 8x higher risk of ACL injuries
70-80% of ACL injuries are non-contact
Most occur between the ages of 14-18
Risk of early osteoarthritis: ~50% at 10 years following ACL injury
IOC recommends prevention programs should be introduced as early as
possible; in some sports as early as 6-10 years old.
ACL
ANTERIOR CRUCIATE LIGAMENT – 1 of 4 main ligament stabilizers of knee
MAIN PURPOSE: PASSIVE STABILITY
Provides secondary support when muscles don’t provide active stability.
1. Connects thigh bone to shin bone
2. Prevents shin bone from shifting forward and twisting inward around
thigh bone
INJURIES TYPICALLY OCCUR:
- STOPPING / CUTTING / LANDING
TREATING A TORN ACL
SURGICAL
-
$17,000 avg cost
-
6-9 months of rehab
-
Lost time in sport
-
Psychological costs
CONSERVATIVE / NON SURGICAL
-
Strengthening and Neuromuscular Training
-
Risk of further structural damage
-
Not generally recommended for return to competitive
cutting/jumping/pivoting sports.
1/3 return to sport at previous level, 1/3 return to sport but not at previous
level, 1/3 don’t return.
WHY ARE (ALL) INJURIES SO PREVALENT?
THINGS IN OUR CONTROL!
1. Muscle Imbalance / Weakness
1. Left / Right
2. Front / Back
2. Poor Mobility / Flexibility at Adjacent Joints
1. Knee is the slave to the hip and ankle
2. Low back is the slave to the hips and upper spine
3. Poor Strength and Stability from Surrounding Muscles
1. Core / Hip Strength and Stability
4. Poor Movement Patterns (resulting from #2-4)– ESPECIALLY FEMALES !
5. OVERUSE
1. Not enough rest
2. Not enough variety – too sport-centered and not enough athlete-centered
WHAT WE CAN CHANGE
1. Strength / Muscle Imbalance – Quad Dominance, Hip/Core/Posterior Chain
Strength, Flexibility
2. Neuromuscular Control / Movement Patterns = HOW WE MOVE! – Knee/Hip
Flexion, Knee Positioning, Balance
3. Training Load – Periodization
It takes 72 hours for body to recover from a game.
Soccer players who play 2 games per week are at 5x greater risk of injury
compared to 1 game per week.
Young athletes are not simply small adults. RECOVERY IS A MUST. OFF TIME IS A
MUST.
DECELERATION
 INJURIES TYPICAL OCCUR WHEN STOPPING.
 LEARNING TO START AND STOP EFFICIENTLY NOT ONLY MAKES YOU
LESS PRONE TO INJURY….IT MAKES YOU A MORE EFFECTIVE ATHLETE.
 GAMES ARE WON/LOST IN THE INDIVIDUAL BATTLES OF CHANGE OF
DIRECTION ALL OVER THE FIELD.
U13+ PROGRAM
LAURUS SOCCER SPECIFIC PROGRAM
1. CENTRAL NERVOUS SYSTEM RAMP UP / CORE TEMP RAMP UP
2. GLUTE STRENGTHENING/ACTIVATION & FORCE ABSORPTION
3. MOBILITY – FOCUS ON HIP AND ANKLES
4. SINGLE LEG PLYOMETRICS / PROPRIOCEPTIVE TRAINING
5. GLUTE-HAMSTRING
EVIDENCE BASED PROGRAM – UNDERLYING PRINCIPLES BACKED BY
CURRENT RESEARCH DEMONSTRATING EFFECTIVENESS.
U9-12 PROGRAM
FIFA 11+ PROGRAM
FIFA SPONSORED PROGRAM PROVEN TO REDUCE INJURIES
EASY TO FOLLOW FOR YOUNGER ATHLETES
15 MINUTES
15 EXERCISES IN TOTAL WITH PROGRESSIONS
1 PAGE SUMMARY OF EXERCISES
F MARC 11+ WEBSITE
VIDEO DOWLOADS + FIELD SET UP
QUESTIONS?
WOODBURY, MN
www.laurusrehab.com
JULIE EIBENSTEINER PT, DPT, CSCS
[email protected]