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In the past, I have worked with countless athletes and clients wanting to overcome injury and resume sport or [link widoczny dla zalogowanych] their desired recreational activity. Many people are simply struggling to figure out how much or how little to succeed regarding exercise as they travel this route to recovery. The simple truth is I've found few pros who can handle piecing together the correct plans of these people also.
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No matter the kind of injury, there is a systematic way to return to play safely and efficiently. It requires things i term "threshold training." Natural tendency in society is good for coaches and athletes to rush back into "full go" at the earliest opportunity. This tendency is further perpetuated in the event the doctor tells a player he/she is cleared for full participation.

The term cleared indicates no limits. Now, the coach and athlete assume the body will withstand normal practice, pounding and conditioning. This is when the system lets people down. Doctors are taught to evaluate and diagnose problems. Chances are they'll recommend a corrective plan of action. They aren't versed in conditioning and return to play. They make clinical decisions depending on experience, x-rays, MRI's and research studies.

Even if a sports athlete undergoes physical therapy, he/she might not be fully reconditioned. Insurance companies are [link widoczny dla zalogowanych] now limiting visits for patients and in some cases therapists is probably not proficient in transitioning athletes back to play regarding a full functional progression determined by specific sport movements and criteria. As a [link widoczny dla zalogowanych] therapist, I really [link widoczny dla zalogowanych] believe 100% in physical therapy. However, I have also seen firsthand [link widoczny dla zalogowanych] how ineffective rehab [link widoczny dla zalogowanych] progressions limit recovery.

After rehab or time away from sport/activity, it is advisable to possess a progressive procedure for go back to play. This strategy needs to be deliberate, scientific and individualized in relation to these factors:

o Date of initial injury
o Physiologic healing time frames
o Previous medical history
o Prior and current fitness level
o Demands in the sport and particular position
o Demonstration and finishing of functional exercise/drills with proper form
o Tissue and pain response to progressive stress loading

The two most common mistakes I have come across over time within this process are:

1. Athletes are pushed too much too quickly and experience a recurrence in the injury as certain functional steps are still from the transition process

2. Athletes are treated too conservatively and functional progression is delayed as clear functional parameters for come back to play usually are not established or measured

So, is there a key? It starts off with gathering all the facts about the injured person. Including mechanism of damage, pain patterns and pain threshold, training history, medical history, practice patterns, methods of training used, and determining if the injury is acute, sub-acute or chronic naturally. Acute injuries respond quicker to acute intervention. Chronic injuries (individuals with persistent symptoms staying longer than 3-4 weeks) are more difficult to address and require not just rest, ice, compression and elevation.

A few of the hardest injuries to rehab and overcome are repetitive stress injuries and inflammatory [link widoczny dla zalogowanych] conditions for example:

1. Osgood-Schlatter Disease
2. Sever's Disease
3. Patella, Achilles or rotator cuff tendonitis
4. Tennis elbow (lateral epicondylitis)
5. Stress fractures
6. Patello-femoral pain syndrome (PFS)

The true secret to recovering 100% involves assessing weakness, mobility restrictions, faulty movement patterns and compensatory movements adopted in reaction to injury. Analyzing client movement patterns (e.g. squatting, jumping, running, etc) provides immediate understanding of weak links inside the kinetic chain. I often utilize Dartfish video analysis to collapse such movements to higher analyze faulty movement. Additionally it is crucial to compare side to side balance, strength, mobility and proprioceptive capacity (body awareness in space). Testing needs to be specific and try to exploit any common limitations associated with the specific injury.

After the baseline assessment is [link widoczny dla zalogowanych] complete as well as any specific aspects of weakness are actually indentified, working out plan might be initiated in direct reaction to those findings. Everything needs to be progressive and measured when it comes to mode, volume, frequency, intensity and sequence. It is vital to appraise the following with each activity:

o Pain before activity
o Pain during activity
o Pain after activity
o Length of your energy for pain (if present) after activity to eliminate or resume baseline

With me, working through some discomfort is critical [link widoczny dla zalogowanych] provided the client continues to be educated about what is acceptable [link widoczny dla zalogowanych] which enable it to communicate effectively from session to session what sort of activity level affects the tissue and pain level [link widoczny dla zalogowanych] itself. In order to be successful and stop re-injury, the athlete should be honest regarding the body's a reaction to the exercise progression.

Noncompliance with all the progression or dishonesty in regards to the true pain or tissue response will derail any efforts to achieve full recovery in time. The truth is, the tissue will simply deal with repeated attacks to get a short time if it's not properly trained and equipped to face up to the forces of sport. Athletes aren't honest simply because they fear being removed area of or losing their starting position. Once the coach, parent and out observer notices an issue it can be past too far as the tissue is nearing mechanical failure and in a weakened state.

To traverse this minefield and steer clear of setbacks, you should institute threshold training. In other words, this implies pushing [link widoczny dla zalogowanych] one's body through training on the fringe of acceptable pain while carefully evaluating tissue response and grading the progression, intensity and level of programming solely according to this response. Wolff's law states that the degree of stress will actually facilitate healing. The bottom line is finding the best amount of stress. That is certainly in which the come back to play exercise program helps to make the difference on earth when it comes to shortening recovery windows and optimizing performance.

With proper threshold training, the injured athlete learns the best way to grade and appraise the stress on his/her body during each training/practice session, while gaining a [link widoczny dla zalogowanych] comprehension of the [link widoczny dla zalogowanych] exact threshold itself. The threshold (activity tolerance level) should elevate or progress with steady training and use of the pain reaction to guide appropriate increases or decreases in intensity and volume.

Systematically integrating strengthening, power training and athletic movement drills in terms of the anguish threshold response should serve as the compass for directing the program. I've discovered this formula to get the best way to return my clients to full participation within the shortest time possible while using lowest rate of re-injury. More importantly, this training system allows the injured athletes to regain full confidence within their body to execute in an advanced again devoid of the underlying nervous about re-injury affecting play.

Threshold training allows strength and conditioning specialists to actually augment injury recovery, prevent further injury and enhance athletic performance. The acquire message is actually make sure measure. After the athlete buys in, your body will decisively guide and direct the courses path suitable for everybody and dramatically help the process of healing.