Al Vermeil Contact Information • I'm Available For Seminars and Consulting. You Can Contact At Me • a60vermeil@sisna.Com For More Information On Stability Contact-Chad Brenzikofer A Certified Kinetic Control And Performance Stability Instructor At (303) 778-7246 Or mmtherapies@aol.com Website www.performance-stability.com www.kineticcontrol.com For More Information On Manual Physical Therapy Contact Jeff Coverly At http:// www.coverlyphysicaltherapy.com or coverlypt@aol.com. For More Information on Speed Go to http://www.charliefrancis.com And Derek Hansen web site http://www.strengthpowerspeed.com And Derek Hansen web site http://www.strengthpowerspeed.com/ Do Athletes Maintain A Neutral Core During Competition ? Under high training loads (Categories 3-4) or competition the athlete won't be able to maintain a neutral core, but the stronger they are in their ability to control a neutral core under high training load, the more likely they are going to be able to effectively decelerate force and speed toward the end range (M Comerford) High Load Core Strength & Stability - Neutral Core Under Rotational Load: Categories #3 • Categories #3 is utilize in all sports • The inability to control rotation may lead to poor Performance or Injuries, if utilizing Training Methods that high level of rotational control is necessary especially if they there High Load or Velocity – Medicine Ball throws/Plate Circuit – Any single leg or arm strength exercise • I.E. single leg squats/One arm dumbbell row – – – – Chopping and lifting exercises on pulleys Changing Direction drills and jumps Sprinting During training, competition or daily micro-trauma of life Retraining High Load Stability Category 3 : Retraining of lower body control. First be able support themselves for 1 minute. Start on toes and elbows then lift a leg hold for 5-10 seconds x10. Alternate legs. Then lift an arm hold for 5-10 seconds x10. Alternate arms Lifting Leg Lifting Arm Testing High Load Stability Category 3 : • CORE STABILITY (Stabilize trunk with limb movement) – Prone/body supported by elbows and toes: The athlete should be able to lift arm and the opposite leg and switch with good control. Hold each position for 5 seconds Lifting Arm & Leg Retraining Procedures For Extension and Flexion Control For Low Load Global Category 4 • Place biofeedback cuff in the lumbar lordosis (centered at L3) & pump it up to 40 mm Hg. • Take a relaxed breath in and breathe out. Hollow the lower abdominal wall (draw up and in) in an attempt to flatten the lordosis WITHOUT A PELVIC TILT, and thereby pressurizing the cylinder. This increase is due to the swelling of lumbar fascia • This should increase the pressure by 6-10 mm Hg (from 40 mm Hg to about 44-50 mm Hg). If they don't achieve 50 mm Hg, pump the gauge up to fifty while they are holding the contraction. • They must maintain pressure between 42-58 • Start with 2 sets for 10 seconds, Progress to the next level for 3-5 set for 10 seconds • Start the retraining progression at test they failed Are Your Athletes Ready To Train & Absorb Impact? Kinetic Chain Strength & Control •Explosive Propulsion Test Category 3 (Comerford) •Athletes who are incapable of doing this limit their explosive potential because of a weak link in the chain (i.e. the hip, shoulder, glutes, & cause SI joint problems etc.) •This weak link will predispose them to injuries in impact sports and Jump/Plyometric training because their body will buckle from the impact •They may also have difficulty controlling extension, flexion and rotation Support leg hip level Are Your Athletes Ready To Train? Unilateral Leg Strength The distance of the step is 4 lengths of athlete's own foot. Step into a lunge, back straight and back knee just off the surface Hinge from hip & keep the back straight, without changing their body (purpose of stick) have them shift all their weight onto their front leg, & lift the rear leg off forming a straight line. Hold this position for 3 second and then step out. A good test for sports that the skills are performed this position i.e. Basketball, Baseball, Football, Hockey, & Tennis Game Application Of The Lunge And Lean Rapid A Switch Dynamic Stability, Strength, Stability Proprioception, and Change Direction Comparing Lateral change of direction time to the same distance in a straight line for efficiency Dynamic Shoulder and Torso Stability –Can they prevent or control the following : –Shoulder from winging –Shoulder blade from hitching up –Low back from sagging into extension –The trunk from rotating and the chin from poking –If they fail them move closer & work with in a range they can control –Starting position: –Widen the shoulder by rotating the scapular out –Place the shoulder in mid position between full protraction & reaction –1 arms length from the wall for the first test –Then add 1 length of their foot for the second test –Keep the body in perfect alignment –Do a one arm push up, keeping the forearm vertical High Load Extensor Strength Test • Supported Row High Load Extensor Strength Test Unsupported, superior ASI'S at the edge of bench The percentages is an educated guess difference between what they can lift for two reps supported & unsupported for two reps should be approximately about 30% Explosive Strength (Why You Pull Below The Knees) – Biomechanics of the pull develop the hamstring – Hip extension similar to blocking, tackling, take downs in wrestling, jumping, initial acceleration sports, & sprinting – Strengthen and stabilize impact position GAME SIMULATION TIBIAL CONTROL TESTING And RETRAINING Be Careful With The Large Athlete's LATERAL BOUNDS To standardize the test and retraining use a set distance i.e. a lane of track Rehabilitating Hamstring Pulls (P Emerson and C Francis) – After 72 hours start easy mobilization of scare tissue so the collagen bonds reforms at lengthen range or the hamstring will be re injury because when the muscle fires it pulls on the existing scar tissue – Reeducate low level neurological system adaptation • Low load hamstrings and gluts ie wall, bridging & 1 leg reverse hypers knee flexed Hamstrings – Glute Test: Indicates if the glutes are weak or inhibited. – When the glutes are weak the hamstrings try to take control of the tilt of the pelvis and the piriformis control of rotation both with a tonic contraction. –Sprinting requires a phasic contraction of the hamstrings and now they’re trying to hold a tonic contraction in the background, which can contribute to hamstring injuries. – The glutes also work eccentrically when changing direction (Sharman) The box should be 4 to 6 inches below the table. M Comerford Bridge up then extended one leg Reason For Recurring Hamstring Pulls • When you pull a hamstring it increases the sensitivity of the neurological system, now the stretch reflex becomes more sensitive and muscle fires sooner – Reeducate stretch reflex –Leg swings and contract relax stretching Reason For Recurring Hamstring Pulls (P Emerson and C Francis) – Second reason is a failure to mobilize the scar tissue and when the muscle fires it pulls on the already existing scar tissue – Poor glute activation – Not controlling the velocity of speed in rehab – Imbalance between lateral and medial hamstring • Lateral (biceps femoris) account for 70% of recurrence –C. Purdham AIS