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Chapter 4: Preventing Injuries Through Fitness Training • Fitness is critical for performance and injury prevention • Improper conditioning is a major cause in sports related injuries • Areas of concern: – Flexibility – Muscular strength, endurance, power – Cardiorespiratory endurance • Coaches need to develop programs that focus on injury prevention and performance enhancement Periodization in Training and Conditioning • Traditional seasons no longer exist for serious athletes • Periodization – Achieve peak performance – Decrease injuries and overtraining – Program that spans various seasons – Modify program relative to athlete’s needs Year Round Training Cycle • Complete training cycle • Seasonal approach based on preseason, in-season, and off-season • Changes in intensity, volume, specificity of training occur in order to achieve peak levels of fitness for competition • Broken into periods or phases (lasting weeks or months) Periods or Phases • Transition period: – Follows last competition (early off-season) – Unstructured (escape rigors of training) • Preparatory period: – Off-season – Hypertropy/endurance phase (Low intensity with high volume) • Allows for development of endurance base • Lasts several weeks to 2 months • Preparatory period (continued) – Strength Phase • Intensity and volume increase to moderate levels – Power Phase (High intensity/ pre-season) • Volume is decreased to allow adequate recovery • Competition period: – May last a < week or several months for seasonal sports – High intensity, low volume, skill training sessions – May incorporate weekly training cycles (1-7 days) • Designed to ensure peak on days of competition Cross Training • Training for a sport with substitutions of alternative activities (carryover value) • Useful in transition and preparatory periods • Variety to training regimen • Should be discontinued prior to preseason as it is not sport-specific Principles of Conditioning and Training • Warm-up/Cooldown • Intensity • Specificity • Motivation • Individuality • Overload and SAID principle • Relaxation/ Minimize Stress • Consistency/ routine • Safety • Progression Warm-up • Precaution against unnecessary musculoskeletal injury and soreness • May enhance certain aspects of performance • Prepares body physiologically for physical work • Stimulates cardiorespiratory system, enhancing circulation and blood flow to muscles • Increases metabolic processes, core temperature, and muscle elasticity General – Activities which bring a general warming to the body(break a sweat) – Not related to sport Specific – Specific to sport – Stretching, jogging, running, throwing, catching Should last 10-15 minutes resulting in effects that will last 45 minutes Cool-down • Essential component of workout • Bring body back to resting state • 5-10 minutes in duration • Often ignored • Decreased muscle soreness following training if time used to stretch after workout Why is it important to have good flexibility? • Ability to move a joint(s) smoothly through a full range of motion (ROM) • Decreased ROM results in: – Decreased performance capabilities – Uncoordinated/awkward movements – Predisposes athlete to injury • Good flexibility is essential for successful physical performance • Recommended by athletic trainers to prevent injury Factors That Limit Flexibility • • • • • • • Bony structures Tissue approximation Excessive fat Muscle and tendon lengths Connective tissue Scarring and contractures Skin Range of Motion (ROM) • Active range of motion = dynamic flexibility – Ability to move a joint with little resistance • Passive range of motion = static flexibility – Motion of joint to end points without muscle contraction • Must be able to move through unrestricted range • Must have elasticity for additional stretch encountered during activity Agonist vs. Antagonist Muscles • Joints are capable of multiple movements • Example: – Quadriceps will extend knee with contraction – Hamstrings will stretch during extension – Quads (muscle producing movement) referred to as agonist – Muscle undergoing stretch referred to as antagonist – Agonist and antagonist work together to produce smooth coordinated movements Stretching Techniques Ballistic – Bouncing movement in which repetitive contractions of agonist work to stretch antagonist muscle – While effective in improving flexibility, caution should be exercised – Possible soreness (soccer example) Static stretching – Passively stretching – 20-30 second hold = optimal – Go to point of pain and back off and hold for 30 seconds (3 to 4 times) – Controlled, less chance of injury – Not dynamic – Should precede ballistic stretching Proprioceptive Neuromuscular Facilitation – Contract-relax – Hold-relax – Ten second push, ten second relax – Best technique to improve flexibility – Technique that involves combination of alternating contractions and relaxation of both agonist and antagonists Assessment of Flexibility • Various devices have been designed to accommodate joint sizes and complexities of movement • Goniometer most widely used device • Can also utilize the following tests: – Trunk hip flexion test – Trunk extension test – Shoulder extension test Is there a relationship between strength and flexibility? • Co-exist • Muscle bound = zero flexibility • Strength training will provide individual with ability to develop dynamic flexibility through full range of motion • Develop more powerful and coordinated movements Flexibility, Muscular Strength, Endurance, and Power Muscle Strength, Power, and Endurance Strength: ability to generate force against resistance Muscular endurance: repetitive muscular contractions (increase strength = increase endurance) Power: the relationship between strength and time Muscle Contractions • Isometric contraction – No length change occurs during contraction • Isotonic contraction – Concentric- shortening of muscle with contraction in an effort to overcome more resistance – Eccentric - lengthening of muscle with contraction because load is greater than force being produced – Both are considered dynamic movements Factors that Determine Levels of Muscular Strength • Size of muscle: – Function of diameter and of muscle fibers – Hypertrophy vs. Atrophy • Number of muscle fibers • Neuromuscular efficiency – Initial gains are due to increased efficiency • More effectively engage specific motor units • Biomechanical factors – Bones and muscles = Levers and pulleys • Fast-Twitch vs. Slow-Twitch Muscle Fibers • Motor units with distinct metabolic and contractile capability Individual make-up – Muscles contain both types of fibers – Muscle functioning impacts ratios (postural vs. powerful movement) – Genetically determined • Slow twitch (Type I): – Generally major constituent of postural muscles • Fast twitch (Type II) – High force in short amount of time – Produce powerful movements • Levels of Physical Activity – Will influence increase/decrease in muscle strength – Also impacts cardiorespiratory fitness, flexibility and increases in body fat • Overtraining – Psychological and physiological breakdown – Signs • Apathy, loss of appetite, staleness, declines in performance, weight loss, inability to sleep – Prevent through appropriate training protocol, proper diet, and rest What physiological changes occur to cause increased strength? • Multiple theories of muscle hypertrophy • Primary explanation of muscle hypertrophy: – Increase in protein myofilament number and size • Continued need for additional research Core Stabilization Training • Core refers to muscles that make up center of body – Low back, pelvis, hips, abdomen • Works to stabilize body enabling muscles of extremity to function optimally • Weak core is a fundamental problem of inefficient movements = injury • Program targets strength, neuromuscular control, power, and endurance of the core • Program will stress multiple planes and incorporate various resistance techniques Techniques of Resistance Training • Progressive resistance exercise • Overload principle must be applied • Must work muscle at increasingly higher intensities to enhance strength over time • If intensity of training does not increase, but training continues, muscle strength will be sustained Isometric Exercise • Contraction where muscle length remains unchanged • Muscle contraction that lasts 10 seconds and should be perform 5-10 times/daily • Pro: quick, effective, cheap, good for rehab • Con: only works at one point in ROM, produces spiking of blood pressure due to Valsalva maneuver • Concentric and eccentric training should be incorporated for greatest strength improvement • Concentric phase of lift should last 1-2 seconds; eccentric phase 2-4 seconds • Variations exist between free and machine weight lifting – Motion restrictions, levels of muscular control required, amount of weight that can be lifted – Equipment design, varying resistances Progressive Resistance Exercise Techniques • Terminology associated with weight training – Repetitions – Repetition maximum – One repetition maximum – Set – Intensity – Recovery period – Frequency • When training should be able to perform 3 sets of 6-8 repetitions • Increases should occur in increments of 10% • 1 RM can be utilized to measure maximum amount of weight that can be lifted - must be very careful • Training of a particular muscle group should occur 3-4 times per week (not on successive days) Muscular Endurance vs. Strength • Training for endurance enhances strength and vice versa • Training for strength should involve lower repetitions at heavier weight • Training for endurance requires lower weight at 12-15 repetitions Open vs. Closed Kinetic Chain Exercises • Anatomical functional relationship for upper and lower extremities • OKC – When foot or hand are not in contact with the ground or supporting surface • CKC – Foot or hand are weight bearing – Widely used = more functional Isokinetic Training • Muscle contraction at a constant velocity • Maximal and constant resistance throughout the full range of motion • Maximal effort = Maximal strength gains • Rehab • Never widely used in strength training • Losing popularity in rehabilitation settings Circuit Training • Combination of exercise stations • 8 - 12 stations, 3 times through • Design for different training goals – Flexibility – Calisthenics – Aerobic exercise Plyometric Exercise • Rapid stretch, eccentric contraction followed by a rapid concentric contraction to create a forceful explosive movement • Rate of stretch vs. magnitude • Jumps, bounds, medicine ball throws • Very technical training - skills must be learned with appropriate technique • Often develop muscle soreness as a result of extensive eccentric loading Training for the Female Athlete • Critical for female athlete • Significant hypertrophy is related to testosterone present within body • Remarkable gains are experienced initially due to enhanced nervous system and muscle interaction (efficiency-not muscle bulk) • Following initial gains, plateau occurs, with females • Males tend to continue to increase strength with training • Critical difference is the ratio of strength to body fat – Females have reduced strength to body weight ratio due to higher percentage of body fat – Ratio can be enhanced through weight training and decrease in body fat percentage/increased lean weight Cardiorespiratory Endurance • Perform whole body activities for extended period of time • Performance vs. fatigue vs. injury • Aerobic exercise – Low intensity exercise that can be sustained for a long period of time • Anaerobic exercise – Activity where intensity is so high that demand for oxygen is greater than body’s ability to deliver • System’s four components – Heart – Lungs – Blood vessels – Blood • Improvements in endurance are the results of improvements in these 4 components Impact on Heart • Main pumping mechanism • Increase exercise = increased oxygen requirement = increase heart pumping • Heart able to adapt through increases in heart rate and stroke volume which will enhance overall cardiac output • Oxygenation of blood What determines how efficiently the body is using oxygen? • • • • Aerobic capacity = VO2max More active = higher capacity Average value = 45-60 ml O2/min/kg Increases in intensity require higher levels of oxygen consumption • Inherit certain range of maximum aerobic capacity (genetics) – Dependent on activity levels – Also impacted by muscle fiber types Maximum Aerobic Capacity • Most accurate techniques must be performed in a laboratory setting – Treadmill, bicycle ergometer – Monitor heart rate and gas exchange at particular workload • Generally utilize heart rate to estimate percentage of maximum aerobic capacity – Indirect method – Heart rate and aerobic capacity have linear relationship Types of Training for Cardiorespiratory Endurance • Continuous – Mode (type of exercise) - must be aerobic in nature – Frequency (at least 3 times/week) – Duration (at least 20 minutes) – Intensity (monitor intensity as % of heart rate or perceived exertion) • Training heart rate – target heart rate Maximum HR = 220 - Age • Karvonen formula (60% HR Max) – Target HR=Resting HR+(.6 [Max HR – Resting HR)] • Interval training – Intermittent activities involving periods of intense work and active recovery – Must occur at 60-80% of maximal heart rate – Allows for higher intensity training at short intervals over an extended period of time – Most anaerobic sports require short burst which can be mimicked through interval training • Fartlek training – Cross-country running that originated in Sweden – Speed play – Similar to interval training in that activity occurs over a specific period of time but pace and speed are not specified – Consists of varied terrain which incorporates varying degrees of hills – Dynamic form of training – Must elevate heart rate to minimal levels to be effective – Popular form of training in off-season