{"id":23754,"date":"2021-01-13T12:06:47","date_gmt":"2021-01-13T04:06:47","guid":{"rendered":"https:\/\/www.spinefitchiro.com\/?p=23754"},"modified":"2022-03-20T23:37:58","modified_gmt":"2022-03-20T15:37:58","slug":"preventing-injuries-through-strengthening","status":"publish","type":"post","link":"https:\/\/spinefitchiro.com\/cn\/preventing-injuries-through-strengthening\/","title":{"rendered":"Preventing Injuries Through Strengthening"},"content":{"rendered":"<p style=\"text-align: left;\"><b><i>\u201c<\/i><\/b><b><i>His body is changing. He will strip down and start getting even bigger and stronger over the next few seasons and, seriously, how scary is that? He will be unstoppable. He has just got to realise how good he is and what he can do in the game if he puts his mind to it.<\/i><\/b><b><i>\u201d<\/i><\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">&#8211; <\/span><b>Wendell Sailor<\/b><span style=\"font-weight: 400;\">, Australian professional former rugby football player, said this about Jamal Idris when he was starting his professional career more than 10 years ago.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The understanding that getting stronger improves athletic performance isn\u2019t something new. Athletes have been training their strength for decades to turbo-boost their speed and dominance on the field. <\/span><b>But how many of us know that strengthening also helps to PREVENT injuries?<\/b><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-scaled.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-23757 size-medium\" src=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-199x300.jpg\" alt=\"man hip hinge movement exercise\" width=\"199\" height=\"300\" srcset=\"https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-199x300.jpg 199w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-680x1024.jpg 680w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-768x1156.jpg 768w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-1020x1536.jpg 1020w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-1360x2048.jpg 1360w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/6-scaled.jpg 1700w\" sizes=\"(max-width: 199px) 100vw, 199px\" \/><\/a> <a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-scaled.jpg\"><img decoding=\"async\" class=\"alignnone wp-image-23755 size-medium\" src=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-199x300.jpg\" alt=\"man dead lift squat\" width=\"199\" height=\"300\" srcset=\"https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-199x300.jpg 199w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-680x1024.jpg 680w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-768x1156.jpg 768w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-1020x1536.jpg 1020w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-1360x2048.jpg 1360w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/5-scaled.jpg 1700w\" sizes=\"(max-width: 199px) 100vw, 199px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Every sport has repetitive movements that are likely to cause injury if the athlete is not trained properly OFF the playing field. That\u2019s why World Rugby launched a ground-breaking preventive exercise programme in 2019 called the <\/span><b><i>ACTIVATE<\/i><\/b><span style=\"font-weight: 400;\"> programme, designed to reduce injuries globally!<\/span><\/p>\n<blockquote><p><b>ACTIVATE<\/b><i><span style=\"font-weight: 400;\">\u2019s injury prevention programme consisting of movement control, pre-activation exercises, functional movement conditioning, and neck exercises <\/span><\/i><b><i>REDUCED injuries by 72%<\/i><\/b><i><span style=\"font-weight: 400;\"> when players completed the exercises at least three times a week, and <\/span><\/i><b><i>REDUCED concussion injuries by 59%<\/i><\/b><i><span style=\"font-weight: 400;\">! (Rugby Football Union)<\/span><\/i><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">When it comes to engaging in a specialised sport such as rugby, some roles like a forward would value working on the chest and core when thinking of strength work. However, injury is inevitable if the athlete doesn\u2019t put in the proper strength work to counteract the overwork of certain muscle groups.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-scaled.jpg\"><img decoding=\"async\" class=\"aligncenter wp-image-23759 size-large\" src=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-768x1024.jpg\" alt=\"Compex - electric muscle stimulator\" width=\"680\" height=\"907\" srcset=\"https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-768x1024.jpg 768w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-225x300.jpg 225w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-1152x1536.jpg 1152w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-1536x2048.jpg 1536w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/1-scaled.jpg 1920w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">For example, a forward may do many push-ups and sit-ups to strengthen the core and upper body area. The problem is that when rugby players are required to be able to produce power quickly, <\/span><i><span style=\"font-weight: 400;\">only<\/span><\/i><span style=\"font-weight: 400;\"> push ups are NOT sufficient for producing power! Athletes need to be able to utilise all their muscle groups to create an efficient and powerful movement.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-23761 size-large\" src=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3-799x1024.jpg\" alt=\"bad posture vs good posture\" width=\"680\" height=\"871\" srcset=\"https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3-799x1024.jpg 799w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3-234x300.jpg 234w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3-768x985.jpg 768w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3-1198x1536.jpg 1198w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/3.jpg 1468w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Secondly, doing a lot of press up and core work <\/span><i><span style=\"font-weight: 400;\">only<\/span><\/i><span style=\"font-weight: 400;\"> may cause some functional imbalances. <\/span><span style=\"font-weight: 400;\">What do we mean by functional imbalances? When one muscle group is overworked such as the anterior chain of the body, an upper extremity movement impairment syndrome can form due to overload by performing repetitive motions such as push-ups. The posterior chain is neglected, which may lead to neck or back injuries.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, we know that rehabilitation works on identifying certain under-utilised muscles, and working on movement patterns that are more efficient to dominate your game. But what exactly does chiropractic care do for injury prevention (<a href=\"https:\/\/www.spinefitchiro.com\/services\/physiotherapy-rehabilitation\/sports-injury\/\">sports therapy)<\/a>?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chiropractic care focuses on improving the mobility and flexibility of your spine and surrounding muscles! Your spine is the foundation of all movement. T<\/span><span style=\"font-weight: 400;\">he spine is central to the body system and deserves to be well-protected by strong muscles. With a <a href=\"https:\/\/www.spinefitchiro.com\/services\/chiropractic\/\">chiropractic adjustment<\/a>, it greatly releases the restrictions formed in the spine from months and weeks and <\/span><span style=\"font-weight: 400;\">heavy training. Improving blood circulation to the spine helps the nervous system to function well, as well as a benefit in increased body awareness to help produce greater movements.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hence, rehabilitation and chiropractic care helps by facilitating movement and strength of those neglected muscle groups. By focusing on recovery when a season has finished, or even pre-season and in-season, we can help prevent subsequent injury in the following season. Studies report that the greatest risk factor for injury, is a previous injury, possibly because the players were not rehabilitating their injuries adequately when needed! (Posthumus, 2009)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-23763 size-large\" src=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-768x1024.jpg\" alt=\"physiotherapist assessing knee injury\" width=\"680\" height=\"907\" srcset=\"https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-768x1024.jpg 768w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-225x300.jpg 225w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-1152x1536.jpg 1152w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-1536x2048.jpg 1536w, https:\/\/spinefitchiro.com\/wp-content\/uploads\/2021\/01\/2-scaled.jpg 1920w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/a><\/p>\n<h5 style=\"text-align: center;\"><\/h5>\n<h5><\/h5>\n<h5 style=\"text-align: left;\">Real Life Story&#8230;<\/h5>\n<p><span style=\"font-weight: 400;\">Here\u2019s a real life experience our senior physiotherapist, Jer Shin, had with a 16-year-old rugby player who came in with pain over the front of the left knee for the past 4 years. Activities such as running, jumping and climbing up stairs usually created some pain previously, but it became much worse after heavy lifting in the gym, eventually making him unable to participate in rugby training. Training frequency dropped from 4x\/week till almost none!\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rehabilitation started immediately the moment he came in, focusing on the cause of the swelling and pain over the left knee <\/span><span style=\"font-weight: 400;\">\u2014 left chronic patellar tendinitis, with sudden acute injury aggravated by muscle imbalances in the hip and quadriceps. <\/span><span style=\"font-weight: 400;\">Extracorporeal shockwave therapy was also provided, reducing his pain and inflammation for 2 weeks, followed by progressive strengthening for his lower limb muscles. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Running, jumping, and plyometric movement were introduced gradually to prepare him for his rugby training. After 8 weeks of consistent rehab sessions and daily home care, he went back on the pitch to participate in full rugby training. Currently, he is playing for his university rugby team in the UK!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Having a <a href=\"https:\/\/www.spinefitchiro.com\/services\/physiotherapy-rehabilitation\/sports-injury\/\">physical sports recovery plan<\/a> in mind can be daunting when you\u2019ve been injured multiple times (or even just once!) and are in pain. We can help with that. See more of what we do on our Instagram page, <a href=\"https:\/\/www.instagram.com\/spinefitchiro.physio\" target=\"_blank\" rel=\"noopener\">@spinefitchiro.physio<\/a> and contact us there!\u00a0<\/span><\/p>\n<p>This article was part of a 3 part series of articles that first appeared in RAGBI.MY&#8217;s November 2020 issue. <a href=\"https:\/\/www.spinefitchiro.com\/wp-content\/uploads\/2021\/01\/SCP-issue10_Nov-2020.pdf\">Download<\/a> [PDF]<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong><span style=\"font-size: 8pt;\">References:<\/span><\/strong><\/em><\/p>\n<p><em><span style=\"font-weight: 400; font-size: 8pt;\">Posthumus, M. (2009) Physical conditioning for rugby. https:\/\/www.springboks.rugby\/media\/ewvborcf\/physical-conditioning-for-rugby-players.pdf<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400; font-size: 8pt;\">Rugby Football Union, RFU (n.d.) Activate &#8211; Injury Prevention Exercise Programme. Adult Instruction Manual. https:\/\/www.englandrugby.com\/participation\/coaching\/activate<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cHis body is changing. He will strip down and start getting even bigger and stronger over the next few seasons and, seriously, how scary is that? He will be unstoppable. He has just got to realise how good he is and what he can do in the game if he puts his mind to it.\u201d&#8230;  <a class=\"excerpt-read-more\" href=\"https:\/\/spinefitchiro.com\/cn\/preventing-injuries-through-strengthening\/\" title=\"Read Preventing Injuries Through Strengthening\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":23777,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8],"tags":[],"class_list":["post-23754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"_links":{"self":[{"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/posts\/23754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/comments?post=23754"}],"version-history":[{"count":18,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/posts\/23754\/revisions"}],"predecessor-version":[{"id":24741,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/posts\/23754\/revisions\/24741"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/media\/23777"}],"wp:attachment":[{"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/media?parent=23754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/categories?post=23754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/spinefitchiro.com\/cn\/wp-json\/wp\/v2\/tags?post=23754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}