Nov 12, 2022Liked by Dr. Michael Chivers, John Quint
Great content. After taking the ISM recently, having this content to run alongside the application of the model is brilliant. Thank you for your work.
Echoing Austin’s statement above regarding point A and B. This concept has provided a great deal of clarity for myself and clients, being able to explain to them this is where your currently at, to get to B we have to acquire............
Nov 11, 2022Liked by John Quint, Dr. Michael Chivers
Use of Point A and Point B has been a key concept when introducing clients/patients to my work with FRS and treatment. Running FRAs helps with point A determinants in addition to the history of injury the patient has had up to that point in time. The history of injury gives us a starting point as to where to look, what to assess and how to understand their limitations.
In Mrazek's case his team of practitioners/trainers did identified that there was clearly an issue (Stiffness and Groin Injury). The problem as I see it is that "standard model thinking" in this case lead to standard model rehab/training (stretching). They knew the length tension relationship was an issue, but the inputs to fix it were inadequate for Mrazek. Clearly, there is a better way.
Great conversations that brings excellent insight into the injury cycle that many athletes go in and out of year after year, sucking from their performance.
Great discussion lads and comments here too. When you say 1.6-2 times bodyweight as abslute strength to povide base for other qualites, what is the reference exercise? Thanks.
It could be anything. Often we allow the athlete to choose the lift that they like and they will be comfortable training. With hockey athletes that is usually the back squat or trap bar deadlift.
Thanks Michael. Groin problems are a common problem in multidirectional team sport over here in Ireland/UK/Europe in soccer and GAA (Irish team sports), with the copenhagen adductor being the go to exercise for most in the rehab & s&c industry to help. Researchers who Ive been on masterclasses with say they haven't quite reached a level of success in comparison to the hamstring injury. When I look at a lot of the recommended programs for groin issues (Aspatar sports medicine as an example) they seem to be very symptom based i.e copengagens, groin sqeezes, adductor raises etc. What are your thoughts on this approach? And what general recommendations do you advise approaching it from someone who comes in season versus off season. Thanks.
It seems the adductors have become the new hamstrings!
I am familiar with the Aspetar protocol, as well as the Copenhagens, as well as the current (or previous) trends of hamstring rehab/training.
Here are some of my thoughts:
-it is very difficult to implement a general protocol targeted at a specific region of anatomy and use pain, or a non-specificl outcome measure to assess for progression.
-the internal ecosystem is totally neglected in these general approaches- the "exercises" are targeted to a region without understanding that the region is made up of different tissues and how to signal training to adapt those specific elements.
-there is a big difference between training for a particular quality of output (strength/force production etc) and performing movement based tasks/drills that replicate sporting tasks.
-intensity of training is the driver of adaptation- control intensity and you control the signal of change - choosing the appropriate intensity is paramount
-in my opinion Aspetar is flawed because of the limitations - it doesn't replicate real life.
-in season vs off season is something we will address in the future
Thanks guys, that was great! I have been struggling with something and I think this will help me come up with a better program so that I can start progressing.
Great content. After taking the ISM recently, having this content to run alongside the application of the model is brilliant. Thank you for your work.
Echoing Austin’s statement above regarding point A and B. This concept has provided a great deal of clarity for myself and clients, being able to explain to them this is where your currently at, to get to B we have to acquire............
Nice one guys.
Thank you Matt!
Use of Point A and Point B has been a key concept when introducing clients/patients to my work with FRS and treatment. Running FRAs helps with point A determinants in addition to the history of injury the patient has had up to that point in time. The history of injury gives us a starting point as to where to look, what to assess and how to understand their limitations.
In Mrazek's case his team of practitioners/trainers did identified that there was clearly an issue (Stiffness and Groin Injury). The problem as I see it is that "standard model thinking" in this case lead to standard model rehab/training (stretching). They knew the length tension relationship was an issue, but the inputs to fix it were inadequate for Mrazek. Clearly, there is a better way.
Great conversations that brings excellent insight into the injury cycle that many athletes go in and out of year after year, sucking from their performance.
Thanks!
Appreciate the comment Austin!
Great discussion lads and comments here too. When you say 1.6-2 times bodyweight as abslute strength to povide base for other qualites, what is the reference exercise? Thanks.
Hi Oliver,
It could be anything. Often we allow the athlete to choose the lift that they like and they will be comfortable training. With hockey athletes that is usually the back squat or trap bar deadlift.
Thanks Michael. Groin problems are a common problem in multidirectional team sport over here in Ireland/UK/Europe in soccer and GAA (Irish team sports), with the copenhagen adductor being the go to exercise for most in the rehab & s&c industry to help. Researchers who Ive been on masterclasses with say they haven't quite reached a level of success in comparison to the hamstring injury. When I look at a lot of the recommended programs for groin issues (Aspatar sports medicine as an example) they seem to be very symptom based i.e copengagens, groin sqeezes, adductor raises etc. What are your thoughts on this approach? And what general recommendations do you advise approaching it from someone who comes in season versus off season. Thanks.
Thanks Oliver.
It seems the adductors have become the new hamstrings!
I am familiar with the Aspetar protocol, as well as the Copenhagens, as well as the current (or previous) trends of hamstring rehab/training.
Here are some of my thoughts:
-it is very difficult to implement a general protocol targeted at a specific region of anatomy and use pain, or a non-specificl outcome measure to assess for progression.
-the internal ecosystem is totally neglected in these general approaches- the "exercises" are targeted to a region without understanding that the region is made up of different tissues and how to signal training to adapt those specific elements.
-there is a big difference between training for a particular quality of output (strength/force production etc) and performing movement based tasks/drills that replicate sporting tasks.
-intensity of training is the driver of adaptation- control intensity and you control the signal of change - choosing the appropriate intensity is paramount
-in my opinion Aspetar is flawed because of the limitations - it doesn't replicate real life.
-in season vs off season is something we will address in the future
Thanks for the discussion!
Fantastic reply thanks again!
Thanks guys, that was great! I have been struggling with something and I think this will help me come up with a better program so that I can start progressing.
Thanks James!
Great discussion! Thank you both for the quality value.