Improve Performance & Decrease Injury - A Sports Physiotherapy Update

A SPORTS PHYSIOTHERAPY UPDATE

IMPROVING PERFORMANCE PERFECTING BIOMECHANICSREDUCING INJURY RATES

Kusal Goonewardena

APA Elite Athlete Sports Physiotherapist

14 year career - Sports Medicine.Founder/Director of Vigor Sports Med, Elite Akademy Sports Med.

Over 15,000 treatment sessions completed in sports injuries.

Melb Uni Sports Physio since 2002.Head of Sports Medicine at Melb Uni since 2008.

Current team of 4 physios at Melb Uni.Lecturer, Consultant – China, Sri Lanka.

The Latest Clinical FindingsThe Nerves

Very, very sensitive 65-85% of athletes will have neural ‘tightness’ if and

when they increase their training load.

Can decrease your Sports Performance Indicators (SPI’s) by 25%

Normal Nerve

Affected/Dysfunctional Nerve

The Latest Clinical Findings75% of Injuries occur due to…

http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=Wa_3hiqsi2YO4M&tbnid=DBsp90VmWYM4CM:&ved=0CAgQjRwwAA&url=http://www.orthogate.org/patient-education/thoracic-spine/thoracic-spine-anatomy.html&ei=96b9UczUBsqPkgXLhIHoDg&psig=AFQjCNG1U9Jt_U6fy271zY3C5ndOgtiN1A&ust=1375664247139301


http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=wZ9GLnbzTva-tM&tbnid=RxiWJBV10n4XNM:&ved=0CAgQjRwwAA&url=http://www.activemotionphysio.ca/Injuries-Conditions/Lower-Back/Lumbar-Spine-Anatomy/a~320/article.html&ei=0qf9UYGnB8bhkgXcnoDoBQ&psig=AFQjCNG0WIlH0UiO7C4FxFGB8fHU309eEg&ust=1375664466149553


http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=F9sXYH-F6g2UMM&tbnid=x348jgPYHw7mJM:&ved=0CAgQjRwwAA&url=http://www.halfmoondenver.com/becoming-comfortable-with-gluteal-massage/&ei=saj9UeizL4iWkgW3ooDwDg&psig=AFQjCNErB79hbAHimD2_09VpszbQL0TImA&ust=1375664689805416

http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=LgYif5XnnasFNM&tbnid=oHcX8E0XPJXHBM:&ved=0CAgQjRwwAA&url=http://www.physioadvisor.com.au/8285250/bottom-exercises-gluteal-strengthening-exercises.htm&ei=OKn9UfmQM8bDkwW19YHgAQ&psig=AFQjCNGR6NjwWcROQaWZ-0PMdO-FDB1LZA&ust=1375664824869615


http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=EgkE_9iiI67s-M&tbnid=g_sVGr4g66DCYM:&ved=0CAgQjRwwAA&url=http://www.watkinson.co.nz/subscapularis.htm&ei=Rar9Udy3GsSZkgWI84CIDQ&psig=AFQjCNHdJzP4dtfa1LI7pyisTezJzTtaSw&ust=1375665093463961

http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=vaRmtN8eEQMUDM&tbnid=2p_Bolx2LdhrkM:&ved=0CAUQjRw&url=http://themorillamethod.wordpress.com/category/normal-day-of-training/&ei=kqr9Ub3HAYWekgWBxoCYDA&psig=AFQjCNH3fP33Q7GW6eVI8egqP7MMgxB-xQ&ust=1375665118120878

Tx + Lx + Gluteals + Subscap = 75%WHY???

The pressure going through these areas

Ground reaction forces

Repetitive actions that you are unaware of Habits Posture

http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=EBvjeywCjT5TXM&tbnid=DmHUa2d-Uf_tiM:&ved=0CAgQjRwwADg4&url=http://etc.usf.edu/clipart/44300/44326/44326_body.htm&ei=xqz9Uam9BM_VkAXIlIHoCg&psig=AFQjCNHz3voTDnncdF9w_-rFO8KAa-1UOg&ust=1375665734131528

Sports Specific Meditation

Research has shown that this is the most under-utilized area in sports development and preparation

Increases awareness

Increases focus

Improves discipline and concentration

Performance under pressure

Sports Specific Meditation

http://images.google.com.au/url?sa=i&source=images&cd=&cad=rja&docid=tFxc4NMeV5FtMM&tbnid=SmloyPMQF3XHxM:&ved=0CAgQjRwwAA&url=http://www.mind-your-reality.com/brain_waves.html&ei=97D9UeW5F4bekgXa5YHQDA&psig=AFQjCNHnBlKi90G7sv03_ZlyMIP_etZEQA&ust=1375666807429247

What you can do…Posture

What is good posture? Relaxed muscle groups vs overactive

What to feel… Upper spine Lower spine/pelvis positioning

Lets practice

What you can do…Posture

Motor Learning – posture and control Keep it simple Keep it precise

How many times before its perfect Magic number: ………………..

What you can do…Posture and Control

My PhD Increasing the control of the Tx and Lx Spine in the POWER phase of any sport can improve the SPI’s by 30-80%


Taping Thoracic Spine


Taping New – Core tape technique 8 months to perfect – ideal during

sport/training

Loading vs Tolerance

Athlete 1 Athlete 20%

10%20%30%40%50%60%70%80%90%

100%

LoadingTolerance

What you can do…Loading vs Tolerance - Exercises

‘Rolled Up Towel’ Exercise

What you can do…Loading vs Tolerance - Exercises

The Spinal Roll Exercise

What happens at Elite Akademy Sports Medicine…

PD Hours: 215/year Assessment Analysis Diagnosis Treatment

Results: Measured Highly/Tangible

Make a difference in 3 sessions or less.

PD Hours: 33/year Assessment Analysis Diagnosis Treatment

Results:Measured Moderately to High (Good practitioners)

Elite Akademy Sports Med

Industry average


Free Biomechanical Assessments


Unique Pricing Structure

Elite Athletes$40,000 p.a. towards scholarships

Special for everyone today

Usual Pricing

When should you see us…

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

feeling great!general

stiffness/sore-ness

symptomatic/ func-tional difficulties

Typical Progress

Time

Pro

ble

m

Final Thoughts

Our mission To help our athletes achieve the best results, in the shortest period of time.

We love what we do.

We love sport.

Thank You.

If you have any questions at all please do not hesitate to send a note or call.

My email address is: [email protected] twitter address is @kusalkumar

The Elite Akademy twitter address is @EliteAkademy

We share our athletes success stories and advice on our facebook site

www.facebook.com/EliteAkademy

Date post:	14-Jan-2015
Category:	Sports
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