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Shoulder Injuries: Technique Adjustments for Prevention and Rehabilitation Rod Havriluk, Ph.D. Swimming Technology Research Ted Becker, Ph.D., R.P.T. Everett Pacific Industrial Rehabilitation. Arm Entry in Fly and Free. Typical Arm Entry Stresses Shoulder Limits Performance.
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Shoulder Injuries:Technique Adjustmentsfor Prevention and RehabilitationRod Havriluk, Ph.D.Swimming Technology ResearchTed Becker, Ph.D., R.P.T.Everett Pacific Industrial Rehabilitation
Arm Entry in Fly and Free • Typical Arm Entry Stresses Shoulder Limits Performance • Modified Arm Entry Minimizes Shoulder Stress Improves Performance
Prevalence of Injury • Over 50% of Sample Reported Injury • Most Affected Body Part - Shoulder • Most Common Diagnosis - Tendinitis Haupenthal, et al., 2006
Injury by Stroke Specialty Haupenthal, et al., 2006
Risk Factors • Training Distance • Muscular Imbalances • Harmful Technique Becker & Havriluk, 2006
Hand Force Analysis Human Biomechanical Model
Wasted 43% of Stroke Cycle Becker & Havriluk, 2010
Importance of Hand Force Havriluk, 2006
Two Key Events in Fly * * Becker & Havriluk, 2010
Magnitude of Force Increase Becker & Havriluk, 2010
Conclusions Typical arm entry stresses shoulders. Minimal force is generated until: 1) hands submerge below shoulders 2) elbow flexion begins.
Coaching Application Complete arm entry with hands below shoulders. Immediately begin pull with elbow flexion.
Arm Entry - Free Becker & Havriluk, in preparation
Arm Entry Issues - Free • Weak and Awkward Position • Intentional Timing Delay (Catch-Up Stroke)
Variation in Coordination • Gaps in Propulsion = Negative IdC (Catch-Up Stroke) • Overlaps in Propulsion = Positive IdC (Superposition) • “When expert swimmers increase their speed . . . only the superposition mode is observed.” Seifert, 2010