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HEALTHY RUNNING. YOU CAN’T BUILD A HOUSE ON POOR FOUNDATIONS!. INJURY PREVENTION. Training What are you doing? Is it balanced? Gradual loading Weights Drills Flexibility Core stability Recovery / rest Individual thresholds. Cause of injuries. Body type Training factors Fatigue
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INJURY PREVENTION • Training • What are you doing? • Is it balanced? • Gradual loading • Weights • Drills • Flexibility • Core stability • Recovery / rest • Individual thresholds
Cause of injuries • Body type • Training factors • Fatigue • Surfaces • Shoes • Biomechanics
Biomechanics • Look at your trainers, have they collapsed. • Cushioning goes way before the outer • Pronation • Supination • Orthotics
What injuries do we get? • Lower back pain • Hamstring strains • Knee pain • Calf strains • Achilles tendinitis • Stress fractures • Shin splints • Plantar fasciitis
Lower back pain • Young – stress fracture • Disc • Facet joint • Non- specific • Biomechanical overuse
What to do? • Gentle lower back mobilisation exercises • Hip flexor stretch • Hamstring stretch • Core exercises
Hamstring strain • Due to lower back pain • Weakness of muscle • Poor core/ gluteal muscles • Poor posture • Tightness of muscle • Acute tear due to overload
What to do? • Acute tear RICE • Check lower back • Start gentle stretching • Posture • Strength • Core
Knee pain • Anterior knee pain • Iliotibial band friction syndrome • Patella tendonitis • Meniscus tears • Ligament tears • Articular cartilage damage • OA
What to do? • Asses biomechanics • Look at shoes • Muscle imbalance • Quad strength / range • Calf range • Decline squats if tendonitis
Calf strains • Overuse or acute • Due to lower back / nerve tightness • Biomechanics • Weak muscle • Achilles tendonitis
What to do? • RICE • Stretch strengthen • Assess biomechanics • Spikes! • Eccentric calf raises
Stress fractures • Lower back pars • Pelvis • Femur • Medial shin • metatarsals
What to do? • Rest • Cross train • Look at cause • Biomechanics • Overload/too much too soon • Bone density
Achilles tendinitis • Inflammation of the sheath of the tendon • Inflammation of the tendon increases with age • Biomechanics • Shoe tab • Overuse • Spikes and track work
What to do? • Look at biomechanics • Loot at calf strength 3x40 single leg raise on step before add speed work • Rest • Get treatment early • Warning signs are early am stiffness • Normally eases off when run • Gets worse and then hard to treat!
Plantar Fasciitis • Pain in the arch or heel of the foot • Look at biomechanics • Stretch the deep muscles that run under the foot • Back off
Stretching • If an area is tight it will only get more tight with running • Hip flexors • Hamstrings • Gluteal muscles • Calf 3 layers • Hold each stretch 30 secs
Nerve mobilisations • Comes form the spine • Can be tethered • Can cause tight muscles • Can cause pain • Sciatic nerve • Femoral nerve • Can be inflammed and form adhesions • flossing
Core stability • Strengthens the bits in the middle • Maintains neutral posture • Stops sitting when running • Allows the power muscles to do their job • Prevents injury especially of the spine
Weights • Like adding another cylinder to your car • If you don’t use it you loose it! • Study showed 8% improvement in running economy • More efficient neuromuscular pathways • Hills become easier • Fade less at the end of a race • Increased bone density • Redress muscular imbalances • Strengthens all the connective tissue as well as muscles
Recovery • Massage • Ice baths • Nutritional replacement • Warm down
Diet / Hydration • Replenish the body fluid immediately with an isotonic sports drink • Rapidly absorbed carbs e.g jelly babies, malt loaf, scotch pancakes • Have a sandwich with some protein e.g. tuna or cheese • Skimmed milk drink and a banana
Kit bag • Water • Isotonic sports drink • Dioralyte incase of dehydration • Packet of jelly babies • Sandwich • Banana • Ice pack • bandage