Injury Management, Data & Planning

Ivan Hooper

Swimming Australia Clinical Services Manager (Physiotherapy)

Traditional Model

• Athlete trains hard

• Athlete gets sore

• Athlete presents to physio

• Athlete, coach and S&C have to make modifications until athlete better

• Can it be done differently?

• Most common injury in a swimmer is shoulder pain

• Typically rotator cuff tendinopathy

• This occurs when load exceeds the tissues capacity to adapt and cope

• Increase in load

• Lack of strength / tissue resilience

• Faulty mechanics that increase load

• Can this be predicted or prevented?

What causes injury?

3

• Healthy athlete in full training

• Training loads (esp impact on the athlete)

• Tissue soreness

• Muscle performance

• Injured athlete grading back to training

• Training loads

• Injury soreness / status

• Muscle performance relative to injury

• Ensure full recovery

Swimming Australia

Use of data monitoring

4

Monitoring training loads

5

Training Stress Balance

• Chronic Load is the average training load of the last 4 weeks

• Acute Load is the training load of the last 1 week

TSB = acute/chronic (expressed a percentage)

For example: acute =900, chronic=600

TSB =900/600=150%

Foster and de Koning (1999)

Injury risk relative to loads

Monitoring training loads

8

RPE Measures

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

Nov Dec Jan

370%

49%

Garmin Data

0

100

200

300

400

500

600

700

800

900

1/11/2010 1/12/2010 1/01/2011 1/02/2011

On Water

Ergo

Total Rowing

425%

Rotator Cuff Strength

IR ER

Male 30% 20%

Female 26% 18%

• We do know what swimmers should be

• Can be a useful monitoring tool

0

100

200

300

400

500

600

1/1

1/2

01

8

1/1

4/2

01

8

1/1

8/2

01

8

1/2

1/2

01

8

2/0

4/2

01

8

2/0

9/2

01

8

2/1

2/2

01

8

2/1

6/2

01

8

2/2

4/2

01

8

2/2

6/2

01

8

3/1

2/2

01

8

3/2

0/2

01

8

4/1

0/2

01

8

New

ton

s

Date

Groin Squeeze

Groin Strength

Past Future Past Future

0

50

100

150

200

250

300

350

400

450

0

1000

2000

3000

4000

5000

6000

7000

17

/7/1

5

24

/7/1

5

31

/7/1

5

7/8

/15

14

/8/1

5

21

/8/1

5

28

/8/1

5

4/9

/15

11

/9/1

5

18

/9/1

5

25

/9/1

5

2/1

0/1

5

9/1

0/1

5

16

/10

/15

23

/10

/15

30

/10

/15

6/1

1/1

5

13

/11

/15

20

/11

/15

27

/11

/15

4/1

2/1

5

11

/12

/15

18

/12

/15

25

/12

/15

1/1

/16

8/1

/16

15

/1/1

6

22

/1/1

6

29

/1/1

6

5/2

/16

12

/2/1

6

19

/2/1

6

26

/2/1

6

4/3

/16

11

/3/1

6

18

/3/1

6

25

/3/1

6

Acute Load (7 Day) Chronic Load (28 Day) TSB

Injury Rehabilitation

Viral Illness

Two Athlete Comparison

Stress # rib

Questions?

16