This is a long post and wanted to include some notes on hamstring injuries in speed and power sports. Much of this information can apply to adductor injuries as some universal wisdom exists. With Usain Bolt being beat by Justin Gatlin recently, much of the talk on hamstring injuries was brought up on social media. Many coaches and therapists are asking what ways can we see what is going on with at
Hamstring Injury Workshop Notes
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Participant
you forgot the brain
easy
inexpensiveTrue, but keep in mind (no pun intended) software without hardware is useless. I understand neuroscience is there and yes neurology was brought up such as concussions and motor issues and even blood testing with neurotransmitters. You can’t fix a hardware issue with just neurology tests and motor re-education is part of training. Separating the brain in isolation tests has value, but I have yet to see evidence of any athlete to be a standard deviation away in performance with “brain train” techniques.
Check the manual as a small tribute to some of your neurological approaches are actually in the book and a screen that separates the physical exam, neurological adaptations from motor schema problems, and the actual performance outcomes are in there. Several of your methods from a few NFL and olympic athletes are in the manual, but I fear that territory leads to guru nonsense I hear at conference.
We are seeing a lot of “software” guys out there. Who are the best and how can we prove it? We all have access to the same research and medical texts, and like any tests with unfamiliar clients we can get into confirmation bias. At the end of the day we have physical performance testing that can confirm and validate interventions. If a strength coach is hammering with sloppy squat technique, no Romberg test can address that and objective tests such as video instead of therapy confirmation is important.
I will leave with the ever popular social media post
Information is in a hurry to flow, and if someone comes up with a better, more direct, faster and cheaper way for information to get from one place to another, they will eliminate your reason for being.
The alternative, while difficult, is obvious: provide enough non-commodity service and customization that it doesn’t matter if the ideas spread. In fact, it will help you when they do.
I have seen many people spend huge amounts of time on vision training when they have a overfat athlete, balance work with weak ACL prone athletes, and jedi mind tricks with athletes who are lazy and need to value hard work. I am all for neurology but without solid research of intervention strength it’s a medical debate. I can post a text or study on the brain but that is not evidence it’s just citing a possible source.
I read the stuff after BSMPG shared in the presentation, but I didn’t see a true therapy intervention SOAP note to see how this worked or how it related to injury reduction strategies. Good therapy and good training include the brain right? How many programs are truly blocking out the nervous system and brain from involvement? I don’t know but if you have any PDF research to share I would like to see how balance work relates to something as dynamic as triple jump and how newtonian physics is limiting what we are doing as coaches. I think more Romberg stuff such as Jay Hertel’s pressure mapping can see the true issues, but observation is very much in he eye of the beholder. How does a coach shop around for the best neurologists? What are best practices to evidence based neurology?
Lots to think about.
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Participant
firstly, when did I say that neurology could replace hard work in the weight room,
and by coaches who are not just training a group so they can have free tuition for the summer.
I am talking hardware.
Specifics like triple jump effects following neuro interventions will never be done because there is no reason for a university setting to provide the kind of subject base to make the study relevant.
Small case studies are a better option, but lack the large subject size.
no guru-ism here
just very tired of the big expensive machine that goes ping…like the sound of someones hamstring popping on an out rout.
back to treating people…btw soap notes are privacy protected. -
Participant
I understand about HIPPA and privacy, but without specifics, case studies and all, it’s hard to see evidence. Some therapists we can trust, some are not people we should listen to. Some athletes have donated their brains to science, would be nice to donate their medical records for the rest of us after their careers are done.
Some team research can be done using neurological aspects…look at Jay Hertel example and modified rombergs test or even my modified Marchese test! Data is data. Sometimes the best controlled studies are in house!
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