4 r's behind building athletes, preparing champions
TRANSCRIPT
4 R’s
Behind Building Athletes,
Preparing Champions
Molly Binetti, M.Ed, SCCC University of Louisville
R1: RECRUITING R2: RISK
R3: READINESS R4: RETURN TO PERFORMANCE
R1
R1
R1
R1
R1
R1
5 Predictors of Non-Contact Injury
Predictor ofInjury
Screen/Assessment
MinimumStandard
Previous Injury Medical History --
Movement Quality/Asymmetry
1. Functional Movement Screen
2. Closed-Chain Ankle Dorsiflexion
FMS: No pain, No Asymmetries
Ankle Dorsiflexion: > 30 Degrees R+L
Neuromuscular Control Y-Balance
4Total Composite Score >93%
4Anterior Reach Asymmetry < 4cm
Body Composition 7-Site SkinfoldGuards: 13-16%Posts: 13-18%
Fitness Level Beep Test< Level 9
VO2max: 43 ml/kg/min
LOUISVILLE WOMEN'S BASKETBALL- RISK PROFILE**Based on Minimum Standards for Top 5 Predictors of Non-Contact Injury
ATHLETE Previous Injury Body Composition Movement QualityNeuromuscular
ControlAerobic Capacity Risk Status
(within last 12 months) >18% Body Fat FMS (Total Score <15) Y-Balance (>4cm asymmetry) BEEP Test (<Level 11/12) Composite Status
✔ ✔ - ✔ HIGH
- - - - LOW
- - ✔ - LOW
- ✔ ✔ ✔ HIGH
✔ - ✔ ✔ HIGH
- - - ✔ LOW
- - - ✔ LOW
- - - - LOW
- - - - LOW
- - ✔ - MODERATE
✔ - - - MODERATE
HIGH RISK 3+ risk factors
MODERATE RISK 2+
LOW RISK <1
Category Test MinimumStandard
Body Composition 7-Site SkinfoldGuards: 13-16%Posts: 13-18%
Movement Quality/Asymmetry
1. Functional Movement Screen
2. Closed-Chain Ankle Dorsiflexion
FMS: No pain, No Asymmetries
Ankle Dorsiflexion: > 30 Degrees R+L
Upper Body Strength Bench Press 80% BW
Lower Body Strength TBDL 150% BW
Fitness Level Beep TestGuards: 12.1 (54 VO2max)Posts: 11.1 (50 VO2max)
R2
READINESS
S c r e e n i n g /T e s t i n g
Training Tracking
R3
R3
LONG-TERM READINESS
R3
SHORT-TERM READINESS
R3
SHORT-TERM READINESS
R3
POWER TRACKING
R3
Metabolic Stress (Internal Load)
Volume + Intensity = Training Load Intensity = Minutes > 90% HRmax
Guards: > 20 min. Posts: > 12 min.
R3
Mechanical Stress (External Load)
Volume = Player Load Intensity = PL/min
Efficiency = IMA/PL Jumps
R3
R4
LATE-STAGE REHABILITATION
R4
LATE-STAGE REHABILITATION
R4
R4
RETURN TO PRACTICE
A:C LOAD MONITORING
R4
References
1. Banister EW, Calvert TW, Savage MV, et al. A systems model of training for athletic performance. Aust J Sports Med 1975;7:57–61.
2. Blanch P, Gabbett TJ. Has the athlete trained enough to return to play safely? The acute:chronic workload ratio permits clinicians to quantify a player’s risk of subsequent injury. Br J Sports Med Published Online First: 23 Dec 2015.
3. Hootman JM, Dick R, and Agel J. Epidemiology of collegiate injuries for 15 sports: Summary and recommendations for injury prevention initiatives. J Athl Train 42: 311–319, 2007.
4. Plisky PJ Rauh MJ Kaminski TW Underwood FB. Star Excursion Balance Testas a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006; 36(12):911-919.
5. Ransdell, L and Murray, T. Functional Movement Screening: An Important Tool for Female Athletes. Strength & Conditioning Journal 38(2): 40-48, 2016.
