AUTHOR : DR.S.DEEBAK KUMARCO-AUTHORS : DR. SANTOSH SAHANAND,

DR. DAVID.V.RAJANORTHO ONE - ORTHOPAEDIC SPECIALTY

CENTRE, COIMBATORE

Talent Drain in Indian Athletes

Medal Tally

Why are we behind in sports?

Economical

Developing country

Sports bodies - Efficiency

Infrastructure

Career ending injuries

Injury Risk assessment in school level female basketball players –

A Cross – sectional study

AIM

GIRD & TROMD – shoulder injuries (2.8 times)

Study design

School level Basketball players – 107

During South Zone Basketball Tournament

Players across various teams participated in this study

Age distribution

10-15yrs16-20yrs

Jump Alignment

Total range of motion deficit (TROMD)

Gleno humeral internal rotation deficit (GIRD)

Functional movement screening

VO2 max

Jump Alignment

TROMD

GIRD

FMS

VO2 max

Neutral Valgus (kissing knee)

Jump Alignment

Valgus Neutral Varus0

10

20

30

40

50

60

7062.6%

36.44%

0.93%

Alignment

Allignment

Total Range Of Motion Deficit (TROMD)

A total range of motion difference of more than 5ᵒ

Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers – AJSM Vol. 39 Feb 2011

Glenohumeral internal rotation deficit (GIRD)

20ᵒ or greater loss of IR.

Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers – AJSM Vol. 39 Feb 2011

How did we test?

Supine

Stabilizing the scapula

Arm at 90ᵒ of abduction

Elbow flexed

Internal & External rotation

Goniometer

GIRD & TROMD

Risk No Risk0

10

20

30

40

50

60

70

80

90

100

50.46% 49.53%

11.21%

88.78%

TROMDGIRD

Functional Movement Screen(FMS)

Identify imbalances in mobility and stability during fundamental movement patterns

Compensatory fundamental movement pattern can increase the risk of injury.

FMS < 14 – 4 fold inc. in risk of lower extremity injury.

North American Journal Of Sports Physical Therapy.Vol-5, No.2,June2010

HIGH RISK RISK GOOD0

10

20

30

40

50

60

70

80

90

3.7&

16.8%

79.4%

FMS

FMS

VO2 MAX

Maximal oxygen uptake

Aerobic endurance.

Best indicator of cardio respiratory endurance and aerobic

fitness.

George Non-Exercise test

VO2max = 45.513 + (6.564 * Gender) – (0.749 * BMI) + (0.724 * PFA) + (0.788 * PA-R)

Gender = 1 for male and 0 for female; PFA = sum of both PFA scales ; PA-R = number form PA-R scale.

Superior Excellent0

10

20

30

40

50

60

70

80

90

15.88%

84.11%

VO2max

VO2max

Cardiorespiratory Endurance(VO2max)– Excellent

Core Strength & Mobility ( FMS ) – Good

Shoulder tightness (TROMD)

High risk landing technique (Valgus Alignment)

Predisposing factors

GIRD & TROMD – shoulder injuries (2.8 times)

Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers .AJSM Vol. 39 Feb 2011

Knee valgus alignment – ACL injury Non-contact ACL injuries in female athletes: an International Olympic

Committee current concepts statement. Br J Sports Med. 2008 Jun;42(6):394-412.2008

Sports medicine centres

Utility Level?

Therapeutic level – Yes

Preventive level – ????

Prevention-easy, effective & most economic solution.

Conclusion

Talent - not scarce

Nurtured early - to prevent “Talent Drain”.

Conclusion

So we recommend :

- Structured stretching - Strengthening exercise - Proper landing drills

Suggestion

Thank You

Questions???