Preabilitazione. Tra Riabilitazione e Allenamento. Preabilitazione ...

Preabilitazione.
Preabilitazione
Preabilitazione. .
Tra Riabilitazione e Allenamento.
alberto andorlini
a.c. robur siena

SCIENCE
FICTION
•“Following the functional path” in “The Gambetta Method”, by G.W.Gray, P.T. and
V.Gambetta, MA in Physical Education - 1995
• “The role of Proprioception in the Management and Rehabilitation of Athletic
Injuries” by Scott M.Lephart, PhD,ATC; Danny M.Pincivero, Med; Jorge L.Giraldo,
MD; Freddie H.Fu, MD; Pittsburgh Neuromuscular Research Laboratory - 1997
•“Should Athletes Train Like Bodybuilders” by P.Check, Holistic Health Practitioner -
2000 – 2004
•“What is Functional Exercise” in “Movement that matters” by P.Check, Holistic
Health Practitioner - 2000
•“Functional Training for Sports” by M.Boyle. Champaign IL: Human Kinetics - 2003
•“The Role of Core in Athletic Function” by B.Kibler M.D., FACSM, A.Sciascia P.T.,
Lexington Sports Medicine Center - 2006

FUNCTIONAL
TRAINING
Whether you are a marathon runner, a triathlete, or simply a homemaker
who wants to carry their children without injury, functional training can
help. Functional training has its origins in rehabilitation.
Physical therapists developed exercises that MIMICKED what patients did
at home or work in order to return to their lives or jobs after an injury or
surgery.
Thus if a patient's job required repeatedly heavy lifting, rehab would be
targeted towards helping them achieve that. Functional training mostly
involves activities targeted at the core muscles (abdominal and lower
back)..
http://www.sciencedaily.com/articles/f/functional_training.htm

PREHABILITATION
These exercises will help reduce injury risks before an injury
actually happens.
The concept of ‘prehabilitation’ exercise training is now
becoming well-known with trainers and therapists involved in
sports performance preparation. Prehabilitation involves
strength and conditioning exercises for specific muscles that
help to reduce injury risks, before an injury actually occurs.
It’s the classic ‘an ounce of prevention is better than a pound
of cure‘ approach to physical training. Prehabilitation is sportspecific
and targets common injuries and strength imbalances
that occur in the particular sport.

PREHABILITATION
What is Prehab?
Prehab is is a personalized exercise program that continually evolves. It It provides sports specific focused
exercises and activities for athlete's needs. The philosophy is is simple. Prevent injuries. The development
and execution of of an an effective program can be be complex. The practice of of prehab and its itssuccess success relies greatly on on
an an athlete's ability to to commit to to prevention. The development of of the program needs to to be be progressive and
periodically re-evaluated to to change with the athlete's needs.
Who Should Prehab?
Athletes of of all all levels should include a prehab program in in their training. The more advanced the athlete, the
greater the need for a prehab program. As an an athlete's body matures within a sport, their body adapts to to the
physical demands of of training. Too often repetitive movements and the daily stresses of training
cause negative effects within their bodies. This limited training technique may cause tightness of
muscle groups, imbalances of strength, coordination or muscle stabilization. These imbalances
occur naturally with activity and are reinforced with each workout. These imbalances are often the
root of of many training injuries and may predispose athletes to to greater risk of of injury during training and
competition.
What Should be in a Prehab Program?
A personalized Prehab program should address total body balance and consider sports specific needs. It It
balances the range of of motion, strength, coordination and stabilization. Comparing left to to right, front to to back,
upper to to lower body is is the basic premise. Exercises and sports specific skills and drills are focused on on an an
athlete's weaknesses.
The majority of prehab programs should focus on coordination and stabilization of the hips,
stomach and back "core". Core instability is is common and is is often due to to the lack of of a proper training
program. Many athletes and coaches use traditional protocols of of upper and lower body lifting or or basic sprinting
and lifting routines, outside of of regular practice drills. This leaves the core without a direct focus or or training
routine.

PREHABILITATION
When Should an Athlete Prehab?
As indicated, Prehab should be practiced before an injury places an athlete on the sideline and
into a sports rehabilitation program. Unfortunately, it it often takes an an athlete and staff many injuries to to
decide to to initiate a prehab program.
Depending on on an an athlete's training cycle, prehab can be done within a practice session or as an
independent workout. Three or or four exercises in in a warm up up or or cool down, a few exercises while resting or or
waiting a turn in in practice, or or a detailed tedious workout focusing on on an an athlete's weaknesses. Full workouts can
be be designed for off days or or active rest days. Mini prehab workouts are great for team travel and recovery days. In In
any case, a prehab program should be bea a regular part of of an an athlete's training routine.
Who Designs a Prehab Program?
Athletes should be be screened for imbalances. Objective measurements of of active range of of motion and strength,
biomechanical observations, past medical history, present health status and input from support staff should all all
be be considered when designing a program. This screening should be be performed by by a qualified professional. A
licensed healthcare professional, such as an Athletic Trainer, Athletic Therapist, Sports
Therapist or Physical Therapist with additional sports training, can design a program.
The ability to to challenge and motivate an an athlete is isthe the difference between success and failure with respect to to
a tailored prehab program. Knowledge of of the chosen sport, the athlete's needs and open communication are the
keys to tosuccess success with prehabilitation.

PREHABILITATION = BE A BETTER BIPED

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iabilitazione
1. Joint
position
sense &
Kinesthesia
2. Dynamic
joint
Stabilization
3. Reactive
Neuromuscu
lar Control
4. Functionally
specific
Activities
preabilitazione
1. Be Centered
2. Overcome
Gravity
3. Be
Grounded
4. Be Balanced
5. Be Focused
6. Master Body
Weight
7. Fundamenta
l movements
all.tradizionale
1. Continuità
del carico
2. Aumento
graduale &
progressivo
del carico
3. Alternanza
ciclica delle
esercitazioni
4. Ricchezza
dei mezzi di
all.
all.funzionale
1. CORE
strength
(before
extremity
strength)
2. Movement
not muscle
3. Body Weight
(before
external
resistance)
4. Balance
5. Tridimension
al /Multiplane

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Allenamento integrato