06.12.2012 Views

Nutrition in Combat Sports

Nutrition in Combat Sports

Nutrition in Combat Sports

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

258 C. White and P. Rollitt<br />

14.8.2 Elbow Jo<strong>in</strong>t Injuries<br />

As mentioned <strong>in</strong> Section 14.8.1.2 these <strong>in</strong>juries are generally susta<strong>in</strong>ed when put<br />

under enormous stra<strong>in</strong> dur<strong>in</strong>g kansetsu – waza when the anterior band of the medial<br />

collateral ligament can be damaged along with bony structures.<br />

EARLY: UP TO 72 H. As <strong>in</strong> the basic pr<strong>in</strong>ciples of <strong>in</strong>jury management. Early<br />

physiotherapy will also <strong>in</strong>clude assessment and treatment of the neural system as<br />

well as review<strong>in</strong>g the cervical and thoracic sp<strong>in</strong>e as part of the cha<strong>in</strong>.<br />

INTERMEDIATE: 72 H–2 MONTHS. In assess<strong>in</strong>g and treat<strong>in</strong>g these <strong>in</strong>juries it is<br />

important to mobilize the elbow jo<strong>in</strong>t through full flexion and extension if the <strong>in</strong>jury<br />

allows, with the superior radio-ulnar jo<strong>in</strong>t <strong>in</strong> pronation, sup<strong>in</strong>ation, and <strong>in</strong> midposition.<br />

The shoulder girdle must also be assessed before embark<strong>in</strong>g on the more<br />

advanced rehabilitation techniques already outl<strong>in</strong>ed.<br />

This <strong>in</strong>termediate level can start on:<br />

– Basic arm curls us<strong>in</strong>g resistance band and dumbbells with attention on the<br />

eccentric load of the curl.<br />

– PNF patterns are great at isolat<strong>in</strong>g the rotation component of the grip and especially<br />

the sup<strong>in</strong>ation and pronation element, and these can be worked through<br />

differ<strong>in</strong>g parts of the range with vary<strong>in</strong>g resistance accord<strong>in</strong>g to pa<strong>in</strong>.<br />

– Triceps and the rema<strong>in</strong><strong>in</strong>g posterior muscles of the upper limb must not be<br />

ignored as they are stabilizers of the shoulder and elbow.<br />

– Scapula control.<br />

– Grip strength can be started us<strong>in</strong>g differ<strong>in</strong>g equipment and the grips <strong>in</strong> the differ<strong>in</strong>g<br />

start<strong>in</strong>g positions of neutral, pronated, and sup<strong>in</strong>ated forearm or differ<strong>in</strong>g<br />

wrists positions with the vary<strong>in</strong>g elbow angle. Gripp<strong>in</strong>g and pull<strong>in</strong>g <strong>in</strong> or gripp<strong>in</strong>g<br />

and keep<strong>in</strong>g opponent out at arms length require differ<strong>in</strong>g muscle groups<br />

and could both be worked on <strong>in</strong> tra<strong>in</strong><strong>in</strong>g.<br />

ADVANCED: 2 MONTHS AND BEYOND<br />

– These do not differ much from the shoulder and upper limb-advanced rehabilitation<br />

stages.<br />

14.8.3 Knee Jo<strong>in</strong>t Injuries<br />

– Medial collateral ligament tears<br />

– Anterior cruciate ligament disruption<br />

– Meniscal damage<br />

– Fat pad bruis<strong>in</strong>g<br />

Early postsurgical protocols need to be followed with attention to heal<strong>in</strong>g times and<br />

jo<strong>in</strong>t stability exercises. Once the athlete has established full range of movements<br />

with progressively improv<strong>in</strong>g muscular control and reduc<strong>in</strong>g pa<strong>in</strong> and swell<strong>in</strong>g,<br />

then advanced stages can be followed.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!