Hoop Dreams Performance

🏀Congrats to Hoop Dreams Fam Ryan Kriener for inking ✍🏻his deal in Japan 🇯🇵

✍️2023-24シーズン契約のご報告

滋賀レイクスは ライアン・クリーナー 選手（前愛媛オレンジバイキングス）と2023-24シーズンの契約合意（新規）に至りましたことをご報告いたします。

📝ライアン・クリーナー
RYAN KRIENER

背番号：4
ポジション：PF
身長/体重：208cm/118kg
生年月日：1998年4月24日　
出身地：アメリカ合衆国

【経歴】
Iowa University（NCAAⅠ）
2020-21 Leuven Bears（ベルギー）
2021-23 愛媛オレンジバイキングス（B2）
∟2022-23 B2個人得点8位（16.1PTS）、リバウンド8位（9.4REB）ブロック10位（0.8BLK）

【コメント】
I am so excited to join the shiga Lakes, and help fight for B1 promotion!
My wife and I are excited to get to know the great area and meet the fans as well. Let’s make this year a fun one!

滋賀レイクスに加入することがとても楽しみです！B1昇格のために戦うことができることを光栄に思います。
妻と共に素晴らしい地域を知り、ブースターの皆さんともお会いできることを楽しみにしています。
来季は楽しい一年にしましょう！
#滋賀レイクス

Welcome Ryan Kriener to the Hoop Dreams fam as we help him with his offseason training following his second pro season in Japan 🇯🇵

New blog post on blocked and variable practice in basketball training

Blocked vs Variable Practice for Basketball Training Dr. Jamie Davis, PT, DPT, CSCS Before we dive into the basketball specific material, I want to discuss a few different overarching topics that will help you have a deeper understanding of the baske…

🏀𝐓𝐞𝐧𝐝𝐨𝐧 𝐋𝐨𝐚𝐝𝐢𝐧𝐠🏀

▪️This figure from Freedman et al 2015 does a simplified, but good job of organizing what occurs in the tendon with too little loading, too much loading or “the right amount” of loading

▪️When dealing with tendon pain or preventing it, it is a multi-factorial process in why someone may experience symptoms; not enough loading and the tendon is underprepared for physical tasks or even just activities of daily living

▪️Too much loading, and/or not enough recovery, can also lead to degradation of the tendon & symptoms

▪️Determining what is “the right amount” of loading isn’t easy, but having a graded progression in loading the tendon is essential as well as a graded increase in sport/physical activity volume

🔺For the achilles tendon a step wise progression would include a calf raise progression, hopping progression, jumping progression and then sport-related progressions (all will be covered in later posts)

🔺This step wise progression allows us to ensure we are loading the tendon sufficiently with each level in order to be prepared for whatever sporting task the individual chooses

🏀𝐑𝐞𝐥𝐢𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐚𝐧𝐝 𝐄𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞𝐧𝐞𝐬𝐬 𝐨𝐟 𝐚 𝐋𝐚𝐭𝐞𝐫𝐚𝐥 𝐂𝐨𝐮𝐧𝐭𝐞𝐫𝐦𝐨𝐯𝐞𝐦𝐞𝐧𝐭 𝐉𝐮𝐦𝐩 𝐟𝐨𝐫 𝐒𝐭𝐫𝐚𝐭𝐢𝐟𝐲𝐢𝐧𝐠 𝐒𝐡𝐮𝐟𝐟𝐥𝐢𝐧𝐠 𝐏𝐞𝐫𝐟𝐨𝐫𝐦𝐚𝐧𝐜𝐞 𝐀𝐦𝐨𝐧𝐠𝐬𝐭 𝐄𝐥𝐢𝐭𝐞 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥 𝐏𝐥𝐚𝐲𝐞𝐫𝐬🏀

▪️Basketball is a sport with a high level of lateral change of direction, with some research suggesting bball players spend 31% of a live game shuffling laterally

▪️This article aimed to assess the within & btwn session reliability of the lateral countermovement jump (LCMJ) test and to also examine if the LCMJ can stratify between fast and slow lateral shuffling performance

▪️Participants in the LCMJ/Shuffling portion of the study included 107 professional and 33 collegiate basketball players

▪️The LCMJ is performed by jumping off a single leg as hard as they could, lateral to medial, without crossing their lead leg behind the drive leg and landing on two feet

▪️They compared LCMJ data with a lateral shuffling test, the 5-5 shuffle. This is performed by shuffling out 5m and back 5m as quickly as they could and they made 2 attempts in each direction

▪️The only variable that differentiated slow and fast shufflers was relative lateral force (lateral force/mass) and this had a moderate effect size

🔺If you do not have access to triaxial force force plates then the authors suggest potentially just adding exercises that target lateral force production into a program (assisted and resisted lateral bounds, lateral sled drags, lateral lunges) as lateral bound distance alone potentially may not be sensitive enough in this population

🔺It still may be useful to track LCMJ distance, distance relative to height or distance relative to limb length to see trends over time and have a metric that tracks LCMJ performance

Congrats to my client Marty for signing a contract in Bosnia 🇧🇦

Posted • Marty Hill drugo je pojačanje našeg kluba za novu sezonu! 🙌🏻🏀

Welcome to Radnički Marty! 🤝🏽🏀

🏀𝐑𝐞𝐭𝐮𝐫𝐧 𝐭𝐨 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥: 𝐍𝐨𝐧-𝐜𝐨𝐧𝐭𝐚𝐜𝐭 𝐃𝐫𝐢𝐛𝐛𝐥𝐢𝐧𝐠 𝐏𝐫𝐨𝐠𝐫𝐞𝐬𝐬𝐢𝐨𝐧🏀

▪️This progression for dribbling starts static and progresses to more movement and then integrating other skills

▪️It starts off with dribbling in place which can typically be integrated into a rehab process pretty early on; this can be used in place of basic weight shifting exercises

▪️Then it progresses to dribbling down and back which can be utilized as an early change of direction activity

▪️Then we start to get into dribble drives, connecting dribbling activities into driving/attacking the hoop and from there We add in cuts prior to getting the ball and finally can add in a reactive component such as calling out a specific direction, dribble move or finish at the rim

🏀𝐑𝐞𝐭𝐮𝐫𝐧 𝐭𝐨 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥: 𝐍𝐨𝐧-𝐜𝐨𝐧𝐭𝐚𝐜𝐭 𝐒𝐡𝐨𝐨𝐭𝐢𝐧𝐠 𝐏𝐫𝐨𝐠𝐫𝐞𝐬𝐬𝐢𝐨𝐧🏀

▪️This progression for shooting/driving increases the amount of impact and force an athlete encounters

▪️It starts off with a form shoot which may be put in a rehab plan early on since it is a stationary drill without any jumping

▪️Then it progresses to a catch and shoot so now the athlete is actually getting off the ground; this can start with a catch & shoot in the same spot and transition to multiple spots so they are shooting off the move and then to the third progression of dribble pull ups

▪️After that we can get into driving-type drills; a good place to start can be a mikan drill where the athlete is attacking the hoop with just a little side to side movement

▪️Finally, we can progress to 1 on 0 drives with progressive intensity where the athlete explodes up to the hoop after making a dribble move

🏀𝐑𝐞𝐭𝐮𝐫𝐧 𝐭𝐨 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥:𝐂𝐨𝐧𝐭𝐚𝐜𝐭 𝐏𝐫𝐨𝐠𝐫𝐞𝐬𝐬𝐢𝐨𝐧🏀

▪️Here is an example of a graded return to contact drills for basketball

▪️Initially start with some controlled drills against a “dummy” defender to get the athlete used to having a defender on them, then we gradually ramp up the intensity and demands progressing from 1 on 1 drills to half court and then full court runs

🏀𝐀𝐂𝐋 𝐑𝐞𝐡𝐚𝐛: 𝐑𝐞𝐭𝐮𝐫𝐧 𝐭𝐨 𝐑𝐮𝐧𝐧𝐢𝐧𝐠 𝐂𝐨𝐧𝐬𝐢𝐝𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬🏀

▪️Return to running following ACL reconstruction is a major milestone; having criteria to guide decision making when an athlete should return to running is important

📋One study investigated return to running decision making following ACLr and found the median return to running time to be 12 weeks with 99% using time-based criteria, 15% using strength criteria, 10% using clinical criteria and 7% using performance-based criteria to determine readiness to return to running

💭To me, this indicates a lack of informed decision making & critical thinking to determine readiness to return running; clinicians are mainly using time after surgery to just say “well, it’s been 12 weeks, you’re good to run” without having data to guide that decision

▪️Time: There is nothing magical about 12 weeks post-op ACLr for an athlete to start running, but it should still be considered as more time means more healing, typically return to running post-ACLr will be between 12-15 weeks, but can vary with athletes based on testing

▪️Objective Criteria: While there are many criteria you could use, in general we want to assess pain, swelling, ROM, quad/hamstring strength, general lower body strength and some low level hopping/plyos

🔺From the article, they recommend initiating the return to running around the 8-16th week along with the following criteria:
•pain 70% of the uninvolved side
•Single leg hop test >70% of the uninvolved side

🔺There are other ways you can assess readiness to return to running which could include hip abd strength testing, single leg bridges, single leg squats, step up/down tests, single leg calf raise capacity, exposure to loaded movements (squats, deads, split squats etc) and exposure to low magnitude plyos (hops, skips)

✔️Ultimately, a clinician should have an objective checklist to guide the decision making to return to running vs blindly following an outdated protocol that’s based solely on time

🏀𝐀𝐧𝐤𝐥𝐞 𝐒𝐩𝐫𝐚𝐢𝐧: 𝐑𝐞𝐡𝐚𝐛 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬

🔹This study investigated ankle injuries in men & women’s college basketball over a 10 year period

🔹In men’s basketball they found that the most common activities at the time of injury were rebounding (34.36%), general play (23.57%), and shooting (11.63%)

🔹Lateral ligament complex injuries in men’s basketball leaned towards more contact injuries (64.9%) versus non contact but typically time loss was

🏀𝑳𝒂𝒕𝒆𝒓𝒂𝒍 𝑨𝒏𝒌𝒍𝒆 𝑺𝒑𝒓𝒂𝒊𝒏🏀

🔹The structures involved in a lateral ankle sprain are the ligaments on the outside of the ankle that resist inversion & plantar flexion (toes pointing down and in); the most commonly involved ligament is the anterior talofibular ligament (ATFL) which connects from your talus to your distal fibula

🔹A lateral ankle sprain in basketball typically occurs with “rolling your ankle” when cutting to get open or landing after jumping, whether grabbing a rebound or driving to the hoop

🔹Ankle sprains are classified based on severity from a Grade I sprain which is mild with no change in ligamentous laxity to a Grade III sprain which is much more severe and may involve complete disruption of the ligaments; a mild sprain may resolve within a week whereas a more severe sprain may take months

🔹In a study investigating ankle sprains in the NBA from the ‘13-‘14 to the ‘16-‘17 seasons, there were 796 ankle sprains with a single season risk of ankle sprain of 25.8% meaning 1 in 4 players will likely sustain an ankle sprain during a single season

🔹80.2% of ankle sprains were lateral ankle sprains and a history of ankle sprain increased the likelihood of a player sustaining an ankle sprain by 41% compared to those without a history of ankle sprains

🔹56% of ankle sprains did not result in any missed NBA games while 44% resulted in some time lost due to the ankle sprain; the median return to game time was 8 days

🏀𝐀𝐝𝐝𝐮𝐜𝐭𝐨𝐫 𝐒𝐭𝐫𝐚𝐢𝐧: 𝐑𝐞𝐡𝐚𝐛 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬🏀

▪️In a study looking at return to play times following an adductor injury in nba players, they found that players were able to return to play after missing an avg of 7.7 +/- 9.8 games and 16.9 +/- 20.4 days

▪️In the same study, 8.2% of NBA players missed 0-2 days, 27.3% missed 3-7 days, 32.7% missed 8-21 days and 21.8% missed >21 days

▪️Typically there is a quick recovery following an adductor strain, but is influenced by the severity of the injury; return to play times can vary but can be as quick as a few days or over a month

▪️A rehab program should aim to address adductor mobility, isolated adductor strength, general lower extremity strengthening and a graded return to dynamic & sport specific movements

🏀𝐀𝐝𝐝𝐮𝐜𝐭𝐨𝐫 𝐒𝐭𝐫𝐚𝐢𝐧: 𝐈𝐧𝐣𝐮𝐫𝐢𝐞𝐬 𝐢𝐧 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥🏀

▪️The adductors are the muscle group that runs along the inside of the leg/groin and consists of multiple muscles. They work to perform adduction of the leg (pulling it towards our midline), providing stability at the medial knee and assisting in frontal plane movements such as shuffling or changing direction

▪️These muscles are typically injured during a quick change of direction or it can be related to repetitive microtrauma over time from these types of movements. Pain will be along the medial thigh, typically in the belly of the muscle

▪️Adductor strains range from a grade I with minimal to no damage of the muscle but with pain present, a grade II which is a partial tear of the muscle and a grade III which is a complete muscle tear and loss of function of the muscles

▪️Adductor injuries have been reported to account for 21.8% of hip injuries in an NBA population. From the 09-10 to the 18-19 seasons there were a total of 79 adductor injuries with 72 (91%) of those being strains and 7 (9%) being tears

🔺While not the most common injury in basketball, groin/adductor strains can occur, esp in a sport that requires a lot of change of direction

🏀𝐀𝐜𝐫𝐨𝐦𝐢𝐨𝐜𝐥𝐚𝐯𝐢𝐜𝐮𝐥𝐚𝐫 (𝐀𝐂) 𝐉𝐨𝐢𝐧𝐭 𝐒𝐩𝐫𝐚𝐢𝐧: 𝐑𝐞𝐡𝐚𝐛 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬🏀

▪️Return to sport from an AC joint sprain will vary based on the severity of the injury and may require surgical intervention; typically grade I & II are treated nonsurgically, grade III may be treated either way (literature leans towards conservative management) and grade IV to VI are typically treated surgically

▪️With conservative treatment for a grade I AC joint sprain, the athlete will likely be able to return to sport in 2-5 weeks, a grade II AC joint sprain will likely RTS in 4-7 weeks and a grade III AC joint sprain likely in 6-12 weeks; true return to sport times will vary based on multiple factors, but these give a rough time frame you may expect with your rehab

▪️Surgical procedures will vary as will time to return to sport depending on the tissue damage and procedure utilized; the 4 common procedures include an AC joint fixation, coracoacromial ligament transfer, coracoclavicular internal fixation and a coracoclavicular ligament reconstruction

▪️Interventions will aim to address shoulder & scapular mobility, rotator cuff/scapular/upper extremity strength, upper extremity stability/neuromuscular control and graded return to sport specific activities

🏀𝐀𝐜𝐫𝐨𝐦𝐢𝐨𝐜𝐥𝐚𝐯𝐢𝐜𝐮𝐥𝐚𝐫 (𝐀𝐂) 𝐉𝐨𝐢𝐧𝐭 𝐒𝐩𝐫𝐚𝐢𝐧: 𝐈𝐧𝐣𝐮𝐫𝐢𝐞𝐬 𝐢𝐧 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥🏀

▪️The AC joint us comprised of the clavicle and the acromion of the scapula and is held together by the joint capsule, acromioclavicular (AC) and coracoclavicular (CC) ligaments

▪️The AC joint allows for movement of the scapula as well as fine tuning movement of the shoulder complex; in addition it helps to transmit forces throughout the upper extremity

▪️Typically, injuries to the AC joint are due to either a direct force to the shoulder or an indirect force such as falling on your arm after going up for a rebound

▪️The Rockwood classification is a way to classify AC joint injuries 6 categories:

1️⃣Sprain of the ligaments but they remain intact without instability
2️⃣AC ligaments are ruptured but CC ligaments are intact; often described as a subluxation; instability with direct stress testing to the AC joint
3️⃣Complete disruption of both the AC & CC ligaments; often described as a dislocation; deformity present (clavicle appears elevated) with clavicular instability
4️⃣Distal clavicle is displaced posteriorly into the trap muscle; posterior deformity is present
5️⃣A more severe form of a grade III
6️⃣Severe trauma with displacement of the distal clavicle; typically sustained with other major injuries

🏀𝐌𝐞𝐧𝐢𝐬𝐜𝐮𝐬 𝐓𝐞𝐚𝐫: 𝐑𝐞𝐡𝐚𝐛 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬🏀

▪️As discussed in our initial meniscus tear post, meniscus tears/degeneration found on an MRI are fairly common in individuals without any knee pain

▪️In studies investigating the difference between arthroscopic partial meniscectomy (“meniscus clean up”) versus sham/placebo surgery, they found no differences in outcomes at both a 2-year & a 5-year follow-up. This emphasizes that just because there is a finding on an image & pain present, it does not necessarily require surgery nor is the tear necessarily the sole driver of pain

▪️Treatment for meniscus tears vary and are influenced by the size of the tear, location of the tear and a multitude of other factors. The three main options for treatment are conservatively through PT, meniscectomy or a meniscus repair

▪️Conservative treatment times vary but may be anywhere from 1-2 months to 6+ months depending on severity of symptoms etc. Interventions address knee range of motion, lower extremity strength and a graded return to dynamic movements, running & sporting activities

▪️A meniscectomy may be performed to remove or “clean out” part of the damaged meniscus. Usually you will be able to bear weight to tolerance as soon as possible and there is a quick rehab afterwards, typically 1-3 months on average

▪️A meniscus repair is performed to try and preserve the meniscal tissue as opposed to remove it. Because the tissue is repaired, the healing of the repair site has to be monitored throughout the rehab process so there is typically a weight-bearing precaution early on that is gradually progressed. Timelines will vary but return to sport typically takes 6+ months

🏀𝐌𝐞𝐧𝐢𝐬𝐜𝐮𝐬 𝐓𝐞𝐚𝐫: 𝐈𝐧𝐣𝐮𝐫𝐢𝐞𝐬 𝐢𝐧 𝐁𝐚𝐬𝐤𝐞𝐭𝐛𝐚𝐥𝐥🏀

▪️The meniscus is a C-shaped tissue that sits in the knee joint between your femur and tibia (shin) that helps to absorb force in the knee as well as help stabilize the joint; your knee has both a medial (inner) meniscus and a lateral (outer) meniscus

▪️There are different types of tears that influence rehab and there is also different blood supply to the menisci affecting healing; the outer 1/3 has greater blood flow so better chance of healing while the inner 2/3 has worse blood flow so less chance of healing

▪️However, meniscus tears are common in the asymptomatic population (people without pain or limitation); A study in 2020 (Horga et al) found 227/230 (97%) knees they performed MRIs on of asymptomatic individuals showed abnormalities of at least one structure with asymptomatic meniscal tears present in 30% of knees and a further 18% showing meniscal degradation

▪️From a study in 2012 looking at isolated meniscal injuries in NBA players, they identified 147 isolated meniscal tears which represented 8.8% of all athletic-related knee injuries across a 21 year span; they also found that the higher the athlete’s BMI then the more likely it was for them to sustain an isolated meniscus tear

🔺Meniscus tears are fairly common in people without any pain and often can be treated conservatively depending on multiple factors including type of tear, location of tear, past experiences, physical influences, goals, expectations and many more; meniscus also can occur concurrently with other injuries such as an ACL tear

🏀𝐀𝐜𝐡𝐢𝐥𝐥𝐞𝐬 𝐓𝐞𝐧𝐝𝐢𝐧𝐨𝐩𝐚𝐭𝐡𝐲: 𝐑𝐞𝐡𝐚𝐛 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬🏀

▪️There are many different factors that influence how long it will take to manage achilles tendinopathy symptoms, but in general the process will be at least 3 months

▪️This can be a finicky injury, especially if you are dealing with symptoms during the season, so this is where load management comes into play; we want to load our tendons enough so they can remodel & adapt but not too much where we exacerbate symptoms

▪️Tendons respond best to loading and an achilles rehab program should include heel raise variations (knee straight & bent) to isolate loading to the calf-achilles complex, hop variations for lower threshold plyometrics and jumping/landing for more intensive loading

▪️You also need to adjust how much of your goal activity you are performing; if basketball is the activity that irritated symptoms then we may need to temporarily reduce how much time we are playing basketball throughout the week to give our body an environment to heal

🏀 𝐖𝐡𝐞𝐫𝐞 𝐭𝐨 𝐒𝐭𝐚𝐫𝐭 𝐰𝐢𝐭𝐡 𝐚𝐧 𝐎𝐟𝐟𝐬𝐞𝐚𝐬𝐨𝐧 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 𝐏𝐫𝐨𝐠𝐫𝐚𝐦🏀

▪️Breaking the offseason down into phases can help create specific focuses for each phase

▪️For example we can break the offseason into early, mid and late offseason

▪️As we progress through, from a training standpoint, we start with building a strength base (as well as addressing any nagging injuries) and gradually ramp up our focus on power production as we get towards the season

▪️From a basketball standpoint we may have a period of time where we aren’t doing much or any bball specific activities; then we start with light skill & shooting drills progressing to a ramp up in intensity plus defenders and then into more live play as we get closer towards the season

🔺While there are many other factors to incorporate with creating an offseason program, this can allow a general outline to make sure you ate staying on track with your training to fully prepare for your upcoming season

🏀𝐏𝐫𝐞𝐝𝐢𝐜𝐭𝐢𝐧𝐠 𝐀𝐧𝐭𝐞𝐫𝐢𝐨𝐫 𝐂𝐫𝐮𝐜𝐢𝐚𝐭𝐞 𝐋𝐢𝐠𝐚𝐦𝐞𝐧𝐭 𝐑𝐞𝐢𝐧𝐣𝐮𝐫𝐲 𝐅𝐫𝐨𝐦 𝐑𝐞𝐭𝐮𝐫𝐧-𝐭𝐨-𝐀𝐜𝐭𝐢𝐯𝐢𝐭𝐲 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭𝐬 𝐚𝐭 𝟔 𝐌𝐨𝐧𝐭𝐡𝐬 𝐏𝐨𝐬𝐭𝐬𝐮𝐫𝐠𝐞𝐫𝐲: 𝐀 𝐏𝐫𝐨𝐬𝐩𝐞𝐜𝐭𝐢𝐯𝐞 𝐂𝐨𝐡𝐨𝐫𝐭 𝐒𝐭𝐮𝐝𝐲🏀

▪️Purpose: To identify the measures of patient function at 6 months post-ACLR that best predicted return to activity (RTA) and secondary ACL injury at >/=2 years after ACLR

▪️An ACL reinjury was defined as a subsequent injury to the ACLR graft or the contralateral ACL

▪️Participants completed forms to evaluate subjective knee function (KOOS & IKDC), preinjury activity levels (Tegner Activity Scale), kinesiophobia (Tampa Scale) and global function (Veterans Rand 12-Item Survey)

▪️They also assessed knee flexion and extension torques via isokinetic testing as well as using a battery of 3 hop tests (single hop, triple hop and 6-m timed hop)

▪️Follow up occurred 2+ years post-ACLR to identify ability to RTA and incidence of secondary ACL injury

▪️192 patients followed up at 2 years post-op; of those 192, 155 (80.7%) returned to their prior level of physical activity which was associated with greater IKDC, KOOS sport, quad symmetry and single leg hop symmetry

▪️Of the 155 who returned to their prior level of physical activity, 44 (28.5%) had a secondary ACL injury and of the total cohort the reinjury rate was 24% (14% injuring the ACLR graft & 10% opposite ACL)

▪️Increased quad symmetry at 6 months led to increased RTA and was associated with inc probability of reinjury as these patients tend to get cleared earlier due to their testing; in patients who returned to activity later than 8 months, every month it was delayed reduced the probability of reinjury by 28%

🏀𝐀𝐂𝐋 𝐢𝐧𝐣𝐮𝐫𝐲 𝐩𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐨𝐧: 𝐖𝐡𝐞𝐫𝐞 𝐡𝐚𝐯𝐞 𝐰𝐞 𝐜𝐨𝐦𝐞 𝐟𝐫𝐨𝐦 𝐚𝐧𝐝 𝐰𝐡𝐞𝐫𝐞 𝐚𝐫𝐞 𝐰𝐞 𝐠𝐨𝐢𝐧𝐠?🏀

▪️Effective ACL Injury Prevention Programs (IPPs) include strengthening, plyos, proximal control & sometimes balance components; Utilizing external cueing and implicit learning can facilitate changes in biomechanics and movements remaining unconscious; video or real time feedback may be beneficial as well

▪️Screening: “there is yet to be a proven ACL injury screening tool” and clinicians should be wary of tests or algorithms that claim to predict ACL injury, however, it still can be beneficial to screen and individualize training with the understanding that further research needs to be conducted to study the efficacy of ACL IPPs

▪️Implementation: “With good research support to back the use of ACL IPPs, but not screening, the challenge is to prove effectiveness in real-world settings”; coach education is essential and should include background on ACL IPPs, benefits of the program as well as instructions on how to teach it to their team; collaboration is key amongst all stakeholders (players, coaches, PT, AT, S&C, etc)

▪️Compliance/Adherence: There is a clear relationship between compliance with effective of ACL IPPs and injury reduction; education is key to facilitate implementation of an ACL IPP esp education on the physiological and performance benefits

🔺There has been significant progress in ACL IPP research over the last 30 years showing that exercise-based programs are effective but dependent on implementation and compliance (you actually have to do them to get the benefit); majority of the ACL IPP research is in soccer and handball so other sports should use established IPPs until further research in the specific sport is conducted

Big game last night for our guy Marty!

Welcome to the Hoop Dreams Fam as we work together for his in-season training during this season

Wrote a piece on Simplifaster which you can read it on their blog; it focused on rehabbing a hamstring injury and how sprinting is an integral component of rehab in this context; the nordic hamstring exercise is also a piece of this puzzle and can be used as a bridge to on field/court dynamic movements

One isn’t better than the other but both can be utilized at certain points of the reconditioning process

Just sent out our free ankle sprain injury prevention program to players all around the world! If you want a copy sent to you then shoot my DM or leave a comment!

🏀𝐀𝐂𝐋 𝐈𝐧𝐣𝐮𝐫𝐢𝐞𝐬 𝐒𝐮𝐬𝐭𝐚𝐢𝐧𝐞𝐝 𝐃𝐮𝐫𝐢𝐧𝐠 𝐍𝐁𝐀 𝐆𝐚𝐦𝐞𝐬 𝐁𝐲 𝐐𝐮𝐚𝐫𝐭𝐞𝐫🏀

▪️I wanted to see if ACL injuries happened more frequently during NBA games; data was collected from public info including various videos, news reports and online information

🔺There were a total of 44 players who tore their ACL during an NBA game that also had info on the specific quarter they injured it in

🗓The earliest player with this info (that I could find) was Mark Price in 1990 and the most recent was Joe Ingles who tore his ACL yesterday (2022)

📋Of the 44 players, 9 (20.5%) players tore their ACL in the 1st quarter, 9 (20.5%) in the 2nd quarter, 13 (29.5%) in the 3rd quarter and 13 (29.5%) in the 4th quarter

📋There appears to be more ACL tears sustained in the second half (59%) compared to the first half (41%)

⛹️While ACL injuries are multifactorial in nature, it still can be useful & interesting to look at trends in the info to help guide prevention strategies