High-Intensity Stepwise Conditioning Programme

Embed Size (px)

Citation preview

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    1/22

    High-intensity stepwise conditioning

    programme for improvedexercise responses and agility perform

    ance of a badminton player 

    with knee pain

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    2/22

    Introduction

    • Patellar tendinosis is a very common injury in

    badminton

    •  A professional Badminton player is expected to

    perform a large number of jumps, lunges, and rapid directional changes

    • The movements produce high magnitudes of

    loads on the lower extremities of the player whic

    h have the potential to result in injury

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    3/22

    Introduction

    • low-intensity training programme – aintain joint mobility

     – Promote tissue healing

     – inimi!e inflammation or development of pain

    • "x. Eccentric muscle training and stretchingexercises for the quadriceps

    •  A long duration of rehabilitation time

    (5.9-23 months)

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    4/22

    • high-intensity training programme – uscle strength

     – Power 

     – Physical activities

     – Agility

    • Ex. endurance inter!al resisted and

    agilit" training 

    Introduction

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    5/22

    Introduction

    • Endurance running is used to promoteadaptations of the cardio-respiratory and neuro

    muscular systems for better regulation of the me

    tabolism system

    • #nter!al running is used to enhance aerobic

    fitness and sport performance

    • $esisted running increases muscular

    endurance, strength and anaerobic fitness by extending the body#s physical limit$

      %All these capabilities are prerequisite

    to all competiti!e sports%

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    6/22

    &esearch 'uestion

    • a high-intensity training programme can

    be implemented in the earlier stage of the

    rehabilitation period to reduce the rehabilit

    ation time

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    7/22

    Purpose

    • investigated the effects of a high-intensity

    conditioning programme combined with st

    epwise training load and multiple recovery

    measures on pain, agility, and the general

    physical fitness of a worldclass badminton

    player with patellar tendinosis$

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    8/22

    ethods

    • Player  – (ne )*-year-old male world-class badminton

    player 

     – pain in the left +nee during extension

     – left patellar tendinosis

    indinge.arsene/ohansson yndrome0

     –&I 1 a tissue calcification and thic+eningaround the middle portion of the patella tendo

    n

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    9/22

    Test procedures

      1  s  t 

      e  v  a l  u  a  t i   o  n   •   &  e  r   c  e  i   !  e   d   '   n  e  e   p  a  i   n  a   n   d  s   "    m   p  t   o    m    •   A   g  i  l  i  t   "   p  e  r  f   o  r    m  a   n   c  e    •   (  a  r   d  i   o   p   u  l    m   o   n  a  r   "  f  i  t   n  e  s  s

       2  o  n  d i t i  o  n i  n  g  p  r  o  g  r  a   m   m  e

      •   &   h  a  s  e  )  -   E   n   d   u  r  a   n   c  e  r   u   n    •   &   h  a  s  e   2  -  #   n  t  e  r   !  a  l  r   u   n    •   &   h  a  s  e   3  -   $  e  s  i  s  t  e   d  r   u   n    •   &   h  a  s  e   *  -   $  e   c   o   !  e  r   "

      2  n  d 

      e  v  a l  u  a  t i   o  n   •   &  e  r   c  e  i   !  e   d   '   n  e  e   p  a  i   n  a   n   d  s   "    m   p  t   o    m    •   A   g  i  l  i  t   "   p  e  r  f   o  r    m  a   n   c  e    •   (  a  r   d  i   o   p   u  l    m   o   n  a  r   "  f  i  t   n  e  s  s

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    10/22

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    11/22

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    12/22

    2onditioning programme

    • The three-wee+ conditioning programme

    8 sessions, each lasting 7 h0

    • Phase 6-"ndurance run – peed 1 69 +m:h

     – Intensity 1 84-;4< of his maximum heart rate

     – =uration 1 >9 min

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    13/22

     

    • Phase )-Interval run – ?ast interval run 1 @& 5 6*4-6;4 bpm

      1 6$9 min

     – low interval run 1 644 6)4 bpm

      1 7 min

    • Phase 7-&esisted run – initiate and maintain rolling of the treadmill#s

    belt

     – 74 second

    2onditioning programme

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    14/22

    • Phase >-&ecovery – 2old and compression therapy

    • 89 mm@g, 64 2◦, 69 min – manual massage

    • muscles around the hip and +nee joints1

    uadriceps, hamstrings, tensor fascia latae, tibialis

    anterior and gastrocnemius

     – tretching• 74 sec$ ) times

      %+he o!erall time spent during the reco!er" phase ,as

    about .5 h for each session. 

    2onditioning programme

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    15/22

    &esults

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    16/22

    &esults

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    17/22

    &esults

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    18/22

    =iscussion

    • The goal is to minimise rehabilitation time and

    maximise sport adaptation

    • Badminton reuires a high standard of physical

    fitness as well as the ability to execute a wide range of agility movements such as fast starts, spri

    nting to the shuttle, stopping from fast movemen

    ts, and sudden changes of direction with intermit

    tent bursts of activity being supplied from anaerobic energy sources

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    19/22

    =iscussion

    • the application of high-intensity training

    exercises would be ideal to promote sport

    adaptation during rehabilitation and suffici

    ent recovery measures would be essentialto minimise any adverse effects while enh

    ancing the cardiopulmonary fitness of an i

    njured player 

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    20/22

    =iscussion

    • The improvements to his cardiopulmonary

    fitness from fair 69 bpm0 to excellent 7)

    bpm0 level together with the reduction in p

    ain symptoms, the player was able to retur n to training

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    21/22

    =iscussion

    • In phase6, the endurance run was designed to

    improve – general fitness

     –

    including aerobic cardiovascular0 and muscularendurance in order to sustain >9 min for a badminton

    game

    • In phase ), the interval run was designed to

    improve anaerobic endurance fo overcoming fatigue or oxygen debt0 between points in a game

  • 8/18/2019 High-Intensity Stepwise Conditioning Programme

    22/22

    =iscussion

    • In phase 7, the resisted run was intended

    to increase muscular endurance threshold

    • =uring the recovery phase, several

    methods including cold and compression t

    herapy, manual stretches, and massages

    were applied to minimise inflammation an

    d promote recovery