When you order a cake. You May want to be VERY clear with your order. Someone really just needs to try harder.
What I think about when I can not sleep
7 Steps to Handling an Injury
Sunday’s NCAA Tournament saw one of the most stomach-turning injuries ever televised live when University of Louisville sophomore Kevin Ware landed awkwardly after jumping to block a shot, breaking his right leg so severely that several inches of bone protruded from the skin. Unfortunately, most of us in the gymnastics world have seen injuries like this.
As gruesome as the injury was, Ware benefited from medical staff being on hand. In fact, within hours he had completed surgery to repair the bone and punctured skin, and by Monday the university distributed photos of Ware already on crutches. While he faces a long road back, the 20-year-old may play again.
Aside from Ware’s injury, it raises a broader questions: While such injuries are rare, what if it happens where there isn’t medical staff nearby— I have some great doctors and hospitals near by, but other than coaches with first aid training, I really do not have medial staff on site.
Here are 7 things to do if a gymnast or coach suffers a compound fracture, dislocated joint, or other serious injury in the gym:
1. Call 911. This should be obvious, right? But people often skip this step, thinking that it might be faster to drive someone to the hospital themselves. “The dispatchers are trained to talk you through first aid,” says Jeffrey Rabrich, D.O., medical director of the emergency room at St. Luke’s-Roosevelt Hospital in New York. Keep the line open, even if you have to set your cell phone down, until the paramedics show up.
2. Check for breathing. Horrific, bloody injuries sometimes make you miss even more critical problems. “Someone who hits the ground from an injury like Kevin Ware’s could hit their head at the same time and stop breathing,” says David Forsh, M.D., chief of orthopedic trauma at Mount Sinai Hospital. If he’s awake and talking—or howling from the pain—that’s good. If not, look to make sure his chest is rising and falling evenly. Tilt his head back and look to make sure his tongue isn’t blocking his throat. If it is, gently turn his head to the side and push the tongue out of the way to open the airway.
3. Immobilize the injury. Even if the bone is clearly bent at an unnatural angle, don’t try to move it back into place yourself. “You can turn a dislocation into a fracture, or make any fracture worse,” Dr. Rabrich says. Use whatever is handy to make a splint—a thick magazine and strips of cloth, for example, can splint a wrist. If it’s a leg injury, you’ll want to immobilize the entire leg. With an arm injury, you can also make an over-the-shoulder sling.
4. Cover the wound and slow the bleeding. When a broken bone tears through skin, both skin and bone are going to bleed. Applying gentle pressure with a cloth to the wound should be enough to slow blood loss. “Even if all you have are sweaty shirts and your gym towels, it’s better to prevent bleeding than worry about infection at that point,” Dr. Forsh says. If you see a lot of blood spurting out in time with the heartbeat, that’s a sign the bone may have nicked an artery. Use a belt or whatever else is at hand to tie off tightly, along the limb between the bleeding and his heart, to stop the bleeding.
5. Treat for shock. Shock can be even more life-threatening than the actual injury. If blood pressure drops dramatically from loss of fluids, the heart must go into overdrive to deliver oxygen to the brain and vital organs. Your plan: Have them lay down, and elevate one or both legs slightly (if the legs aren’t injured) so his feet are higher than his heart and head. “That will help the blood flow back to the heart so it doesn’t have to work as hard,” says Dr. Forsh. If he starts vomiting, help him roll to the side so he doesn’t choke.
6. Make sure blood is still flowing below the injury. In rare cases, a dislocation or bone break can twist the limb enough that it cuts off blood flow. You’ll see his hand or leg start to turn blue, and it will feel cold to the touch. “This is the only time where you may want to try to gently straighten the limb to a more natural position, just to get blood moving again,” Dr. Forsh says.
7. Don’t do anything else. Don’t give someone who has a traumatic injury food, pain relievers, or even water. “Chances are he’s going to need surgery, and if that’s the case he has to go in with an empty stomach,” says Dr. Rabrich. You’ve done all you can. Stay with them until medical professionals arrive.
Underswing Dismount
Jason Mortimer from Bounce Gymnastics in Michigan shares a great video and drill for undershoot dismount. You should really follow him on youtube.
The undershoot is a very important step in a clear hip progression.
Jason will be working at my gymnastics camp this summer! I am very excited to have him on staff.
What Message Are You Sending Your Gymnasts
I was at a competition last week and I was speaking with a group of coaches about motivation in the gym. Summing things up- In my gym, Atlantic Gymnastics, I only have a few rules. I feel that if you have some basic rules, nothing complicated, people will follow them. [Read more…]
TESTING
With the JO season winding down people are thinking about TOPS. I found these articles on Vern Gambetta’s Functional Path Training Blog.
Testing – A Perspective
It is important to remember that testing is the highest form of training stress outside of the actual Competition. Testing is important to determine the individual athlete’s athletic qualities relative to the demands of their position/event and the sport. I am not interested in comparing an athlete against some arbitrary norms, but I am interested in intra individual comparison, comparing them against themselves. We must be careful not to draw too many conclusions from a one off series of tests. Only after several tests are conducted periodically throughout the training year can an in depth profile of each athlete be determined. In most instances the test will indicate deficiencies that were already identified through observation of training and game performance. They will serve to further highlight those deficiencies and provide direction to address those deficiencies in training. The tests give specific numbers to compare for improvement and motivation, but remember the ultimate test is the competition itself.
Thoughts on Testing
When you are testing it is important to consider all of the following:
Know what you are looking for, there are periods of training where you should see marked improvement and other times when you should see stabilization or even slight regression on certain tests. Remember the tests should reflect the training.
Know what you are going to do when you find it. If you see regression then what adjustments will you make, conversely if you see unexpected improvement what will you do?
Regular monitoring is necessary to determine strength and weaknesses and progress of training. The goal in training is minimize weaknesses and to maximize training, testing can be a valuable guide to this process.
Testing helps to individualize training. There is much individual variability in adaptive responses to various training stimuli. Two individuals could have the opposite response to the same training session or training cycle. Testing can identify how each individual will respond and allow training adjustments to be made accordingly.
Testing will give constant feedback to the athletes and coaches as to the effects of training. Do not wait until competition to ascertain training response, use testing to be proactive. Testing must dovetail into training. It is an integral part of the whole training spectrum.
Do not use testing to:
Select a team; team selection should be based on results in the competitive arena of the actual sport. Tests can verify what you see or do not see in the competitive arena, but they should not be the sole criteria for team selection.
Predict performance. However it can give a statutes report as to progress toward a goal. Actual competition in the game, match or meet performance is dependent on so much more than the physical capacities identified through testing.
Ideas on Being a Coach
Once again I was reading Functional Path Training. A great blog.
Ideas on Being a Coach
Coaching is not something you do, it something you are with every fiber of your being, there is no half way you must be all in. The journey is long and rewarding because of the opportunity to guide athletes in their development athletically and most importantly as people. Here are a few thoughts and concepts that I have found to be valuable in my experiences from years of coaching. [Read more…]
Winter Weight Gain. Nature or Nachos?
Everything about summer supports my bodily ideal: the salads, the swimming, the sunlight. It’s easy to feel the “Whee!” when your spirit, calorie burn and healthy glow are free, free, free. I dive in, a middle-aged gymnastics coach counting my play days until September and falling, giddy and exhausted, into bed each night, windows open and alarm clock set.
And then it’s over, gone, both the season and the body reduced to a shiver, stilled by gray skies, oppressed under the blanket of seasonal fact. I’ll be honest: A tiny part of me welcomes the pause, the dawn-to-dusk debauchery having left me tired and hungry. Largely, though, I manage to cling to my summer me until November, when early darkness drives me toward a different light, one whose radiance is contained only by a door. Opening the refrigerator, I reach for comfort foods to assuage my discomfort with the calendar before crawling under the comforter, the fridge door open all this uncomfortable time, my weight shifting from foot to foot and season to season.
The light takes me to a dark place. I skip first one and then another workout, my cold-weather athletic wear still in storage, see, and my son needing help with algebra homework. (And we all know what a big help I am with algebra homework!) Day three’s dodge ensures that my return to the pool/road/class/weight room will hurt, the dread of which extends my rest and recovery “day,” singular, to four days.
My body genetically knows to add padding for protection against winter’s cold. The fall harvest is aptly timed so animals and humans can fatten up for winter. Early spring food stocks, after all, will be low when we lumber out of hibernation. So there! Winter weight gain isn’t my doing; it’s programmed into my being.
Trouble is, this anthropological cream pie exists only in my head and is whipped together independent of any proven science. Our ancestors didn’t have light bulbs to extend daytime. Their heat sources didn’t come with programmable thermostats. Bears can’t go to grocery stores, which are now stocked year-round with fresh and processed foods.
My case crumbling, I pull out the big guns: the Old Testament, whose Book of Ecclesiastes assures that “To every thing there is a season, and a time to every purpose under heaven.” Enough said?
Ah, but righteousness is a mental exercise. My body is still heavy and my spirit heavier still. Making healthy choices is a breeze in the summer, but he who’s doing the choosing remains the same. I’m the one making the choices that determine my weight, I mean, fate.
And so I hereby choose to honor the restorative gift that is winter; to rest well, eat wisely and read books by the fire. I WILL hit the gym daily.
And I did! I survived the winter. Bring on spring!
Random Thoughts, Ideas and Observations
Random Thoughts, Ideas and Observations
Coaching is teaching, the key to good teaching is communication and the key to communication is not more talking, it is more listening. Good coaches listen more and talk less. Then they act (not react) on what they hear.
Nothing ever happens in a vacuum. Everything is related. This is certainly true of the body as a kinetic chain and with the interdependence of the various systems of the body and also true of sports and movement skill. [Read more…]
Foundations of Functional Training
Foundations of Functional Training
The body is a link system; this link system is referred to as the kinetic chain. Functional training is all about linkage – it is all about how all the parts of the chain work together in harmony to produce smooth efficient patterns of movement. Most conventional academic preparation in Exercise and Movement Science focuses on studying individual muscles based on classical anatomy. This is where the confusion begins as to what is functional movement. First of all we must remember that we do not function in the anatomical position. The anatomical position is static; it provides us with the perspective of mental convenience to arrange of all the individual muscles for ease of study and observation. In many respects learning about individual muscles is easier than learning about movements because it is simpler. In order to truly understand functional training we must get away from the focus on muscles and focus instead on movements. It is important to emphasize that the brain does not recognize individual muscles. It recognizes patterns of movement, which consist of the individual muscles working in harmony to produce movement the desired sport movement.
In over ground movement like running and jumping gravity is a major player. In order to completely understand function we must understand the role that gravity plays. The fact that we live, work and play in a gravitationally enriched environment cannot be denied. Gravity has minimal effect on the body in the anatomical position, but maximum effect on the body in movement. It helps us to load the system. Therefore we must learn to overcome its effects, cheat and even defeat it occasionally. Over reliance on machines for training will give us a false sense of security because they negate some of the effects of gravity. Gravity and its effect must be a prime consideration when designing and implementing a functional training program to prepare the body for the forces that it must overcome.
Always carefully look at he movement that you are trying to enhance. What are the forces involved? What is the dominant plane of motion? Movement occurs in all three planes of motion simultaneously: Sagittal, frontal, and transverse. Therefore it is important to train movement in all three planes. It is imperative to understand the movements and then design the training program accordingly. How does that muscle fit in as a link in the whole kinetic chain?
