Pre-hab
by Jeff Books
The arc is becoming
shorter all the time. This results in increased injury risk for the athlete, & the resultant need to develop the durability required to withstand the impacts of training and racing day in - day out. This isn't a new story by any means, but one that requires
specific attention as we attempt to keep athletes on the hill and skiing
fast.
For our purposes in this post, we will focus
briefly on our ‘Pre-hab’ program, one of the tools that we use to assist athletes in developing
the requisite flexibility, mobility and strength – stability that ski racing demands.
What is Pre-hab?
Pre-hab, (what we often refer to as ‘pillar prep’) is a system based preventative program designed to minimize injury risk. The pre-hab session not only provides us with a consistent daily session to work on key physical capacities, we've found that this session provides the coaches with a good overall sense of motivation levels, fatigue, tightness, soreness etc. before starting the day (generally before breakfast). This allows for necessary adjustments in an individual's volume, intensity and activity if required.
The ‘Pre-Hab’
or ‘Pillar prep’ program will focus primarily on these key areas;
1.Tissue
quality
–
flexibility
2.Mobility
(making joints move nice)
3.Pillar
(core)
strength
- Pre-hab is performed
proactively before injury occurs; otherwise you are in re-hab
territory...
- The concept of pre-hab
has been around for a long time, and is widely used in many sporting
contexts. Good programs (across all sports) have been using this structure for years. We certainly aren’t reinventing the wheel. This is a simple concept, that when done consistently well has a big impact on an athlete's durability - their ability to train at their best throughout a long & very demanding season. It is that session that allows for continued incremental gains over time. "Little hinges swing big doors", as coaching guru John Wooden would often say
- the #'s add up...based on a 15 minute session done 5 times per week, your annual #'s would look like this...
Pre-hab Benefits
- Target soft tissue & flexibility limitations
- Target mobility restrictions
- Focus on individual dysfunctions
- Activate isolated patterns of weakness
- Should be specific to session focus
- Increase durability
- Increase quality of movement
- Maximize on snow time
As an athlete's body matures within a sport, their body adapts to the physical demands of training. This may cause tightness, strength imbalances, as well as inter and intra muscular coordination issues. These imbalances occur naturally with activity and are reinforced with each session. These imbalances are often the root of many training injuries and may predispose athletes to greater risk of injury during training and competition.
Here are 3 short video clips, outlining a few of the staples that we use
(demonstrations by Harrison Coull (97 born) and Iain McFie (94 born))
1. Here is a bit of foam roller work on the hamstrings (tissue quality focus)
2. Here is a glute bridge with shoulder reach, blending stability and mobility
3. This is a front bridge (or plank if you prefer) with a twist in the form of a lateral roll.
Here is a peak at what a daily pre-hab program would like for one of our athletes.
Getting it done at home...
- Gear : foam roller + a decent mini band(s) are helpful
- choose a consistent time
- Build
into the daily schedule, find a consistent time to get it done (before breakfast generally works well)
- Keep
it simple ...simple things done savagely well every day pay off big time in the end. Remember that "...little hinges swing big doors."
Pre-hab
should be the backbone of the physical training program.
Referenced material:
1.BOYLE,
Mike (2009) Functional Strength Coach 2 p. 76-94
2.SWAIN
et al (1994) Target HR for the development of CV fitness. Medicine & Science in Sports & Exercise, 26
(1), p. 112-116
3.WILMORE,
J.H. and COSTILL, D.L. (2005) Physiology of Sport and Exercise. 3rd
ed. Champaign, IL: Human Kinetics
4.POLIQUIN,
C (2011) Theory Manual
5.ROBERTSON,
M (2012) 21st Century Core Training
6.VERSTEGAN,
M (2008) Core Perforjmance
On behalf of the IR team, thank you for reading.
Booker