Winter is Here! As the temperatures begin to drop you might be asking yourself some questions like, “which ski pass am I going to purchase this year, are my tires still good? Do I have an emergency pack in my vehicle?”. What about asking yourself -“ How am I training my body for the upcoming winter Ski season?”. Now that the rain has come with the early setting sun you may be making a roaring fire in your home, but what about making a fire in your legs. Those long days on the mountain with your friends and family, when the snow is just too good to pass up are right around the corner and you will need to be ready for that one last run down the mountain. The majority of injuries we see related to recreational skiing are to the knee. In particular, the ACL (anterior cruciate ligament) and MCL (medial collateral ligament) are most commonly injured. The wrist and arm are most commonly injured with snowboarding. The good news is the majority of these injuries are preventable with appropriate pre-season training. If you do get injured, most injuries can be treated successfully with conservative care. At Full Spectrum Chiropractic pllc we understand proper movement and make individual assessments to provide the care you need to keep you moving on the slopes this season. What does the research tell us when it comes to preventing these injuries? Incorrect movement mechanics which places higher forces on the anatomical structures of the knee are the main culprit. However, with appropriate training, your muscles can be trained to allow you to ski or snowboard with minimal risk of injury. The number one thing you should be focusing on as you train and prepare your body for the ski season is to increase the degree of your training. Progressively load your leg muscles for strength, stability, power and most importantly stamina. The research shows the majority of injuries happen when muscle fatigue takes place. Particularly important is the gluteal muscle group, quadriceps and hamstring muscles. These muscles are important stabilizers of the knee and your exercises should simulate the stresses that will be placed on your body while going down the slopes. The following guidelines can be used as general principles for specific training domains to focus on. Strength: increase weight to 8-12 reps x 3-5 sets till fatigue Power: medium to light weight and work on quickness and speed with standing back up, reps can range from 5-8 x 2-3 sets Endurance: increase reps by count or time until fatigue x 2-3 sets The 3 exercises below - are excellent ways to prepare your body for the upcoming ski season! Deadlift (Romanian or Conventional) Holding a weight engage your core, keep the knees bent slightly, keep your back straight and hinge at the hips leaning forward (as far as you can without rounding your lower back) lowering the weight towards the floor keeping it at close to your body as possible. Fire your hamstrings (back of thigh) then glutes (butt muscles) and return to a standing position pushing your hips forward. Physical Loading specific to occupation and sports has a relatively minor role in disc degeneration, beyond that of upright postures and routine activities Tempo squats with weight Holding weight at chest level engage your core and lower to the bottom of a squat then begin to stand up about halfway (should be in the middle of your squat) then descend to bottom again. Begin to vary speed of up and down and height of up and down you move through in your squat. Your goal should be able to perform exercise for 30-60 seconds (should be similar to a ski run) until fatigue. Single leg eccentric squat and jump Standing on one leg, engage core and slowly sit down to a chair (count of 3 seconds) then explode out of chair as fast as possible jumping on the same leg with a soft controlled landing. That is 1 repetition. The goal should be 5 reps x 2 sets for this exercise. At Full Spectrum Chiropractic PLLC, we are experts in caring for patients with back pain, neck pain, headaches, spine and joint pain, and disorders of the musculoskeletal and nervous system. Schedule an appointment today to discuss how we may be of service to you. References
Stenroos A, Handolin L. Incidence of Recreational Alpine Skiing and Snowboarding Injuries: Six Years Experience in the Largest Ski Resort in Finland. Scand J Surg. 2015;104(2):127-31. Hébert-losier K, Holmberg HC. What are the exercise-based injury prevention recommendations for recreational alpine skiing and snowboarding? A systematic review. Sports Med. 2013;43(5):355-66. Nessler T, Denney L, Sampley J. ACL Injury Prevention: What Does Research Tell Us?. Curr Rev Musculoskelet Med. 2017 https://www.fullspectrumchiro.com
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