Talent Drain in Indian Athletes-Dr. S. Deebak Kumar et al

1. Talent Drain in Indian Athletes
AUTHOR : DR.S.DEEBAK KUMAR
CO-AUTHORS : DR. SANTOSH SAHANAND,
DR. DAVID.V.RAJAN
ORTHO ONE - ORTHOPAEDIC SPECIALTY
CENTRE, COIMBATORE

3. Medal Tally

4. Why are we behind in sports?
 Economical
 Developing country
 Sports bodies - Efficiency
 Infrastructure
 Career ending injuries

5. AIM
Injury Risk assessment in school
level female basketball players –
A Cross – sectional study

7.  GIRD & TROMD – shoulder injuries (2.8 times)

8. Study design
 School level Basketball players – 107
 During South Zone Basketball Tournament
 Players across various teams participated in this
study

9. Age distribution
10-15yrs
16-20yrs

10.  Jump Alignment
 Total range of motion deficit (TROMD)
 Gleno humeral internal rotation deficit (GIRD)
 Functional movement screening
 VO2 max

11.  Jump Alignment
 TROMD
 GIRD
 FMS
 VO2 max

12. Jump Alignment
Neutral Valgus (kissing knee)

13. 62.6%
Alignment
36.44%
0.93%
70
60
50
40
30
20
10
0
Valgus Neutral Varus
Allignment

14. Total Range Of Motion Deficit (TROMD)
 A total range of motion difference of more than 5ᵒ
 Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers – AJSM Vol.
39 Feb 2011

15. Glenohumeral internal rotation deficit (GIRD)
 20ᵒ or greater loss
of IR.
 Correlation of GIRD & TROMD to
shoulder injuries in professional
Baseball pitchers – AJSM Vol. 39
Feb 2011

16. How did we test?
 Supine
 Stabilizing the scapula
 Arm at 90ᵒ of abduction
 Elbow flexed
 Internal & External rotation
 Goniometer

17. GIRD & TROMD
50.46% 49.53%
11.21%
88.78%
100
90
80
70
60
50
40
30
20
10
0
Risk No Risk
TROMD
GIRD

18. Functional Movement Screen(FMS)
 Identify imbalances in mobility and stability during
fundamental movement patterns

19.  Compensatory fundamental movement pattern can
increase the risk of injury.
 FMS < 14 – 4 fold inc. in risk of lower
extremity injury.
North American Journal Of Sports Physical Therapy.Vol-5, No.2,June2010

20. 3.7&
FMS
16.8%
79.4%
90
80
70
60
50
40
30
20
10
0
HIGH RISK RISK GOOD
FMS

21. VO2 MAX
 Maximal oxygen uptake
 Aerobic endurance.
 Best indicator of
cardio respiratory endurance and aerobic fitness.

22. George Non-Exercise test
 VO2max = 45.513 + (6.564 * Gender) – (0.749 * BMI) +
(0.724 * PFA) + (0.788 * PA-R)
 Gender = 1 for male and 0 for female; PFA = sum of both PFA scales ; PA-R = number form PA-R
scale.

23. 15.88%
84.11%
90
80
70
60
50
40
30
20
10
0
VO2max
Superior Excellent
VO2max

24.  Cardiorespiratory Endurance(VO2max)– Excellent
 Core Strength & Mobility ( FMS ) – Good
Shoulder tightness (TROMD)
High risk landing technique (Valgus
Alignment)

25. Predisposing factors
 GIRD & TROMD – shoulder injuries (2.8 times)
Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers
.AJSM Vol. 39 Feb 2011
 Knee valgus alignment – ACL injury
Non-contact ACL injuries in female athletes: an International Olympic Committee
current concepts statement. Br J Sports Med. 2008 Jun;42(6):394-412.2008

26. Sports medicine centres
 Utility Level?
 Therapeutic level – Yes
 Preventive level – ????
 Prevention-easy, effective
& most economic solution.

27. Conclusion
 Talent - not scarce
 Nurtured early - to prevent
“Talent Drain”.

28. Conclusion
 So we recommend :
- Structured stretching
- Strengthening exercise
- Proper landing drills

29. Suggestion

30. Thank You

31. Questions???