1st presented at Isokinetic Football Medicine Return to Play Conference 2016 by Dr Andy Franklyn-Miller. The Laboratory to Field based testing of subjects allows the creation of a database of injured and normative subjects with the aim of targeting return to performance of both elite and recreational athletes
Prehabilitation and Improved Performance for AthletesTina Nguyen
A prehabilitation program to reduce the incidence of anterior cruciate ligament (ACL) injuries. Researched and written as a final project upon gradate school.
This was the first set of slides delivered at the Sports Surgery Clinic Workshop on ACL Rehabilitation at the FIFA Isokinetic Return to Play Conference on 9th April 2016 in London, UK
Matthew Stewart
Employ Health
People are assets to protect & capacity build
we should invest in scientific & early prevention activities, long before serious problems manifest.
It's time to apply this thinking into our workplaces.
Prevention & Return to Work merged!
Sprains, Strains & MSD equates average of 70% of Damage Costs for Australia (42.7Billion)
Chiropractor
Physiotherapist
200 Clients in Australia | New Zealand | Asia
Anders Hauge Engebretsen
Former researcher at the Oslo Sports Trauma Research Center. Resident at the Oslo University Hospital, Rikshospitalet/ Ullevål, Department of pediatric surgery.
-
The Oslo Sports Trauma Research Center and hamstring injuries
(6th MuscleTech Network Workshop)
13th and 14th October, Barcelona 2014
Per Hölmich
Head of Aspetar Sports Groin Pain Center, Aspetar, Orthopaedic and Sports Medicine Hospital, Doha, Qatar & Associate Professor, Sports Orthopedic Research, Center - Copenhagen (SORC-C), Arthoscopic Center Amager, Copenhagen University Hospital, Denmark.
-
Nordic Hamstring for prevention in football - what did we learn?
(6th MuscleTech Network Workshop)
13th and 14th OCtober, 2014
Prehabilitation and Improved Performance for AthletesTina Nguyen
A prehabilitation program to reduce the incidence of anterior cruciate ligament (ACL) injuries. Researched and written as a final project upon gradate school.
This was the first set of slides delivered at the Sports Surgery Clinic Workshop on ACL Rehabilitation at the FIFA Isokinetic Return to Play Conference on 9th April 2016 in London, UK
Matthew Stewart
Employ Health
People are assets to protect & capacity build
we should invest in scientific & early prevention activities, long before serious problems manifest.
It's time to apply this thinking into our workplaces.
Prevention & Return to Work merged!
Sprains, Strains & MSD equates average of 70% of Damage Costs for Australia (42.7Billion)
Chiropractor
Physiotherapist
200 Clients in Australia | New Zealand | Asia
Anders Hauge Engebretsen
Former researcher at the Oslo Sports Trauma Research Center. Resident at the Oslo University Hospital, Rikshospitalet/ Ullevål, Department of pediatric surgery.
-
The Oslo Sports Trauma Research Center and hamstring injuries
(6th MuscleTech Network Workshop)
13th and 14th October, Barcelona 2014
Per Hölmich
Head of Aspetar Sports Groin Pain Center, Aspetar, Orthopaedic and Sports Medicine Hospital, Doha, Qatar & Associate Professor, Sports Orthopedic Research, Center - Copenhagen (SORC-C), Arthoscopic Center Amager, Copenhagen University Hospital, Denmark.
-
Nordic Hamstring for prevention in football - what did we learn?
(6th MuscleTech Network Workshop)
13th and 14th OCtober, 2014
Can anterior cruciate ligament injuries be mitigated?Ella Ward
Overall, despite much scientific research, the incidence and prevalence of ACL injuries still remains high. I do not believe ACL injuries can be completely mitigated as they are so multi-factorial and involve both contact and non-contact situations. And although preventative programs have been found to reduce the incidence of ACL injuries by up to 90% in some cases, I still believe a lot more research needs to be conducted in regards to how much training stimulus is required to produce a protective effect. I understand that many coaches may be sceptical in regards to employing a preventative program, but the research indicates even something as simple as plyometric training can help train neuromuscular control and improve lower leg strength. Overall, I believe something is better than nothing, and if more often than not intervention programs are producing positive outcomes, the coaches really have nothing to lose.
The key is to achieve widespread awareness and widespread use; so spread this presentation and message so we can achieve this and help reduce the debilitating consequences this injury has on so many young athletes.
Return To Play, getting back to performance after an injury, WODstock Copenha...Andreas Bjerregaard
Invited speaker to http://www.wodstockcopenhagen.com/
WODSTOCK Copenhagen is a coming together of professionals and experts from a wide range of backgrounds, including Fitness, Weightlifting, Event Management, business and the Music Industry to bring you an event that is unique in Fitness in Europe.
Drawing inspiration from the best events worldwide we are creating something truly spectacular that is memorable for all the right reasons and provides a world class experience for spectators and participants alike.
Our objective is to provide a genuine community experience that honours the effort of every participant and is accessible for every member of the fitness community.
As well as an extensive photography and videography team documenting the experience, we will have live video streaming and a lighting and visual display straight from the music industry.
As well as the Competition, there will be something for everyone to get involved with, with a range of strength and fitness challenges and an opportunity to try out lots of new equipment. This will not be a passive experience for spectators, we want you to be fully engaged in the event. When you are not cheering on your training and gym buddies, there will be lots for you to do and see.
There will be demonstrations, workshops, an extensive vendor village, chill out areas and great food and refreshments.
Can anterior cruciate ligament injuries be mitigated?Ella Ward
Overall, despite much scientific research, the incidence and prevalence of ACL injuries still remains high. I do not believe ACL injuries can be completely mitigated as they are so multi-factorial and involve both contact and non-contact situations. And although preventative programs have been found to reduce the incidence of ACL injuries by up to 90% in some cases, I still believe a lot more research needs to be conducted in regards to how much training stimulus is required to produce a protective effect. I understand that many coaches may be sceptical in regards to employing a preventative program, but the research indicates even something as simple as plyometric training can help train neuromuscular control and improve lower leg strength. Overall, I believe something is better than nothing, and if more often than not intervention programs are producing positive outcomes, the coaches really have nothing to lose.
The key is to achieve widespread awareness and widespread use; so spread this presentation and message so we can achieve this and help reduce the debilitating consequences this injury has on so many young athletes.
Return To Play, getting back to performance after an injury, WODstock Copenha...Andreas Bjerregaard
Invited speaker to http://www.wodstockcopenhagen.com/
WODSTOCK Copenhagen is a coming together of professionals and experts from a wide range of backgrounds, including Fitness, Weightlifting, Event Management, business and the Music Industry to bring you an event that is unique in Fitness in Europe.
Drawing inspiration from the best events worldwide we are creating something truly spectacular that is memorable for all the right reasons and provides a world class experience for spectators and participants alike.
Our objective is to provide a genuine community experience that honours the effort of every participant and is accessible for every member of the fitness community.
As well as an extensive photography and videography team documenting the experience, we will have live video streaming and a lighting and visual display straight from the music industry.
As well as the Competition, there will be something for everyone to get involved with, with a range of strength and fitness challenges and an opportunity to try out lots of new equipment. This will not be a passive experience for spectators, we want you to be fully engaged in the event. When you are not cheering on your training and gym buddies, there will be lots for you to do and see.
There will be demonstrations, workshops, an extensive vendor village, chill out areas and great food and refreshments.
A course Review from James Moore's Sporting Hip and Groin Course - February 2016 (Highly Recommend!). Following my attendance of the course, i performed my own research on 'The Sporting Hip and Groin' and incorporated this into the course review which I presented to the Sports Science and Medicine staff at Wigan Athletic FC. Further references available upon request.
Does static stretching reduce maximal muscle performance?Fernando Farias
Kay and Blazevich systemati-
cally examined research that showed
the effects of static stretching on mus-
cle strength and other performance
measures by separating the studies into
total stretch durations of ,30 seconds,
30 to 45 seconds, 1 to 2 minutes, or
.2 minutes. Some practical and tech-
nical considerations may be helpful in
considering their conclusion that static
stretching only impairs muscle function
with longer stretches.
Nikos Malliaropoulos - Rehabilitation of hamstring injuries MuscleTech Network
Nikos Malliaropoulos
Director of the Athletics National Sports Medicine Centre Thessaloniki Greece. Consultant SEM Physician Barts and The London Clinical Senior Lecturer QMUL CSEM.
-
The rehabilitation of Hamstring injuries - Can we be more injury specific?
(6th MuscleTech Network Workshop)
14th October, Barcelona
Muscular strength, functional performances and injury risk in professional an...Fernando Farias
Muscle strength and anaerobic power of the lower extre-
mities are neuromuscular variables that influence perfor-
mance in many sports activities, including soccer. Despite
frequent contradictions in the literature, it may be assumed
that muscle strength and balance play a key role in targeted
acute muscle injuries. The purpose of the present study was
to provide and compare pre-season muscular strength and
power profiles in professional and junior elite soccer players
throughout the developmental years of 15–21.
Mock 2024 NHL Draft Experts Divided after Celebrini, Levshunov, Silayev go in...Ice Brek
After the NHL Draft Lottery on Monday, Adam Kimelman, NHL.com’s deputy managing editor,
and Mike G., senior draft writer, Morreale make their predictions for how the first 16 selections
of the 2024 Upper Deck NHL Draft could turn out.
Euro Cup fans worldwide can book Euro 2024 Tickets from our online platform www.worldwideticketsandhospitality. Fans can book Belgium Vs Romania Tickets on our website at discounted prices.
Akshay Ram on Adobe's Creative Strategy and Execution, the Present and Future...Neil Horowitz
On episode 271 of the Digital and Social Media Sports Podcast, Neil chatted with Akshay Ram, Product Manager for Adobe, who also has a lot of knowledge and insight into sports creative.
What follows is a collection of snippets from the podcast. To hear the full interview and more, check out the podcast on all podcast platforms and at www.dsmsports.net
Euro Cup fans worldwide can book Euro 2024 Tickets from our online platform www.worldwideticketsandhospitality. Fans can book Poland Vs Netherlands Tickets on our website at discounted prices.
Euro Cup fans worldwide can book Euro 2024 Tickets from our online platform www.worldwideticketsandhospitality. Fans can book Ukraine Vs Belgium Tickets on our website at discounted prices.
Euro Cup fans worldwide can book Euro 2024 Tickets from our online platform www.worldwideticketsandhospitality. Fans can book Slovenia Vs Denmark Tickets on our website at discounted prices.
Ukraine Euro Cup 2024 Squad Sergiy Rebrov's Selections and Prospects.docxEuro Cup 2024 Tickets
After securing their spot through the playoff route, Ukraine is gearing up for their fourth consecutive European Championship. Ukraine first qualified as hosts in 2012, but in 2016
Spain vs Croatia Date, venue and match preview ahead of Euro Cup clash as Mod...Eticketing.co
We offer Euro Cup Tickets to admirers who can get Spain vs Croatia Tickets through our trusted online ticketing marketplace. Eticketing.co is the most reliable source for booking Euro Cup Final Tickets. Sign up for the latest Euro Cup Germany Ticket alert.
Mats André Zuccarello Aasen, commonly known as Mats Zuccarello, was born on September 1, 1987, in
Oslo, Norway. He grew up in the bustling neighborhood of Løren, where his passion for ice hockey began
at a young age. His mother, Anita Zuccarello, is of Italian descent, and his father, Glenn Aasen, is
Norwegian. This multicultural background played a significant role in shaping his identity and versatility
on and off the ice.
Spain's Euro Cup 2024 Selections and Croatia's Group of Death Challenge.docxEuro Cup 2024 Tickets
Chelsea's Marc Cucurella is one of only three Premier League players included in Spain's preliminary Euro Cup 2024 squad as the Tottenham star with 11 goal contributions is overlooked
Euro Cup fans worldwide can book Euro 2024 Tickets from our online platform www.worldwideticketsandhospitality. Fans can book Denmark Vs England Tickets on our website at discounted prices.
Narrated Business Proposal for the Philadelphia Eaglescamrynascott12
Slide 1:
Welcome, and thank you for joining me today. We will explore a strategic proposal to enhance parking and traffic management at Lincoln Financial Field, aiming to improve the overall fan experience and operational efficiency. This comprehensive plan addresses existing challenges and leverages innovative solutions to create a smoother and more enjoyable experience for our fans.
Slide 2:
Picture this: It’s a crisp fall afternoon, driving towards Lincoln Financial Field. The atmosphere is electric—tailgaters grilling, fans in Eagles jerseys creating a sea of green and white. The air buzzes with camaraderie and anticipation. You park, join the throng, and make your way to your seat. The stadium roars as the Eagles take the field, sending chills down your spine. Each play is a thrilling dance of strategy and skill. This is what being an Eagles fan is all about—the joy, the pride, and the shared experience.
Slide 3:
But now, the day is marred by frustration. The excitement wanes as you struggle to find a parking spot. The congestion is overwhelming, and tempers flare. The delays mean you miss the pre-game excitement, the tailgate camaraderie, and even the opening kick-off. After the game, the joy of victory or the shared solace of defeat is overshadowed by the stress of navigating out of the parking lot. The gridlock, honking horns, and endless waiting drain the energy and joy from what should have been an unforgettable experience.
Our proposal aims to eliminate these frustrations, ensuring that from arrival to departure, your experience is extraordinary. Efficient parking and smooth traffic flow are key to maintaining the high spirits and excitement that make game days special.
Slide 4:
The Philadelphia Eagles are not just a premier NFL team; they are an integral part of the community, hosting games, concerts, and various events at Lincoln Financial Field. Our state-of-the-art stadium is designed to provide a world-class experience for every attendee. Whether it's the thrill of game day, the excitement of a live concert, or the camaraderie of community events, we pride ourselves on delivering a fan-first experience and maintaining operational excellence across all our activities. Our commitment to our fans and community is unwavering, and we continuously strive to enhance every aspect of their experience, ensuring they leave with unforgettable memories.
Slide 5:
Recent trends show an increasing demand for efficient event logistics. Our customer feedback has consistently highlighted frustrations with parking and traffic. Surveys indicate that a significant number of fans are dissatisfied with the current parking situation. Comparisons with other venues like Citizens Bank Park and Wells Fargo Center reveal that we lag in terms of parking efficiency and convenience. These insights underscore the urgent need for innovation to meet and exceed fan expectations.
Slide 6:
As we delve into the intricacies of our operations, one glaring issue emer
Spain vs Italy Spain at Euro Cup 2024 Group, Fixtures, Players to Watch and M...Eticketing.co
Euro Cup 2024 fans worldwide can book Spain vs Italy Tickets from our online platform www.eticketing.co. Fans can book Euro Cup Germany Tickets on our website at discounted prices.
Turkey's Euro 2024 Squad Overview and Transfer Speculation.docxEuro Cup 2024 Tickets
Vincenzo Montella has announced a preliminary 35-man squad for Turkey ahead of the UEFA Euro 2024, which includes three Serie A players, Hakan Calhanoglu, Kenan Yildiz, and Zeki Celik
Denmark vs England England Euro Cup squad guide Fixtures, predictions and bes...Eticketing.co
We offer UEFA Euro 2024 Tickets to admirers who can get Denmark vs England Tickets through our trusted online ticketing marketplace. Eticketing. co is the most reliable source for booking Euro Cup Final Tickets. Sign up for the latest Euro Cup Germany Ticket alert.
Croatia vs Spain Euro 2024 Epic Showdown in the Group Stage.docx
The SSC VU test for 3D Driven Biomechanics
1. 1 Dr. Andy Franklyn-Miller 1
RETURN TO PLAYMOVEMENT ANALYSIS FOR RTP DECISION MAKING
JOIN THE LIVE TWITTER COVERAGE: @AFRANKLYNMILLER
2. AGILITY VERSUS
CHANGE OF DIRECTION
FATIGUE RESISTANCE
AND SPEED
MEDICAL CLEARANCE FOR FULL
PARTICIPATION IN SPORTS
WITHOUT RESTRICTION OR PAIN
FOR THE MAJORITY OF INJURIES
OUTSIDE OF ACL REHABILITATION
THERE IS LITTLE ORIGINAL RTP
RESEARCH
LACK OF STANDARDISATION
LEADS TO MEDICOLEGAL OR
FINANCIAL IMPLICATION CLUB VS
COUNTRY
PLAY VERSUS
PERFORMANCE
Return to Play
Quick Overview about Return to Play
2 2@AFRANKLYNMILLER – “Lack of standardisation leads to medico-legal risk in medical clearance of return to play”
3. Basic Mechanics
3 3
Joint moment
@AFRANKLYNMILLER – “Each joint has an angular velocity , but joints need coordination to produce performance”
T = Fd
4. Basic Mechanics
4 4
Angular velocity
@AFRANKLYNMILLER – “Each joint has an angular velocity , but joints need coordination to produce performance”
LEVER ARM IS
MEASURED FROM
THE AXIS OF
ROTATIONAXIS OF ROTATION
POINT OF APPLICATION OF THE FORCE
RADIUS FROM AXIS OF
ROTATION TO POINT OF
APPLICATION OF THE FORCE
F
APPLIED FORCE
5. Muscle Contribution
5 5
Multi joint Multi plane
Mh
Ma
ILIOPSOAS
GLUTEUS MAXIMUS
SEMITENDINOSUS
SEMIMEMBRANOSUS
BICEPS FEMORIS
SARTORIUS
RECTUS FEMORIS
GASTROCNEMIUS
SOLEUS
TIBIALIS POSTERIOR
PERONEI
TIBIALIS ANTERIOR
Mk
SEMITENDINOSUS
SEMIMEMBRANOSUS
BICEPS FEMORIS
SARTORIUS
RECTUS FEMORIS
VASTUS MEDIALIS
VASTUS LATERALIS
VASTUS INTERMEDIUS
GASTROCNEMIUS
Mh
Mk
Ma
@AFRANKLYNMILLER – “Multi planar , segmental coordination key in managing return to play, but can you see it?”
6. Motor Recruitment
6 6
Its not just about the joint moment
@AFRANKLYNMILLER – “Rate of force development and motor recruitment makes it more complex”
7. Rate of force development
7 7
Motor unit recruitment
@AFRANKLYNMILLER – “Imagine a dimmer switch and the need to turn it to max”
9. 3D Biomechanics
9 9
Objective reliability of markers at instant time points
@AFRANKLYNMILLER – “Multi plane, multi joint segmental coordination assessment under load”
1
2
3
45
6
7
Quantify
complex movement
Understand
mechanism of injury
Identify
joint load
Define
greater performance
Determine
Variability
Reduce
Injury risk
Monitor
field based pre and post injury
Return
to performance
16. 16
1 - 2
3 - 4
5 - 6
7 - 8
Movement Patterns
Absolute Strength
Performance
Fatigue
Joint Loading
Intersegmental Coordination
Variability
Coaching
Factor influencing Biomechanics
What we don't know
16 16 16@AFRANKLYNMILLER – “How does variability and segmental linkage effect re-injury?”
17. 17
Joint Loading
Athletic Groin Pain (Part 2): A prospective cohort study on the biomechanical evaluation of change of
direction Franklyn-Miller, A BJSM ( In review)
17 17@AFRANKLYNMILLER – “Movement patterns distinguish joint loading differentiation”
18. 18
Movement Patterns
Athletic Groin Pain (Part 2): A prospective cohort study on the biomechanical evaluation of change of
direction Franklyn-Miller, A British Journal of Sports Medicine (Under review)
18 18@AFRANKLYNMILLER – “Movement patterns distinguish joint loading differentiation”
19. 19
Intersegmental Coordination:
Inter-Segmental Coordination Pattern in Patients with Anterior Cruciate Ligament Deficiency during a
Single-Step Descent Mohammadreza Nematollahi, PLOS One 2016
19 19@AFRANKLYNMILLER – “The coordination of multiple joint is vital in controlling COM and COP”
20. 20
Absolute Strength
Comparison of strength and power measures in identifying a rehabilitation status following anterior
cruciate ligament reconstruction – O’Malley, E 2016 JBJS(Br) submitted
20 20@AFRANKLYNMILLER – “Control of Torque production is greater than absolute strength”
21. 21
Variability
Foot contact angle variability during a prolonged run with relation to injury history and habitual foot strike
pattern M. R. Paquette et al Scandinavian Journal of Medicine and Science in Sports 2016 Early View
21 21@AFRANKLYNMILLER – “We do not understand whether variability is protective or injurous”
22. 22
Fatigue
Changes in drop-jump landing biomechanics during prolonged intermittent exercise
Schmitz et al Sports Health. 2014 Mar;6(2):128-35
22 22@AFRANKLYNMILLER – “Fatigue effects both reproducibility and segmental coordination”
Sports health. 2014 Mar;6(2):128-35. doi: 10.1177/1941738113503286.
Changes in drop-jump landing biomechanics during prolonged intermittent exercise
Schmitz RJ1, Cone JC2, Tritsch AJ3 Pye ML1, Montgomery MM4, Henson RA5, Shultz SJ1.
23. 23
Coaching
Through Intrinisic motivation and attention to Learning - Gabriele Wolf Psychon Bul 2016 Online First
23 23@AFRANKLYNMILLER – “Best method of effecting coaching change in change of direction yet to be understood”
25. Existing Agility Tests
25 25
Validated against time only
@AFRANKLYNMILLER – “Change of Direction is a closed skill in predetermined direction”
26. Concept behind VU
26 26
Reproducibility of performance
@AFRANKLYNMILLER – “The journey from injury to performance controlled biomechanically”
Execution of movement
Reactive Chaos
Controlled condition
Reproducibility under fatigue
RETURN TO
TRAIN
RETURN TO
PERFORMANCE
27. The SSC VU data collection
27 27
Lab and field based data collection
@AFRANKLYNMILLER – “XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX”
28. 28@AFRANKLYNMILLER – “VU @SSCSantry is new biomechanically driven RTP lab and field test”
SSC VU Test
A biomechanically driven RTP field test
LABORATORY
FIELD
GLOBAL
CENTRES
SPORTS
SURGERY
CLINIC
VU DATABASE
DEIDENTIFIED
SERVER INDIVIDUAL
RECREATIONAL
CLUB
PROFESSIONAL
CLUB
30. 30
Contact
Dr. Andy Franklyn-Miller
Sports Surgery Clinic, launched in 2007 in
Dublin, is a state of the art orthopaedic hospital
with orthopaedic surgery, medical imaging and
specialise in 3D biomechanical rehabilitation of
athletes from across the world.
http://drandyfranklynmiller.com
Twitter.com/afranklynmiller
Northwood Avenue, Santry, Dublin 9
afranklynmiller@me.com