Non-Contact Injuries

Since the inception of E3Sports, we have always believed in the importance of proper active warm-up and cool-down to reduce injury and enhance performance among student athletes. Just recently, the New York Times released an article entitled - Stretching: The Truth, by Gretchen Reynolds*, which detailed the necessity of an active warm up and suggested that static stretching may cause injury. Reproduced below is the fascinating article that confirms the program design E3Sports has always implemented with our clients.


STRETCHING: THE TRUTH

WHEN DUANE KNUDSON, a professor of kinesiology at California State
University, Chico, looks around campus at athletes warming up before
practice, he sees one dangerous mistake after another. "They're
stretching, touching their toes. . . . " He sighs. "It's discouraging."

If you're like most of us, you were taught the importance of warm-up
exercises back in grade school, and you've likely continued with pretty
much the same routine ever since. Science, however, has moved on.
Researchers now believe that some of the more entrenched elements of
many athletes' warm-up regimens are not only a waste of time but
actually bad for you. The old presumption that holding a stretch for 20
to 30 seconds - known as static stretching - primes muscles for a
workout is dead wrong. It actually weakens them. In a recent study
conducted at the University of Nevada, Las Vegas, athletes generated
less force from their leg muscles after static stretching than they did
after not stretching at all. Other studies have found that this
stretching decreases muscle strength by as much as 30 percent. Also,
stretching one leg's muscles can reduce strength in the other leg as
well, probably because the central nervous system rebels against the
movements.

"There is a neuromuscular inhibitory response to static stretching,"
says Malachy McHugh, the director of research at the Nicholas Institute
of Sports Medicine and Athletic Trauma at Lenox Hill Hospital in New
York City. The straining muscle becomes less responsive and stays
weakened for up to 30 minutes after stretching, which is not how an
athlete wants to begin a workout.

THE RIGHT WARM-UP should do two things: loosen muscles and tendons
to increase the range of motion of various joints, and literally warm
up the body. When you're at rest, there's less blood flow to muscles
and tendons, and they stiffen. "You need to make tissues and tendons
compliant before beginning exercise," Knudson says.

A well-designed warm-up starts by increasing body heat and blood
flow. Warm muscles and dilated blood vessels pull oxygen from the
bloodstream more efficiently and use stored muscle fuel more
effectively. They also withstand loads better. One significant if
gruesome study found that the leg-muscle tissue of laboratory rabbits
could be stretched farther before ripping if it had been electronically
stimulated - that is, warmed up.

To raise the body's temperature, a warm-up must begin with aerobic
activity, usually light jogging. Most coaches and athletes have known
this for years. That's why tennis players run around the court four or
five times before a match and marathoners stride in front of the
starting line. But many athletes do this portion of their warm-up too
intensely or too early. A 2002 study of collegiate volleyball players
found that those who'd warmed up and then sat on the bench for 30
minutes had lower backs that were stiffer than they had been before the
warm-up. And a number of recent studies have demonstrated that an
overly vigorous aerobic warm-up simply makes you tired. Most experts
advise starting your warm-up jog at about 40 percent of your maximum
heart rate (a very easy pace) and progressing to about 60 percent. The
aerobic warm-up should take only 5 to 10 minutes, with a 5-minute
recovery. (Sprinters require longer warm-ups, because the loads exerted
on their muscles are so extreme.) Then it's time for the most important
and unorthodox part of a proper warm-up regimen, the Spider-Man and its
counterparts.

"TOWARDS THE end of my playing career, in about 2000, I started
seeing some of the other guys out on the court doing these strange
things before a match and thinking, What in the world is that?" says
Mark Merklein, 36, once a highly ranked tennis player and now a
national coach for the United States Tennis Association. The players
were lunging, kicking and occasionally skittering, spider-like, along
the sidelines. They were early adopters of a new approach to
stretching.

While static stretching is still almost universally practiced among
amateur athletes - watch your child's soccer team next weekend - it
doesn't improve the muscles' ability to perform with more power,
physiologists now agree. "You may feel as if you're able to stretch
farther after holding a stretch for 30 seconds," McHugh says, "so you
think you've increased that muscle's readiness." But typically you've
increased only your mental tolerance for the discomfort of the stretch.
The muscle is actually weaker.

Stretching muscles while moving, on the other hand, a technique
known as dynamic stretching or dynamic warm-ups, increases power,
flexibility and range of motion. Muscles in motion don't experience
that insidious inhibitory response. They instead get what McHugh calls
"an excitatory message" to perform.

Dynamic stretching is at its most effective when it's relatively
sports specific. "You need range-of-motion exercises that activate all
of the joints and connective tissue that will be needed for the task
ahead," says Terrence Mahon, a coach with Team Running USA, home to the
Olympic marathoners Ryan Hall and Deena Kastor. For runners, an ideal
warm-up might include squats, lunges and "form drills" like kicking
your buttocks with your heels. Athletes who need to move rapidly in
different directions, like soccer, tennis or basketball players, should
do dynamic stretches that involve many parts of the body. "Spider-Man"
is a particularly good drill: drop onto all fours and crawl the width
of the court, as if you were climbing a wall.

Even golfers, notoriously nonchalant about warming up (a recent
survey of 304 recreational golfers found that two-thirds seldom or
never bother), would benefit from exerting themselves a bit before
teeing off. In one 2004 study, golfers who did dynamic warm- up
exercises and practice swings increased their clubhead speed and were
projected to have dropped their handicaps by seven strokes over seven
weeks.

Controversy remains about the extent to which dynamic warm-ups
prevent injury. But studies have been increasingly clear that static
stretching alone before exercise does little or nothing to help. The
largest study has been done on military recruits; results showed that
an almost equal number of subjects developed lower-limb injuries (shin
splints, stress fractures, etc.), regardless of whether they had
performed static stretches before training sessions. A major study
published earlier this year by the Centers for Disease Control, on the
other hand, found that knee injuries were cut nearly in half among
female collegiate soccer players who followed a warm-up program that
included both dynamic warm-up exercises and static stretching. (For a
sample routine, visit  www.aclprevent.com/pepprogram.htm.) And in golf,
new research by Andrea Fradkin, an assistant professor of exercise
science at Bloomsburg University of Pennsylvania, suggests that those
who warm up are nine times less likely to be injured.

"It was eye-opening," says Fradkin, formerly a feckless golfer herself. "I used to not really warm up. I do now."

You're Getting Warmer: The Best Dynamic Stretches
These exercises as taught by the United States Tennis Association's
player-development program - are good for many athletes, even golfers.
Do them immediately after your aerobic warm-up and as soon as possible
before your workout.

STRAIGHT-LEG MARCH (for the hamstrings and gluteus muscles)
Kick one leg straight out in front of you, with your toes flexed toward the sky.
Reach your opposite arm to the upturned toes. Drop the leg and repeat
with the opposite limbs. Continue the sequence for at least six or
seven repetitions.

SCORPION (for the lower back, hip flexors and gluteus muscles)
Lie on your stomach, with your arms outstretched and your feet flexed so
that only your toes are touching the ground. Kick your right foot
toward your left arm, then kick your left foot toward your right arm.
Since this is an advanced exercise, begin slowly, and repeat up to 12
times.

HANDWALKS (for the shoulders, core muscles and hamstrings)
Stand straight, with your legs together. Bend over until both hands are flat
on the ground. ‘‘Walk'' your hands forward until your back is almost
extended. Keeping your legs straight, inch your feet toward your hands,
then walk your hands forward again. Repeat five or six times.

* Published: November 2, 2008
The New York Times
Play Magazine
FORGET EVERYTHING YOU KNOW ABOUT WARMING UP
By Gretchen Reynolds