Anatomy of Sports Injuries
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About this ebook
Leigh Brandon
Leigh Brandon, the Founder of BodyCHEK has a mission to help as many people as possible to reach their health and performance potential, so they can live more productive, fulfilling and happier lives. He combines a number of professions to provide a truly comprehensive approach to helping his clients and athletes. Leigh has specialised in injury rehabilitation, wellness and sports conditioning since 1996. In addition to his skills as a practitioner, he is an author of four fitness books and two e-books, an international presenter and a member of the C.H.E.K Institute Faculty. Leigh also produced The Tennis Conditioning Series courses Levels 1, 2 & 3 for the CHEK Institute and teaches and lectures all over the world. Leigh has helped many people overcome back, neck, shoulder and knee pain, chronic fatigue syndrome, irritable bowel syndrome, achieve their ideal weight and has helped athletes both amateur and professional improve performance, win medals and eliminate recurring injuries. Leigh’s clients include British and European champions and record holders and Olympic athletes. Leigh’s approach has enabled him to help clients with the most difficult conditions to achieve success where other modalities have previously failed. His experience has shown that the conventional approach to health, disease, exercise and nutrition don’t sufficiently satisfy the needs of the general population or professional athletes. Leigh is passionate to help people achieve their goals using a holistic approach over the long term and wishes to educate the people about ‘the truth’ to achieving health, vitality and optimal performance.
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Anatomy of Sports Injuries - Leigh Brandon
PART 1 – OVERVIEW OF
ANATOMY AND INJURIES
HOW TO USE THIS BOOK
Anatomy of Sports Injuries for Fitness and Rehabilitation is a visual and textual analysis of common sports injuries and rehabilitation of those injuries through effective exercises. It is also a guide to how to do the exercises properly and when to seek professional help to overcome your sports injury.
The book has three distinct parts: the first is a basic introduction to anatomical definitions, terminology and an overview of sports injuries. It also includes guidelines on injury prevention, acute care and first aid, manual therapy, long-term rehabilitation and lifestyle considerations.
Part two is divided into 13 sections covering a region of the body and highlights some of the most common injuries for that region. Each section defines individual injuries and their potential causes, treatment plans and statistics. Up to three mobilizations, stretches and/or exercises that may be used to help rehabilitate the injury are suggested as part of the corrective exercise programme following the acute phase of the injury.
Note that an injury can have many different causes and should be assessed by a trained professional to find the underlying causes. Any muscle imbalances should be highlighted at this stage and proper corrective stretching and strengthening should be given based on this information.
Disclaimer: Many of the exercises have a degree of risk of injury if done without adequate instruction and supervision. We recommend that you have a thorough assessment with a CHEK Practitioner, physiotherapist, osteopath or chiropractor before undertaking any of the exercises, and that you seek qualified instruction if you are a complete beginner. This book does not constitute medical advice and the author and publisher cannot be held liable for any loss, injury or inconvenience sustained by anyone using this book or the information contained in it.
Without a thorough assessment, the likelihood of full rehabilitation is greatly reduced, therefore, the stretches and exercises recommended may not be applicable to all.
Part three is an exercise section – a ‘how-to’ guide to doing the exercises as well as a visual and technical exercise analysis describing which muscles are being used. The start and finish position are usually depicted and training tips may be included.
The adult human body has more than 600 muscles and 206 bones; in this bookemphasis is placed on about 92 muscles involved in movement and stabilization. Many of the smaller muscles, as well the deep, small muscles of the spine and muscles of the hands and feet are not given specific attention.
This book is designed to help you improve your understanding of sports injuries and to overcome them and get back to performing at your best without the worry of further or future injury. Before starting a rehabilitation programme, the reader is advised to fully understand what phase of recovery they are in and introduce the right treatments and exercises at the right time (explained in part one). For instance, if stretches and exercises are used in the acute phase, this may further damage tissues and make the injury worse. Therefore, it is advised that you work through the book in the order it was written. In Part one, you will understand the anatomical definitions and terminology used in the book as well as a basic understanding of injuries and rehabilitation strategies. In Part two you will learn about your injury, while in Part three you will learn how to perform the exercises and stretches.
Ultimately, the injured tissues need to be conditioned to take the rigours of your sport in all planes of motion. This is known as end-stage rehab. While it is beyond the scope of this book to teach you end-stage rehab, the reader is advised to receive professional advice on strength and conditioning or read Anatomy of Strength and Fitness Training for Speed and Sport by Leigh Brandon.
illustrationANATOMICAL DEFINITIONS AND TERMINOLOGY
Anatomy has its own language and although technical, it is quite logical, originating from Latin and Greek root words that make it easier to learn and understand the names of muscles, bones and other anatomy parts.
Whether you are an athlete, a student, a physio-therapist, a strength and conditioning coach or a CHEK practitioner, using the correct words and terminology enables you to interact with other professionals and professional materials.
Like most medical terms, anatomical terms are made up of small word parts, known as combining forms that fit together to make the full term. These ‘combining forms’ comprise roots, prefixes and suffixes. Knowing the different word parts allows you to unravel the word. Most anatomical terms only contain two parts: either a prefix and root or a root and suffix.
For example, if you take the terms ‘subscapular’ and ‘suprascapular’; the root is ‘scapula’, more commonly known as the shoulder blade. ‘Supra’ means ‘above’, hence ‘suprascapula’ means something above the shoulder blade. On the other hand, ‘sub’ means ‘below’, indicating in this instance something below the shoulder blade.
Common prefixes, suffixes and roots of anatomical terms
SYSTEMS OF THE BODY
The human body can be viewed as an integration of approximately 12 distinct systems that continuously interact to control a multitude of complex functions. These systems are a co-ordinated assembly of organs, each with specific capabilities, whose tissue structures suit a similar purpose and function.
This book illustrates and analyzes the systems that control movement and posture, namely the muscular and skeletal systems; often referred to jointly as the musculoskeletal system.
The other systems are the cardiovascular, lymphatic, nervous, endocrine, integumentary, respiratory, digestive, urinary, immune and reproductive systems.
The muscular system
The muscular system facilitates movement, maintenance of posture and the production of heat and energy. It is made up of three types of muscle tissue: cardiac, smooth and striated.
Cardiac muscle forms the walls in the heart, while smooth muscles tissue is found in the walls of internal organs such as the stomach and blood vessels. Both are activated involuntarily via the autonomic nervous system and hormonal action.
Striated muscle makes up the bulk of the muscles as we commonly know them. The skeletal system includes the tendons that attach muscle to bone, as well as the connective tissue that surrounds the muscle tissue, which is called fascia.
A human male weighing 70 kg (154 lbs) has approximately 25–35 kg (55–77 lbs) of skeletal tissue.
Muscle attachments
Muscles attach to bone via tendons. The attachment points are referred to as the origin and the insertion.
The origin is the point of attachment that is proximal (closest to the root of a limb) or closest to the midline, or centre of the body. It is usually the least moveable point, acting as the anchor in muscle contraction.
The insertion is the point of attachment that is distal (furthest from the root of a limb) or furthest from the midline or centre of the body. The insertion is usually the most moveable part, and can be drawn towards the origin.
Knowing the origin and insertion of a muscle, which joint or joints the muscle crosses and what movement is caused at that joint or joints is a key element of exercise analysis.
There are typical features on all bones that act as convenient attachment points for the muscles. A description of typical bone features is given in the table on page 11.
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