In this episode of the Pacey Performance Podcast, Matt Buckthorpe, a senior lecturer in strength, conditioning, and physiology, delves into the intricate journey of ACL rehabilitation. Matt's expertise stems from his extensive experience with Isokinetic Medical Group and a profound interest in sports medicine, particularly ACL injuries.
The discussion navigates through the critical phases of ACL recovery, emphasizing the importance of understanding the injury mechanism. Matt highlights the initial approach post-injury, where professional athletes often undergo surgery within the first week.
Matt outlines the rehabilitation stages: early, mid, late, and return-to-sport, each marked by specific recovery objectives and criteria. The early stage focuses on managing pain, swelling, and regaining motion, crucial for normal gait. Here, strategies like neuromuscular electrical stimulation and blood flow restriction training play a vital role due to limitations in conventional strength training post-surgery.
The mid-stage is pivotal for regaining quad strength, a challenging yet crucial component for progressing to late-stage rehab. The late stage prepares the athlete for high-intensity, pre-planned movements, transitioning them from basic running to more sport-specific tasks.
The final phases involve on-field rehab, focusing on sport-specific drills, reactive movements, and technical skills, ensuring athletes are prepared for team training and eventual competitive match play.
Matt advocates for a criterion-based rehab approach, tailoring the process based on individual needs and recovery progress. He underscores the importance of balancing various rehab environments and techniques, acknowledging the psychological aspects and support structures necessary for athletes during this challenging journey.
The conversation provides invaluable insights, emphasizing a holistic, individualized approach to ACL rehabilitation, ensuring athletes return to their sport safely and efficiently.
Main talking points:
Anaerobic speed reserve; maximising training prescription (part 1) with Gareth Sandford (Physiologist at Athletics Canada)
#Bitesize - Training speed with team sport athletes with James Wild
Understanding and maximising the potential of the modern athlete with David Joyce and Dan Lewindon
#Bitesize - Testing and training deceleration qualities with Damian Harper
The modern football fitness coach and the importance of deep technical and tactical knowledge with Adam Owen (UEFA Pro Licence Coach & High Performance Director)
Working with youth athletes; monitoring maturation, biobanding and training through rapid growth with Sean Cumming (Professor of Paediatric Exercise at Bath University)
The psychology of physical enhancement, attitude, effort and energy with Dan Abrahams (Sports Psychologist)
Triphasic training, the ‘performance pillars‘ system, and choosing the right athlete assessments with Matt Van Dyke (Director of Sports Science, Houston Texans)
How to incorporate eccentric training into a strength and power programme with John Wagle (Director of Performance Science and Player Development, Kansas City Royals)
The quadrant system; allowing creativity and structure in planning and periodisation with Daniel Bove (Director of Performance, New Orleans Pelicans)
Deceleration ability; testing, developing underpinning qualities and the braking strategy framework with Damian Harper (Lecturer at the Institute of Coaching & Performance)
Weight machines; the most under utilised way to train in-season in the NBA with Cory Schlesinger (Director of Performance at the Phoenix Suns)
Rethinking rehabilitation, tendon health and the rise in popularity of blood flow restriction training with Luke Vella (Lead S&C Coach at Melbourne Rebels)
Winning the Super Bowl, getting fired and making an impact in the NFL with James Hanisch (ex Director of Performance Science at Philadelphia Eagles)
Changing the way we think about training speed and agility, and implementing the methods of Frans Bosch with Leigh Egger (Head of Performance at Feyenoord Rotterdam)
How to develop some of the Premier League‘s most promising young talent with Matt Allen (Head of Academy Physical Development at Tottenham Hotspur)
Harnessing ego to increase player and coach performance with Martin Buchheit (Head of Performance Research at Kitman Labs) and George Perry (athletics coach and sports writer)
Jumping and plyometrics; testing options, the importance of jump strategy and its link to speed with Joseph Coyne (Director of High Performance at Lindisfarne Anglican College)
Why speed should be at the top of the decision making tree in a performance based approach to rehab with Jonas Dodoo (Speedworks) & Alan Murdoch (Speedworks - Bath)
Reducing and rehabilitating hip and groin injuries, monitoring readiness in team sports & isometric training with Ed Gannon (Head of S&C at Buffalo Sabres)
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