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:
Sprint modelling, strategic periodisation and using decision trees to standardise programming with Ernie Rimer
Maximising the use of GPS to understand athlete performance and fatigue with Amber Rowell, Aaron Coutts and Mathieu Lacome
#Bitesize - An athlete and coach’s view of an ACL rehab process with Alan Murdoch and Anthony Watson
Building a sports science department from the ground up: From “one-man bands” to large organisations with Teofe Ziemnicki
#Bitesize - How to use velocity loss to maximise adaptation with Dan Baker
Jump training and the specificity myth in athlete development with Håkan Andersson
#Bitesize - Training and testing agility versus change of direction with Shawn Myszka, Tom Dos’Santos and Ian Jeffreys
How to use the warm up as a movement screen and revolutionising technique analysis with computer vision and artificial intelligence with Jonas Dodoo
#Bitesize - Creating change of direction drills that transfer to the field with Shawn Myszka
Resisted speed training: Effects on mechanics, how to programme it and its impact on sprint performance with Jason Hettler, George Petrakos and Hakan Anderrson
#Bitesize - Using resisted speed training with youth athletes with Micheál Cahill
Understanding what we need to change to improve acceleration, and how we go about coaching it with James Wild
#Bitesize - How to increase eccentric strength which transfers to improved deceleration with Joey Guarascio
Analysing England rugby player Anthony Watson’s ACL rehab and how he got faster than ever with Alan Murdoch and Anthony Watson
#Bitesize - The most effective ways to use blood flow restriction training to increase strength with Stephen Patterson
Getting athletes fast on short timeframes and creating a long term speed system with Les Spellman
#Bitesize - Using isometric training to get specific with exercise selection with Danny Lum
Testing deceleration, reducing injury risk during cutting and maximising the use of the 1080 sprint with Ola Eriksrud
#Bitesize - Which assessments to use during the RTP process from athletic hip and groin injuries with Enda King
Testing and training the foot for rehabilitation and improving sports performance (part 2)
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