Forums: Climbing Information: Injury Treatment and Prevention: Re: [roy_hinkley_jr] ACL Reconstruction: Edit Log




onceahardman


Apr 22, 2009, 5:27 PM

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Registered: Aug 3, 2007
Posts: 2493

Re: [roy_hinkley_jr] ACL Reconstruction
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In reply to:
You seem to fallen into that trap too of mono-think and over-hyped functional training to the exclusion of everything else.

Roy, multi-million dollar athletes return to the NFL, NBA, NHL, MLB, and other top-end leagues faster when they train in closed chain. If your way is better, do a study, and market it to the pros. You'll be rich and famous.

In reply to:
and I have never, ever implied do just open

Well, you did impugn one of the best closed chain exercises when you said:

In reply to:
In particular the higher compressive forces of back squats is rough on the meniscus so it isn't a great choice

How telling it is, when you talk about doing very limited, low weight, sub maximal, limited range open chain training, and make a comparison to 12 rep max back squats. Do you suppose it's possible to lower the weight a bit for meniscus-compromised patients?

In reply to:
The way studies are conducted, they never compare an AB routine to A and B, only A versus B (they are also limited in time frame due to cost).

Who are "they". May I suggest "they" are people with backgrounds much like you, except "they" have done the research, and found open chain lacking in transfer to improved function. I suggest YOU design a study. For now, how about a (true) anecdote about how one of your ACL patients plateaued in pure closed chain, yet broke through that plateau when adding in open chain?

It really needs to have some objectivity to it, though. Something like a pro or very active amateur athlete improving his/her 40 time, or standing long jump, or vertical jump. I'm not just talking about someone looking better with no clothes on.

In reply to:
OAHM when i said Wilks used extreme examples to prove his point, I was specifically referring to taking the knee past 90 to 100 and past 15 to 0. It's those extremes where the majority of the shear occurs yet most of the muscle activation is between 80 and 20.

Not true. Anterior shear occurs betwwen 40 and 0 degrees. Read the study.

http://www.ncbi.nlm.nih.gov/...anel.Pubmed_RVDocSum

EDIT: this reminds me of the old Monty Python "spam" skit...

I don't want ANY spam.

"Well have the Spam, eggs, sausage and spam, there's not much Spam in that."

But I don't want ANY Spam!

"I'll take yours then. I love it!"

Except in this case, it's:

I don't want ANY ACL shearing.

"Well, do some open chain extensions, but stop at 15 degrees, there's not as much shearing then."

But I don't want ANY ACL shearing!

In reply to:
For the lurkers...

...And if you want to prevent another ACL repair, focus on strengthening the hamstrings.

And avoid quad extensions, as reflected in the current literature.

http://www.orthojournalhms.org/.../html/articles16.htm


(This post was edited by onceahardman on Apr 22, 2009, 7:08 PM)



Edit Log:
Post edited by onceahardman () on Apr 22, 2009, 7:08 PM


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