swimming essentials -a physiotherapy perspective

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Swimming Essentials! Presenter: Brad Beer Physiotherapist (B Phty/B Ex Sc), Founder POGO Physio, Author

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Page 1: Swimming Essentials -A physiotherapy perspective

Swimming Essentials!

Presenter: Brad BeerPhysiotherapist (B Phty/B Ex Sc), Founder POGO Physio, Author

Page 2: Swimming Essentials -A physiotherapy perspective

The Game PlanAn Overview.

• In this session: • What sort of swimmer are you?• Help me swim faster• Help me not get injured• Swimming screenings• Must know exercises• Questions

Page 3: Swimming Essentials -A physiotherapy perspective
Page 4: Swimming Essentials -A physiotherapy perspective

What sort of swimmer are you?Joint hypermobility vs hypomobility

Let’s do some tests!• Thumbs• Elbows

• Joint hypermobility – good mobility - lots of movement,

lack of stability and control• Joint hypomobility – good stability - stiff joints, poor

mobility - lack of movement,

Page 5: Swimming Essentials -A physiotherapy perspective

Maximising performance! Help me go faster!

• Need:– Good streamline position! Key!

– Swim smarter, not harder

– Minimize drag through the water– Hip flexor stretch example

– Efficient centre of mass – core strength!

– Good technique - catch, recovery, pull through

Page 6: Swimming Essentials -A physiotherapy perspective

Minimizing injuries! Help me not get injured!

• Need:– Good streamline position– Efficient centre of mass– Good technique – good catch, recovery,

pull through– Good stretching and strengthening

program– Good posture – no slouching

Page 7: Swimming Essentials -A physiotherapy perspective

Why do swimming injuries occur?

• Due to a (not normally just one thing in isolation!) combination of contributing factors

• Contributing factors can include:– poor biomechanics (body moving)– Anthropometrics (tight and stiff muscles and joints)– Poor technique (can be limited by poor

biomechanics)– Increase training volume/change technique

(training errors!)

Page 8: Swimming Essentials -A physiotherapy perspective

Common Shoulder injuries

• ‘shoulder impingement’ (long head biceps, suprsapinatus, rotator cuff)

• Bursitis (sub acromial)• Rotator cuff tendon tears/tendinopathy• Frozen shoulder• Neural problems: radiculopathies (1st rib,

upper limb nerve tension)

Page 9: Swimming Essentials -A physiotherapy perspective

Other common swimming injuries

• Low-back pain facet joint irritation• Acute wry neck• Postural mid-back pain• Hip acetabular impingement• Diaphragm overload

Page 10: Swimming Essentials -A physiotherapy perspective

How to be PRO-ACTIVE in preventing injuries, the 3 steps...

STEP 3: Be disciplined with prevention exercise program

Complete exercises daily (ie no more than total 10mins)

STEP 2: Personal Exercise Prevention ProgramTargets specific areas (trouble spots) identified in screening *see handouts for general guide only

ie not individualised

STEP 1 ‘Screening’Get screened for biomechanical trouble spots (see sheet in folder)=40mins

Page 11: Swimming Essentials -A physiotherapy perspective
Page 12: Swimming Essentials -A physiotherapy perspective

Swim screeningsCombined elevation test example

0-10 degs triathletes/surf<0 degs shoulder trouble! Poor streamline10-30degs pool swimming

Page 13: Swimming Essentials -A physiotherapy perspective

How to be PRO-ACTIVE in preventing injuries, the 3 steps...

– Stretches!– Swimming specific strengthening exercises!– Use physio tools!• half and full foam roller (mobilises the stiff thoracic spine)• Pocket Physio (trigger point releases)

Page 14: Swimming Essentials -A physiotherapy perspective

Must Know Exercises

• KEYS:• 1. maintain a mobile thoracic spine (>0degs)2. Maintain adequate shoulder internal rotation range (>50degs)3. Ensure hip flexors do not get too tight

STRETCHES fix 1-3 (see handout)Practice time!

Page 15: Swimming Essentials -A physiotherapy perspective

When to stretch

• Stretches – Daily:

• Hip flexor, quads, pecs, lats, half foam roller, Pocket physio on back of shoulders

– Before training• Hip flexor, quads, and pecs

– After training and after events – as per daily routine!

• Strengthening ex’s 2-3 x week

Page 16: Swimming Essentials -A physiotherapy perspective

When to get help

• Anything feels ‘niggly’ and is not naturally settling.• Feeling ‘tight’.• Always better to be PRO-ACTIVE vs needing to be REACTIVE to an

injury and losing valuable training time.

Page 17: Swimming Essentials -A physiotherapy perspective

What sort of help?

• Injury- physio (communicates with coach re status of your injury, clear instructions of what to do, return to swim plan).

• Maintenance: physio or massage (remedial)– Everyone’s maintenance schedule will vary

depending on needs identified in screening and injury status (could be 1xweek, fortnight, monthly).

– Great coach: knows loads and how to push.

Page 18: Swimming Essentials -A physiotherapy perspective
Page 19: Swimming Essentials -A physiotherapy perspective

Questions....www.pogophysio.com.au