Entries Tagged 'sport medicine' ↓

NCAA Apparatus finalists

Brandie Jay (UGA)
Lindsay Mable (Minnesota)
Lindsey Cheek (UGA)
Ashleigh Gnat (LSU)
Rheagan Courville (LSU)
Sachi Sugiyama (Michigan)
Maileana Kanewa (OU)
Haley Scaman (OU)
Kat Grable (Arkansas)
Olivia Courtney (UCLA)
Bridget Sloan (Florida)
Georgia Dabritz (Utah)

Lindsey Cheek (UGA)
Kristina Vaculik (Stanford)
Rheagan Courville (LSU)
Joanna Sampson (Michigan)
Taylor Spears (OU)
Shona Morgan (Stanford)
Samantha Shapiro (Stanford)
Bridget Sloan (Florida)
Kim Jacob (Bama)
Macko Caquatto (Florida)
Alaina Johnson (Florida)
Sam Peszek (UCLA)

Taylor Spears (OU)
Hanna Nordquist (Minnesota)
Maddie Gardiner (OSU)
May Beth Box (UGA)
Lindsey Cheek (UGA)
Sydney Ewing (LSU)
Chayse Capps (OU)
Kristina Vaculik (Stanford)
Kim Jacob (Bama)
Sarah DeMeo (Bama)
Alaina Johnson (Florida)
Macko Caquatto (Florida)
Hollie Blanske (Nebraska)
Jamie Schleppenbach (Nebraska)
Jessie DeZiel (Nebraska)
Emily Wong (Nebraska)

Joanna Sampson (Michigan)
Maileana Kanewa (OU)
Haley Scaman (OU)
Brandie Jay (UGA)
Jessica Savona (LSU)
Lara Albright (OU)
Kat Grable (Arkansas)
Kim Jacob (Bama)
Emily Wong (Nebraska)
Lauren Beers (Bama)
Diandra Milliner (Bama)
Becky Tutka (Utah)
Nansy Damianova (Utah)

The surprises:

VT – no Milliner, Mable, Delaney or Wilson
UB – no Davis or Dabritz
BB – no Nush, Peszek, Sloan
FX – no Hall, Mable, Dabritz, Hunter, Peszek or even Sawa.

ohalia on College Gymnastics Board

It’s time for the annual moaning about idiotic NCAA judging that tries to rank hit routines between 9.80 and 10.00.

John Roethlisberger on Facebook:

No one loves collegiate gymnastics more than I do, but until collegiate women’s gymnastics starts using legitimate scoring, you all are going to be beating your head against the wall. Don’t get me wrong, I am still a fan and I enjoy watching but if I had a vested interest I would be frustrated. For example, on Floor, there is .2 separating 1st and 41st.


In real gymnastics terms, with real deductions, do any of you think there is really only .2 separately 41 people? I like seeing 9.9′s and 10.0′s as much as the next guy, but there needs to me more separation. And I’m not even saying the results are wrong, I honestly have no idea, but if real deductions were taken, it would be more clear. …

I’m less unhappy with the final rankings than usual. I’d say Nebraska truly did deserve to move on ahead of Utah and UCLA. That was one incredible Beam rotation for them. Utah gave it away on Vault.

Biggest problems I saw in prelims:

Vault judging does not reward the best vaults.
Home court advantage makes a big difference. Alabama should not have matched Florida.
Big name gymnasts gain as much as 0.05 / routine
“safe” routine construction is too much rewarded. e.g. Oklahoma

With so much parity now between the top teams, it is time to make more differentiation between the highest scores.

Vault should have (relative to gymnast size) increased height and distance requirements. Yurchenko 1/1 scores should be lowered, perhaps lowered to a 9.95 start.

On Bars, overshoot not taken to handstand should be deducted 0.05 as should a squat-on, jump to high. Those transitions look out of place.

I’d like them to continue the emphasis on landing, actually. These young women are at high risk of Achilles and ACL injury. The more attention paid to landing, the safer.

Sloan landing

For some reason even the very best WAG “landers: are less skilled at it than any average MAG.

A more realistic solution would be to allow judges to award increments of 0.05 at major competitions like Regionals and Championships.

Nassar: ICE is NICE

Gabe Mirkin, MD, March 2014:

“Coaches have used my “RICE” guideline for decades, but now it appears that both Ice and complete Rest may delay healing, instead of helping.”

Josh Stone:

In 1978, Gabe Mirkin, MD coined the term RICE. Health care practitioners to laypersons are quick to recognize RICE as the ‘gold standard’ treatment option following injury. Followers of my blog know my stance against ice and now there is support from the physician who coined the term. Yes, the very same physician, Dr. Gabe Mirkin, who coined RICE, is now taking a step back. I reached out to Dr. Mirkin and asked for permission to share his story. As you will read below in Dr. Mirkin’s full post, the lack of evidence for cryotherapy is something we must listen to. …

RICE: The End of an Ice Age

Dr Larry Nassar responds:

Ice is nice but it needs to be done properly and as part of a therapy regimen. Just like so many other things, it can be overused. It is one of the most commonly applied therapies but it is also one of the most poorly understood therapies too.

I agree that inflammation is needed. However, the body can also “over do it” too. Too much of a good thing makes it bad. So controlled inflammation is the key. Too much bleeding is not good, too much inflammation is not good, too much ice is not good …

The week before African Championships, Michael Makings was hurting. To save time after workout one day, he decided simply to ice his entire body.

Michael Making


Personally, I’ll continue to use ice as Dr Nassar recommends.

In moderation, Michael. In moderation.

Thanks Thomas G Trapp.

knee pain in gymnastics

I listened to an excellent audiocast by chiropractor Dr. Joshua Eldridge.

Overuse knee injuries and knee pain can be devastating for young gymnasts and can keep them from doing the sport they love. Overuse knee injuries are also a red flag for further injury.

Gymnast Care: The Ultimate Injury Prevention Podcast – episode 13

From there click over to iTunes if you want to subscribe to those. (FREE)

Alternatively, much of the same content is on the website:

Here’s how we categorize knee pain:

Overuse Injuries
Ligament Injuries

overuse knee injuries

… we see them most in the pre-pubescent and pubescent athletes. In females, these injuries are occurring most between the ages of 10-13 and in boys, these can last until they are done growing. …

Why Are Overuse Knee Injuries Occurring?

Dysfunction of muscles
Faulty mechanics


Part 1, Overuse Knee Injuries

Knee pain can slow progress to a halt. We must do everything we can to avoid / reduce knee injury.

bad fall on Bars …


I’ve been reluctant to link to this horrific video as it’s my general policy not to post CRASHES.

It’s here, if you want to see for yourself.

That’s Magroune Nesrine, I believe, a Junior from Algeria, in the African Championships 2014 Bars Final.

Though I wasn’t at the arena for the Junior Final, here’s what I’ve heard.

• she’d had problems with double layout dismount all week

• it looks like she ticked the low bar on the dismount giant

• she fractured 2 vertebrae and suffered a serious concussion

• she was last seen in a back brace, but mobile

• people there agreed that the spotting coach’s behaviour was shockingly insensitive

• not shown on the video was that the other Algerian coaches insisted she get up off the mat, not waiting for expert medical support close at hand

The Algerian girls were very good. The coaches there know gymnastics, it’s clear. But moving Magroune after that fall is unforgivable.

Lais Souza not insured …


The former gymnast paralyzed while training for the winter Olympics is not covered by her sports Federations.

Linked by Ivan Fernandes for WOGymnastika.

Google Translate from the original Portuguese story:

Lais Souza is quadriplegic, someone has to pay for it, and it’s not you.

… Our skier Lais Souza is quadriplegic. … The insurance paid for the operation and treatment. But it will not pay anything more. Because life insurance or disability contracted by the Brazilian Olympic Committee, and the Brazilian Sports Confederation … covers only accidents that happen during the competition, and not during training. …

What will help Lais is money, big money. Now the Brazilian Olympic Committee started a campaign asking financial assistance

… Any idea how much it costs to be a quadriplegic? I’ll kick down a $15 thousand per month, U.S. $180,000 per year. Lais is 25 years old. …

The Olympic Committee is transferring the responsibility … Brazil invests billions in Cup stadiums, and billions more for the Olympics in Rio in 2016, and leaves a young quadriplegic …

… if you can do something for Lais, do:

Agency: 0548-7
Current Account: 0110490-0
Lais Souza da Silva

Lais Souza


• her first interview (Portuguese)

• LIKE the Força Lais: In Support of Lais Souza Facebook page

Thanks Amanda.

landing ‘short’

For double somersaulting skills where gymnasts MIGHT under-rotate (e.g. Tsukahara, Yurchenko, double back, etc.) I’ll often count routines where gymnast “stand” (land on the feet) or “over-rotate”.

Over-rotating I call a “good mistake“. Under-rotating a BAD mistake. :-(

Tsuk short short landing

Those graphics come from Dave Tilley’s article on “anterior talocrural impingement”:

… Don’t let that term intimidate you, when broken down it’s not too bad.

“Anterior” means the front of the body, “talocrural” simply refers to the major ankle joint that allows the foot to move up and down, and “impingement” means that the joint or other tissue structures are being pushed on each other usually resulting in pain. So, pain in the front of the ankle that is felt when the bones or foot structures get pressed too hard on each other. …

Actually, you probably will be intimidated when you look at the full article. :-)


Combating Achilles Tears – Pre-Hab

David Tilley:

Last week in Part I of this post I outlined my thoughts on what some contributing factors may be to a gymnast suffering an Achilles tear. …

… I personally feel that daily integration of pre-hab into training is an essential part of training in order to make sure that gymnasts stay healthy, perform at their best, and have a lengthy career. …

1) Be Smart About Training, and Know Signs of Injury Starting

By far the biggest preventative method coaches and gymnasts can use is to remember that there are many times during gymnastics where it may be more beneficial to train smarter, not always harder. …

2) Working on the Soft Tissue of the Calf Muscles, and Ankle Joint

… work on the soft tissue/ joint mobility for the ankle and calf muscles.

The first easiest way is to use a dense foam roller or PVC pipe wrapped in tape (a bit less forgiving) to roll out some of the tightness in the calf. …

3) Use Proper Stretching of The Gastrocnemius and Soleus

The easiest way I have found for gymnasts to correctly work on their calf stretching (other than the typical calf stretch in a warm up) is to use the end of a beam base.

calf stretch

The same type of stretch can be done with a bent knee to target the solues muscle.


4) Pro-Actively Addressing Flat Feet/Excessive Pronation, and Single Leg Stability

5) Work on Hip Flexor and Quadricep Soft Tissue Mobility

Another area that tends to become chronically tight and restricted on gymnasts are the hip flexors and quadricep muscles …


6.) Use Proper Jumping, Landing, and Impact Mechanics

Concluding Thoughts

… I’m sure as many people read this more ideas will come up about things I did not touch on. Areas like equipment, the code, other structural biomechanics, and proper training certainly can be expanded on. The concept of some gymnasts not having enough muscular strength and development to handle the forces of gymnastics is an entirely different topic …

read much, much more – Hybrid Perspective – Combating Achilles Tears In Gymnastics (Pt II): Pre-Hab Techniques and How To Help Possibly Reduce Injury

David Tilley PT, DPT is a Physical Therapist at Bay State Physical Therapy in Salem MA and a women’s optional gymnastics coach for North Shore Wildcat’s in Beverly MA.

can we reduce Achilles injuries?

The Achilles tendon is the largest and strongest tendon in the human body. Older, powerful gymnasts are at risk of snapping them.


Dave brainstorms possible causes:

… a gymnast may be taking forces 9x – 17x their body weight with every tumbling pass,

Who may be taking a very high number of turns per day/week/month

Who may have flat feet and looses shock absorption, which also causes almost double the force to go through the inside of the Achilles tendon,

Who most likely has tight/shortened calf muscles getting pulled on forcefully during impact

Who also may have very bad squatting and landing technique at baseline causing a lot of force to go through the ankle joint and Achilles

Who may not possess the adequate strength and muscular/neuromuscular capacity to handle the forces of gymnastics

Who may not be completely ready for the complicated tumbling skill or dismount at the end of their routine

Who is in a very stressful, fatigued physical/mental state trying to perform during the middle of their competitive season

Possibly landing on mats that have seen better days and aren’t ideal for landing

Hybrid Perspective – Combating Achilles Tears In Gymnastics (Pt I): Investigating Possible Contributing Factors

Bri Guy tears both Achilles

Auburn gymnast Bri Guy tore both her Achilles tendons in a blink of an eye last Friday, had surgery Wednesday …

She’s facing six to nine months of rehabilitation. …

Auburn turned in its second-highest score in school history with last Friday’s 197.100 against Alabama. Now, Auburn will press on without one of its top performers this Friday against Georgia …

Blowing out both Achilles is unusual, to say the least. But Graba said they usually go in gymnasts on takeoffs, which is what happened to Guy.



Happy Valentine’s Aliya

An inspiring montage dedicated to Aliya’s comeback from knee surgery.

Click PLAY or watch it on YouTube.

(via Couch Gymnast)

Acrobaddict – Joe Putignano

Publisher’s Weekly:

After reading former Olympic gymnastics hopeful Putignano’s sinister yet intoxicating memoir of addiction, recovery, and more addiction, you wind up feeling like one of his closest friends.

The first-time author, who now portrays Crystal Man in Cirque du Soleil’s traveling production of Totem, divulges what must be nearly every significant detail of his journey from the basement of his parents’ Massachusetts home, where as an 8-year-old he taught himself flips using old couch cushions; to the U.S. Olympic Training Center in Colorado Springs …



(via FIG)

Knee Injuries In Gymnastics

Dave Tilley and Joe Myhren posted a detailed article on how professionals can assess risk of serious knee injury. The post opens with some alarming statistics:

Traumatic knee injuries such as ACL tears are 4-6 times higher in female athletes compared to males for jumping and landing sports, with some study models suggesting even a 10 times greater risk at baseline

This risk may be increased 10 fold for the young female athlete of high school age, meaning some models would place certain high school aged gymnasts to be 14 – 20x more likely to suffer an injury at baseline

The estimated cost of medical management following traumatic knee injuries is between $17,000 – $25,000 per injury.These numbers can further increase with more complex injuries that require extensive medical interventions and rehabilitation.

Some traumatic knee injuries have been associated with potential long term loss of sports participation, lowered academic performance, long term disability, major functional deficits, and a significant risk of future meniscal injuries/ knee osteoarthritis.


Best practice is to avoid serious knee injury. Teach great technique from a young age to lower risk later in life.

The article includes many graphics. A couple of examples:



If interested, click through.

Prevention of Traumatic and Progressive Knee Injuries In Gymnastics: Assessing Risk Using Jumping, Landing, and Squatting Technique

Lais Souza – Stay Strong

Reports are that Lais is improving, little-by-little.

Lais Souza, Brazilian gymnast turned freestyle skier, was injured after a training accident in Salt Lake City. She has suffered severe damage to her spine leaving her without movement in her arms or legs. The 25 year old previously helped her team qualify and compete in the 2004 and 2008 Summer Olympics. …

Souza was skiing with her Canadian coach Ryan Snow at Park City and it is known she was wearing a helmet at the time of injury. …


Click PLAY or watch a montage on YouTube.

Like most everyone, I assumed Lais was injured training Aerial Skiing for the Olympics. The video hints at that.

Actually she ran into a tree on a warm-up run.

One of the biggest names in Winter Olympic sport, Shaun White, was injured training in Sochi. But says he should still be able to compete.

SAFETY should be the #1 priority at the Winter Olympics.

related – Winter Olympics 2010: luge competitor Nodar Kumaritashvili killed in training accident