Talent Drain in Indian Athletes-Dr. S. Deebak Kumar et al

Talent Drain in Indian Athletes-Dr. S. Deebak Kumar et al

1. Author : Dr.S.Deebak kumar Co-Authors : Dr. Santosh Sahanand, Dr. David.V.Rajan Ortho One - Orthopaedic Specialty Centre, Coimbatore Talent Drain in Indian Athletes

2. Medal Tally

3. Why are we behind in sports? Economical Developing country Sports bodies - Efficiency Infrastructure Career ending injuries

4. Injury Risk assessment in school level female basketball players – A Cross – sectional study AIM

5. GIRD & TROMD – shoulder injuries (2.8 times)

6. Study design School level Basketball players – 107 During South Zone Basketball Tournament Players across various teams participated in this study

7. Age distribution

8. Jump Alignment Total range of motion deficit (TROMD) Gleno humeral internal rotation deficit (GIRD) Functional movement screening VO2 max

9. Jump Alignment TROMD GIRD FMS VO2 max

10. N eutral Valgus (kissing knee) Jump Alignment

11. Total Range Of Motion Deficit (TROMD) A total range of motion difference of more than 5ᵒ Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers – AJSM Vol. 39 Feb 2011

12. Glenohumeral internal rotation deficit (GIRD) 20ᵒ or greater loss of IR. Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers – AJSM Vol. 39 Feb 2011

13. How did we test? Supine Stabilizing the scapula Arm at 90 ᵒ of abduction Elbow flexed Internal & External rotation Goniometer

14. GIRD & TROMD

15. Functional Movement Screen(FMS) Identify imbalances in mobility and stability during fundamental movement patterns

16. Compensatory fundamental movement pattern can increase the risk of injury. FMS < 14 – 4 fold inc. in risk of lower extremity injury. North American Journal Of Sports Physical Therapy.Vol-5, No.2,June2010

17. VO2 MAX Maximal oxygen uptake Aerobic endurance. Best indicator of cardio respiratory endurance and aerobic fitness.

18. George Non-Exercise test VO2max = 45.513 + (6.564 * Gender) – (0.749 * BMI) + (0.724 * PFA) + (0.788 * PA-R) Gender = 1 for male and 0 for female; PFA = sum of both PFA scales ; PA-R = number form PA-R scale.

19. Cardiorespiratory Endurance(VO2max)– Excellent Core Strength & Mobility ( FMS ) – Good Shoulder tightness (TROMD) High risk landing technique ( Valgus Alignment)

20. Predisposing factors GIRD & TROMD – shoulder injuries (2.8 times) Correlation of GIRD & TROMD to shoulder injuries in professional Baseball pitchers .AJSM Vol. 39 Feb 2011 Knee valgus alignment – ACL injury Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med. 2008 Jun;42(6):394-412.2008

21. Sports medicine centres Utility Level? Therapeutic level – Yes Preventive level – ???? Prevention-easy, effective & most economic solution.

22. Conclusion Talent - not scarce Nurtured early - to prevent “ Talent Drain ”.

23. Conclusion So we recommend : - Structured stretching - Strengthening exercise - Proper landing drills

24. Suggestion

25. Thank You

26. Questions???