Friday, August 31, 2007

More Balance Training....

This one goes back a few years, but it worth thinking about. There are a few studies like this. Twisted ankles and knees are really common in walkers, runners and footballers. The science seems to indicate that balance training, or more properly proprioceptive training, can help to prevent them.


Prevention of anterior cruciate ligament injuries in soccer

Abstract Proprioceptive training has been shown to reduce the incidence of ankle sprains in different sports. It can also improve rehabilitation after anterior cruciate ligament (ACL) injuries whether treated operatively or nonoperatively. Since ACL injuries lead to long absence from sports and are one of the main causes of permanent sports disability, it is essential to try to prevent them. In a prospective controlled study of 600 soccer players in 40 semiprofessional or amateur teams, we studied the possible preventive effect of a gradually increasing proprioceptive training on four different types of wobble-boards during three soccer seasons. Three hundred players were instructed to train 20 min per day with 5 different phases of increasing difficulty. The first phase consisted of balance training without any balance board; phase 2 of training on a rectangular balance board; phase 3 of training on a round board; phase 4 of training on a combined round and rectangular board; phase 5 of training on a so-called BABS board. A control group of 300 players from other, comparable teams trained normally and received no special balance training. Both groups were observed for three whole soccer seasons, and possible ACL lesions were diagnosed by clinical examination, KT-1000 measurements, magnetic resonance imaging or computed tomography, and arthroscopy. We found an incidence of 1.15 ACL injuries per team per year in the control group and 0.15 injuries per team per year in the proprioceptively trained group (P<0.001). Proprioceptive training can thus significantly reduce the incidence of ACL injuries in soccer players.


At the root of it, balance training is more functional. It mimics and thus prepares you for the challenges of everyday life, which is not lived on a leg extension machine in one dimension, but on rough uneven pavements and pitches, as you move in three dimensions.

2 comments:

Albert said...

Chris,

Do you have any idea what type of exercises they did for the proprioceptive training?

Thanks
Albert

Chris said...

Sorry Albert, I don't have access to the full article just the abstract.

That only says:

.... a gradually increasing proprioceptive training on four different types of wobble-boards during three soccer seasons. Three hundred players were instructed to train 20 min per day with 5 different phases of increasing difficulty. The first phase consisted of balance training without any balance board; phase 2 of training on a rectangular balance board; phase 3 of training on a round board; phase 4 of training on a combined round and rectangular board; phase 5 of training on a so-called BABS board.

I'd have to pay $32 for the full article and I'm not sure that I want to!

However, you could probably get similar ideas and routines from

http://www.pponline.co.uk/encyc/balance-exercise.html



or

http://sportsmedicine.about.com/od/balancetraining/a/ankle_balance.htm

or

http://www.bodybuilding.com/fun/sonnon8.htm

or

http://www.fitter1.ca/exercises_wb.html?mtcPromotion=Exercises%3EWobble

Thanks for the comment