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MikeH

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Steve,

I recently bagan working with a gymnast.  I have begun teaching her the STAR program, as well as some basic stuff to help with some flawed movement patterns she had.  My questions are, are there any basic recomendations for training an athlete of this type?  Also, she suffered a navicular fracture a while ago, and still shows some issues.  (Knee crashes medialy whe performing a squat.)  Do you recomend any exercises to help repair and reabilitate that area.  Thank you.
stevedavison

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first some questions..does she know if she has a accessory navicular bone? (its a congenital anomaly some people have.)   when she "crashes" is it because of pain or she just goes down? was the injury caused by a fall, severe twist, or direct trauma to the navicular bone. was it caused by repeated stress to the foot, creating a fracture not due to any acute trauma (a stress fracture)?  How old is she?   is her walking gait OK? do her feet plant forward when walking? how is her head and especially upper back posture? did she have prescribed therapy? does she have a gymnastic specialty?

the STAR Stabilization program is a good start but i gotta know more to be specific to the injury recovery.
MikeH

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She is 14 years old.  Injury was caused from I believe repeated trauma.  She does not fall during the squat, her knee just comes in severely.  (Knee travels inside the foot.)  Upper back posture was an issue, but that has been fixed to a great degree.  Gait is ok and her running is now OK as well.  No therapy, No real speciality  (Solid in all events)  Thanks, and let me know if you need any more info.
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When you say repeated trauma do you mean she just trained a lot and its an overuse injury?  Is there pain when she squats and does that cause the knee motion?  How long ago was the injury? Can she squat without weights and keep the knee properly positioned? is there swelling?  Does she know if she has a accessory navicular bone?
 
when she squats is she load bearing on the balls of her feet of on her heal? is her squat stance feet parallel or at a 40 or so degree angle? is this squat done with or without weight?  
 
I think answers to all the above will get me started.
MikeH

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Quote:
Originally Posted by stevedavison
When you say repeated trauma do you mean she just trained a lot and its an overuse injury?  Is there pain when she squats and does that cause the knee motion?  How long ago was the injury? Can she squat without weights and keep the knee properly positioned? is there swelling?  Does she know if she has a accessory navicular bone?
 
when she squats is she load bearing on the balls of her feet of on her heal? is her squat stance feet parallel or at a 40 or so degree angle? is this squat done with or without weight?  
 
I think answers to all the above will get me started.

Yes, She does not report any pain, but her tolernace is quite high.  The motion is not pain related.  As of right now, we are not using any weight on this motion.  No sewlling, no extra bones. Currently I have trying to disperse her weight evenly on her foot.  The squat is done on 1 leg.

stevedavison

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go to page 15 of your stabilization program manual. do the hip abduction (page 15) and adduction (page 16).  have her do these exercises with the involved foot on the ground and squatting down just to the place where she starts internally mover her knee.  you may want to give her something to balance with.  3 sets of 30 seconds.

then use exercise number 2 and 8 from the anaerobic workout program (pulley will be about an inch below her belley button) and so agian 3 sets of 30 seconds. 

do this every day she can before her regular workout.  by day 2 you should see a difference.

rest between sets enough to recover from lactic burn.

Let me know how it works out
MikeH

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We will start this week.  Thank you.

stevedavison

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looking forward to your findings

MikeH

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ok, we had our first workout Wednesday.  After doing the exercises prescribed Kaila showed much improvement.  Her knee began tracking almost perfectly, and her balance was improved.  I think 1 or 2 more workouts, and we will move on to some more challenging things.

Thanks
Steve 
stevedavison

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Thanks for starting my day with a smile.  please keep me posted

steve
MikeH

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Another update, Kaila's knee is just about as good as I feel it can get.  Her results have been fantastic thus far.  She is now the fastest girl in her gym to the spring board, and she gets the most distance from the table on her vault.  All in all she is doing real well!  Thanks again Steve!

stevedavison

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 another great way to start the day.
steve
MikeH

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2 updates.

Kaila's vertical leap is up a total of 4 inches since we started.

Kaila's teammate, Katie has now started attending the training facility as well.  Katie had a similar issue as Kaila with her knee crashing medially when performing a 1 legged squat.  (She has been diagnosed with a patellar tracking issue.)  After doing a similar style workout, Katie's knee showed great improvement, within the session.  Her knee basically moved directly over her  second and middle toe as opposed to travelling toward her other leg. 

Steve will the ABB and ADDuction exercises help with a patellar tracking issue?  Or are there other exercises I should throw into the mix?

Thanks
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