Sunday 27 July 2014

Footsteps to a Bright Future


"I am not a lone wolf. I am a team man. I need to have people around me" MS Dhoni ( Captain, India ).

MS Dhoni could arguably be one of the great minds of the game.  With his ice cool temperament, astute captaincy and a World Cup medal under his belt, few can argue with the man they call Captain Marvel.  But even a man of his stature understands that it's not about the name and number at the back of the playing shirt but more importantly the name that stands bright and bold in the front.  An individual cannot win a game on his own.  He is not a "lone wolf".  Each individual which makes up a team requires his other 10 mates as well as the rest of his squad to win games.

It's gives me great pleasure to write this piece on fitness and preparation for the game that we all love.  MS Dhoni touched on the importance of a team and playing for one another, which is vital for the enjoyment and winning culture of a team.  

However before we get to the high levels of professional cricket we all need to enjoy the game and create a foundation for a future.  The foundation begins with 4 Pillars, that is, Fitness, Technical Skills, Strategies and Mental Skills.  My domain lies in the fitness and injury prevention of aspiring cricketers.  


Fitness and Injury prevention: 

Many people outside the cricket environment often ask, if there is much work from a physiotherapy point of view.  Cricket unlike many other sports, has a high percentage of overuse injuries, that is, injuries that develop over time due to repetition and hence becomes chronic in nature.  Stress fractures of the lower back to fast bowlers, rotator cuff shoulder injuries and tendonpathies (Achilles Tendon) are some of the chronic overuse injuries that occur in the sport.  These type of injuries need to be managed and prevented to allow players optimal game time.

Fast bowlers are by far the most prone to injury as compared to the other disciplines in the game.  This is purely due to the intensity they work at and their force expenditure at the crease.  The key to preventing injuries to fast bowlers is as follows :
1. Performing a throrough musculoskeletal assessment
2. Understanding their bowling action
3. Monitoring their weight, Skinfolds, and general fitness
4. Monitoring bowling workloads 
5. Having a keen eye on their recovery.

Musculoskeletal Assessments:
This is a specific physiotherapy assessment which is performed during a preseason.  The assessment is an objective screening tool which analyzes the player from head to toe.  At the conclusion of the assessment the physio will be able to distinguish areas of concern, which could potentially cause injuries in the future.  Following this, each player will then be handed their own specific prehabilitation programme (preventative programme), in the hope to prevent injuries to these areas of concern.  This programme will be maintained throughout the season

Bowling Actions:
Side on:
The side-on technique  is typically characterised by a low run-up speed, rear-foot positioned parallel with the popping crease, and a shoulder alignment at rear-foot strike that points down the wicket towards the batter approximately 180 degrees (shoulder segment angle) (Bartlett et al., 1996).  Thus, the fast bowler has the appearance of bowling ‘side-on’ as they begin the delivery stride, with the left hip and shoulder (for a right hand bowler) pointing towards the batter. A recent classification of bowling actions (Portus et al., 2004) describes the side-on action as “a shoulder segment angle less than 210 degrees at back foot contact, a hip-shoulder separation angle less than 30 degrees at back foot contact, and, shoulder counter-rotation less than 30 degrees (Portus et al., 2004). A key feature of a side-on delivery is that the lumbar spine is subject to less rotation when compared with other actions. The side-on action while being the most ‘traditional’ action is now considered to be extremely rare in modern day fast bowlers (Ferdinands et al., 2010; Ranson et al., 2008).

Semi:
This sub-classification is relatively new and was advocated as a safe technique by the Australian Cricket Board as recently as 1998 (Portus et al., 2004). In this action the shoulder segment angle lies between the front-on and side-on actions. Similar to both the side-on and front-on actions, there is little to no counter-rotation of the shoulders. It is described as “a shoulder segment angle from 210 to 240 degrees at back foot contact,
a hip-shoulder separation angle less than 30 degrees at back foot contact, and, shoulder counter-rotation less than 30 degrees "( Portus et al., 2004).

Front on:
The front-on action, made famous by the West Indian pace bowlers throughout the 1970s and 1980s (Hardcastle, 1991), has been adopted widely in the modern game (Ferdinands et al., 2009). In a front-on action, the bowler’s hips and shoulders are open prior to delivery, giving the appearance of the
bowler running straight towards the batter. This action is described as “having a shoulder segment angle greater than 240 degrees at back foot
contact, a hip-shoulder separation angle less than 30 degrees. at back foot
contact, and, shoulder counter-rotation less than 30degrees ” (Portus et al., 2004). As with the side-on action, the degree of rotation of the lumbar spine is less than in other actions.

Mixed action:
The mixed action is a combination of both the front-on and side-on bowling actions, therefore the exact technique can vary. For instance,when the back foot makes contact, the hips and lower limb can adopt an orientation consistent with a side-on action whereas the shoulders face front-on to the batter, but the opposite of this can also occur. The mixed action is defined
as any action with “a hip-shoulder separation angle equal to or greater than 30 degrees at back foot contact, or, shoulder counter-rotation
equal to or greater than 30 degrees ” (Portus et al., 2004). Recent studies
(Ferdinands et al., 2010; Ranson et al., 2008) employing more specific classification methods, have identified that this action is the most prominent in professional adult bowlers from England, Australia and New Zealand (Ferdinands et al., 2010; Portus et al.,2004; Ranson et al., 2008).


Contributors to injury:
Weight:
A body's relative mass or the quantity of matter contained by it, giving rise to a downward force; the heaviness of a person or thing.

Skinfolds:
Many athletes attempt to alter their body weight composition, either by trying to put on weight ( in the form of muscle) or by losing weight ( in the form of fat).  Certain sports require athletes to have large amounts of muscle mass.  Some sports require  athletes to be a particular weight to compete. There accurate assessments of body composition is necessary in certain athletes.

Sum of 7 skinfolds:
The body fat measurements of 7 areas of the body are measured using calipers:
- Tricpes
- Subscapular
- Biceps
- Supraspinale
- Abdomen
- Anterior thigh - quadriceps 
- Medial Calf

Ground reaction forces (GRFs):
In physics, and in particular in biomechanics, the ground reaction force (GRF) is the force exerted by the ground on a body in contact with it. For example, a person standing motionless on the ground exerts a contact force on it (equal to the person's weight) and at the same time an equal and opposite ground reaction force is exerted by the ground on the person.  GRFs, occurs when a fast bowler pounds his front foot into the ground, up to 9times his body weight.  Imagine the force that goes through his front ankle, knee, hip and lower back.

Bowling Workloads:
Managing the amount of overs a fast bowler delivers is also extremely important.  Off particular importance is looking out for "spikes" in a fast bowlers week or month.  By "spikes", I mean, if a bowler bowls 30 overs in weeks 1 and 2 and suddenly bowls 60 overs in week 3.  Week 3 is seen as "spike" in his trend and is seen as a "red flag" (something to watch out for).  The increase workload could result in injury.  We would then look to lower his loads or rest him for a few days.  

I have no doubt that stress fractures to the lower back of fast bowlers, occur between the ages of 15-22.  This mainly due to growth plates in the vertebral column that have not developed due to age.  With the front foot stress of the body ( 7-9 times body), repetitive forces and counter rotation occurring during fast bowling, the lower back in particular takes on huge shear forces which can coincide with injury.  Particularly if growth plates are under developed.

Weight, Skinfolds , GRFs, a poor bowling action, and high workloads do the math.......

Recovery:
Recovery is a major component of preventing the risk of injury in fast bowlers.  With the amount of cricket played these days, these athletes need to be managed well, to perform optimally for the next day or the next match.  This is the menu I request guys to follow:

1.  Hydration levels need to be monitored.  This is done using a refractometer, which        
     can analyze if a player is hydrated or dehydrated.  Players need to urinate in this
     machine, during the course of a day.  The results, allows me to see if they are 
     drinking enough fluids.
2.  Regular stretching - during a first class game, fast bowlers are requested to join 
     me in an early morning yoga session.  This allows players to focus on stretching, 
     using yoga positions.
3.  Nutrition is an important aspect of recovery, as refueling the body after a 
    long day is required to replenish nutrients lost.
4. Ice baths or pool sessions are done after a days play
5. Post match static stretching and form rolling must be done after a days play.
6. Massages are also available


Remember, fast bowling is not a easy job and to get to the top and remain there, managing your body is vital to your success.  Look after the little things and the bigger picture will be obtained.


Craig Govender Physiotherapy @ The Bullring
Bidvest Wanderers Cricket Stadium
Corlett Drive
Illovo

@Craig_gov




Monday 16 June 2014

The Chest Guard not to be frowned upon.....

A piece of protection used by very few cricketers around the world.  Why is this so? Why do we not find more cricketers using this piece of protection?

Imagine playing Test cricket without a "box", normally the first piece of protective equipment a male cricket puts on.  Imagine then not using pads, gloves, helmets, thigh guards and recently becoming more popular the arm guard.  And let's now imagine facing Mitchell Johnson and Dale Steyn without all of the above.  

All the above pieces of protective equipment brings a sense of confidence to the facing batsman and negates negative thinking and poor technique.  So all in all it improves ones game.  Is this not true?

Let's go way back to the Body Line series.  Arch enemies England and Australia were contesting an Ashes series in 1930 and the then England Captain, Douglas Jardine instructed his fast bowler, Harold Larwood, to come around the wicket and pepper Sir Donald Bradman with bouncers aimed at his head and body.  This was their attempt to stop Bradman from scoring. A man of far lesser ability would have probably given in to this heated barrage of hostility but, being the greatest Test batsman ever, he was not forted.

The year was 1954, the player Clairmonte Depeiaza.  He was a Barbadian, who played 5 Tested for the West Indians and he was known for two important facts in Test history.  He is best known for a world Test record for the 7th wicket with Denis Atkinson of 347 and also the first known Test cricketer to use a chest protector.  During the partnership he was hit on the chest numerous times by shorts balls leading to a suggestion from the father of his Barbados team-mate John Goddard that he wear a piece of protective foam rubber around his chest.  This was the first known instance of a chest protector used in Test cricket.  Following the innings, the crowd collected $1000 for him.

Having played club cricket and being part of professional cricket for some years now, I find that the chest guard is a very frowned upon piece of equipment.  I think its a must and should be used by all school boy batsman, lower order players and generally more batsman.

Let's take the helmet for example.  The advent of the helmet has improved cricket tremendously.  Primarily from a health and safety point of view but also from a confidence and technically point of view.  The helmet gives the batsman the confidence to get into line and work on the technical aspects of their game.

Like wise, why not use the protection that's out here.  Surely using a chest guard is going to do the same for a batsman as does a helmet.  But.....does using a chest guard show the opposition fragility? That you are scared? I beg to differ.

The best batsmen in the world are currently using chest guards.  Sangakara and Chanderpaul are the obvious names that come to mind, whom are currently playing. The former averages close to 59 and the latter 52 in Tests.  If the chest guard is going to help your mental preparation, provide you confidence at the crease, improve your average and assist you technically then I do not see why not.  Unless it's your ego telling you otherwise.

As a physiotherapist I have often strapped and handed out Cataflams (NSAIDs) to players ahead of a game, when none was professionally required.  The placebo effect is often the most effective.  Players believe they will perform better, if they were strapped in a certain way or they use an NSAID.  Thus creating a routine that they follow.  This routine can mentally improve their game.  Even by a some little percentage.  In my thoughts, every percentage helps.  If it helps the individual it will help the team.....

The Chest Guard....not to be frowned upon.  There's more to it that meets the eye.


@Craig_gov

Friday 9 May 2014

Too Many Cooks Spoil the Broth by Dr Rudi Webster

A legend of his domain and author of " Think Like a Champion".  Dr Rudi Webster was recently interviewed about the Mental Skills required for the game and the IPL.

I found this article very interesting and need to share it.


Think Like a Champion can be purchased on Amazon.com

@Craig_gov
Instagram : 911Govie

Wednesday 26 February 2014

Lower Back Stress Fractures further explained

Lower back injuries in cricket players, with Alex Kountouris’ by talk medicine on #SoundCloud? https://t.co/4ibdV0zuhe

This 15 minutes podcast, hosted by Prof Jill Cook, explains some of the questions asked by various people out there.  It is highly informative and should be listened to by parents of young fast bowlers and more importantly their coaches.

@Craig_gov