Injury prevention and Rehabilitation with Carl Butler, head of athlete Health for British Aquatics

05/08/2024 51 min Temporada 1 Episodio 1
Injury prevention and Rehabilitation with Carl Butler, head of athlete Health for British Aquatics

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Episode Synopsis

Introduction and background @ 0:00Richard introduces Carl as an experienced physiotherapist who has worked with elite athletes, including in the Olympics. Carl provides an overview of his background, including his roles overseeing medical and physiotherapy teams for British swimming, diving, and other sports.Common resistance training injuries @ 3:38Carl discusses the most common injuries he sees in patients who engage in strength and resistance training, highlighting that the biggest issues tend to be training load errors - people ramping up too quickly, too soon, or too often, leading to overuse injuries like tendinopathies and muscle strains.Strategies for injury prevention @ 4:45To prevent these types of injuries, Carl emphasises the importance of having a clear plan with progressive overload, establishing a baseline, and systematically increasing load over time in small, manageable increments (e.g. 10-20% increases). He also discusses the role of proper form and technique, noting the need to balance perfect form with allowing natural movement variations.Warm-ups, cool-downs, and performance @ 10:05Carl reviews the evidence around warm-ups and cool-downs, noting that while the research on injury prevention is limited, there is stronger evidence for their benefits in improving performance. He discusses the importance of movement-specific warm-ups to prepare the body for the upcoming activity.Rehabilitation strategies @ 12:54When it comes to rehabilitating patients with injuries, Carl emphasises the importance of maintaining activity in unaffected areas, protecting the injured area, and gradually progressing the load and movement patterns. He outlines a step-by-step approach of restoring range of motion, building strength, and integrating the injured area back into full-body movements.Misconceptions about injury prevention and rehabilitation @ 38:22Carl discusses common misconceptions around modalities like cupping, noting that while they may provide temporary symptom relief, they should not be the primary focus of a rehabilitation program. He emphasises that the fundamentals of a well-designed, progressive training plan are the most important factors for injury prevention and recovery.Case study: Rehabilitating a tennis player's shoulder injury @ 43:53Carl provides a detailed case study of how he worked with a high-level tennis player to address a recurring shoulder issue. By breaking down the player's movement patterns, identifying weaknesses, and systematically addressing them through a targeted rehabilitation program, Carl was able to resolve the player's injury and enable them to return to full function.

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