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Top 6 Recovery and Injury Prevention Modalities for Tennis

3/28/2018

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Patrick Aubone, CTPS & Dr. Mark Kovacs, CTPS, MTPS

Practice may be the most important part of playing tennis but recovery is just as, if not more, important in order to stay injury free. Injuries increase every year. Tennis elbow makes up for 50% of arm injuries in recreational tennis. Plantar fasciitis and knee tendonitis are other common injuries found in tennis players at both the competitive and recreational level. Technological advancement in the last 10 years has helped recreational and professional athletes increase recovery times post practice/match. As a recreational athlete you want to be able to play as much as possible and stay injury free. Below are the top 6 bang for your buck ways to decrease injuries and increase performance.
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  1. Stretching Routine – A stretching routine can take as little as 4 minutes or as long as you want. Getting a good stretch post match or practice will not only help with muscle tightness the following day but will also increase muscle range of motion. A simple routine including 4-6 exercises completed for 30-60 seconds at a time for 1-3 rounds will help in numerous ways with muscle flexibility.
 
  1. Foam Rolling – The foam roller might be painful but your body will thank you for it afterwards. The soft tissue massage provided by the foam roller also helps improve blood flow and reduce stiffness. Research shows that foam rolling post practice or competition can help reduce the feeling of fatigue and reduce the soreness in your muscles.
 
  1. Muscle Stimulation -  Are now made available to the public at an affordable price. It is commonly used to treat various issues in the recovery space. A decade ago it was common to utilize ice as a prevention treatment after training. Now using electrical muscle stimulators and other blood flow focused devices has become a more appropriate and common technique to help speed recovery.  Here is some info on ways to utilize these technique on various parts of the body  -  http://mark-kovacs.com/marc-pro.html
 
  1. Sports Massage – A massage is probably the most commonly used recovery/relaxation technique in sports. If you have ever had a massage you know the body “feels” great once it is completed, but is it worth your time and money? Current research shows that a massage as a modality does not improve recovery or that it benefits performance. Does that mean you should not do it? Absolutely not! If you feel like getting a massage after a match or practice will help get the aches and pains out then do it.
 
  1. Recovery Boots - These techniques have become very popular over the past few years due to the portability and ease of use. The concept revolves around compression followed by relaxation around the muscles involved. The basic premise focuses on vasoconstriction followed by vasodilation of blood cells. The goal is to increase oxygenated blood to the area while moving deoxygenated blood away. Here are two companies that provide the technology and are used by athletes on a regular basis.
    1. Recovery Pump -https://www.rpsports.com/recoverypump  
    2. Normatec –  https://www.normatecrecovery.com/how-compression-works/how-and-science/
 
  1. NSAIDS or Nonsteroidal Anti-Inflammatory Drugs – NSAIDS are probably the most commonly used of all the above modalities. A lot of players will take some before, during, and/or after a practice or match. Research shows that in the short term there are benefits in pain reduction. The long term risk may involve increase risk of cardiovascular disease, gastrointestinal and renal problems.  The short term effects of taking NSAIDS will allow you to practice discomfort free but taken over the long term on a consistent basis is not recommended. Below are a few articles of interest related to the topic of NSAIDS in athletes.
    1. Bring on Exercise, Hold The Painkillers https://www.nytimes.com/2017/07/05/well/move/bring-on-the-exercise-hold-the-painkillers.html
    2. International Olympic Committee consensus statement on pain management in elite athletes - http://bjsm.bmj.com/content/51/17/1245
Here is a link to another older blog post dating back to 2012 from the International Tennis Performance Association discussing recovery modalities that is another great resource http://itpa-tennis.org/itpa-blog/tennis-recovery-some-simple-terms
 
All of the above mentioned modalities can help increase performance and decrease injury risk. Some have more benefits than others. It is up to you to pick which ones work best for you and combine it with your daily routine to get the most of your tennis playing experience.  
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Sources:
https://pdfs.semanticscholar.org/3697/9adb857bd0e925268684acd86d9d94077008.pdf
http://journals.lww.com/nsca-jscr/abstract/2014/01000/the_effects_of_myofascial_release_with_foam.8.aspx
https://www.fitmasterfreddy.com/data/blog/bloggen-mei/macdonald-2014-foam-rolling-as-a-recovery-tool-after-an-intense-bout-of-physical.pdf
http://journals.lww.com/nsca-jscr/Abstract/2009/12000/Comparison_of_Swim_Recovery_and_Muscle_Stimulation.19.aspx
 

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The Importance of the Dynamic Warm-Up for Tennis

10/10/2012

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The warm-up period before tennis practice or competition is very important for a number of reasons. For many people they think of this time period as a time to warm the muscles and prepare the mind for the tennis that is about to happen. However, this time-period can be utilized in a more opportune way if a structured dynamic warm-up is applied. A dynamic warm-up, if performed appropriately, will increase core body and muscle temperature, increase heart rate, improve functional/dynamic range of motion, improve balance, coordination, strength and stability. It is important to realize that for many tennis-players this may be a large part of the “physical” training that they perform. If the dynamic warm-up is structured appropriately it can certainly improve the athlete in multiple ways while also preparing the body for the upcoming tennis play. Research has consistently shown that a well-performed dynamic warm-up is more beneficial for the athlete than traditional static stretching before physical activity (i.e. tennis). Compared to static stretching, dynamic stretching movements improves strength, speed, power performance in subsequent physical activities.


A great resource that is available highlighting dozens of dynamic stretching exercises is available here (Dynamic Stretching: The Revolutionary New Warm Up Method).

Also, the iTPA CTPS educational program has an extensive section highlighting the science behind the dynamic warm-up period as well as dozens of exercises with coaching cues and descriptions.

Video on Dynamic Stretching:


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The Case Against Static Stretching Before Tennis Play

5/19/2012

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Traditional recommendations for warming up before a tennis match have included stretching the major muscles involved in tennis movement. However, research on similar sports to tennis shows dynamic stretching (stretching while moving) yields the greatest benefits during the warm-up to a match. Despite early evidence as far back as the 1960s that static stretching prior to activity did not improve performance, it has been common practice by most coaches and tennis players in warm-up routines.  Contrary to the typical anecdotal belief that static stretching helps improve physical performance, there is only a small amount of evidence suggesting it enhances athletic performance.  Numerous studies, however, demonstrate that traditional “static” stretching actually impairs performance in strength, speed and power activities. Depth jump performance (a good indication of power output) as well as vertical jump height were significantly reduced. This deficit in performance can last approximately 60 minutes after the stretching routine.

Apart from the traditional, misinformed belief that pre-exercise stretching improves performance, a second major reason many coaches and athletes still perform static stretching before activity is to aid in the prevention of injury. The thought that pre-activity static stretching may reduce injury is typically linked to the theory that a “tight” muscle-tendon unit is less compliant, which means that it cannot be stretched to as great a degree. However, current research does not support this assumption and fails to show that pre-activity static stretching reduces the risk of injury.

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