May 2021 - 38

Injury Prevention & Rehabilitation
iliopsoas syndrome and he also reiterates most
of the injuries are the result of overuse (4)
. This
brings up the question: How much is enough
training, practice, games, and conditioning? It is
a challenging and difficult question to answer
- especially at the high school level where
athletes are in various stages of growth and
development from 14-18 years of age. It has
been my experience that the younger athletes
14-16 may benefit from shorter practice times
and fewer conditioning drills and let subjective
discomfort in the hip flexor area be a warning to
stop or reduce activity for that day. This action
is debatable by coaches.
TABLE 1 (1)
The Dynamic Warm-up:
* High knee walk
* Heel-to-butt w/ forward lean
* Backward lunge
* High knee skip
* Straight-leg walk/skip
* Backward run
MECHANISMS OF INJURY (MOI)
From the few studies reviewed and personal
experience at the high school level, kicking
and sprinting was the mechanism of injury
(MOI) for the rectus femoris injuries whereas
the change of direction appeared responsible
for the iliopsoas group injuries (2,6)
. Ice hockey
and men's and women's soccer showed the
highest rates of recurrence for the hip flexor
strains with most of the injuries occurring in the
competition which makes sense because of the
increased intensity (2)
. In contrast to that, at the
high school level, most of the hip flexor injuries I
have evaluated occurred in practice.
Furthermore, it was also found that most of the
hip flexor injuries were non-contact with overuse
being a close second and this appears to be the
same trend at the high school level. Therefore,
these sports should focus on the prevention of
the injury and have very specific rehab protocols
and return to play (RTP) requirements since they
have high rates of recurrence.
Adequate preparation and gradual progression
into full-speed drills/play are key for decreasing
hip flexor injuries. Forceful acceleration,
38 | Training & Conditioning | Video Playbook 2021

May 2021

Table of Contents for the Digital Edition of May 2021

May 2021 - 1
May 2021 - 2
May 2021 - 3
May 2021 - 4
May 2021 - 5
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https://www.nxtbook.com/greatamericanmediaservices/Training-and-Conditioning/february-2023
https://www.nxtbook.com/greatamericanmediaservices/Training-and-Conditioning/october-november
https://www.nxtbook.com/greatamericanmediaservices/Training-and-Conditioning/august-september-2022
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