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  What is Sports Medicine ?
   
  It is a branch of Medicine that deals with Medical problems of Sports persons. It involves the methods of selection for sports persons, their nourishment, fitness, improvement, enhancement of their performance, prevention of injuries, early diagnosis & treatment of all Medical problems. This definition relates to the athlete, the sport, sporting equipment and diagnostic instrumentation. Real object of sports Medicine is to find talent which is most suitable for any given sports.
   
   
 
A sportsman should be physically fit :

Psychological aspect of the Training Schedule :

When we think of the qualities such as strength, speed stamina, flexibility and coordination we try to find out ways and means to improve them. This is achieved with the help of a training schedule. Before understanding what a training schedule is we will elaborate certain principles and basic facts in sports medicine. The human body is many a time liked to a machine. A machine burns petrol as fuel and produces heat and movement. The most important difference lies in the fact that the body adopts to a given stress if the stress is not too high or too sudden. A machine does not adopt to abnormal stress. If a body is exposed to certain stress in a controlled way it becomes more efficient poor people and advise adopt themselves to a diet low in the requisite calories content but still do remarkably heavy work. An executive who moves about in cars and endorse only table work with a diet High in Caloric content gets adopted to his own life and cannot climb a staircase without getting breath less, often falling prey to various cardiorespiratory disorders. If a person just lies in bed doing nothing, his body starts adopting to this situation in 24 hours. His appetite decreases, he becomes constipated, his strength starts decreasing and in a matter of two weeks his strength is reduced pulse by 25% his bones start giving up calcium, his resting pulse rate increases, his capacity to take in oxygen diminishes and so on. In short he becomes such a weakling within a period of one month that he cannot walk a few steps without fainting.
   
  The Training schedule take into consideration in the following aspects :
   
  1. Warming up

2. STRENGTH

3. FLEXIBILITY

4. AGILITY

5. ENDURANCE

6. SPEED

7. CO-ORDINATION / SKILL

8. RELAXATION

9. KILLING INSTINCT

10. MENTAL TRAINING

11. PHILOSOPHICAL TRAINING

12. PREVENTION OF INJURIES
 
1. Warming up :

The warm-up exercises are designed to prepare the body for the sporting activity. They have to function, in two ways. They are

1. To prevent injury
2. To enhance performance

2. Strength :


Strength training is a very specialised form of training it has individualises strength varies not only from individual to individual but one muscle group to other.

3. Flexibility :


A simple and flexible is an asset to in game every player should understand that this is the foundation for any further training and inflexible body is prone to various legiments and muscle injuries.

4. Agility :

Alertness of mind and ability to use different group muscles in co-ordination. It can indicate the quickness of movement.

5. Endurance :

The ability to perform at a particular intensity for prolonged periods – without getting exhausted.

6. Speed :

Speed is the soul of present-day life. The essence of city life is maintaining fast tempo and everything that is quick is appreciated. Speed in movements is essential in almost any game and in cricket., it is a great asset. Speed is an integration of strength, co-ordination and flexibility; hence improvement in speed is essentially an improvement in the above mentioned characteristics.
   
 
SPEED REQUIRED IN CRICKET
Running Speed : 1. For a fielder chasing a ball

2. For a batsman taking a single

3. For a bowler run-up
Throwing Speed : For a fielder

Bowling speed :

For a fast bowler
   
  7. Co-ordination :

Co-ordination remains the life and soul of any game and cricket is no exception. It is often observed that a big built batsman inspite of all his strength cannot execute a good stroke that will fetch him a boundary but an appropriate week batsman who hits it with co-ordination.

8. Training for Relaxation :

The word relaxation is some times misused and sometimes misunderstood.
“A player plays in a relaxed way “ does not mean that his muscles are relaxed. It means he plays in an unhurried short of way and does not substitute unnecessary strength where co-ordination will help. From our previous discussion it will be immediately apparent that such a player has a high degree of co-ordination. Speed and flexibility conveys the impression of playing at ease. A player totally relaxed in mind and body cannot play well. A title tension at the start of the innings is always beneficial. As time goes by this tension sublimates into confidence. The important point is to make a player totally relaxed after a game and not during a game.
   
 
Following methods are available for relaxation
Physical methods : Light exercise, Sauna Massage
Mental methods : Music, reading etc.
Combined methods : Shavasana
   
  9. Killing Instinct :

A player having played a very good season, when he fails to reproduce the same performance in the following season is said to be “not in form”, we will examine these two concepts more closely.One cannot measure killing instinct. It is purely a subjective evaluation, and hence often gives way to wrong judgments and personal bias. If we observe the following things. They are superbly fit, show immense skill and have an amazing concentration. Any top ranking player in any game will show these virtues. These virtues cannot be substituted by aggressive behaviour and a gamesmanship. A very cool temperament is essential to think properly and then translate the thoughts into actions. Even hypnosis helps in some instances.

10. Mental Training :

It is not the bowler, it is not the ball, neither is it the wicket nor a bad call. It is all in the mind. The logical culmination of systematic physical training is mental training. It is only for the sake of simplicity that we have divided physical and mental training into two separate entities. Actually one cannot separate the mind from the body, they are one when doing strength training, progress can only be achieved if the mind controls the body muscles to give a co-ordinate effort. If the mind is wandering. Strength cannot be properly utilised. The same can be said flexiblity and endurance training. One needs to understand the process of thought and the power it fields over actual performance.
To give a good performance one needs a supremely quit mind. An agitated mind cannot perform well because the skill of a person is totally dependent on the sate of his mind.

11. Concentration :

Sustained attention is concertration for a cricketer of focus his attention for example on bowling batting and fielding for prolonged period improves his performance. If mind is wondering strength cannot be properly utilized.

A nervous player breathes faster, his facial expression is tense, the colour of his face is pale, his body movements are rigid, the hands are cold, by imagining things he is increasing his own tensions. Such a player will get out early, may mess up his line and length in bowling drop simple catches. Mental training is in fact a systematic effort to control the restless mind so that mental energy is not wasted and is focussed on the job at hand.

Some simple method of mental training are :

a) Breathing exercise :

To sit quitely in room with the eyes closed. Then breath in slowly and then breath out slowly, gradually increase the total time taken for this exercise.Philosophical Training :
Philosophical Training develops the attitude of a person towards his work. With the increasing exposure of players to the media like television and the boom in sports magazines. It is vitally important that a player keeps a detached attitude towards success and failure of the next. This is especially true of young and upcoming players. They are hailed as re-incarnations of some as masters and with equal alacrity thrown into dust-bins if they fail to live upto their reputation, which in any case was false.

Batting with good technique and complete concentration is your duty. The fifties and hundreds, headlines in newspapers, prize money adulation of fans high life, money through advertisements ............ every thing will follow or may not follow. Every run taken a run taken and nothing more.

“ Therefore work with complete mind and body integration and do not crave for the fruit of your work. Have complete balance of mind regarding finished and unfinished work “. “Joy or sorrow, gain or loss, success or failure must be treated equally and then prepare yourself for the battle ahead....”

Holding one of these thoughts in mind is absolutely a continuous process to be followed every single moment. This itself develops a positive attitude towards life in general which is relfected in the game. After all nobody scores a century or takes five wickets in every innings. But everybody tries all the same. This attempt is better with philosophical training. To try honestly is its own reward.

SPORTS INJURIES :

Minor Injuries :

Soreness that can result from friction between clothes, equipment and skin may be prevented by rubbing petroleum jelly into susceptible areas, by wearing protective bandages. Blisters on the feet are usually the result of poorly-fitting shoes. Apply an adhesive plaster to protect against further rubbing.Strains, Sprains & pulled muscles & ligaments :

These injuries occur when muscles and joints are stretched beyond their normal limits of movement, resulting damage to muscle and ligament fibres.Prevention of Injuries :
Every sport produces injuries which are peculiar to itself. Cricket is no exception.

These injuries occur due to following reasons :

» Inadequate warming up.

» Inflexible body

» Repetitive movements over a prolonged period of time

» Making a sudden unusual movement.

» Using strength in a biomechanically unacceptable position of joint

» Actual accidents related to the playing apparatus.

» Using unnecessary force.

Prevention of injury is not only individuals and his sports doctors responsibility but also the responsibility of the Organisers and the associates. This is so because this problem is related to exercises, equipment and ground conditions to prevent injuries. When all three aspects are properly taken care of sports injuries will be drastically reduced.

We will consider prevention of injuries according to the Speciality of the player, regions of the body involved in the injury and methods to avoid getting injured. By doing a proper warm-up which helps in odd muscle action by improving blood supply to muscles and joints improves flexibility of joints.

Learn the right ways of playing the game – wrong ways of batting bowling etc. May cause unwanted strain to the muscles and joints.Cool down exercises-similar to warm-up is done to prevent muscular pains in removal of waste products formed in muscles during the game.

Managing a Training Schedule :

A training schedule is planned for the year ahead. Therefore one must know the tentative schedule of tournaments and tours before hand. Although the Cricket season is spread over almost the whole year, actually the schedule must be divided into pre-season mid-season and off-season sessions.

For the players below 13 years general flexibility exercise only should be followed. For the players in the age group of 14 to 16 in addition to flexibility, strength training should be started. Around this time there are hormonal changes in the body which are suitable for strength training. The gains in strength are useful now as the flexibility training has improved the joint ranges and strengthened the ligaments. Strength training should be gradually increased in its intensity. It should not be more frequent than thrice a week.

The players between the ages of 16 and 18 should start training for general aerobic endurance training. At around this age capacity of lungs to oxygen fromt he air is fully developed. The heart size also reached its natural maximum and the capacity of the hear to pump out-blood.

The Benefits of Exercise :

Regular exercise has also been shown to help prevent coronary disease.

HEART, LUNGS & ARTERIES :

Regular vigorous activity will increase the strength and resilience of the heart and lungs helping them to become more efficient and less prone to disease.Exercise may also decrease blood pressure, thereby reducing the risk of hardening of arteries. At the same time exercise may widen the arteries and make complete blockage, by a clot, for instance, of less likely. Recently research has linked vigorous activity with an increase in the chemical factors in the blood that actually interfere with the rate of fat deposition in the arteries.

JOINTS :

That are regularly exercised will maintain their strength and flexibility. Under use contributes to stiffening and weakness of the ligaments that support and protect the joints. Your muscles will also become weak and flabby with lack of use-as you will soon discover if you give vp your activities.

MUSCLE :

Exercise increases muscle tone thereby conditioning the entire body. Because the muscles that move the legs are among the largest in the body, activities that use the legs, such as swimming, jogging or bicycling are excellent ways to place healthy on such demands on the heart and lungs.A Sports Person should use the right equipment :
Equipment necessary to play, like Bats, Ball etc., the bat should be of the right size, weight to prevent strain to the player.

Protective equipment like big pads, gloves, helmet, abdominal guards etc., should be of the right size well fitting and right material.

Sports and other forms of exercise are important for maintaining health and general fitness, but an over ambitious programs may lead to injuries and other health problems. Injuries may also be due to inadequate warming-up before exercise or failure to use the correct safety equipment or clothing, some sports by their very nature, carry a high risk of injury for example boxing where brain damage and other injuries are common. Other sports such as football, carry a risk of accidental injury commonly pulled muscles and broken noses. Make sure that you are aware of the risks of any exercises activity you undertake, so that you can balance theses against the likely health benefits, and so that you can take reasonable precautions to prevent injury.

SAFETY EQUIPMENT :

In some sports you can reduce the risk of injury by the use of special safety equipment for example, eye-guard for squash player, skin pads for footballers, and helmets for cyclists. Make sure that any equipment you buy is of good quality and meets your individuals requirements. If you are unsure what equipment is necessary, seek advice from SCF or from the appropriate sporting organisation.

Clothing :

For most exercising, choose clothes that are comfortable and do not restrict movement. Natural fibres such as cotton are best for shirts, shorts and socks because they allow air to circulate freely, reducing the likelihood of chaffing and blisters. It is good idea, especially in cold weather, to start off wearing several layers that can be removed as you warm_up. Most women will find they are more comfortable wearing a sports bra for extra support. When specialized protective clothing is required for sports such as skiing, seek experts advice before you buy. Be sure to wash your sports wear regularly to prevent the occurance of fungal infection.

Shoes :

Wearing suitable shoes during exercise is essential if you are to avoid damage to the feet, legs and knees. Make sure that your sports shoes fit properly. Allowing room for your feet to expand slightly during exercises. Your running shoes should be light weight and have well cushioned flexible soles with a rich supports. You should have half an inch of clearance between your toes and the front of your shoe so that your toes move freely.

TRACK TRAINING :

The following points should be remembered when track training :- The load is high on muscle, ligaments and joints.

» Start the training on a soft surface.

» Do not run on very hilly ground

» Do not run at full speed at the beginning

» Increased speed means increased load.

MUSCULAR SYSTEM :

All human activity whether work or sports depends ultimately on the contraction of muscle tissue for its driving forces.

There are more than 650 muscles in the body. A majority of the muscle in the human body are small muscles located in the hands, feet, and spinal column. But one should be aware of and should have an adequate knowledge and under standing of all big muscle groups in the body. This is necessary in order to improve, strengthen and maintain the different parts of the body.

ANKLE SPRAIN :

» l Early use of cold compression.

» l In very server and un co-operative cases plaster of Paris is needed but for

» Intermediate stage contract bath is suggested.

» l Progressive treatment of adequate immobilisation associated with contract vbath.

» l Server cases need adhesive stretch strapping and felt pads over local area.

» l Exercises : early stage. Not to be done, do not stretch affected ligaments.


WRIST SPRAIN :

» l Immediate use of cold therapy

»
l Support by a metal plastic or plaster of Paris splint.

»
l Principles of treatment as with other sprains.

»
l The tendon and sheath require additional consideration.Possible complications of sprains are edema, synovitis, periostitis, chronic sprain, osteoarthritis.

TENNIS ELBOW :

Lesions may be at one of the places or in many parts of the joint such as lateral ligaments, strain, capsular involvement, bursitis in the common extension tend over stretch of fibres of extensor carp radialis or brevis, usually at the musculo tendons junction.

Causes :

Strong forearm movement particularly involving pronation and supination associated with strong gripping is commonly responsible. Tennis player, golfers, engineers etc., are common sufferers
   
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