Who Is To Blame for Kevin Durant’s Injury: What We Can Learn About Injuries In Youth Sports

Kevin Durant's Injury To Achilles Tendon

In the immediate aftermath of the injuries to the Golden State Warriors, the finger was being pointed.  Being pointed with blame.  Whose fault is a major injury like the Achilles tendon rupture of Kevin Durant? 

However, instead of focusing on the chatter about blame, what can young athletes, their parents and coaches take away from this?

I’d say it’s responsibility and perspective.

Blame for Kevin Durant’s Injury

Whose fault is it?  After all it must be someone’s, right?

Maybe KD himself?

Is it the Golden State Warriors staff? The team’s coaches or management?

What about the press and sports talk media, or just plain old social media?

Opinions aren’t hard to come by right now.  Sports talk shows and twitter are pointing fingers.

In the end, 99% of these guesses (and that’s all they are unless you were part of that process) are clueless. 

Velocity Knows About Injury Decisions

We are routinely part of these decisions in elite sports around the world.  We’ve seen both sides.  We’ve been part of the team or organization and on the outside as independent consultants for players.  We’ve had to give depositions on player/ management issues.  We’ve seen teams that are trying to better protect players and one’s that are just trying to win now.

Velocity’s staff has trained KD himself in the off-season.

I’ve also personally watched an international player go down with an Achilles tear in our own training facility.  Devastating when it was just 6 months before the World Cup.  The player had no history, no symptoms. 

It made no sense.

Until we learned a few weeks later that several other of the national team players also had recent tendon and ligament injuries in a few weeks span.

Turns out, the team doc used a particular anti-malaria medication for a trip to a third world country.  That medication put them at a higher risk of that type of injury.  The players weren’t informed of the risk.  That’s not cool.

Sports Injuries Are Complex

So from our elite sport perspective, here’s what you should know when it comes to answers why it happened; it’s complex.

Nobody likes to hear that.  They want black/white answers and someone to blame.  There could be someone to blame, we don’t know from the outside.  More likely, it’s a complex mix of factors.

Diagnosing and managing injuries has many factors and we are dealing with humans who don’t all go through the same process.

Most of the people we know on the staff of NBA teams are good practitioners working hard to help their athletes.

Most athletes are trying to balance their competitive drive, social pressures and the goal of preserving their financial future.

The Responsibility For Preventing Injury

Players have to make choices about whether to play or not.  Although many people would paint athletes as spoiled, undeserving millionaires playing a kids game, that is an unjust portrayal. 

A player like KD loves the game.  He’s a competitor.  He wants to be competing on the biggest stage injured or not.  He want his team to win. 

He also wants to protect his family and their future.  He wants to protect his greatest asset, his athleticism, skill and body.

Injuries are part of sports and they are a threat to any athlete pro of amateur.  For talent pros and amateurs, injuries are a threat to financial stability from pro contracts, endorsements and college scholarships.  If you get hurt, you could lose it.

It’s also a threat to lifelong health and function.  Injuries can take a lifelong toll on your physical well-being.  They can threaten your enjoyment of a sport and physical activity.

So, on every level players need to also take responsibility for themselves.

RELATED: Here’s A Proven Way To Reduce Injury Risk

Athlete’s and Self Reliance

But any athlete can be responsible.  It’s one of the great lessons sports can help teach.

Of course this is different for a highly paid pro who comes to us and spends thousands of dollars on training, rehab, recovery and more.  That’s basically a business investment.

Want to play better and recover faster, be responsible and get to sleep. 

Want to be a little bit more fit or gain more muscle, eat better.

RELATED: The Most Important Strategy So Athletes Can Recover Better

In fact, this is one of the most rewarding things we see working with young athletes.  The choices they make, on their own to be self reliant.  Young men and women being proactive in their life.

Not blaming, and not waiting.  They start eating a little better at school.  They go out for that extra run on their own.  They put down their phone and go to bed a little earlier than their peers.

The types of injuries that struck Golden State were devastating.  The fear is that the team didn’t do enough (which appears unfounded from our knowledge).  This should be a reminder or wake-up call that you need to be responsible to take care of yourself. 

Don’t count only on your team, your staff, your school, etc…  Be proactive in taking steps to reduce your risk of injury.  Be proactive if injured in managing your treatment and recovery.

KD’s Decision To Play Injured

Whether or not the risk was worth it for KD to go into that game can truly only be answered by KD.  What was the importance of competing to win versus the risk of injury to his career? 

Did pressure from the media or team mates sway his decision?

Did he just want to be the hero?  The one we idolize in sports for overcoming pain and injury.

Even the most rational person would be hard pressed to not absorb some of that pressure.

We don’t know.

Young Athletes Need Perspective On Playing Injured

However, I’d like to see this as a lesson for young athletes.  For their parents and coaches. 

We are questioning if it was a good decision for him.  He’s an adult and one who has experience.  He has advisors and got outside opinions.  He’s won before and financially sound. 

Yet, too often, young athletes feel that same pressure.  Kids, high school and college players.  They don’t have the same experience tor wisdom to draw from.  They don’t have millions in the bank already.  They haven’t reached the pinnacle of their sport.

I’ve watched as we evaluated young athletes for functional after returning from injury.  They were clearly not ready to go back. 

But they did…

Because the parent really wanted them to overcome and play. 

Because a medical professional was negligent in confirming if this player was functional, didn’t and cleared them anyway. 

Because the team, teammates or even other parents pressured them.

Some of them were all right.  Some ended up with another surgery.

So how come there is so much outcry and questioning of KD’s decision, when we see young athletes risking so much all the time?

Let’s improve the conversation about risk.  Young athletes don’t have the perspective that parents and coaches should.  All of us can improve this.

What Next For Youth Sports Injuries

The injury to Kevin Durant is horrific and has made people speculate and talk about responsibility.  Let’s use this as an opportunity to expand the conversation about responsibility and perspective in youth sports injuries. 

There are serious risks when playing hurt and trying to compete when the body isn’t ready.  Every young athlete, coach and parent have a responsibility to truly consider this as well as being proactive in lowering the risk of injury.

Youth Sports Injury Resources:

Positive Coaching Alliance

Stop Sports Injuries

HealthyChildren.org

Very Well Family

Is Youth Strength Training Safe?

is Youth strength training safe

Youth Strength Training Safety

Is resistance training safe for youth athletes?  It’s an important question for every coach and parent.

The bad news…

You still hear the myths. Weight training will stunt your growth.  It will make athletes muscle-bound.  It is dangerous for youth athletes.

The good news…

It’s safe and effective. We’ve seen it for 20 years.  Today it’s backed by research and medical leaders.

RELATED: Strength Training Is Injury Prevention

Is weight training safe for youth?  Here are some experts answering.

The scientific and medical communities have come to a conclusion. It is that strength training is safe and beneficial for youth athletes.

Health Benefits of Resistance Training for Youth and Adolescents

Resistance training has been shown to be safe and also has a number of health benefits. It helps;

  • Body composition
  • Cardiovascular risk profile
  • Reduce body fat
  • Facilitate weight control
  • Improve insulin sensitivity
  • Strengthen bone
  • Enhancing psychosocial wellbeing

Strength Training Is Injury Prevention

strength training helps prevent injury

Stay In The Game

In elite sports there is a lot of emphasis put on injury prevention.  It doesn’t matter how good you are if you are sitting on the bench, hurt.

Teams and athletes look to us to reduce their risk of injury.  We know there are many parts to injury prevention, but the foundation is often strength.

For the last 20 years, Velocity Sports Performance has known that good strength training is injury prevention.

  • Our experience with athletes in 11 Olympic Games backs it up.
  • Our experience with thousands of professional athletes backs it up.
  • A growing body of scientific research is starting to catch up.

is Youth strength training safe

RELATED:  Is Youth Strength Training Safe?

 

Be safe! Bulletproof Your Shoulders For Baseball

bulletproof your shoulder from injury

Its springtime and that means it’s time for Baseball and Softball. Players and coaches know that maintaining shoulder health is important for these sports, but they don’t always know what to do about it. Use these simple exercises to bulletproof your shoulders and stay in the game.

RELATED: Discover the Secret Elite Sports Organizations Know About Building Champion Athletes.

In this video, Coach Kenny Kallen shares two exercises that help improve posture and increase mobility in the thoracic spine and latissimus dorsi. Using these exercises in your warm-up will increase functionality, stability, strength, and power in the shoulders. The ultimate result will be better-throwing mechanics and less pain.

Next, Coach Ken Vick explains why shoulder stability is so important for baseball players. He demonstrates the Band Y, T, and W exercises to be used in any warm-up or workout routine. Improve your baseball throwing mechanics by stabilizing your scapula and rotator cuff to control your follow-through. Improvements in this area translate into increased speed, functionality, stability, strength, and power in the shoulders.

Sports Medicine Specialist Wes Rosner shows you how the 1/2 Turkish Get-Up can help bulletproof your shoulder.  It can strengthen and stabilize the shoulders, back, and core to help prevent injury. You want all these strong and stable when it’s game time.

RELATED: Strength Training Is Injury Prevention

4 Myths about Muscle Pliability You Need to Know

Trainer performing graston technique

The term “muscle pliability” has been in the news around the NFL quite a bit. Tom Brady and his trainer, Alex Guerrero, claim that making muscles pliable is the best way to sustain health and performance. How true is that claim? While it’s a great descriptive term, we are going to shed some light on what it really means and how to create muscle pliability.

Defining Words

Our performance coaches, sports medicine specialists, and tissue therapists all find it to be a useful term.  Pliable expresses some of the important qualities of muscle. According to Miriam-Webster Dictionary here’s what pliable means:

Pliable

a: supple enough to bend freely or repeatedly without breaking

b: yielding readily to others

c: adjustable to varying conditions

That’s a pretty good description for many of the qualities we want in the tissue of an athlete (or any human for that matter). The problem is that it’s being mixed up with a lot of inaccurate and confusing statements.

Our Sports Medicine Specialist, Misao Tanioka, says that “the word pliability, in my opinion, depicts the ideal muscle tissue quality. It is similar to suppleness, elasticity, or resilience. Unfortunately, I believe some of the explanations offered by Mr. Brady and Mr. Guerrero have created some misunderstanding of what ‘muscle pliability’ really is.”

Let’s try and separate some of the myths from what is true.

Myth 1: Muscles that are “soft” are better than dense

That depends on what qualifies as “soft” muscle.  Tissue Specialist Cindy Vick has worked on hundreds of elite athletes, including NFL players and Olympians across many sports. “Soft isn’t a word I would use for an athlete. When I’m working on an elderly client, I often feel muscles that could be called soft; they’re not dense. That’s not what I feel when working on elite athletes. Athletes who are healthy and performing well have muscles that have density without being overly tense and move freely. The tissue is still smooth and supple.”

This muscle quality is affected by many factors, ranging from stress, competition, nutrition, training, and recovery. At Velocity, maintaining optimal tissue quality is a constant endeavor.  Proper self-myofascial release, various stretching techniques, and manual therapy are all part of the equation.

MORE INFO: Mobility vs Flexibility: They are different and it matters for athletes

Myth 2: Dense muscles = stiff muscles = easily injured athletes

Relating these terms in this way grossly over-simplifies reality and is in some ways completely wrong.

You have to start with the operative word: “dense.” Tanioka says, “Dense tissue can be elastic; elastic tissue is resilient to injury. What we have to look for is inelastic tissue.” Cindy Vick adds that “if you mean ‘dense’ to refer to a muscle with adhesions, or that doesn’t move evenly and smoothly, then yes, that’s a problem.”

Scientifically, stiffness refers to how much a muscle resists stretch under tension. It’s like thinking about the elastic qualities of a rubber band. The harder it is to pull, the stiffer it is. If a muscle can’t give and stretch when it needs to, that’s bad.

Imagine a rubber band that protects your joint. When a muscle exerts a force against the impact of an opponent or gravity, stiffness can help resist the joint and ligaments from being overloaded and consequently injured.

“I agree with Mr. Brady’s statement about the importance of a muscle’s ability to lengthen, relax and disperse high-velocity, heavy incoming force to avoid injury,” says Tanioka. “However, I think that athletes also must be able to exert maximum power whether actively generating force or passively resisting incoming stress, which requires the ability to shorten and be taut and firm as well as lengthen. The ability of the tissue to be durable and contractile is just as important as to elongate and soften when it comes to performance and injury prevention.”

In the view of our experts, it’s not about dense, soft, stiff, or other qualitative words. Instead, they emphasize developing function through different types of strength qualities athletes need.   Athletes must prepare for the intense stress and strain their muscles will face in their sport.  They need to blend the right strength training with mobility and flexibility.

Myth 3: Strength training makes muscles short

“It’s an old wives’ tale that took hold when bodybuilding techniques had a big influence on strength and conditioning. A muscle can be incredibly strong without sacrificing any range of motion” according to international expert and President of Velocity Sports Performance, Ken Vick, who has worked with athletes in 10 Olympic Games and helped lead the Chinese Olympic Committee’s preparation efforts for 2016 Rio Olympic Games.

“I’ll give you two great examples: Gymnasts are, pound-for-pound, very strong and incredibly explosive, yet they are known to be some of the most flexible athletes. Olympic weightlifters are clearly some of the strongest athletes in the world and are also generally very flexible. They spend practically every day doing strength training and their muscles aren’t ‘short’.”

RELATED: Why Athletic Strength Is More Than Just How Much Weight Is on The Barbell. 

In fact, proper lifting technique demands excellent flexibility and mobility. For example, poor hip flexor flexibility or limited ankle mobility results in an athlete who probably cannot reach the lowest point of a back squat. Our proven methods combine strength training with dynamic mobility, movement training, and state of the art recovery technology to help our athletes gain and maintain the flexibility and mobility required for strength training and optimal performance on the field of competition.

Myth 4: Plyometrics and band training are better for pliability

We hear these types of claims time and again from coaches, trainers, and others who are quoting something they’ve read without much knowledge of the actual training science. Our muscles and brain don’t care if the resistance is provided by bodyweight, bands, weights, cables, or medicine balls. They can all be effective or detrimental, depending on how they are used.

Sports science has shown that manipulating different variables influences both the physiological and neurological effects of strength training. Rate of motion, movement patterns, environment, and type of resistance all influence the results.

Truth: Muscle Pliability is a good thing

Like so many ideas, muscle pliability is a very good concept. The challenge lies in discerning and then conveying what is true and what is not. An experienced therapist can, within just a few moments of touching a person, tell whether that tissue is healthy. A good coach can tell whether an athlete has flexibility or mobility problems, or both, simply by watching them move.

In either case, it takes years of experience and understanding of the human body and training science, like that which is possessed by the performance and sports medicine staff at Velocity, to correctly apply a concept like muscle pliability to an athlete’s training program.

4 Important Things You Need to Know Before You Do High-Intensity Workouts

hIIT training

High intensity interval training, CrossFit, and bootcamps are all popular and effective ways to exercise. While they are great methods to improve your fitness and performance, there is also a risk of injury if you don’t approach it intelligently.

Results and Risk

These programs often include skilled movements and explosive exercises like plyometrics and other high-intensity movements. Olympic lifts, sprints, power lifts, and variations on gymnastics are also common.

The benefits of these types of exercises are that they stimulate maximal muscle engagement and quickly take joints through their full range of motion. However, the same qualities that make these movements so effective also makes them very challenging if you haven’t been doing much fitness training.

“They are great exercises to get results because they are ground-based, engage multiple joints and muscles groups, and have high intensity” says Coach Ken Vick, High Performance Director for Velocity Sports Performance.

“They are more athletic, but with that comes some risk of injury just as in sport. The key is to know your limits and follow good coaching.”

HIIT Keys to Success

Vick says for those who are interested in training this way, there are Four Steps for Success:

Assess your own readiness

Have you done these types of workouts in the past? Do you have past injuries? Are there limitations in your joint range of motion? If you answered yes to any of these questions, then you need to get some guidance before you start.

A qualified coach can help assess if you’re ready, and a sports medicine professional can help identify any injury risks and how to alleviate them.

You don’t have to be in great shape before you can start taking these kinds of classes, but you do need to realistically assess your readiness with the help of professionals. They can give you a roadmap to a safe starting point.

Check your ego at the door

One of the benefits of these programs is the energy and intensity that comes from training with a group of people all pushing through a challenging workout together. Be wary that you don’t let pride and ego tell you to push yourself farther than you should, lest you pay some painful consequences.“I can’t tell you how many times we’ve heard someone say: I knew I was pushing myself too far,” says Coach Vick. “There will always be others better than you at any given exercise or workout. They may be younger or older, male or female.”

The key is to change your focus from competing with others to competing with yourself. Focus on improving your skills, technique, results, and your own PRs and you will not only get better, but you will stay safe.

Find an on-boarding class 

Find a class that on boards you with a coach who can get you involved safely rather than joining an advanced, competitive class. A good coach teaches you the correct mechanics and form for exercises and has variations to adapt them to your needs and skill level.

Know when to stop

Severe pain is always a red flag. While soreness is normal, the amount of soreness you experience with workouts should decrease as your body adapts over the first few weeks.If you experience joint pain, swelling or instability, stop. See a sports medicine specialist for evaluation. They can figure out how to eliminate the pain and how you can correct the underlying causes. They should work with you and your coach to adapt your training so you can keep building fitness while fixing your injury.

Research has shown that when an experienced coach or trainer is involved, the rate of any kind of injury decreases dramatically.

To prevent injury from happening in the first place, it’s very important to perform an active or dynamic warm-up to prepare the muscles to work at high speeds or under heavy loads. Some programs incorporate a warm-up into the workout, while others will show you what to do and give you time to do it beforehand.

Train Harder, and Smarter

High intensity interval training adds the intensity, motivation, and fun of these kinds of programs can inject new energy into your fitness regimen. All of these elements can help you work harder and push your fitness to a higher level than ever before. If you’re smart and follow these four keys, you can reap all the benefits and avoid injury.

4 Signs of Dehydration to Take Seriously

No matter the season, it is important for athletes to stay hydrated in order to perform at their highest level.

However, during the warmer months, dehydration is a very serious topic for not only athlete performance, but general safety and well-being. As the temperature goes up, so too does athlete perspiration.

When an athlete sweats, they lose electrolytes such as sodium and potassium. When an athlete depletes their body of fluids and electrolytes without replenishing them, they put themselves in grave danger.

READ MORE: What Not To Eat Before Games and Training

Here are four dehydration warning signs athletes should take seriously:

Dark Colored Urine With Strong Odor

This is one of the easiest ways to catch dehydration at an early stage. If an athlete’s urine is dark yellow it is a good time to start drinking some water and stop the problem before it even starts.

Prolonged Weight Loss During Exercise

Weight loss of 2% or more during a training session is a good indicator of dehydration.  That would be approximately 2.5-pounds of weight lost for an athlete weighing 125 pounds. Weight loss during exercise is not fat loss — so stay hydrated before, during and after training and bring plenty of fluids to games and practices. 

Muscle Cramps

Muscle cramps can be another of the warning signs of dehydration and electrolyte imbalance. Consuming a sports drink like Gatorade during exercise bouts longer than four hours or when under extreme heat conditions can help prevent muscle cramps.  This does not mean an athlete needs a sports drink for one hour of exercise — water would be much more beneficial to them than Gatorade.

Dizziness, Nausea and Fatigue

If an athlete is experiencing dizziness, nausea and fatigue, it is important to immediately begin consuming water or a sports drink and rest.  Also, it is important to avoid caffeine, as caffeine will increase urine output.

When you recognize any of these four dehydration warning signs, tell a coach or parent and begin hydrating immediately. Have fun and be safe this summer during your training sessions.

ADDITIONAL RESOURCES ON DEHYDRATION IN SPORTS:

National Athletic Trainers’ Association PREVENTING HEAT ILLNESS HANDOUT

National Athletic Trainers’ Association Position Statement: Fluid Replacement for Athletes

STOP Sports Injuries: Heat Illness Prevention

How To Protect Against ACL Injuries

slide power

Although Anterior Cruciate Ligament (ACL) injuries are not as career ending as they used to be, they are still significant enough to greatly impact an athlete’s season and future potential. Because of this, they are obviously best avoided. Although no injury is completely unavoidable, preparation prior to competition is essential to reducing the risk. 

Two primary causes for a non-impact ACL injury: inadequate deceleration and poor muscular balance. Deceleration is the ability to slow down and control force production. This is an extremely important skill for athletes to master during training. When athletes lack the ability to decelerate efficiently, they put themselves at risk for a non-impact ACL injury during rudimentary actions like changing direction fast or landing from a jump.

The following tips are essential to include in your comprehensive preventative conditioning program:

Proper Warm-Up: A proper warm up is key for preparing the body for activity.  By warming up your muscles first, you greatly reduce your risk of injury during competition of practice.

Strength Training: Strengthening of the hamstrings, quads, core and gluteus musculature can help to maintain upper and lower leg alignment, thus reducing stress and excessive rotation at the knee.

Improve Balance: Single-leg exercises and drills can help to eliminate imbalance differences between the right and left leg.

Controlled Plyometrics: Vertical jumps and plyometric exercises should be included but must be controlled, not allowing the knees to collapse together.  This inward movement (valgus collapse) of the knees is a predictor of ACL injuries. Start by using both legs and progress to single leg lateral jumps.

Injury Prevention Screening: Screenings can be a key to possibly identifying individual needs, thus further reducing the risk of injury.  Mobility (range of motion) and/or stability (strength-related motor control) asymmetries must be addressed. The Functional Movement Screen and similar objective standardized measures can be used to assess for possible impairment of proper functional movement.

Consistency is key to reap the benefits from a comprehensive preventative conditioning program. For best results, the above listed workouts and training methods should be completed at minimum three times a week.