Sports Science and Medicine Converge




The Sports Medicine Broadcast show

Summary: <br> Dr. Paul Saenz shares how the San Antonio Spurs have used Sports Science to help their Sports Medicine.<br> <br> <br> <br> <br> <br> <br> <br> <br> <br> The Spurs have always been on a leading edge of performance have looked at best practices around the globe.<br> <br> <br> <br> The sports medicine team consists of at least 10 positions with multiples at several of these positions.<br> <br> <br> <br> ATs serve as the backbone and primary interface between the players and the medical team.<br> <br> <br> <br> WHY monitor?<br> <br> <br> <br> * Direct Feedback* Injury prevention* Performance enhancements* Rehabilitation baselines<br> <br> <br> <br> Key facets of Athletic Performance<br> <br> <br> <br> Strength<br> <br> <br> <br> Aerobic Capacity<br> <br> <br> <br> Nutrition<br> <br> <br> <br> Recovery - has replaced the word “rest” - its intentional<br> <br> <br> <br> Psychological Wellness - they fill out these surveys onn a daily basis<br> <br> <br> <br> What to Monitor with Sports Science<br> <br> <br> <br> Games and Training - volumes and intensity<br> <br> <br> <br> Player Strength and conditioning<br> <br> <br> <br> Fatigue / Recovery<br> <br> <br> <br> Player Availability ( injury incidence and prevalence)<br> <br> <br> <br> Types of Loads<br> <br> <br> <br> External - the physical load they have endured<br> <br> <br> <br> * Road cyclist - mean power output for given duration - 400 watts for 30 minutes<br> <br> <br> <br> Internal - how have they responded physiologically<br> <br> <br> <br> * HR, RPE, Blood lactate, cortisol, testosterone, inflammatory biomarkers<br> <br> <br> <br> External Load Monitoring<br> <br> <br> <br> Time Motion analysis - GPS and digital video movement analysis<br> <br> <br> <br> Accelerometer Data - <br> <br> <br> <br> * <a href="https://www.catapultsports.com/">Catapult system</a> - GPS wearable system that monitors elapsed exercise time.<br> <br> <br> <br> Neuromuscular function<br> <br> <br> <br> The huge collection of data requires the skill to extrapolate and draw conclusions.<br> <br> <br> <br> Internal Load Monitoring<br> <br> <br> <br> RPE - Relative Perceived Exertion<br> <br> <br> <br> Heart Rate Response<br> <br> <br> <br> Biochemical<br> <br> <br> <br> Weight<br> <br> <br> <br> Adductor Squeeze<br> <br> <br> <br> Dorsi-flexion lunge<br> <br> <br> <br> Isometric lunge<br> <br> <br> <br> RPE Scale<br> <br> <br> <br> Self-determined assessment of exercise intensity<br> <br> <br> <br> Correlates well with heart rate<br> <br> <br> <br> Blood draws can be done during this time.<br> <br> <br> <br> Cardio Recovery<br> <br> <br> <br> Heart Rate Recovery - how quickly your heart rate returns to normal<br> <br> <br> <br> Markers of fatigue vs fitness<br> <br> <br> <br> <a href="https://www.scienceforsport.com/yo-yo-intermittent-recovery-test-level-1/">Yo-Yo Intermittent Recovery Test</a><br> <br> <br> <br> * Short intense runs with brief recovery periods * <a href="https://www.youtube.com/watch?v=nkOk_P5VnOA">https://www.youtube.com/watch?v=nkOk_P5VnOA</a><br> <br> <br> <br> Salivary Biomarkers<br> <br> <br> <br> testosterone /Cortisol markers of stress and recovery<br> <br> <br> <br> Anabolic vs Catabolic state<br> <br> <br> <br> Adductor Squeeze<br> <br> <br> <br> Done with a blood pressure cuff<br> <br> <br> <br> Very well documented with European teams<br> <br> <br> <br> Recovery Methods<br> <br> <br> <br> Light cardio<br> <br> <br> <br> Massage<br> <br> <br> <br> Cryotherapy -  whole body cryotherapy<br> <br> <br> <br>