Dr. Nessler shares his calling and passion for injury prevention and performance enhancement using the most current research and technologies available. As a passionate educator, he is driven to share with all the latest peer reviewed journals in sports medicine and orthopedics and what that means to how we train and treat our athletes.
Monday, June 24, 2013
Does Movement Assessment Have A Place Outside of Sports?
Interestingly enough, this is a question that is asked
frequently.The assumption is that
movement assessment is only for the athlete.However, the contrary is true.It
has application across a wide spectrum of physical occupations.This is especially true when you look at
occupations that are physically demanding and where injury can mean the
difference between life and death.Taking three of the most obvious examples are
fire fighters, police officers and military personnel.
the firefighter as an example, the physical demands of this occupation is very high.Comparable to any high level athlete.For example, the SCBA (self-contained
breathing apparatus) that the firefighter wears weights ~75 pounds.When you add the weight of the coat, helmet,
boots, etc., you could be looking at an additional 45 pounds.Collectively, that is 120 pounds of
additional weight in protective gear and this is not including axes, hoses, or
any additional equipment.When
considering carrying this amount of weight up a flight of stairs in Phoenix,
Arizona where temperatures can get over 110 degrees, you can image how physically
taxing this can be.Rushing up a flight
of stairs with this amount of weight, in hot weather, under stressful
conditions, one can see that if pathokinematics are present, this could put
this industrial athlete at risk for injury.An injury, which if occurs at a critical juncture, could mean life or
Looking at law enforcement officers, specifically
at SWAT (special weapons and tactics) officers, the physical demands of their
job is also that of a high level athlete.Although their equipment is designed to be lighter, it can still weigh
around 60 pounds.That being said,
depending on their location, they may be deployed up to 200 times a year and
train in gear ~2 times a month.Along
with this additional training, they are also maintaining their regular job
duties.Therefore the number of “athletic
exposures” are still high and during which they must carry a large amount of
additional weight.Again, if
pathokinematics are present, they not only put their own life at risk but also
that of their colleagues.
So are movement related injuries occur outside of
sport?That is almost like asking if ACL
injuries occur in anything other sports.The answer is yes and they are abundant.Looking across industries, the one that has the most data available
(across the US) is the US military.Looking
at the military, the Department of Defense data shows that preventable non-contact
injuries are extremely high.
DOD Injuries and DLD (days limited duty)
#1 LE overuse injuries – 3.8M days
#5 LE sprains/strains – 1.8 M days
#6 LE dislocations (ACL/cartilage) – 1.5M
#8 Spine – 1.2 M days
Total this adds to 8.3 M days of limited duty for non-contact injuries
in the military.This results in $350M/year
in extra labor.The total cost is a
staggering $1.5B of the $1T annual cost associated with injuries.
Is the military alone in this struggle?No.Just using ACL injuries as an
example, we have spent the better part of the last 12 years researching root
causes and interventions.Despite that,
we have only had a 1.5% reduction in the number of ACL injuries despite all
these initiatives.The message should be
clear.We need to do it better and we
need to do it now.How do you tell a
pitchers mechanics?You watch them
pitch.How do you improve a hurdlers
time?You watch them in the hurdle.How do you improve movement?You watch them move.
About the author:Trent
Nessler, PT, DPT, MPT
is CEO/Founder of Accelerated Conditioning and Learning (A.C.L., LLC).A.C.L., LLC is the developer of the Dynamic
Movement Assessment™ and Fatigue Dynamic Movement Assessment™,
which are athletic biomechanical analysis shown to reduce injuries and improve
performance in athletics.Trent is also
Associate Editor for the International Journal of Athletic Training and Therapy
and member of the USA Cheer Safety Council.For more information, he can be contacted at firstname.lastname@example.org.
1.Kaufman K, Brodine S, Shaffer R.Military Training Related Injuries.Am J Prev Med.18:54-63.2000.
Injury Prevention Priorities Working Group: Leading Injuries, Causes and
Mitigation Recommendations White Paper. Defense Safety Oversight Council, Feb 2006.