Table Of Content
Sports Injury Prevention
and Rehabilitation
World-class preparation and rehabilitation of the injured athlete integrates best practice in
sports medicine and physical therapy with training and conditioning techniques based on
cutting-edge sports science. In this ground-breaking new book, leading sports injury and
rehabilitation professionals, strength and conditioning coaches, biomechanists and sport sci-
entists show how this integrated model works in practice across the full spectrum of athlete
care, from the prevention of sports injury to the assessment and treatment of injuries, and
the design and implementation of effective rehabilitation programmes. Crucially, in every
chapter, there is a sharp focus on return to performance, rather than just a return to play.
The book introduces evidence-based best practice in all the core functional and profes-
sional areas of sports injury prevention and management, including:
• the performance framework for rehabilitation;
• end-stage rehabilitation, testing and training for a return to performance;
• performance frameworks for medical and injury screening;
• the psychology of injury and rehabilitation;
• developing core stability and fl exibility;
• assessment of training and rehabilitation loads;
• performance retraining of muscle, tendon and bone injuries;
• recovery from training and rehabilitation;
• the infl uence of pain on performance;
• running, throwing and landing mechanics and their contribution to injury and
performance.
E very chapter is set up as a masterclass from world-leading practitioners from a range of
elite sports teams and is written to have real-world application. Chapters contain best prac-
tice protocols, procedures and specimen programmes designed for high performance, with
examples drawn from a wide range of individual and team sports.
No other book examines rehabilitation in such detail from a high-performance stand-
point, and therefore S ports Injury Prevention and Rehabilitation is essential reading for any course
in sports injury, sports therapy or sports medicine, and for any clinician, physical therapist,
coach or sport scientist working to prevent or rehabilitate sports injuries.
David Joyce is an athletic performance and rehabilitation specialist who has worked at the
highest levels of world sport and with multiple national, world and Olympic champions.
He holds masters degrees in both sports physiotherapy and strength and conditioning and
has worked at two Olympic Games as a physiotherapist and performance coach (with Team
Great Britain at the 2008 Olympics in Beijing and with Team China at the 2012 Olympics
in London). He has also worked in elite rugby (Western Force, Hull FC and Saracens) and
football (Blackburn Rovers and Galatasaray SK). He is the co-editor and key contributor
of H igh Performance Training for Sports , presents internationally on high-performance manage-
ment and injury rehabilitation, and lectures on the Masters of Strength and Conditioning
course at Edith Cowan University in Perth, Western Australia. David is currently the Head
of Athletic Performance at the Greater Western Sydney Giants in the Australian Football
League and lives in Sydney, Australia .
Dan Lewindon graduated with a BSc (Hons) in physiotherapy from Nottingham University
in 2000. He spent three years working in the National Health Service, gaining experience in
all aspects of physiotherapy, before seeking expertise in his chosen fi eld of sports medicine.
Dan joined Northampton Saints RFC in 2003, working full time with the Senior Team and
progressing to the Lead role in 2008. He completed an MSc in sports medicine at Queen
Mary’s University of London in 2007 and a second MSc in exercise science (strength and
conditioning) at Edith Cowan University in Australia in 2011. Dan was appointed Physio-
therapist for the England Senior Rugby Team in 2009 and now works with them full time.
Dan is the co-editor of and key contributor of H igh Performance Training for Sports and through
his work has developed particular interest and expertise in lower limb and soft tissue injury
and rehabilitation. Dan has lectured internationally in injury screening, rehabilitation and
prevention strategies and lives in Market Harborough, England.
Sports Injury Prevention
and Rehabilitation
Integrating medicine and science
for performance solutions
Edited by David Joyce
and Daniel Lewindon
First published 2016
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
711 Third Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2016 D. Joyce & D. Lewindon
The right of D. Joyce & D. Lewindon to be identified as the authors of the
editorial material, and of the authors for their individual chapters, has
been asserted in accordance with sections 77 and 78 of the Copyright,
Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced
or utilised in any form or by any electronic, mechanical, or other means,
now known or hereafter invented, including photocopying and recording,
or in any information storage or retrieval system, without permission in
writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or
registered trademarks, and are used only for identification and explanation
without intent to infringe.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
Sports injury prevention and rehabilitation : integrating medicine and
science for performance solutions / edited by David Joyce and Daniel
Lewindon.
pages cm
Includes bibliographical references and index.
1. Sports injuries—Prevention. 2. Sports injuries—Patients—
Rehabilitation. I. Joyce, David, 1976– editor. II. Lewindon, Daniel, editor.
RD97.S658 2016
617.1′027—dc23
2015024428
ISBN: 978-0-415-81505-5 (hbk)
ISBN: 978-0-415-81506-2 (pbk)
ISBN: 978-0-203-06648-5 (ebk)
Typeset in Baskerville
by Apex CoVantage, LLC
Contents
List of contributors ix
PART 1
The performance team 1
1 Reconditioning: A performance-based response to
an injury ( Bill Knowles ) 3
2 Strength and conditioning in injury prevention
and rehabilitation (B en Rosenblatt ) 11
3 Psychology in injury prevention and rehabilitation ( Tig Calvert ) 22
4 Nutrition in injury prevention and rehabilitation (M att Lovell ) 31
PART 2
Athletic competencies 43
5 Medical assessment and pre-participation screening
( Mike Bundy and Lisa Hodgson ) 45
6 The injury risk profiling process (D avid Joyce and Dan Lewindon ) 62
7 Assessing and developing the kinetic chain ( Ian Prangley ) 77
8 Assessing athletic qualities (N ick Winkelman ) 95
9 Running mechanics in injury prevention and performance
( Frans Bosch and John IJzerman ) 106
10 Landing mechanics in injury prevention and performance
rehabilitation (J ulie Steele and Jeremy Sheppard ) 121
11 Throwing mechanics in injury prevention and performance
rehabilitation (S teve McCaig and Mark Young ) 139
vi Contents
12 Core stability in injury prevention and performance
( Lee Burton and Gray Cook ) 153
13 Flexibility in injury prevention and performance (A nthony Blazevich ) 169
PART 3
Injury processes, prevention and return to performance 179
14 Muscle injuries ( Dan Lewindon and Justin Lee ) 181
15 Tendon injuries ( Craig Ranson, David Joyce and Polly McGuiggan ) 199
16 Bone injuries ( Henry Wajswelner and Sophia Nimphius ) 212
17 Pain and performance (D avid Joyce and David Butler ) 223
18 Determining return to play (C alvin Morriss and Phil Pask ) 232
PART 4
Managing the injured athlete 243
19 The athletic neck (K ay Robinson ) 245
20 The athletic shoulder (I an Horsley and Ben Ashworth ) 259
21 The athletic elbow (A dam Olsen and Mike Reinold ) 274
22 The athletic spine (T im Mitchell, Angus Burnett and Peter O’Sullivan ) 289
23 The athletic hip and groin (E nda King ) 307
24 The athletic knee (C hris Mallac and David Joyce ) 322
25 The athletic shin (A ndy Franklyn-Miller ) 337
26 The athletic foot and ankle (D an Lewindon and David Joyce ) 346
PART 5
Managing the training athlete 371
27 Managing pre-season and in-season training (R aphael Brandon ) 373
28 Monitoring training load (S tuart Cormack and Aaron Coutts ) 380
29 Optimizing athlete recovery (C hristian Cook, Liam Kilduff
and Blair Crowther ) 392
30 Environmental stress – heat and altitude (C hris R. Abbiss ) 401
Contents vii
PART 6
Special considerations 413
31 The developing athlete (I an Jeffreys ) 415
32 The female athlete (N . Travis Triplett and Margaret Stone ) 429
33 The travelling athlete (S hona Halson and Emidio Pacecca ) 436
Index 445
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Contributors
Chris R. Abbiss , Associate Professor – Physiology, and Postgraduate Course Coordinator,
Exercise and Health Science, Edith Cowan University, Australia
Ben Ashworth, First Team Physiotherapist, Arsenal Football Club, UK
Anthony Blazevich, Associate Professor in Biomechanics, Director of Centre for Exercise
and Sports Science Research, Edith Cowan University, Australia
Frans Bosch, International Sports Performance consultant and lecturer, Fontys University,
Netherlands
Raphael Brandon, Head of Science and Medicine, England and Wales Cricket Board, UK
Mike Bundy, Consultant in Sports and Exercise Medicine, Pure Sports Medicine, UK
Angus Burnett, Project Manager, Sports Spine Centre, Aspertar, Qatar Orthopaedic and
Sports Medicine Hospital, Qatar
Lee Burton, President, Functional Movement Systems, USA
David Butler, Director, Neuro Orthopaedic Institute, Australia; Adjunct Senior Lecturer,
University of South Australia, Australia
Tig Calvert, Independent Sports Psychologist, UK
Christian Cook, Professor, Sports Science, Bangor University, UK; Technical Advisor,
Rugby Football Union, UK
Gray Cook, Founder, Functional Movement Systems, USA
Stuart Cormack, Senior Lecturer, School of Exercise Science, Australian Catholic Uni-
versity, Australia
Aaron Coutts, Professor of Sport and Exercise Science, University of Technology Sydney,
Australia
Blair Crowther, Research Associate, Hamlyn Centre, Imperial College London, UK
Andy Franklyn-Miller, Consultant in Sports and Exercise Medicine, Sports Surgery
Clinic, Dublin, Ireland
Shona Halson, Senior Physiologist, Australian Institute of Sport, Australia
