Football Soccer – Euro 2016 – Germany Training – Stade Camille Fournier, channelnewsasia.com
DO WE NEED TO RETHINK INJURY TREATMENT IN PRO FOOTBALL/SOCCER?
Can investment in the old fallen paradigm of sports medicine lead to losing a lot of money and performance.? Can the parameters measuring the investment, like projected ROI (appearances, goals, assists, lifespan, future transfer value, etc) might be at risk? A CL player out with injury for a month cost about 500,000 Euro. (Ref, UEFA Medical Symposium Athens 2018)
summing up this article:
Today’s methods in sports medicine often have the opposite effect of what is promised. Physio, massage, touch, electro, etc. are often interpreted as an attack against the organism and prolong injury healing. Often these types of treatment form the basis for new injuries occurring and for injuries to be sustained.
For example, an injury in the foot/heel partly starts healing by the brain centrally sending out anti-inflammation signals via the parasympathetic nervous system.
From top to bottom.
If we treat the injury site with massage, electro, etc interfering with it, it destroys the healing signals/process. This is the main cause of long term injuries in the sports industry. (reductionist approach to a complex system like the human organism is not good)
What we can do now is to amplify the parasympathetic effect( (the first process in any healing) naturally by activating the spontaneous movements in the organism that increase its activity. Then, injury healing goes several times faster. Something you can do yourself. Easy to learn to use so that the organism is always in balance – free from injury and the biomechanics optimal. This has a significant impact on future life performance and our development.
A famous physio said : We will never heal our patients because there is a central block and not peripheral. We can manipulate, mobilize etc, but it has only a short input to our nervous system and is more placebe than real treatment. Then it is even passive dangerous with unknown effects and not something our clients can work on their own.
What happens to the complexity – auto-regulation processes of the organism when we touch, manipulate, use invasive methods? Is it problematic?
We can never understand the whole human by studying the parts. (Reductio ad absurdum)
To me a footballer who repeatedly is treated with touching-invasive therapy risk having an injury last long or new injuries appearing.
In my opinion, we have a global sports medical health system that is way off track and simply not fit for purpose.
In the normal state of science, the basic paradigm is not questioned, but only when, over a period of time, several observations lead central statements of the paradigm ad absurdum, does science enter the “extraordinary” state, of the new paradigm. (Thomas S.Kuhn )
Sports injury is a complex emergent phenomenon and needs to be seen through a ‘lens of complexity’. Current research methods based on unidirectional and analytical approaches neglect the multifactorial and complex conditions for sports injuries emergence. Consequently, some injuries rates, such as hamstring strain, have not improved over the past three decades
My name is Mr. Inge Jarl Clausen. I’m Norwegian and I live in Kiefersfelden, Bayern, Germany.
Maybe is time to take a critical look at the explosive injury statistic, long-lasting injuries and why so many injuries are so persistent?
If we are not afraid of asking some questions like.
– Has sports medicine failed in healing long-lasting injuries?.
– Do we have to rethink injury treatment?
If the answers are Ja? What can be the reasons – and what do we have to do differently?
Here an article on the topic. ” reductionistic approaches”. 5th March 2018
“Let us rethink research for ACL injuries: a call for a more complex scientific approach”
“Humans forms a biological system with an inherent capability to adapt to changes. This is also where the complexity lies, as large inter-individual differences may arise as to how humans respond to changes”
Risk factors and their interactions are often unknown and the direct relationship with the injury is weak or even non-existent.
In contrast to reductionism, a complex systems theory is a field of science studying how parts of a system give rise to the systems collective behaviors
Activation of the nervous system dramatically changes rehab progressions and times, but this is often if not always overlooked. Massage etc, and tissue damage both from injury and surgery puts the whole system in a protective state where all regenerative processes naturally slow down. G.Gueli
Thornquist (1992) says that the gap between the health professional conceptual world and the intuitive and often silent experience world shows the need for a clarification of the dualism/reductionism and its consequences.
A basic feature of Vegetative training is an understanding of how a state of tension can occur, amplifies and builds into a chronic state without the possibility of liberation (see Ursin, tonic activation). The concept of Allostatic overload. This is always a limitation in biomechanical functionality.
To me, our bio-mechanic is limited by our history of emotional load and suppressed biological vitality, saturated in adaptive physiology. Characterized by the imperfect/lacking contact with basic and spontaneous biologically determined movements.
In my opinion, the imperfect biomechanical movement/flexibility/stability plays a major role in non-contacts injury. If this is not solved as a part of injury treatment then the injury might come back as it was or as a compensating injury. I recommend any injured athlete to ask their medical team, how do I get a less injury prone bio-mechanic?
Prof. Dr.Dr. Christian Schubert is the head of the Laboratory for Psychoneuroimmunology at the University Hospital in Innsbruck. He sees Vegetative training as one example of the paradigm shift in medicine.
In the concrete example of inflammation, the parasympathetic system activated by vegetative training can now exert its anti-inflammatory effect. This explains why, for example, the athletes report that this “method” accelerates their healing processes during exertion and injury.
Here from the German REGMAN project. No effective recovery method found
Effects of different recovery strategies following a half-marathon on fatigue markers in recreational runners
In recreational runners, a half-marathon results in fatigue symptoms lasting at least 24h. To restore subjective fatigue measures, the authors recommend CWI and MAS, as these recovery strategies are more effective than PAS, with ACT being even disadvantageous. However, runners must be aware that neither the use of ACT nor CWI or MAS had any beneficial effect on objective fatigue markers.——
Here some further thoughts I have on injury treatment. I have asked my self some questions.
What happens to the complexity – auto regulation process of the organism when we touch, manipulate, use invasive methods? Is it problematic?
Should some practices of today’s sports medicine and physiotherapy be avoided?
Our self-regulating capacity is present in the most damaged, and always accessible as a healing force. This does not mean that any individual without help can make use of the self-regulating force, but it is there. It’s our biological vitality and unconscious in its function.
“Regarding the body’s self- regulating capacity, touching/manipulating of the patient’s body by the therapist will be contra-indicated. The patient himself will return to his own growth promoting self- regulating capacity if he is permitted to do this in his own tempo.
Self-healing and recovery always start centrally in the organism,( party through experience conditioned epigenetic mechanisms) and then spreads peripherally to all other biochemical, physiological, somatic, emotional and cognitive processes. It has its origin in the Vegetative system/processes, Counter-productive is a touching /manipulative approach to the organism. It can be problematic. Because it adds disturbance to adaptive physiology and the expanding self-healing/self-regulation processes/functions.
To me some approaches of physio and other invasive methods can be seen as an attack on the human organism and will be fought back by the adaptive physiology.(compensated by adaptive physiology and might create unsolvable vegetative contradictions) It can lay the ground for long-lasting injuries, (maybe influence settings of genetic rebuild/programming?)
To me a footballer who repeatedly is treated with touching-invasive therapy risk having an injury last long.
Our organism is saturated with emotional disturbance. Adaptive physiology(the body) is emotions”.
I believe our range of social behavior-performance is limited by our human physiology, ref. Polyvagal Theory (including the concept of neuroception).
The human organism saturated with experience
More and more scientist are questioning the theoretical foundation of medicine. Some say the biomedical model of contemporary evidence-based medicine has failed.
” Human experiences are not only absent from contemporary evidence-based medicine, it is in fact explicitly eliminated by the mathematical analyses performed during assembling of evidence biology”.
“A present theory-driven synthesis of new scientific knowledge from a number of disciplines, including epigenetics, psycho-neuro-endocrino-immunology, stress research and systems biology, based on articles in recognized scientific journals and other academic journals shows experiences are of Paramount Importance for our life and development.”
Descartian – mechanistic-dualistic thinking
Contemporary medical science divides the human organism into parts. And treat each part separately ignoring the whole complexity of the organism. (for me to have permanent recovery/healing the whole self-healing capacity of the organism must be activated and give time for self-regulation)
“The traditional scientific methodology of biomedicine fails to take account of the self-aware, meaning-seeking, purposeful and relational nature of humans.”
“Doctors, therefore, lack theoretical understanding of how experiences associated with self-image, relations, and values become «inscribed» in the body”.
“An organism’s interpretation of and response to signals from its surroundings
“Challenges (microbiological, thermal, climatic, chemical, physical, mental, relational, etc.) activate evolutionarily conserved sense organs. After processing, the signals are transmitted to the central nervous system, immune system, autonomous nervous system, endocrine(hormone) system (the organisms adaptive systems – vegetative system) – before the organism makes a response.”
!The response will depend on the context in which the stimulus is presented, as well as on the previous experience (disturbances stored in the neurophysiological foundation for communication, attachment, self regulation, and emotion) and development of the organism’s adaptive systems.”
This means that two individuals with the same genetic make-up (identical twins with identical DNA) may experience a given stimulus differently and also make a different response to it, as a result of experience-conditioned epigenetic processes..”
“During the past decade, empirical documentation has demonstrated that experience – the information that an individual acquires during a lifetime of sensing and acting – is of fundamental biological relevance. Unfortunately, such experience does not lend itself easily to standardized interpretation; it is always an experience of something for someone, in a unique context (2). In this article, we attempt to exemplify the importance of subjective experiences for health!.
“New knowledge from integrative research projects reveals an urgent need for both theoretical and practical reorientation in medicine with respect to understanding health, on both the individual and the community level”.
Maybe the time has come for Medical science to put the organ-specific approach/thinking to rest, and go back to the basic of human self-regulation?
Maybe ask if there is an optimal position for self-regulation? What kind of movement does the organism use to self-regulate? And can self-regulation be accelerated? Without using any outside interference.
Self-regulation based – experience orientated – injury treatment
To me it looks like the self-regulation processes/functions/capacity and movements of the human organism, is not so much in focus in contemporary medical injury treatment?
In Norway there exist a little known medical/psychological tradition.
For more than 60 years it has studied how experiences characterize our organism. How experiences shape our body and mind. And developed a method to transform/remove and let the organism self-regulate/self-heal out not so good experiences and their symptoms. (disturbance in adaptive physiology). Using the organism self-regulation movements.
The method is an incredibly powerful way of putting the homeostasis (performance characteristic) of an organism in movement, to support an in-depth transformation of its dynamic. One session for about 45 min. Targeting the imperfect/lacking contact with basic and spontaneous biologically determined movements that characterize the human organism. This contact may be more or less disturbed, but it is always disturbed.
The name of the tradition is Self-regulated based and Experience orientated vegetotherapy. Adapted to sport I call it Vegetative Training (VGT).
I’m sending you good vibes here from Bayern, Germany.