Premier league 19/20 – @PremierInjuries
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) be at risk? A CL player out with injury for a month cost about 500,000 Euro. (Ref, UEFA Medical Symposium Athens 2018)
The injured player’s wages in Premier league season 2019/20 was GBP 193.149,117. Ref. @BenDinnery. @PremierInjuries 12th. Aug 2020. Manchester United paid GBP 27mill. Everton GBP. 16,1 mill.
Premier League 19/20- Severe Injuries resulting in more than four weeks’ absence. The average was one severe injury for every 538 minutes played. Everton every 220min.
Ref. @BenDinnery. @PremierInjuries 17th. Aug 2020.
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On the basis of complex systems science and theories of biological evolution, a systematisation and update of theoretical and methodological principles to transform the understanding of sports training (medical science) are provided. Looking for a simple and easy answer to a complex problem remains a common mistake in sports training – medical science contexts. Core assumptions and methodologies have remained unchallenged and unchanged despite the fact that their underpinning theories have disintegrated. Medical science – sports science is characterized by a strongly reductionist philosophy and remains largely impervious to the transdisciplinary and holistic theories emanating from the science of complex systems.
Complex Systems Principles Change the Understanding of Sport Processes
Link.
Activation of the nervous system dramatically changes rehab/restoration 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.
Most therapy and training approaches -some even call them “methods” and “systems”- actually only do that today: slow processes down! But everybody seems content and proud of low efficacy and even lower efficiency and hides behind narratives and papers.
We will stop regarding body tissue, emotions/psychology and the brain as separate entities and talk about them as such. We are systems. We will improve our language and our thinking. Otherwise, it is better to be silent. Ref. Giuseppe Gueli
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Vegetative training
An example of a “new” approach, a new paradigm, a complex system approach, with an overwhelming effect on the development of footballers in PL.
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Unconscious Cell memories/adaptation/negative/protective regulations (from injury/trauma)- transformation/ evolutionary potentials – behavioural state regulation/physiology.
In my opinion, is about how much performance permanently has been regulated down, hidden-stuck, during our lives from fetus till today. Suppressed biological vitality/survival strategies. The human system is a memory bank of adaptations. Cell memories/experiences/feelings are stored (many with constant protective regulations) in the system and will always more or less limit the functionality and restoration capability, its self-regulation capacity.
The deeper work, the whole system in tremendous transformation, shaking, spasm, reconnecting homeostatic loops to defence systems, intensive waves of strange orders in the organism. A new much better dynamic coming. Interrupted healing was released. Structural disturbances from injury transformed intto new performance
No touch, no meds, no machines, very little talking accelerating self-regulation.
Understanding the contribution of emotional load (organismic biographical characteristic) to overall metabolic response (organismic functionality/performance). Both practical and theoretical.
The human system, as living nature interacting with nature. A need for a functional theory: link
The spontaneous and automated reaction patterns embedded/stored in the organism throughout the evolutionary history of reaction. The Phylogenetic conditioned response stereotypes, so that it serves the organism’s ability to survive, adapt and continue to function in its environment.
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In my opinion, we have a global sports medical health system that is way off track and simply not fit for purpose.
Today’s methods in sports medicine often have the opposite effect of what is promised. Physio, massage, touch, electro, etc. are usually interpreted as an attack against the organism and prolong injury restoration. Often these types of treatment form the basis for new injuries occurring and for injuries to be sustained.
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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 short/long-lasting injuries?.
– Do we have to rethink injury treatment?
– What happens to the complexity – auto-regulation processes of the organism when we touch, manipulate, and use invasive methods- a strongly reductionist philosophy? Is it problematic?
If the answers are Ja? What can be the reasons – and what do we have to do differently?
Sports Medical Science today (reductionism):
By excluding the emotional/feelings and social factors from the diagnosis and treatment process, the medical doctor completely ignores the connection between body and psyche and consequently harms the athlete.
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“The traditional scientific methodology of biomedicine fails to take account of the self-aware, meaning-seeking, purposeful and relational nature of humans. (feelings)
“Doctors, therefore, lack theoretical understanding of how experiences/feelings associated with self-image, relations, and values become «inscribed» in the body”. (Feeling regulates more or less everything in the human organism)”
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Feeling and homeostasis, are the condition that regulates human physiology within the range that makes possible not only survival but also the flourishing of life.
Antonio Damasio – The Strange Order of Things. Link.
Damasio is among the world’s leading neurologists. Damasio believes that emotions are an expression of the state of our body, a link between the body and its regulation of survival on the one hand and consciousness on the other. Instead of viewing emotions as complicating factors for the intellectual brain, he views them as an integral part of the brain’s decision-making process. Damasio says that rational decisions are not a product of logic alone, but require the support of feelings and emotions. He shows that, on the contrary, the absence of emotions can break with rationality (Damasio, 1994).
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(Reductionist/dualistic approach to a complex system like the human organism is pretty risky)
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Self-healing and restoration 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.
What we can do now is to amplify the parasympathetic effect naturally by activating the spontaneous movements in the organism that increase its activity. Then, injury healing goes several times faster. 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 element/disturbance and not peripheral. We can manipulate, mobilize etc, but it has only a short input to our nervous system and is more placebo than real treatment. Then it even can be dangerous with unknown effects and not something our clients can work on their own.
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“We can never understand the whole human by studying the parts. (Reductio ad absurdum)
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In “The Structure of Scientific Revolutions” (1970), Thomas Kuhn points out that we have a hard time grasping a universe that is infinitely complicated and large, and that we are therefore trying to reduce it to propositions that we can cope with more easily. Thomas Kuhn, therefore, believes that scientific knowledge in a particular area is limited and structured by a framework, a paradigm. A scientific revolution involves the shift of one paradigm to another.
In the normal state of science, the basic paradigm is not questioned, but only when, over a period of time, several observations of central statements of the old paradigm are seen/observed: 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
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—-
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.
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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?
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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.
https://vegetativetraining.wordpress.com/paradigme-shift-in-sports-and-medicine-vegetative-training/
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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
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207313
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.——
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Here some further thoughts I have on injury treatment. I have asked my self some questions.
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.
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).
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The human organism saturated with experience
https://tidsskriftet.no/en/2011/04/human-biology-saturated-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/felling 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 restoration/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”.
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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.
Skype: ingejarlclausen
Vegetative Training ®™ 