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Tennis Specific Physiotherapy Information Evening Redland Bay Tennis Club Presented by Brien Seeney My Experiences • I have been involved with tennis in many capacities including: – Player – Coach – Physiotherapist • Great benefit to all levels of player to improve injury prevention/pain management and therefore PERFORMANCE Tennis Injuries • Repetitive nature of the tennis strokes along with constant acceleration/deceleration/change of direction leaves the body vulnerable to injury • Occur to both professional and recreational players, but can be prevented/rehabilitated that allows for pain free tennis Most Common Injuries • Elbow – Tennis/golfers elbow • Wrist – Carpal tunnel, tendonitis • Shoulder – Rotator cuff tendonitis, bursitis, frozen shoulder Most Common Injuries cont’ • Lower back – Sciatica, lumbar muscle strain, bulging disc • Knee and Ankle – Lateral ankle sprain, plantar fasciitis, Osgood Schlatter’s, patellar tendonitis Warm Up/Cool Down • Injuries often caused by lack of flexibility • Proper warm up loosens muscles/tendons to increase movements in joints • Increases blood flow which means more oxygen to muscles • Out with the old (static), in with the new (dynamic) Ideal Warm Up/Cool Down • Warm up – 5-10 minutes of low intensity exercise (walking, light running) – Dynamic stretches – On court warm up • Cool Down – 5 minutes low intensity exercise – Static stretches Training • Off court training just as important • Watch for muscle imbalances • Don’t train through pain • Equipment Racquet – Weight: Heavier racquet absorbs a larger amount of shock, but can tire the arm and lead to poor contact. – Balance: More Head Heavy provides greater weight behind the ball at contact, but creates more torque on the arm, especially on offcentre shots. – Head Size: Larger Head Size provides more forgiveness and softer feel, but can lead to loss of directional control. – Length: Longer racquet leads to contact further from the body and greater torque on the arm, especially on off-centre contact. – Flex: Higher stiffness transmits shock with less dampening, placing acute forces on the elbow, lower stiffness absorbs more shock, but can transmit more vibration. (not vital factor) – String tension: At a lower tension, strings will absorb more energy resulting in less shock and vibration to your arm. However, the lower the string tension, the less control you have when hitting. • Shoes — Stability on inside and outside of foot — Plain runners/cross trainers can result in increased ankle sprains How can Physio help? • Kinesio tape • Soft tissue release • Dry needling/ • Joint mobilisations acupuncture • Therapeutic and Real • SFMA Time Ultrasound • Rehab exercise programs Kinesio Tape • Becoming increasingly popular • Aims to improve circulation, pain, muscle activation, positional awareness and function • Allows unrestricted movement Benefits of Kinesio Taping Increase Muscle Activaiton Lift fascia/tissue above area of pain Management of swelling/oedema Assists/limits movement Positional awareness through skin Dry Needling/Acupuncture • • • • Trigger point release Increases healing rate Decreases inflammation Very effective with neural conditions Real Time Ultrasound • Real time core/pelvic floor retraining • In the past very difficult to effectively train • Train core and pelvic floor through different stages to ensure effective protection for your back and hips Selective Functional Movement Assessment Conclusion • Tennis is an all round sport requiring speed, agility, power, strength, flexibility and endurance • As a result of this there can be a wide range of injuries suffered • Trying to play through pain isn’t just painful, it affects PERFORMANCE • Injury prevention is vital • Invest in some lessons, many injuries preventable with proper technique • If pain persists contact appropriate health care provider