Injury Prevention

First Do No Harm: Iatrogenics in Coaching and Practice

First Do No Harm: Iatrogenics in Coaching and Practice

Iatrogenics is a term most commonly used in medicine. As attested by the Hippocratic oath (and the premise ‘First Do No Harm’), the medical profession is familiar with the concept that an intervention may pose potential risks and unforeseen consequences. In contrast, the idea that we may either not be helping or through our involvement inadvertently making the athlete worse off does not necessarily occur to coaches and practitioners. In this post we explore how iatrogenics applies in the context of coaching and practice, and make the case for considering potential risks as well as benefits before we intervene.

Tempering Athletes: Future Proofing Versus Acquired Fragility

Tempering Athletes: Future Proofing Versus Acquired Fragility

Tempering is a process used to impart strength and toughness, and essentially serves to bring out the intrinsic properties of the material under stress. Athletes forged in the crucible of severely testing conditions may be similarly rendered highly resilient to future challenges and stressors. Those who successfully come through such trial by fire paradoxically often prove stronger from the experience. The notion that stressors can not only make systems more resilient, but in fact stronger and better as a consequence, speaks to the concept of antifragility, a phenomenon observed in nature and highlighted by Nassim Taleb who famously coined the term. In this post, we will bring this antifragility lens, and a general reticence to accept that sports injuries ‘just happen’, to reframe how we think about preparing athletes to ‘future proof’ them to risks and scenarios that we cannot fully anticipate. In place of safeguarding measures and interventions that seek to protect, we will make the argument for tempering athletes to harness and develop their intrinsic reserves and coping abilities. Adopting this perspective and general strategy for managing injury risk, we will outline some tactics to help guide practitioners in their approach.

A Wake Up Call on Sleep

A Wake Up Call on Sleep

Sleep is essential to sustaining life. Yet the majority of us are casually dismissive when it comes to sleep. We routinely deny ourselves this most critical sustenance of our own volition. The attitudes towards sleep among high performing individuals in different realms and society in general are quite baffling. We also largely fail to make the connection between the reckless lack of care and attention we give to our sleep and the dizzying array of consequences that inevitably follow. Objectively this behaviour is bizarre, and our failure to prioritise sleep defies logic. With this latest Informed Blog we explore the myriad ways you lose when you don’t snooze sufficiently.

A Practical Take on Long-Term Athlete Development

A Practical Take on Long-Term Athlete Development

'Long-term athlete development' has perhaps never been more topical, with an ever-growing number of programmes worldwide providing training for children and adolescent athletes. Mostly there is agreement on the need for structured 'athlete development' programmes for kids who engage in youth sports. We have consensus that appropriate physical and athletic development is beneficial for kids' health, performance and long-term outcomes. Still, confusion remains among parents, young athletes and practitioners, as authorities in the field continue to hotly debate the details. Here we will attempt to cut through these debates and provide much needed clarity and context to resolve some of the confusion. As we generally agree on the 'why', we will attempt to move things forward by finding shared ground and common principles to guide the 'what' and 'how' in relation to long-term athlete development.

Solving the Puzzle of Training Young Athletes

Solving the Puzzle of Training Young Athletes

A famous and often cited quote in relation to training youth is that 'children are not mini adults'. Clearly the approach to physical preparation for children and adolescents should differ to what is employed with athletes competing at senior level. This is evident from biological, physiological and long term development perspectives. What is less clearly defined are the specifics of how our approach should differ, and how this will alter according to the respective phase of growth and maturation. In this post we will aim to shed some light on this topic.

Specificity and the Simulation Trap

Specificity and the Simulation Trap

This week I was asked about sport-specific programming by a young coach. Specificity is much misunderstood or at best incompletely understood in relation to training prescription and programming. Our task is to prepare the athlete for the rigours of training and competing. Nonetheless, rather than training the sport into the individual, we train the individual in the sport. In this sense the sport (or sports) provides the context, but the focus remains tailoring physical preparation and athletic development to the individual. This is a subtle but important distinction as we will explore in this post.

The Simplicity and Complexity Paradox in Training and Coaching

The Simplicity and Complexity Paradox in Training and Coaching

In a presentation last year I used the concept of yin and yang to describe the inter-relationship between physical and technical in track and field athletics. In essence, yin and yang describes how opposing elements (light and dark, fire and water) paradoxically serve to complement and ultimately define each other. Much the same applies when considering simplicity versus complexity. There are many instances where each of these elements apply in the realms of coaching and various facets of practice in elite sport. In this post we will explore the paradoxical - or yin and yang - relationship between simplicity versus complexity in the fields of coaching, physical preparation and sports injury.

'You Must Have Good Tyres' - Why and How to Train the Foot

'You Must Have Good Tyres' - Why and How to Train the Foot

Aside from serving as the point of weight-bearing for all activities performed in standing, the foot represents the terminal link in the kinetic chain where forces generated by the athlete are transmitted to the ground beneath them. The action of the foot is integral to all modes of gait, from walking to sprinting. During sprinting, for example, the athlete's technical proficiency in how they apply force during each foot contact is recognised as paramount. Despite the integral role of the foot in locomotion and a host of athletic activities common to the majority of sports, training to develop this critical link is often overlooked in the physical preparation undertaken by athletes. This post examines the role of the different muscle groups involved in the dynamic function of the foot. We will explore different training modalities to develop the respective muscle groups, and also discuss the applications of this form of training, from both sports injury and performance perspectives.