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How We Are Failing Our Female Athletes
June 13, 2020
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Published by John Nunez on June 21, 2020
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COVID Considerations Part II:  How to Approach Pre-Season

Using the 50-70-80-100 Rule

 

Physical Therapy Pre SeasonOne thing I am most thankful for in my career is the team of people I have built around me. The access to my peers and mentors has changed the way I’ve treated over the past 5 years and this same team has helped put some solid wheels in motion for helping our athletes get back to activity. In my previous post, I exposed a potential issue in the cold turkey red light for all sports and activity, including gyms. Athletes had minimal options to stay fit and healthy, and yet still have the demand looming over their heads of resuming activity as safely as possible. Initially, I was much more skeptical and suspected a higher risk of injury. I am still worried we will see more injuries, but I am much less skeptical of the process thanks in part to the hours of talking and research we have done behind the scenes. 

The NSCA is the National Strength and Conditioning Association. It is a non-profit professional organization that takes on the task of preparing athletes and keeping them healthy. Thankfully, through an abundance of research, they have guidelines for almost everything. What’s better is that they have guidelines for acclimatization periods that help athletes safely return to the sport after prolonged periods of time off. This is, arguably, the best approach we can have for getting our athletes back to sport while mitigating injury risk as best as possible. I’d like to break down some of the largest talking points and save the nitty-gritty details for a different post.

The most common questions I’m getting from coaches now is “how do we handle pre-season” or “how much do we push the athletes?” The conventional approach is that it should be a gradual exposure to activity and intensity. Nothing should change, to be honest. Protocols are in place, and we should follow them. Let’s take a standard 4-week cycle and break that down. I know it’s not ideal or practical in terms of pre-season but, none of this is ideal right now. We will consider these 4 weeks to be a “standard” 2-week pre-season, followed by the first 2 weeks of practice. Competitions should be planned no sooner than this 4 weeks. Here’s what it should look like:

We are going to use a gradual return to volume and intensity, based on the 50-70-80-100 rule. The first week should be 50% overall volume, the second week is 70%, the third week 80%, and the fourth week is where we approach 100% of total time on the athlete’s feet practicing and playing. Let’s assume the typical practice or training session is 2 hours. Then, we realize NCAA and NFHS dictates only 6 out of every 7 days can be played. So in a typical week, 6 days of 2-hour practices is 12 hours total. Then we apply the 50-70-80-100 rule.

Week 1: 6 hours    (12 x 50%)

Week 2: 8.4 hours (12 x 70%)

Week 3: 9.6 hours (12 x 80%)

Week 4: 12 Hours (12 x 100%)

The total time of each week can be spread evenly across the 6 training days as the coach sees fit, but the total time should not exceed the % cap for that week. This gradual progression of time spent practicing will help alleviate excessive spikes of force or stress on the body which are associated with increased risk of injury. In addition to the progressive volume approach, it will be important to alternate training day intensities so a high-intensity day is followed by a low-intensity day. More specifics can be added with respect to off days and how to best incorporate different drills, but the framework above should be understood and implemented come the start of the new seasons. The month and sport may change for each person/team, but the considerations for returning to the sport after prolonged periods of inactivity should not. Please stay tuned for more content regarding adding strength and power appropriately. 

Happy Training!

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John Nunez
John Nunez

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All treatment at Feldman Physical Therapy and Performance is provided by Doctors of Physical Therapy. Because of this, you DO NOT need a physician’s prescription to attend physical therapy. Your therapist is well trained in recognizing conditions that are not appropriate for physical therapy, and, if necessary, will refer you to the proper specialist for treatment.

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