Dr Anita Desai B PhysiotherapyMumM I A P Fellowship in Orthopedic Rehabilitation ID: 935938
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PLAYING THE RIGHT SHOTS
HOW TO PLAY A LONG INNINGSDr. Anita DesaiB. Physiotherapy,(Mum.),M. I. A. P.Fellowship in Orthopedic Rehabilitation @Copyrights reserved
Slide2IMPORTANCE OF FITNESS
To be healthy- for the body to function efficientlyTo be able to perform activities wellStrengthen your child's bonesHelp promote healthy blood pressure and cholesterol levelsBoost your child's metabolismHelp your child maintain a healthy weightImprove your child's self-esteem @Copyrights reserved
Slide3IMPORTANCE OF FITNESS IN TENNIS
Tennis is a physically demanding exerciseIncrease your child's muscle strength and enduranceHelp protect your child's muscles and joints from injuryImprove your child's performance in nearly any sport.To sustain in the game for a long time( as in play the game for many years) @Copyrights reserved
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Slide5FITNESS IN TENNIS PLAYERS REQUIRES
General fitness - To be able to complete the game easily, without much effortMuscular Strength - To be able to deliver powerful strokesAgility - To be able move around the court swiftly
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Slide6Equipment
Shoes – Should be flexible, light weight and have a good cushioning on the sole to reduce the impact of the ground with socks.Clothes – Loose, light clothing – cotton or play dry to absorb the sweat.Supports or bands as required – e.g. wrist band.Hair tied back, no fancy jewellery to minimise the intensity of injuries if they occur.
Size of the
racket
and the string tension should be appropriate.
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Slide7SHOES
Specialized sole for shock absorption.A combination of leather or vinyl(which give support) with mesh(keep the feet cool) gives support as well as allows the shoe to breathe and have good ventilation.Shoes which are ill fitting can cause bunions or calluses.It is important to have the
correct size
.(Use wide toe box in case of bunion.)
Use good arch supports in case of flat feet or well cushioned shoes in case of high arches.
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Slide8COMMON INJURIES - 1
ANKLE SPRAINS – damage to the ligaments and other soft tissues around the ankle due to the sudden sideways movement particularly if the surface is slippery or the player is fatigued.If an injury occurs, treatment is RICE.Wear an ankle stabilizing support while playing.Rehabilitation programme including strengthening the ankle and improving grip and balance with exercises.
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Slide9ANKLE SPRAINS
-Sprains of the outer ligaments of the ankle are common.-You can minimize the risk by selecting shoes that are specifically designed for tennis and that have substantial support built into the outer counter of the shoe.
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Slide10COMMON INJURIES-2
SHOULDER STRAIN - Could be due to bursitis or inflammation of the Rotator cuff muscles.Caused due to repeated stresses while serving or strokes or excessive overhead serving.Gives pain when the arm is raised.Shoulder stabilisation and strengthening exercises to increase the strength and endurance of the muscles.If occurs,treatment includes ice, rest for the inflammation to subside and a graded rehabilitation programme
.
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Slide11ROTATOR CUFF TENDINITIS
More likely to occur if the arm is at an angle of 90 deg from the side of the body.Changing your technique to increase the angle to more than 90 deg.(ideally 135 deg) will lessen the chances of injury. .
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Slide12Shoulder stretch
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Slide13COMMON INJURIES - 3
CALF STRAIN – Caused due to stress in the calf muscle due to overstretching or forced push off.Stretching the muscles and a good warm up is essential.If occurs, RICE and a graded stretching and strengthening programme to increase the muscle strength.
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Slide14CALF STRAIN
- Most common cause is a tight calf muscle.- Stretching the calf muscles with the leg extended gives a good stretch to the muscle.- Tendinitis is an inflammation of the Achilles tendon due to overuse. - Treatment is RICE and the use of heel lifts.
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Slide15COMMON INJURIES – 4
BACK STRAIN – Strain in the back muscles due to sudden strong uncontrolled movements.May be a sprain in the muscles or a bony injury to the spine like a stress fracture due to sudden hyperextension with rotation and bending.Can be avoided with proper coaching, avoiding faulty techniques of serving and back strengthening and core stability exercises to improve posture and support to the spine.
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Slide17BACK PAIN
- Common technique flaw involves overarching the back on serves and overheads instead of bending the knees and lifting the heels to properly balance the upper body. - Strengthen abdominal and back muscles and to increase flexibility can minimize back pain associated with tennis
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Slide19COMMON INJURIES - 5
Tennis Elbow – Intense pain in the muscles as they attach to the bone near the elbow radiating to the forearm.Caused due to shearing forces on the elbow. Sudden twisting and turning movements.Can be avoided by doing a good warm up and stretching and strengthening exercises.Correcting faulty grip and the right size of grip of the racket and the
right technique
.
Treatment includes ice, rest and a tennis elbow support.
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Slide20TENNIS ELBOW
Can be caused by a faulty backhand technique like:Elbow leading the racket-Wristy impacts-Late strokes.Two-handed backhand relieves the stress on the muscles which attach to the lat. epicondyle.
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Slide21Tennis Elbow
Stiffer graphite-type racquets with large heads that expand the impact area are preferred.String tension should be manufacturer’s lowest recommendation.Smaller heads and excessive string tension require the forearm muscles to exert more and may lead to Tennis Elbow.
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Slide22GRIP
Too small a grip -allows the racket to twist or move in your hand which can in turn lead to tennis elbow.Forces you to squeeze the racket tighter to maintain control, leads to fatigue in the hand, wrist, forearm and elbow, and can cause tendinitis. You can sometimes increase the size of a grip with a sleeve.
Handshake grip is the best with the racket making an “L” with the forearm.
Proper fitting grip will improve your control over the racket and improve your game.
Slide23Slide24KNEE STRAIN
Tennis, being a high impact sport, the knee is under a lot of stress.The Quadriceps muscle plays a major role in stabilizing the knee joint.Weakness of these muscles or improper footwear, tightness in the muscle can be the major causes for knee strain.
Good stretching of the Quadriceps, warm-up, strengthening and correcting the footwear are important to avoid this.
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Slide25KNEE STRAIN
-This is thought to be related to the "spring-up" action of the knees on the serve.-A short-arc knee strengthening program to build up the innermost quadriceps muscle in the thigh.
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Slide26HAMSTRING STRAIN
Doing too much, too soon or pushing beyond your limits. Poor flexibility and strength.Muscle imbalance between the quadriceps and hamstring muscle groups. To avoid, warm-up and stretch before the game.Gradual increase in the intensity and duration of exercise reduces the chances of a muscle strain.
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Slide27PRECAUTIONS
Wear loose comfortable clothing.Wear correct shoes meant for the particular game.Keep yourself hydrated by drinking adequate amount of fluids.Do a proper stretching and warm-up to prevent injuries. Cool down is as important.
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Slide28Slide29CORE STRENGTHENING EXERCISES
Core-strengthening exercises strengthen your core muscles. Includes your abdominal muscles, back muscles and the muscles around the pelvis. Strong core muscles make it easier to do physical activitiesThey improve your balance and stability.
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Slide30Pelvic tilt
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Slide31Pelvic bridging
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Slide32Static Abdominals
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Slide33Dynamic Abdominals
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Slide34Abdominal exercises - 1
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Slide35Abdominal exercises - 2
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Slide36Abdominal exercise -3
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Slide37Back Extensor exercises - 1
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Slide38Back extensor exercises - 2
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Slide39Dynamic Hip Strengthening
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Slide40SINGLE LEG BALANCING
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Slide41NUTRITION
Is the gear within.The right food can make you a better player, resist fatigue and stay healthy.For kids, a healthy balanced diet is required.Try to eat all colored food.
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NUTRITION…
Proteins(found in meat, beans, fish, nuts, pulses like chick peas)Carbohydrates (fruits, vegetables, and whole grains are the best sources)Vitamins (as found in fruits and vegetables, for instance)Fats, as in nuts, cheese, butter, oilsWater, in plenty. 1 - 2 cups prior to exercise and ½ cup every 30 minutes during activity. DON'T WAIT UNTIL YOU ARE THIRSTY.
Minerals
like calcium found in milk, yoghurt, cheese, green leafy vegetables and iron as in meat, beans, leafy vegetables.
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Slide43FOOD PYRAMID
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