From Ankle Surgery to
Olympic Gold in 85 Days:
«The DC Case»
Simon Trachsel
Injury, right Ankle, 10.11.2013
Medial collateral
Ligament
(Lig. Deltoideum)
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
Lateral collateral
Ligament
(Ligg. fibulotalare
ant. et
fibulocalcaneare)
Syndesmosis (Ligg.
tibiofibulare anterior
et posterior
2
Operation
Medial collateral
Ligament
• Transosseus Ligament Reconstruction
Lateral collateral
Ligament
• Transosseus Ligament Reconstruction
Syndesmosis
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
• Stabilisation with Tight-Rope (2x)
3
Factors which influenced the Plan / Strategy
Quelle: http://www.clipartpanda.com/categories/puzzle-clipart-images
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
4
Competitive Level
Quelle: http://data.fis-ski.com/dynamic/athletebiography.html?sector=CC&competitorid=10834&type=stats
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
5
Training and Competition Plan
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
6
X-Country Skiing «Key Success Factors»
upper-body
power
«tactical
flexibility»
aerobic capacity
(VO2max ~85 ml/kg/min)
anaerobic
capacity
high-speed
techniques
Quelle: Sandbakk O, Holmberg HC. A Reappraisal of Success Factors for Olympic Cross-Country Skiing.
International Journal of Sports Physiology and Performance. 9, 1, 117-121 (2013)
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
7
X-Country Skiing
Quelle: BASPO (App: Skilanglauf-Technik)
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
8
Rehabilitation Team
Sport Association
Doctors
Athlete
Coach
Sports-Physiotherapy
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
9
Rehabilitation Goals
•
•
•
•
Olympic Success
Only Sport-specific Functions
No Unnecessary Loads
Incomplete Rehabilitation ≠ Accelerated
Rehabilitation
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
10
Rehabilitation Phases
Train to
Compete
Performance in Competition
Train to
Perform
Capability to Perform
Prepare to
Train
Capacity to Train
Postoperative
Recovery
Load Bearing Capability
Week
-12
Week
1-
Quelle: Meyer S, 4-Phasen Rehabilitationskonzept (unveröffentlicht) adaptiert nach Balyi I,Way R.
Long-Term Planning of Athlete Development. B.C. Coach, (1995)
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
11
Postoperative Recovery
SportsPhysiotherapy
Substitution
Training
Training
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
• 2x daily Physiotherapy
• No Unnecessary Loading (ADL)
• Healing Support
• Active Muscular Control and Preparation for Full Loading
• Substitution Training for each leg
• Skill Specific Training
• Endurance Training (Interval-Training) in
Water
• Endurance Training (aerob und anaerob) for
the Upper Body and Core
• Strength Training for the Upper Body and Core
12
Postoperative Recovery
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
13
Prepare to Train
SportsPhysiotherapy
Substitution
Training
Training
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
•
•
•
•
Ankle Mobility for XC-Skiing
Increase the Load on the Foot
Strength, Coordination, Sensorimotor Training
Mechanical Protection of the Ankle
• Basic- and Sport specific Functions for the
operated Foot
• Build up the Load for both XC-Skiing
Techniques
• Gradual build-up of Load in both Techniques
• Gradual build-up of Load in the Intensities
when the basic Level is confirmed
14
Prepare to train
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
Quelle:https://www.fischersports.com/ch_de/catalog/product/view/i
15
d/459/s/speedmax-skate/category/4/
Prepare to train
Gradual build-up in both Techniques:
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
16
Train to Perform
SportsPhysiotherapy
Substitution
Training
Training
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
• Ankle Mobility for XC-Skiing
• Continues Strength, Coordination, Sensorimotor
Training
• Protection of the Ankle
• Recovery Strategies
• Continues Sport-specific Training for the
Ankle
• Increase Competition-specific Training
• Test Competitions
17
Train to Perform
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
18
Train to Compete
SportsPhysiotherapy
Substitution
Training
Training
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
• Continues Strength, Coordination,
Sensorimotor Training
• Protection of the Ankle
• Recovery Strategy
• Continues Sport-specific Training for the
Ankle
• Develop Readiness for the highest Levels
of Competition
19
Test Competition, 8 Days to the Olympics
Quelle: http://medias1.fis-ski.com/pdf/2014/CC/2711/2014CC2711RL.pdf
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
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Olympics
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
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Olympic Schedule
09.02.2014
Men’s skiathlon
✓
11.02.2014
Individual Sprint (sk)
✗
14.02.2014
15 km (cl)
✓
16.02.2014
4 x 10 km relay
19.02.2015
Team sprint (cl)
✓
23.02.2015
50 km (sk)
✗
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
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Conclusion
•
•
•
•
2 Olympic Gold Medals
Incomplete but Intensive, Specific Rehabilitation
Criterion based Approach
Clarity in Roles and Responsibilities in the
Rehab. Team
• Huge Commitment
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
23
…but:
• 2nd Operation (Remove Tight-Ropes)
• 2nd Rehabilitation
•
•
•
•
Complete
Recover the Capacity for Basic Training
RTC-Testing (October 2014)
Full Performance Capacity achieved by May 2015
• There are no Short-Cuts!
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
24
Quelle: http://data.fis-ski.com/dynamic/athletebiography.html?sector=CC&competitorid=10834&type=stats
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
25
thank you…
Quelle:https://www.facebook.com/ColognaDario/photos/a.101520
63593012566.1073741829.192390197565/10153168660787566/
Federal Office of Sport FOSPO
Swiss Federal Institute of Sport Magglingen SFISM
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