Dr. Martin's notes

Strength and Conditioning scenarios

Scenario #1  

John is a professional soccer player (midfielder). In the last game of the finals last year, someone purposely stepped on his right ankle and injured it. Even though he was down for almost 3 minutes, he got back up and finished out the rest of the game in pain. After the game, the doctor examined him and told him he had a severe sprain of the ankle and to ice it for 3 days. At the end of three days, the ankle was swollen even more and he could not walk on it. The doctor sent him for x-rays and found no broken bones. He prescribed some anti-inflammatory medication and told John to come back in a week. After 5 days, John was in so much pain he went back to the team doctor and asked to be seen by a specialist. An orthopedic doctor examined John and ordered an MRI, which revealed tears in all the ligaments of the mortice joint and the lateral ankle. John received surgery, and it was discovered that he also had an avulsion fracture of the medial tibia where it articulates into the mortice joint. Two grafts were necessary to repair the ligament damage, as well as extensive suturing to repair the remaining torn ligaments and tendons. A cast was placed on him for six weeks, and a stabilizing brace for another six weeks. He is three weeks into using the stabilizing brace and the doctor has cleared him to begin rehabilitation.

John has six months to rehabilitate or he will not be able to pass the physical to play for the next year. Put together a plan which will strengthen all muscles necessary for John to play. Plan out a consecutive rehabilitation for his right ankle, taking into consideration that the ankle is weak and can be reinjured if worked too hard. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful.

Statistics: Age 26  Weight: 180 Height: 6' 0"  29% body fat when you begin


Scenario #2

David is a dancer with the American Ballet Theater. He has been having foot, leg and back pain for about 6 months, of increasing intensity. He is very dedicated to his art and will continue dancing even in pain.

Evaluate what you feel could be David's problem and put together an exercise program to strengthen his muscles and/or alleviate his pain. Be aware of the moves he must be able to make to continue, and he must maintain his balance at all times.  Put together a plan which will strengthen all muscles necessary for David to dance. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful.

Statistics : Age 29  Weight: 170  Height: 5'9"'  16%body fat


Scenario #3

Joan is a combination sport player. She plays Softball, Water Polo and Volleyball. She is concerned because she wants to get a scholarship to go to college, but she does not know which sport will give her the best choice of schools.  She is above average in all of her sports, but especially excels in Water Polo and Volleyball. Choose for Joan which sport she should work out for, and plan an exercise program that is appropriate. She has 10 weeks before the beginning of practices for next year.

Statistics: Age 16  Weight 165  Height 5' 6"  36% body fat


Scenario #4

Walter is heading to Duke University on a Track and Field scholarship for pole vaulting. He has had no injury, but complains of pain in his left (plant) foot and ankle after every competition and practice. He currently can reach 15' 0"  and is trying to add at least 3" before he leaves in 10 weeks. Plan a strength and conditioning program for Walter that will give him more upper body strength and more leg spring and address the foot pain. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful.

Statistics: Age 18  Height 5'11"  Weight 185  27% body fat


Scenario #5

Ashley is an 8th  grader that wants to play volleyball for high school. She has not played volleyball competitively before, but was an average player in AYSO and Little League.

Plan a strength and conditioning program for Ashley that will help her to achieve her goal of making a HS team. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful. Age is of consideration in her program.

Statistics Age 14   Height 5' 6"  Weight 160  34% body fat


Scenario #6

Devon is a professional football player (receiver/defensive back) for the Arena League. Last year, he tore his left ACL on some bad Astroturf and sprained his ankle. He had surgery to repair the ACL, which needed no graft. He was treated by the team doctors and trainers and played in the last two games of the season. He does not feel like his rehabilitation brought him back to his best and he wants to do some additional strength training to get him back to his optimum. His doctors have cleared him to play for the next season which begins in 9 weeks. Design a program for Devon which will increase his flexibility in his knee and ankle, while building up his leg strength and his overall endurance. Be sure to address all aspects of his sport and any dietary changes or therapy that may help.

Statistics: Age 27  Height 6'1" Weight 205  27% body fat


Scenario #7

Carol is a competition swimmer in backstroke and butterfly. She has competed since she was 6 years old and now is in her first year of college. She did not get a scholarship but was accepted as a walk on for the swim team. The coach likes her dedication and her effort and wants her to be competitive, so he has chosen to red-shirt her for one year to prepare her for college competition. Put together a plan that will increase Carol's strength and flexibility and help her to increase her times. Cross training is mandatory for her speed and agility. Address all aspects of her diet, exercise and strength training.

Statistics: Age 19  Height 5'9"  Weight 159  30% body fat


Scenario #8

Mark is a multi sport competitor in high jump, swimming (freestyle) and football (place kicker). In his last two years of high school, he wants to concentrate on his leg strength to help him become better in all three sports.  Put together a plan that will help him to do the best in each sport, and make any alterations necessary as the sports change. He has 8 weeks to prepare for next year's football tryouts. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful.

Statistics: Age 16  Height 6'0"  Weight 170  24% body fat


Scenario #9

Michael is a 20 year old college student. He played high school football as a receiver and ran track, breaking two high school track running records. He was recruited by his college to play football, but suffered a right achilles tendon injury in the second game he played, one year ago. He had to have surgery to repair his tendon, and the doctor has just released him to start training for next season which begins on August 7th with football camp.

You are to prepare a strength and conditioning program which may include any exercise, weights, or rehabilitation necessary, to have Michael ready to start training camp on August 7th. He should be at the equivalent physical condition of all the other players who will also be starting training camp. Plan out a consecutive rehabilitation for his left knee, taking into consideration that the ankle is weak and can be re-injured if worked too hard. Note any diet changes that you may feel necessary, as well as any cross training that may be helpful.

Show a complete plan, using outlines, charts, graphs, or whatever you need to plan and chart the progress of his workouts.

Michael's Stats as of May 9:
Age: 20; General health: Excellent; Diet: Good; Height: 6'1" ; Weight: 180 body fat 21%

Walking: Normal, without limp; In cast after surgery: 8 weeks; Time on crutches after surgery: 14 weeks; Exercise since surgery: None; Therapy since surgery: 12 weeks at Physical Therapist (just completed) to restore mobility to Achilles tendon.


Scenario #10 (May 14)

Joseph is a 17 year old football player (lineman) who injured his left leg while playing recreational baseball. He has injured the medial collateral ligament and the medial meniscus. It has been determined that surgery will not be necessary, but rest and rehab will be necessary. He is currently on crutches and will remain so for a total of 30 days. He is aware that he may not be able to do summer practices but would at least like to play by mid season (Oct. 15).

You are to prepare a strength and conditioning program which may include any exercise, weights, or rehabilitation necessary, to have Joseph ready to start the season on Sept 7th., but not expected to play for another month. He should be at the equivalent physical condition of all the other players who will also be starting training camp, other than his knee. You should recommend all protective gear that will be helpful in both his rehabilitation and his return to play. All aspects of weight training for the other parts of his body must be considered.

Design a plan that will allow him to do blocking without putting much stress on his injured knee. Show a complete plan, using outlines, charts, graphs, or whatever you need to plan and chart the progress of his workouts.

Statistics: Age 17 Height 5'9" Weight 180 30% body fat