Category Archives: Injury Prevention

The Importance of Hip Range of Motion in Tennis

By Patrick Aubone, CTPS & Dr. Mark Kovacs, CTPS, MTPS

Hip range of motion in tennis is one of the most challenging areas to train and treat. It is well understood the importance of the hips in the tennis player both from a movement standpoint, but also from a stroke efficiency perspective. Limitations in hip range of motion has been linked to lower back issues and also shoulder and upper extremity problems. In tennis hip range of motion is important in order to transfer energy from the lower body to the upper body through the kinetic chain. Repetitive rotational stress in the lower extremities playing tennis can lead to sport specific range of motion adaptations. Such adaptations may increase the risk of injury to other joints along the kinetic chain.

The increase risk of injury due to lack of mobility is worrisome at the recreational level. Common injuries seen include shoulder injuries, tennis and golfers elbow, abdominal pulls, groin and hamstring pulls. Some if not all of these can possibly be prevented by increasing the hips range of motion. Abdominal strains are linked to hip flexion contractures. A hip flexion contracture is caused by sitting for extended periods of time. In one study hip flexion contractures were linked to abdominal strains with iliopsoas tightness. Tight ligaments and muscles were more related to injury in men not in women in one study done on college athletes (Krivickas 1996)

Increasing range of motion is important because decreased hip strength may be associated with poor control of lower extremity motion during weight bearing activities. A lack of hip strength can lead to abnormal patellofemoral motions and pain.  Individuals suffering from patellofemoral pain syndrome demonstrate significant impairments in hip strength. The question now is how can one increase their range of motion? The following exercises will help increase quadriceps and hamstring flexibility along with increasing hip range of motion.

  1. Figure 4 stretch – Lying flat on your back place the outside of the right foot on the left quadriceps. Next place the right hand through the triangle and grab the left shin with both hands. Next pull the left leg towards your chest as far as possible stretching the right glute.
  2. Single Leg Flexion – Start with one leg back with the knee downward flat on the ground while the opposite leg is flexed at 90 degrees. Make sure that your forward foot is in line with the same side hand in order to keep your shin vertical. Next place the hand on the foot locking it in place and sprawl the opposite leg back and drop move the forward knee slightly outward. From here move in and out with the front leg to loosen up the hip capsule.
  3. Hip External Rotation – Sit upright with your legs straight out in front of you. Set up by learning toward one side and swing the opposite leg forward perpendicular to your body. Next extend your back leg keeping the foot flat on the ground and maintaining a flat back. Slowly lower your chest towards the ground. Make sure to hold the front foot down, one you have reached your limit experiment by rotating your torso in different directions still maintaining a flat back.

Here are 10 common hip stretches that can be a valuable addition to an athletes training – http://dailyinformator.com/10-piriformis-stretches-to-help-you-get-rid-of-sciatica-hip-and-lower-back-pain/

These are just a few exercises that can help increase range of motion in the hips and help prevent injuries. Because of the rotational nature of the sport it is vital to have a healthy kinetic chain from the ground up. The hips and glutes play an important role in the entire kinetic chain and their flexibility and range of motion is very important.

Here is another great resource on stretching the hip (as well as many other body parts) in the Dynamic Stretching book and the Stretching Strap Workbook at the link http://mark-kovacs.com/products.html

Sources:

https://www.ncbi.nlm.nih.gov/pubmed/25214532

https://www.ncbi.nlm.nih.gov/pubmed/8931525

http://www.jospt.org/doi/abs/10.2519/jospt.2007.2439?code=jospt-site

Patrick Aubone CTPS, MTPS, M.S.

EXOS Phase 1 Mentorship
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What It Takes To Be A Professional Male Tennis Player – The 3 Physical Signatures of Professional Tennis Athletes

Introduction/History

Over the past few decades the numbers of players trying to play professional tennis has grown significantly. The prize money has increased 13% in the last year; in 1990 Pete Sampras beat Andre Agassi in US Open Final and Pete’s prize money check was US $220,000. In 2020 the winner will receive right at US $4 million. As a result, the financial benefits of being a top tennis player has increased significantly and more people all over the world are looking at the possibilities of making professional tennis a career. The finances are very top heavy, but if you can make it the rewards are impressive. As a result a lot of players, parents, coaches, agents and federations put time, energy and planning into the young careers of promising junior players. However, from my experience, far too many players are not being developed effectively based on their physical styles and genetics –  or what I like to call “Physical Signature.” Every athlete has a physical signature; it is the athlete’s personal DNA. Just like a fingerprint it is unique to each individual. However, in tennis, three broad categories of physical styles do exist and it is easy to break out most tennis athletes into one of these three styles/signatures. It is important to understand this from a Talent/Physical development perspective, but also to help train each athlete most appropriately. This article is focused on the physical aspects, but I also do the same analysis for technical style, tactical style, mental style and the intangibles (professionalism, desire, etc).

Based on the current style of play at the top of men’s tennis you can see three broad groups of players that make a great living playing professional tennis. I have used other sports as an example of this athlete and the likelihood that any of the top professional tennis players that would fall into this category would be able to play that sport at the highest level if that was the focus at a young age.

1. The NBA “Big Man” Athlete (A very tall big serving athlete). Just being tall is not enough. You need to be an athlete, a competitor and great tennis player. John Isner, Reilly Opelka, Ivo Karlovic, Kevin Anderson among others fall into this category. They are over 6ft 6inches tall and most are closer to 7ft.

If you are a junior tennis player (or the coach/parent) of a young player who is projected to be in this category then the training from a young age should be specific and targeted to focus on the areas of most need.

Injury Prevention/Reduction Training: This is specifically on the areas of most need including: lower back, knees and shoulders, foot/ankle. Prevention programs should be implemented from a young age specifically on the areas of most risk. From the research on tall growing athletes the areas of concern/risk are clear and a well targeted program and long-term plan should be implemented. From my personal experience working with two of the tallest players in tennis history (as well as many big men in other sports), the concerns and potential injury risk is higher during the developmental years due to the rapid growth and subsequent challenges associated. You need a very structured plan and long-term focus with measurable data, consistent evaluation periods, smart scheduling and the right type of training to be successful.

Movement: In the development years, this will be the biggest weakness and will likely result in this type of athlete not always having the same results as some of their peers. The main reason is that the ability to play defense is challenged and it is harder to win when not playing their best. So it is common to see more losses (and sometimes more “bad” losses during development). As a result, movement mechanics, on-court technique work is paramount to ensure they are efficient and effective with the right movements. Check out the International Tennis Performance Association (iTPA) work on Tennis Movement and Footwork. Go to this site and you can get the full “free” book going through over 30 of the most important tennis movements to make sure you know what to train www.itpa-tennis.org

2. The Duel Threat Modern NFL Quarterback – This is the tennis player who is between 6ft 1inch -6ft 6inch in height. However, they also are very fast, a great mover and see the court very well. The highest percentage of all-time greats over the past few decades have been in this category – Sampras, Federer, Nadal, Djokovic, Murray, Lendl, Becker, Edberg, Safin et al. What makes this bodytype so valuable is that they all can serve above 130MPH and control the tempo of matches with the serve, but also are great movers and can play outstanding defense when needed. This usually gives them a slight advantage when they are not playing their best to still find ways to win. These individuals do not follow the same developmental timeline. Some can grow early, some can be late maturers, so many players between 10-16 may fall into this category and need to be trained to have a full court game, with the ability to play defense, offense, move very well and be in great overall tennis specific conditioning.  

If you are a junior tennis player (or the coach/parent) of a young player who is projected to be a in this category then the training from a young age should be specific and targeted to focus on the areas of most need.

Strength & Power: For this athlete to have a long a successful career the right training habits are needed to be trained throughout the development years. Age appropriate strength and power training is important for this athlete as this will be an important area of training as they get older and need to maximize these areas on-court.

Movement: Although movement should not be a major weakness during the development years, many athletes are struggling during the years as they are growing at different stages. Therefore, it is vital to train the right movements and mechanics throughout this development period. Here is a good resource that highlights over four hours of on-court movement training for all aspects that are needed to be successful  –TENNIS MOVEMENT

Mobility: This is an area that all tennis players need to spend a lot of time developing. However, for this type of athlete it becomes even more important due to the need to play a hybrid of styles. Need to be as fast and agile as the World Class Soccer Player, but be able to bring the power like the NBA Big Man. The hips of a tennis player are one of the most important joints in the body for all tennis players, but specifically for athletes who have this style. Here is a resource specifically focused on the Hips for Tennis Player. We call it Bulletproofing Your Hips.

3. The World Class Soccer Player: These are the individuals that are usually under 6ft 1inch in height yet have top of the charts on-court tennis movement and tennis-specific fitness and endurance. Think about players such as Lleyton Hewitt and David Ferrer. So how many Top 100 players fall into this category? At the end of 2019 the average height of the Top 100 on the ATP Tour was 6ft 2inches or just above 187cm. However, less than 20 players would fall into the 6ft 1inch height and below category. Although the data suggests that being taller than 6ft 1inch is helpful as a starting guide for professional tennis, many players under this height have made a very successful career from professional tennis. This being said, these players who are succeeding currently (for example as Kei Nishikori, Fabio Fognini, David Goffin, etc.) have some unique talents whether it be shotmaking ability, touch/court craft, fitness, court speed etc. It is vital that this category of player has multiple skills from a physical perspective. This needs to be understand from a young age and the various physical skills need to be developed in a structured and planned method. Although this athlete needs everything to be developed at a very high level to be successful, the following are two that always need to be prioritized:

If you are a junior tennis player (or the coach/parent) of a young player who is projected to be in this category then the training from a young age should be specific and targeted to focus on the areas of most need.

Tennis Specific Endurance: Individuals have a genetic aspect to all these styles and having great endurance is one of the most genetically determined areas. Individuals have a higher composition of slow twitch fibers, higher hemoglobin and myoglobin levels (which helps with oxygen delivery and use by the body) and higher capacity of maximal oxygen uptake (VO2max). However, training can significantly improve these aspects if done correctly. Most younger athletes do not realize the level of tennis specific conditioning needed to be successful on the ATP Tour. Not only at regular tournaments throughout the year, but specifically during Grand Slam events involving 5 set matches.

Speed & Movement: The challenge for this player is that although tennis specific endurance is a major area that needs to be trained, so does speed and movement. These are two somewhat opposing biomotor capabilities, and improving one to a great extent does potentially reduce the other. Therefore, it is important to structure your training weeks with these competing goals in mind. In simple terms you want to work on speed and movement when the athlete is fresh (early in the training day for example), and you work on tennis specific endurance at the end of the training day or after any skill based or speed-based work is performed. Although a lot more goes into planning for these types of athletes, this is a good rule of thumb to help plan the sessions.

Strength: This style of athlete needs to be very strong as they are somewhat undersized compared to most of their competitors and as a result, will need to make up for it with developing a strong and powerful game built both on the court, but also in the gym. Having a personalized training program focused on this area will allow this style of athlete to compete and thrive with taller and stronger competitors.

The goal of this article was to highlight a simple framework to help effectively train younger athletes who have the desire to play at the highest levels of the game. It is understood that all athletes are unique and a one size fits all training program is not recommended, these three broad categories outlined above can help provide guidance about how individual young male tennis players should be developed through their formative years.

Posted in Coaching, General, Injury Prevention, Movement, Performance, Playing Styles, Professional, Training | Leave a comment

Simple Exercises That Can Be Done To Potentially Reduce Injuries And Increase Performance

Here is a great video where three of our ITPA professionals (Dean Hollingworth, CTPS, MTPS; Jonny Fraser, CTPS, MTPS and Trevor McPherson, CTPS) provide over 200 adult competitive tennis players with some important exercises that can be incorporated into weekly programs. This was a presentation at the Tennis Congress. Watch this video to get some ideas on how best to perform these exercises.

Posted in Core and Legs, Drills, Flexibility, Injury Prevention, Member Spotlight, Performance, Shoulder, Stability Training, Strength, Strength Training, Training, Video, Weights | Leave a comment

Injuries and Playing Surfaces in Professional and Recreational Tennis

By Patrick Aubone, CTPS & Dr. Mark Kovacs, CTPS, MTPS

Headed into the professional clay court season, common perception is that in tennis surface matters. As we get older, clay courts are the surface of choice. Continue reading

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Tennis Hip Syndrome How can my tight hip cause shoulder and elbow pain?

Guest blog post by Brian Nathanson, DC, CTPS

This is the question I hear many times when I tell my rotator cuff and tennis elbow clients they have Tennis Hip Syndrome. Over the years I have had the pleasure of working with many tennis professionals and passionate amateurs. During this time I have noticed a very common pattern yet to be named. For lack of a better term I have decided to call it Tennis Hip Syndrome. Continue reading

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Presentation Slides From Performance Lectures at 2014 Tennis Medicine & Performance Conference

On July 19th and 20th, 2014 the iTPA and STMS combined to host the 2014 Tennis Medicine & Performance Conference in Atlanta, Georgia (USA). This great 2 day education event brought together experts in all aspects of tennis medicine, science, performance training and coaching. As many of the iTPA family could not attend in person we are providing some resources for our members in over 24 countries. In this post you will see a selection of the performance focused presentation slides.

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If you are interested in viewing 10 of the most well-attended sessions during the conference, please visit the link below with the ability to subscribe to over 7 hours of video from the conference 2014 Tennis Medicine & Performance Conference Videos

Continue reading

Posted in 2014 Tennis Medicine & Performance Conference, Dr. Mark Kovacs, Injury Prevention, Movement, Performance, Plyometrics, Serve, Speed & Agility, Sports Science, Training, Young Tennis Players | Leave a comment

Medicine/Injury Prevention Slide Presentations from the 2014 Tennis Medicine & Performance Conference

If you were unable to attend the 2014 Tennis Medicine & Performance Conference in person, you missed one great educational event. However, we want to provide great value to iTPA members and we are including a selection of the medical/injury prevention presentation slides from the 2014 Tennis Medicine & Performance Conference below. If you are interested in viewing 10 of the most well-attended sessions during the conference, please visit the link below with the ability to subscribe to over 7 hours of video from the conference 2014 Tennis Medicine & Performance Conference VideosDSC_0717 Continue reading

Posted in 2014 Tennis Medicine & Performance Conference, Conference Summary, Dr. Neeru Jayanthi, General, Injury Prevention, Kathleen Stroia, Sports Science, Tennis Elbow, Young Tennis Players | Leave a comment

Physical and Physiological Demands of Tennis

By Josh Bramblett, iTPA Staff

The modern game of tennis continues to progress and evolve. There are numerous ways for any player at any skill level to participate. The physicality of tennis continually grows along with the demands placed on the body. The focus of the game has changed from finesse to power and speed. Continue reading

Posted in Heat, Injury Prevention, Movement, Performance, Periodization, Recovery, Speed & Agility, Sports Science, Tennis Strokes, Training | Leave a comment

Heat at the Australian Open

By Josh Bramblett, iTPA Staff

For 4 days at the first week of the Australian Open a heat wave swept over Melbourne that has not been seen in a century. During the first week of the tournament (Tuesday through Friday), temperatures rose to over 104 degrees Fahrenheit. The intense heat wave has resulted in: Continue reading

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Ice Baths: Can They Help The Tennis Athlete Recover?

Improving recovery from tough training sessions or intense tournament matches is one area that the TPT or CTPS needs to constantly work on to ensure your players can recover optimally so that the next day of training or competition can be optimized. Although many techniques are used in attempt to improve recovery, this post will focus on Continue reading

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