Physiotherapy Led Aircrew Conditioning Programme Flt Lt Ellen - - PowerPoint PPT Presentation

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Oct 05, 2022 228 likes •559 views

Physiotherapy Led Aircrew Conditioning Programme Flt Lt Ellen Slungaard RAF MSc, BSc(Hons), MCSP Senior Physiotherapist Scope Background. Typhoon. Typhoon Aircrew Conditioning Programme. Components. The Future.

SLIDE 1

Physiotherapy Led Aircrew Conditioning Programme

Flt Lt Ellen Slungaard RAF

MSc, BSc(Hons), MCSP

Senior Physiotherapist

SLIDE 2

Scope

Background.
Typhoon.
Typhoon Aircrew Conditioning Programme.
Components.
The Future.
Questions?

SLIDE 3

Background

Neck pain most common

musculoskeletal problem amongst military pilots & now more prevalent than in general population (Ang & Harms-

Ringdahl, 2006).

SLIDE 4

Typhoon

Performance limited by the ability of the

pilot to work in a high G environment.

High manoeuvrability coupled with rapid
nset of G could increase injury risk to

the pilot.

Main areas for potential injury are the

neck and upper back (Typhoon Project, 2007).

SLIDE 5

Neck Pain & Typhoon

80% over career.
63% assoc with flying Typhoon.
Affected the flying of 80% of sufferers.
Causes: High G, BFM.

(Typhoon Project, 2007).

SLIDE 6

Typhoon Aircrew Conditioning Programme (ACP)

Previous programme inadequate for BFM.
Periodised & structured programme required.
Joint sessions with PEd & Physio.
8 sessions during ground-school phase.
2 sessions per week, lasting 1.5hrs.
Measurable outcomes.

SLIDE 7

Components

Flexibility Training.
Cardiovascular Training.
Stability Training.
Strength Training.

SLIDE 8

Flexibility

Functional Movement Screening (FMS).
Delivers consistent, objective feedback

& measurable progress.

Individualised stretching programmes.

SLIDE 9

Cardiovascular

Aerobic.
Anaerobic.

SLIDE 10

Stability

Deep neck flexors.
Scapular stability.
Core stability

– Supine. – Standing. – Sitting on swiss ball.

SLIDE 11

Strength

Upper quadrant.
Isometric neck loading in neutral.
Olympic lifting.
Posterior chain.

SLIDE 12

Lesson Plan

Week 1

– Initial baseline testing, basic core, L1 neck, 1Rep Max.

Week 2

– L2 neck, BB Compound, L1/L2 core, anaerobic.

Week 3

– L2 neck, L2/L3 core, strength, anaerobic.

Week 4

– L3 neck, BB Compound, KB/PB, re-test FMS.

SLIDE 13

Level 1 - Basic Neck Isometric Loading

Position Drill Sets Reps Rest (secs) Load (theraband colour) Supine Deep neck flexor activation 10 10 sec holds 5

Standing

Theraband isometric c/spine ext 3 15 30 Theraband isometric c/spine flex 3 15 30 Theraband isometric c/spine s/flex 3 15 30

SLIDE 14

Level 1 – Theraband Isometric C/Spine Loading

SLIDE 15

Level 2A & 2B - Basic Neck Head-Harness Loading

Position Drill Sets Reps Rest (secs) Load (HH) A Kneeling HH c/spine flex, kneeling trunk flex 3 12 30 HH c/spine ext, kneeling trunk ext 3 12 30 HH c/spine s/flex, kneeling trunk s/flex 3 12 (each side) 30 B Standing HH c/spine flex, walking forwards 3 12 30 HH c/spine ext, walking backwards 3 12 30 HH c/spine s/flex, walking sideways 3 12 30

SLIDE 16

2A - HH C/Spine Flex, Kneeling Trunk Flex

SLIDE 17

2A - HH C/Spine Ext, Kneeling Trunk Ext

SLIDE 18

2A - HH C/Spine S/Flex, Kneeling Trunk S/Flex

SLIDE 19

2B - HH C/Spine Walking

SLIDE 20

Level 3A & 3B – Basic Neck Head-Harness Complex Loading

Position Drill Sets Reps Rest (secs) Load (HH) Load (D/B) A Standing HH c/spine ext, D/B squat with shoulder shrug 3 12 30 HH c/spine flex, D/B alternate lunge with shoulder ext 3 6 (each leg) 30 HH c/spine s/flex, D/B standing trunk s/flex with alternate shoulder shrug. 3 12 30 B Swiss Ball (S/B) Sitting HH c/spine flex, S/B sitting, D/B bent elbow lateral raise 3 12 30 HH c/spine s/flex, S/B sitting, D/B alternate bicep curl 3 6 (each arm) 30 HH c/spine ext, S/B sitting, D/B alternate shoulder ext 3 12 30 HH c/spine s/flex, S/B sitting,

pposite pulley single arm pull (e.g. L

HH, R arm pull) 3 12 (each side) 30

SLIDE 21

3A - HH C/Spine Ext, D/B Squat with Shoulder Shrug

SLIDE 22

3A - HH C/Spine Flex, D/B Alt Lunge with Shoulder Ext

SLIDE 23

3A - HH C/Spine S/Flex, D/B Trunk Flex, Alt Shoulder Shrug

SLIDE 24

3B - HH C/Spine Flex, S/B Sitting, D/B Lat Raise

SLIDE 25

3B - HH C/Spine S/Flex, S/B Sitting, D/B Alt Bicep Curl

SLIDE 26

3B - HH C/Spine Ext, S/B Sitting, D/B Alt Shoulder Ext

SLIDE 27

3B - HH C/Spine S/Flex, S/B Sitting, Opp Pulley Single Arm Pull

SLIDE 28

Level 4 – Advanced Neck Head- Harness Complex Loading

Position Drill Sets Reps Rest (secs) Load (HH) Load (Pulley) Load (D/B) Swiss Ball (S/B) Sitting HH c/spine s/flex, opposite pulley single arm pull, D/B shoulder ext (e.g. L HH, R arm pull) 4 8 (each side) 30 HH c/spine flex, bilateral D/B lateral raise with ext rot 4 8 30

HH c/spine ext, R D/B shoulder

press, L D/B bicep curl 4 8 (each side) 30 HH c/spine s/flex, opposite pulley single arm pull, D/B lawnmower pull (e.g. L HH, R arm pull) 4 8 (each side) 30 HH c/spine ext, opposite pulley cable cross over, D/B upright row (e.g. L HH, R arm pull) 4 8 (each side) 30 HH c/spine s/flex, opposite pulley tricep kick back, D/B shoulder shrug (e.g. L HH, R arm pull) 4 8 (each side) 30

SLIDE 29

4 – HH C/Spine Ext, S/B Sitting, L D/B Sh Press & R D/B Bicep Curl

SLIDE 30

4 – HH C/Spine S/Flex, S/B Sitting, D/B Upright Row, Opp Pulley Lat Pull Back

SLIDE 31

The Future

Implement ACP for fast jet at RAF

Linton and RAF Valley.

Develop and implement ACP for rotary

aircrew.

Develop research into effectiveness of

ACP.

SLIDE 32