ZANIOLO'S INJURY: THE BREAKING OF HIS LIGAMENTS IS THE LAST OF A LONG SERIES: SINCE 2010 + 400% OF OPERATIONS BETWEEN YOUNG PEOPLE. THE EXPERTS' GUIDELINE TO PREVENT AND CURE THEM

Follow neuromotor training, practice hip and glute structural reinforcement, work on landing techniques. These are some of the recommendations of the experts to prevent ligament ruptures that continue to claim illustrious victims: the soccerplayer Nicolò Zaniolo is forced to a long period of stop due to an injury to the anterior cruciate ligament of his left knee, remedied in the match against Holland. In fact, international research has shown a real boom in operations among the very young: + 400% in just 10 years.

The injury to the anterior cruciate ligament in his left knee, sustained by Nicolò Zaniolo during the Italiam Team's game against the Netherlands last night, is only the latest in a long series. Injuries like this are increasingly common among professional and young players. According to a research by the Philadelphia Health Center and published in the Daily Mail, the operations resulting from these injuries have increased by 400% in the last 10 years. And again, according to a survey by the journal Physician & Sports Medicine, there are over 200 thousand injuries of the anterior cruciate every year among young people in America, while in Italy there are 150 thousand cases per year out of the total population, according to a report by the Italian Society of Orthopedics and Traumatology.

A negative situation that has affected many athletes, especially among footballers, basketball players and skiers: from the aforementioned Nicolò Zaniolo, who this year broke his anterior cruciate ligament twice this year, to Merih Demiral, a young Juventus defender who reported the cruciate injury of the left knee, from Gerard Deulofeu, who suffered the rupture of the cruciate ligament and meniscus injury, to Leonardo Pavoletti, blocked for a recurrence of the cruciate injury, up to the skiers Dominik Paris and Simone Murberger, and Fuenlabrada basketball player Jerome Randle and Jeremy Lamb, guard of the Indiana Pacers.

But what are the recommendations of the experts? Prevention begins with a careful physical assessment and continues with neuromotor training consisting of exercises aimed at strengthening the hip and buttock muscles. It is also essential to avoid damage from functional overload and to wear suitable sports footwear. Finally, to speed up recovery, experts recommend laser therapy.

Dr. Fabio G. Paolo Tenconi, Fisioterapista,Medico, Posturologo Clinico, Preparatore Atletico Professionista ed Allenatore Uefa B.

Dr. Fabio G. Paolo Tenconi, Physiotherapist, Physician, Clinical Posturologist,

Professional Athletic Trainer and Uefa B.

For this purpose, Theal Therapy was patented. Theal Therapy is a made in Italy laser therapy created by Mectronic which, thanks to the mix of different wavelengths, adapts the treatment based on physiological parameters such as age, phototype and type of tissue.

“Crusader injuries have experienced a sharp increase in the last 20-30 years due to changes in the way athletes train, the speed of execution of the technical times and a change in the playing fields. For this reason, following precise precautions such as undergoing neuromotor training, strengthening the hip and buttock muscles and working on landing techniques are essential to prevent injuries - explains Dr. Paolo Tenconi, doctor and professional athletic trainer and Uefa B coach – In the course of my experience I have found that the most common injuries concerned the anterior cruciate, the medial meniscus and the lateral meniscus, especially among the youngest who play football and practice snow sports. In these cases, Theal Therapy becomes a valid ally in the prevention and treatment of injuries thanks to four wavelengths that produce photobiomodulation, the only one of its kind, and consequently biostimulating effects on the ligament system, solving the problems of hypoxia and therefore poor vascularization ".

But what are the most frequent types of ligament injuries among athletes? According to a research by the Journal of Epidemiology conducted on a sample of 20 thousand athletes, 21% concerns injuries of the anterior cruciate, 11% those of the medial meniscus, 8% affects the medial collateral ligament, 4% affects the meniscus lateral and 2% the external collateral. An extremely low percentage, around 0.02%, affects posterior cruciate ruptures. And again, 40% of these injuries concern those who play football, while 21% those who practice winter sports such as cross-country skiing. But that's not all, because anterior cruciate ligament rupture is more common in women due to reduced linear stiffness, ligament laxity, and hormonal factors. Finally, according to a research by the University of Michigan published in Science Direct, the surgeries on the anterior cruciate ligaments cause evident changes in the brain activities of subjects with these problems. Changes that are at the origin of the joint recovery difficulties and the risk of new injuries.

Finally, here are expert guidelines for preventing and treating possible ligament injuries:

1) UNDERGO A NEUROMOTOR TRAINING REGIME

Following neuromuscular, agonist and antagonist control, and activating dynamic stabilization, is essential to perform precise and calibrated movements.

2) PAY ATTENTION TO EAT CORRECTLY

Maintaining a healthy and balanced lifestyle, without exceeding in any way, is an excellent ally to stay informed and reduce the risk of injuries.

3) WORK ON LANDING TECHNIQUES

Exercising to improve the plantar flexion of the ankle increases shock absorption and reduces the vertical force peak on the ground.

4) DO NOT UNDERESTIMATE STRETCHING

Doing a muscle warm-up helps maintain some elasticity, improves posture and helps prevent the risk of injury.

5) HYDRATE YOURSELF IN THE CORRECT WAY

Drinking the right amount of water before, during and after workouts is the main warning to ensure optimal athletic performance, reducing fatigue and stress.

6) AVOID DAMAGE FROM FUNCTIONAL OVERLOAD

You have to learn to listen to your body and dose your workloads during training to combat overload stress.

7) PRACTICE MOBILITY AND CORE STABILITY EXERCISES

Training sessions should focus on exercises aimed at improving motor control and the capacity of the muscle groups.

8) MONITORING THE CONDITIONS OF THE PLAYING FIELDS

Ruptured ligaments affect footballers the most: for this reason it is essential to monitor the conditions of the pitch, both outdoors and indoors.

9) WEARING FOOTWEAR SPECIALLY DESIGNED FOR SPORT

Broken ligaments, sprains and trauma are facilitated by the use of inadequate footwear. Wearing regulated sports shoes ensures better control and reduces the risk of injury.

10) ACCELERATE THE RECOVERY TIMES WITH THE AID OF LASER THERAPY

The use of the Theal Therapy laser has proved extremely useful in the treatment and faster recovery of ligament ruptures, which are increasingly frequent in the world of sport.

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Decreto Legislativo 24 febbraio 1997, n. 46
Articolo 21
1. È vietata la pubblicità verso il pubblico dei dispositivi che, secondo disposizioni adottate con decreto* del Ministro della Sanità, possono essere venduti soltanto su prescrizione medica o essere impiegati eventualmente con l'assistenza di un medico o di altro professionista sanitario.

2. La pubblicità presso il pubblico dei dispositivi diversi da quelli di cui al comma 1 è soggetta ad autorizzazione del Ministero della Sanità. Sulle domande di autorizzazione esprime parere la Commissione di esperti prevista dall'articolo 6, comma 3, del decreto legislativo 30 dicembre 1992, n. 541, che a tal fine è integrata da un rappresentante del Dipartimento del Ministero della Sanità competente in materia di dispositivi medici e da uno del Ministero dell'Industria, del commercio e dell'artigianato.

* Il DM previsto dal comma 1 dell’articolo sopra citato non è stato ancora riportato. In questa fase, pertanto, vengono ammesse, comunque, soltanto pubblicità di dispositivi medici che, per le loro caratteristiche, sono inequivocabilmente acquistabili ed utilizzabili senza intervento di un sanitario.

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