2.Lateral tennis elbow practice schedule return
guidelines (Table 91-2).
BIBLIOGRAPHY
Groppel J, Nirschl RP: A biomechanical and electromyographi-
cal analysis of the effects of counter force braces on the tennis
player. Am J Sports Med14:42–49, 1986.
Nirschl R: Elbow tendinosis. Clin Sports Med11:851–870,
1992.
Nirschl, R.P: Good tennis is good medicine. Phys Sports Med
1:33–41, 1973.
Nirschl RP: Orthopedic concerns for the tennis professional,
in Groppel J (ed.): USPTA Sports Science and Sports
Medicine Guide. Houston, TX, USPTA Publications, 1988,
Chap. 3, pp. 19–28.
Nirschl RP, Sobel J: Arm Care. Arlington, Virginia, Medical
Sports Publishing, 1996.
Nirschl, RP: Prevention and treatment of elbow and shoulder
injuries in the tennis player. Clin Sports Med7(2): April 1988.
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in Groppel J (ed.): USPTA Sports Science and Sports Medicine
Guide. Chap. 5, p. 49–70.
92 TRIATHLON
Shawn F Kane, MD
Fred Brennan, DO
TRIATHLONS
•A unique multidisciplinary event, including sequen-
tial swim, bike, and run legs. The concept was initially
developed as an alternative to standard marathon or
538 SECTION 6 • SPORTS-SPECIFIC CONSIDERATIONS
TABLE 91-2 Lateral Tennis Elbow Practice Schedule Return Guidelines
TOURNAMENT PLAYER RECREATIONAL PLAYER*
DAY DURATION TECHNIQUE DAY DURATION TECHNIQUE
1 15 min F only 1 15 min F only
2 20 min F; FL; few FV 2 30 min F; FL; few FV
3 30 min F; FL; FV; Few O 3 35 min F; FL; FV; few O
(to F court only)
4 35 min F; FL; FV; O; Few S 4 45 min F; FL; FV; O
5 40 min F; FL; FV; O; S 5 1 h F; FL; O; S; Few B
(no SL, T, or AT) (2 handed)
6 45 min As day 5 6 1 h F; FV; FL; O; S; BV;
(2 handed); B
71 h As day 6 7 1 h F; FV; L; O; S; B; BV
(2 handed); B
81 h (a.m.) F; FL; FV; O; S (no SL or 8 1 h F; FV; L; O; S; B
AT); few B (two handed)
91 h F; FL; FV;O; 9 Resume normal
S (no AT); B (no BV) practice/play schedule
10 1 h (a.m.) F; FV; L; O; S; (no AT)
15 min (p.m.) B; (no U)
F; FL; O
11 1 h (a.m.) Same as day 10
20 min (p.m.) Same as day 10
12 1 h (a.m.) Same as day 11
30 min (p.m.) F; FV; L; O
13 1 h (a.m.) F; FV; L; O; S; B;
45 min (p.m.) few BV (no U)
F; FV; L; O; S
14 1 h (a.m.) F; FV; L; O; S; B; BV
1 h (p.m.) Same as in a.m.
15 Resume normal
practice/play schedule
*Progression for recreational player refers to the actual playing days, not chronological days.
Code for Tennis Practice Schedule
F =Forehand T =Topspin FV =Forehand volley
AT =American twist S =Serve L =Lob
U =Underspin BL =Backhand lob B =Backhand
FL =Forehand lob SL =Slice O =Overhead
BV =Backhand valley
Caution
- Use Medical Count’R-Force® at all times.
- Hit easily—hit through the ball.
- Stay in balance.
- Stay in the hitting zone.
- No late strokes.
- Keep eye on ball.
- Two-handed backhand is protective
- Ice sore areas immediately after play.