Going skiing? These exercises can prevent vacation-ending injuries.
An estimated 120,000 recreational skiers tear their ACL every year, and it usually ends the weekend or vacation on a ski patrol sled. Credit: AP/Rick Bowmer
If you’re planning a winter ski trip, you have probably given plenty of thought to the warm clothes, the gear and the lodge. Now it’s time to plan for injury prevention.
A common ski injury is a tear to the anterior cruciate ligament (ACL). It happens to an estimated 120,000 recreational skiers worldwide every year and usually ends the weekend or vacation on a ski patrol sled.
Despite the prevalence of ACL injuries in recreational skiing, little has been done to prevent them. A recent editorial in the British Journal of Sports Medicine noted that specialized injury-prevention programs are very successful in ball sports, but they haven’t been utilized in recreational skiers.
“Research has found considerable benefits, more than a 50% ACL injury reduction, following specific ACL injury-prevention programs in ball sports,” said Martin Burtscher, the lead author of the editorial and a professor at the University of Innsbruck. “Why should this not work in Alpine skiing?”
When an ACL tears on a soccer or other sports field, it’s often because the body twists and the foot doesn’t, transmitting that torque to the knee. But snow and skis make for a different equation, said Tim Hewett, professor and director of research at Marshall University’s Department of Orthopedics in Huntington, West Virginia.
Understanding the position of the body when these injuries are most likely to happen can help people lower the risk. There are three main ways people tear their ACL while skiing.
-The slip-catch: This typically happens during a turn when the outside ski loses contact with the snow and the skier attempts to regain contact in a more vulnerable, extended-knee position.
-The dynamic snowplow: This occurs when the inside ski loses contact with the snow during a turn and re-engages with the snow in a snowplow position.
-Backward fall: An out-of-balance backward fall can happen when the skier sits on the back of the ski.
What you can do to prevent ski injuries
While it’s best to start a training program a few months before your trip and maintain it throughout the year, you can still benefit from training even if your trip is weeks away. Matthew Jordan, former director of sport science/sport medicine for Alpine Canada, said injury-prevention training programs should focus on the following areas:
-Core strength: Exercises that build your core will help maintain a stable position on the skis. Try a plank (hold a pushup position with straight arms or resting on your forearms) or a bridge (lie on your back with knees bent and feet flat; use glutes to lift hips up).
-Knee and hip control: Exercises that develop dynamic strength and balance can help in situations when the snow is suddenly icier, bumpier or when another skier runs into you. Try standing on one leg with the knee slightly bent and back straight. Lower the torso so it is parallel to the floor. Or try lunges on a balance pad. With one foot on a balance pad or disc, step the other foot back. Now lower the back knee to the floor.
-Hamstrings and quadriceps: Strong legs act as a brace for the knee, and balanced strength between the quads and hamstrings is an important factor when skiing. Do squats. Keeping your back straight, bend your knees and hips to 90 degrees.
